scholarly journals What Are the Common Themes of Physician Resilience? A Meta-Synthesis of Qualitative Studies

2022 ◽  
Vol 19 (1) ◽  
pp. 469
Author(s):  
Nurhanis Syazni Roslan ◽  
Muhamad Saiful Bahri Yusoff ◽  
Karen Morgan ◽  
Asrenee Ab Razak ◽  
Nor Izzah Ahmad Shauki
Keyword(s):  
Search Strategy ◽  
Coping Skills ◽  
Qualitative Studies ◽  
Medical Community ◽  
Work Culture ◽  
Professional Lives ◽  
Adaptive Coping ◽  
Practice Of Medicine ◽  
The Common ◽  
Limited Generalizability

In the practice of medicine, resilience has gained attention as on of the ways to address burnout. Qualitative studies have explored the concept of physician resilience in several contexts. However, individual qualitative studies have limited generalizability, making it difficult to understand the resilience concept in a wider context. This study aims to develop a concept of resilience in the context of physicians’ experience through a meta-synthesis of relevant qualitative studies. Using a predetermined search strategy, we identified nine qualitative studies among 450 participants that reported themes of resilience in developed and developing countries, various specialties, and stages of training. We utilized the meta-ethnography method to generate themes and a line-of-argument synthesis. We identified six key themes of resilience: tenacity, resources, reflective ability, coping skills, control, and growth. The line-of-argument synthesis identified resilient physicians as individuals who are determined in their undertakings, have control in their professional lives, reflect on adversity, utilize adaptive coping strategies, and believe that adversity provides an opportunity for growth. Resilient physicians are supported by individual and organizational resources that include nurturing work culture, teamwork, and support from the medical community and at home. Our findings suggest that resilience in physicians is dynamic and must be supported not only by physician-directed interventions but also by organization-directed interventions.

Mechanisms of Change in Dialectical Behaviour Therapy

2017 ◽  
pp. 514-532
Author(s):  
Tali Boritz ◽  
Richard J. Zeifman ◽  
Shelley F. McMain
Keyword(s):  
Attentional Control ◽  
Research Evidence ◽  
Coping Skills ◽  
Mechanisms Of Change ◽  
Future Research ◽  
Clinical Implications ◽  
Adaptive Coping ◽  
Behaviour Therapy ◽  
Dialectical Behaviour Therapy ◽  
Client Change

Research on processes and mechanisms of change aim to explain how and why an intervention leads to change. Despite some theoretical and empirical progress in understanding processes and mechanisms of change in Dialectical Behaviour Therapy (DBT), this remains an understudied area in the DBT literature. This chapter considers how DBT conceptualizes the etiology and maintenance of dysfunction, and how active ingredients in DBT treatment produce client change. It proposes four key mechanisms of change that have been a focus of scientific efforts in DBT research: (1) increased awareness and acceptance of emotion; (2) increased attentional control; (3) increased ability to modulate emotion; and (4) increased use of adaptive coping skills. Next, it reviews the research evidence to support these putative mechanisms of change. Finally, it discusses clinical implications of this research, and propose recommendations for future research on mechanisms of change in DBT.

scholarly journals Euthanasia and Physician-Assisted Suicide: A Review from Islamic Point of View

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Yousuf RM ◽  
Mohammed Fauzi AR
Keyword(s):  
Assisted Suicide ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Point Of View ◽  
Medical Community ◽  
Physician Assisted Suicide ◽  
Dying Patients ◽  
Practice Of Medicine ◽  
The Subject ◽  
Lay Public

Due to globalizing trend of homogenisation of culture, changes in the health care delivery system and market economics infringing on the practice of medicine, there has been a gradual shift in the attitude of the medical community as well as the lay public towards greater acceptance of euthanasia as an option for terminally ill and dying patients. Physicians in developing countries come across situations where such issues are raised with increasing frequency. As the subject has gained worldwide prominence, we want to review this topic from Islamic perspective due to its significance in medical ethics and clinical practice.

scholarly journals The Moral Dangers of Technocratic Medicine

2019 ◽  
Vol 86 (2-3) ◽  
pp. 231-238
Author(s):  
John M. Travaline
Keyword(s):  
Health Care ◽  
Real Life ◽  
Compassionate Care ◽  
Negative Effects ◽  
Christian Anthropology ◽  
Practice Of Medicine ◽  
The Common

Current healthcare practices are becoming increasingly threatened by technocracy, and the influence of technocratic oversight of medicine as a profession compromises good, compassionate care. A real-life case illustrating how technocratic oversight in health care threatens the practice of medicine and health care in general serves as a basis for discussing some of the common perils inherent in a technocratic model of medicine. This article suggests antidotes and concludes with alternate pathways to practice medicine amid technocratic challenges. Summary: This article discusses technocracy in current U.S. healthcare in order to raise awareness of its potentially negative effects. It then offers an overview of remedies based on Christian anthropology.

scholarly journals Is Pregnancy a Risk Factor for Future Cardiovascular Events?

2017 ◽  
Vol 02 (03) ◽  
pp. 056-062
Author(s):  
Shibba Chhabra ◽  
Ruhani Bali ◽  
Tripat Kaur ◽  
Bhupinder Singh ◽  
Abhishek Goyal ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Gestational Diabetes ◽  
Gestational Hypertension ◽  
Vital Role ◽  
Medical Community ◽  
Common Risk Factors ◽  
The Common ◽  
Physiologic State

AbstractPregnancy is a normal physiologic state in a woman's life, and according to traditional beliefs, it may not be predictive of future cardiovascular disease (CVD) lest it is complicated by some adverse events. Contrary to the previous beliefs, the complications are not limited to pregnancy period and may leave permanent vascular and metabolic damage. Factors such as lipid inflammatory pathways and vascular functions play a vital role in determining the cardiovascular risk in pregnancy. In addition to modifiable and nonmodifiable risk factors, emerging factors like genetics and epigenetics risk, obesity, metabolic syndrome, lifestyle, inflammatory and hypertensive disorders, and endothelial dysfunction with gestational diabetes help in determining the future CVD.The present debate is an effort to study that besides the common risk factors such as gestational hypertension, gestational diabetes, and preeclampsia, preterm delivery, assisted reproductive technology–related pregnancy events, and arrhythmias also have a bearing on future cardiovascular risk of a woman. The awareness in the medical community especially obstetricians, physicians, and cardiologists may play a pivotal role in detecting these complications and appropriate follow-up.

scholarly journals Organization of Rural Microbusinesses Under Specific Family Owners Conditions

2015 ◽  
Vol 7 (3) ◽  
pp. 156-166 ◽  
Author(s):  
Maylis Sposito
Keyword(s):  
Family Business ◽  
The Self ◽  
Professional Lives ◽  
Research Project ◽  
The People ◽  
The Family ◽  
Swiss Jura ◽  
The Common ◽  
Professional Independence ◽  
Socioeconomic Consequences

Abstract The Interreg IV-A research project aims at analysing the socioeconomic consequences of disruptive situations in microbusinesses of the rural French-Swiss Jura region. Several researchers are focusing on this topic within the various institutions involved in the project2. I will rather focus on the common characteristics of microbusinesses on either side of the border. These similarities pertain to the overlapping of the family and business spheres, which often involves an overlapping of statuses, and to the gender relations induced by this overlapping, as well as to the precarious economic situation of these small structures. This article aims at putting into perspective the typology originated by all the biographical interviews collected. This typology compares the figure of the family business heir to that of the self-taught entrepreneur. Such a difference in achieving professional independence brings about strategic patterns of separation/fusion between private and professional lives, patterns which are specific to each above-mentioned ideal type. This typology is yet to be refined, but it already draws attention to the strategies developed by players to separate - or not - family and business spheres. Thus, by tackling the issue of disruption through this typology of company managers, the article will show various influential elements in the event of a disruption, both on the viability of the company and on the personal itinerary of the people involved.

scholarly journals Physical Assault Victimization and Coping Among Adults in Residential Substance Use Disorder Treatment

2013 ◽  
Vol 28 (5) ◽  
pp. 849-864 ◽  
Author(s):  
Erin E. Bonar ◽  
Amy S. B. Bohnert ◽  
Mark A. Ilgen ◽  
Michelle L. Sanborn ◽  
Stephen T. Chermack
Keyword(s):  
Substance Use ◽  
Coping Skills ◽  
Avoidant Coping ◽  
Physical Assault ◽  
Adaptive Coping ◽  
Frequent Use ◽  
Relationship Types ◽  
Disorder Treatment ◽  
Victims Of Violence ◽  
And Coping

Many individuals with substance use disorders (SUDs) have been victims of violence and individuals with SUDs often exhibit coping skills deficits. The extent to which coping skills relate to victimization is unknown. This study evaluated the relationships between physical assault victimization types (i.e., only partner victimization, only nonpartner victimization, or both partner and nonpartner victimization) and emotion-focused, problem-focused, and avoidant coping among individuals in residential SUD treatment. More frequent use of problem-focused coping was associated with reduced odds of being victimized by partners and nonpartners and more frequent use of avoidant coping was associated with increased odds of victimization across both partners and nonpartners. These results highlight the potential value of assessing violence across relationship types and bolstering adaptive coping among individuals with SUDs.

scholarly journals Pengaruh peer group support dan resillience terhadap kemampuan coping adaptif siswa SMA

2018 ◽  
Vol 8 (1) ◽  
pp. 27
Author(s):  
Yunia Widi Astuti ◽  
Noviyanti Kartika Dewi ◽  
Vitalis Djarot Sumarwoto
Keyword(s):  
High School ◽  
High School Students ◽  
Coping Skills ◽  
Peer Group ◽  
Sampling Technique ◽  
Adaptive Coping ◽  
Group Support ◽  
School Students ◽  
Coping Ability ◽  
Psychological Scale

<p>Kemampuan coping adaptif sangat penting dimiliki oleh remaja. Kemampuan <em>coping adaptif</em> membantu remaja untuk bisa memecahkan masalah yang dihadapi dalam menyelesaikan tugas-tugas perkembangannya. Selain itu <em>resiliensi</em> juga memiliki peran yang penting dalam kehidupan remaja yaitu sebagai kemampuan ketahanan diri saat remaja berada pada situasi yang mendesak. Keberhasilan siswa dalam mengatsi masalahnya tidak lepas dari peran penting <em>peer grooup support</em> atau tidak lepas dari dukungan teman sebayanya.<br />Penelitian ini bertujuan untuk  mengetahui pengaruh <em>peer group support dan resilience </em>terhadap kemampuan<em> coping adaptif</em><em> siswa </em>Sekolah Menengah Atas (SMA). Sampel penelitian adalah siswa kelas SMA, yang berjumlah 100 siswa. Teknik penetapan sampel menggunakan teknik sampling jenuh.  Pengumpulan data menggunakan instrumen skala psikologis, untuk mengungkap data tentang <em>peer group support</em>, <em>resilience</em>, dan kemampuan <em>coping adaptif</em>.<br />Berdasarkan hasil analisis data: (1) pengaruh <em>peer group support</em> terhadap kemampuan <em>coping adaptif</em>;  dan (2) pengaruh <em>resilience</em> terhadap kemampuan <em>coping adaptif</em> dianalisis dengan rumus korelasi product moment. Sedangkan (c) pengaruh <em>peer group support</em> dan <em>resilience</em> terhadap kemampuan <em>coping adaptif</em> dianalisis dengan rumus bangun regresi: dua prediktor. Hasil penelitian menunjukan: Ada pengaruh secara signifikan <em>peer group support</em> dan <em>resilience</em> terhadap kemampuan <em>coping adaptif</em> siswa SMA.   </p><strong><em> </em></strong><p align="center"><strong>Abstract</strong><strong></strong></p><p>The ability of adaptive coping is very important for teens. Adaptive coping skills help teenagers to solve the problems they face in completing their developmental tasks. In addition, resilience also has an important role in adolescence as a self-defense ability when teenagers are in an urgent situation. The success of students in mengatsi problem can not be separated from the important role of peer grooup support or can not be separated from the support of peers.<strong></strong><br />This study aims to determine the effect of peer group support and resilience on the ability of adaptive coping of high school students (SMA). The sample of the research is high school students, which amounts to 100 students. Sample determination technique using saturated sampling technique. Data collection using psychological-scale instruments, to reveal data about peer group support, resilience, and adaptive coping skills.<br />Based on data analysis result: (1) peer group support effect on adaptive coping ability; and (2) the effect of resilience on adaptive coping ability is analyzed by product moment correlation formula. While (c) the effect of peer group support and resilience on adaptive coping ability was analyzed by regression build formula: two predictors. The results showed: There is a significant influence peer group support and resilience to the ability of adaptive coping of high school students.</p>

The Wider Considerations in Translating Heart Failure Guidelines

2021 ◽  
Vol 16 ◽  
Author(s):  
Pupalan Iyngkaran ◽  
Andrew Wilson ◽  
James Wong ◽  
David Prior ◽  
David Kaye ◽  
...  
Keyword(s):  
Heart Failure ◽  
Health Care Services ◽  
Models Of Care ◽  
Time Span ◽  
Medical Community ◽  
Evidence Based ◽  
Medicine Development ◽  
Care Services ◽  
The Common ◽  
Based Medicine

: Congestive Heart Failure (CHF) is as an emerging epidemic. Within one generation the medical community has learnt much of the CHF syndrome. It has two distinct mechanisms, systolic and diastolic abnormalities, to account for the common CHF presentation. It is complex as it challenges the available health care services, resource, and funding models in providing an equitable service across the health continuum. Despite improvement in many cardiovascular diseases, some CHF outcomes like readmissions and costs have increased. The reinvigoration of evidence-based medicine, development of health services models of care, standardisation of disease processes with taxonomies have also occurred within the same time span. These processes however need to be linked with health policy as presented in white papers. In this paper we explore achieving optimal CHF guideline recommended outcomes as the science approaches real world translation.

scholarly journals Lifestyle Medicine: The Health Promoting Power of Daily Habits and Practices

2018 ◽  
Vol 12 (6) ◽  
pp. 499-512 ◽  
Author(s):  
James M. Rippe
Keyword(s):  
Metabolic Diseases ◽  
Daily Practice ◽  
Medical Community ◽  
Lifestyle Medicine ◽  
Call To Action ◽  
Practice Of Medicine ◽  
Prevention And Treatment ◽  
Health Promoting ◽  
Evidence Based Guidelines ◽  
Obesity And Cancer

There is no longer any serious doubt that daily habits and actions profoundly affect both short-term and long-term health and quality of life. This concept is supported by literally thousands of research articles and incorporated in multiple evidence-based guidelines for the prevention and/or treatment of chronic metabolic diseases. The study of how habits and actions affect both prevention and treatment of diseases has coalesced around the concept of “lifestyle medicine.” The purpose of this review is to provide an up-to-date summary of many of the modalities fundamental to lifestyle medicine, including physical activity, proper nutrition, weight management, and cigarette smoking cessation. This review will also focus specifically on how these modalities are employed both in the prevention and treatment of chronic diseases including coronary heart disease, diabetes, obesity, and cancer. The review concludes with a Call to Action challenging the medical community to embrace the modalities of lifestyle medicine in the daily practice of medicine.

scholarly journals Online psychosocial group intervention for parents: Positive effects on anxiety and depression

2020 ◽  
Author(s):  
Miriam Douma ◽  
Heleen Maurice-Stam ◽  
Bianca Gorter ◽  
Yvette Krol ◽  
Marieke Verkleij ◽  
...  
Keyword(s):  
Group Intervention ◽  
Coping Skills ◽  
Anxiety And Depression ◽  
Control Group ◽  
Adaptive Coping ◽  
Open Communication ◽  
Waitlist Control ◽  
Positive Effects ◽  
Multicenter Randomized Controlled Trial ◽  
Waitlist Control Group

Abstract Objective To evaluate the efficacy of an online psychosocial group intervention for parents of children with a chronic illness, in terms of anxiety and depression, and disease-related coping skills. Methods Parents (N = 73) participated in a parallel multicenter randomized controlled trial comparing an intervention group to a waitlist control group. In the group intervention Op Koers Online (English: On Track Online) parents learned how to use adaptive coping strategies taught with cognitive behavioral therapy and acceptance and commitment therapy techniques. Assessments (online questionnaires) took place at baseline (T0), 6-months (T1), and 12-months (T2) follow-up. Mixed-model analyses were performed to test the difference in change in outcomes between intervention (N = 34) and waitlist control group (N = 33). Results When compared with the waitlist control group, the intervention had a significant positive effect (p &lt; .05) on changes in anxiety, depression, and total score T1 versus T0 (β = −.47 to −.51) and T2 versus T0 (β = −.39 to −.46), the coping skills open communication, relaxation, social support, acceptance, predictive control (β = .42–.88) and helplessness (β = −.47) T1 versus T0 and relaxation and positive thinking T2 versus T0 (β = .42–.53). Conclusions Parental anxiety and depression decreased, and use of adaptive coping skills improved after the intervention. The online character, the focus on parents themselves instead of on their child and the possibility for parents of children with rare illnesses to participate, are innovative and unique aspects of Op Koers Online for parents. The next step is to implement the intervention in clinical practice.

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