Assessing Physician Wellness
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Assessing Physician Wellness
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Author : Hana Shahin
language : en
Publisher:
Release Date : 2021
Assessing Physician Wellness written by Hana Shahin and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021 with Electronic dissertations categories.
Burnout is a response to high stress levels, and occupational restraints, assessed as high emotional exhaustion, depersonalization and compassion fatigue, and reduced personal accomplishment and compassion satisfaction. It is highly prevalent among healthcare professionals and can negatively affect their well-being, work, and clients. Accordingly, wellness needs to be addressed on multiple levels. This study aimed to assess the prevalence of burnout and the contributing factors to healthcare providers’ well-being to develop recommendations to promote their wellness. One hundred forty-two healthcare providers completed six assessments; the Maslach Burnout Inventory - MBI-HSS (MP), the Areas of Worklife Scale (AWS), the Professional Quality of Life Measure (ProQOL), the Valued Living Questionnaire (VLQ), the Sense of Community Index 2 (SCI 2), and a COVID-19 attitudes & experience questionnaire. Findings showed high scores on the emotional exhaustion and depersonalization scales, yet high scores on personal accomplishment. Same for ProQoL, participants showed high compassion satisfaction. Workload has increased during COVID-19, which increased burnout. Fairness, reward, community, and values incongruence contribute to burnout, among other factors. Burnout prevention is beneficial and needs to be done on both the individual and the organizational levels. To be effective and long-lasting, well-being needs to be comprehensive on all levels; individual, organizational, and environmental. The constant pursuit of wellness and resource provision needs to be available for healthcare providers; while destigmatizing mental health and burnout.
Taking Action Against Clinician Burnout
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2020-01-02
Taking Action Against Clinician Burnout written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-01-02 with Medical categories.
Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
Transforming The Heart Of Practice
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Author : Dianne E. McCallister
language : en
Publisher: Springer
Release Date : 2019-07-18
Transforming The Heart Of Practice written by Dianne E. McCallister and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-07-18 with Medical categories.
This unique, step-by-step guide offers a comprehensive exploration of burnout and physician wellbeing, a vital issue that steadily has become widely discussed in the professional and mainstream press. More than twenty chapter authors contribute to this multidimensional volume, including physicians, psychologists, researchers, healthcare administrators, chaplains, professional coaches, and counselors. Section one of the book establishes context, provides a brief overview of the phenomenon of physician burnout, establishes its validity, and makes a case for the reason it has emerged as a critical issue in American healthcare. Section two provides a rationale for healthcare institutions (hospitals, physician groups, medical associations) to make a commitment to physician wholeness, while section three then starts the process of delineating a step-by-step curriculum to address the dilemma, providing additional detail and personal experience direct from the frontlines of combatting burnout. Section four focuses on developing and sustaining a healthy professional culture that is aligned with the mission of the organization, and section five addresses the spiritual component of physician wholeness, Section six concludes the book with two personal essays that poignantly express the nature of two common experiences affecting physicians that require uncommon insight, patience, courage. Transforming the Heart of Practice is a major contribution to the literature and will serve as an invaluable resource for anyone concerned with addressing this crisis in American healthcare.
Physician Mental Health And Well Being
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Author : Kirk J. Brower
language : en
Publisher: Springer
Release Date : 2017-07-03
Physician Mental Health And Well Being written by Kirk J. Brower and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-07-03 with Medical categories.
This book explores the important topic of mental health and related problems among physicians, including trainees. The all-too-common human response of “suffering in silence” and refusing to seek help for professional and personal issues has ramifications for physicians who work in safety-sensitive positions, where clear-headed judgment and proper action can save lives. Problems covered include burnout, disruptive and unprofessional behaviors, impaired performance, traumatic stress, addiction, depression and other mood disorders, and suicide. The authors of this work include psychologists, psychiatrists, and other physicians who diagnose and treat a range of patients with stress-related syndromes. Among their patients are physicians who benefit greatly from education, support, coaching, and treatment. The book's content is organized into three parts with interconnecting themes. Part I focuses on symptoms and how physicians’ problems manifest at the workplace. Part II discusses the disorders underlying the manifesting symptoms. Part III focuses on interventions at both the individual and organizational levels. The major themes investigated throughout the book are developmental aspects; mental health and wellbeing as a continuum; and the multifactorial contributions of individual, interpersonal, organizational, and cultural elements to physician health. This book is intended for anyone who works with, provides support to, or professionally treats distressed physicians. It is also intended for healthcare leaders and organizations that are motivated to improve the experience of providing care and to change the culture of silence, such that seeking help and counsel become normal activities while minimizing stigma. By writing this book, the authors aim to outline effective pathways to well-being and a healthy work-life balance among physicians, so that they may provide optimal and safe care to their patients.
Humanism And Resilience In Residency Training
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Author : Ana Hategan
language : en
Publisher: Springer Nature
Release Date : 2020-06-24
Humanism And Resilience In Residency Training written by Ana Hategan and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-06-24 with Medical categories.
This book aims to help identify pre-existing adaptive traits and positive perspectives in resident trainees, while challenging those that are less adaptive by building a formal curriculum for medical education that focuses on the humanistic aspects of medicine. Humanism in medicine is threatened by the false narrative that good physicians are superhumans who do not have their own needs. Written by experts in the field, this book is designed to be a concise, integrated guide to resilience during residency training. Through this guide, trainees learn (i) the usefulness of psychotherapeutic strategies for their own stress management and well-being; (ii) techniques and strategies that are useful in the practice of medicine; and (iii) to consider lifestyle modifications to improve physical and psychological health and well-being, through identification of positive and negative lifestyle factors influencing physicians’ response to stress. Since it is designed for busy trainees and physicians, this volume meticulously provides easy-to-use, evidence-based learning tools and therapeutic techniques, including case studies, skill-building exercises, self-test questionnaires, illustrations, useful practice-reminder tips, and other features. Humanism and Resilience in Residency Training is an excellent resource for all medical trainees and professionals who need to incorporate humanism and resilience in their practice, both for accreditation requirements and for personal well-being. This includes medical students and residents, psychiatrists, addiction medicine specialists, family physicians, medical education professionals, hospitalists, nurses, and all healthcare providers
The Art And Science Of Physician Wellbeing
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Author : Laura Weiss Roberts
language : en
Publisher: Springer
Release Date : 2019-05-15
The Art And Science Of Physician Wellbeing written by Laura Weiss Roberts and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-05-15 with Medical categories.
This thoughtful and timely book offers physicians and trainees a wide range of insights and strategies to help ensure not only a healthy lifestyle and sense of wellbeing but the best possible career in medicine as well. With evidence and evidence-informed practices provided by experts, this title affirms the culture of medicine while embracing the fundamental, enduring sense of physicians’ calling and affirming the importance of physicians as individuals whose health and wellbeing has intrinsic value and value to others. Organized in three parts, the first part focuses on the nature of the health professions and on advancing a culture of wellbeing in medicine. The second part focuses on threats to physician wellbeing, including mistreatment during training and burnout, to name just a few. The third part outlines approaches to strengthening physician resilience, such as the sustenance drawn from healthy relationships, mindfulness approaches, and optimal approaches to exercise, nutrition and sleep. The Handbook of Personal Health and Wellbeing for Physicians and Trainees is an invaluable, handy resource for physicians and trainees. Physician assistants, nurse practitioners, clinical psychologists, and social workers will also find the work of great interest.
Physician Wellness
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Author : Fiona Jane Scott
language : en
Publisher:
Release Date : 2014
Physician Wellness written by Fiona Jane Scott and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with categories.
Objectives: This study will evaluate patterns of physician usage of electronic medical records in the clinic setting as it relates to physician wellness. Physicians--particularly primary care physicians - may experience a lack of satisfaction in their professional practice due in part to the stress and time requirements of electronic records[1]. Physicians with low professional satisfaction and general lack of wellbeing are prone to burnout, depression, suicide, anxiety and substance abuse[2]. Physician wellbeing is an important issue, especially when it comes to primary care providers[1]. Understanding and improving physician wellbeing has benefits for the individual provider, their family, patients and colleagues[3]. This project attempts to examine the impact electronic records play in physician wellness and professional satisfaction. Design: In order to understand physician attitudes regarding electronic medical records and the components of electronic medical records that cause the most frustration we administered a survey to primary care physicians at UC Davis investigating: 1) How often and at what time of day physicians use electronic medical records 2) How satisfied physicians are with their professional lives 3) Physician attitudes surrounding the electronic medical record system they use. The survey data collected was compared to "click report" data collected from the electronic health record (Epic Systems- Verona, Wisconsin). The specific data collected was total number of different activities accessed by a clinician during pre-specified intervals of time: on weekends, during the work day (8am-5pm) and after work hours on weekdays. This click report data was compared to the attitudes of physicians towards electronic medical records at each clinic. Results: Responses from 10 physicians (5 men and 5 women) were collected preliminarily. Four physicians reported being unsatisfied with their professional lives, two were men and two were women. On average the surveyed physicians reported spending 50% of the patient visit on the computer. Of the physicians who reported being unsatisfied with their professional lives, they reported spending 65% of the patient encounter on the computer. On days when not scheduled to work physicians reported spending an average of 2.9 hours on EMR, two hours on EMR at home in the early morning or evening of work days and 2.5 hours on EMR in clinic before all patients have arrived or after all patients have left. Click report data was obtained from Epic, the EMR system used by the UC Davis Health Center and Primary Care Clinics. We were able to compare the number of clicks made by individual physicians to the survey responses they provided. Although establishing correlation is difficult due to the small sample size, a preliminary analysis was performed indicating a larger number of clicks was more likely to be found in dissatisfied physicians with large numbers of clicks per patient overall. Click report data was obtained from the logs of the EHR system used by the UC Davis Medical Center. We were able to compare the number of activities accessed ("clicks") by individual physicians to the survey responses they provided. Individual keystrokes are not counted, nor are the many individual clicks that might be performed in completing one task. This metric is used internally to assess efficiency as it can be normalized using patient load. Limitations of this metric is that more complicated patients might have more sections of their chart that warrant being "clicked," and the conscientiousness of the physician may influence this. For example one physician may review past history and diagnostic results thoroughly, and another may rely on physical exam and history, neglecting important information in the chart. This data cannot determine how much time was used on EHR activities vs. interacting with patients, and does not take account of physician knowledge of short cuts in EMR and their efficiency of use. Conclusion: Electronic medical records have the potential to impact physician wellness. As such we must look for novel methods of improving workflow and addressing the aspects of EMR that detract from physician time with patients. In addition we must allow tasks that do not need to be completed by a physician to be delegated to other clinic staff. Keywords: EMR, electronic health records, wellness, physician, usage, clinic, documentation
Mayo Clinic Strategies To Reduce Burnout
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Author : Stephen Swensen MD, MMM
language : en
Publisher: Oxford University Press
Release Date : 2020-02-07
Mayo Clinic Strategies To Reduce Burnout written by Stephen Swensen MD, MMM and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-02-07 with Medical categories.
Mayo Clinic Strategies to Reduce Burnout: 12 Actions to Create the Ideal Workplace tells the story of the evolving journey of those in the medical profession. It dwells not on the story of burnout, distress, compassion fatigue, moral injury, and cognitive dissonance but rather on a narrative of hope for professional fulfillment, well-being, joy, and camaraderie. Achieving this aim requires health care professionals and administrative leaders working together to create the ideal workplace-through nurturing positivity and pushing negativity aside. The ultimate aspiration is esprit de corps-the common spirit existing in members of a group that inspires enthusiasm, devotion, loyalty, camaraderie, engagement, and strong regard for the welfare of the team and of common interests and responsibilities. Mayo Clinic Strategies to Reduce Burnout: 12 Actions to Create the Ideal Workplace provides a road map for you to create esprit de corps for your team and organization. The map is paved with information about reliable, patient-centered, and thoughtful systems embedded within psychologically safe and just cultures. The authors drew on their extensive research on the well-being of health care professionals; from their experience in quality, department operations, leadership and organization development, management, safe havens, and care teams; and from their roles as president, chief wellness officer, chief quality officer, chair, principal investigator, senior fellow, and board director.
Stress In Health And Disease
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Author : Bengt B. Arnetz
language : en
Publisher: John Wiley & Sons
Release Date : 2006-12-13
Stress In Health And Disease written by Bengt B. Arnetz and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2006-12-13 with Medical categories.
This book is the first to address the most urgent issues, combining a solid basic research approach with applied individual and stress issues, including interventions. Throughout, the focus is on our latest knowledge about various causes of stress and its neuro-cognitive and biological implications. World-renowned authors from Europe as well as the US describe how stress affects the brain of young people as well as adults. They cover the topic from all perspectives, showing how stress affects life in general, from the societal and organizational level to the individual, organ and molecular level. While the book clearly points out stress as a risk factor to health, it also offers a number of evidence-based methods to cope with stress and even ride the positive energy of stress - both as an individual, as well as what managers can do to create a healthy and productive workplace. Written in a reader-friendly and appealing style, the book provides real-life examples from various laboratories, as well as such events as the Volvo Ocean Race, the largest around-the-globe sailing competition. Essential reading for clinicians and biologists, as well as for a wide range of students, including medicine and public health, but also managers and HR staff. With a Foreword by Nobel Laureate Professor Arvid Carlsson (Medicine 2000).
Medical Student Well Being
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Author : Dana Zappetti
language : en
Publisher: Springer
Release Date : 2019-06-04
Medical Student Well Being written by Dana Zappetti and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-06-04 with Medical categories.
This book tackles the most common challenges that medical students experience that lead to burnout in medical school by carefully presenting guidelines for assessment, management, clinical pearls, and resources for further references. Written by national leaders in medical student wellness from around the country, this book presents the first model of care for combating one of the most serious problems in medicine. Each chapter is concise and follows a consistent format for readability. This book addresses many topics, including general mental health challenges, addiction, mindfulness, exercise, relationships and many more of the important components that go into the making of a doctor. Medical Student Well-being is a vital resource for all professionals seeking to address physician wellness within medical schools, including medical students, medical education professionals, psychiatrists, addiction medicine specialists, hospitalists, residents, and psychologists.