RESUMEN
BACKGROUND: This pilot and feasibility study evaluated a work-related self-care competency training in oncology and hematology medicine for junior physicians working in oncology and hematology medicine. METHODS: A pilot study was conducted with 80 physicians working in oncology and hematology hospital departments in Germany. Physicians were distributed to either the intervention group receiving competency training or a comparison group. The intervention took place in groups over a period of 12 weeks. Training content included work-related self-care strategies, problem-solving techniques solution-focused counselling. The outcomes studied were changes in work-related stress, emotional exhaustion, emotion regulation, and job satisfaction. Follow-up assessments were arranged after 12 weeks (T1), after 24 weeks (T2), and after 36 weeks (T3). RESULTS: Intervention group reached a decrease in perceived job stress and emotional exhaustion. Self-perceived improvements were also obvious regarding enhanced emotion regulation skills. Future oncologists valued the intervention with high scores for training design, content, received outcome, and overall training satisfaction. CONCLUSIONS: This study provided first indications that an innovative self-care competency training might be a supportive approach for junior physicians starting work in oncology and hematology. However, replication studies are needed to verify the results in the medical working context.
Asunto(s)
Hematología/educación , Oncología Médica/educación , Cuerpo Médico de Hospitales/psicología , Médicos/psicología , Estrés Psicológico/prevención & control , Adulto , Competencia Clínica , Emociones , Estudios de Factibilidad , Femenino , Alemania , Humanos , Satisfacción en el Trabajo , Masculino , Cuerpo Médico de Hospitales/educación , Proyectos Piloto , Autocuidado , Lugar de TrabajoRESUMEN
BACKGROUND: The purpose of this study was to investigate anesthesiologists' workflow in real time. METHODS: Anesthesiologists were observed for a total of 60 workdays. All tasks performed during this time were recorded in real time. RESULTS: The anesthesiologists were shadowed for a total of 517:16:36 hours. The average workday lasted 08:37:17 hours. Overall they spent 28.5% of each workday on indirect patient care, 14.7% on direct patient care and 18.8% on administrative work. Communication took up 19.9% of anesthesiologists' time, breaks and disruptions 15.2% and other job tasks 2.9%. CONCLUSIONS: The results comprise objective data about the workflow and working conditions in anesthesiology. We found support of the large imbalance between the direct patient care and the heavy administrative workload reported by physicians. These results may be useful in future efforts to improve anesthesiologists' working conditions and workflow optimization.