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Médecine du travail du personnel hospitalier

Emergency medicine resident well-being: stress and satisfaction

Auteur     W. Hoonpongsimanont
Auteur     M. Murphy
Auteur     C. H. Kim
Auteur     D. Nasir
Auteur     S. Compton
Volume     64
Numéro     1
Pages     45-48
Publication     Occupational Medicine
Date     01/01/2014
Résumé     Background Emergency medicine (EM) residents are exposed to many work-related stressors, which affect them both physically and emotionally. It is unknown, however, how EM residents perceive the effect of these stressors on their well-being and how often they use unhealthy coping mechanisms to manage stress. Aims To evaluate EM residents’ perceptions of stressors related to their overall well-being and the prevalence of various coping mechanisms. Methods An online survey instrument was developed to gauge resident stress, satisfaction with current lifestyle, stress coping mechanisms and demographics. A stratified random sample of EM residents from three postgraduate years (PGY-I, PGY-II and PGY-III) was obtained. Descriptive statistics and one-way analysis of variance were used to compare residents across PGY level. Results There were 120 potential participants in each of the three PGYs. The overall response rate was 30% (109) with mean age of 30 and 61% were male. On a 0–4 scale (0 = completely dissatisfied), respondents in PGY-I reported significantly less satisfaction with lifestyle than those in PGY-II and III (mean rating: 1.29, 1.66 and 1.70, respectively; P < 0.001). There were no significant differences in mean ratings between PGYs on each of the other stress categories: work relationships (1.37), work environment (1.10) and response to patients (1.08). Residents reported exercise (94%), hobbies (89%) and use of alcohol (71%) as coping methods. Conclusions Residents reported low satisfaction with current lifestyle. This dissatisfaction was unrelated to perceived work-related stress. Some undesirable coping methods were prevalent, suggesting that training programs could focus on promotion of healthy group activities.

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doi:10.1093/occmed/kqt139

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