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1.
Eur J Psychotraumatol ; 12(1): 1984667, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34777712

RESUMO

Background: Research is urgently needed to understand health care workers' (HCWs') experiences of moral-ethical dilemmas encountered throughout the COVID-19 pandemic, and their associations with organizational perceptions and personal well-being. This research is important to prevent long-term moral and psychological distress and to ensure that workers can optimally provide health services. Objective: Evaluate associations between workplace experiences during COVID-19, moral distress, and the psychological well-being of Canadian HCWs. Method: A total of 1362 French- and English-speaking Canadian HCWs employed during the COVID-19 pandemic were recruited to participate in an online survey. Participants completed measures reflecting moral distress, perceptions of organizational response to the pandemic, burnout, and symptoms of psychological disorders, including depression, anxiety, and posttraumatic stress disorder (PTSD). Results: Structural equation modelling showed that when organizational predictors were considered together, resource adequacy, positive work life impact, and ethical work environment negatively predicted severity of moral distress, whereas COVID-19 risk perception positively predicted severity of moral distress. Moral distress also significantly and positively predicted symptoms of depression, anxiety, PTSD, and burnout. Conclusions: Our findings highlight an urgent need for HCW organizations to implement strategies designed to prevent long-term moral and psychological distress within the workplace. Ensuring availability of adequate resources, reducing HCW risk of contracting COVID-19, providing organizational support regarding individual priorities, and upholding ethical considerations are crucial to reducing severity of moral distress in HCWs.


Assuntos
COVID-19 , Pessoal de Saúde , Saúde Mental/tendências , Princípios Morais , Angústia Psicológica , Local de Trabalho/psicologia , Adulto , Ansiedade/psicologia , Esgotamento Profissional/psicologia , Canadá , Depressão/psicologia , Feminino , Pessoal de Saúde/ética , Pessoal de Saúde/psicologia , Humanos , Internet , Masculino , Pessoa de Meia-Idade , Cultura Organizacional , Inquéritos e Questionários
3.
Am J Nurs ; 121(11): 24-36, 2021 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-34629376

RESUMO

PURPOSE: Although previous studies have revealed professional consequences of burnout among nurses, less is known about the potential personal consequences. This study investigated the prevalence of suicidal ideation and attitudes toward help seeking among U.S. nurses relative to other workers, and the extent to which personal and professional factors, including burnout, were related to suicidal ideation. METHODS: In November 2017, a cross-sectional survey was sent to 86,858 nurses who were members of the American Nurses Association and to a probability-based sample of 5,198 U.S. workers. The survey included questions regarding suicidal ideation, burnout, symptoms of depression, individual and professional characteristics, and willingness to seek professional help if a serious emotional problem arose. Multivariable logistic regression analyses were conducted to identify factors associated with suicidal ideation after controlling for other factors. RESULTS: Among the 7,378 nurse respondents, 403 (5.5%) reported having suicidal ideation within the past year. Most nurses (84.2%) indicated willingness to seek professional help for a serious emotional problem. Yet nurses with suicidal ideation were less likely to report that they'd seek such help (72.6%) than nurses without suicidal ideation (85%). In a multivariable analysis of nurses' data, after controlling for other personal and professional characteristics, we found that burnout was strongly associated with suicidal ideation. Adjusted combined multivariable analyses showed that nurses were more likely than other workers to have suicidal ideation. Both nurses and other workers who reported suicidal ideation were less likely to seek help than were those who did not report such ideation. CONCLUSIONS: Compared with other U.S. workers, nurses are at higher risk for suicidal ideation, and nurses with such ideation are more reluctant to seek help than those without it. Burnout contributes to the risk of suicidal ideation. These issues warrant greater attention. Systems- and practice-level interventions must be identified and implemented, both to address the higher prevalences of burnout and suicidal ideation in nurses and to mitigate the stigma about mental health problems and other barriers to seeking help.


Assuntos
Atitude , Esgotamento Profissional/psicologia , Depressão/epidemiologia , Comportamento de Busca de Ajuda , Recursos Humanos de Enfermagem/estatística & dados numéricos , Ideação Suicida , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Estigma Social , Inquéritos e Questionários
6.
PLoS One ; 16(10): e0258224, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34714836

RESUMO

BACKGROUND: Burnout is a syndrome of emotional exhaustion, low personal accomplishment and depersonalization experienced by a health professional and it is more common in nurses due to high workload and job stress that is mostly caused by working proximity to patients and taking care of them. Burnout compromises the provision of quality health care. Despite this, there is no information in Ethiopia on burnout among nurses in study area. OBJECTIVES: To determine the magnitude of burnout and associated factors among nurses working in public hospitals of Harari regional state and Dire Dawa administration, eastern Ethiopia, February 1-29, 2020. METHODS: Institutional based quantitative cross-sectional study was employed from February 1-29 among 412 randomly selected nurses who have been working in hospitals for the last 6 months. Simple random sampling method was employed and data was collected by self-administered, standardized, reliable and valid, questionnaire (Maslachs Burnout Inventory- Human Services Survey). Data was entered into EpiData Version 3.1 and exported to statistical package for social science version 20 for analysis. All covariate with P-value less than 0.25 in bivariable analysis were candidate for multivariable analysis. Level of statistical significance was declared at p-value < 0.05. RESULTS: Among 412 nurses taking part in this study, 183(44.4%) of nurses with 95% CI, had experienced burnout. Married marital status [AOR:2.3,95%CI:(1.2-4.3)], poor current health status [AOR:4.8, 95% CI:(1.1-21.4)] and fair current health status [AOR:12, 95% CI:(4.5-32)], working greater than eight hour per-day[AOR:0.52, 95%CI:(0.29-0.92)], intention to leave a job [AOR:0.48,95%CI:(0.2-0.88), being working in emergency room [AOR:0.3,95%CI:(0.1-0.98)] and using a different medication related to work related health problems were factors associated with nurses' burnout. CONCLUSION: The nurses' burnout in this study is high and it is attributed by marriage, perceiving health status as poor and fair, whereas, having the intention to leave job, being working in emergency room and using a medication in relation to work related health problems reduced risk of developing burnout. So, the concerned bodies should provide trainings which focus on stress copying mechanisms and assertiveness program.


Assuntos
Esgotamento Profissional/psicologia , Hospitais Públicos , Enfermeiras e Enfermeiros/psicologia , Adulto , Estudos Transversais , Etiópia , Feminino , Humanos , Masculino , Enfermeiras e Enfermeiros/organização & administração , Estresse Ocupacional/psicologia , Adulto Jovem
9.
PLoS One ; 16(10): e0257983, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34648526

RESUMO

INTRODUCTION: COVID-19 pandemic is having a devastating effect on the mental health and wellbeing of healthcare providers (HCPs) globally. This review is aimed at determining the prevalence of depression, anxiety, stress, fear, burnout and resilience and its associated factors among HCPs in Asia during the COVID-19 pandemic. MATERIAL AND METHODS: We performed literature search using 4 databases from Medline, Cinahl, PubMed and Scopus from inception up to March 15, 2021 and selected relevant cross-sectional studies. Publication bias was assessed using funnel plot. Random effects model was used to estimate the pooled prevalence while risk factors were reported in odds ratio (OR) with 95% CI. RESULTS: We included 148 studies with 159,194 HCPs and the pooled prevalence for depression was 37.5% (95%CI: 33.8-41.3), anxiety 39.7(95%CI: 34.3-45.1), stress 36.4% (95%CI: 23.2-49.7), fear 71.3% (95%CI: 54.6-88.0), burnout 68.3% (95%CI: 54.0-82.5), and low resilience was 16.1% (95%CI: 12.8-19.4), respectively. The heterogeneity was high (I2>99.4%). Meta-analysis reported that both females (OR = 1.48; 95% CI = 1.30-1.68) and nurses (OR = 1.21; 95%CI = 1.02-1.45) were at increased risk of having depression and anxiety [(Female: OR = 1.66; 95% CI = 1.49-1.85), (Nurse: OR = 1.36; 95%CI = 1.16-1.58)]. Females were at increased risk of getting stress (OR = 1.59; 95%CI = 1.28-1.97). CONCLUSION: In conclusion, one third of HCPs suffered from depression, anxiety and stress and more than two third of HCPs suffered from fear and burnout during the COVID-19 pandemic in Asia.


Assuntos
Esgotamento Profissional/psicologia , COVID-19 , Pessoal de Saúde/psicologia , Saúde Mental , Angústia Psicológica , Estudos Transversais , Humanos , Pandemias
10.
PLoS One ; 16(10): e0258475, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34648565

RESUMO

INTRODUCTION: The spread of COVID-19 into a global pandemic has negatively affected the mental health of frontline healthcare-workers. This study is a multi-centre, cross-sectional epidemiological study that uses nationwide data to assess the prevalence of stress, anxiety, depression and burnout among health care workers managing COVID-19 patients in Cyprus. The study also investigates the mechanism behind the manifestation of these pathologies, as to allow for the design of more effective protective measures. METHODS: Data on the mental health status of the healthcare workers were collected from healthcare professionals from all over the nation, who worked directly with Covid patients. This was done via the use of 64-item, self-administered questionnaire, which was comprised of the DASS21 questionnaire, the Maslach Burnout Inventory and a number of original questions. Multivariable logistic regression models were used to investigate factors associated with each of the mental health measures. RESULTS: The sample population was comprised of 381 healthcare professionals, out of which 72.7% were nursing staff, 12.9% were medical doctors and 14.4% belonged to other occupations. The prevalence of anxiety, stress and depression among the sample population were 28.6%, 18.11% and 15% respectively. The prevalence of burnout was 12.3%. This was in parallel with several changes in the lives of the healthcare professionals, including; working longer hours, spending time in isolation and being separated from family. DISCUSSION: This study indicates that the mental health of a significant portion of the nation's workforce is compromised and, therefore, highlights the need for an urgent intervention particularly since many countries, including Cyprus, are suffering a second wave of the pandemic. The identified risk factors should offer guidance for employers aiming to protect their frontline healthcare workers from the negative effects of the COVID-19 pandemic.


Assuntos
Esgotamento Profissional/psicologia , COVID-19 , Pessoal de Saúde/psicologia , Saúde Mental , Adulto , Ansiedade/epidemiologia , Ansiedade/psicologia , Esgotamento Profissional/epidemiologia , Estudos Transversais , Chipre/epidemiologia , Depressão/epidemiologia , Depressão/psicologia , Feminino , Humanos , Masculino , Pandemias , Prevalência , Fatores de Risco , Inquéritos e Questionários
12.
Pediatrics ; 148(Suppl 2)2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34470883

RESUMO

Despite improvements in representation of women in academic medicine, the rate of promotion and career advancement remains unequal. Compared with their male colleagues, women report lower rates of personal-organizational value alignment and higher rates of burnout. Particular challenges further exist for Black women, Indigenous women, women of color, and third gender or gender nonbinary faculty. Promoting the well-being of women physicians requires innovative approaches beyond the traditional scope of physician well-being efforts and careful attention to the unique barriers women face. Three wellness-oriented models are presented to promote the professional fulfillment and well-being of women physicians: (1) redefine productivity and create innovative work models, (2) promote equity through workplace redesign and burnout reduction, and (3) promote, measure, and improve diversity, equity, and inclusion. By engaging in innovative models for equitable advancement and retention, it is anticipated that diverse groups of women faculty will be better represented at higher levels of leadership and thus contribute to the creation of more equitable work climates, fostering well-being for women physicians.


Assuntos
Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Mobilidade Ocupacional , Promoção da Saúde/tendências , Inovação Organizacional , Médicas/psicologia , Esgotamento Profissional/diagnóstico , Feminino , Promoção da Saúde/métodos , Humanos , Liderança , Médicas/tendências
13.
J Nerv Ment Dis ; 209(10): 720-726, 2021 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-34582400

RESUMO

ABSTRACT: The coronavirus pandemic (COVID-19) is predicted to increase burnout in health professionals (HPs), but little is known about moral injury (MI) in this context. We administered the Moral Injury Symptoms Scale for Health Professionals (MISS-HP) and the abbreviated Maslach Burnout Inventory via online survey to a global sample of 1831 HPs in April and October 2020. Mean MISS-HP increased from 27.4 (SD, 11.6) in April to 36.4 (SD, 13.8) in October (p < 0.001), with an accompanying increase in personal accomplishment (April: 4.7; SD, 3.1; October: 9.3; SD, 3.1; p < 0.001) and no change in other burnout subscales. In April, 26.7% of respondents reported at least moderate functional impairment from MI, increasing to 45.7% in October (p < 0.001). Predictors of MISS-HP included younger age and being a nurse. Odds of functional impairment were higher in respondents who were widowed, divorced, never married, or had direct experience caring for patients with COVID-19. COVID-19 has increased MI but not burnout in HPs; younger or unmarried individuals, nurses, and frontline workers may benefit from targeted outreach to reduce downstream effects of MI, depression, and/or posttraumatic stress disorder.


Assuntos
Esgotamento Profissional/psicologia , COVID-19/psicologia , Pessoal de Saúde/psicologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Adulto , Idoso , Esgotamento Profissional/epidemiologia , COVID-19/epidemiologia , Estudos Transversais , Feminino , Pessoal de Saúde/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , SARS-CoV-2 , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Inquéritos e Questionários , Adulto Jovem
14.
BMC Nephrol ; 22(1): 301, 2021 09 07.
Artigo em Inglês | MEDLINE | ID: mdl-34493246

RESUMO

BACKGROUND: Globally, renal healthcare practitioners provide intensive and protracted support to a highly complex multi-morbid patient population however knowledge about the impact of COVID-19 on these practitioners is extremely limited. OBJECTIVE: This study aimed to explore the experiences of COVID-19 with renal healthcare practitioners during the first global lockdown between June 2020 and September 2020. METHODS: A multi-methods approach was carried out including a quantitative survey and qualitative interviews. This was a multinational study of renal healthcare practitioners from 29 countries. Quantitative: A self-designed survey on COVID-19 experiences and standardised questionnaires (General Health Questionnaire-12; Maslach Burnout Inventory). Descriptive statistics were generated for numerical data. Qualitative: Online semi-structured interviews were conducted. Data was subjected to thematic analysis. Renal healthcare practitioners (n = 251) completed an online survey. Thirteen renal healthcare practitioners took part in semi-structured interviews (12 nurses and 1 dietician). RESULTS: The majority of participants surveyed were female (86.9 %; n = 218), nurses (86.9 %; n = 218) with an average 21.5 (SD = 11.1) years' experience since professional qualification, and 16.3 years (SD = 9.3) working in renal healthcare. Survey responses indicated a level of preparedness, training and satisfactory personal protective equipment during the pandemic however approximately 40.3 % experienced fear about attending work, and 49.8 % experienced mental health distress. The highest prevalence of burnout was emotional exhaustion (35.9 %). Three themes emerged from the qualitative analysis highlighting the holistic complexities in managing renal healthcare, a neglected specialist workforce, and the need for appropriate support at work during a pandemic. CONCLUSIONS: Results have highlighted the psychological impact, in terms of emotional exhaustion and mental health distress in our sample of renal healthcare practitioners. As the pandemic has continued, it is important to consider the long-term impact on an already stretched workforce including the risk of developing mental health disorders. Future research and interventions are required to understand and improve the provision of psychological support for specialist medical and nursing personnel.


Assuntos
COVID-19/epidemiologia , Saúde Global , Nefrologia/estatística & dados numéricos , Pandemias , Adulto , Idoso , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/psicologia , COVID-19/terapia , Competência Clínica/estatística & dados numéricos , Medo/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermagem em Nefrologia/economia , Enfermagem em Nefrologia/estatística & dados numéricos , Recursos Humanos de Enfermagem no Hospital/psicologia , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Doenças Profissionais/epidemiologia , Doenças Profissionais/psicologia , Equipamento de Proteção Individual , Angústia Psicológica , Pesquisa Qualitativa , Recursos Humanos
15.
Nurs Stand ; 36(11): 45-50, 2021 11 03.
Artigo em Inglês | MEDLINE | ID: mdl-34486360

RESUMO

Nurses are likely to encounter a wide range of distressing, challenging and sometimes traumatic situations. However, the coronavirus disease 2019 (COVID-19) pandemic has created unprecedented levels of stress, risk, uncertainty and anxiety for nurses. Nurses have been working in highly challenging conditions, particularly on the front line of patient care, which has had adverse effects on their mental health and well-being. The challenges generated by the COVID-19 pandemic have called into question the notion of nursing being an innately resilient profession. Consequently, the pandemic has reinforced the need for individuals, teams and healthcare organisations to foster resilience in nurses. This article discusses the theoretical underpinnings of resilience, explains what resilience in nurses means, and describes the adverse effects of the pandemic on nurses' mental health and resilience. The article also explores how nurses' resilience can be developed and enhanced from an individual and organisational perspective.


Assuntos
Recursos Humanos de Enfermagem/psicologia , Cultura Organizacional , Resiliência Psicológica , Esgotamento Profissional/psicologia , COVID-19 , Mão de Obra em Saúde , Humanos , Saúde Mental , Pandemias , Angústia Psicológica , SARS-CoV-2 , Reino Unido
16.
An. psicol ; 37(2): 393-402, mayo-sept. 2021. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-202562

RESUMO

Professional drivers often have problems sleeping or resting properly. This may be due to various factors, both personal and specific to their working conditions. In this study, we set out to develop a predictive model for the quality of sleep in professional drivers using the following indicators: Age, Gender, Seat Comfort, Seat Suspension, Adjustable Lum-bar Support of the Driver's Seat, Driving Hours, Musculoskeletal Problems, Driver Stress, Irritation, Resistant Personality, Burnout, Safety Behaviors and Impulsivity. METHOD: The participants were 369 professional drivers from different transport sectors, obtained through non-probabilistic sampling. The SPSS 25.0 program was used for statistical analysis. RESULTS: The predictive capacity of certain variables that affect drivers' sleep quality is determined. CONCLUSIONS: Sleep quality can be predicted by means of certain variables, the best predictor of which is Exhaustion (Burnout). This research contributes to the body of knowledge on sleep quality and on improving the health of professional drivers


Los conductores profesionales suelen padecer problemas para dormir o descansar correctamente. Esto puede deberse a diversos factores tanto personales como específicos de las condiciones laborales. En el presente trabajo nos hemos planteado desarrollar un modelo predictivo sobre la calidad del sueño en conductores profesionales utilizando los indicadores siguientes: Edad, Género, Confort del asiento, suspensión del asiento, Soporte lumbar ajustable del asiento del conductor, Horas de conducción, Problemas musculoesqueléticos, Drivers Stress, Irritación, Personalidad resistente, Burnout, conductas de seguridad e Impulsividad. MÉTODO: Los participantes han sido 369 conductores profesionales, de distintos sectores del transporte, obtenidos mediante un muestreo no probabilístico. Se han utilizado el programa SPSS 25.0. RESULTADOS: Se determina la capacidad predictiva de algunas variables que afectan a los conductores sobre la calidad del sueño. CONCLUSIONES: La calidad del sueño se puede predecir a través de determinadas variables, siendo la mejor predictora Exhaustion (Burnout). Esta investigación contribuye a un mayor conocimiento de la calidad del sueño y a la mejora de la salud de los conductores profesionales


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Condução de Veículo/psicologia , Sono/fisiologia , Saúde do Trabalhador , Esgotamento Profissional/psicologia , Comportamento Impulsivo , Inquéritos e Questionários , Valores de Referência , Análise de Regressão , Fatores Sexuais , Fatores Etários , Condições de Trabalho , Fatores de Tempo
17.
Nurs Adm Q ; 45(4): 338-345, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34469392

RESUMO

The COVID-19 pandemic caused significant nurse stress and contributed to burnout for a number of reasons, including but not limited to personal protective equipment shortages, furloughs, overtime, reassignment to unfamiliar work environments, and alternate staffing patterns, all of which contribute to grief, loss, fear, and anger. While the nursing profession and employers offered support and psychological first-aid resources, there was a disconnect in effectively linking stressed nurses with these needed resources. An innovative statewide pilot project in Arizona, RNconnect 2 Wellbeing, was created to determine whether nurses might respond to and use supportive resources via opt-in text messages. Over a 12-week enrollment trial, 2997 nurse users opted to receive brief, twice weekly, well-being text messages about subjects, such as increasing awareness, self-care, and gratitude. By the end of the pilot, 2777 nurse users remained enrolled (7% opt out). Convenience evaluation surveys were conducted at midpoint (n = 294) and pilot completion (n = 404). Satisfaction with the messages ranged from 73% to 86%. Forty-eight percent indicated they had integrated the resources into their daily lives. RNconnect 2 Wellbeing, an innovative and cost-effective approach to communicating with nurses, has laid the groundwork for the use of technology via brief text messages to improve nurse well-being.


Assuntos
Esgotamento Profissional/prevenção & controle , COVID-19/enfermagem , Enfermeiras e Enfermeiros/psicologia , Resiliência Psicológica , Envio de Mensagens de Texto , Adulto , Idoso , Esgotamento Profissional/psicologia , COVID-19/epidemiologia , Feminino , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Pandemias , Projetos Piloto , SARS-CoV-2 , Inquéritos e Questionários
18.
Clin Orthop Relat Res ; 479(12): 2576-2586, 2021 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-34587147

RESUMO

BACKGROUND: Grit has been defined as "perseverance and passion for long-term goals" and is characterized by maintaining focus and motivation toward a challenging ambition despite setbacks. There are limited data on the impact of grit on burnout and psychologic well-being in orthopaedic surgery, as well as on which factors may be associated with these variables. QUESTIONS/PURPOSES: (1) Is grit inversely correlated with burnout in orthopaedic resident and faculty physicians? (2) Is grit positively correlated with psychologic well-being in orthopaedic resident and faculty physicians? (3) Which demographic characteristics are associated with grit in orthopaedic resident and faculty physicians? (4) Which demographic characteristics are associated with burnout and psychologic well-being in orthopaedic resident and faculty physicians? METHODS: This study was an institutional review board-approved interim analysis from the first year of a 5-year longitudinal study of grit, burnout, and psychologic well-being in order to assess baseline relationships between these variables before analyzing how they may change over time. Orthopaedic residents, fellows, and faculty from 14 academic medical centers were enrolled, and 30% (335 of 1129) responded. We analyzed for the potential of response bias and found no important differences between sites in low versus high response rates, nor between early and late responders. Participants completed an email-based survey consisting of the Duckworth Short Grit Scale, Maslach Burnout Inventory-Human Services (Medical Personnel) Survey, and Dupuy Psychological Well-being Index. The Short Grit Scale has been validated with regard to internal consistency, consensual and predictive validity, and test-retest stability. The Psychological Well-being Index has similarly been validated with regard to reliability, test-retest stability, and internal consistency, and the Maslach Burnout Inventory has been validated with regard to internal consistency, reliability, test-retest stability, and convergent validity. The survey also obtained basic demographic information such as survey participants' age, gender, race, ethnicity, marital status, current year of training or year in practice (as applicable), and region of practice. The studied population consisted of 166 faculty, 150 residents, and 19 fellows. Beyond the expected age differences between sub-populations, the fellow population had a higher proportion of women than the faculty and resident populations did. Pearson correlations and standardized ß coefficients were used to assess the relationships of grit, burnout, psychologic well-being, and continuous participant characteristics. RESULTS: We found moderate, negative relationships between grit and emotional exhaustion (r = -0.30; 95% CI -0.38 to -0.21; p < 0.001), depersonalization (r = -0.34; 95% CI -0.44 to -0.23; p < 0.001), and the overall burnout score (r = -0.39; 95% CI -0.48 to -0.31; p < 0.001). The results also showed a positive correlation between grit and personal accomplishment (r = 0.39; 95% CI 0.29 to 0.48; p < 0.001). We also found a moderate, positive relationship between grit and psychologic well-being (r = 0.39; 95% CI 0.30 to 0.49; p < 0.001). Orthopaedic surgeons with 21 years or more of practice had higher grit scores than physicians with 10 to 20 years of practice. Orthopaedic surgeons in practice for 21 years or more also had lower burnout scores than those in practice for 10 to 20 years. Married physicians had higher psychologic well-being than unmarried physicians did. CONCLUSION: Among orthopaedic residents, fellows, and faculty, grit is inversely related to burnout, with lower scores for emotional exhaustion and depersonalization and higher scores for personal accomplishment as grit increases. CLINICAL RELEVANCE: The results suggest that grit could be targeted as an intervention for reducing burnout and promoting psychologic well-being among orthopaedic surgeons. Other research has suggested that grit is influenced by internal characteristics, life experiences, and the external environment, suggesting that there is potential to increase one's grit. Residency programs and faculty development initiatives might consider measuring grit to assess for the risk of burnout, as well as offering curricula or training to promote this psychologic characteristic.


Assuntos
Esgotamento Profissional/psicologia , Docentes de Medicina/psicologia , Corpo Clínico Hospitalar/psicologia , Ortopedia/educação , Local de Trabalho/psicologia , Logro , Adulto , Feminino , Objetivos , Humanos , Internato e Residência , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Escalas de Graduação Psiquiátrica
19.
Dermatol Online J ; 27(6)2021 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-34387051

RESUMO

Burnout in dermatology is on the rise, with 36% of U.S. dermatologists experiencing burnout in 2020. The coronavirus disease 2019 (COVID-19) pandemic may exacerbate this problem with healthcare workers reporting increased anxiety, depression, and insomnia. To assess the rate, severity, and causes of burnout before and during the pandemic, a survey was sent to academic dermatologists through the Association of Professors of Dermatology (APD) listserv and compared to a similar survey administered to the same population prior to the pandemic. Burnout rates have increased from 2018, with 53% of participants experiencing burnout once a week or more and 17% experiencing burnout daily during the pandemic. The most common COVID-related burnout factors involve uncertainty about the future, teledermatology, fear of exposing loved ones to COVID-19, and compensation reduction. The challenges posed by the COVID-19 pandemic compound existing burnout within dermatology, warranting consideration by academic institutions.


Assuntos
Esgotamento Profissional/epidemiologia , COVID-19/epidemiologia , Dermatologistas/psicologia , Pandemias , Adulto , Idoso , Ansiedade/epidemiologia , Esgotamento Profissional/psicologia , Depressão/epidemiologia , Feminino , Humanos , Renda , Masculino , Pessoa de Meia-Idade , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Inquéritos e Questionários/estatística & dados numéricos , Telemedicina , Incerteza
20.
J Health Organ Manag ; ahead-of-print(ahead-of-print)2021 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-34455733

RESUMO

PURPOSE: Nurses working during the coronavirus disease 2019 (COVID-19) pandemic have reported elevated levels of anxiety, burnout and sleep disruption. Hospital administrators are in a unique position to mitigate or exacerbate stressful working conditions. The goal of this study was to capture the recommendations of nurses providing frontline care during the pandemic. DESIGN/METHODOLOGY/APPROACH: Semi-structured interviews were conducted during the first wave of the COVID-19 pandemic, with 36 nurses living in Canada and working in Canada or the United States. FINDINGS: The following recommendations were identified from reflexive thematic analysis of interview transcripts: (1) The nurses emphasized the need for a leadership style that embodied visibility, availability and careful planning. (2) Information overload contributed to stress, and participants appealed for clear, consistent and transparent communication. (3) A more resilient healthcare supply chain was required to safeguard the distribution of equipment, supplies and medications. (4) Clear communication of policies related to sick leave, pay equity and workload was necessary. (5) Equity should be considered, particularly with regard to redeployment. (6) Nurses wanted psychological support offered by trusted providers, managers and peers. PRACTICAL IMPLICATIONS: Over-reliance on employee assistance programmes and other individualized approaches to virtual care were not well-received. An integrative systems-based approach is needed to address the multifaceted mental health outcomes and reduce the deleterious impact of the COVID-19 pandemic on the nursing workforce. ORIGINALITY/VALUE: Results of this study capture the recommendations made by nurses during in-depth interviews conducted early in the COVID-19 pandemic.


Assuntos
Esgotamento Profissional/psicologia , COVID-19/enfermagem , Recursos Humanos de Enfermagem no Hospital/psicologia , Serviços de Saúde do Trabalhador , Estresse Psicológico/psicologia , Adulto , Esgotamento Profissional/prevenção & controle , Canadá , Comunicação , Feminino , Humanos , Entrevistas como Assunto , Liderança , Masculino , Determinação de Necessidades de Cuidados de Saúde , Política Organizacional , Pandemias , Equipamento de Proteção Individual , SARS-CoV-2 , Licença Médica , Estresse Psicológico/prevenção & controle , Estados Unidos , Carga de Trabalho
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