Resident Fuel Levels: Reframing, Assessing, and Addressing Well-Being

ABSTRACT Background To optimize resident learning, programs need to readily assess resident well-being. There is a lack of easy-to-use, acceptable instruments for this task. Objective We created a well-being “fuel gauge,” and assessed the acceptability and feasibility of this weekly electronic communication pipeline for residents to report and discuss their well-being. Methods A well-being fuel gauge assessment was administered weekly over the course of 1 academic year (July 2016 to June 2017) in a large internal medicine residency program. The well-being gauge asked residents to report their fuel levels using a 1 to 5 Likert-type scale (1, empty; 3, half tank; and 5, full tank). Residents who provided low scores (1 or 2) were contacted by program leadership, and the program director sent weekly e-mail updates that addressed residents' comments on their well-being fuel gauge. Results Of 163 residents, 149 (91%) provided data on their well-being fuel gauge, with a 53% average weekly response rate. Fifty-four percent of residents (80 of 149) reported a low score over the course of the year, and 4 residents only used the assessment to report a low score. Comments on average consisted of 280 characters (SD = 357) and were lengthier and more prevalent with lower fuel gauge scores. We analyzed the relationship between scores and comments. Conclusions The well-being fuel gauge was well accepted by most residents and was easy to administer and to oversee by program directors. It facilitated ongoing monitoring of well-being and follow-up to address factors contributing to low well-being.

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Patient-Centered Empowerment Through Evidence-Based Engagement in Sensitive Clinical Settings

Advances in Medical Technologies and Clinical Practice - Impacts of Information Technology on Patient Care and Empowerment ◽

10.4018/978-1-7998-0047-7.ch009 ◽

2020 ◽

pp. 155-175

Author(s):

Iris Reychav ◽

Roger W. McHaney ◽

Lin Zhu ◽

Rami Moshonov

Keyword(s):

Pap Test ◽

Well Being ◽

Clinical Settings ◽

Evidence Based ◽

Coding System ◽

Educational Materials ◽

Patient Centered ◽

Shared Information ◽

The Relationship

Patient-centered empowerment is enhanced through evidence-based engagement in stressful medical situations. The current study provided expert-vetted educational materials in dynamic text and video formats using the 5S approach. The materials are relevant, reliable, and readable for patients with abnormal Pap test results. Findings indicated patients that understood the information better were more engaged. Engagement was measured using a coding system that kept track of explicitly shared information, requested recommendations, and tacit knowledge during patient-physician interaction. Other outcomes were that dynamic text had a greater impact on engagement in both initial and follow-up meetings. Important findings included that those who found the dynamic text relevant had their social well-being, self-esteem, optimism, and acceptance improved in initial meetings. Those who found the dynamic text reliable were more confident in the relationship with their physician in follow-up meetings and felt their social well-being was improved in both initial and follow-up meetings.

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Narcissism as a Consideration When Designing Health and Risk Messages

Oxford Research Encyclopedia of Communication ◽

10.1093/acrefore/9780190228613.013.530 ◽

2017 ◽

Cited By ~ 1

Author(s):

Erin M. Hill

Keyword(s):

Health Behaviors ◽

Sexual Behaviors ◽

Psychological Health ◽

Physical Appearance ◽

Well Being ◽

Self Esteem ◽

Health Risk Behaviors ◽

Being There ◽

The Relationship ◽

Health And Well Being

Narcissism is a personality trait characterized by perceptions of grandiosity, superiority, and the need for attention and admiration. There has been an increase in focus on examining the development of narcissism and how the trait influences a range of social and health behaviors. A key feature of narcissism is that it is characterized by high self-esteem with a simultaneously fragile ego that requires continual monitoring and manipulation. Therefore, much of the behaviors narcissists engage in are linked to the drive to maintain perceptions of superiority and grandiosity. In the area of health and well-being, narcissism has been positively correlated with psychological health, a relationship that may be accounted for by self-esteem. However, there has been less research on the relationship between narcissism and physical health and well-being. There is some evidence that narcissism is linked to a variety of physical appearance-oriented health behaviors (i.e., behaviors that could affect body weight or other aspects of physical appearance, including eating and exercise). Narcissism has also been positively linked to risk-taking behaviors, including use of substances, as well as risks that could significantly impact others, including sexual behaviors and risky driving. The relationship between narcissism and health is therefore complex, with some positive correlates (e.g., physical activity), but also various health risk behaviors. In considering how narcissism might interact with health messages, communicators have to keep in mind that narcissists seem to have some deficits in judgment and decision-making, such as overconfidence and a narrow focus on rewards associated with behaviors. Their behaviors tend to be driven by managing their own ego and by drawing attention and admiration from others to maintain perceptions of superiority and grandiosity. In turn, health communicators may need to rely on creative strategies that tap into these domains of narcissism in order to effectively modify health behaviors among narcissistic individuals. Further research on the influence of narcissism in healthcare seeking and related preventive behaviors would also help to provide a more detailed understanding for how the trait influences health decisions, information that would be useful for both health researchers and practitioners.

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Women’s Responses to Impaired Fertility: A Follow-Up Study of the Relationship between Unsupportive Social Interactions and Well-Being

Fertility and Sterility ◽

10.1016/s0015-0282(00)00786-x ◽

2000 ◽

Vol 74 (3) ◽

pp. S23

Author(s):

E.J Mindes ◽

K.M Ingram ◽

C.A James ◽

W.L Kliewer

Keyword(s):

Social Interactions ◽

Well Being ◽

Follow Up Study ◽

Unsupportive Social Interactions ◽

The Relationship

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Voluntary work and the relationship with unemployment, health, and well-being: A two-year follow-up study contrasting a materialistic and psychosocial pathway perspective.

Journal of Occupational Health Psychology ◽

10.1037/a0038342 ◽

2015 ◽

Vol 20 (2) ◽

pp. 190-204 ◽

Cited By ~ 15

Author(s):

Yannick Griep ◽

Martin Hyde ◽

Tim Vantilborgh ◽

Jemima Bidee ◽

Hans De Witte ◽

...

Keyword(s):

Well Being ◽

Voluntary Work ◽

Follow Up Study ◽

The Relationship ◽

Health And Well Being

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ROLE OF THE BUDGET IN RAISING THE EFFICIENCY OF FINANCIAL ‎ PERFORMANCE IN THE DIRECTORATE OF EDUCATION IN THE NORTHERN ‎GOVERNORATES

International Journal of Humanities and Educational Research ◽

10.47832/2757-5403.6-3.26 ◽

2021 ◽

Vol 03 (06) ◽

pp. 366-383

Author(s):

Wafaa Mohammad ASHOUR ◽

Narmeen Ismat ZATARA

Keyword(s):

Financial Performance ◽

Preparation Process ◽

Ministry Of Education ◽

Open Questions ◽

Study Population ◽

Training Courses ◽

The Relationship ◽

Academic Year

The study aimed to identify the role of the budget in raising the efficiency of financial ‎performance in the Directorate of Education in the northern governorates. The two ‎researchers used: qualitative research.‎ The interview tool was adopted: it consisted of (3) main themes. The first axis: about ‎budget preparation and included (8) questions. The second axis: about the implementation ‎of the budget, and included (7) questions. The third axis: about the relationship between ‎the budget and the efficiency of financial performance. The interview questions included ‎open questions and closed questions.‎ The study population is made up of members of the Finance Committee and is responsible ‎for the budget preparation process. They number (68) in the second semester of the ‎academic year 2020-2021. The sample size is (19) by 28%. The most important results are: ‎ o The budget plays a major role in raising the efficiency of financial performance, as ‎it is one of the activities planning tools, as the revenue amounts are distributed ‎among the budget items.‎ o The budget has a role in raising the efficiency of financial performance in the ‎education directorates through its oversight role on performance.‎ Recommendations: ‎ o Increasing the powers of education directorates in the budget preparation process ‎by the Ministry of Education in order to achieve a higher level of flexibility in it to ‎meet the needs within the priorities.‎ o Conducting training courses on budget preparation, implementation, and follow-‎up by the Ministry of Education in cooperation with the Ministry of Finance, and ‎not to be limited to department heads only, but extend to all employees in the ‎directorate's departments and those willing and qualified to prepare budgets‎.

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Team Emotional Intelligence: Emotional Processes as a Link Between Managers and Workers

Frontiers in Psychology ◽

10.3389/fpsyg.2021.619999 ◽

2021 ◽

Vol 12 ◽

Author(s):

Rosa Mindeguia ◽

Aitor Aritzeta ◽

Alaine Garmendia ◽

Edurne Martinez-Moreno ◽

Unai Elorza ◽

...

Keyword(s):

Emotional Intelligence ◽

Transformational Leadership ◽

Well Being ◽

Management Team ◽

Mediation Effect ◽

Transformational Leaders ◽

Team Processes ◽

Positive Feelings ◽

Being There ◽

The Relationship

Research has shown that transformational leaders are able, through emotional contagion mechanisms, to transmit their emotions and boost positive feelings among their followers. Although research on leadership and team processes have shown a positive relation between transformational leadership and workers' well-being, there is a lack of studies examining the “black box” of this association. The present study aimed to assess the mediation effect of team emotional intelligence (TEI) of the management team on the relationship between management's transformational behaviors and employees' responses. Data were gathered from two sources: 1,566 managers grouped into 188 teams pertaining to a total of 90 firms, and 4,564 workers from the same 90 firms. The results showed that management team TEI and the emotional state of “passion” among employees had a full mediation effect on the relationship between management teams' transformational leadership and employees' cohesion. Implications of these results are discussed.

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The Relationship Between Psychological Flexibility, Value-Based Living and Emotional Well-Being in People Affected by Cancer

Journal of Global Oncology ◽

10.1200/jgo.18.57800 ◽

2018 ◽

Vol 4 (Supplement 2) ◽

pp. 115s-115s

Author(s):

E. Smith ◽

A. Gow ◽

L. Forsyth ◽

B. Bryne ◽

L. Howells ◽

...

Keyword(s):

Quality Of Life ◽

Cancer Diagnosis ◽

Cancer Care ◽

Psychological Flexibility ◽

Well Being ◽

Supportive Cancer Care ◽

Valued Living ◽

Being There ◽

The Relationship

Background: Receiving a cancer diagnosis can have detrimental effects on an individual's psychological flexibility (ability to adapt constructively to reality), emotional well-being and ability to live aligned with personal values, for example, in relationships and work. Higher levels of psychological flexibility and emotional well-being are associated with better quality of life and lower psychological cancer-related distress. In turn, value-based living is positively associated with psychological flexibility and emotional well-being. There is, however, limited research specifically exploring the relationship between value-based living and emotional well-being within individuals affected by cancer. Maggie's Centres ( www.maggiescentres.org ) offer an innovative, multidisciplinary model of holistic supportive cancer care, widely regarded as an exemplar of best practice in cancer rehabilitation and supported self-management. In 2017 Maggie's received 249,247 visits across the network of Centres in the UK, Hong Kong and Tokyo. Principles of ACT (acceptance and commitment therapy) are incorporated within the program of individual support, psychoeducational courses and groups to help people maximize their quality of life. Aim: To explore the associations between psychological flexibility, value-based living and emotional well-being in individuals affected by cancer. Methods: Sixty-five people, affected by a cancer diagnosis personally or in a family member, were recruited from four UK Maggie's Centres. Participants completed standardized questionnaires measuring psychological flexibility, valued-based living and emotional well-being. Results: Moderate positive associations were found between emotional well-being and psychological flexibility (r=.4750), as well as emotional well-being and valued-living (r=.37983). Psychological flexibility was also positively associated with valued living (r=.443474). Multiple regression analysis revealed a significant model (F(5,54)=9.35, P < .001), accounting for 41.4% of the variance in emotional well-being (adjusted R2 = .414). Both psychological flexibility (b=.357, P = .002) and valued-living (b=.337, P = .004) were predictors of emotional well-being across all ages, gender and time since diagnosis. Conclusion: The study provides support for the positive associations between psychological flexibility, valued-living and emotional well-being and indicates that psychological flexibility and valued-living may be predictors of emotional well-being. This was a small observational study, so conclusions about causation or change over time cannot be made. Longitudinal intervention studies need to explore the potential impact valued-living and psychological flexibility may have on emotional well-being in those affected by cancer, and so contribute to understanding the potential importance of encouraging valued-living as a therapeutic tool within cancer care.

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Social Cohesion, Ethnicity and Well-Being: Results from an Intervention Study in Kyrgyzstan

Cultural-Historical Psychology ◽

10.17759/chp.2021170405 ◽

2021 ◽

Vol 17 (4) ◽

pp. 46-55

Author(s):

M.M. Larsen ◽

K. Boehnke ◽

D. Esenaliev ◽

T. Bruck

Keyword(s):

Life Satisfaction ◽

Ethnic Groups ◽

Social Cohesion ◽

Minority Groups ◽

Ethnic Disparities ◽

Well Being ◽

Ethnic Composition ◽

Being There ◽

The Relationship

When looking at important indicators of well-being, there is extensive evidence that levels of life satisfaction differ between ethnic groups, such that minority groups by and large tend to report lower levels of life satisfaction than majority ethnic groups. A growing body of literature has begun investigating the relationship between an individual’s community and their own levels of life satisfaction. While community deprivation and community ethnic composition are important factors for understanding individual ethnic disparities in life satisfaction, there is a gap in understanding the role of community social cohesion, as well as the effect on change in life satisfaction over time. Using panel survey data from 5.207 adults living in 30 sub-districts of rural Kyrgyzstan, we conduct a multilevel analysis of whether social cohesion serves as a moderator for the relationship between ethnicity and change in life satisfaction. While results do not demonstrate a positive effect of community social cohesion on change in life satisfaction, they do indicate that higher levels of community social cohesion minimize the ethnic group disparities in change in life satisfaction. These findings imply that social cohesion may be one additional piece of the puzzle in understanding ethnic disparities in life satisfaction.

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Dominance Patterns of Young Children, a Follow-up Study

Perceptual and Motor Skills ◽

10.2466/pms.1971.32.1.42 ◽

1971 ◽

Vol 32 (1) ◽

pp. 142-142 ◽

Cited By ~ 10

Author(s):

Caroline Sinclair

Keyword(s):

Young Children ◽

School Success ◽

Follow Up Study ◽

Dominance Pattern ◽

Relationship Of ◽

The Relationship ◽

Ear Dominance ◽

Academic Year

The purpose of this follow-up study was to determine the changes, if any, in hand, foot, eye, and ear dominance of young children after an interval of 3 yr. In addition, the relationship of dominance pattern to school success was examined. The first study (Sinclair, 1968) was conducted in the academic year 1966–67.

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