Understanding the Well-Being of General Surgery Residents

2020 ◽  
pp. 000313482095147
Author(s):  
Jessica Felton ◽  
Olivia Martin ◽  
Natalia Kubicki ◽  
Sarah Kidd-Romero ◽  
Stephen M. Kavic

Background In 2017, the Accreditation Council for Graduate Medical Education program guidelines changed to include a section that requires programs to optimize resident and faculty member well-being. There is still a poor understanding of general surgery resident wellness, and there are few well-established wellness programs. Methods We created a novel 50-question anonymous survey to assess burnout, depression, and wellness that was distributed to the general surgery residents as part of a pilot study. Univariate analysis was performed to assess wellness and wellness changes. Bivariate analysis was performed to determine the association between wellness variables and gender, age, and postgraduate year (PGY) level. Results Thirty-five of 55 residents participated in the survey. Over half of the residents (54%) reported gaining weight during residency. Nearly 70% reported working while having an ongoing family issue, and 77% worked at least once while ill. Fourteen residents (40%) reported that their wellness worsened over the previous academic year, while 7 (20%) reported that it remained the same, and 11 (31%) reported that it improved. These changes varied significantly by the PGY level ( P < .01). Age (younger vs older than 30) and sex were found to be effective measure modifiers of the association between wellness change and PGY level. Discussion The overall wellness of the general surgery residents at our institution varies greatly. Poor wellness may lead to inferior patient care, burnout and depression, and negative resident morale. Residency programs need to implement programming to address wellness deficiencies.

2015 ◽  
Vol 7 (1) ◽  
pp. 70-74 ◽  
Author(s):  
Aliya Kassam ◽  
Joan Horton ◽  
Ilya Shoimer ◽  
Scott Patten

Abstract Background It is important to describe the characteristics of well-being in resident physicians to develop resident wellness initiatives in postgraduate medical education. Objective To characterize the predictors of well-being in resident physicians by assessing personal and work-related burnout, work dissatisfaction, nutritional needs while on call, and sleep needs while on call. Methods We set up an online survey in 2012 to collect data from current residents at the University of Calgary in Canada. The WHO-Five Well-Being Index, personal and work-related subscales of the Copenhagen Burnout Inventory, questions on work dissatisfaction, as well as sleep and nutrition management needs while on call, were used in the survey. Descriptive statistics, univariate analysis, and linear regression were applied to the data. Results The survey response rate was 45% (317 of 706) of eligible residents, with a mean age of 30.9 years (SD  =  4.3). Fifty-three percent (168 of 317) of residents had a well-being score of 13 or less, indicating poor mental well-being. There were significant differences between men and women with respect to personal burnout (47.9 versus 54.2, P  =  .002) and work-related burnout (46.4 versus 50.4, P  =  .008). The only significant predictors of well-being overall were personal burnout and work dissatisfaction. Conclusions Survey results suggest that a high proportion of residents at this institution have low well-being. This study did not find work-related burnout to be a significant predictor of well-being, after adjustment for other variables.


Author(s):  
Consuelo Novoa ◽  
Claudio Bustos ◽  
Vasily Bühring ◽  
Karen Oliva ◽  
Darío Páez ◽  
...  

Being a parent plays an important role in people’s life trajectory and identity. Though the general cultural perception is that having children is a source of subjective well-being, there is evidence that, at least in some societies, the subjective well-being of those who are parents is worse, in some aspects, than that of those who are not. This gap has been the object of interest and controversy. The aim of this study was to compare Chilean adults with and without children in a broad set of well-being indicators, controlling for other sociodemographic variables. A public national probabilistic database was used. The results show that, in terms of positive and negative affect, those who are not parents achieve greater well-being than those who have children. Other results also pointed in that direction. The implications of the social context and gender, which are aspects that pose a burden for the exercise of parenthood in Chile, are discussed.


Author(s):  
Helena Patricia ◽  
Chamy Rahmatiqa ◽  
Emira Apriyeni

Background: Indonesia, particularly Padang City, West Sumatra, is a prone-area toward natural disasters related to geographical, geological and demographic conditions. Natural disasters give a very significant impact on physical, psychological and social. The psychological impact that most often appears in disaster cases is Post Traumatic Stress Disorder (PTSD). One who is prone to experiencing PTSD is adolescents. To prevent PTSD from occurring, good psychological well-being is needed. The factors that influence psychological well-being are religiosity, personality, coping strategies, self-concept and social support.Methods: This study is an analytical study with a cross sectional approach. This research was conducted in three disaster-prone districts in Padang City, namely North Padang, South Padang, and Koto Tangah. Data were collected through distributing questionnaires to 156 adolescents who were selected by purposive sampling. Data were collected by questionnaire and analyzed descriptively using univariate analysis, bivariate analysis with chi square test, and multivariate logistic regression analysis.Results: The results of this study found that 85 respondents (54.5%) had low psychological well-being, 98 respondents (62.8%) had low religiosity, 108 respondents (69.2%) had introverted personality types, 105 respondents (67.3%) used emotional focused coping, 90 respondents (57.7%) had negative self-concept and 91 respondents (58.3%) had low family support. The results of the bivariate analysis found a relationship between religiosity (0.000), personality type (0.010), coping strategy (0.00), self-concept (0.035) and family support (0.04) toward psychological well-being.Conclusions: The results of the final multivariate modeling found that adolescents with negative self-concept had 12 times chance of having low psychological well-being in disaster-prone areas in Padang City.


2020 ◽  
Vol 77 (1) ◽  
pp. 27-33 ◽  
Author(s):  
Holly B. Weis ◽  
Audra T. Clark ◽  
Shannon A. Scielzo ◽  
Joshua J. Weis ◽  
Deborah Farr ◽  
...  

2018 ◽  
Vol 1 (3) ◽  
pp. 192-199
Author(s):  
Ezra Hans Soputra ◽  
Sadakata Sinulingga ◽  
Subandrate Subandrate

Uric acid is the end product of purine catabolism which is sinthesized especially by the liver and excreted through urinary tract. Increased blood uric acid levels can cause many disease such as gout arthritis, hipertension, and renal disease. Individual with obesity often have lower renal excretion rate and may have increased production of uric acid. This study is conducted to determine the relationship of obesity and blood uric acid levels.This Study with cross-sectional design took a sample of 119 students of Medical Education Program Study at Medical Faculty of the Sriwijaya University by consecutive sampling. Body weight, body height, and uric acid levels then are taken using measurement tools appropriate, categorized, and processed according to research objectivesThe study found that 27,5% female and 10,3% male have hyperuricemia. A total of 39,3% obese students and 16,5% non-obese students have high level of uric acid. The result of bivariate analysis showed that there is a significant relationship between obesity and gender with blood uric acid levels (p=0,022 and 0,035 respectively). After multivariate analysis, factor that has relationship with uric acid level is obesity.Obesity have a significant relationship with uric acid levels.


Author(s):  
Darci C. Foote ◽  
John N. Donkersloot ◽  
Gurjit Sandhu ◽  
Kathryn Ziegler ◽  
James Lau

2021 ◽  
Vol 16 (2) ◽  
pp. 65-89
Author(s):  
Navanita Naskar ◽  
Nita Thomas

The hospitality industry is a place where there is high interaction among guests and employees. The employee should comply with protective measures against COVID-19. The management team should develop standards for employee wellbeing in hotels. This study was conducted to understand the influence of the management measures on the well-being of employees during COVID-19. Further, it aims to understand any relationship between the independent and dependent variables. Additionally, it also tries to find any significant difference between the age groups and gender categories. SPSS was used as a tool for analysis. 301 responses were collected for a nonparametric correlations test. Mann Whitney U test, univariate analysis of age variance was done to find if there is a significant difference between the variables and age group. The results show a high correlation between the working condition measures and employee wellbeing. This resulted in the acceptance of the null hypothesis.


2019 ◽  
Vol 10 (1) ◽  
pp. 32-48
Author(s):  
Supriyono Supriyono

Abstract This study generally aims to determine the analysis of factors related to cystole blood pressure in Puskemas Management training participants at Batam Health Training Center. This type of research is cross sectional with a sample of 92 respondents. Data collection by interview and examination. Interviews were conducted to find out data about the characteristics of respondents which included age and gender. Blood pressure checks are measured with a sphygmomanometer and stetoschope. Univariate analysis was used to test normality using Kolmogorov-Smirnov, while bivariate analysis was used to test factors that influence blood pressure. From the normality test obtained the results of p (normality) = 0.00 <0.05, so the test used is the Kendall Tau test. Based on measurements of height and weight obtained results are: Skinny category = 4.30%, Normal = 59.80%, Overweight = 17.40%, and Obese = 18.50%. The results of blood pressure measurements obtained results are: blood pressure in the normal category = 69.60%, hypertension = 30.40%. From the statistical test results obtained p age = 0.064 (p> 0.05) there was no relationship between age and blood pressure systole. p gender = 0.014 p = nutritional status = 0.010 (p <0.05), there is a relationship between sex and nutritional status with systolic blood pressure.. Keywords : systole blood pressure, trainee, Kendall Tau test  Abstrak Penelitian ini secara umum bertujuan untuk mengetahui analisis faktor-faktor yang berhubungan dengan tekanan darah sistole pada peserta pelatihan Manajemen Puskemas di Balai Pelatihan Kesehatan Batam. Jenis penelitian ini adalah cross sectional dengan sampel sebanyak 92 responden. Pengumpulan data dengan cara wawancara dan pemeriksaan. Wawancara dilakukan untuk mengetahui data tentang karakteristik responden yang meliputi usia dan jenis kelamin. Pemeriksaan tekanan darah dilakukan pengukuran dengan sphygmomanometer dan stetoschope. Analisis univariat digunakan untuk menguji kenormalan dengan menggunakan Kolmogorov-Smirnov, sedangkan analisis bivariat digunakan untuk menguji faktor-faktor yang memengaruhi tekanan darah.  Dari uji  normalitas diperoleh  hasil p (normalitas) = 0,00  < 0,05, sehingga uji yang digunakan adalah uji Kendall Tau. Berdasarkan pengukuran tinggi badan dan berat badan diperoleh hasi yaitu: kategori Kurus = 4,30%, Normal = 59,80%, Kegemukan =17,40%, dan Obese =18,50%. Hasil pengukuran tekanan darah  diperoleh hasil yaitu: tekanan darah dalam kategori normal = 69,60%,  hipertensi = 30,40%.  Dari uji statistik  diperoleh hasil  p usia =  0,064 (p>0,05) tidak ada hubungan antara usia dengan tekanan darah systole.  p jenis kelamin  = 0,014    p = status gizi  = 0,010 (p<0,05), ada hubungan jenis kelamin dan status gizi  dengan  tekanan darah sistole.  


2021 ◽  
Vol 3 (3) ◽  
pp. 390-396
Author(s):  
Heni Nurhaeni ◽  
Dinarti ◽  
Suryati ◽  
Joko Suwito

This research affects the development of independent abilities of clients with coronary heart disease/CHD, in order to reduce the risk of severe occurrence of heart attacks at home due to anxiety with self-relaxation with Video MD-My Friend. This type of research design is an action research with video media, namely MD-My Friend., to 200 CHD clients in the community with a study period of 8 months, using heart rate measurements and anxiety instruments, and univariate analysis, to assess the characteristics of related variables. And bivariate analysis, continued with multivariate analysis on the influence of three meaningful variables. Based on the results of multivariate tests found that the age of the client of CHD affects knowledge, skills and self-recovery in CHD treatment on the application of MD-My Friend with P Value 0.001. Worsening of health conditions in coronary heart disease clients who are at risk 6 times with anxiety experienced. So it can be predicted that the risk of death from CHD cases will increase. As a physiological response that threatens a person's internal physiological state or psychological well-being, anxiety can intervene independently in a good and correct way. Therefore MD-My Friend as one of the alternatives to self-intervention in the Client CHD in order to be able to reduce his anxious condition, which also affects the condition of the CHD. MD-My Friend’s video has been shown to have an effect on knowledge, Skills and self-recovery are meaningful. 


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