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1.
Semin Vasc Surg ; 32(1-2): 23-26, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31540652

RESUMO

Burnout among vascular surgery trainees is a significant problem and needs to be addressed at the level of the individual, training program duties, and at each institution. The clinical challenges and patient-oriented care required of a vascular surgeon generate a level of stress that requires its recognition and development of coping methods to promote well-being and personal happiness. There are ways to minimize burnout during surgical training, including acknowledgment of its symptoms, mentorship, self-care, and access to resources for stress reduction. Crucial factors in maintaining a positive outlook and a sense of meaningful work are faculty entrustability, receptive leadership, celebrating small victories, and recognition that resiliency is a skill that can be learned. Successful vascular surgeon training is a mission that requires everyone involved to actively promote well-being behavior and a supportive work environment. With appropriate implementation of these practices, our training programs can cultivate surgeons who are competent, compassionate, and committed to advancing vascular care.


Assuntos
Adaptação Psicológica , Esgotamento Profissional/prevenção & controle , Educação de Pós-Graduação em Medicina/métodos , Saúde Mental , Cirurgiões/educação , Cirurgiões/psicologia , Procedimentos Cirúrgicos Vasculares/educação , Esgotamento Profissional/etiologia , Esgotamento Profissional/psicologia , Currículo , Humanos , Relações Interpessoais , Liderança , Mentores , Resiliência Psicológica , Local de Trabalho/psicologia
2.
J Nurs Adm ; 49(10): 487-495, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31517756

RESUMO

OBJECTIVE: The purpose of this study was to evaluate the effects of the MINDBODYSTRONG for Healthcare Professionals Program on stress, anxiety, depressive symptoms, healthy lifestyle behaviors, and job satisfaction on newly licensed RNs (NLRNs) participating in a nurse residency program. BACKGROUND: The constellation of burnout, depression, and suicide in clinicians is a public health epidemic that affects the quality and safety of healthcare. The National Academy of Medicine's Action Collaborative on Clinician Well-being and Resilience has called for an increase in evidence-based interventions to combat this alarming problem. The MINDBODYSTRONG Program is a novel adaptation of an evidence-based cognitive behavioral skills-building intervention that provides a theory-based approach to improve the mental health, healthy lifestyle beliefs and behaviors, and job satisfaction of NLRNs. METHODS: A 2-group, cluster randomized controlled trial was used with 89 new nurses participating in a new-graduate nurse residency program. The experimental intervention, MINDBODYSTRONG, consisted of 8 manualized weekly 45-minute sessions. Data were collected at baseline, immediately following, and 3 months after intervention that measured stress, depressive symptoms, anxiety, healthy lifestyle beliefs and behaviors, and job satisfaction. Repeated-measures analysis of variance was used for data analysis. RESULTS: The intervention group scored significantly better with moderate to large positive effects on the mental health variables as well as healthy lifestyle beliefs and healthy lifestyle behaviors at both follow-up time points compared with the attention control group. Moderate to large positive effects also were found for job satisfaction. CONCLUSIONS: The MINDBODYSTRONG Program has excellent potential as an evidence-based intervention for improving the mental health, healthy lifestyle beliefs and behaviors, and job satisfaction, in NLRNs.


Assuntos
Terapia Comportamental/métodos , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Estilo de Vida Saudável , Transtornos Mentais/prevenção & controle , Transtornos Mentais/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Satisfação no Emprego , Masculino , Adulto Jovem
3.
Curr Urol Rep ; 20(10): 62, 2019 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-31478112

RESUMO

Physician burnout-a constellation of depersonalization, emotional exhaustion, reduced feelings of personal attachment, and a low sense of accomplishment-is a term that has been around since the 1980s. Burnout rates among residents and fellows are higher than medical students, attending physicians, and age-matched college graduates, with rates ranging from 40-80% of trainees across subspecialties. Unfortunately, burnout among residents and trainees has been linked to lower scores on in-service examinations for internal medicine residents as well as poorer overall health and exercise habits. The purpose of this review is to quantify the extent of burnout among urology residents and examine effective techniques and measures to prevent burnout and practically what can be done to combat this growing epidemic.


Assuntos
Esgotamento Psicológico/etiologia , Esgotamento Psicológico/terapia , Internato e Residência , Médicos/psicologia , Urologia/educação , Adulto , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/etiologia , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/terapia , Esgotamento Psicológico/diagnóstico , Esgotamento Psicológico/prevenção & controle , Feminino , Humanos , Masculino , Inquéritos e Questionários
4.
Surg Clin North Am ; 99(5): 1029-1035, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31446908

RESUMO

Burnout is characterized by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment. All physicians, and especially surgeons, are at risk for developing burnout. The best strategies for mitigating burnout mimic a modern approach to medicine: the development of preventive practices to protect, promote, and maintain health and well-being. Job satisfaction, job engagement, and compassion satisfaction help protect from burnout. Individual commitment to self-care in conjunction with support from within health care organizations create the optimal framework in which burnout can be mitigated.


Assuntos
Esgotamento Profissional/prevenção & controle , Fadiga por Compaixão/prevenção & controle , Esgotamento Profissional/psicologia , Estilo de Vida Saudável , Humanos , Satisfação no Emprego , Fatores de Risco , Autocuidado
6.
Rev Med Chil ; 147(4): 510-517, 2019 Apr.
Artigo em Espanhol | MEDLINE | ID: mdl-31344215

RESUMO

BACKGROUND: The burnout syndrome affects more than half of students and professionals involved in healthcare worldwide and is characterized by emotional exhaustion, depersonalization and a low perception of self-efficacy. Several studies indicate that when students are burnt-out, clinical work, professionalism and ethical behavior, as well as empathy, are negatively affected, while the risk of academic attrition, depression and suicidal ideation tend to increase. At a national level, recent information shows that one out of every two medical students suffer burnout at the beginning of the clinical cycle, a situation that does not improve after finishing undergraduate medical training. There is no consensus on which are the most appropriate strategies to face the problem of burnout in students and health-care professionals. Some studies indicate that the experience of medical and health educators may be key to the design of effective strategies to address this problem. AIM: To identify the burnout risk and protection factors of students at different medical schools. MATERIAL AND METHODS: In this study -in which 34 expert health educators from eight Chilean medical schools and other health-related schools participated- we used a qualitative methodology based on the appreciative inquiry to explore the key elements associated with the occurrence of burnout, identify protective and risk factors, as well as discuss possible effective interventions to prevent it. RESULTS: There are personal, academic and contextual elements that act as protective or risk factors of burnout. In addition, the educators identified key elements to design organizational and curricular interventions to face the problem of burnout at a local level. CONCLUSIONS: Burnout is a serious problem in the formation of health care professionals. Teacher training aimed at promoting student'well-being must include the teaching of communication skills that consider both the generation gap and the profile of the professional medical schools intend to form.


Assuntos
Esgotamento Profissional/etiologia , Esgotamento Profissional/prevenção & controle , Estudantes de Ciências da Saúde/psicologia , Chile , Humanos , Fatores de Proteção , Fatores de Risco , Faculdades de Medicina , Autocuidado
8.
Clin Nucl Med ; 44(8): 643-645, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31274610

RESUMO

There are many lessons relevant to burnout from studying the literature on positive psychology. For example, resilience can be taught. A major portion of resilience and fighting burnout is finding meaning in work. Positive thinking, optimism, positive self-talk, and ways to diminish stress and increase happiness and engagement can also be learned.


Assuntos
Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Qualidade da Assistência à Saúde , Segurança , Humanos , Otimismo , Resiliência Psicológica
10.
Clin Nucl Med ; 44(7): 566-567, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31158104

RESUMO

Mentoring and coaching are activities that are quite helpful in having doctors become happy, engaged, and successful in their work and also help prevent burnout. Coaching helps promote a better balance between work, rest, family, and fun pursuits. Coaching also helps the one being coached develop better emotional awareness, become more cognizant of the good he/she has done, develop a positive outlook on life, find more meaning in work, and be better able to overcome obstacles. In ways such as these, the coach helps his/her client become more resilient and recover from burnout.


Assuntos
Fadiga de Alarmes do Pessoal de Saúde , Esgotamento Profissional/prevenção & controle , Tutoria/métodos , Médicos/psicologia , Feminino , Humanos , Masculino , Médicos/normas
11.
Rev Med Suisse ; 15(650): 951-955, 2019 May 08.
Artigo em Francês | MEDLINE | ID: mdl-31066526

RESUMO

The health sector is one of the most stressed occupational sectors. In family medicine, the risk is especially high: the prevalence of burnout increased. This article explores four facets of the problem : 1) the elements influencing physicians' satisfaction and well-being at work ; 2) prevention and detection of burnout in doctors ; 3) the impact of the doctors' stress on patient care and 4) the organization of the practice to improve the practitioners' well-being. The elements presented here are a summary of a meeting of physicians engaged in training and practice in family medicine, the objective being to identify ways to promote sustainable doctors in their practice !


Assuntos
Esgotamento Profissional , Médicos , Esgotamento Profissional/prevenção & controle , Medicina de Família e Comunidade , Humanos , Satisfação Pessoal , Prevalência
12.
Orthop Clin North Am ; 50(3): 327-330, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31084834

RESUMO

Physician burnout is a pervasive problem affecting our workforce. More than one-third of surveyed pediatric orthopedists are experiencing symptoms of burnout. Engagement and transparency with the problem are required to support physicians throughout their career. Both personal strategies to foster resilience and systemic responses to make space for supporting physician wellness are required to truly effect change. Mindfulness is a studied tool that can be easily and strategically implemented to help combat physician burnout.


Assuntos
Esgotamento Profissional , Cirurgiões Ortopédicos/psicologia , Pediatras/psicologia , Esgotamento Profissional/prevenção & controle , Depressão/prevenção & controle , Humanos , Atenção Plena , Resiliência Psicológica , Fatores de Risco
13.
Digit J Ophthalmol ; 25(1): 5-11, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31080370

RESUMO

Purpose: Burnout affects half of doctors in the United States. Programs to decrease burnout and foster resilience are needed to prevent loss of doctors in the workforce and maintain quality care. To ameliorate burnout at our eye center, we developed a resilience program and used a survey to identify additional groups with higher burnout for future interventions. Methods: The eye center-wide resilience program consisted of the baseline burnout survey, short email wellness tips, a grand rounds presentation, short wellness presentations at faculty meetings, and a small group discussion series with clinical faculty. The anonymous burnout survey was performed prospectively online at the beginning of this program. The survey participants consisted of respondents at the Duke Eye Center, including all doctors, scientists, clinical and research staff, trainees, and administrative and educational staff, in June and July of 2017. The short, anonymous electronic survey consisted of 10 demographic questions, 2 validated burnout questions, and 1 validated work-life balance question. Results: A total of 593 individuals were invited to participate, of whom 252 completed the survey. Overall, 37% of the respondents reported being emotionally exhausted, and 17% had experienced depersonalization. With regard to work-life balance, 43% of the respondents were satisfied and 34% were dissatisfied. Burnout was higher in respondents who participated in clinical care (P = 0.001), particularly among ophthalmic technicians (P = 0.044). Feedback from the doctors participating in the "Doctors Lounge" suggested perceived benefits, including enhanced collegiality, life skills, and improved self-management. Conclusions: Our baseline burnout survey showed higher burnout in our clinical workers, particularly in our ophthalmic technicians. Planning for next year will include the providers identified in the survey.


Assuntos
Esgotamento Profissional/diagnóstico , Oftalmologia , Resiliência Psicológica , Inquéritos e Questionários , Esgotamento Profissional/prevenção & controle , Humanos , Estados Unidos
14.
Health Care Manag (Frederick) ; 38(2): 166-178, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30932929

RESUMO

Hospital employees' turnover is one of the problems with which both public and private organizations have been faced for many years. Employees' turnover can cause many organization's investments in employees to be wasted and the stability and continuity of the organizational activities to be undermined. The present study aimed to investigate the effects of social support and mediating factors on the turnover intention of administrative and financial employees working in the teaching hospitals affiliated to Shiraz University of Medical Sciences, Iran, using structural equation modeling in 2017. This was an applied, cross-sectional, and descriptive-analytic study conducted on the administrative and financial employees working in the teaching hospitals affiliated to Shiraz University of Medical Sciences in 2017. The results showed that the proposed model remarkably explained "turnover intention," and the overall validity of the model was confirmed. Accordingly, 15 of 21 study hypotheses were supported. Moreover, the results showed that social support had an indirect significant association with the hospital employees' turnover intention and could decrease it through increasing the employees' organizational commitment, psychological empowerment, and core self-evaluation and reducing their job stress and job burnout (P < .05). To reduce the hospital employees' turnover intention in hospitals, employ suitable and qualified individuals for the positions, provide training courses such as stress management, improve better interactions and mutual cooperation among managers and employees, provide job security and job enrichment, and create a comfortable and relaxed working environment.


Assuntos
Intenção , Reorganização de Recursos Humanos , Recursos Humanos em Hospital/psicologia , Apoio Social , Adulto , Esgotamento Profissional/prevenção & controle , Estudos Transversais , Feminino , Administração Financeira , Administração Hospitalar , Humanos , Irã (Geográfico) , Satisfação no Emprego , Masculino , Inquéritos e Questionários
15.
J Nurs Adm ; 49(5): 231-233, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31008832

RESUMO

Compassion fatigue and burnout are 2 of the most serious issues facing the nursing profession today. Both can lead to emotional exhaustion and job disillusionment. Both contribute to lowered productivity and quality of care. Healthcare providers around the world are on the lookout for ways to prevent and mitigate these critical issues. In this month's Magnet Perspectives column, we take a deep dive into the latest research on nurse burnout and compassion fatigue, examine contributing factors, and consider steps organizations can take to make sure their nurses are not running on empty. We also explore how the fundamentals of a Magnet® culture, especially an autonomous practice environment, strong nursing leadership, and meaningful recognition, can keep nurses engaged and build a resilient workforce.


Assuntos
Esgotamento Profissional/prevenção & controle , Esgotamento Psicológico/prevenção & controle , Fadiga por Compaixão/prevenção & controle , Satisfação no Emprego , Recursos Humanos de Enfermagem no Hospital/organização & administração , Recursos Humanos de Enfermagem no Hospital/psicologia , Cultura Organizacional , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
16.
BMC Palliat Care ; 18(1): 28, 2019 Mar 21.
Artigo em Inglês | MEDLINE | ID: mdl-30898130

RESUMO

BACKGROUND: In palliative care (PC) patients and relatives (P/R) often show their gratitude to the healthcare professionals (HP) who care for them. HP appreciate these displays of gratitude, although the impact of the same has not been examined in detail. Publications analysed tell personal experiences in which HP say that displays of gratitude create sensations of well-being, pride and increased motivation to carry on caring. No systematic examination in PC was found. These aspects related to gratitude may be important in the field of PC, where there is constant exposure to suffering and the preoccupation which arises from wanting to help HP to go on with their work, but it needs closer study and systemisation. The purpose of this study is to understand the significance and the role of the gratitude received from P/R for palliative care health professionals (PCHP). METHODS: A suitable mixed method will be used. The first phase will be quantitative and will consist of a survey, piloted by experts, whose goal is to explore the current situation in Spain as regards displays of gratitude received by HP at PC services. It will be sent by e-mail. The results from this part will be incorporated into the second part which will be qualitative and whose goal is to understand the significance of the experience of receiving displays of gratitude from the perspective of PCHP, using a phenomenological approach. Interviews will be undertaken amongst PCHP. The interview guide will be designed after taking the survey results into account. The project has been granted ethical approval. DISCUSSION: These results are set to provide a key contribution within the context of the growing preoccupation on how to care for HP, how to ensure retention and keep them from resigning, as well as preventing burnout, emotional fatigue and boosting their resilience. In order to do this, it is both interesting and ground breaking, to analyse the repercussion of spontaneous gratitude shown by P/R towards PCHP, to see if this is a useful resource to reduce these problems and to encourage the greater presence of dignity and humanisation, for both those receiving care and for those providing it. This gratitude may be one of these strategies.


Assuntos
Pessoal de Saúde/psicologia , Cuidados Paliativos/normas , Satisfação Pessoal , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Família/psicologia , Humanos , Entrevistas como Assunto/métodos , Cuidados Paliativos/métodos , Cuidados Paliativos/psicologia , Pesquisa Qualitativa , Espanha , Inquéritos e Questionários
17.
Br J Nurs ; 28(6): 398-399, 2019 Mar 28.
Artigo em Inglês | MEDLINE | ID: mdl-30925255

RESUMO

Emeritus Professor Alan Glasper, University of Southampton, discusses a new government pledge to implement recommendations from Health Education England to better meet the wellbeing needs of health professionals.


Assuntos
Esgotamento Profissional/prevenção & controle , Recursos Humanos de Enfermagem no Hospital/psicologia , Doenças Profissionais/prevenção & controle , Sistemas de Apoio Psicossocial , Humanos , Medicina Estatal , Reino Unido
18.
J Nurs Manag ; 27(4): 765-774, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30887587

RESUMO

AIM: To verify the role of dispositional mindfulness, difficulties in emotion regulation and empathy in explaining burnout levels of emergency room (ER) nurses. BACKGROUND: Many studies have examined the variables that can affect burnout amongst ER nurses, but little is known about factors that can protect ER nurses against work-related stress. METHOD: A multi-centre cross-sectional design was used. Burnout level intensity, dispositional mindfulness facets, difficulties in emotion regulation and empathy dimensions were assessed using valid and reliable self-report questionnaires in a sample of ER nurses (N = 97) from three different hospitals. RESULTS: Higher dispositional mindfulness and cognitive empathy levels and lower difficulties in emotion regulation, were negatively associated with emotional exhaustion levels. CONCLUSION: ER nurses with more mindful, emotion regulation and empathy skills are more able to manage work-related distress. IMPLICATIONS FOR NURSING MANAGEMENT: Experiential interventions to promote mindfulness skills, emotion regulation variability and flexibility in a clinical context and the cognitive side of empathy are recommended for ER nurses to reduce professional distress, and to enhance personal and work satisfaction. Future research should assess the effectiveness of new multi-factorial interventions which combine the development of mindfulness, emotion regulation and empathy skills in ER nurses.


Assuntos
Esgotamento Profissional/prevenção & controle , Enfermeiras e Enfermeiros/psicologia , Adulto , Análise de Variância , Esgotamento Profissional/psicologia , Estudos Transversais , Serviço Hospitalar de Emergência/organização & administração , Empatia , Feminino , Humanos , Itália , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Atenção Plena , Inquéritos e Questionários
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