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2.
Br J Nurs ; 29(4): 252, 2020 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-32105538

RESUMO

John Fowler, Educational Consultant, explores how to survive your nursing career.


Assuntos
Consultores/psicologia , Recursos Humanos de Enfermagem/psicologia , Poder Familiar/psicologia , Equilíbrio Trabalho-Vida/organização & administração , Humanos
3.
World Neurosurg ; 133: 331-342, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31437517

RESUMO

OBJECTIVE: To analyze why women quit full-time employment as neurosurgeons and to discuss the conditions required for their reinstatement. METHODS: We asked 94 core hospitals providing training programs in the board certification system adopted by the Japan Neurosurgical Society to indicate the total number and present status of women in their department and to send our anonymous questionnaire to women who had formerly worked as full-time neurosurgeons. The questionnaire consisted of closed and open questions on their reasons for quitting as full-time neurosurgeons. RESULTS: Among 427 women evaluated, 72 (17%) had quit full-time employment as neurosurgeons. Twenty-one women who had quit 3-21 years after starting their neurosurgery careers responded to the questionnaire, including 17 board-certified neurosurgeons, 11 individuals with master's degrees, and 16 mothers. Their main reasons for quitting full-time work were difficulty in balancing their neurosurgical career and motherhood (52%) and the physical burden (38%). At the time of quitting, only 2 units (5%) had a career counseling system for women. Two thirds of participants might resume full-time work as neurosurgeons in the future. Their support system during pregnancy and the child-raising period, and understanding of male bosses and colleagues were identified as the key themes. CONCLUSIONS: The Japan Neurosurgical Society could facilitate supportive environments for women in neurosurgery by enhancing adequate childcare services, changing the work style of full-time neurosurgeons to incorporate diverse working styles, shorter working hours, understanding of their bosses and colleagues, and a career counseling system.


Assuntos
Neurocirurgiões , Médicas , Inquéritos e Questionários , Equilíbrio Trabalho-Vida , Adulto , Escolha da Profissão , Feminino , Humanos , Japão , Pessoa de Meia-Idade
5.
Licere (Online) ; 22(4): 285-316, dez.2019. tab, graf
Artigo em Português | LILACS | ID: biblio-1050768

RESUMO

Esse estudo teve o objetivo de analisar as concepções de lazer sob a perspectiva dos adultos. Foi adotada uma abordagem qualitativa, realizada através de um questionário aberto online na plataforma Google Forms, por meio da técnica metodológica snowball. Os sujeitos que compuseram a pesquisa foram 21 adultos, na faixa etária dos 25 aos 38 anos. A análise dos dados pautou-se na modalidade de análise hermenêutica-dialética. Foram identificados 3 núcleos de sentidos que possibilitaram compreender a concepção do lazer para os adultos: compreensão de lazer: "tempo e atitude", a idade e atividades consideradas como lazer, e "produtos" de lazer. Os resultados mostraram a associação entre lazer e satisfação pessoal/descanso, e o paradoxo entre lazer e trabalho, com mudanças na percepção dos sujeitos mais notórias nas faixas etárias dos 25 aos 29 anos e dos 30 aos 38 anos.


This study aimed to analyze the recreation conceptions on adults' opinion. The type of approach used was the qualitative approach, trough an open online questionnaire on Google Forms platform, using the snowball sampling technique. The individuals that participated in the research were twenty one adults, in the 25-38 age group. The data analysis was based on the hermeneutic dynamic method of analysis. Three nucleus were identified that allows to understand the conception of recreation for adults: comprehension of recreation: time and behavior, the age, activities considered as recreation and recreation "products". The results showed that people often associate recreation and personal satisfaction/repose, and the paradox between recreation and work, with changes of the individual's perception been more considerable between the 25-29 age group and the 30-38 age group.


Assuntos
Humanos , Adulto , Satisfação Pessoal , Qualidade de Vida , Fatores Socioeconômicos , Comportamento do Consumidor , Adulto , Cultura , Fatores Culturais , Equilíbrio Trabalho-Vida , Atividades de Lazer
6.
Revista Espaço para a Saúde ; 20(2): [55-66], dez.2019. tab, ilus
Artigo em Português | LILACS | ID: biblio-1046414

RESUMO

Este estudo objetivou estabelecer a relação entre o processo de trabalho e a qualidade de vida do grupo de agentes comunitários de saúde do município de Campo Bom, no Vale dos Sinos na região metropolitana de Porto Alegre. Se configurou do tipo descritivo exploratório, transversal, de abordagem quantitativa. Participaram desta pesquisa 62 Agentes Comunitários de Saúde, com faixa etária entre 23 e 61 anos, sendo 58 (93,5%) mulheres e 4 (6,5%) de homens. Os participantes responderam um questionário sobre dados sociodemográficos, socioeconômicos e de trabalho, e ao questionário WHOQOL-BREF. A execução desta pesquisa pôde confirmar estatisticamente o impacto do processo de trabalho nos diferentes domínios da qualidade de vida.


Assuntos
Saúde do Trabalhador , Equilíbrio Trabalho-Vida
9.
Br J Nurs ; 28(18): 1220, 2019 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-31597052

RESUMO

John Fowler, Educational Consultant, explores how to survive your nursing career.


Assuntos
Consultores/psicologia , Saúde Holística , Recursos Humanos de Enfermagem/psicologia , Equilíbrio Trabalho-Vida , Humanos
10.
Artigo em Inglês | MEDLINE | ID: mdl-31658744

RESUMO

The introduction of the two-child family planning policy in China calls for a study of the response of mothers' subjective well-being after the birth of a second child. Generally focusing on Western countries, previous studies suggested that a series of factors could influence the response, but insufficient attention has been paid to the relative importance of these factors so far. Based on survey data from mothers of two children in the Xi'an metropolitan area, Shaanxi Province, China, our study indicates that the important factors associated with mothers' life satisfaction after having a second child were, in general, common to Western countries and China. There were also two factors somewhat unique to China: positive adjustment (i.e., becoming happier) by firstborn children (average age, 6 years old) following a sibling's birth, predicted enhanced life satisfaction for mothers; additionally, mothers who had both a son and a daughter reported the highest increase in life satisfaction, while mothers who had two sons reported the lowest increase. Socioenvironmental constraints (i.e., parenting pressure and work-family conflict) had a larger association with mothers' life satisfaction than individual ideational factors (e.g., family orientation and fertility desire). These findings suggest that fertility-friendly policies and convenient family intervention institutions are needed to alleviate potential undesirable consequences and improve maternal life quality following a second childbirth so that the two-child policy can be a success.


Assuntos
Características da Família , Política de Planejamento Familiar , Mães/psicologia , Adulto , Ordem de Nascimento , Criança , China , Cidades , Feminino , Humanos , Lactente , Masculino , Saúde Mental , Núcleo Familiar , Poder Familiar , Irmãos , Equilíbrio Trabalho-Vida
11.
Pediatrics ; 144(4)2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31506302

RESUMO

BACKGROUND: The US physician workforce includes an increasing number of women, with pediatrics having the highest percentage. In recent research on physicians, it is indicated that men earn more than women. It is unclear how this finding extends to pediatricians. METHODS: We examined cross-sectional 2016 data on earnings from the American Academy of Pediatrics Pediatrician Life and Career Experience Study, a longitudinal study of early- and midcareer pediatricians. To estimate adjusted differences in pediatrician earnings between men and women, we conducted 4 ordinary least squares regression models. Model 1 examined gender, unadjusted; model 2 controlled for labor force characteristics; model 3 controlled for both labor force and physician-specific job characteristics; and model 4 controlled for labor force, physician-specific job, and work-family characteristics. RESULTS: Sixty-seven percent of Pediatrician Life and Career Experience Study participants completed the 2016 surveys (1213 out of 1801). The analytic sample was restricted to participants who completed training and worked in general pediatrics, hospitalist care, or subspecialty care (n = 998). Overall pediatrician-reported mean annual income was $189 804. Before any adjustment, women earned ∼76% of what men earned, or ∼$51 000 less. Adjusting for common labor force characteristics such as demographics, work hours, and specialty, women earned ∼87% of what men earned, or ∼$26 000 less. Adjusting for a comprehensive set of labor force, physician-specific job, and work-family characteristics, women earned ∼94% of what men earned, or ∼$8000 less. CONCLUSIONS: Early- to midcareer female pediatricians earned less than male pediatricians. This difference persisted after adjustment for important labor force, physician-specific job, and work-family characteristics. In future work, researchers should use longitudinal analyses and further explore family obligations and choices.


Assuntos
Mobilidade Ocupacional , Renda/estatística & dados numéricos , Pediatras/economia , Médicas/economia , Fatores Sexuais , Estudos Transversais , Família , Feminino , Humanos , Renda/tendências , Análise dos Mínimos Quadrados , Estudos Longitudinais , Masculino , Pediatras/provisão & distribução , Médicas/provisão & distribução , Estados Unidos , Trabalho , Equilíbrio Trabalho-Vida/economia
12.
Pediatrics ; 144(4)2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31506304

RESUMO

BACKGROUND: Physicians must balance career and home responsibilities, yet previous studies on work-life balance are focused primarily on work-based tasks. We examined gender discrepancies and factors related to household responsibilities and work-life balance among pediatricians. METHODS: We used 2015 data from the American Academy of Pediatrics Pediatrician Life and Career Experience Study, a longitudinal study of early-career pediatricians. χ2 tests and multivariable logistic regression were used to examine the effects of gender on household responsibilities, satisfaction, and work-life balance attainment. We formally reviewed responses from 2 open-ended questions on work-life balance challenges and strategies for common themes. RESULTS: Seventy-two percent of participants completed the survey (1293 of 1801). Women were more likely than men to report having primary responsibility for 13 of 16 household responsibilities, such as cleaning, cooking, and routine care of children (all P < .001). All gender differences except budget management remained significant when controlling for part-time work status and spouse or partner work status (P < .05). Women were less satisfied with their share of responsibilities relative to others (52% vs 62%; P < .001), and few women and men report being very successful at achieving balance between their job and other life areas (15% vs 19%, respectively; P = .05). Open-ended responses (n = 1145) revealed many barriers to achieving work-life balance. Strategies to increase work-life balance included reducing work hours, outsourcing household-related work, and adjustments to personal responsibilities and relationships. CONCLUSIONS: Female pediatricians spend more time on household responsibilities than male pediatricians, and gender is a key factor associated with work-life balance satisfaction.


Assuntos
Serviço de Limpeza/organização & administração , Pediatras/organização & administração , Fatores Sexuais , Equilíbrio Trabalho-Vida/organização & administração , Distribuição de Qui-Quadrado , Criança , Cuidado da Criança/organização & administração , Cuidado da Criança/estatística & dados numéricos , Estudos Transversais , Emprego , Características da Família , Feminino , Serviço de Limpeza/estatística & dados numéricos , Humanos , Modelos Logísticos , Estudos Longitudinais , Manutenção/organização & administração , Manutenção/estatística & dados numéricos , Masculino , Pediatras/psicologia , Pediatras/estatística & dados numéricos , Satisfação Pessoal , Médicas/psicologia , Médicas/estatística & dados numéricos , Inquéritos e Questionários , Equilíbrio Trabalho-Vida/métodos , Equilíbrio Trabalho-Vida/estatística & dados numéricos
13.
Z Gerontol Geriatr ; 52(6): 539-545, 2019 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-31506819

RESUMO

BACKGROUND: Family caregivers are important players in both inpatient and domestic healthcare. As a result of increasing mobility many also perform care over geographical distances. OBJECTIVE: The article highlights the opportunities and challenges of distance caregiving from a distance caregivers' perspective. Data were collected as part of the binational research and development project on distance caregiving, which investigated various dimensions of distance caregiving with an interdisciplinary team from Germany (Protestant University Ludwigsburg) and Switzerland (Careum University of Applied Sciences Zurich). To date empirical results exist mainly for the Anglo-American region. This study provides hitherto lacking empirical findings for Germany and Switzerland. MATERIAL AND METHODS: The study was based on 49 guideline-based, partially narrative interviews (Germany: N = 35; Switzerland: N = 14) with distance caregivers, who at the time of data collection were caring for a person at least 60 years old. The software-supported data analysis (MAXQDA 10) was carried out using deductive and inductive structuring content analysis according to Mayring. RESULTS AND CONCLUSION: Distance caregivers provide substantial and diverse care and support tasks. A central challenge is the lack of up to date and reliable information regarding the care situation. This may lead to emotional strain; however, distance also results in relief for caregivers. A functioning network including well-defined agreements and transparent communication is crucial.


Assuntos
Cuidadores , Emoções , Telemedicina , Equilíbrio Trabalho-Vida , Idoso , Idoso de 80 Anos ou mais , Feminino , Alemanha , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Suíça
15.
Methodist Debakey Cardiovasc J ; 15(2): 162-163, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31384385

RESUMO

Through the generosity of Charles R. Millikan, DMin, vice president for Spiritual Care and Values Integration, an annual award competition was established at Houston Methodist Hospital among the resident staff. To enter the writing competition, residents must submit a poem or essay of 1,000 words or less on the topic, "On Being a Doctor." A committee of seven was selected from Houston Methodist Hospital Education Institute to establish the judging criteria and select the winning entries. The following is the first-place winning entry for 2019; the second- and third-place entries will be published in the next two issues of this journal.


Assuntos
Atitude do Pessoal de Saúde , Escolha da Profissão , Conhecimentos, Atitudes e Prática em Saúde , Obstetrícia , Médicas/psicologia , Mulheres Trabalhadoras/psicologia , Emoções , Feminino , Humanos , Equilíbrio Trabalho-Vida
16.
J Grad Med Educ ; 11(4): 472-474, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31440344

RESUMO

Background: Of the top 15 medical schools with affiliated graduate medical education (GME) programs, 8 offer paid parental leave, with an average duration of 6.6 weeks. It is not known how other GME programs approach parental leave. Objective: We searched for the parental leave policies for residents in programs affiliated with the top 50 medical schools. Methods: In 2019, we identified the top 50 medical schools designated by US News & World Report in the research and primary care categories (totaling 59 schools), and identified the associated GME programs. For each school, we accessed its website and searched for "GME Policies and Procedures" to find language related to maternity, paternity, or parental leave, or the Family Medical Leave Act. If unavailable, we e-mailed the GME office to identify the policy. Results: Of 59 schools, 25 (42%) described paid parental leave policies with an average of 5.1 weeks paid leave; 11 of those (44%) offer ≤ 4 weeks paid parental leave. Twenty-five of 59 (42%) programs did not have paid parental leave, but 13 of these specify that residents can use sick or vacation time to pay for part of their parental leave. Finally, 13 of 59 (22%) offered state mandated partial paid leave. One school did not have any description of parental leave. Conclusions: While paid parental leave for residents has been adopted by many of the GME programs affiliated with the top 50 medical schools, it is not yet a standard benefit offered to the majority of residents.


Assuntos
Internato e Residência , Licença Parental/normas , Equilíbrio Trabalho-Vida , Educação de Pós-Graduação em Medicina , Feminino , Humanos , Masculino , Licença Parental/economia , Fatores de Tempo
17.
Lakartidningen ; 1162019 Aug 26.
Artigo em Sueco | MEDLINE | ID: mdl-31454053

RESUMO

The Swedish Association for Child and Adolescent Psychiatry conducted a survey among their specialty trainees in 2018. Of the 48% response rate, around 48% admitted hesitancy to continue in their chosen specialty. A further 12% planned to depart from their field after completion of training. Factors associated with discontinuation in training were the perception of ineffective psychotherapeutic treatments and a lack of autonomy at work; which was strongly correlated to the doctor's role and team collaboration. Workload was generally perceived as excessive, with not enough time for after work recovery and the subsequent negative impact on private life. However, these factors were not found to significantly affect trainees' decision to leave. The doctor's role requires better clarification and medical leadership needs to be improved, so that evidence based treatments can be offered.


Assuntos
Psiquiatria do Adolescente , Atitude do Pessoal de Saúde , Psiquiatria Infantil , Educação de Pós-Graduação em Medicina , Adolescente , Adulto , Escolha da Profissão , Criança , Orientação Infantil , Humanos , Papel do Médico , Autonomia Profissional , Psicoterapia/normas , Psicotrópicos/normas , Sociedades Médicas , Inquéritos e Questionários , Suécia , Equilíbrio Trabalho-Vida , Carga de Trabalho/psicologia , Local de Trabalho/psicologia
18.
J Nurs Adm ; 49(9): 404-410, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31425307

RESUMO

OBJECTIVE: To examine and report burnout, secondary trauma, and compassion satisfaction in acute care nurse leaders through a large mixed-methods research study. BACKGROUND: Although nurse leaders are removed from daily patient care activities, the pervasive challenges in the work environment create conditions for professional burnout. Nurse leaders must garner compassion satisfaction from different sources, including peer and staff interactions. METHODS: The Professional Quality of Life scale was given to nurse leaders at 29 hospitals in 1 health system. Sixteen leaders from 2 hospitals participated in qualitative interviews. RESULTS: Six hundred seventy-two nurse leaders from 29 hospitals reported similar levels of burnout across frontline, midlevel, and director-level leadership. Directors demonstrated higher levels of compassion satisfaction and lower levels of work-life balance. Four themes emerged representing areas of professional life that potentiate and alleviate compassion fatigue. CONCLUSIONS: All levels of nurse leaders must address the risk of burnout and can do so through individual and organizational resiliency strategies.


Assuntos
Esgotamento Profissional/psicologia , Esgotamento Psicológico , Satisfação no Emprego , Enfermeiras Administradoras/psicologia , Satisfação Pessoal , Equilíbrio Trabalho-Vida , Local de Trabalho/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
19.
J Grad Med Educ ; 11(4 Suppl): 181-185, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31428278

RESUMO

Background: One factor many women consider when choosing a medical specialty is the plan to have children and the compatibility of their chosen specialty with motherhood. Objective: We surveyed Hispanic female physicians who are mothers to collect demographic information, specialty choice, childbearing, and professional and personal life characteristics, along with respondents' suggestions for female physicians who want to start a family, and how hospitals and medical institutions could enhance their support of female medical staff members with children. Methods: The questionnaire was fielded on an online forum for Hispanic female physicians who are mothers. We summarized data by frequency and percentages, and means and standard deviations. Results: Common medical specialties of respondents included pediatrics, family medicine, and obstetrics and gynecology, and 19% did not report a medical specialty. Most respondents were married (72%), had 1 or 2 children (89%), and worked at a public hospital 5 days a week (51%). Forty-four percent reported they slept 6 or more hours a night. Differences among specialties included dermatologists, radiologists, and gynecologists reporting working more than other specialties (6 to 7 days a week), psychiatrists reporting greater use of psychiatric medications, and anesthesiologists reporting lower rates of marriage. Female surgeons and emergency medicine physicians reported the highest consumption of alcohol. Conclusions: The results offer initial insights into how medical specialty choice may affect female physicians' work-life balance and can be used to provide guidance to female learners who plan to have a family.


Assuntos
Escolha da Profissão , Hispano-Americanos , Internato e Residência , Médicas/estatística & dados numéricos , Equilíbrio Trabalho-Vida , Adulto , Estudos Transversais , Medicina de Família e Comunidade , Feminino , Humanos , Pediatria , Inquéritos e Questionários
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