Professional Burnout, Career Choice Regret, and Unmet Needs for Well-Being among Urology Residents

Urology ◽  
2021 ◽  
Author(s):  
Kevin Koo ◽  
Juan F. Javier-DesLoges ◽  
Raymond Fang ◽  
Amanda C. North ◽  
Eugene B. Cone
Keyword(s):  
Career Choice ◽  
Unmet Needs ◽  
Well Being ◽  
Professional Burnout ◽  
Choice Regret

scholarly journals Effects of an 8-Week Yoga-Based Physical Exercise Intervention on Teachers’ Burnout

2021 ◽  
Vol 13 (4) ◽  
pp. 2104
Author(s):  
Francesca Latino ◽  
Stefania Cataldi ◽  
Francesco Fischetti
Keyword(s):  
Physical Exercise ◽  
Exercise Intervention ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Emotional Awareness ◽  
Body Awareness ◽  
Control Group ◽  
Professional Burnout ◽  
Yoga Practice ◽  
Professional Educators

The purpose of this quasi-experimental study was to investigate the efficacy of an 8-week yoga-based physical exercise program to improve mental and emotional well-being and consequently reduce burnout among teachers. We considered yoga because it is a discipline that enhances body awareness and encourages the contact with nature and the respect for every form of life, with a view to a more sustainable and greener global system. We recruited 40 professional educators (40–47 years), teachers in a public high school who reported perceiving signs of stress and emotional discomfort. We randomly assigned the 40 professional educators to either an experimental yoga practice (~60 min, twice a week) group (n = 20) or a control group (n = 20) that received a nonspecific training program (~60 min, twice a week). At baseline and after training we administered the Maslach Burnout Inventory: Educators Survey (MBI-ES) and the State Mindfulness Scale (SMS) to assess teachers’ perceived level of awareness and professional burnout. We found a significant Time × Group interaction for the MBI-ES and SMS, reflecting a meaningful experimental group improvement (p < 0.001). No significant pre–post changes were found in the control group. The results suggest that an 8-week yoga practice could aid teachers to achieve a greater body and emotional awareness and prevent professional burnout.

scholarly journals Symptoms, unmet needs, psychological well-being and health status in survivors of prostate cancer: implications for redesigning follow-up

2015 ◽  
Vol 117 (6B) ◽  
pp. E10-E19 ◽  
Author(s):  
Eila Watson ◽  
Bethany Shinkins ◽  
Emma Frith ◽  
David Neal ◽  
Freddie Hamdy ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Health Status ◽  
Unmet Needs ◽  
Well Being ◽  
Psychological Well Being

scholarly journals Career choice regret during COVID-19 among healthcare students and professionals in mainland China: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Guoyi Yang ◽  
Ling Wang ◽  
Jia Wang ◽  
Zixian Geng ◽  
Huixin Liu ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Medical Students ◽  
Career Choice ◽  
Healthcare Professionals ◽  
Clinical Medicine ◽  
Psychological Resilience ◽  
Online Questionnaire ◽  
Convenience Sample ◽  
Choice Regret ◽  
Professional Value

Abstract Background The COVID-19 epidemic affected the career choice of healthcare professionals and students. Career choice regret of healthcare professionals and students during COVID-19 outbreak and its affected factors are largely unexplored. Methods Convenience sample of nurses, doctors, and medical students were recruited from hospitals and universities nationwide. The data collected including demographic information, professional value before and after the COVID-19 outbreak, the Connor-Davidson Resilience Scale, and career choice regret level by an online questionnaire. Multinominal logistic regression was employed to explore the factors associated with career choice regret. Results In total, 9322 participants of convenience sampling were enrolled in, including 5786 nurses, 1664 doctors, and 1872 medical students. 6.7% participants had career choice regret. Multinominal logistic regression analysis showed, compared to participants with no regret, that as levels of psychological resilience increased, the odds of experiencing career choice regret decreased (OR = 0.95, 95% CI 0.94–0.96), while participants with lower professional value evaluation after the COVID-19 outbreak had higher probability to experience career choice regret (OR = 1.55,95% CI 1.50–1.61). Medical students were more likely to regret than nurses (OR = 1.65,95% CI 1.20–2.28), participants whose career/major choice was not their personal ideal had higher risk of experience career choice regret (OR = 1.59,95% CI 1.29–1.96), while participants who were very afraid of the coronavirus had higher risk to experience career choice regret then participants with no fear at all (OR = 2.00,95% CI 1.24–3.21). As for the medical students, results indicated that medical students major in nursing and undergraduates had higher risk to experience career choice regret compared to medical students major in clinical medicine and postgraduate (Master or PhD), with an odds ratios of 2.65(95% CI 1.56–4.49) and 6.85 (95% CI 2.48–18.91)respectively. Conclusions A minority of healthcare professionals and medical students regretted their career choices during the COVID-19 outbreak. Enhance personal psychological resilience and professional value would helpful to reduce career choice regret among healthcare professionals and students during pandemic.

scholarly journals CONTINUITY OF CAREER OVER THE LIFE COURSE ON LIFE SATISFACTION AND DEPRESSIVE SYMPTOMS IN LATER LIFE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S128-S129
Author(s):  
Melanie S Hill ◽  
James E Hill ◽  
Stephanie Richardson ◽  
Jessica Brown ◽  
Jeremy B Yorgason ◽  
...  
Keyword(s):  
High School ◽  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Life Course ◽  
Career Choice ◽  
Early Adulthood ◽  
Later Life ◽  
Well Being ◽  
The Life Course ◽  
The Impact

Abstract Identity scholars have suggested that having a unified sense of past, present, and future is related to positive well-being outcomes (Whitbourne, Sneed & Skultety, 2009). One’s occupation can have a profound influence on an individual’s identity throughout the life course (Nazar & van der Heijden, 2012). Research has looked at career mobility among younger age groups (Baiyun, Ramkissoon, Greenwood, & Hoyte, 2018); however, less is known about the impact of career stability later in life. Consistency in career choice over the life course may have positive outcomes down the line as career becomes part of an individual's identity. The current study uses the Life and Family Legacies dataset, a longitudinal state-representative sample of 3,348, to examine individual’s careers at three points in the life course: high school (projected career choice), early adulthood, and later life. Results revealed that a match of desired career in high school and actual career in early adulthood was not predictive of life satisfaction or depressive symptoms in later life. However, a match of career in early adulthood and later life was significantly related to better life satisfaction and less depressive symptoms, which was explained through higher levels of job satisfaction. This study highlights the importance of acquiring and maintaining a career that is fulfilling to the individual over the course of early adulthood to later life.

scholarly journals Is Mindfulness and Compassion Training Advisable in Alleviating Professional Burnout Among Physicians? Dilemmas and Possibilities in Healthcare System

2021 ◽  
Vol 35 (2) ◽  
pp. 185-196
Author(s):  
Krystyna Boroń Krupińska ◽  
Małgorzata Sekułowicz
Keyword(s):  
Well Being ◽  
Anxiety And Depression ◽  
Professional Burnout ◽  
Inclusion Criteria ◽  
Mental Strain ◽  
Quality Of Medical Care ◽  
The Impact ◽  
Difficult Situations ◽  
Medical Competence

The profession of a physician is a profession of social responsibility, in which medical competence should go hand in hand with non-medical competences. Mental strain, physical fatigue and entanglement in the administrative system can result in chronic stress and contribute to professional burnout, affecting both the well-being of medical staff and the quality of medical care provided. The Author’s intention is to promote mindfulness and compassion training that are considered to be protective and promoting the well-being of physicians resources in conditions of exposure to occupational stress. The analysis was based on 197 documents retrieved from the PubMed/Medline, Science Direct/Scopus databases in years 2008–2017, referring to the impact of mindfulness and compassion training on professional burnout among physicians. Only 21 papers retrieved from the scientific bases met inclusion criteria, referring to the impact of mindfulness and compassion training on professional burnout among physicians. Increasing concentration, improving memory, reducing the level of stress, anxiety and depression and strengthening kindness attitude are the basis for mindfulness and compassion training, which also supports the ability of unreactive responses to difficult situations, develops communication between the physician and the patient.

scholarly journals PSYCHOLOGICAL DETERMINANTS OF PROFESSIONAL SUCCESS OF RESCUERS OF EMERCOM OF RUSSIA

2019 ◽  
pp. 106-115
Author(s):  
L. V. Karapetyan
Keyword(s):  
Psychological Adaptation ◽  
Well Being ◽  
Professional Burnout ◽  
Self Assessment ◽  
Psychological Well Being ◽  
Psychological Traits ◽  
Psychological Determinants ◽  
Professional Success ◽  
Risk Appetite ◽  
Expert Assessments

Relevance. Professional activities of rescuers not only involve a risk to their own lives, but also implies a high degree of responsibility for the lives and health of people affected by emergencies and accidents. Professional success and effectiveness of these specialists determine the outcome of rescue, search and other urgent activities. In this regard, determinants of professional effectiveness in rescuers need special attention and in depth study.Intention. To investigate the psychological determinants of professional success of rescuers.Methodology. The study involved 55 male rescuers aged 20 to 60 years, with different levels of education (from secondary professional to higher). Self assessment of the success of rescuers was determined by a 7 point scale via the question: “Do you consider yourself successful?” (7 – definitely Yes; 6 – Yes; 5 – rather Yes; 4 – hard to say, 50% to 50%; 3 – rather No; 2 – No; 1 – definitely No). Expert assessments of professional success were also performed. Psychological determinants of success were studied using psychodiagnostic techniques: “Socio psychological adaptation” by K. Rogers and R. Diamond, “Professional burnout” by K. Maslach, a questionnaire to identify risk appetite by G. Schubert, the test of resilience by S. Muddy, the scale of psychological well being by K. Ryff.Results and Discussion. With the help of cluster analysis of self assessments, the sample of rescuers is divided into groups with high, medium and low professional success. According to the correlation analysis, external and internal evaluations of success significantly correlated only in the group of rescuers with low self assessment of success. At the same time, expert assessments showed a negative trend, decreasing from a group with high to a group with professional success. Indicators of social and psychological adaptation, risk appetite, psychological well being and resilience also show negative trends. Meanwhile, indicators of professional burnout show positive trends and increase from the group with high professional success to the group with low professional success.Conclusion. Psychological traits, such as adaptability, resilience, psychological well being, risk appetite, resistance to professional burnout are the determinants of the success of rescuers and can be used as specific targets for psychological support of personnel of rescue units to improve their professional effectiveness.

scholarly journals Case management after acquired brain injury compared to care as usual: study protocol for a two-year pragmatic randomized controlled trial

2020 ◽  
Author(s):  
Annemarie Stiekema ◽  
Christine Resch ◽  
Mireille Donkervoort ◽  
Natska Jansen ◽  
Kitty HM Jurrius ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Brain Injury ◽  
Case Management ◽  
Self Efficacy ◽  
Unmet Needs ◽  
Acquired Brain Injury ◽  
Well Being ◽  
Family Needs ◽  
Randomized Controlled

Abstract Background: People with acquired brain injury may suffer from cognitive, emotional and behavioural changes in the long term. Continuity of care is often lacking, leading to a variety of unmet needs and hindering psychosocial functioning from the occurrence of brain injury up to years thereafter. Case management aims to prevent (escalation of) problems and to facilitate timely access to appropriate services. In other populations, case management has shown to improve psychosocial well-being. In this study, we aim to evaluate the feasibility of case management after acquired brain injury and its effectiveness and cost-effectiveness, compared to care as usual.Methods: This is a pragmatic randomized controlled study with repeated measures in adults with ABI and their family, taking place between November 2019 and December 2021 in three provinces in the Netherlands. Participants will be randomly allocated to either the case management group, receiving case management from hospital discharge up to two years thereafter, or the control group, receiving care as usual. Effectiveness will be evaluated every six months for 18-24 months by patient-reported psychosocial well-being (Hospital Anxiety and Depression Scale (HADS), Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-P) restriction subscale and the Life Satisfaction Questionnaire (LiSat)), self-management (Patient Activation Measure (PAM)) and care needs (Longer-term Unmet Needs after Stroke (LUNS)). Family outcomes include self-efficacy (Carer Self-Efficacy Scale (CSES)), caregiver burden (Caregiver Strain Index (CSI)), psychosocial well-being (LiSat, HADS), family needs (Family Needs Questionnaire (FNQ)). Feasibility will be evaluated using qualitative methods, assessing fidelity, dose delivered, dose received, reach, recruitment and context. Cost-effectiveness will be determined by the EQ-5D-3L and service use.Discussion: At the moment there is no integrated health care service for people with acquired brain injury and their family members in the long-term. If case management is shown to be feasible and (cost)-effective, it could bridge the gap between patients’ and families’ needs and the available services.Trial registration: Netherlands Trial Register, NL8104. Registered 22 October 2019, https://www.trialregister.nl/trial/8104.

Prevalence of and Associations With Distress and Professional Burnout Among Otolaryngologists: Part II, Attending Physicians

2020 ◽  
pp. 019459982095927
Author(s):  
Matthew L. Carlson ◽  
David P. Larson ◽  
Erin K. O’Brien ◽  
Christine M. Lohse ◽  
Matthew L. Kircher ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Generalized Anxiety ◽  
Professional Burnout ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Hours Worked ◽  
Attending Physicians

Objective To ascertain the prevalence of and associations with distress and professional burnout among academic otolaryngology attending physicians. Study Design Cross-sectional survey. Setting Twelve US academic otolaryngology programs. Methods A questionnaire was administered that encompassed sociodemographic and professional features, the Expanded Physician Well-being Index for distress, the 2-item Maslach Burnout Inventory for professional burnout, the Patient Health Questionnaire–2 screen for major depressive disorder, and the Generalized Anxiety Disorder–2 screen for generalized anxiety disorder. Results The survey response rate was 56% and included 186 attending physicians. The average respondent age was 47 years; 72% were men; 93% were married or partnered; and 86% had children. Distress was present in 40%, professional burnout in 26%, positive depression screening in 8%, and positive anxiety screening in 11%. In a univariable setting, age, hours worked in a typical week, nights on call in a typical week, and years of practice were significantly associated with distress, although in a multivariable setting, only hours worked in a typical week remained significantly associated with a positive Expanded Physician Well-being Index screen (odds ratio for each 10-hour increase, 2.61; 95% CI, 1.73-3.93; P < .001). In a univariable setting, hours worked in a typical week was significantly associated with a positive Maslach Burnout Inventory screen. Conclusion Distress or professional burnout occurs in more than a quarter of academic otolaryngology attending physicians, whereas the prevalence of depression or anxiety is approximately 10%. The number of hours worked per week had the strongest association with distress and burnout. These findings may be used to develop and implement programs to promote physician well-being and mitigate professional burnout.

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