Stress and coping in accident and emergency senior house officers.
نویسندگان
چکیده
OBJECTIVES To identify levels of psychological distress in accident and emergency (A&E) senior house officers (SHOs). METHODS Questionnaire survey given to SHOs at training sessions. MEASURES General Health Questionnaire (GHQ) and the Brief COPE. RESULTS Over half of the 37 respondents (51%; 95% CI: 36% to 67%) scored over the threshold for psychological distress on the GHQ. This is considerably higher than for other groups of doctors and for other professional groups. Correlational analysis revealed that the coping style Venting was significantly related to greater anxiety (r=0.34; p<0.05) and depression (r=0.33; p<0.05), while the coping style Active was significantly related to lower anxiety (r=-0.38; p<0.05), somatic complaints (r=-0.46; p<0.001) and years since qualification (r=0.40; p<0.05). CONCLUSIONS Replicating findings from a study of stress in A&E consultants, this study shows higher levels of overt psychological distress among A&E SHOs than among other groups of doctors. An intervention to improve coping strategies may be useful for this group of doctors.
منابع مشابه
Assessment of the value of technician reporting of electrocardiographs in an accident and emergency department.
OBJECTIVE To assess the value of a cardiac technicians' report on electrocardiographs (ECGs) in reducing serious errors of interpretation by senior house officers. METHODS A parallel study of interpretation of ECGs by senior house officers from 238 cases seen in an accident and emergency (A&E) department in a teaching hospital. 129 ECGs were reported by a cardiac technician at the time of rec...
متن کاملCan accident and emergency nurse practitioners interpret radiographs? A multicentre study.
OBJECTIVE To assess the ability of nurse practitioners in accident and emergency (A&E) to interpret distal limb radiographs, by comparison with senior house officers. DESIGN Nurse practitioners and senior house officers in 13 A&E departments or minor injury units were shown 20 radiographs of distal limbs, with brief history and examination findings, and asked to record their interpretation. ...
متن کاملCommunication skills training for emergency department senior house officers--a qualitative study.
OBJECTIVE To identify common weaknesses in senior house officer-patient consultation skills, and evaluate direct observation with feedback and negotiation of educational contracts, as a teaching tool in an emergency department setting. METHOD Common weaknesses were identified through review of feedback charts by three trained observers. Alteration in clinical and learning behaviour, as well a...
متن کاملA study of the knowledge of radiological anatomy of senior house officers in accident and emergency medicine.
Senior house officers working in 10 major accident units were tested on their ability to name normal anatomical features seen on radiographs of commonly X-rayed areas. The results show that, overall, those tested could only identify 77% of the areas correctly. The discussion considers these results and also considers whether it is important to be able to identify the anatomical features presented.
متن کاملUse of a psychiatric proforma for accident and emergency officers.
OBJECTIVE To devise a proforma for clinical documentation of psychiatric illness in an accident and emergency (A&E) department, since A&E senior house officers (SHOs) have little psychiatric experience before starting their jobs. METHODS History taking and mental state examinations by 16 SHOs were compared before (n = 50) and after (n = 50) the introduction of the proforma. Comments on the pr...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Emergency medicine journal : EMJ
دوره 20 3 شماره
صفحات -
تاریخ انتشار 2003