scholarly journals Increasing Resident Physician Well-Being through a Motivational Fitness Curriculum: A Pilot Study

2020 ◽  
Vol 13 ◽  
pp. 228-234
Author(s):  
Ruth Nutting ◽  
Justin Grant ◽  
Samuel Ofei-Dodoo ◽  
Matthew Runde ◽  
Kethlyn Staab ◽  
...  
Keyword(s):  
Pilot Study ◽  
Family Medicine ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Resident Physician ◽  
Personal Accomplishment ◽  
Depression Anxiety Stress Scale ◽  
Post Intervention ◽  
Resident Physicians ◽  
Fitness Curriculum

Introduction. Healthcare professionals who participate in regular exercise better manage job related stressors, utilize fewer sick days, and discuss fitness with patients at increased rates. Although resident physicians are aware of the health benefits of exercise their rates of exercise are much lower than among medical trainees and practicing physicians. Resident physicians have reported lack of time for traditional structured workouts as one of the greatest barriers to fitness. This study sought to increase resident physician well-being by providing brief workouts through a motivational fitness curriculum. Methods. This pilot study utilized a nonexperimental design; a pre-/post-intervention consisted of a 10-month motivational fitness curriculum. Thirteen family medicine residents at a training program in the midwestern United States participated in this study. The Depression Anxiety Stress Scale-21 (DASS-21) and the Abbreviated Maslach Burnout Inventory (MBI-9) were used to measure the participants’ well-being, pre- and post-curriculum. Standard descriptive statistics and paired samples t-test were used to analyze the data. Results. Twenty-eight percent (13/36) of eligible first-year and second-year family medicine resident physicians participated in the study. On the DASS-21, study participants displayed an improvement in depression, anxiety, and stress scores post-curriculum. On the MBI-9, the participants reported decreased score in emotional exhaustion, but there were no changes in depersonalization and personal accomplishment scores over time.Conclusion. A motivational fitness curriculum may be a convenient way to support well-being among resident physicians. These findings were salient, as graduate medical education programs can implement similar initiatives to support resident physicians’ psychological and physical well-being.

scholarly journals Outcomes of an Equine Assisted Learning Curriculum to Support Well-Being of Medical Students and Residents

2021 ◽  
Vol 8 ◽  
pp. 238212052110164
Author(s):  
Nicole L Artz ◽  
Jesse Robbins ◽  
Suzanne T Millman
Keyword(s):  
Medical Students ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Analysis Of Covariance ◽  
Added Value ◽  
Post Intervention ◽  
Positive Effects ◽  
Resident Physicians ◽  
Equine Assisted ◽  
Equine Assisted Learning

Objectives of this study were to evaluate an equine assisted learning (EAL) curriculum designed for medical students and resident physicians, and to determine impacts of the curriculum on participant perceptions of burnout and well-being. The EAL curriculum incorporated evidence-based skills and concepts to increase happiness and/or resilience. A pre/post intervention design was used, with 18 EAL participants receiving the curriculum within their month-long community based primary care clerkship elective, and 10 control (CTL) participants who did not receive the curriculum within their clerkship elective. Three waves of surveys tested participant responses before, immediately after, and 3 months after the intervention. Patient Health Questionnaire-4 (PHQ-4) screened for depression and anxiety, and Maslach Burnout Inventory- Human Services Survey for Medical Personnel (MBI) addressed burnout. Analysis of covariance evaluated differences between EAL and CTL groups. EAL participants rated the curriculum highly (9.2 on a 10-point scale). The evaluations were overwhelmingly positive with participants able to identify key concepts that were most helpful, how they would apply those concepts to patient care and interactions with colleagues, and how the horses added value to their learning experience. Significant positive effects of EAL on burnout were identified in terms of improved MBI personal achievement scores, as well as a trend towards improved well-being scores. There was also a trend ( P < .08) towards PHQ-4 depression scores to be lower in EAL group at T3. In conclusion, this study is the first to provide AU: quantitative evidence of positive outcomes associated with an EAL curriculum designed to strengthen well-being in medical students and resident physicians.

scholarly journals Mind-Body Skills Training for Resident Wellness: A Pilot Study of a Brief Mindfulness Intervention

2018 ◽  
Vol 5 ◽  
pp. 238212051877306 ◽  
Author(s):  
Laura E Romcevich ◽  
Suzanne Reed ◽  
Stacy R Flowers ◽  
Kathi J Kemper ◽  
John D Mahan
Keyword(s):  
Pilot Study ◽  
Perceived Stress ◽  
Maslach Burnout Inventory ◽  
Management Training ◽  
Skills Training ◽  
Post Intervention ◽  
Stress Management Training ◽  
Resident Physicians ◽  
Resident Wellness

Background: Interventions to address burnout include mind-body skills training (MBST), but few studies have evaluated the feasibility of MBST for busy pediatric residents. Objective: In this pilot study, we tested the feasibility of a brief MBST intervention, using in-person peer-led training supported by online modules, to decrease stress and burnout in pediatric resident physicians. Methods: Of 99 (10%) residents, 10 residents at Nationwide Children’s Hospital in Ohio participated in up to four 90-minute MBST sessions more than 1 month, led by a co-resident with 5 years of informal training in mind-body skills. Participants were offered 8 assigned online modules through OSU Center for Integrative Health and Wellness. Measures including Maslach Burnout Inventory (MBI), Cohen’s Perceived Stress, Smith’s Brief Resilience, Cognitive and Affective Mindfulness Scale-Revised, and Neff’s Self-Compassion Scale (NSS) were administered before (T1) and after (T2) the course. Participants were offered optional monthly “maintenance” sessions for 6 months and completed a third set of measures at this follow-up (T3). Results: The residents completed an average of 4.3/8 online modules and attended an average of 2.8/4 in-person sessions. There was significant improvement in positive attitude, perceived stress, and resilience post intervention (T2). Follow-up evaluation (T3) also demonstrated significant improvement in burnout (depersonalization) and mindfulness. More than 75% of participants found the course worthwhile. Conclusions: A short mixed-method mindfulness-based skills course may be a practical way to offer resilience and stress management training to busy resident physicians.

Mindfulness: Assessing the Feasibility of a Pilot Intervention to Reduce Stress and Burnout

2018 ◽  
Vol 37 (2) ◽  
pp. 175-188 ◽  
Author(s):  
Kate M. Montanari ◽  
Cassandra L. Bowe ◽  
Sherry S. Chesak ◽  
Susanne M. Cutshall
Keyword(s):  
Design Method ◽  
Low Cost ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Personal Accomplishment ◽  
Positive Finding ◽  
Post Intervention ◽  
Post Test ◽  
The Mean ◽  
Stress At Work

Purpose: To examine the feasibility of a brief mindfulness intervention and to reduce nurse stress and burnout in an inpatient medical unit. Design: Single-arm, pre/post test study design. Method: Perceived Stress Scale (PSS), Maslach Burnout Inventory (MBI), and pre/post demographic questionnaires given at pre-intervention (baseline) and 6 weeks post-intervention. Intervention effectiveness was compared between the pre-survey ( N = 52) and post-survey ( N = 33). Five choices were offered to inpatient staff: a guided mindfulness CD, soothing sounds machine with a breathing technique instructional, mindfulness prompts, a journal, and water/snacks during six consecutive weekends. Findings: The mean PSS score did not improve and demonstrated a slight increase during the six-weekend intervention. However, mean MBI scores for the subscales of emotional exhaustion and depersonalization did demonstrate improvement as evident by decreased scores. Additionally, the mean MBI score for the subscale of personal accomplishment also improved with increased scores. Qualitative themes were positive and included relaxation, nourishment, and refocus. Majority of participants (75%) perceived the intervention as being effective or very effective in reducing stress at work. Respondents were “interested” or “very interested” in continuing a similar intervention in the future (84.9%). Conclusion: The improvement in scores for the MBI measures were a positive finding. The intervention was low cost, individualized, and accessible. The feasibility and perceptions of the intervention’s effectiveness has positive implications for the well-being of nurses.

scholarly journals Burnout in gastroenterology registrars: a pilot study of trainees in the East of England

2020 ◽  
Author(s):  
John Ong ◽  
Carla Swift ◽  
Wanyen Lim ◽  
Sharon Ong ◽  
Yasseen Al-Naeeb ◽  
...  
Keyword(s):  
Pilot Study ◽  
Emotional Exhaustion ◽  
Support Services ◽  
Human Services ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Professional Support ◽  
Free Text ◽  
List Type ◽  
Item Questionnaire

ABSTRACTObjectiveThe scale of burnout in UK gastroenterology trainees and the feasibility to determine its prevalence using the validated Maslach Burnout Inventory Human Services Survey (MBI-HSS) tool are unknown. A region-wide pilot study was conducted to determine the uptake of a 31-item questionnaire and estimate the prevalence of burnout in gastroenterology trainees within the East of England deanery (EoE). Symptom severity across the three domains of burnout (emotional exhaustion, depersonalisation, and low personal accomplishment), and frequently experienced stressors by gastroenterology trainees were also studied.DesignThis was a cross-sectional study involving gastroenterology trainees from 16 hospitals across EoE using a 31-item questionnaire. The questionnaire consisted of the 22-item MBI-HSS and 9 additional free-text questions. All gastroenterology trainees in EoE were invited to complete the anonymized survey online. Data were analysed quantitatively and qualitatively.ResultsUptake of the survey was above-average; 44.0% (40/91) response rate. 57.5% (23/40) of gastroenterology trainees suffered emotional exhaustion. 23.5% (8/34) had depersonalisation and 63.9% (23/36) experienced low professional accomplishment. Burnout prevalence was 35.3% (12/34). Only 48.4% (15/31) of gastroenterology trainees were aware of professional support services within EoE. Stressors related to service requirements and professional relationships were commonly reported; 65.6% and 25.0% respectively.ConclusionsIt is feasible to use a 31-item questionnaire to detect and study burnout in a national cohort of gastroenterology trainees. Burnout in EoE gastroenterology trainees was high and this may reflect the national prevalence within the specialty. Larger studies, greater awareness of burnout, and better access to professional support services are needed.Summary BoxWhat is already known about the subject?Burnout in physicians is a growing problem worldwide which can lead to personal ill-health and suboptimal patient care.Burnout in young gastroenterology fellows in the US are reported as high as 50% but the prevalence in UK gastroenterology trainees is unknown.The Maslach Burnout Inventory - Human Services Survey (MBI-HSS) is the most validated tool to determine physician burnout but survey length may affect uptake by UK gastroenterology trainees and the feasibility of future studies.What are the new findings?This pilot study demonstrated the feasibility of a 31-item questionnaire which included the MBI-HSS in studying burnout in UK gastroenterology trainees.Emotional exhaustion and a sense of low personal accomplishment affect more than half of gastroenterology trainees within the East of England.The prevalence of burnout in UK gastroenterology trainees is estimated to be high (35.3%) but larger studies are needed.Approximately half of gastroenterology trainees in the East of England were not aware of existing support services to help them cope with burnout.How might it impact on clinical practice in the foreseeable future?This pilot study may increase the awareness of burnout among UK trainees and trainers in gastroenterology.An estimate of burnout prevalence in UK gastroenterology trainees is provided so future research and remediation measures in the specialty can be justified.

Self-Reported Emotional Intelligence, Burnout and Engagement among Staff in Services for People with Intellectual Disabilities

2004 ◽  
Vol 95 (2) ◽  
pp. 386-390 ◽  
Author(s):  
Auxiliadora Durán ◽  
Natalio Extremera ◽  
Lourdes Rey
Keyword(s):  
Emotional Intelligence ◽  
Intellectual Disabilities ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Personal Accomplishment ◽  
Work Related ◽  
Significant Relationships ◽  
People With Intellectual Disabilities ◽  
Mood Scale ◽  
The Relationship

This study examined the relationship among dimensions of self-reported Emotional Intelligence, Engagement and Burnout, using the Trait Meta-Mood Scale, Maslach Burnout Inventory and Utrecht Work Engagement Scale in a sample of Spanish professionals who work at institutions for people with intellectual disabilities. The results showed that Emotional Clarity was significantly associated with Personal Accomplishment ( r = .25) and Dedication ( r = .25). Further, Repair to moods was significantly correlated with all Engagement dimensions (.20 Vigor, .30 Dedication, .36 Absorption) and with Personal Accomplishment (.31). These findings extend previous research with college students in which Clarity and Repair to moods subscales were relevant predictors of well-being indexes and interpersonal functioning and suggest that the Trait Meta-Mood Scale subscales also show significant relationships with emotional functioning and work-related variables in a professional sample.

Burnout and Workplace Deviance among Flight Attendants in Taiwan

2007 ◽  
Vol 101 (2) ◽  
pp. 457-468 ◽  
Author(s):  
Su-Chiun Liang ◽  
An-Tien Hsieh
Keyword(s):  
Emotional Exhaustion ◽  
Deviant Behavior ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Workplace Deviance ◽  
Personal Accomplishment ◽  
Three Dimensions ◽  
Flight Attendants ◽  
Hierarchical Regression ◽  
Voluntary Behavior

The relationship between burnout and workplace deviance, identified as a component of job performance, was examined. Burnout was assessed with the Maslach Burnout Inventory which has three dimensions, Emotional Exhaustion, Depersonalization, and Reduced Personal Accomplishment. Workplace deviance was defined as voluntary behavior that violates significant organizational norms and threatens the well-being of an organization, its members, or both. This was assessed with the Workplace Deviance Scale, measuring the extent to which the participants had engaged in workplace deviant behavior such as taking property from work without permission, making fun of someone at work, or cursing at someone at work. Anonymous questionnaires with stamped envelopes were distributed to a sample of 1,470 Taiwanese flight attendants at the Arrival Hall of Taiwan Taoyuan International Airport. A response rate of 22.45% was obtained. After cases with missing data ( n = 27) had been eliminated, the sample totaled 303, 17 men and 286 women. The average age was 28.7 yr. ( SD = 4.6). Results of hierarchical regression showed that Depersonalization scores were significantly predictive of Workplace Deviance scores but not Emotional Exhaustion and Reduced Personal Accomplishment scores. Possible reasons and implications of these findings were discussed.

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 Reducing workplace burnout: The relative benefits of cardiovascular and resistance exercise

2014 ◽  
Author(s):  
Rachel J Bretland ◽  
Einar B Thorsteinsson
Keyword(s):  
Psychological Distress ◽  
Resistance Exercise ◽  
Perceived Stress ◽  
Emotional Exhaustion ◽  
Small Sample Size ◽  
Relative Effectiveness ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Small Sample ◽  
Personal Accomplishment

Objectives. With 43% of Australians experiencing occupational burnout therapies for burnout reduction are paramount to organisational efficiency. Exercise has potential to provide a multilevel and cost effective burnout intervention. The current study aims to extend the literature by comparing cardiovascular with resistance exercise to assess their relative effectiveness against well-being, perceived stress, and burnout. Design. Participants were 49 (36 females and 13 males) previously inactive volunteers ranging in age from 19 to 68 that completed a four week exercise program of either cardiovascular, resistance, or no exercise (control). Method. Participants were measured against the Subjective Exercise Experience Scale, the Perceived Stress Scale, and the Maslach Burnout Inventory. Results. After four weeks of exercise participants had greater positive well-being and personal accomplishment, and concomitantly less psychological distress, perceived stress, and emotional exhaustion. Cardiovascular exercise was found to increase well-being and decrease psychological distress, perceived stress, and emotional exhaustion. Resistance training was noticeably effective in increasing well-being and personal accomplishment and to reduce perceived stress. Our preliminary findings revealed large effect sizes suggesting that exercise may be an effective treatment for burnout. However, given a small sample size further research needs to be conducted. Conclusion. Different types of exercise may thus help protect against burnout as exercise seems to increase well-being and personal accomplishment while decreasing psychological distress, perceived stress, and emotional exhaustion. Organisations that want to address burnout can assist by improving their employees’ access to regular exercise programs.

scholarly journals Prevalence of Burnout and Associated Factors Among Family Medicine Residency in Thailand

2020 ◽  
Vol 7 ◽  
pp. 238212052094492
Author(s):  
Achariya Charoentanyarak ◽  
Thunyarat Anothaisintawee ◽  
Ruankwan Kanhasing ◽  
Panitee Poonpetcharat
Keyword(s):  
Logistic Regression ◽  
Family Medicine ◽  
Emotional Exhaustion ◽  
Associated Factors ◽  
Multivariate Logistic Regression Analysis ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Relationship Problems ◽  
High Level ◽  
Family Medicine Residents

Objectives: To assess the prevalence of burnout and associated factors among family medicine residents in Thailand. Materials and Methods: This cross-sectional study was conducted by all Thai Family Medicine residents year 1 to 3 during February 2019. Self-reported questionnaires, including demographic data, and the Thai version of the Maslach Burnout Inventory were distributed to 703 residents via electronic transmissions, including e-mail, Facebook, and Line instant communication application. Burnout was diagnosed by the following criteria: high-level emotional exhaustion, high-level depersonalization, and low-level personal accomplishment. Factors associated with burnout were explored by the univariate logistic regression model. Multivariate logistic regression analysis was applied to examine the independent risk factors of burnout among Thai Family Medicine residents. Results: There were 149 residents who participated in this study, with a response rate of 21% (n = 703). As no residents diagnosed with burnout using the proposed criteria, burnout was, therefore, redefined as residents reporting high-level emotional exhaustion and high-level depersonalization. The prevalence of burnout in family medicine residents in this study was 10.74% (95% confidence interval [CI]: 6.26%-16.85%). Our study found that having relationship problems with patients, having relationship problems with colleagues, and having thought of resigning from the training program were independently associated with burnout with odds ratios of 6.93 (95% CI: 1.64-29.27), 6.31 (95% CI: 1.89-21.12), and 4.16 (95% CI: 1.09-15.81), respectively. Conclusions: Burnout at high level in emotional exhaustion and high level in depersonalization can occur among family medicine residents. Concerning factors were found to be patient and colleague relationship problems and having thought of resigning from the residency program. Other factors that may contribute to burnout were type of training programs, insufficient income, and family relationship. We recommend that the training institute should be able to monitor residents’ stress level and to help prevent those who have burnout and reduce its impact.

Abuse During Childhood and Burnout

2017 ◽  
Vol 41 (S1) ◽  
pp. S152-S152
Author(s):  
E. Di Giacomo ◽  
F. Pescatore ◽  
F. Colmegna ◽  
F. Di Carlo ◽  
M. Clerici
Keyword(s):  
Sexual Abuse ◽  
Pilot Study ◽  
Emotional Exhaustion ◽  
Childhood Maltreatment ◽  
Statistical Significance ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Emotional Neglect ◽  
Childhood Trauma Questionnaire ◽  
Psychiatric Department

BackgroundChildhood maltreatment is the most important risk factor for the onset of psychiatric disorders. Revictimization is really frequent as well as substance or alcohol abuse, often linked to self-treatment. Accordingly, our pilot study aims to analyze possible implication of childhood maltreatment on resilience and burnout.MethodsPatients admitted to outpatients psychiatric department in a six month period (1st January 2015–30th June 2015) complaining low to moderate anxiety or depression have been administered childhood trauma questionnaire (CTQ) and Maslach burnout inventory.ResultsCTQ results in 71 (87%) Emotional Neglect (EN), 2 (2.4%) Sexual Abuse (SA) and 2 (2.4%) Physical Abuse (PA). Twenty-one showed high emotional exhaustion, 21 high depersonalization, 9 moderate personal accomplishment while 1 showed low personal accomplishment. None of the patients who suffered child sexual abuse shows depersonalization or personal accomplishment difficulties linked to burnout. Patients negative to CTQ show respectively moderate emotional exhaustion (M = 20 ± 20.15), moderate depersonalization (11 ± 9.42) and high personal accomplishment (17 ± 12.38). Patients who suffered emotional neglect show the poorest profile at Maslach, particularly regarding emotional exhaustion. ANOVA reaches statistical significance among the 3 groups of detected abuse (EN, SA, PA) in personal accomplishment (P = 0.013) confirmed at POST HOC between EN and SA (P = 0.0004).ConclusionThe results obtained in this pilot study highlight two important considerations. First, it seems urgent to stress the huge prevalence of emotional neglect among those referred to psychiatric outpatient department due to moderate anxiety or depression complain. Moreover, emotional neglect appears to be the most compromised factor of burnout, especially if compared to sexual abuse.

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