Burnout and Moral Injury Among Consultation-Liaison Psychiatry Trainees

2021 ◽  
Vol 49 (4) ◽  
pp. 543-561
Author(s):  
Paulo M. G. Sales ◽  
Arslaan Arshed ◽  
Camila Cosmo ◽  
Paula Li ◽  
Michael Garrett ◽  
...  
Keyword(s):  
Job Performance ◽  
Well Being ◽  
Fellowship Training ◽  
Moral Injury ◽  
Personal Accomplishment ◽  
Liaison Psychiatry ◽  
Career Growth ◽  
Consultation Liaison Psychiatry ◽  
The Individual ◽  
Mental Well Being

Burnout and moral injury within medicine have steadily increased over the last decades, especially among those providing care during the COVID-19 pandemic. The term burnout has been used to describe clinician distress and a syndrome of emotional exhaustion, a diminished sense of personal accomplishment, and depersonalization. Burnout has a significant impact on both job performance and patient care. Moral injury occurs when external circumstances interact with a person's cherished beliefs and standards. When the tension between them cannot be reconciled, the felt integrity of the individual is disrupted and the person experiences distress. The consultative aspect in consultation-liaison psychiatry (CLP) presents challenges that may predispose the young clinician to burnout and moral injury, especially during fellowship training. CLP psychiatrists also have a liaison role that could catalyze systemlevel change to enhance the mental well-being of their colleagues. This article reviews clinically relevant psychodynamic aspects of burnout and moral injury during CLP training. In addition, the authors propose strategies to enhance career growth and prevent and address moral injury during training to generate fulfilling professional development.

scholarly journals The Value of Recreational Ecosystem Services in India

2020 ◽  
Vol 3 (1) ◽  
pp. 80
Author(s):  
Muniyandi Balasubramanian
Keyword(s):  
Ecosystem Services ◽  
National Park ◽  
Economic Value ◽  
Consumer Surplus ◽  
Well Being ◽  
Vital Role ◽  
Human Beings ◽  
Forest Ecosystem Services ◽  
The Individual ◽  
Mental Well Being

Forest ecosystem services have played a vital role in human well-being. Particularly, recreational ecosystem services are creating physical and mental well-being for human beings. Therefore, the main objective of the paper is to estimate the economic value of recreational ecosystem services provides by recreational sites such as Nandi Hills and Nagarhole National Park based on the individual travel cost method in Karnataka, India. This study has used a random sampling method for 300 tourist visitors to recreational sites. The present study has also estimated the consumer surplus of the visitors. The results of the study have found that (i) economic value of two creational sites has been estimated at US $323.05 million, (ii) the consumer surplus has been estimated for Nandi Hills at US $7.45 and Nagarhole National Park at US $3.16. The main implication of the study is to design the entry fees for the recreational site and sustainable utilization of recreational ecosystem services for the present and future generations.

Characterization of a Referral to Psycho-Oncology Liaison Consults in a General Hospital

2016 ◽  
Vol 33 (S1) ◽  
pp. S499-S500
Author(s):  
J. Ramos ◽  
A. Oliveira
Keyword(s):  
Depressive Disorders ◽  
Well Being ◽  
Adherence To Treatment ◽  
Liaison Psychiatry ◽  
Cancer Disease ◽  
Family Service ◽  
Psychological Suffering ◽  
Competing Interest ◽  
Mental Well Being

IntroductionLiaison psychiatry is based on a practice that lies on the interface between psychological, sociological and biological factors of illness. Cancer is a devastating disease. For many patients the occurrence of it is synonymous of chronic, severe or lethal outcome. It is important for health professionals to be aware of the psychological suffering of these patients and promote a proper use of specialized consultations in order to increase and improve adherence to treatment.AimsTo make known the reality of referral to a Psycho-Oncology Liaison consult and its context in literature.MethodsData collection on applications for the 1st request to Psycho-Oncology liaison consults occurred between 2010–2012 in the variables, gender, age, reason for referral, psychiatric history, cancer diagnosis, knowledge of the referral and who does (patient/family/service) and psychiatric diagnosis. Statistical analysis with Microsoft Excel 2010®.ResultsIt was found that there were 83 applications during the three years, 24 men and 59 women. The most prevalent cancer diagnoses were breast cancer (29.89%) and colorectal carcinoma (19.28%). Most patients had knowledge of the request (75.9%). The reason was mostly for Anxiety and Depression (33.73%).ConclusionCancer disease coupled with feelings of loss of autonomy, hopelessness and pain can lead the patient to develop psychopathology of anxious-depressive disorders. This condition may hamper the normal recovery of the patient. The promotion of mental well-being in cancer patients is critical to recovery and leads to a better adherence to treatment, inclusive can influence survival.Disclosure of interestThe authors have not supplied their declaration of competing interest.

A Mindfulness Course Decreases Burnout and Improves Well-Being among Healthcare Providers

2012 ◽  
Vol 43 (2) ◽  
pp. 119-128 ◽  
Author(s):  
Matthew J. Goodman ◽  
John B. Schorling
Keyword(s):  
Continuing Education ◽  
Stress Reduction ◽  
Healthcare Providers ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
The Body ◽  
Personal Accomplishment ◽  
Work Related ◽  
Mindfulness Based Stress Reduction ◽  
Mental Well Being

Objective: Healthcare providers are under increasing stress and work-related burnout has become common. Mindfulness-based interventions have a potential role in decreasing stress and burnout. The purpose of this study was to determine if a continuing education course based on mindfulness-based stress reduction could decrease burnout and improve mental well-being among healthcare providers, from different professions. Design: This was a pre-post observational study conducted in a university medical center. A total of 93 healthcare providers, including physicians from multiple specialties, nurses, psychologists, and social workers who practiced in both university and community settings, participated. The intervention was a continuing education course based on mindfulness-based stress reduction that met 2.5 hours a week for 8 weeks plus a 7-hour retreat. The classes included training in four types of formal mindfulness practices, including the body scan, mindful movement, walking meditation and sitting meditation, as well as discussion focusing on the application of mindfulness at work. The course was offered 11 times over 6 years. The main outcome measures were work-related burnout as measured by the Maslach Burnout Inventory and self-perceived mental and physical well-being as measured by the SF-12v2. Results: Maslach Burnout Inventory scores improved significantly from before to after the course for both physicians and other healthcare providers for the Emotional Exhaustion ( p < 0.03), Depersonalization ( p < 0.04), and Personal Accomplishment ( p < 0.001) scales. Mental well-being measured by the SF12v2 also improved significantly ( p < 0.001). There were no significant changes in the SF12v2 physical health scores. Conclusion: A continuing education course based on mindfulness-based stress reduction was associated with significant improvements in burnout scores and mental well-being for a broad range of healthcare providers.

scholarly journals Features of Students Ideas about Life Success

2021 ◽  
Vol 12 (1) ◽  
pp. 136-153
Author(s):  
Olena Stroyanovska ◽  
Liubov Dolynska ◽  
Nataliia Shevchenko ◽  
Svitlana Yermakova ◽  
Liudmyla Matiash-Zaiats ◽  
...  
Keyword(s):  
Social Life ◽  
Well Being ◽  
Energy Status ◽  
Personal Motivation ◽  
Career Growth ◽  
Life Success ◽  
The Individual ◽  
Material Values ◽  
Level Of Motivation

The article presents the results of the analysis of scientific research studying the problem of life success and the features of the ideas about it among students of different genders and specialties. The features of understanding of success, successfulness, success in life, as well as the process of achieving it, which is determined by personal motivation for changes and development, accompanied by the energy status of activity, a positive emotional state, leading to the achievement of the desired goal in a certain area of social life and the well-being of the individual, have been determined. The results of the ascertaining experiment confirm the research assumption that the peculiarities of students' ideas about success in life are determined by their gender and the choice of professional specialization. It was found that girls and boys mainly focus on material values, their own self-realization and career growth, which can hinder the maximum comprehensive implementation and high quality of life of the individual in the future. Achieving goals and money as part of life's success are often high on the minds of students, regardless of their specialization. The exceptions are lawyers, for whom self-realization is more important, TV journalists, for whom money comes first, and actors, for whom the most important thing is to satisfy their needs and respect others. Most students assess their level of life success as medium or low, which can reduce their level of motivation, self-esteem, self-efficacy in the implementation of aspirations and requires the development of special psychological recipes to optimize the process of achieving their life success.

Fellowship Training in Consultation-Liaison Psychiatry

1994 ◽  
Vol 35 (2) ◽  
pp. 118-124 ◽  
Author(s):  
Charles V. Ford ◽  
Fawzy I. Fawzy ◽  
Bernard L. Frankel ◽  
Russell Noyes
Keyword(s):  
Fellowship Training ◽  
Liaison Psychiatry ◽  
Consultation Liaison Psychiatry

The impact of employees’ well-being on performance in the workplace

2018 ◽  
Vol 17 (2) ◽  
pp. 72-75 ◽  
Author(s):  
Janice Haddon
Keyword(s):  
Mental Health ◽  
Personal Experience ◽  
Well Being ◽  
Content Type ◽  
Different Types ◽  
The Individual ◽  
Hr Managers ◽  
The Impact ◽  
Mental Well Being ◽  
Made In

Purpose The purpose of this paper is to look at the link between employee well-being in the workplace and its effect on productivity. Specifically, it looks at the different types of well-being (physical, nutritional and mental) and how organisations should be putting the welfare of staff at the heart of their workplace culture, to ensure their well-being and productivity. Design/methodology/approach Written as a viewpoint, the paper outlines the ways in which organisations traditionally offer employees incentives to look after their physical and nutritional well-being, such as gym memberships and healthy food options. It goes on to look at the impact of mental health on productivity and the symptoms employees may display if they are suffering with mental illness. Findings Mental health is one of the key contributors to productivity, and employers should do more to ensure the mental well-being of their staff. In addition, it outlines the impact a person’s mental well-being can have not only on themselves, but also on those around them, affecting, therefore, the productivity of a team/organisation as a whole, not just the individual. Originality/value The findings in the paper are based on personal experience, as well as recent statistics which are used to highlight the importance of the arguments made in the paper about the effect of mental health on and individual’s well-being and productivity. It is designed to advise HR managers and employers of the steps they can take to ensure the well-being of their employees and the benefits to themselves in doing so.

Positive emotions boost employee engagement

2014 ◽  
Vol 22 (1) ◽  
pp. 34-37 ◽  
Author(s):  
Suzanne Hazelton
Keyword(s):  
Organizational Performance ◽  
Employee Engagement ◽  
Positive Emotions ◽  
Negative Emotion ◽  
Well Being ◽  
Organizational Level ◽  
Content Type ◽  
The Individual ◽  
Positive Memories ◽  
Mental Well Being

Purpose – Highlights the power of positive emotions in helping to build individual and organizational success. Design/methodology/approach – Explores the meaning of positive emotions, how they can be promoted at individual and organizational level and the benefits they can bring to the individual and organization. Findings – Advances the view that positive emotions can benefit physical health, mental well-being and the ability to flourish, creativity, resilience, the mood of others, positive memories and relationships. Practical implications – Argues that the positive emotions of the workforce can improve the organizational culture and improve organizational performance. Social implications – Demonstrates that around three positive emotions are needed to balance out each negative emotion and shows that positive emotions can be stimulated through having new experiences and through acts of kindness and gratitude. Originality/value – Extends psychological thinking on positive emotions to the workforce and workplace.

scholarly journals Determinants of Employee Happiness in an Information Technology Company in India

2018 ◽  
Vol 7 (3.10) ◽  
pp. 173 ◽  
Author(s):  
Thiruvenkadam T ◽  
Sudarasan Jayasingh
Keyword(s):  
Well Being ◽  
Organization Culture ◽  
Work Life ◽  
Work Life Balance ◽  
Chi Square ◽  
Life Balance ◽  
Development Organization ◽  
Career Growth ◽  
Mental Well Being ◽  
Employee Happiness

Happiness is the experience of pleasure, satisfaction, or affirmative well-being, pooled with a sense that one’s life is good, significant, and valuable. Happiness is a rational or emotional condition of comfort defined by optimistic or enjoyable emotions ranging from satisfaction to intense delight. The study had been carried out with the objectives to study the level of happiness of employees, to find out the determinants of employee happiness, to analyse the influence of demographic factors on employee happiness and to test how employee happiness is correlated with various factors like, attitude towards self, attitude towards job, career growth and development, organization culture and alignment, physical and mental well-being, work life balance, relationship with team, relationship with managers. The research is descriptive in nature. The size of the population for the IT vertical of the organization with associates in the experience range of 4-7 years is 6000 and the sample taken for study is 410 employees. Purposive sampling method was used for selecting samples from the population. The samples are chosen across different projects in the organization and a quota is assigned in each project for selecting the sample. The data analysis has been done using correlation, chi-square, one way ANOVA and Regression analysis. The results of the study could establish a moderate positive co-relation between the happiness and all eight constructs. The study had been concluded with a remark that the constructs like work life balance, physical and mental well-being, relationship with managers has a significant influence on employee happiness.    

scholarly journals COVID-19 and Mental Well-Being: Guidance on the Application of Behavioral and Positive Well-Being Strategies

Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 336 ◽  
Author(s):  
Amar Kanekar ◽  
Manoj Sharma
Keyword(s):  
Stress Reduction ◽  
National Level ◽  
Well Being ◽  
Coping Mechanisms ◽  
Control Measures ◽  
Community Members ◽  
Infection Control Measures ◽  
Reduction Strategies ◽  
The Individual ◽  
Mental Well Being

The raging COVID-19 pandemic has been a great source of anxiety, distress, and stress among the population. Along with mandates for social distancing and infection control measures, the growing importance of managing and cultivating good mental well-being practices cannot be disregarded. The purpose of this commentary is to outline and discuss some research-proven positive well-being and stress reduction strategies to instill healthy coping mechanisms among individuals and community members. The authors anticipate that usage of these strategies at the individual and the community level should greatly benefit the mental well-being not only in the current COVID-19 pandemic but also in any future epidemics at the national level.

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