Stress Management and Resilience Training Among Department of Medicine Faculty: A Pilot Randomized Clinical Trial

Sood, Amit; Prasad, Konasale; Schroeder, Darrell R.; Varkey, Prathibha

doi:10.1007/s11606-011-1640-x

Cited by 331 publications

(356 citation statements)

References 27 publications

Supporting

Mentioning

331

Contrasting

Unclassified

Order By: Relevance

“…There was no evidence in this review about increased resilience improving patient health in primary care, although evidence that specific training programmes may provide benefit is available from secondary and tertiary care. 27,28 There are some caveats when considering the quality of the evidence. Some health professionals may have under-reported their stress or burnout levels due to the desire to be perceived as highly capable and in control, both psychologically and practically.…”

Section: Resultsmentioning

confidence: 99%

Resilience of primary healthcare professionals: a systematic review

et al. 2016

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

Resilience of primary healthcare professionals: a systematic review

et al. 2016

View full text Add to dashboard Cite

show abstract

“…[69] Coaching medical professionals in enhanced stress management and resilience skills could therefore help to prevent burnout. [14,70,71] Not just individuals, but entire practices and/or healthcare organizations can be re-engineered to improve resilience. [72] Unlike the recent Medscape Physician Lifestyles Report, [73] we detected no significant difference in burnout risk by gender.…”

Section: Discussionmentioning

confidence: 99%

Predictors of burnout among physicians and advanced-practice clinicians in central New York

Waddimba

Nieves

Scribani

et al. 2015

JHA

View full text Add to dashboard Cite

Background: Provider wellbeing is a barometer of the strength of healthcare systems/organizations. Burnout prevalence among physicians exceeds that among other adult workers in the United States. Rural-based practitioners might be at greater risk. Objective: We investigated predictors of burnout among group-employed providers within an integrated healthcare network. Methods: In a prospective observational study of physicians/advanced-practice clinicians serving an 8-county region of central New York, we linked administrative practice-setting data with responses to a questionnaire-survey comprising validated measures of burnout, resilience, work meaningfulness, satisfaction, risk aversion, and uncertainty/ambiguity tolerance. We included providers on the official payroll, excepting advisory board and/or research team members plus those who retired, resigned or were fired. 308 (65.1%) of 473 eligible clinicians completed the survey. 59.1% of these were physicians/doctoral-level practitioners; 40.9% advanced-practice clinicians. We assessed burnout using a validated 5-level single-item measure formatted as a binary outcome of "burned out/burning out" (levels 3-5) versus not. We derived a parsimonious generalized linear mixed-effects regression of this outcome on provider demographics, work-related needs, risk aversion, satisfaction, and unit characteristics. Results: Perceived workload, relatedness needs, practice satisfaction ≥ 75% of the time, dissatisfaction ≥ 50%, resilience, and practicing on a small unit were the significant, independent predictors. Conclusions: Heavy workloads, unmet relational needs, frequent dissatisfaction, low resilience, and serving on a small unit were most significantly associated with being "burned out/burning out". Feeling satisfied most of the time and high resilience were protective. Profession, specialty, autonomy, and support staffing were not statistically significant.

show abstract

“…In fact, several Danish versions exist (11)(12)(13), but none of these have been formally validated. Furthermore, the PSS-10 has recently been used as an outcome measure in intervention research (14,15). However, when used to assess changes among patients over time, for example, in clinical trials or in daily practice, important measurement properties such as minimal detectable change, responsiveness, and thresholds for clinically important change need to be evaluated (4,6,16).…”

Section: Eskildsen Et Almentioning

confidence: 99%