Qualitative research for studying stress reactions, stress-relieving factors, and constructing a theoretical model of stress for junior residents in Japan / 医学教育

In Europe and the United States, residents develop“burnout syndrome”or depression because of stress, and these conditions are associated with withdrawal from training programs and undesirable clinical outcomes, such as unethical practices.How stress affects Japanese medical residents and their practice is uncertain, as are factors that relieve stress.Furthermore, a theoretical model of stress in Japanese medical resident is uncertain.<BR>1) Focus group interviews were performed for 25 junior residents at 10 institutions to explore their stress reactions and stress-relieving factors.A theoretical model of stress was then constructed.<BR>2) Adverse effects in patient care and in training, in addition to events in daily life, were found to occur as stress reactions.<BR>3) Improvements in the support system and positive feedback from patients were found to be stress-relieving factors.<BR>4) A theoretical model of stress for trainee physicians was constructed and was similar to a general occupational stress model.<BR>5) Stressors should be reduced and stress-relieving factors should be improved to improve the working conditions of residents and the quality of medical care.

Qualitative research for searching for the stressor of junior resident in Japan / 医学教育

In Europe and America, it is reported that residents develops burnout syndrome or depression by their stress, and these are connected with dropouts from their training program and undesirable outcomes of the patients such as unethical practice. Recently, though resident's poor working conditions and death from overwork, etc. become problems also in Japan.But, Japanese resident's stressor is uncertain.<BR>1) Focus group interview was executed for 25 junior residents in 10 facilities, and their stressor were explored.<BR>2) As a result, three cateogories ; physiological stressor as one human being, stressor as a new member of society, and stressor as a trainee doctor and beginner novice doctor was extracted.<BR>3) Three stressors were named the life gap, the society gap, and the profession gap respectively. The stressor of junior resident was described as the product what was born by the gap of medical student and becoming a doctor.<BR>4) Japanese residents have various stressors. Stressor as a trainee doctor was a stressor peculiar to Japanese junior residents.<BR>5) Stress management should be done considering such a stressor in the light of safety and effective clinical training.