SummaryBackgroundPoor wellbeing and stress in UK anaesthetic trainees impacts significantly on clinical performance, workforce retention and patient care. This study aimed to provide an overview of the evidence in this field and to explore the factors affecting wellbeing and stress in UK anaesthetic trainees.MethodsMEDLINE, Embase, PsycINFO, and ERIC were searched, in addition to organisational websites. Literature reporting factors affecting wellbeing and stress in UK anaesthetic trainees from 2009 to present were included.ResultsFollowing exclusions, 45 studies were identified. Only five papers included qualitative analyses. Within these studies, 28 different phenomena related to wellbeing and stress were investigated. Thirty‐one different factors affecting anaesthetic trainees' wellbeing and stress were identified in this review. These have been summarised as individual; training; clinical role; progression; work patterns; resources; rest; support; and cultural factors. External factors were described as affecting wellbeing and stress more frequently than internal factors. The most frequently cited individual factors were fatigue and pre‐existing health status.ConclusionsThe wide scope of phenomena of interest and measurement tools emphasises the challenge of defining and researching the concept of wellbeing. Despite these limitations, we have created a novel conceptual model of individual and external factors affecting UK anaesthetic trainees' wellbeing and stress. This supports an increased awareness and understanding of these factors, so that improvements can be made to practice and policy.

中文翻译：

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影响英国麻醉实习生健康和压力的因素：范围界定审查


摘要背景英国麻醉实习生的不良健康状况和压力对临床表现、劳动力保留和患者护理产生重大影响。本研究旨在概述该领域的证据，并探讨影响英国麻醉实习生健康和压力的因素。方法除了组织网站外，还搜索了 MEDLINE、Embase、PsycINFO 和 ERIC。纳入了 2009 年至今影响英国麻醉实习生健康和压力因素的文献报告。结果排除后，确定了 45 项研究。只有五篇论文包含定性分析。在这些研究中，调查了 28 种与健康和压力相关的不同现象。本次综述确定了影响麻醉学员健康和压力的三十一个不同因素。这些已被概括为个人；训练;临床作用；进展；工作模式；资源;休息;支持;和文化因素。外部因素被描述为比内部因素更频繁地影响健康和压力。最常被提及的个人因素是疲劳和既往健康状况。 结论 兴趣现象和测量工具的广泛范围强调了定义和研究幸福概念的挑战。尽管存在这些限制，我们还是创建了一个新颖的概念模型，用于影响英国麻醉学员的健康和压力的个人和外部因素。这有助于提高对这些因素的认识和理解，从而改进实践和政策。