Identification of Leadership Behaviors that Impact General Surgery Junior Residents’ Well-being: A Needs Assessment in a Single Academic Center

2021 ◽  
Author(s):  
Samuel Torres-Landa ◽  
Kirstin Moreno ◽  
Karen J. Brasel ◽  
David A. Rogers
Keyword(s):  
Needs Assessment ◽  
General Surgery ◽  
Leadership Behaviors ◽  
Well Being ◽  
Academic Center ◽  
Junior Residents

scholarly journals Development of a Remote Assessment and Dynamic Response Intervention for Dementia-Related Care Needs

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 626-626
Author(s):  
Lyndsey Miller ◽  
Christina Reynolds ◽  
Carol Whitlatch ◽  
Joel Steele ◽  
Jeffrey Kaye
Keyword(s):  
Needs Assessment ◽  
Well Being ◽  
Behavioral Data ◽  
Sleep Habits ◽  
Care Needs ◽  
Assessment Protocol ◽  
Age In Place ◽  
Individual Care ◽  
Remote Assessment ◽  
The Individual

Abstract Unmet dementia-related care needs are highly prevalent, and are detrimental to the care dyad’s health and well-being, safety, and ability to age in place. The goal of this study was to develop an ecologically-valid needs assessment and integrate it with aspects of the SHARE intervention to inform values-based care planning. Using digital behavioral data collected via an actigraphy watch and multimodal sensors installed in the homes of 76 older adult couples with and without dementia, we created a prototype of the objective measures informing READyR: time spent together or separate as a dyad, exits from the home, sleep habits, physical activity, daily weight, driving habits, and medication taking behavior. These digital behavioral data were then mapped onto care values (e.g. safety, avoiding burden & autonomy) to create a values-based needs assessment protocol that is tailored to the individual care dyad. Discussion will focus on future testing and applications of READyR.

A Needs Assessment of Video-based Education Resources Among General Surgery Residents

2021 ◽  
Vol 263 ◽  
pp. 116-123
Author(s):  
Naomi M. Sell ◽  
Douglas J. Cassidy ◽  
Sophia K. McKinley ◽  
Emil Petrusa ◽  
Denise W. Gee ◽  
...  
Keyword(s):  
Needs Assessment ◽  
General Surgery ◽  
Education Resources

Positive and proactive leadership: disentangling the relationships between stress, resilience, leadership style and leader satisfaction/well-being

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Charlotte D. Shelton ◽  
Sascha D. Hein ◽  
Kelly A. Phipps
Keyword(s):  
Leadership Style ◽  
Time Management ◽  
Leadership Behaviors ◽  
Well Being ◽  
Process Skills ◽  
Work Process ◽  
Theoretical Understanding ◽  
Content Type ◽  
Positive Leadership ◽  
The Impact

Purpose This study aims to analyze the relationships between leader resilience, leadership style, stress and life satisfaction. It reflects an emerging theoretical framework that positions resilience as a capacity that can be developed vs a response mechanism driven by innate traits. Design/methodology/approach To test three research hypotheses, online survey data were collected from 101 E.M.B.A. alumni of a US-based university using a cross-sectional, correlational research design. The results were analyzed using multiple linear regression. The authors assessed resilience, leadership style, stress and satisfaction/well-being using standardized inventories. Findings The results support previous research that has identified a significant relationship between resilience and positive leadership. Unique to this study, however, is the finding that work process behaviors (e.g. time management, cooperation, receptiveness) rather than traits (e.g. optimism, self-esteem, locus of control) are the resilience factors most associated with a positive leadership style. Work process skills significantly interacted with stress level to moderate leadership style. Additionally, a positive leadership style moderated the impact of stressful life events on leader satisfaction/well-being. Research limitations/implications Key limitations are sample size and the risk of common method variance. Though numerous procedural steps were taken to control for these issues, future research with a larger and more diverse sample is needed. Practical implications Organizational stress is pervasive, and resilience is increasingly recognized as a foundational leadership skill. This study provides empirical data documenting positive relationships between resilience, constructive leadership and leader satisfaction/well-being. This research also identifies work process behaviors (e.g. time management, cooperation and receptiveness) as the primary resiliency factors associated with sustaining positive leadership behaviors in times of stress. These results support previous research findings that have positioned resiliency as a capacity that can be developed, providing further support for investing in resiliency training for leaders. Originality/value This research contributes to the literature by analyzing resilience more comprehensively than previous studies. It extends the theoretical understanding of resilience beyond traits using an 160-item inventory that assesses four discrete domains of resilience. The results provide support for the importance of developing process skills in leaders to increase resiliency; thus, increasing the probability, they will model constructive leadership behaviors in times of significant stress.

scholarly journals Impact of the COVID-19 Pandemic on Residents’ Clinical Training and Psychosocial Well-Being in Saudi Arabia’s Western Region

2020 ◽  
Author(s):  
Reem Alshareef ◽  
Abdullah Al Zahrani ◽  
Meshari Alzhrani ◽  
Abdulaziz Suwaidi ◽  
Bander Alamry
Keyword(s):  
Saudi Arabia ◽  
Medical Staff ◽  
Medical Training ◽  
Well Being ◽  
Western Region ◽  
Psychological Well Being ◽  
Significant Difference ◽  
The Western Region ◽  
Distress Scale ◽  
Junior Residents

Abstract Background: The novel COVID-19 pandemic has imposed a significant burden on healthcare systems. Similarly, it has also affected the performance and well-being of the medical staff working during the pandemic. However, to what extent COVID-19 is affecting medical staff is still unclear, especially among physicians.Objective: This study aims to evaluate the negative effect of the COVID-19 pandemic on the medical training and psychological well-being of resident doctors practicing in the western region in Saudi Arabia.Patients and Methods: This is a quantitative cross-sectional study that included a survey distributed to residents physicians working in the western region in Saudi Arabia. The survey included questions on demographic data and factors influencing the academic training, attitude, and daily habits of the residents during the pandemic. Psychological impact was assessed using the Kessler Psychological Distress Scale. Data analysis was executed using IBM SPSS version 26. Results: A total of 121 residents responded to this survey. Of all respondents, 71.1% were junior residents, 66.9% had a medical specialty; and 33% were family medicine doctors, followed by 17% from general surgery. In regards to work amid the pandemic, 36.1% were in contact with confirmed COVID-19 patients, and 35.5% had to work overtime during the pandemic. Of the respondents, 44% described their training as extremely affected, and 32% strongly agreed and 53% agreed that their psychological well-being was negatively affected. Further, 39.6% were smoking more than they used to. Female and junior residents’ training was significantly more negatively affected than their peers’ (p=0.039 and 0.011, respectively). There was a non-significant difference detected between the residents regarding the factors negatively affecting their psychological well-being. Conclusion: Residents working during the pandemic in the western area of Saudi Arabia were significantly affected by the pandemic from both professional and psychological perspectives. Further research on how the pandemic is affecting doctors in other areas in Saudi Arabia is needed.

Everyday Experience of Front-Line Professionals and In/Formal Carers

2012 ◽  
Vol 2 (3) ◽  
pp. 27-39 ◽  
Author(s):  
Henglien Lisa Chen
Keyword(s):  
Older People ◽  
Needs Assessment ◽  
Well Being ◽  
Care Needs ◽  
Term Care ◽  
Face To Face ◽  
Care Services ◽  
Care Systems ◽  
Informal Carers ◽  
The Impact

To address the risks to families of the availability of care for their older family members, this paper explores the impact of different care systems on the way that relevant care actors contribute to the long-term care of older people. It is based on an empirical study of the care needs assessment and care provision in England, the Netherlands and Taiwan. The participants in the study include 143 care actors at national, regional and local levels across the countries. It found that the objective of providing care needs is similar in each of the countries studied. However, the everyday life of professionals and in/formal carers differs based on the care culture and care policy in each country. Overall, care professionals and formal carers experience satisfaction in their caring role when sufficient time is available for them to work with individuals. Face-to-face contact with older people is important to care professionals if adequate needs assessment could be performed. Helping informal carers extend their ability to carry out their role may improve their well-being as carers and reduce the demand for formal care services.

Are We Making an Impact? A Qualitative Program Assessment of the Resident Leadership, Well-being, and Resiliency Program for General Surgery Residents

2020 ◽  
Vol 77 (3) ◽  
pp. 508-519 ◽  
Author(s):  
Elinora T. Price ◽  
Catherine R. Coverley ◽  
Amanda K. Arrington ◽  
Valentine N. Nfonsam ◽  
Lilah Morris-Wiseman ◽  
...  
Keyword(s):  
General Surgery ◽  
Well Being ◽  
Program Assessment

Postoperative Venous Thromboembolism after Extracranial Otologic Surgery

2019 ◽  
Vol 161 (1) ◽  
pp. 144-149
Author(s):  
Yohan Song ◽  
Jennifer C. Alyono ◽  
Noor-E-Seher Ali ◽  
Nikolas H. Blevins
Keyword(s):  
Venous Thromboembolism ◽  
General Surgery ◽  
Average Length ◽  
Assessment Model ◽  
Risk Scores ◽  
Cross Sectional ◽  
Vte Prophylaxis ◽  
Otologic Surgery ◽  
Academic Center ◽  
Postoperative Diagnosis

Objective To determine the incidence of postoperative venous thromboembolism (VTE) in adults undergoing otologic surgery. Study Design Cross-sectional retrospective study. Setting Single tertiary academic center. Subjects and Methods Adults undergoing nononcologic, extracranial otologic surgery from August 2009 to December 2016. Patients with postoperative diagnosis VTE codes were identified. Imaging and clinical documents were searched for VTE evidence within the first 30 postoperative days. Methods of thromboprophylaxis were documented, and Caprini risk scores were calculated. Results In total, 1213 otologic surgeries were evaluated. No postoperative VTE events were identified (0/1268). Mean age was 51.0 ± 17.3 years (range, 18.1-93.4 years). Average length of surgery was 136.0 ± 79.0 minutes (range, 5-768 minutes). The average Caprini score in all patients was 4.0 ± 1.7 (range, 1-15). Eighty-five percent of patients had a Caprini score ≥3, the threshold at which chemoprophylaxis has been recommended in general surgery patients by the American College of Chest Physicians 2012 guidelines. Six patients had documented preoperative chemoprophylaxis and a Caprini score of 4.8 ± 1.7. This was not significantly different from that of patients who did not receive preoperative chemoprophylaxis ( t test, P = .3). The literature would estimate a rate of 3.7% VTE in adults with similar Caprini scores undergoing general surgery procedures with no VTE prophylaxis. Conclusion The Caprini risk assessment model may overestimate VTE risk in patients undergoing extracranial otologic surgery. Postoperative VTE following otologic surgery is rare, even in patients traditionally considered moderate or high risk. Chemoprophylaxis guidelines in this group should be balanced against the potential risk of increased intraoperative bleeding and its associated effects on surgical visualization and morbidity.

scholarly journals The Relationship Between Leadership Behaviors and Volunteer Commitment: The Role of Volunteer Satisfaction

2020 ◽  
Vol 11 ◽  
Author(s):  
Paula Benevene ◽  
Ilaria Buonomo ◽  
Michael West
Keyword(s):  
Social Services ◽  
Affective Commitment ◽  
Leadership Behaviors ◽  
Demographic Data ◽  
Well Being ◽  
Non Profit ◽  
Satisfaction Index ◽  
Volunteer Satisfaction ◽  
Non Profit Organizations ◽  
The Impact

Despite the relative scarcity of studies on the impact of leadership styles on satisfaction and commitment of volunteers within non-profit organizations, this relationship plays a crucial role in fostering sustained volunteerism and volunteers' well-being. A questionnaire was administered to more than 200 volunteers involved in delivering social services in non-profit organizations from Central and Northern Italy. The questionnaire contained the Volunteer Satisfaction Index, the sub-scale on Affective Commitment of the Organizational Commitment Scale, and two sub-scales of the Key Leadership Behaviors, namely: Helping people to grow and lead, and Enabling learning and innovation. Socio-demographic data were collected as well. Findings revealed that leaders' actions oriented toward the enablement of learning and innovation have an effect on volunteers' affective commitment, through the full mediation of volunteer satisfaction. Leaders' actions oriented toward the growth and empowerment of volunteers, instead, did not show significant relationships with volunteer satisfaction and affective commitment.

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