Correlación entre el clima educacional y el síndrome de desgaste profesional en los programas de residencia de un hospital universitario

doi:10.5546/aap.2014.6

Cited by 5 publications

(6 citation statements)

References 14 publications

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“…In view of this, we assessed the relationship between the perceptions of residents about the educational environment with their burnout contextually and found a relationship between the learning environment and burnout and the predictability of PHEEM subscales for residents' burnout. In this study, the prevalence of burnout among residents was similar with Italians, Dutch and Belgian findings [ 12 , 21 , 22 ].…”

Section: Discussionsupporting

confidence: 89%

“…Autonomy is considered essential for personal growth, integration, social development and personal well-being [ 35 , 36 ]. The feeling by the members of an organization that they are able to make autonomous decisions which would also be potentially supported and trusted by the organization helps create an intrinsic motivation and a sense of belonging to the team [ 21 ]. Similarly, insufficient autonomy [ 31 ] is associated with burnout in residents and such assertion was underscored by Dyrbye et al.…”

Section: Discussionmentioning

confidence: 99%

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Burnout and clinical learning environment among residents in Tehran: A cross-sectional study

Maghbouli

Fatehi

Mafinejad

et al. 2021

Heliyon

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This study aimed to evaluate the quality of the educational environment in Tehran University of Medical Sciences across different medical specialties and its correlation with residents' burnout. Materials and methods: This cross-sectional study was conducted at Tehran University of Medical Sciences among residents drawn from three largest teaching hospitals affiliated. The Maslach Burnout Inventory and Postgraduate Hospital Educational Environment Measure (PHEEM) questionnaire were used to collect data through web-based, as well as paper-and pencil questionnaires. The data was analyzed using SPSS. Results: A total of 221 residents completed the survey, with a response rate of 82%. Burnout was reported by 67.4% of medical residents. The total PHEEM score had a negative correlation with emotional exhaustion (r ¼ -0.57, P < 0.001), depersonalization (r ¼ -0.40, P < 0.001), and a positive one with personal accomplishment (r ¼ 0.42, P < 0.001). Perception of social support significantly predicted burnout subscales (P < 0.05). PHEEM subscales also explained a small proportion of variance in emotional exhaustion (R ¼ 0.55, R 2 ¼ 0.308, P < .001). Clinical learning environment independent of personal characteristics was associated with residents' burnout according to multivariate regression analysis [OR ¼ 0.567 (0.170-0.883), P ¼ 0.012]. Conclusion: Clinical learning environment independent of personal characteristics was associated with residents' burnout in Iran. We suggest some initiatives to be introduced ranging from improving the clinical environments, reduce workloads and provide social support to all residents as well as encouraging them to involve in other extracurricular activities like music and physical exercise.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Burnout and clinical learning environment among residents in Tehran: A cross-sectional study

Maghbouli

Fatehi

Mafinejad

et al. 2021

Heliyon

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“…The validated Spanish PHEEM questionnaire consists of 40 items covering 5 domains (perceptions of teaching and learning, teaching and social support/counselling opportunities, fairness of the program, autonomy and accommodation and catering facilities) 10 . Respondents could rate items using a 5-point Likert scale (1 = totally disagree, 2 = disagree, 3 = neutral, 4 = agree, 5 = totally agree) 10 , 12 , 22 …”

Section: Methodsmentioning

confidence: 99%

The Dutch residency educational climate test: construct and concurrent validation in Spanish language

2019

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ObjectivesTo translate the 35-item version of the Dutch Residency Educational Climate Test (D-RECT), and assess its reliability, construct validity and concurrent validity in the Spanish language. MethodsFor this validation study, the D-RECT was translated using international recommendations. A total of 220 paper-based resident evaluations covering two Colombian universities were cross-sectionally collected in 2015. A Confirmatory Factor Analysis (CFA) was used to assess the internal validity of the instrument using the Comparative fit index (CFI), Tucker-Lewis index (TLI), Standardized root mean square residual (SRMSR), and Root mean square error of approximation (RMSA). Cronbach’s α was used to assess reliability. The concurrent validity was investigated through Pearson correlations with the Spanish version of the Postgraduate Hospital Educational Environment Measure (PHEEM). ResultsThe original 9-factor structure showed an appropriate fit for the Spanish version of the instrument (CFI = 0.84, TLI = 0.82, SRMSR = 0.06, and RMSA = 0.06). The reliability coefficients were satisfactory (>0.70). The mean total scores of the D-RECT and the PHEEM showed a significant correlation (r = 0.7, p<0.01). ConclusionsThis study confirms the validity and reliability of the Spanish version of the Dutch Residency Educational Climate Test, indicating that the instrument is suitable for the evaluation of departments’ learning climate in the Spanish context. Future research is needed to confirm these findings in other Spanish speaking countries.

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“…2 A positive CLE has been associated with improved workplace learning, 3 higher examination scores, 4 and greater career satisfaction, 5,6 while negative perceptions of the CLE have been associated with trainee burnout. [7][8][9] Recognizing this, the Accreditation Council for Graduate Medical Education (ACGME) in the United States implemented the Clinical Learning Environment Review (CLER) program as part of its Next Accreditation System (NAS). 10 One focus of CLER is trainee well-being, and prior research showed that Singaporean residents have higher burnout rates compared to trainees in Western nations.…”

Section: Introductionmentioning

confidence: 99%

Using the Postgraduate Hospital Educational Environment Measure to Identify Areas for Improvement in a Singaporean Residency Program

Ong¹,

Fong²,

Chan³

et al. 2019

Journal of Graduate Medical Education

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Background Attributes of the clinical learning environment (CLE) are a measure of quality in postgraduate medical education, and assessing the CLE is a component of the New Accreditation System being introduced in Singapore by the Accreditation Council for Graduate Medical Education International. There is a dearth of published studies of CLE quality in Singapore. Objective Our study had 3 aims: (1) to measure the CLE in 1 Singaporean residency program; (2) to compare trainee perceptions by sex, training level, and experience; and (3) to identify areas for improvement. Methods Between October and December 2017, we conducted a mixed assessment of the CLE in an internal medicine program in Singapore, using the Postgraduate Hospital Educational Environment Measure (PHEEM) and qualitative exploration using a focus group. Results Of 153 IM residents, 136 (89%) provided PHEEM responses and 8 participated in the focus group. Total PHEEM scores and scores for the 3 subscales were higher than published data on the use of the PHEEM in international settings. Exploration of selected PHEEM responses via a focus group identified attributes associated with negative perceptions of the CLE: excessive workload, inadequate faculty presence in the CLE, and unmet trainee needs. It also suggested senior residents' clinical workloads, greater responsibilities, and pending examinations may contribute to their less positive perceptions of the CLE. Conclusions Our analysis using the PHEEM showed overall positive perceptions of the CLE, along with areas for improvement amenable to interventions. Our approach has relevance to an accreditation model with ongoing evaluation of the CLE.

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Correlación entre el clima educacional y el síndrome de desgaste profesional en los programas de residencia de un hospital universitario

Cited by 5 publications

References 14 publications

Burnout and clinical learning environment among residents in Tehran: A cross-sectional study

Burnout and clinical learning environment among residents in Tehran: A cross-sectional study

The Dutch residency educational climate test: construct and concurrent validation in Spanish language

Using the Postgraduate Hospital Educational Environment Measure to Identify Areas for Improvement in a Singaporean Residency Program

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