ABSTRACT

Burnout is a growing concern, with significant negative consequences for physicians and patient care. Burnout is negatively associated with physician empathy, while resilience may be a protective factor against the development of burnout but few studies have examined all three constructs in the same cohort. Understanding the associations between these constructs could aid in the development of interventions for physicians experiencing burnout and improve the delivery of compassionate care. We conducted a cross-sectional survey to determine levels of burnout, empathy and resilience in a sample of academic physicians and investigate the relationships between these variables. Validated scales were administered online to measure burnout (Maslach Burnout Inventory – Human Services Survey, MBI-HSS), empathy (Jefferson Scale of Empathy – Physicians/Health Professions Version, JSE) and resilience (Connor-Davidson Resilience Scale, CD-RISC). Descriptive statistics, correlation coefficients, and group comparisons were examined. Eighty-three physicians completed the JSE and CD-RISC, while a subset of 49 physicians also completed the MBI-HSS. Response rates were 31.9% and 18.8%, respectively. High burnout was reported by 49% of the sample. Physicians with high burnout reported lower levels of resilience than those who were not burnt-out. No differences in levels of empathy were observed between these two groups. Older physicians (>45 years) reported higher resilience scores than younger physicians. Resilience and empathy were significantly positively correlated. The reported rate of physician burnout in this sample of academic physicians is concerning, with burnout associated with lower levels of resilience. Further research is required to explore the relationship between physician age and resilience, the impact of resilience-building interventions on burnout and empathy in physicians, and how modifying these variables influences the delivery of compassionate care for patients.

摘要

倦怠是一个日益令人担忧的问题，对医生和患者护理产生重大负面影响。倦怠与医生的同理心呈负相关，而复原力可能是防止倦怠发展的保护因素，但很少有研究检查同一队列中的所有三种结构。了解这些结构之间的关联有助于为经历倦怠的医生制定干预措施，并改善富有同情心的护理服务。我们进行了一项横断面调查，以确定学术医师样本中的倦怠、同理心和复原力水平，并调查这些变量之间的关系。在线管理经过验证的量表以测量倦怠（Maslach Burnout Inventory – Human Services Survey，MBI-HSS），同理心（杰斐逊同理心量表 - 医师/健康专业版，JSE）和复原力（康纳戴维森复原力量表，CD-RISC）。检查描述性统计、相关系数和组比较。83 名医生完成了 JSE 和 CD-RISC，而 49 名医生中的一部分也完成了 MBI-HSS。响应率分别为 31.9% 和 18.8%。49% 的样品报告了高燃尽。与没有倦怠的医生相比，倦怠程度高的医生报告的复原力水平较低。在这两组之间没有观察到同理心水平的差异。年龄较大的医生（>45 岁）报告的复原力得分高于年轻医生。韧性和同理心呈显着正相关。在这个学术医师样本中报告的医师倦怠率令人担忧，倦怠与较低水平的复原力相关。需要进一步的研究来探索医生年龄和复原力之间的关系、建立复原力的干预措施对医生倦怠和同理心的影响，以及修改这些变量如何影响为患者提供富有同情心的护理。