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2.
Mayo Clin Proc ; 96(3): 763-769, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33673923

RESUMEN

Physician burnout and other forms of occupational distress are a significant problem in modern medicine, especially during the coronavirus disease pandemic, yet few doctors are familiar with the neurobiology that contributes to these problems. Burnout has been linked to changes that reduce a physician's sense of control over their own practice, undermine connections with patients and colleagues, interfere with work-life integration, and result in uncontrolled stress. Brain research has revealed that uncontrollable stress, but not controllable stress, impairs the functioning of the prefrontal cortex, a recently evolved brain region that provides top-down regulation over thought, action, and emotion. The prefrontal cortex governs many cognitive operations essential to physicians, including abstract reasoning, higher-order decision making, insight, and the ability to persevere through challenges. However, the prefrontal cortex is remarkably reliant on arousal state and is impaired under conditions of fatigue and/or uncontrollable stress when there are inadequate or excessive levels of the arousal modulators (eg, norepinephrine, dopamine, acetylcholine). With chronic stress exposure, prefrontal gray matter connections are lost, but they can be restored by stress relief. Reduced prefrontal cortex self-regulation may explain several challenges associated with burnout in physicians, including reduced motivation, unprofessional behavior, and suboptimal communication with patients. Understanding this neurobiology may help physicians have a more informed perspective to help relieve or prevent symptoms of burnout and may help administrative leaders to optimize the work environment to create more effective organizations. Efforts to restore a sense of control to physicians may be particularly helpful.


Asunto(s)
Agotamiento Profesional/prevención & control , Neurobiología/métodos , Pandemias , Médicos/psicología , Lugar de Trabajo/psicología , Agotamiento Profesional/psicología , Humanos
3.
Arch Psychiatr Nurs ; 35(2): 189-194, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33781399

RESUMEN

BACKGROUND: Burnout rates among nurses have detrimental impact on job satisfaction, teamwork, and patient care. This costs millions of dollars in the healthcare system and challenges nurse leaders to address in order to keep up with the healthcare demands. Furthermore, burnout is especially relevant in our current healthcare climate, as frontline nurses have increased workload and multiple psychosocial stressors during the coronavirus disease (COVID-19) pandemic (Sultana, Sharma, Hossain, Bhattacharya, & Purohit, 2019). Literature also suggests that mindful self-care practices need to be reinforced in order to impact burnout long term (Chamorro-Premuzic & Lusk, 2017). Project7 Mindfulness Pledge© is an accessible and voluntary mindfulness tool that nurses can utilize in their individual practice to reduce burnout and does not require significant time commitment. OBJECTIVE: To evaluate the effectiveness of intentional self-care practices on nurse burnout and workplace environment by measuring job satisfaction and teamwork among nurses. METHODS: Comparisons between inpatient units on data from the National Database of Nursing Quality Indicators (NDNQI) with the Practice Environment Scale (PES), specifically on job enjoyment and teamwork, were done utilizing ANOVA. RESULTS: Results show that nurses in an inpatient unit that implemented Project7 has significantly higher job satisfaction as compared to units that did not implement Project7. CONCLUSIONS: This suggests that this tool provides an effective and accessible mindfulness framework managers and directors can utilize to improve job satisfaction, teamwork, and thereby reduce burnout to create healthier work environments.


Asunto(s)
Agotamiento Profesional/prevención & control , Atención Plena/métodos , Enfermeras y Enfermeros/psicología , Personal de Enfermería en Hospital/psicología , Estrés Laboral/prevención & control , Autocuidado/psicología , /psicología , Estudios Transversales , Femenino , Humanos , Análisis de Series de Tiempo Interrumpido , Satisfacción en el Trabajo , Masculino , Estudios Retrospectivos , Lugar de Trabajo
4.
J Nurs Adm ; 51(4): 212-219, 2021 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-33734181

RESUMEN

OBJECTIVE: To highlight the development, implementation, and initial findings of a brief healthcare professional support program called "GRACE." BACKGROUND: Healthcare professionals face significant work-related stressors that when left unmanaged can negatively affect their overall well-being and contribute to burnout. METHODS: Over a 2-year period, the GRACE program was delivered to 8 clinical units at a midsized southwestern hospital. Questionnaires were administered at baseline and 1 month. RESULTS: Program participants were 36 years old on average, female (81%), and White (68%) and mostly employed as nurses (66%). Attendees reported increased knowledge, understanding, and confidence and found the program to be acceptable. One month after training, participants demonstrated significant improvements in self-compassion. Medical units that received GRACE training saw significantly greater increases in patient satisfaction scores compared with units that did not receive training. CONCLUSIONS: The GRACE program was feasible and acceptable to deliver, and initial proof-of-concept evidence was supported.


Asunto(s)
Agotamiento Profesional/prevención & control , Desgaste por Empatía/prevención & control , Atención Plena/métodos , Personal de Enfermería en Hospital/psicología , Lugar de Trabajo/psicología , Adulto , Agotamiento Profesional/psicología , Desgaste por Empatía/psicología , Empatía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estrés Laboral/prevención & control , Desarrollo de Programa , Evaluación de Programas y Proyectos de Salud
5.
Curr Opin Anaesthesiol ; 34(2): 176-179, 2021 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-33652456

RESUMEN

PURPOSE OF REVIEW: Healthcare provider burnout is a real phenomenon. The rates of burnout are on the rise. Burnout-associated suicide amongst physicians represents a real "public health crisis." This article discusses the drivers of burnout and offers some strategies to mitigate burnout and improve well-being. RECENT FINDINGS: Measures of burnout such as stress, micro, and macro-aggression in the workplace have a psychological impact on staff. Additionally, a measurable economic price is exacted when an organization fails to address the lack of well-being burnout represents. SUMMARY: As healthcare providers struggle to survive and deal with the complex new set of problems and obstacles that the COVID-19 pandemic, the National economic crisis, and the increasing regulatory obligations have summoned forth, professional burnout rates have risen drastically. With good leadership, developing comprehensive programs to identify, track, and treat burnout symptoms and improve well-being in the work environment can result in greater work satisfaction and save resources.


Asunto(s)
Agotamiento Profesional , Agotamiento Profesional/epidemiología , Agotamiento Profesional/prevención & control , Humanos , Pandemias , Médicos
6.
Georgian Med News ; (310): 113-118, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33658419

RESUMEN

The article presents a retrospective analysis of the concept of occupational and emotional burnout syndrome in medical professionals in the field of mental health. The analysis of domestic and foreign scientific sources, biblio-semantic, analytical, and statistical research methods had used in work. The leading causes of burnout and their factors had identified. The study involved 224 respondents - the medical staff of the regional psychiatric hospital in Vinnytsia. Among the subjects were women - 84.8%, and men - 15.2%. Of the total number of subjects, doctors accounted for 38.8% (87 people), nurses - 61.2% (137 people). The average age of respondents among doctors was 44.6±12.2 years, among SMP 37.2±11.4 years. Work experience in professional activities was: among doctors - 19.7±12.3 years and SMP - 15.5±11.1 years. For the experimental study had used, the psychodiagnostic method of emotional exhaustion Boyko V.V. and the adapted method of Vodopyanova N.E., The significance of the difference, was assessed using Student's t-test (t). Recommendations for mental health prevention measures for mental health professionals have developed. The prospect of further research on the problem of burnout is to study an effective system of prevention for the medical staff of health care institutions in Ukraine.


Asunto(s)
Agotamiento Profesional , Salud Mental , Adulto , Agotamiento Profesional/prevención & control , Femenino , Personal de Salud , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Encuestas y Cuestionarios , Ucrania
7.
J Nurs Adm ; 51(4): 185-191, 2021 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-33734177

RESUMEN

OBJECTIVE: This pilot study investigated increasing nurse resiliency utilizing a toolkit of stress-reducing interventions on medical-surgical units at 4 hospitals. BACKGROUND: Resiliency-building activities are time consuming and undertaken outside work hours. Although the activities show a positive impact on resilience, researchers investigated whether similar results could be achieved where nurses experience work stress. METHODS: This quasi-experimental pretest and posttest interventional study used a within-subjects design. Provided toolkits included written instructions to carry out the study. Nurses completed surveys at baseline, at 10 time points over a 6-week period, and at study conclusion. RESULTS: The Connor-Davidson Resilience Scale-10 scores increased significantly at follow-up (P < .02). Self-reported stress levels decreased over the 10 shifts with continued use of the interventions. CONCLUSION: Using stress-reducing interventions during work decreased stress and increased resiliency, thereby offering nurse leaders additional options to promote a healthy workforce at the bedside.


Asunto(s)
Agotamiento Profesional/prevención & control , Desgaste por Empatía/prevención & control , Personal de Enfermería en Hospital/psicología , Resiliencia Psicológica , Adaptación Psicológica , Adulto , Femenino , Humanos , Relaciones Interprofesionales , Satisfacción en el Trabajo , Masculino , Persona de Mediana Edad , Estrés Laboral/prevención & control , Proyectos Piloto
8.
Nurs Adm Q ; 45(2): 169-174, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33570883

RESUMEN

Responding to the coronavirus disease-2019 (COVID-19) pandemic is likely to exacerbate anxiety, burnout, fatigue, and distress already being experienced by nurses in ever greater numbers. An innovative Wellness Partner Program was developed with an aim to enhance the health and well-being of nurses on the front lines during the COVID-19 pandemic and beyond. Nurses across the country opted in to the program, and were paired with advanced practice nursing (APN) graduate students who served as the nurses' wellness partners. Areas emphasized in the program included (1) personalized support for wellness; (2) prioritizing physical activity, healthy eating, sleep, and stress management; and (3) establishment of strength-based, sustainable solutions to improve health and well-being. Partnerships were implemented for 188 nurses who were coached by 49 APN students; 104 nurses participated for 6 weeks. In the program evaluation, 98% of nurses shared that the wellness support program helped them engage in self-care and wellness, and 94.7% agreed or strongly agreed that The Wellness Partner Program helped them improve their mental and physical health. In the midst of the pandemic, nurses were supported to cope with stress, focus on self-care and wellness goals, and address challenges to their well-being.


Asunto(s)
/enfermería , Tutoría/organización & administración , Personal de Enfermería en Hospital/psicología , Adaptación Psicológica , Agotamiento Profesional/prevención & control , Humanos , Pandemias , Desarrollo de Programa , Evaluación de Programas y Proyectos de Salud
9.
Nurs Outlook ; 69(2): 136-146, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33573826

RESUMEN

BACKGROUND: The COVID-19 pandemic highlighted nurses' compassionate presence during stressful conditions. Strategies to reduce workplace stress are needed. PURPOSE: The purpose of this study was to evaluate a stress reduction strategy, an Internet-based Mantram Repetition Program (MRP), for nurses caring for hospitalized Veterans. METHODS: A one group pre-/post-test design was used to assess change in nurses' perceived outcomes after participating in the MRP. A post-test-only design was used to assess hospitalized Veterans' perceptions of nursing presence and satisfaction with care. Qualitative interviews were used to supplement quantitative data. FINDINGS: Patients perceived high levels of presence and satisfaction with care. Post MRP, nurses perceived increased mindfulness, compassion satisfaction, spiritual well-being, and nursing presence. Increased mindfulness was associated with greater compassion satisfaction and less burnout. DISCUSSION: For nurses working on the front lines of patient care, the potential for experiencing stress and burnout is a reality. Participating in a MRP could lessen these effects and facilitate nursing presence.


Asunto(s)
Intervención basada en la Internet , Relaciones Enfermero-Paciente , Personal de Enfermería en Hospital/psicología , Estrés Laboral/prevención & control , Atención Dirigida al Paciente/organización & administración , Terapias Espirituales , Adulto , Anciano , Agotamiento Profesional/prevención & control , Empatía , Femenino , Humanos , Satisfacción en el Trabajo , Masculino , Persona de Mediana Edad , Atención Plena , Investigación en Evaluación de Enfermería , Personal de Enfermería en Hospital/estadística & datos numéricos , Satisfacción del Paciente/estadística & datos numéricos , Investigación Cualitativa , Veteranos/psicología , Adulto Joven
11.
J Clin Anesth ; 70: 110192, 2021 06.
Artículo en Inglés | MEDLINE | ID: mdl-33556792

RESUMEN

STUDY OBJECTIVE: Anesthesiologists have a high prevalence of burnout with adverse effects on professionalism and safety. The objective of this study was to assess the impact of an interactive anesthesiology educational program on the wellness of anesthesia providers and their children, as assessed by a modified Professional Fulfillment Index. DESIGN: Prospective observational study. SETTING: Perioperative area. PATIENTS: Thirty clinicians participated in the program. Twenty respondents, representing 67% of participants and each corresponding to a parent and their child or children, completed the post-event survey. INTERVENTIONS: An interactive anesthesiology educational program incorporating children, between the ages of five and eighteen years old, of anesthesia providers was held in the perioperative area. The program was held over four hours and was comprised of four sessions including pediatric anesthesia, neuroanesthesia, airway, and ultrasound stations. MEASUREMENTS: Anesthesia providers and their children were administered a post-event assessment, including a modified Professional Fulfillment Index and satisfaction survey. MAIN RESULTS: All twenty (100%) of respondents indicated it was "very true" or "completely true" that their child was happy with the program, and that it was worthwhile and satisfying to both the anesthesia provider and their child. Nineteen (95%) of reporting participants indicated it was "very true" or "completely true" that it was meaningful to have the department host such a program and 17 (85%) respondents felt their child now better understands the anesthesia work of the parent. All clinician volunteers indicated it was "very true" or "completely true" that they were contributing professionally during the program in ways that they valued most. CONCLUSION: An interactive educational wellness initiative provides an effective and feasible method for increasing professional fulfillment and satisfaction among anesthesia providers while educating our youngest generation of learners. Implementation of such a program may also occur with modifications such as televideo to maintain COVID-19 precautions.


Asunto(s)
Anestesiólogos/psicología , Anestesiología/educación , Agotamiento Profesional/prevención & control , Adolescente , Niño , Preescolar , Femenino , Humanos , Masculino , Satisfacción Personal , Estudios Prospectivos
13.
J Nurs Adm ; 51(3): 156-161, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-33570373

RESUMEN

OBJECTIVE: The purpose of this study was to test the effectiveness of a daylong resilience retreat on healthcare professionals' anxiety levels, intention to engage in mindfulness practices, and self-efficacy around mindfulness. BACKGROUND: Caregiver burnout is a concern that needs to be addressed at the organizational level so that professionals can reduce their risk of psychological injury while providing high-quality care. The COVID-19 (novel coronavirus) pandemic has exacerbated symptoms of burnout among nurses nationally. METHODS: Ten sessions of daylong resilience retreats were delivered to independent groups of nurses, nurse practitioners, and other healthcare professionals. Preretreat and postretreat assessments were completed using a 19-item survey developed by the research team to assess state anxiety, intention to engage in mindfulness practices, and self-efficacy around mindfulness. RESULTS: One hundred six healthcare professionals completed the resilience retreats. There was a statistically significant decrease in state anxiety scores following the retreat. The majority of the participants reported high intentions to engage in mindfulness practices and felt confident about incorporating mindfulness in their lives. CONCLUSIONS: Brief resilience retreats endorsed by nurse leadership can reduce perceived anxiety and facilitate engagement in contemplative practices, which are associated with a decrease in the risk of burnout.


Asunto(s)
Ansiedad/prevención & control , Agotamiento Profesional/psicología , /psicología , Atención Plena , Atención de Enfermería/psicología , Personal de Enfermería en Hospital/psicología , Adulto , Agotamiento Profesional/prevención & control , Femenino , Humanos , Liderazgo , Masculino , Persona de Mediana Edad , Enfermeras Administradoras/psicología , Pandemias , Resiliencia Psicológica , Estados Unidos
15.
Orv Hetil ; 162(9): 344-351, 2021 02 28.
Artículo en Húngaro | MEDLINE | ID: mdl-33640876

RESUMEN

Összefoglaló. Bevezetés és célkituzések: Az együttmuködés, a csoportmunka életünk szinte minden területén képes növelni a hatékonyságot. A rákgyógyításban már évtizedek óta alkalmazott onkoteamek muködését vizsgálva, annak egyértelmu célja az orvosi hatékonyság, az egymástól tanulás és a jogi védelem biztosítása. Jelenleg egy másik aspektust hangsúlyozva próbáljuk bemutatni a kooperatív munka muködését, megvilágítva a kommunikációban részt vevok lehetoségeit és dilemmáit, illetve legfoképpen a pszichés támogató hatást. Módszer és eredmények: A Pécsi Tudományegyetem Klinikai Központjának Onkoterápiás Intézetében 12 éve muködik a kétlépcsos onkoteamrendszer. Az onkoterápiás megbeszéléseken egyéves idoszak alatt 21 orvos, több adminisztrátor, klinikai kutatási munkatárs, szakdolgozó, gyógyszerész és pszichológus vett részt, a résztvevok szakmai tapasztalata igen széles spektrumot fedett le. A megbeszélések során az egyes betegek onkológiai életútja került részletes diszkusszióra interaktív formában, végül a döntési részletek rögzítésre kerültek a központi informatikai rendszerben. Megfigyeléseink rávilágítottak a csapatmunka elonyeire, illetve a csoport által ellátott feladatok megosztó, kiegyensúlyozó, oktatást segíto hatásaira. Az orvosok által kitöltött kérdoívek pedig bizonyították, hogy a közvetlen munkatársak közötti szakmai megbeszélés, egyféle "Bálint-csoport" muködésként a pszichés terhek megosztásában is szerepet játszhat. Következtetés: A rákgyógyítás területén az elmúlt évek során bekövetkezett gyors fejlodés, a fokozott elvárások, illetve az ezen a területen végzett, sokszor igen összetett és lelkileg is megterhelo szakmai munka kiemelten fontossá teszi a hatékony minoségbiztosítási módszerek és együttmuködési formák alkalmazását, melyek segítségével lehetoség nyílik a szakmai eszmecseréken át a többirányú tudástranszferre és a kiégést megelozo csoportventilációra. Orv Hetil. 2021; 162(9): 344-351. INTRODUCTION: The teamwork, the cooperation is always able to elevate effectiveness in every field of life. The tumor board meetings which are widely used in cancer treatment process in the last decades were originally established to warrant the medical, educational and legal quality assurance. Over these aspects, here we present the possibilities and dilemmas of the team work in the communication practices and most of all the psychological support of the participants. METHOD AND RESULTS: The two-level oncotherapy tumor board system was introduced 12 years ago at the Institute of Oncotherapy, Clinical Center, University of Pécs. During a one-year long observation period, 21 physicians and several administrators, study coordinators, pharmacists, nurses and psychologists with different experiences participated in the oncotherapy tumor board discussions. In the meetings, the specific cancer histories of the patients were analyzed in an interactive form, and finally the detailed decisions were stored in the medical database system. Our observations proved the advantages, moreover, the task sharing, balancing and educational effects of the teamwork. The results obtained from the questionnaires filled out by the physicians proved that the direct conversation between department colleagues works like a case-discussing "Bálint-group" in taking the role of distributing of the psychological burden of the physicians. CONCLUSION: The immense advancements in cancer treatment during the last years, moreover, the increased expectations and the complex and mentally charging professional tasks all demand the establishment of more effective quality control and cooperation methods. Introducing these new methods, it would lead to more efficient professional discussions, knowledge transfer and burnout preventive group-related psychological ventilation. Orv Hetil. 2021; 162(9): 344-351.


Asunto(s)
Agotamiento Profesional , Oncología Médica , Neoplasias , Calidad de la Atención de Salud , Agotamiento Profesional/prevención & control , Inteligencia Emocional , Consejo Directivo , Humanos , Oncología Médica/organización & administración , Neoplasias/terapia
16.
Rev Bras Enferm ; 74(suppl 1): e20200721, 2021.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-33566956

RESUMEN

OBJECTIVE: to reflect on empathic listening use as a welcoming strategy for nursing professionals to cope with the challenges during the pandemic caused by the new coronavirus. METHODS: this is a reflection study based on updated data surveys and theoretical-conceptual aspects of Non-Violent Communication and empathic listening. RESULTS: in the performance during the COVID-19 pandemic, nursing professionals are exposed to violence of different natures related to occupational stress, work overload, anguishes and silenced suffering, with implications for the workers' health, who can be benefited and strengthened with empathetic listening. FINAL CONSIDERATIONS: the health crisis has highlighted the weaknesses of the health system. Nursing acts as the largest contingent of the health workforce in coping with the pandemic. Empathetic listening is a powerful strategy in caring for and strengthening nursing professionals.


Asunto(s)
Agotamiento Profesional/prevención & control , Agotamiento Profesional/psicología , Empatía , Personal de Enfermería en Hospital/psicología , Estrés Laboral/prevención & control , Estrés Laboral/psicología , Adaptación Psicológica , Adulto , Actitud del Personal de Salud , Comunicación , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias/prevención & control
17.
BMJ Open ; 11(1): e041708, 2021 01 25.
Artículo en Inglés | MEDLINE | ID: mdl-33495254

RESUMEN

OBJECTIVES: Physician burn-out is increasing, starting already among residents. The consequences of burn-out are not limited to physicians' well-being, they also pose a threat to patient care and safety. This study investigated the effectiveness of a professional coaching intervention to reduce burn-out symptoms and foster personal resources in residents and specialists. DESIGN: In a controlled field experiment, medical residents and specialists received six coaching sessions, while a control group did not undergo any treatment. The authors assessed burn-out symptoms of exhaustion and cynicism, the personal resources psychological capital, psychological flexibility and self-compassion, as well as job demands and job resources with validated questionnaires (January 2017 until August 2018). The authors conducted repeated measures analyses of variance procedures to examine changes over time for the intervention and the control group. SETTING: Four academic hospitals in the Netherlands. PARTICIPANTS: A final sample of 57 residents and specialists volunteered in an individual coaching programme. A control group of 57 physicians did not undergo any treatment. INTERVENTION: Coaching was provided by professional coaches during a period of approximately 10 months aiming at personal development and growth. RESULTS: The coaching group (response rate 68%, 57 physicians, 47 women) reported a reduction in burn-out symptoms and an increase in personal resources after the coaching intervention, while no such changes occurred in the control group (response rate 35%, 42 women), as indicated by significant time × group interactions, all p<0.01. Specifically, physicians increased their psychological capital (ηp 2=0.139), their self-compassion (ηp 2=0.083), and reported significantly less exhaustion (ηp 2=0.126), the main component of the burn-out syndrome. CONCLUSION: This study suggests that individual coaching is a promising route to reduce burn-out symptoms in both residents and specialists. Moreover, it strengthens personal resources that play a crucial role in the prevention of burn-out.


Asunto(s)
Agotamiento Profesional/prevención & control , Internado y Residencia/estadística & datos numéricos , Tutoría , Médicos/psicología , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Países Bajos
18.
J Contin Educ Health Prof ; 41(1): 8-9, 2021 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-33433126

RESUMEN

ABSTRACT: Burnout is a pervasive concern that negatively impacts physicians, patients, and healthcare organizations. Stress, uncertainty, clinical demands, and rapidly changing teams threaten the learning environment, where connection is key to resilience. The COVID-19 pandemic amplifies these challenges. Building an "educational peloton" to provide a safe and protective educational community may help optimize learning and team performance. Easily implementable strategies include: (1) Maximize learning opportunities, particularly small ones; (2) Ensure quality feedback; and (3) Facilitate collegiality. Intentionally nurturing an "educational peloton"-especially during times of uncertainty and change-can help drive engagement and work satisfaction, which can improve patient safety and healthcare outcomes, as well as boost human connection and promote community.


Asunto(s)
Agotamiento Profesional/prevención & control , Educación Médica/organización & administración , Cultura Organizacional , Grupo de Atención al Paciente/organización & administración , Humanos , Satisfacción en el Trabajo , Pandemias , Apoyo Social
19.
J Vasc Interv Radiol ; 32(2): 235-241, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33358387

RESUMEN

Ergonomic research in the field of interventional radiology remains limited. Existing literature suggests that operators are at increased risk for work-related musculoskeletal disorders related to the use of lead garments and incomplete knowledge of ergonomic principles. Data from existing surgical literature suggest that musculoskeletal disorders may contribute to physician burnout and female operators are at a higher risk of developing musculoskeletal disorders. This review article aims to summarize the existing ergonomic challenges faced by interventional radiologists, reiterate existing solutions to these challenges, and highlight the need for further ergonomic research in multiple areas, including burnout and gender.


Asunto(s)
Agotamiento Profesional/prevención & control , Ergonomía , Enfermedades Musculoesqueléticas/prevención & control , Radiografía Intervencional , Radiólogos , Agotamiento Profesional/epidemiología , Femenino , Humanos , Masculino , Destreza Motora , Enfermedades Musculoesqueléticas/epidemiología , Salud Laboral , Postura , Radiografía Intervencional/efectos adversos , Medición de Riesgo , Factores de Riesgo , Factores Sexuales , Flujo de Trabajo
20.
Ann Allergy Asthma Immunol ; 126(3): 235-239, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33309885

RESUMEN

OBJECTIVE: To review evidence-based strategies that have been noted to improve professional fulfillment and reduce burnout by enhancing practice efficiency. DATA SOURCES: A comprehensive literature review was conducted to evaluate the strategies to improve efficiency of practice-a key driver of burnout among physicians. STUDY SELECTIONS: Studies of efficiency-enhancing practices relevant to allergy-immunology were included. RESULTS: Professional burnout is prevalent among physicians and is associated with negative outcomes affecting physicians, patients, and health care organizations. Recent surveys suggest at least 35% of US allergists-immunologists experience burnout. There are multiple drivers of professional burnout, some at the individual level and others at the organizational or practice level. Strategies to improve professional fulfillment may be conceptualized using the Stanford physician wellness framework, in which efforts target the following 3 reciprocal domains: culture, personal resilience, and practice efficiency. Organizational strategies that support physician well-being by creating a more efficient practice environment hold great promise, particularly for allergists-immunologists. The reduction of administrative burden and fostering of team-based care have been found in multiple studies to be cost-effective strategies to improve physician and patient satisfaction. CONCLUSION: To ensure the well-being of the US allergy-immunology workforce and optimize patient outcomes, both private and academic allergy-immunology institutions should prioritize the adoption and iterative evaluation and refinement of these strategies to cocreate an efficient and ideal practice environment.


Asunto(s)
Alergia e Inmunología , Agotamiento Profesional/prevención & control , Eficiencia Organizacional , Cultura Organizacional , Médicos/psicología , Humanos , Satisfacción en el Trabajo , Profesionalismo
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