scholarly journals Changing the Conversation From Burnout to Wellness: Physician Well-being in Residency Training Programs

2009 ◽  
Vol 1 (2) ◽  
pp. 225-230 ◽  
Author(s):  
Jodie Eckleberry-Hunt ◽  
Anne Van Dyke ◽  
David Lick ◽  
Jennifer Tucciarone
Keyword(s):  
Cultural Change ◽  
Culture Change ◽  
Well Being ◽  
Community Based ◽  
Physician Wellness ◽  
Raising Awareness ◽  
Strength Based ◽  
Definition Of ◽  
Patient Relationships ◽  
Physician Patient

Abstract Background The existing literature either does not address physician wellness or defines it as a lack of burnout. The goal of this article is to call attention to this important gap in the literature and provide ideas for how to fill it. We need a culture change, and we propose that this change begin within graduate medical education. Methods We describe a case example of culture change and definitions of wellness at William Beaumont Hospitals, Troy Family Medicine Residency Program, a community-based, university-affiliated program in suburban Detroit, Michigan. Results We developed a toolbox of practical steps to create a culture that emphasizes wellness. We present a general timeline illustrating necessary steps toward accomplishing a true cultural change. Discussion The time has come for academic medicine to move beyond a simple discussion of physician burnout. To do this, we must first develop a shared definition of physician wellness followed by interventional strategies to bolster it. The benefits of cultural change include providing a more positive educational environment for residents and faculty, raising awareness of burnout and its symptoms, decreasing the stigma associated with admitting burnout symptoms, enabling the development of prevention strategies, and creating a more positive, strength-based approach to understanding the toll of physician-patient relationships on physicians.

scholarly journals Rural Kansas Family Physician Satisfaction with Caring for Spanish-Speaking Only Patients

2019 ◽  
Vol 10 (4) ◽  
pp. 79-83
Author(s):  
Theresia Neill ◽  
Gretchen Irwin ◽  
C. Scott Owings ◽  
William Cathcart-Rake
Keyword(s):  
Response Rate ◽  
Cross Sectional Study ◽  
Language Barrier ◽  
Physician Satisfaction ◽  
Cross Sectional ◽  
Spanish Speaking ◽  
Physician Wellness ◽  
Clinical Encounters ◽  
Patient Relationships ◽  
Physician Patient

Introduction. Patient satisfaction with the care they receive can beinfluenced negatively by a language barrier between the physician andpatient. However, there is a paucity of information regarding the consequencesof a language barrier on physician satisfaction, althoughthis barrier has the potential to decrease physician wellness. Thisstudy sought to determine if a language barrier is a source of professionaldissatisfaction in family medicine physicians in rural Kansas. Methods. In a cross-sectional study, members of the Kansas Academyof Family Physicians who practiced in the rural Kansas countieswith the highest percentage of Hispanic residents were surveyed. Aquestionnaire was developed to determine the demographics of thephysician, details regarding his or her practice, and percentage of Hispanicand Spanish-speaking only (SSO) patients in their practice.Physicians also were queried as to their level of Spanish-speakingability, availability of certified interpreters, and their satisfaction withcaring for their SSO patients. Results. Fifty-two physicians were identified and sent questionnairesby mail. Eighteen questionnaires were completed and returned, resultingin a 34% response rate. Respondents remained anonymous. In thepractices surveyed, 61% of practice settings had a Hispanic-patientpopulation greater than 25%. Only one of the eighteen respondentshad greater than 25% of SSO patients in his or her practice. A certifiedinterpreter was used less than 25% of the time in over 75% ofthe clinical encounters with SSO patients. Seventy-five percent ofphysicians reported no difficulty establishing trust and rapport withtheir SSO patients. Eighty-nine percent of respondents rated theirrelationship with SSO patients as good to excellent, and 83% weresatisfied with the care they were able to provide this group. Seventyeightpercent of respondents reported that their ability to care forSSO patients decreased or had no effect on their professional satisfaction.Seventy-eight percent of physicians also rated their overallprofessional satisfaction in regards to their physician/patient relationshipas good to excellent. However, language barriers affectedphysician-patient relationships, physician satisfaction with care, andprofessional satisfaction. Conclusion. Language barrier affected physician’s relationships withSSO patients, led to decreased physician satisfaction with the carethey provided and to decreased professional satisfaction.KS J Med 2017;10(4):79-83.

scholarly journals Urban Regeneration Process: The Case of a Residential Complex in a Suburb of Rome, Italy

2019 ◽  
Vol 11 (21) ◽  
pp. 6122 ◽  
Author(s):  
Alessandra Battisti ◽  
Asia Barnocchi ◽  
Silvia Iorio
Keyword(s):  
Quantitative Analysis ◽  
Action Research ◽  
Social Inequalities ◽  
Local Population ◽  
Well Being ◽  
Research Process ◽  
Local Network ◽  
Community Based ◽  
Sustainable Solutions ◽  
Definition Of

With the aim of promoting biological, social and psychological well-being, a multi-institutional and multidisciplinary action-research process was developed for the regeneration of a large residential complex in Rome, Italy. A methodology with a community-based approach was adopted in a context where spatial segregation is intertwined with health and social inequalities. Methods: Through qualitative-quantitative analysis involving the active participation of the local population and institutions in every stage, an integrated survey model was developed in order to create proper communication between the needs of the population and sustainable solutions. Results: the implemented process allowed for clear planning of actions and interventions that could be economically sustainable through the structuring and development of a local network. Conclusions: the process involving the participation of the population in the analysis of their own problems and difficulties, as well as in the development of possible interventions and actions to be proposed, appears to be the only adequate approach that allows for the definition of mutual objectives based on the real needs of the end users.

Community-based health care in disasters

1991 ◽  
Vol 31 (284) ◽  
pp. 524-532
Author(s):  
Bruce Dick
Keyword(s):  
Health Care ◽  
Well Being ◽  
World Health ◽  
Major Goal ◽  
Community Based ◽  
The World ◽  
Vulnerable People ◽  
Definition Of Health ◽  
Definition Of ◽  
Year 2000

“Health for All by the Year 2000” has been a major goal, an important rallying cry for individuals and organizations around the world concerned about improving the physical, mental and social well-being of vulnerable people. Of course it has been a somewhat idealistic goal, as has the World Health Organization's definition of health. However, it has served a useful function, both in terms of what it says positively about our vision for the future and also by reminding us, implicitly if not explicitly, that for many hundreds of millions of people the reality is still very far from the dream.

Social Capital and Sustainable Health Care: An Analysis of Community Based Palliative Care Model of Kerala

2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Abdul Azeez. E.P
Keyword(s):  
Social Capital ◽  
Palliative Care ◽  
Social Services ◽  
Social Inclusion ◽  
Well Being ◽  
Vital Role ◽  
Voluntary Organizations ◽  
Community Based ◽  
The Social ◽  
Palliative Care Units

Social Capital is the most crucial asset which significantly influence the efficacy and resilience of any community. Social capital is a dependent variable that depends upon the competence and coherence of the individuals in the community and mode of social relationships, trust and networks they maintain. It is one of the most sustainable social resources that originate from human relations and results on the mutual support of people. Utilization of Social capital has a wide applicability in the process of social inclusion, especially in dealing with the vulnerable and disadvantaged sections in the community itself. Voluntary organizations are very keen to utilize the social capital for community/social services and community development in a sustainable manner. Community based de-institutionalized Palliative Care is one of the foremost among such organizations that made social capital in a strategic way for social inclusion and community well being. This paper analyses the extent to which different elements of social capital helps in initiating the sustainable community based palliative care movement by assessing the unique intervention strategies carried out by the palliative care. This paper explores conceptual questions of how social capital and voluntary community based services are correlated. A case study method was adopted for the study in which ten palliative care units were analyzed. The results show that a number of social capital elements are playing a vital role in the sustainability of community palliative care movement in Kerala.

Approaches to the definition of territorial backwardness in the regional development management

2020 ◽  
Vol 93 (4) ◽  
pp. 60-73
Author(s):  
E. B. Veprikova ◽  
◽  
A. A. Kislenok ◽  
Keyword(s):  
Economic Growth ◽  
Public Policy ◽  
Russian Far East ◽  
Far East ◽  
Well Being ◽  
Spatial Development ◽  
Territorial Development ◽  
Development Management ◽  
Gradual Process ◽  
Definition Of

Reducing the level of interregional differentiation is one of the problems in spatial development management according to the Spatial Development Strategy of the Russian Federation. Presence of significant regional imbalances hampers formation of a common economic, social, cultural, and institutional space and lead to a creation of backward territories which lag behind in the development. The focus of public policy measures on the centers of economic growth, with the concentration of financial and labor resources, without solving the problems of backward territories does not bring the expected effect – overall development and well-being. Local effects in the absence of positive changes in other territories result in the increase in imbalances, which limit the overall effectiveness of the public policy. At the same time, a steadily increasing lag may cause a loss of potential of economic growth and thus forms backward territories. The creation of territorial backwardness is a gradual process. Therefore, diagnosing the state of the territory and identifying the signs of increasing depression is an essential issue of public administration. The article presents the main approaches to the definition of territorial backwardness used in the Russia and overseas, it also reviews the determinants of backward territories. Different methods for identification of backwardness in the territorial development have been tested on the basis of the regions of the Russian Far East.

Financial capabilities development: essential discourse in social work

2019 ◽  
Vol 46 (10) ◽  
pp. 1234-1246
Author(s):  
Lambert K. Engelbrecht ◽  
Abigail Ornellas
Keyword(s):  
Sustainable Development ◽  
Social Work ◽  
Financial Literacy ◽  
Community Education ◽  
Work Practice ◽  
Well Being ◽  
Social Work Practice ◽  
Content Type ◽  
Vulnerable Households ◽  
Definition Of

Purpose Within a neoliberal environment, financial vulnerability of households has become an increasing challenge and there is a requirement of financial literacy education, a necessary activity to facilitate sustainable development and well-being. However, this is seldom a mainstream discourse in social work deliberations. The paper aims to discuss these issues. Design/methodology/approach First, introducing the neoliberal impact on financial well-being and capability for vulnerable households, the authors’ postulation is substantiated on a seven-point argument. The contexts of financially vulnerable households are sketched. Second, a conceptualisation of financial literacy is offered, and third, perspectives on and approaches to financial literacy as a fundamental capability are presented. This is followed by a theoretical foundation of community education as a practice model in social work to develop financial capabilities. In the fifth place, prevailing practices of Financial Capabilities Development (FCD) programmes are offered. Subsequently, the implications of a neoliberal environment for social work practice are examined. Findings The revised global definition of social work encourages the profession to understand and address the structural causes of social problems through collective interventions. As a response, it is argued that community education towards FCD of vulnerable households within a neoliberal environment should be an essential discourse in social development. Originality/value The authors reflect on the significance of FCD, highlighting its contribution towards human security and sustainable development. Although this paper draws on Southern African contexts, the discourse finds resonance in other contexts across the world.

scholarly journals The Effect of the Acculturation of Chinese Immigrants on Tourist Satisfaction and Quality of Life

2021 ◽  
Vol 13 (4) ◽  
pp. 1770
Author(s):  
Taeyoung Cho ◽  
Taesoo Cho ◽  
Hao Zhang
Keyword(s):  
Quality Of Life ◽  
Cultural Change ◽  
Cultural Adaptation ◽  
Structural Equation ◽  
Chinese Immigrants ◽  
Well Being ◽  
Equation Model ◽  
Subjective Well Being ◽  
Tourist Satisfaction

Given the rapidly increasing number of foreign nationals migrating to Korea, this study investigates the relationship between cultural adaptation, tourist satisfaction, and quality of life among Chinese immigrants in Korea. A questionnaire survey was conducted among 344 Chinese immigrants in Korea who visited Gyeongju, where Korean World Heritage sites and modern tourist facilities coexist. A structural equation model was used to verify the hypothesis and indicated that cultural assimilation and cultural separation had a significant effect on tourist satisfaction, whereas cultural integration and cultural change did not have any statistically significant effect on tourist satisfaction. Additionally, tourist satisfaction had a significant effect on quality of life (in terms of subjective well-being and psychological well-being). The results of this study can function as a reference for improving Chinese immigrants’ cultural adaptation, tourist satisfaction, and quality of life.

The Uniform Status of Children of Assisted Conception Act: Does It Protect the Best Interests of the Child in a Surrogate Arrangement?

1990 ◽  
Vol 16 (4) ◽  
pp. 525-553
Author(s):  
Mimi Yoon
Keyword(s):  
Artificial Insemination ◽  
Medical Technology ◽  
Well Being ◽  
Best Interests ◽  
Medical Procedures ◽  
Assisted Conception ◽  
Regulatory Scheme ◽  
Infertile Couples ◽  
Definition Of

Medical technology is easing the plight of many infertile couples by offering such reproductive alternatives as in vitro fertilization, artificial insemination and surrogacy. In response to the changes in our society's definition of family, wrought by scientific advances, the National Conference of Commissioners on Uniform States Laws promulgated the Uniform Status of Children of Assisted Conception Act. The purpose of this Act is to protect the interests of children born through extraordinary medical procedures. This Note analyzes the Act's provisions regarding surrogacy and focuses on how the Commission's regulatory scheme fails to protect the child's interests. The Act's alternative of voiding the surrogacy contract also does not protect the child's interests. A more complete regulatory scheme which protects the adult parties’ interests, as well as the child's, should be devised, as the adequacy of the adult parties’ protection ultimately affects the child's well-being.

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