scholarly journals An Assessment of Physician Well-Being and Burnout Among Army Obstetricians and Gynecologists

2021 ◽  
Author(s):  
Devin M Walther ◽  
Mark E Kraus ◽  
Kelly E Beeken ◽  
Bruce D Pier
Keyword(s):  
Well Being ◽  
Fellowship Training ◽  
Active Duty ◽  
Physician Burnout ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Institutional Review ◽  
Full Analysis ◽  
Professional Fulfillment

ABSTRACT Introduction Physician burnout is associated with unsafe patient care and poor patient satisfaction. Civilian studies show burnout rates of 46% among obstetricians/gynecologists (OB/GYNs). Army Active Duty (A-AD) physician burnout rates range from 7.7% to 26% across specialties, but no studies have assessed A-AD OB/GYN burnout. The objective of this study was to quantify well-being of A-AD OB/GYNs by determining rates of professional fulfillment (wellness) and burnout and detect factors of potential protective or risk for wellness and burnout. Methods A cross-sectional survey-based study was designed to determine well-being of A-AD OB/GYNs. This Institutional Review Board–approved study used the validated Professional Fulfillment Index. The survey was shared anonymously via email to 197 A-AD OB/GYNs. Additional questions asked as possible risk factors for burnout include location, training status, fellowship training, and remaining active duty service obligation (ADSO). Wellness and burnout rates were determined using published scales. Mean rates of wellness and burnout were reported, and chi-square tests detected associations between wellness/burnout and other variables. Results Eighty-three A-AD OB/GYNs responded to the survey (42%), with 73 available for full analysis. 26.5% had positive wellness, and 50% reported burnout. Completing fellowship training and shorter ADSO (of 0-2 years compared to >5 years) had higher rates of wellness. There were no differences in burnout among groups. Conclusions Burnout rates in A-AD OB/GYNs appear higher than A-AD physicians of other specialties but are similar to civilian OB/GYNs. Fellowship training may confer higher rates of wellness. Further research is needed regarding improvements in A-AD OB/GYN well-being and burnout.

scholarly journals Depression, self-concept, future expectations and hope of people with HIV

2019 ◽  
Vol 72 (5) ◽  
pp. 1288-1294
Author(s):  
Anna Cláudia Freire de Araújo Patrício ◽  
Ingrid Bergmam do Nascimento Silva ◽  
Milenna Azevedo Minhaqui Ferreira ◽  
Brenda Feitosa Lopes Rodrigues ◽  
Rôseane Ferreira da Silva ◽  
...  
Keyword(s):  
Well Being ◽  
Self Concept ◽  
Mild Depression ◽  
Cross Sectional Survey ◽  
Future Expectations ◽  
Chi Square ◽  
Cross Sectional ◽  
Reference Hospital ◽  
Nursing Professionals ◽  
Hiv Aids

ABSTRACT Objective: To analyze conditions of depression, self-concept, future expectations and hope in people with HIV/AIDS. Method: Cross-sectional survey of 108 individuals living with HIV/AIDS, carried out in a reference hospital for the treatment of infectious diseases in Northeast Brazil. The following instruments were employed: sociodemographic data, and questionnaires for ascertaining participants’ emotions, including scales for self-concept, hope, depression (HAMD-D), and future expectations. Descriptive statistics using the following tests were performed: Mann–Whitney, Kruskal–Wallis, chi-square, and t-test—considered significant when p ≤ 0.05. Results: 31.5% presented mild depression and 21.3% presented moderate depression; 63% reported difficulty in obtaining decent employment; 52.8% considered life a failure; 52.8% felt worthless. Fear, guilt and loneliness influenced self-concept (p ≤ 0.05). Loneliness influenced hope (p ≤ 0.05). Conclusion: It is necessary to raise the attention of nursing professionals and healthcare managers to the importance of providing health services that consider the mental health of people with HIV/AIDS, contributing to treatment adherence and well-being.

scholarly journals Effects of Vegetation Destruction on the Socio-Economic Well-being of Households within the Soapstone Quarrying Areas of Gucha South Sub-County, Kenya

2021 ◽  
pp. 22-32
Author(s):  
George Okong’o ◽  
Mark Ndunda Mutinda ◽  
Isaiah Gitonga Imaita
Keyword(s):  
Well Being ◽  
Sampling Procedure ◽  
Negative Effects ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Vegetation Removal ◽  
Top Soil ◽  
State Of The Environment ◽  
Economic Well Being

Soapstone quarrying and carving has taken place at the Tabaka region of Gucha South Sub-County for many decades. The activities associated with soapstone quarrying include clearing of vegetation, removal of top soil, earth moving, excavation of the stones and chopping off the unwanted parts of the soapstone. These activities have caused serious environmental impacts in the quarrying areas. This study focused on the effects of vegetation destruction as a result of soapstone quarrying on the socio-economic well-being of households within the quarrying areas of Gucha South Sub-County, Kenya. The objective of the study was to determine the effects of vegetation destruction (loss of cover and biodiversity erosion) by quarrying on the socio-economic well-being of households within the quarry areas. A cross-sectional survey research design was adopted. Purposive sampling procedure was utilized where 102 households were purposively selected based on their nearness to the soapstone quarries. Data collection was done using a questionnaire, recording observations and taking photographs. Descriptive (Frequency distribution, percentages, means, median and mode) and Inferential (Regression, Chi-square and ANOVA) statistics were used to analyze the data. The findings of this study indicate that vegetation destruction as a result of soapstone quarrying activities has negative effects on the socio-economic wellbeing of the households found within the soapstone quarrying areas. Thus, there is need to regulate the soapstone quarrying activities. There is also an urgent need for an Environmental Impact Assessment and audit to be carried out to determine the state of the environment in the soapstone quarrying areas.

scholarly journals Determinants of Focused Antenatal Care Uptake among Women in Tharaka Nithi County, Kenya

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Eliphas Gitonga
Keyword(s):  
Antenatal Care ◽  
Well Being ◽  
Systematic Sampling ◽  
Antenatal Visit ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Important Indicator ◽  
Exact Test ◽  
Focused Antenatal Care

Background. The health status of women is an important indicator of the overall economic health and well-being of a country. Maternal health is closely linked with the survival of newborns. For every woman who dies, about thirty others suffer lifelong injuries. Focused antenatal care is one of the interventions to reduce maternal morbidity and mortality. It recommends four targeted visits during pregnancy within which essential services are offered. The aim of the study was to assess the determinants of uptake of focused antenatal care among women in Tharaka Nithi County, Kenya. Methods. This was a descriptive cross-sectional survey. Stratified sampling was used to select the health facilities while systematic sampling was used to select the respondents. Chi square, Fisher’s exact test, and logistic regression were used to analyse the data. Results. The level of uptake of focused antenatal care was slightly more than half (52%). The determinants of uptake of focused antenatal care are level of education, type of employment, household income, parity, and marital status of the pregnant women. Conclusion. Despite high attendance of at least one antenatal visit in Kenya, the uptake of focused antenatal care is proportionally low.

scholarly journals Denture Hygiene Knowledge and Practices among Complete Denture Wearers attending a Postgraduate Dental Institute

2017 ◽  
Vol 18 (8) ◽  
pp. 714-721
Author(s):  
Sudhanshu Saxena ◽  
Snigdha Gowd ◽  
Thatapudi Shankar ◽  
Vinay Suresan ◽  
Sneha Mantri ◽  
...  
Keyword(s):  
Nonparametric Test ◽  
Complete Denture ◽  
P Value ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Hygiene Practices ◽  
Institutional Review ◽  
Significant Difference ◽  
Chi Square Test

ABSTRACT Aims The aim of this study was to assess the denture hygiene knowledge and practices among patients using complete dentures attending a postgraduate dental hospital in Jabalpur city. The objective of this study was to assess the relationship between hygiene knowledge and practices to the denture wearer's gender, education, and income. Materials and methods A descriptive, cross-sectional survey was conducted using a self-administered questionnaire involving the complete denture patients attending the Department of Prosthodontics. The study subjects were randomly selected by recruiting old dentures wearers visiting the Department of Prosthodontics for a recall visit or for new dentures on the odd dates of the month. All subjects signed an informed consent before filling the questionnaire. The institutional review committee approved the study. Descriptive statistics included computation of frequencies and percentages. Nonparametric test, namely, chi-square test, was used for further data analysis; p-value <0.05 was considered statistically significant. Results A total of 530 individuals were approached for participation in our survey, 30 (5.66%) subjects declined to participate. The results showed that 195 (39%) subjects were wearing the same dentures for more than 5 years. In this study, 51 (10.2%) subjects reported never having been advised by their dentists as to how to clean their dentures. Among all the subjects interviewed, 264 (52.8%) reported to clean the oral tissues daily. This study disclosed that 66 (13.2%) of the subjects usually slept with their dentures. Maximum subjects in illiterate group had experienced bad breath sometimes when compared with subjects in postgraduate group (χ2 = 47.452, p < 0.001). There was a significant difference for method of denture cleaning according to gender (χ2 = 101.076, p < 0.001). Conclusion The majority of the denture wearers have limited knowledge of denture cleansing and oral hygiene practices. Hygiene habits and practices may not always present a positive correlation with the gender, educational level, and income of the subjects. Clinical significance Periodic recall for evaluation of denture and mucosal surfaces along with reinforcement of denture hygiene instructions will go a long way in helping the patients reap maximum benefits out of their prostheses. How to cite this article Shankar T, Gowd S, Suresan V, Mantri S, Saxena S, Mishra P, Panday P. Denture Hygiene Knowledge and Practices among Complete Denture Wearers attending a Postgraduate Dental Institute. J Contemp Dent Pract 2017;18(8):714-721.

scholarly journals Knowledge, Attitude and Practice Regarding COVID-19 and its Impact on Dentistry: A Cross-sectional Survey among Nepalese Dentists

2020 ◽  
Vol 18 (2) ◽  
pp. 3-9
Author(s):  
N. Khanal ◽  
A.K. Singh
Keyword(s):  
Well Being ◽  
The Body ◽  
Categorical Variables ◽  
Multiple Choice Questions ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Treatment Protocols ◽  
Attitude And Practice ◽  
Significant Difference

Background: Coronavirus Disease, 2019 (COVID-19) is a highly infectious respiratory disease with high transmissibility. Dentists are at inherent risk because of aerosol generating procedures exposing dentists to the respiratory and oral secretions of the patients. Objective: To assess the knowledge, awareness, and practice (KAP) of the Dentists to combat the pandemic which could help shape future guidelines and policies to be implemented in dental settings. Method: This cross-sectional descriptive study included series of multiple-choice questions distributed online, assessing dentists’ KAP towards COVID-19, its impact on dentistry and their psychological well-being. Statistical analysis was performed using SPSS (Statistical Package for Social Sciences) version 20 for mac Operating System (OS). Descriptive statistics was performed, and frequencies of responses were reported in proportion. Non-parametric tests of independence and Chi-square test were performed to see the association between the categorical variables. Result: Around 84% of the respondents accurately answered mode of transmission, 68% inquired about the travel history while only 49% measured the body temperature. Also, only 42% were receiving salary. A statistically significant difference concerning impact and practice during the COVID-19 was observed between general practitioner and specialist working at different work places. Conclusion: Majority of Dentists have good knowledge and awareness but there were certain pitfalls in attitude and practice level calling out for more efficient training programs, precise guidelines, and treatment protocols to put into practice. Also, the mental distress and the financial impact subjected upon dentist require to be further explored determining the association between their mental health during and post COVID-19 outbreak.

scholarly journals Establishing Crosswalks Between Common Measures of Burnout in US Physicians

2021 ◽  
Author(s):  
Keri J. S. Brady ◽  
Pengsheng Ni ◽  
Lindsey Carlasare ◽  
Tait D. Shanafelt ◽  
Christine A. Sinsky ◽  
...  
Keyword(s):  
Item Response ◽  
Maslach Burnout Inventory ◽  
Group Level ◽  
Physician Burnout ◽  
Healthcare Organizations ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Single Item ◽  
Cut Point ◽  
Professional Fulfillment

Abstract Background Physician burnout is often assessed by healthcare organizations. Yet, scores from different burnout measures cannot currently be directly compared, limiting the interpretation of results across organizations or studies. Objective To link common measures of burnout to a single metric in psychometric analyses such that group-level scores from different assessments can be compared. Design Cross-sectional survey. Setting US practices. Participants A total of 1355 physicians sampled from the American Medical Association Physician Masterfile. Main Measures We linked the Stanford Professional Fulfillment Index (PFI) and Mini-Z Single-Item Burnout (MZSIB) scale to the Maslach Burnout Inventory (MBI) in item response theory (IRT) fixed-calibration and equipercentile analyses and created crosswalks mapping PFI and MZSIB scores to corresponding MBI scores. We evaluated the accuracy of the results by comparing physicians’ actual MBI scores to those predicted by linking and described the closest cut-point equivalencies across scales linked to the same MBI subscale using the resulting crosswalks. Key Results IRT linking produced the most accurate results and was used to create crosswalks mapping (1) PFI Work Exhaustion (PFI-WE) and MZSIB scores to MBI Emotional Exhaustion (MBI-EE) scores and (2) PFI Interpersonal Disengagement (PFI-ID) scores to MBI Depersonalization (MBI-DP) scores. The commonly used MBI-EE raw score cut-point of ≥27 corresponded most closely with respective PFI-WE and MZSIB raw score cut-points of ≥7 and ≥3. The commonly used MBI-DP raw score cut-point of ≥10 corresponded most closely with a PFI-ID raw score cut-point of ≥9. Conclusions Our findings allow healthcare organizations using the PFI or MZSIB to compare group-level scores to historical, regional, or national MBI scores (and vice-versa).

Oscillation between identities and Subjective psychological health objectives among an informed audience in therapeutic patient education

2018 ◽  
Vol 10 (1) ◽  
pp. 10202
Author(s):  
Sandrine Roussel ◽  
Alain Deccache ◽  
Mariane Frenay
Keyword(s):  
Patient Education ◽  
Psychological Health ◽  
Healthcare Professionals ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Therapeutic Patient Education ◽  
French Speaking ◽  
Health Objectives ◽  
Self Administered Questionnaire

Introduction: The implementation of Therapeutic Patient Education (TPE) remains a challenge. An exploratory study highlighted two tendencies among practitioners of TPE, which could hamper this implementation: an oscillation between identities (as caregivers versus as educators) and an inclination towards subjective psychological health objectives. Objectives: To verify whether these tendencies can be observed among an informed audience in TPE. Next, to explore the variables associated with one or other of these tendencies. Method: A quantitative cross-sectional survey by a self-administered questionnaire was carried out among 90 French-speaking healthcare professionals. Statistical analyses (chi-square, logistic regression) were then conducted. Results: Sixty percent of respondents displayed identity oscillation, which was found to be linked to task oscillation, patient curability, scepticism towards medicine and practising in France. Fifty-six percent pursued subjective psychological health objectives, which was found to be associated with health behaviour objectives and a locus of power in the healthcare relationship distinct from those seen in the pre-existing health models (biomedical, global). This tendency seems to constitute an alternative model of TPE. Discussion & conclusion: Identity oscillation and subjective psychological health objectives can be both observed. This study stresses the need to deliberate on the form(s) of TPE that is/are desired.

PERCEIVED EFFECTS OF STREET HAWKING ON THE WELL-BEING OF CHILDREN IN ANYIGBA, DEKINA LOCAL GOVERNMENT AREA OF KOGI STATE, NIGERIA

2018 ◽  
Vol 8 (1) ◽  
pp. 01-07
Author(s):  
Alfred Eboh
Keyword(s):  
Local Government ◽  
Survey Design ◽  
Sampling Technique ◽  
Well Being ◽  
Local Government Area ◽  
Negative Consequences ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Perceived Effects ◽  
The Government

Background: The hawking of wares by children has been a serious issue confronting the Nigerian society. Children hawk in some of the most horrible conditions conceivable, where they face a serious risk of injury, chronic illness, kidnapping, rape or death. Objective: The focus of this study was to assess the perceived effects of street hawking on the well-being of children in Anyigba, Dekina Local Government Area of Kogi State. Methods: The population of this study consists of parents of the street hawkers in Anyigba while cross-sectional survey design was used through the purposive sampling technique to choose the sample size of one hundred and sixty-two (162) respondents. The validated structured questionnaire and In-Depth Interviews (IDIs) served as the instruments for the data collection respectively. The hypotheses were tested using Chi-Square at a predetermined 0.05 level of significance. The quantitative data were analysed with the aid of the SPSS (version 20). Results: The results indicated among others that street hawking had significant social implications and physical consequences on children's moral behaviour as well as health status in the study area. Conclusion: The study, therefore, concluded that the government of Kogi State should carry out an enlightenment campaign through the media and religious institutions on the negative consequences of street hawking are recommended as panacea. Also, the child right act instrument and its implementation should be strengthened in order to curb street hawking in the study area.

scholarly journals The COVID‐19 pandemic and healthcare workers psychological well‐being: a cross‐sectional survey in Indonesia

Nursing Open ◽  
2021 ◽  
Author(s):  
Ni’matuzahroh ◽  
Valendriyani Ningrum ◽  
Widayat ◽  
Myrtati Dyah Artaria ◽  
Mein‐Woei Suen
Keyword(s):  
Healthcare Workers ◽  
Well Being ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Psychological Well Being

scholarly journals Prepared and highly committed despite the risk of COVID-19 infection: a cross-sectional survey of primary care physicians’ concerns and coping strategies in Singapore

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Jerrald Lau ◽  
David Hsien-Yung Tan ◽  
Gretel Jianlin Wong ◽  
Yii-Jen Lew ◽  
Ying-Xian Chua ◽  
...  
Keyword(s):  
Primary Care ◽  
Coping Strategies ◽  
Stress Management ◽  
Primary Care Physicians ◽  
Well Being ◽  
Pandemic Preparedness ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Accessible Information ◽  
And Coping

Abstract Background Primary care physicians (PCPs) are first points-of-contact between suspected cases and the healthcare system in the current COVID-19 pandemic. This study examines PCPs’ concerns, impact on personal lives and work, and level of pandemic preparedness in the context of COVID-19 in Singapore. We also examine factors and coping strategies that PCPs have used to manage stress during the outbreak. Methods Two hundred and sixteen PCPs actively practicing in either a public or private clinic were cluster sampled via email invitation from three primary care organizations in Singapore from 6th to 29th March 2020. Participants completed a cross-sectional online questionnaire consisting of items on work- and non-work-related concerns, impact on personal and work life, perceived pandemic preparedness, stress-reduction factors, and personal coping strategies related to COVID-19. Results A total of 158 questionnaires were usable for analyses. PCPs perceived themselves to be at high risk of COVID-19 infection (89.9%), and a source of risk (74.7%) and concern (71.5%) to loved ones. PCPs reported acceptance of these risks (91.1%) and the need to care for COVID-19 patients (85.4%). Overall perceived pandemic preparedness was extremely high (75.9 to 89.9%). PCPs prioritized availability of personal protective equipment, strict infection prevention guidelines, accessible information about COVID-19, and well-being of their colleagues and family as the most effective stress management factors. Conclusions PCPs continue to serve willingly on the frontlines of this pandemic despite the high perception of risk to themselves and loved ones. Healthcare organizations should continue to support PCPs by managing both their psychosocial (e.g. stress management) and professional (e.g. pandemic preparedness) needs.

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