Intimate Partner Relationships, Work-Life Factors, and Their Associations With Burnout Among Partnered Pediatric Residents.

Autor: Sagalowsky ST; Boston Combined Residency Program (ST Sagalowsky, AM Feraco, and TE Baer), Boston Children's Hospital and Boston Medical Center. Electronic address: ss4588@cumc.columbia.edu., Feraco AM; Boston Combined Residency Program (ST Sagalowsky, AM Feraco, and TE Baer), Boston Children's Hospital and Boston Medical Center., Baer TE; Boston Combined Residency Program (ST Sagalowsky, AM Feraco, and TE Baer), Boston Children's Hospital and Boston Medical Center., Litman HJ; Institutional Centers for Clinical and Translational Research (DN Williams), Boston Children's Hospital., Williams DN; Department of Pediatrics (RJ Vinci), Boston University School of Medicine, Boston, Mass., Vinci RJ; Biostatistics (HJ Litman), Corrona LLC, Waltham, Mass.
Jazyk: angličtina
Zdroj: Academic pediatrics [Acad Pediatr] 2019 Apr; Vol. 19 (3), pp. 263-268. Date of Electronic Publication: 2018 Sep 13.
DOI: 10.1016/j.acap.2018.09.005
Abstrakt: Background: Burnout is prevalent among pediatric residents, and reducing burnout is a priority for pediatric residency programs. Understanding residents' personal circumstances, including relationship satisfaction and perceived work-life conflict, may identify novel determinants of burnout.
Objectives: To describe intimate partner relationships among pediatric residents and examine associations among relationship satisfaction, work-life factors, and burnout.
Methods: We identified 203 partnered residents (married or in a self-identified committed, ongoing relationship) from a cross-sectional survey of 258 residents in 11 New England pediatric programs (response rate 54% of 486 surveys distributed), conducted from April through June of 2013. We analyzed associations among relationship satisfaction, work-life factors, and burnout using multivariable regression. Burnout was measured with the brief Maslach Burnout Inventory, and relationship satisfaction with the validated Relationship Assessment Scale.
Results: Burnout was reported by 40.9% of partnered respondents. The vast majority of partnered residents (n = 167; 85.2%) reported high relationship satisfaction. Lower relationship satisfaction was not associated with burnout. Approximately half of the respondents (n = 102; 51.5%) reported being satisfied with life as a resident. When controlling for common stressors, such as sleep deprivation, work-life measures associated with burnout included frequent perceived conflicts between personal and professional life (adjusted odds ratio, 4.35; 95% confidence interval, 1.91-9.88) and dissatisfaction with life as a resident (adjusted odds ratio, 11.74; 95% confidence interval, 4.23-32.57).
Conclusion: Low relationship satisfaction and common work-life stressors were not associated with burnout among partnered pediatric residents. However, perceived work-life conflict and dissatisfaction with resident life were strongly associated with burnout and are targets for residency programs seeking to ameliorate burnout.
(Copyright © 2018 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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