scholarly journals Reducing Burnout and Promoting Health and Wellness Among Medical Students, Residents, and Physicians in Alberta: Protocol for a Cross-Sectional Questionnaire Study (Preprint)

2019 ◽  
Author(s):  
Esther Kim ◽  
Robert Mallett ◽  
Marianne Hrabok ◽  
Yajing Alicia Yang ◽  
Chantal Moreau ◽  
...  

BACKGROUND Burnout is an increasingly common and insidious phenomenon experienced by workers in many different fields, although it is of particular concern among physicians and trainees due to the nature of their work. It is estimated that one-third of practicing physicians will experience burnout during their career, and this rate is expected to continue to increase. Burnout has significant implications, as it has been identified as a contributor to increased medical errors, decreased patient satisfaction, substance use, workforce attrition, and suicide. OBJECTIVE This study will evaluate the prevalence and impact of burnout on physicians, residents, and medical students in Alberta. METHODS Quantitative and qualitative data collected through self-administered, anonymous, online questionnaires will be used in this cross-sectional provincial study design. Data collection tools were developed based on published literature and questions from previously validated instruments. The tools capture relevant demographic information, mental health status, and rates of burnout, as well as factors contributing to both burnout and resilience among respondents. We anticipate a sample size of 777 medical students, 959 residents, and 1961 physicians to represent the respective ratios of trainees and practicing physicians in the province of Alberta. RESULTS Study recruitment will begin in September 2020, with 4 weeks of data collection. The results of this study are anticipated within 12 months from the end of data collection. It is expected that the results will provide an overview of the prevalence of burnout among those training and working in medicine in Alberta, identify contributors to burnout, and help develop interventions aimed at reducing burnout. CONCLUSIONS This study’s aim is to examine burnout prevalence and contributing factors among medical trainees and physicians in Alberta. It is expected that the results will identify and examine individual and organizational practices that contribute to burnout and help develop strategies and interventions focused on mitigating burnout and its sequelae. INTERNATIONAL REGISTERED REPORT PRR1-10.2196/16285

10.2196/16285 ◽  
2020 ◽  
Vol 9 (4) ◽  
pp. e16285 ◽  
Author(s):  
Esther Kim ◽  
Robert Mallett ◽  
Marianne Hrabok ◽  
Yajing Alicia Yang ◽  
Chantal Moreau ◽  
...  

Background Burnout is an increasingly common and insidious phenomenon experienced by workers in many different fields, although it is of particular concern among physicians and trainees due to the nature of their work. It is estimated that one-third of practicing physicians will experience burnout during their career, and this rate is expected to continue to increase. Burnout has significant implications, as it has been identified as a contributor to increased medical errors, decreased patient satisfaction, substance use, workforce attrition, and suicide. Objective This study will evaluate the prevalence and impact of burnout on physicians, residents, and medical students in Alberta. Methods Quantitative and qualitative data collected through self-administered, anonymous, online questionnaires will be used in this cross-sectional provincial study design. Data collection tools were developed based on published literature and questions from previously validated instruments. The tools capture relevant demographic information, mental health status, and rates of burnout, as well as factors contributing to both burnout and resilience among respondents. We anticipate a sample size of 777 medical students, 959 residents, and 1961 physicians to represent the respective ratios of trainees and practicing physicians in the province of Alberta. Results Study recruitment will begin in September 2020, with 4 weeks of data collection. The results of this study are anticipated within 12 months from the end of data collection. It is expected that the results will provide an overview of the prevalence of burnout among those training and working in medicine in Alberta, identify contributors to burnout, and help develop interventions aimed at reducing burnout. Conclusions This study’s aim is to examine burnout prevalence and contributing factors among medical trainees and physicians in Alberta. It is expected that the results will identify and examine individual and organizational practices that contribute to burnout and help develop strategies and interventions focused on mitigating burnout and its sequelae. International Registered Report Identifier (IRRID) PRR1-10.2196/16285


2021 ◽  
Vol 30 (20) ◽  
pp. 1190-1197
Author(s):  
Pam Hodge ◽  
Nora Cooper ◽  
Brian P Richardson

Aims: To offer child health student nurses a broader learning experience in practice with an autonomous choice of a volunteer placement area. To reflect the changing nature of health care and the move of care closer to home in the placement experience. To evaluate participants' experiences. Design: This study used descriptive and interpretative methods of qualitative data collection. This successive cross-sectional data collection ran from 2017 to 2020. All data were thematically analysed using Braun and Clarke's model. Methods: Data collection strategies included two focus groups (n=14) and written reflections (n=19). Results: Students identified their increased confidence, development as a professional, wider learning and community engagement. They also appreciated the relief from formal assessment of practice and the chance to focus on the experience. Conclusion: Students positively evaluated this experience, reporting a wider understanding of health and wellbeing in the community. Consideration needs to be given to risk assessments in the areas students undertake the placements and the embedding of the experience into the overall curriculum.


2019 ◽  
Vol 22 (2) ◽  
pp. 99-105
Author(s):  
Herti Maryani ◽  
Lusi Kristiana ◽  
Pramita Andarwati ◽  
Astridya Paramita ◽  
Ira Ummu Aimanah

  PRB is a health service provided to people with chronic diseases. The implementation of PRB has been runningsince 2014, but until now it is still not optimal, one of which is the procurement and availability of medicines. The aim of the study was to study drug management for PRB patients. The research was conducted in Surabaya 2018. This is descriptive research with cross-sectional design. Data collection by in-depth interviews with pharmacy department managers in two FKTP units and pharmacies in Surabaya. Data were analyzed descriptively. The results of the study show that FKTP doesn’t buy medicine with e-purchasing, because the drug is given by the pharmacy according to the BPJS mapping list. The pharmacy has many obstacles to ordering drugs with e-purchase, so the order is done conventionally. The pharmacy orders drugs in several ways using the Order Letter, calling PBF and ordering via the WhatsApp (WA) application. The Guidelines for Procurement of Medicines with E-Purchasing Procedures Based on E-Catalogs already exist, but socialization must continue to be carried out, especially at the level of Puskesmas and pharmacies. Periodic evaluations must be carried out so that problems and defi ciencies that occur in the fi eld can be immediately resolved.Cooperation and good intentions are needed between various parties so that all involved can benefi t from this program, especially PRB patients. Abstrak Program Rujuk Balik (PRB) adalah pelayanan kesehatan yang diberikan kepada penderita penyakit kronis. PRBsudah berjalan sejak tahun 2014, namun masih belum optimal, salah satunya perihal pengelolaan obat. Tujuan penelitian adalah mengkaji pengelolaan obat untuk pasien PRB. Penelitian dilakukan di Surabaya tahun 2018. Jenis penelitian adalah deskriptif dengan desain potong lintang. Pengumpulan data dilakukan dengan wawancara mendalam kepada pengelola bagian farmasi di 2 unit Puskesmas dan 2 Apotek di Surabaya. Data dianalisis secara deskriptif. Hasil penelitian menunjukkan bahwa Puskesmas tidak melakukan pengadaan obat secara e-purchasing, karena obat diberikan oleh apotek sesuai daftar mapping BPJS. Apotek mempunyai banyak kendala dalam melakukan pemesanan obat dengan e-purchase, sehingga pemesanan dilakukan secara konvensional. Apotek melakukan pemesanan obat dengan beberapa cara yaitu menggunakan Surat Pemesanan (SP), menelpon PBF (Perusahaan Besar Farmasi) dan melalui aplikasi WhatsApp (WA).Petunjuk pelaksanaan pengadaan obat dengan prosedur E-Purchasing, berdasarkan E-Catalogue, sudah ada namun sosialisasi harus terus dilakukan terutama di tingkat Puskesmas dan apotek. Evaluasi berkala harus dilakukan agar permasalahan dan kekurangan yang terjadi di lapangan dapat segera diselesaikan. Perlunya kerja sama dan komitmen antar berbagai pihak sehingga semua yang terlibat dapat merasakan manfaat akan program ini, terutama pasien PRB.


2021 ◽  
Vol 9 (2) ◽  
Author(s):  
Ruth O. Hutasuhut ◽  
Fransiska Lintong ◽  
Jimmy F. Rumampuk

Abstract: Low back pain is a musculoskeletal disorder that is often found in society. Low Back Pain can cause quality of life to deteriorate and inhibits certain activities. Certain influential factors such as age, gender, Body Mass Index, stress, length of sitting, and posture when doing work. Low Back Pain is a risk to medical students. Purpose of this study was to determine the relationship between sitting time and complaints of low back pain in students of the Faculty of Medicine, Sam Ratulangi University. The research method used is an observational analytic method with a cross-sectional design. Data were collected using a questionnaire and then analyzed using the Pearson Chi-square test. The results showed a p value (p <0.001) between the length of sitting and complaints of low back pain, with a sitting time of 5- 8 hours. In conclusion, there is a significant relationship between sitting time and complaints of low back pain in students of the Faculty of Medicine, Sam Ratulangi University.Keywords: Low Back Pain, prolonged sitting, medical students  Abstrak: Nyeri Punggung Bawah (NPB) merupakan gangguan muskuloskeletal yang sering ditemukan dalam masyarakat. NPB dapat menyebabkan kualitas hidup memburuk dan menghambat aktivitas tertentu. Beberapa faktor tertentu yang berpengaruh seperti umur, jenis kelamin, Indeks Massa Tubuh, stres, lama duduk, dan sikap tubuh ketika melakukan pekerjaan. NPB berisiko terjadi pada mahasiswa kedokteran. Tujuan dari penelitian ini adalah untuk mengetahui hubungan lama duduk terhadap keluhan nyeri punggung bawah pada mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi. Metode penelitian yang digunakan adalah metode analitik observasional dengan desain potong lintang. Data dikumpulkan menggunakan kuisioner  kemudian di analisis menggunakan uji statistik Pearson Chi-square. Hasil penelitian menunjukan p value (p < 0,001) antara lama duduk dan keluhan nyeri punggung bawah, dengan lama duduk 5- 8 jam. Sebagai simpulan, terdapat hubungan bermakna antara lama duduk terhadap keluhan nyeri punggung bawah pada mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi.Kata Kunci : Nyeri Punggung Bawah, lama duduk, mahasiswa kedokteran 


2021 ◽  
Author(s):  
Anke Boone ◽  
Mathieu Roelants ◽  
Karel Hoppenbrouwers ◽  
Corinne Vandermeulen ◽  
Marc Dubois ◽  
...  

Abstract Introduction. Despite the increasing importance of teamwork in healthcare, medical education still puts great emphasis on individual achievements. The purpose of this study is to examine medical students’ team role preferences, including the association with gender and specialty; and to provide implications for policy makers and medical educators. Methods. We used an exploratory methodology, following a repeated cross-sectional design. Data was collected from first year master students in medicine (n=2293) during five consecutive years (2016 – 2020). The Belbin Team Role Self Perception Inventory (BTRSPI) was used to measure medical students’ self-perceptions of their team role. Results. The Team Worker was the most preferred team role among medical students (35.8%), regardless of study year, gender or specialty. Female and male students had similar team role patterns, although female students scored higher on Team Worker (40.4% vs. 29.1%, p < 0.001) and Completer-Finisher (14.0% vs. 8.0%, p < 0.001). Conclusions. Our findings are encouraging due to the increased importance of interdisciplinary collaborations in healthcare. Nevertheless, policy makers and medical educators should prioritize teamwork skills at all stages (i.e. admission to residency) and levels (i.e. in the explicit and implicit curriculum) to ensure their continued development throughout the educational process.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Solomon Getnet Meshesha ◽  
Mariamawit Yonathan Yeshak ◽  
Gebremedhin Beedemariam Gebretekle ◽  
Zelalem Tilahun ◽  
Teferi Gedif Fenta

Introduction. The majority of the population in developing countries including Ethiopia still relies on traditional medicines (TMs). Patients with chronic illness like diabetes mellitus (DM) are dissatisfied with conventional medicines and thus are more likely to simultaneously use herbal medicines (HMs). However, such practice could result in potential herb-drug interaction. This study aimed to identify the commonly used HMs among patients with DM and determine the magnitude of concomitant use of herbal and conventional antidiabetic medicines. Method. A health facility-based cross-sectional study design was employed using both quantitative and qualitative data collection methods to determine the magnitude of concomitant use. Patients with DM and prescribers from four public hospitals were the study population for the quantitative and qualitative study, respectively. Simple descriptive statistics were used to describe variables for the quantitative data, and content analysis had been conducted manually for qualitative data. Result. Out of 791 respondents, 409 (51.7%) used traditional medicine at least once in their life time, and 357 (45.1%) used traditional medicine in the last six months prior to data collection. A majority (288 (80.7%)) of the respondents used HMs after starting the conventional antidiabetic medicines within the last six months. Moringa stenopetala, Thymus vulgaris, Trigonella foenum-graecum, Nigella sativa, and Allium sativum were among the frequently mentioned HMs. Prescribers were requesting patients’ HM use when they saw sign of liver toxicity and skin disease, and they were not documenting their history in the patient’s chart. Conclusion. Concomitant use of herbal and conventional antidiabetic medicines was a common practice. Cognizant of its potentially serious herb-drug interactions, efforts should be made to improve awareness and knowledge of healthcare providers about HM potential effects. Further studies on dose, frequency, duration, and modes of interaction are recommended.


2014 ◽  
Vol 17 (1) ◽  
pp. 147-162 ◽  
Author(s):  
Alexandra Crispim Boing ◽  
Karen Glazer Peres ◽  
Antonio Fernando Boing ◽  
Pedro C Hallal ◽  
Nilza Nunes Silva ◽  
...  

The present study aims at describing the sampling plan, operational aspects and strategies used to optimize the field work of a cross-sectional, population-based study conducted in a southern capital of Brazil. For this purpose, the sample design, data collection instrument, selection of interviewers, pilot study, data collection, field logistics, quality control, consistency control, costs, and divulgation of results are herein described. The study's response rate was 85.3%. We found that the comparison of frequency measurements with and without self-assessment had no significant impact on the estimates, and that the design effect, estimated at 2, was sufficient for most calculations. The reproducibility of the questionnaire was satisfactory, with Kappa values and intraclass correlation coefficients ranging from 0.6 to 0.9. The strategies used to overcome operational problems, such as counting of households, use of maps, questionnaire structuring, rigorous organization of the field work and monitoring of the estimates were fundamental in conducting the study.


Author(s):  
Prattama Santoso Utomo ◽  
Savitri Shitarukmi ◽  
Noviarina Kurniawati ◽  
Widyandana Widyandana

Background: Learning media do have an important role in facilitating learning for medical students, especially in Problem Based Learning (PBL) curriculum. TV-LEDs, LCDs and whiteboards are currently popular to be used as the learning media for PBL tutorial discussions. TV-LEDs and LCDs are digital technologies which are considered more sophisticated when compared to whiteboards. Undergraduate medical students in Faculty of Medicine, Universitas Gadjah Mada (FM UGM), Yogyakarta-Indonesia attend PBL tutorials every week and use those learning media to facilitate their tutorial discussions. This study aimed to compare the effectiveness of TV-LEDs/LCDs and whiteboards as learning media in PBL tutorial discussion.Methods: A cross-sectional study using both qualitative and quantitative (mixed method) survey approaches. A total of 398 third and fourth year undergraduate medical students of FM UGM participated the survey. Data were collected using a questionnaire that incorporated close-ended questions using likert-scale (quantitative) and open-ended questions (qualitative). Quantitative data were analysed based in ARCS (Attention, Relevance, Confidence, Satisfaction) grouping method and qualitative data were analysed using deductive qualitative analysis.Results: The survey found based on ARCS groups that A = 3,68; R = 3,63; C = 3,69; S = 3,71. These results indicate that students are eager and enthusiastic in using the technology of TV-LEDs/LCDs as learning media. The qualitative responses describe the benefits and limitations of both TV-LEDs/LCDs and whiteboards as learning media in PBL tutorial. Students also provide some suggestions to optimise the benefits of both learning medias in facilitating learning in PBL tutorial.Conclusion: The use of TV-LEDs/LCDs as learning media in PBL tutorial received a positive response overall. TV-LEDs/LCDs are considered more effective and interactive rather than whiteboard. Students suggested that TV-LEDs/LCDs should be used side-by-side with whiteboard.Keywords: TV-LED/LCD, whiteboard, tutorial, learning media, effectiveness, medical student


2021 ◽  
Vol 1 (1) ◽  
pp. 30
Author(s):  
Bernadetha Vania Eveliani ◽  
Shirly Gunawan

Antibiotik merupakan salah satu golongan obat yang banyak digunakan di Indonesia. Data Riskesdas menunjukkan cukup banyak masyarakat yang menyimpan antibiotik di rumah tangga dimana sebagian besar diperoleh tanpa resep dokter. Banyak masyarakat yang melakukan pengobatan sendiri (swamedikasi).  Tingginya angka penggunaan antibiotik tanpa resep dokter membuat penggunaannya menjadi irasional dan berdampak pada  timbulnya resistensi obat. Salah satu faktor penyebabnya ialah kurangnya pengetahuan masyarakat mengenai penggunaan obat, khususnya antibiotik. Studi ini bertujuan untuk mengetahui gambaran ketepatan penggunaan dan tingkat pengetahuan mengenai antibiotik pada karyawan Universitas Tarumanagara. Studi ini bersifat deskriptif, dilakukan dengan desain cross sectional survey. Pengumpulan data dilakukan melalui pemberian kuesioner terhadap 114 orang responden. Dari hasil penelitian ini diketahui sebagian besar responden yaitu sebanyak 104 orang (91,2%) mengonsumsi antibiotik amoxycillin. Ketepatan dalam penggunaan antibiotik dinilai dari ketepatan dosis, frekuensi minum obat dan lama pemberian obat. Hasil studi  menunjukkan sebanyak 100% responden telah mengonsumsi antibiotik dengan dosis tepat.  Sebagian besar responden tepat mengonsumsi obat sesuai frekuensi yang dianjurkan (88,6%), dan 93,9% tepat mengonsumsi antibiotik sesuai dengan lama waktu yang seharusnya. Secara umum dapat dinilai sebanyak 70,2% responden telah menggunakan antibiotik dengan tepat dan 47,4% responden memiliki pengetahuan “baik” mengenai antibiotik. Masih ada sebagian responden yang menggunakan antibiotik dengan tidak tepat sehingga perlu ditingkatkan pengetahuan mengenai antibiotik supaya tidak terjadi resistensi antibiotik. Antibiotics are widely used in Indonesia. Riset Kesehatan Dasar (Riskesdas) shows that some people store antibiotics at home, most of which are obtained without a doctor's prescription. Many people do self-medication. The high rate of use of antibiotics without a doctor's prescription makes their use irrational and impacts the emergence of drug resistance. One of the contributing factors is the lack of public knowledge about the use of drugs, especially antibiotics. This study aims to describe the accuracy of the use and level of knowledge about antibiotics in Tarumanagara University employees. This study is descriptive, conducted with a cross-sectional survey design. Data was collected through the provision of questionnaires to 114 respondents. This study showed that most of the respondents, as many as 104 people (91.2%), took amoxicillin antibiotics. The accuracy of antibiotics-using is assessed by determining the accuracy of the dose, frequency of drug-taking, and duration of drug administration. The study results showed that as many as 100% of the respondents had taken the correct dose of antibiotics. Most of the respondents took the right medicine according to the recommended frequency (88.6%) and duration (93.9%). The study showed that 70.2% of respondents had used antibiotics correctly, and 47.4% of respondents have "good" knowledge about antibiotics. Some respondents still misuse antibiotics, so that knowledge about antibiotics needs to be increased so that antibiotic resistance does not occur.


2018 ◽  
Vol 17 (1) ◽  
pp. 160940691775078 ◽  
Author(s):  
Amy J. Zhang ◽  
Lauren Albrecht ◽  
Shannon D. Scott

Background: Twitter is one of the most popular social media platforms. The growing use of Twitter by health-care consumers creates a novel venue to understand patient experiences. To understand the potential for this platform to be utilized in patient- and family-oriented health research, this study reviewed published literature on the use of Twitter in health research. Methods: In collaboration with the research team, a research librarian designed and implemented a search strategy in eight databases. Primary and secondary screenings were conducted using predetermined criteria by one reviewer. A second reviewer verified screening decisions in 10% of the studies. Evidence tables were created to synthesize across the following study elements: research design, data collection techniques, analytic approaches, and author’s insights on Twitter as a data collection method. Descriptive narrative analysis was used to synthesize data. Results: The search strategy captured 618 articles; 233 were eliminated in primary screening and 366 articles were eliminated during secondary screening. Verification by the second reviewer resulted in very good agreement (κ = .980). Seventeen articles were included in the final data set. Synthesis across the studies demonstrated that Twitter is currently used to search and mine research data, while active recruitment strategies on Twitter are just beginning to emerge. Conclusion: The novelty of Twitter for study recruitment and data collection with health-care consumers presents advantages and challenges that differ from traditional methods of data collection.


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