scholarly journals Physician wellness in orthopaedic surgery

2021 ◽  
Vol 2 (11) ◽  
pp. 932-939
Author(s):  
Hassan Mir ◽  
Katheryne Downes ◽  
Antonia F. Chen ◽  
Ruby Grewal ◽  
Derek M. Kelly ◽  
...  
Keyword(s):  
At Risk ◽  
New Zealand ◽  
Mayo Clinic ◽  
Online Survey ◽  
Healthcare Delivery ◽  
Well Being ◽  
Orthopaedic Surgeons ◽  
Physician Wellness ◽  
Poor Outcomes ◽  
Professional Fulfillment

Aims Physician burnout and its consequences have been recognized as increasingly prevalent and important issues for both organizations and individuals involved in healthcare delivery. The purpose of this study was to describe and compare the patterns of self-reported wellness in orthopaedic surgeons and trainees from multiple nations with varying health systems. Methods A cross-sectional survey of 774 orthopaedic surgeons and trainees in five countries (Australia, Canada, New Zealand, UK, and USA) was conducted in 2019. Respondents were asked to complete the Mayo Clinic Well-Being Index and the Stanford Professional Fulfillment Index in addition to 31 personal/demographic questions and 27 employment-related questions via an anonymous online survey. Results A total of 684 participants from five countries (Australia (n = 74), Canada (n = 90), New Zealand (n = 69), UK (n = 105), and USA (n = 346)) completed both of the risk assessment questionnaires (Mayo and Stanford). Of these, 42.8% (n = 293) were trainees and 57.2% (n = 391) were attending surgeons. On the Mayo Clinic Well-Being Index, 58.6% of the overall sample reported feeling burned out (n = 401). Significant differences were found between nations with regards to the proportion categorized as being at risk for poor outcomes (27.5% for New Zealand (19/69) vs 54.4% for Canada (49/90) ; p = 0.001). On the Stanford Professional Fulfillment Index, 38.9% of the respondents were classified as being burned out (266/684). Prevalence of burnout ranged from 27% for Australia (20/74 up to 47.8% for Canadian respondents (43/90; p = 0.010). Younger age groups (20 to 29: RR 2.52 (95% confidence interval (CI) 1.39 to 4.58; p = 0.002); 30 to 39: RR 2.40 (95% CI 1.36 to 4.24; p = 0.003); 40 to 49: RR 2.30 (95% CI 1.35 to 3.9; p = 0.002)) and trainee status (RR 1.53 (95% CI 1.15 to 2.03 p = 0.004)) were independently associated with increased relative risk of having a ‘at-risk’ or ‘burnout’ score. Conclusions The rate of self-reported burnout and risk for poor outcomes among orthopaedic surgeons and trainees varies between countries but remains unacceptably high throughout. Both individual and health system characteristics contribute to physician wellness and should be considered in the development of strategies to improve surgeon wellbeing. Level of Evidence: III Cite this article: Bone Jt Open 2021;2(11):932–939.

Contesting Transnational Mobility among New Zealand’s Chinese Migrants from an Economic Perspective新西兰中国跨国移民的跨界经济活动及成因

2015 ◽  
Vol 11 (2) ◽  
pp. 146-173 ◽  
Author(s):  
Liangni Sally Liu ◽  
Jun Lu
Keyword(s):  
New Zealand ◽  
Online Survey ◽  
Transnational Migration ◽  
Well Being ◽  
Economic Perspective ◽  
Short Term ◽  
Republic Of China ◽  
Chinese Migrants ◽  
Transnational Mobility ◽  
Economic Revitalization

New Chinese migrants from the People’s Republic of China to New Zealand are renowned for their transnational mobility. Based on an online survey among this group of migrants, this paper aims to explore how economic factors in Chinese transnational migration play out in a way different from that posited by some conventional conceptions in migration studies. For example, compared with the conventional remittance flow that usually takes place from migrant-receiving countries to migrant-sending countries, this research finds a reverse remittance transaction channel among prc migrants. This reverse remittance flow is a manifestation of China’s economic revitalization, which benefited New Zealand, especially in the recent economic crisis. It was also found that economic reasons were not decisive in an immigrant’s decision to settle in New Zealand. However, economic reasons contributed significantly to their on-going movements after arriving in New Zealand. prc immigrants’ deciding to migrate or re-migrate reflects a layering of priorities that measure the short-term goal of maintaining economic livelihood against the longer-term goal of ensuring one’s family’s overall well-being.

0078 Assessing the feasibility of an online survey of transport behaviour and well-being among teenagers in rural new zealand

2015 ◽  
Vol 21 (Suppl 1) ◽  
pp. A20.1-A20
Author(s):  
Aimee Ward ◽  
Rob McGee ◽  
Claire Freeman ◽  
Philip Gendall ◽  
Claire Cameron
Keyword(s):  
New Zealand ◽  
Online Survey ◽  
Well Being ◽  
Transport Behaviour

scholarly journals The effect of COVID-19 on mental well-being in Switzerland: a cross-sectional survey of the adult Swiss general population

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Laura Diaz Hernandez ◽  
Stéphanie Giezendanner ◽  
Roland Fischer ◽  
Andreas Zeller
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Online Survey ◽  
Well Being ◽  
Population Based ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Concerns ◽  
Mental Health Concerns ◽  
Mental Well Being

Abstract Background In addition to the threat of the COVID-19 pandemic to physical health, mental health is challenged by the emotional response to the situation and the official measures taken to stop the pandemic. This study aimed to assess the prevalence of impaired mental well-being due to COVID-19 and explore associated factors. Methods The study was an observational, population-based, nationwide, cross-sectional online survey of a representative sample of the general Swiss population performed between March and April 2020. Participants reported on mental well-being, self-isolation/quarantine, their risk for developing severe COVID-19, and their work situation. Multivariable logistic regression analyses assessed risk factors for impaired mental well-being due to the pandemic. Results Data from 1022 individuals were analysed. The median age was 44 years (range 18 to 78) and 49% were women. A third of respondents reported that the COVID-19 pandemic impaired their mental well-being and almost half reported specific mental health concerns. Impaired mental well-being was associated with having health problems (OR = 1.88, 95% CI: 1.29–2.74, vs no problems), being or living with someone at risk for severe COVID-19 (OR = 1.38, 95% CI: 1–1.9,), smoking (OR = 1.8, 95% CI: 1.24–2.61), living in urban residential environments (OR = 1.62, 95% CI: 1.13–2.32, vs rural), not being able to work due to closed workplace (OR = 1.66, 95% CI: 1.04–2.67), aged between 18 and 29 years old (OR = 1.99, 95% CI: 1.32–3.01, vs 45 to 59 years old), and living in a single household (living with someone, OR = 0.65, 95% CI: 0.44–0.97,vs single household). Overall, the most significant covariates of impaired mental well-being were specific mental health concerns: feeling depressed (OR = 7.21, 95% CI: 4.5–11.55), feeling less pleasure in doing things than before (OR = 6.28, 95% CI: 4.1–9.62), feeling anxious (OR = 6.13, 95% CI: 3.91–9.59) and feeling lonely (OR = 4.08, 95% CI: 2.53–6.58). Conclusion Impaired mental well-being can carry long-term consequences. We encourage policymakers to implement strategies to promote mental health during this pandemic situation. Special attention should be addressed to the youngest, those at risk for severe COVID-19 and those with government-imposed work restrictions.

Abstract 16121: Wellness in Pediatric Cardiac Intensivists - How are We Doing?

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
David K Werho ◽  
leslie rhodes ◽  
Robin Horak ◽  
Bradley S Marino ◽  
David S Cooper ◽  
...  
Keyword(s):  
Risk Factors ◽  
At Risk ◽  
Critical Care ◽  
Heart Surgery ◽  
Well Being ◽  
Congenital Heart Surgery ◽  
Risk Category ◽  
Physician Wellness ◽  
Modifiable Factors ◽  
Cardiac Critical Care

Introduction: Poor physician wellness is associated with detrimental effects on patient outcomes. There are no data on physician wellness in pediatric cardiac critical care. We aimed to define the prevalence of and risk factors for impaired wellness using a targeted survey of the North American pediatric cardiac critical care workforce. Methods: We developed a survey to examine physician wellness and potential risk factors, incorporating the Expanded Physician Well Being Index. Unit directors at 120 congenital heart surgery centers were contacted to provide faculty emails. The survey was distributed to each faculty with targeted reminders from June - September 2019. Univariate and multivariable logistic regression analyses were performed comparing the at-risk respondents to those not at risk for poor wellness. Results: Of the 477 faculty, 294 completed the survey (62%). Faculty reported working a median of 83 hours on service weeks and 50 hours on non-service weeks. Based on Well-Being scores, 34% were in the “at risk” category; 56% reported feeling burned out in the past month and 46% reported feeling overwhelmed. However, 96% felt their work was meaningful. Faculty reported a high incidence of developing unhealthy habits including poor nutrition (50%), infrequent exercise (56%), and lack of self-care (46%). Factors associated with well-being risk are shown in Table 1. Poor interpersonal experiences, higher work hours, and being primarily trained in critical care with an additional cardiac year were associated with risk of poor wellness. Working >100 hours per service week had a significant increase in risk (odds ratio 2.3, 95% confidence interval 1.31-4.40). Availability of wellness services was associated with reduced risk. Conclusion: Burnout and risk of poor wellness are common in pediatric cardiac critical care faculty. Modifiable factors, including wellness service availability and reduced hours of clinical service may improve wellness in the workforce.

scholarly journals Physical Activity and Psychological Well-Being During the COVID-19 Lockdown: Relationships With Motivational Quality and Nature Contexts

2021 ◽  
Vol 3 ◽  
Author(s):  
Matthew Jenkins ◽  
Susan Houge Mackenzie ◽  
Ken Hodge ◽  
Elaine Anne Hargreaves ◽  
Jessica R. Calverley ◽  
...  
Keyword(s):  
Physical Activity ◽  
New Zealand ◽  
Intrinsic Motivation ◽  
Structural Equation ◽  
Online Survey ◽  
Well Being ◽  
Psychological Well Being ◽  
Moderating Variables ◽  
Significant Difference ◽  
Negative Impacts

The COVID-19 pandemic is a global event that has already had substantive negative impacts on psychological well-being. This study investigated the relationship between physical activity (PA) and psychological well-being during a country-wide COVID-19 lockdown in New Zealand. Motivational quality and PA context (nature-based or non-nature-based) were included as potential mediating and moderating variables within this relationship, respectively. Participants completed an online survey assessing psychological well-being, weekly PA levels, and PA during the second and third weeks of the 7 week COVID-19 lockdown period in New Zealand. Data were analysed using Partial Least Squares Structural Equation Modelling. Results showed that PA significantly predicted psychological well-being, with no significant difference evident in psychological well-being dependent on whether PA was nature or non-nature-based. Nature-based PA was a stronger predictor of intrinsic motivation compared to non-nature-based PA, and intrinsic motivation was positively associated with psychological well-being. In contrast, non-nature-based PA was a stronger predictor of introjected regulation compared to nature-based PA, which was negatively associated with psychological well-being. Overall, these findings suggest that (1) weekly PA was associated with increased psychological well-being during the lockdown, and (2) nature-based PA may foster psychological well-being via effects on motivation. The implications for continued participation in PA will be discussed.

Pathology in the Medical Profession?: Taking the Pulse of Physician Wellness and Burnout

2016 ◽  
Vol 140 (9) ◽  
pp. 976-982 ◽  
Author(s):  
Iris Schrijver
Keyword(s):  
United States ◽  
Medical Profession ◽  
Well Being ◽  
The United States ◽  
Negative Effects ◽  
Work Related ◽  
Physician Wellness ◽  
Intervention Measures ◽  
Personal Consequences ◽  
Professional Fulfillment

Context.—In the past decades, physician wellness has diminished in every aspect of professional life. Burnout symptoms in the United States affect 30% to 68% of physicians overall—exceeding the levels of any other professional group. The ramifications of burnout present an underrecognized crisis in the health care system that carries the consequences of personal, professional, institutional, and societal costs. Objective.—To bring to light the elements of current medical practice that contribute to physician professional fulfillment and burnout. Intervention measures, steps toward burnout prevention, and the present limitations thereof are also addressed. Data Sources.—This narrative literature review was performed by using studies in PubMed (National Center for Biotechnology Information) and large online physician surveys, published through December 2015. Because of geographic differences, the review is primarily concentrated on physicians across specialties in the United States. Small studies and those of single disciplines were excluded. Conclusions.—Many physicians learn to tolerate burnout symptoms despite negative personal consequences. Long-term work-related stress, however, may lead to the potential for negative effects on the quality of patient care, and to attrition. Interestingly, the factors that enhance physician fulfillment and those that may precipitate burnout symptoms are distinct. Optimization of physician well-being, therefore, requires tailored approaches in each of these 2 dimensions and is most likely to succeed if it includes approaches that are customized to career phase, physician specialty, and practice setting. Importantly, organization leaders must prioritize this issue and provide sustained support for wellness initiatives, to foster a culture that is conducive to physician well-being.

scholarly journals Well-Being of Canadian Veterans during the COVID-19 Pandemic: Cross-Sectional Results from the COVID-19 Veteran Well-Being Study

2021 ◽  
Author(s):  
J. Don Richardson ◽  
Kate St. Cyr ◽  
Callista Forchuk ◽  
Jenny JW Liu ◽  
Rachel A. Plouffe ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Online Survey ◽  
Healthcare Delivery ◽  
Well Being ◽  
Lifestyle Changes ◽  
Health Conditions ◽  
Cross Sectional ◽  
Mental Health Conditions ◽  
Virtual Care

Abstract Background The impacts of the COVID-19 pandemic have disproportionally affected different population groups. Veterans are more likely to have pre-existing mental health conditions compared to the general Canadian population, experience compounded stressors resulting from disruptions to familial, social, and occupational domains, and were faced with changes in healthcare delivery (e.g., telehealth). The objectives of this study are to assess (a) the mental health impact of COVID-19 and related life changes on the mental health of Veterans and (b) perceptions of and satisfaction with changes in healthcare treatments and delivery during the pandemic. Methods A total of 1139 Canadian Veterans were recruited to participate in an online survey. Participants completed questions pertaining to their mental health and well-being, lifestyle changes, and concerns relating to the COVID-19 pandemic, as well as experiences and satisfaction with healthcare treatments during the pandemic. Results Results showed that 55.9% of respondents reported worse mental health functioning compared to before the pandemic. Frequency of probable posttraumatic stress disorder, major depressive disorder, generalized anxiety disorder, alcohol use disorder, and suicidal ideation were 34.2%, 35.3%, 26.8%, 13.0%, and 22.0%, respectively. Between 39.0% and 53.0% of respondents attributed their symptoms as either directly related to or exacerbated by the pandemic. Approximately 18% of respondents reported using telehealth for mental health services during the pandemic, and among those, 73.0% indicated a choice to use telehealth even after the pandemic. Conclusions This study found that most Veterans experienced worsening mental health as a result of the COVID-19 pandemic. The use of telehealth services was widely endorsed by mental health treatment-seeking Veterans who transitioned to virtual care during the pandemic. Our findings have important clinical and program administrator implications, emphasizing the need to reach out to support veterans, especially those with pre-existing mental health conditions and to enhance and maintain virtual care even post pandemic.

scholarly journals Prediction of adolescent subjective well-being: A machine learning approach

2019 ◽  
Vol 32 (5) ◽  
pp. e100096
Author(s):  
Naixin Zhang ◽  
Chuanxin Liu ◽  
Zhixuan Chen ◽  
Lin An ◽  
Decheng Ren ◽  
...  
Keyword(s):  
Machine Learning ◽  
At Risk ◽  
Undergraduate Students ◽  
Online Survey ◽  
Well Being ◽  
Gradient Boosting ◽  
Control Procedure ◽  
Learning Approach ◽  
Subjective Well Being ◽  
Machine Learning Approach

BackgroundSubjective well-being (SWB), also known as happiness, plays an important role in evaluating both mental and physical health. Adolescents deserve specific attention because they are under a great variety of stresses and are at risk for mental disorders during adulthood.AimThe present paper aims to predict undergraduate students’ SWB by machine learning method.MethodsGradient Boosting Classifier which was an innovative yet validated machine learning approach was used to analyse data from 10 518 Chinese adolescents. The online survey included 298 factors such as depression and personality. Quality control procedure was used to minimise biases due to online survey reports. We applied feature selection to achieve the balance between optimal prediction and result interpretation.ResultsThe top 20 happiness risks and protective factors were finally brought into the predicting model. Approximately 90% individuals’ SWB can be predicted correctly, and the sensitivity and specificity were about 92% and 90%, respectively.ConclusionsThis result identifies at-risk individuals according to new characteristics and established the foundation for adolescent prevention strategies.

scholarly journals Kidney Care during COVID-19 in the UK: Perspectives of Healthcare Professionals on Impacts on Care Quality and Staff Well-Being

2021 ◽  
Vol 19 (1) ◽  
pp. 188
Author(s):  
Archontissa Maria Kanavaki ◽  
Courtney Jane Lightfoot ◽  
Jared Palmer ◽  
Thomas James Wilkinson ◽  
Alice Caroline Smith ◽  
...  
Keyword(s):  
Online Survey ◽  
Healthcare Professionals ◽  
Healthcare Access ◽  
Healthcare Delivery ◽  
Well Being ◽  
Care Quality ◽  
Free Text ◽  
Structured Interviews ◽  
The Uk ◽  
The Impact

In light of the rapid changes in healthcare delivery due to COVID-19, this study explored kidney healthcare professionals’ (HCPs) perspectives on the impact of these changes on care quality and staff well-being. Fifty-nine HCPs from eight NHS Trusts across England completed an online survey and eight took part in complementary semi-structured interviews between August 2020 and January 2021. Free-text survey responses and interviews were analysed using inductive thematic analysis. Themes described the rapid adaptations, concerns about care quality, benefits from innovations, high work pressure, anxiety and mental exhaustion in staff and the team as a well-being resource. Long-term retention and integration of changes and innovations can improve healthcare access and efficiency, but specification of conditions for its use is warranted. The impact of prolonged stress on renal HCPs also needs to be accounted for in quality planning. Results are further interpreted into a theoretical socio-technical framework.

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