RÉSUMÉ
Coaching is an effective tool that seeks personal reflection as a way for people to find their own solutions. In this article we show our results when applying it in our Radiology Service. The article includes a bibliographic review on its potential applications in Medicine and in Radiology. We specifically reviewed the fields of improving self-care and preventing burnout as well as the teaching field, both for residents in training and for certified radiologists.
Sujet(s)
Mentorat , Service hospitalier de radiologie-radiothérapie , Mentorat/méthodes , Humains , Service hospitalier de radiologie-radiothérapie/organisation et administration , Épuisement professionnel/prévention et contrôle , Radiologie/enseignement et éducation , Internat et résidence/méthodesRÉSUMÉ
ABSTRACT: Graduate students are faced with many stressors, including school, work, and home roles. They may not have the self-care skills and support to manage the increased stress from school. Self-care goal setting check-ins were implemented in a graduate course to support students' stress management. Student resilience levels, wellness, and burnout were moderate. Students indicated the check-ins were helpful, yet still found challenges in completing self-care. They also stated less assignments and integrating more wellness into the curriculum would be helpful in supporting their self-care goals. Nursing educators can impact student wellness by providing skills and support in the curriculum.
Sujet(s)
Épuisement professionnel , Programme d'études , Enseignement spécialisé en soins infirmiers , Résilience psychologique , Autosoins , Élève infirmier , Humains , Épuisement professionnel/prévention et contrôle , Épuisement professionnel/psychologie , Élève infirmier/psychologie , Femelle , Mâle , Adulte , ObjectifsRÉSUMÉ
PURPOSE: With the rapid development of China's social work sector, the increasing job pressures, and risks of professional burnout among social workers have become more prevalent. This study examined the relationship between Chinese social workers' attitudes toward evidence-based practice (EBP) and burnout, exploring the mediating mechanisms of evidence-based knowledge (EBK) and service quality perception (SQP). MATERIALS AND METHODS: We applied PROCESS 4.2 macro in SPSS to analyze the data from 5,931 social workers, testing the sequential mediation effects of EBK and SQP between their attitudes toward EBP and burnout. RESULTS: The findings revealed: (1) Attitudes toward EBP had significant indirect positive effects on burnout; (2) EBK partially mediated the relationship between EBP attitude and burnout; (3) SQP partially mediated the relationship between attitudes toward EBP and burnout; (4) Attitudes toward EBP had a sequential mediated effect on burnout through EBK and SQP. DISCUSSION: The findings emphasize the need to implement targeted interventions and training programs to foster positive attitudes toward EBP, promote continuous professional development, and provide access to EBP resources. Moreover, nurturing EBK and SQP could help alleviate burnout by improving social workers' ability to address client issues and enhance their sense of confidence and accomplishment. CONCLUSION: This study fills a research gap by providing empirical evidence on the negative correlation between Chinese social workers' attitudes toward EBP and burnout, while demonstrating the mediating roles of EBK and SQP.
Sujet(s)
Épuisement professionnel , Pratique factuelle , Humains , Épuisement professionnel/psychologie , Épuisement professionnel/prévention et contrôle , Mâle , Femelle , Adulte , Chine , Adulte d'âge moyen , Enquêtes et questionnaires , Attitude du personnel soignant , Travailleurs sociaux/psychologie , Services sociaux et travail social (activité)/enseignement et éducationRÉSUMÉ
A crosswalk of the NIOSH Impact Wellbeing™ campaign and the ANCC Pathway to Excellence® Framework.
Sujet(s)
, Humains , États-Unis , Épuisement professionnel/prévention et contrôle , Épuisement professionnel/psychologie , Santé au travail , Satisfaction professionnelleRÉSUMÉ
The Resident Support Network (RSN) is a formal network of residents and medical faculty, with additional training and resources in resident wellness. RSN is accessible to residents to approach with their wellness concerns. It aims to support residents during a period of medical training that is associated with high trainee burnout rates. Implementing individual-focused and organizational strategies in residency programs has been found to reduce burnout. The RSN, in the McMaster University Pediatrics Residency program, was initiated based on the need to help address gaps in supporting resident wellness. Implementation of an RSN would likely provide similar benefits for residents in other universities and specialties by enhancing resident wellness.
Le Resident Support Network (RSN) est un réseau formel de résidents et de professeurs de médecine, avec une formation et des ressources supplémentaires sur le bien-être des résidents. Les résidents peuvent s'adresser au RSN pour faire part de leurs préoccupations en matière de bien-être. Il vise à soutenir les résidents pendant une période de leur formation médicale qui est associée à des taux élevés d'épuisement professionnel. La mise en Åuvre de stratégies individuelles et organisationnelles dans les programmes de résidence s'est avérée efficace pour réduire l'épuisement professionnel. Le RSN, dans le programme de résidence en pédiatrie de l'Université McMaster, a été mis en place en raison de la nécessité de combler les lacunes en matière de soutien au bien-être des résidents. La mise en Åuvre d'un RSN apporterait probablement des avantages similaires aux résidents d'autres universités et spécialités en améliorant le bien-être des résidents.
Sujet(s)
Épuisement professionnel , Internat et résidence , Humains , Épuisement professionnel/prévention et contrôle , Épuisement professionnel/psychologie , Médecins/psychologie , Soutien social , Pédiatrie/enseignement et éducation , Corps enseignant et administratif en médecine/psychologie , Promotion de la santé/méthodesRÉSUMÉ
Introduction: Resident physicians frequently experience bias at work, with patients and families often being the source. Women and other trainees underrepresented in medicine are disproportionately impacted by these negative experiences, and experiencing bias contributes to resident physician burnout. Unfortunately, many resident physicians feel inadequately prepared to respond to bias. Methods: We developed a 45-minute, peer-led, case-based workshop that equipped trainees with tools to respond to patient-expressed bias. Our toolkit centered on resident physicians by including an assessment of the trainee's emotional well-being, a team-based response, and an embedded debrief. The toolkit provided resident physicians with possible responses to bias directed towards themselves (bias-towards-self) or bias directed towards others (bias-towards-others). Surveys were administered pre- and postworkshop to assess change in participants' comfort in responding to patient-expressed bias. Results: Thirty-seven residents completed both surveys. The workshop significantly increased comfort in responding to bias-towards-self (p < .001; 95% CI, 1.00-1.50) and bias-towards-others (p < .001; 95% CI, 1.00-1.50). Discussion: We improved resident physicians' comfort responding to patient bias-towards-self and bias-towards-others through a toolkit and workshop designed specifically for trainees. The toolkit centers the resident physician perspective, incorporates clinical context, and embeds a debrief. Our novel approach situates the toolkit's teaching in a highly scalable, case-based workshop.
Sujet(s)
Internat et résidence , Humains , Internat et résidence/méthodes , Enquêtes et questionnaires , Femelle , Mâle , Agressivité/psychologie , Médecins/psychologie , Épuisement professionnel/prévention et contrôle , Épuisement professionnel/psychologie , Éducation/méthodesRÉSUMÉ
BACKGROUND: A concern before 2020, physician burnout worsened during the COVID-19 pandemic. Little empirical data are available on pandemic workplace support interventions or their influence on burnout. We surveyed a national sample of frontline physicians on burnout and workplace support during the pandemic. METHODS: We surveyed a stratified random sample of 12,833 US physicians most likely to care for adult COVID-19 patients from the comprehensive AMA Physician Professional Data ™ file. The sample included 6722 primary care physicians (3331 family physicians, 3391 internists), 880 hospitalists, 1783 critical care physicians (894 critical care physicians, 889 pulmonary intensivists), 2548 emergency medicine physicians, and 900 infectious disease physicians. The emailed survey elicited physicians' perceptions of organizational interventions to provide workplace support and/or to address burnout. Burnout was assessed with the Professional Fulfillment Index Burnout Composite scale (PFI-BC). Proportional specialty representation and response bias were addressed by survey weighting. Logistic regression assessed the association of physician characteristics and workplace interventions with burnout. RESULTS: After weighting, respondents were representative of the total sample. Overall physician burnout was 45.4%, significantly higher than in our previous survey. Open-ended responses mentioned that staffing shortages (physician, nursing, and other staff) combined with the increased volume, complexity, and acuity of patients during the pandemic increased job demands. The most frequent workplace support interventions were direct pandemic control measures (increased access to personal protective equipment, 70.0%); improved telehealth functionality (43.4%); and individual resiliency tools (yoga, meditation, 30.7%). Respondents placed highest priority on workplace interventions to increase financial support and increase nursing and clinician staffing. Factors significantly associated with lower odds of burnout were practicing critical care (compared with emergency medicine) OR 0.33 (95% CI 0.12 - 0.93), improved telehealth functionality OR 0.47 (95% CI 0.23 - 0.97) and being in practice for 11 years or longer OR 0.44 (95% CI 0.19-0.99). CONCLUSIONS: Burnout across frontline specialties increased during the pandemic. Physician respondents focused on inadequate staffing in the context of caring for more and sicker patients, combined with the lack of administrative efforts to mitigate problems. Burnout mitigation requires system-level interventions beyond individual-focused stress reduction programs to improve staffing, increase compensation, and build effective teams.
Sujet(s)
Épuisement professionnel , COVID-19 , Médecins , SARS-CoV-2 , Lieu de travail , Humains , COVID-19/épidémiologie , COVID-19/psychologie , Épuisement professionnel/épidémiologie , Épuisement professionnel/psychologie , Épuisement professionnel/prévention et contrôle , Mâle , Femelle , Médecins/psychologie , Adulte , Lieu de travail/psychologie , Adulte d'âge moyen , Pandémies , États-Unis/épidémiologie , Enquêtes et questionnairesRÉSUMÉ
Complexity, workforce shortages, and escalating stressors in the healthcare setting have led to increased turnover and burnout of nursing staff. Mindfulness has been demonstrated to offer a variety of benefits to nurses. This article summarizes the qualitative research on the experience of mindfulness training and practice with the goal of providing evidence-based recommendations for nurse leaders on how to design and implement effective and well-adopted mindfulness programs.
Sujet(s)
Épuisement professionnel , Pleine conscience , Personnel infirmier hospitalier , Recherche qualitative , Humains , Épuisement professionnel/prévention et contrôle , Épuisement professionnel/psychologie , Personnel infirmier hospitalier/psychologieRÉSUMÉ
The COVID-19 outbreak led to widespread school closures and the shift to remote teaching, potentially resulting in lasting negative impacts on teachers' psychological well-being due to increased workloads and a perceived lack of administrative support. Despite the significance of these challenges, few studies have delved into the long-term effects of perceived instructional leadership on teachers' psychological health. To bridge this research gap, we utilized longitudinal data from 927 primary and secondary school teachers surveyed in two phases: Time 1 in mid-November 2021 and Time 2 in early January 2022. Using hierarchical linear modeling (HLM), our findings revealed that perceptions of instructional leadership, especially the "perceived school neglect of teaching autonomy" at Time 1 were positively correlated with burnout levels at Time 2. Additionally, burnout at Time 2 was positively associated with psychological distress and acted as a mediator between the "perceived school neglect of teaching autonomy" and psychological distress. In light of these findings, we recommend that schools prioritize teachers' teaching autonomy and take proactive measures to mitigate burnout and psychological distress, aiming for the sustainable well-being of both teachers and students in the post-pandemic era.
Sujet(s)
Épuisement professionnel , COVID-19 , Leadership , Bien-être psychologique , Enseignants , Humains , Épuisement professionnel/psychologie , Épuisement professionnel/prévention et contrôle , COVID-19/psychologie , COVID-19/épidémiologie , COVID-19/prévention et contrôle , Études longitudinales , Santé mentale , Pandémies , Détresse psychologique , SARS-CoV-2 , Enseignants/psychologie , Établissements scolaires , Enquêtes et questionnairesRÉSUMÉ
High levels of depression and burnout have been reported among veterinary students, with EMS, particularly the financial burden, being one of the biggest contributors to negative student wellbeing. Here Pip Sears discusses some of the issues and suggests improvements that could help reduce this burden.
Sujet(s)
Épuisement professionnel , Humains , Épuisement professionnel/prévention et contrôle , Épuisement professionnel/psychologie , Étudiant médecine/psychologie , Enseignement vétérinaire , Dépression/psychologie , Étudiants/psychologie , Royaume-UniRÉSUMÉ
Burnout and workforce shortages are having a negative impact on nurses globally, particularly after the COVID-19 pandemic. Within the United States, excessive documentation burden (DocBurden) has been linked to nurse burnout. The experience of a system or system-imposed process inhibiting patient care is a core focus area of nursing informatics research. The American Medical Informatics Association (AMIA) 25x5 Task Force to Reduce DocBurden was created in 2022 to decrease U.S. health professionals' excessive DocBurden to 25% of current state within five years through impactful solutions across health systems that decrease non-value-added documentation, and leverage public/private partnerships and advocacy. This case study will describe the work of the 25x5 Task Force that is relevant to nursing practice. Specifically, we will describe three projects: A) Toolkit for Reducing Excessive DocBurden, B) Development of Pulse Survey for Health Professionals Perceived DocBurden, and C) HIT Roadmap to Promote Interoperability.
Sujet(s)
COVID-19 , Documentation , COVID-19/prévention et contrôle , COVID-19/épidémiologie , Humains , États-Unis , Informatique en soins infirmiers , Comités consultatifs , Épuisement professionnel/prévention et contrôle , Dossiers médicaux électroniques , SARS-CoV-2RÉSUMÉ
In the post-pandemic era, the work pressure, trauma, anxiety, and burnout of shift nursing staff has continued to rise in all levels. By introducing Healing Games, turning interactions into game-like situations and using mindfulness as a framework, this will allow the nursing staff to realize their self-healing and help reduce stress.Through the establishment of this healing & stress-relieving game for nursing (HSR game-N) will also have a positive self-control effect on the negative emotions of work pressure. The application of such technology used by shift nurses can help negate and decrease the work pressure of shift nurses.
Sujet(s)
Stress professionnel , Humains , COVID-19 , Pleine conscience , Jeux vidéo , Épuisement professionnel/prévention et contrôle , Personnel infirmier hospitalier/psychologie , Pandémies , Horaire de travail posté , Stress psychologiqueRÉSUMÉ
Amidst the current healthcare workforce crisis, nurses continue to experience burnout, with one contributor being the growing amount of required documentation and other electronic health record (EHR) tasks that must be completed. This study aims to identify ways in which nurses can be better supported through consideration for the burden that EHR systems may present due to increasing documentation requirements and areas of inefficient use. This study leverages nursing engagement to ensure the needs of nurses are identified and EHR efficiency is improved. Practical strategies and EHR system improvements will be proposed based on the recommendations and guidance of nursing staff.
Sujet(s)
Documentation , Dossiers médicaux électroniques , Dossiers de soins infirmiers , Épuisement professionnel/prévention et contrôle , Charge de travail , Humains , Personnel infirmier hospitalierRÉSUMÉ
Resources to improve nurses' well-being.
Sujet(s)
Usure de compassion , Humains , Usure de compassion/prévention et contrôle , Usure de compassion/psychologie , Épuisement professionnel/prévention et contrôle , Épuisement professionnel/psychologie , Personnel infirmier hospitalier/psychologie , EmpathieRÉSUMÉ
GOAL: We sought to build upon previous studies that have demonstrated how healthcare workers' ratings of their immediate supervisor's leadership capabilities relate to their well-being and job satisfaction. METHODS: In 2022, we analyzed cross-sectional data from 1,780 physicians and 39,896 allied health professionals (collected in 2017) and 729 residents (collected in 2019), as well as longitudinal data from 1,632 physicians (collected from 2015 to 2017), to identify a psychometrically strong, broadly applicable, actionable, and low-burden approach to assessing supervisor leadership capability to support healthcare worker well-being. PRINCIPAL FINDINGS: The magnitude of association between our 1-, 2-, 3-, and 9-item leadership indexes and burnout, and between our 1-, 2-, 3-, and 9-item leadership indexes and satisfaction with the organization were similar to each other in the cross-sectional and longitudinal cohorts and across diverse groups of healthcare workers, including physicians, residents, and allied health professionals. The likelihood ratio for a high leadership score increased with an increasing score for each leadership measure. The area under the receiver operating characteristic curve for the 1-, 2-, and 3-item measures for a high leadership score was 0.9349, 0.9672, and 0.9819, respectively. PRACTICAL APPLICATIONS: A single item assessing perceptions of leadership capability efficiently provides useful information about leadership qualities of healthcare workers' immediate supervisors. The inclusion of this item in healthcare worker surveys may be useful for evaluating interventions and galvanizing organizational action to support healthcare worker well-being.
Sujet(s)
Personnel de santé , Satisfaction professionnelle , Leadership , Humains , Études transversales , Mâle , Femelle , Personnel de santé/psychologie , Personnel de santé/statistiques et données numériques , Adulte , Adulte d'âge moyen , Épuisement professionnel/prévention et contrôle , Enquêtes et questionnaires , Études longitudinales , PsychométrieRÉSUMÉ
SUMMARY: Physician burnout, a significant problem in modern healthcare, adversely affects healthcare professionals and their organizations. This essay explores the potential of artificial intelligence (AI) to positively address this issue through its integration into the electronic health record and the automation of administrative tasks. Recent initiatives and research highlight the positive impact of AI assistants in alleviating physician burnout and suggest solutions to enhance physician well-being. By examining the causes and consequences of burnout, the promise of AI in healthcare, and its integration into electronic health record systems, this essay explores how AI can not only reduce physician burnout but also improve the efficiency of healthcare organizations. A roadmap provides a visualization of how AI could be integrated into electronic health records during the previsit, visit, and postvisit stages of a clinical encounter.