研修医の燃え尽きに対するストレス対応能力と労働時間の影響について

• Material Type: 博士論文
• Title: 研修医の燃え尽きに対するストレス対応能力と労働時間の影響について
• Author/Editor: 貴島, 沙織
• Author Heading: 貴島, 沙織 キジマ, サオリ
• Publication, Distribution, etc.: BMC
• Publication Date: 2020
• Publication Date (W3CDTF): 2020
• Alternative Title: Effect of stress coping ability and working hours on burnout among residents
• Periodical title: BMC Medical Education
• No. or year of volume/issue: 20
• Volume: 20
• Degree grantor/type: 鹿児島大学
• Date Granted: 2020-10-16
• Dissertation Number: 甲総研第577号
• Degree Type: 博士(医学); Doctor of Philosophy in Medical Science
• Text Language Code: eng
• Subject Heading: Burnout; Maslach burnout inventory; Sense of coherence; Resident; Working hours
• Target Audience: 一般
• Note (General): 博士論文全文, 博士論文要旨, 最終試験結果の要旨, 論文審査の要旨; Background: Burnout among residents leads to interruptions in training and even to exit from programs. Despite the implementation of working hour restrictions in the U.S. in 2013, the high rate of burnout remains a serious problem. Therefore, we analyzed Japanese residents’ burnout, training conditions, and associated factors, especially stress coping ability, which could become an evidence base for creating guidelines of programs and working environments. Methods: In total, 37 teaching hospitals were randomly selected, and all residents in the third and fifteenth months of a residency program at these hospitals were targeted for this research. We analyzed the residents’ burnout rates, associated factors, and interactions using response data from a self-administered questionnaire consisting of the Japanese versions of the Maslach Burnout Inventory (MBI) and the Sense of Coherence (SOC) scale, as well as items asking about their training environments, gender, and age. Results: Overall, 48 (49.5%) of 97 residents in 18 teaching hospitals (62 and 35 in the third and fifteenth months, respectively), whose average working hours were 63.3 h per week, were judged as having burnout, among whom, 33 (53.2%) and 15 (42.9%) had burnout in the third and fifteenth months, respectively. Logistic regression analysis indicated that working hours and 10 items on the SOC scale (SOC10) were significant factors of burnout. Two-way analysis of variance revealed that working hours was a significant variable for the MBI-emotional exhaustion score and SOC10 in the third and fifteenth months, respectively. Regarding the MBI-cynicism and professional efficacy scores, the SOC10 was a significant variable in both the third and fifteenth months. In addition, the high SOC group (SOC10 > 45) showed higher personal efficacy under longer working hours. Conclusion: About half of the Japanese residents were judged as having burnout as early as the third month of training under regulations of working 40 h per week. Individual stress coping ability and working hours were found to be significant factors for burnout. Residents with high stress coping ability exhibited more personal efficacy with more working experiences, which suggests that the SOC scale could be a valuable tool to help foster a suitable training environment. Saori Kijima, Kazuya Tomihara and Masami Tagawa Effect of stress coping ability and working hours on burnout among residents BMC Medical Education, 20, 219 (2020) DOI: https://doi.org/10.1186/s12909-020-02134-0
• Format (IMT): application/pdf
• Source: Diss_貴島_沙織_ISK577_2020/ comment：fulltext; https://ir.kagoshima-u.ac.jp/record/15601/files/Diss_%E8%B2%B4%E5%B3%B6_%E6%B2%99%E7%B9%94_ISK577_2020.pdf
• Access Restrictions: インターネット公開
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 鹿児島大学 : 鹿児島大学リポジトリ