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Isabelle Roskam, Maria-Elena Brianda, Moïra Mikolajczak
So far, the conceptualization and measurement of parental burnout have been deduced from those of job burnout. As a result, it is unclear whether current measures of parental burnout constitute the best representation of the parental burnout construct/syndrome: the possibility cannot be excluded that some dimensions ought to be added, which would change the structure and definition of parental burnout. In this study, the conceptualization and measurement of parental burnout were approached using an inductive method, in which the parental burnout phenomenon was (re)constructed based solely on the testimonies of burned-out parents...
2018: Frontiers in Psychology
Carey S Clark
With the knowledge of psychoneuroimmunological responses and the known high stress levels of nursing students, as caring nurse educators, we have become ethically obligated to revise and re-vision our current nursing educational practices. Nurse educators should be motivated to create innovative and radical caring science curricular approaches, so that our nurses of the future are in turn supported in creating caring- healing sustainable bedside practices. This paper details the outcomes from an upper level yoga elective in an RN- BSN program...
June 13, 2018: International Journal of Nursing Education Scholarship
Mojtaba Ameli, Naser Yousefzade, Saeed Farhadiniaki, Leila Gholamimahtaj
It is commonly accepted to consider retroperitoneal germ cell tumors as the metastasis of a viable or burned-out testicular tumor. In such cases, orchiectomy should be performed since the burned-out site in the testis could continue to harbor malignancy despite systemic chemotherapy. A 45-year-old male presented as an outpatient with complaints of back pain. He was diagnosed with a retroperitoneal mass and a palpable testis mass. He underwent radical orchiectomy. Pathological study revealed a burned-out tumor...
May 2018: International Journal of Health Sciences
Lyndsay A Nelson, Kenneth A Wallston, Sunil Kripalani, Lauren M LeStourgeon, Sarah E Williamson, Lindsay S Mayberry
AIMS: Medication nonadherence is a prevalent and costly problem among patients with type 2 diabetes. Applications of theory can inform and improve adherence promotion interventions. We used a new assessment based on the Information-Motivation-Behavioral skills (IMB) model of adherence to assess patient-reported barriers and test the theoretical model. METHODS: Participants (N = 237) completed a card sorting task to identify barriers to adherence, a survey, and a hemoglobin A1c (HbA1c) test...
June 4, 2018: Diabetes Research and Clinical Practice
Jenny Tzujane Chen, Brian Eisinger, Corinne Esquibel, Samuel O Poore, Kevin Eliceiri, John W Siebert
PURPOSE: Parry Romberg's Disease (PRD) is an enigmatic craniofacial disorder characterized by progressive facial atrophy. The pathogenesis and molecular mechanisms governing PRD have never before been described. The purpose of our current study was two fold; 1) to begin to elucidate the pathophysiology of this disease using next gen RNA sequencing and 2) evaluate the effect of surgical treatment on gene expression. METHODS: Patients with PRD underwent microvascular free tissue transfer (MVFF) to the face to address contour deformity in both active and burned out disease...
June 5, 2018: Plastic and Reconstructive Surgery
Barbara Jacobs, Julie McGovern, Jamie Heinmiller, Karen Drenkard
Anne Arundel Medical Center has been on a 3-year journey to improve employee well-being with the assumption that employee well-being and employee engagement are interconnected. Improvements in employee well-being will result in increased employee engagement and will be a pivotal driver to assist the health system meet its goals. Historically, Anne Arundel Medical Center successfully differentiated itself in the market by being the region's high-quality, low-cost provider of health services delivered through intense collaboration with patients and families...
July 2018: Nursing Administration Quarterly
Margae Knox, Rachel Willard-Grace, Beatrice Huang, Kevin Grumbach
BACKGROUND: Clinicians and healthcare staff report high levels of burnout. Two common burnout assessments are the Maslach Burnout Inventory (MBI) and a single-item, self-defined burnout measure. Relatively little is known about how the measures compare. OBJECTIVE: To identify the sensitivity, specificity, and concurrent validity of the self-defined burnout measure compared to the more established MBI measure. DESIGN: Cross-sectional survey (November 2016-January 2017)...
June 4, 2018: Journal of General Internal Medicine
Cemile Aksu, Wade Ingram, Philip D Bradford, Jesse Jur
This paper describes a way to fabricate novel hybrid low density nanostructures containing both CNTs and ceramic nanotubes. Using atomic layer deposition (ALD), a thin film of aluminum oxide was conformally deposited on aligned multiwall carbon nanotube (MWCNT) foams in which the CNTs make porous, three dimensional interconnected networks. A CO2 laser was used to etch pure alumina nanotube structures by burning out the underlying CNT substrate in discrete locations via the printed laser pattern. Structural and morphological transitions during the calcination process of aluminum oxide coated CNTs were investigated through in-situ transmission electron microscopy and high-resolution scanning electron microscopy...
May 24, 2018: Nanotechnology
Timothy P Daaleman
For several months I have been trying to tag a greyness that has shaded my doctoring. I was not burned out but uncovered the desert experience of mind and soul known as acedia, which is called the noonday demon because it vexes those in the mid-stages of life. Grappling with the noonday demon has upended all of my assumptions about the workings of hope in the practice of medicine. For me, hope is no longer the anticipation of a positive outcome, or the warm feeling associated with the validation of a correct diagnosis, or the conclusion of successful treatment...
May 2018: Annals of Family Medicine
Amanda K H Weidner, Robert L Phillips, Bo Fang, Lars E Peterson
PURPOSE: Family physicians report some of the highest levels of burnout, but no published work has considered whether burnout is correlated with the broad scope of care that family physicians may provide. We examined the associations between family physician scope of practice and self-reported burnout. METHODS: Secondary analysis of the 2016 National Family Medicine Graduate Survey respondents who provided outpatient continuity care (N = 1,617). We used bivariate analyses and logistic regression to compare self-report of burnout and measures of scope of practice including: inpatient medicine, obstetrics, pediatric ambulatory care, number of procedures and/or clinical content areas, and providing care outside the principal practice site...
May 2018: Annals of Family Medicine
Tania M Jenkins, Jenny Kim, Chelsea Hu, John C Hickernell, Sarah Watanaskul, John D Yoon
While previous studies have considered medical student burnout and resilience at discrete points in students' training, few studies examine how stressors and resilience-building factors can emerge before, and during, medical school. Our study focuses on students' life stories to comprehensively identify factors contributing to student wellbeing. We performed a secondary analysis of life-story interviews with graduating fourth year medical students. These interviews were originally conducted in 2012 as part of the Project on the Good Physician, and then re-analyzed, focusing on student wellbeing...
May 5, 2018: Advances in Health Sciences Education: Theory and Practice
Ruth Riley, Johanna Spiers, Carolyn A Chew-Graham, Anna K Taylor, Gail A Thornton, Marta Buszewicz
OBJECTIVES: This paper provides an in-depth account of general practitioners' (GPs) experiences of living and working with mental illness and distress, as part of a wider study reporting the barriers and facilitators to help-seeking for mental illness and burn-out, and sources of stress/distress for GP participants. DESIGN: Qualitative study using in-depth interviews with 47 GP participants. The interviews were audio recorded, transcribed, anonymised and imported into NVivo V...
May 3, 2018: BMJ Open
J Bauhammer, C Fiehn
Rheumatoid arthritis (RA) is a chronic inflammatory disease. Synovitis is the main pathology and can lead to a progressive destruction of the joints. It is often said that RA "burns out", implying that the inflammation decreases spontaneously in the long term, mostly severe course of RA and reaches a stage with a stable absence of joint inflammation, even without treatment. To test this concept we analyzed the published evidence. Data of historic long-term inception cohorts of patients who have never been treated with antirheumatic drugs and patients who received conventional disease-modifying antirheumatic drugs (DMARD), show that the disease stays active with sustained radiological progression in the majority of patients...
June 2018: Zeitschrift Für Rheumatologie
Tamara M Schult, David C Mohr, Katerine Osatuke
The goals of this paper were twofold: (a) To provide a population overview of burnout profiles by occupation in a large, health care sector employee population and (b) to investigate how burnout profiles relate to self-reported health behaviours, chronic conditions, and absenteeism. Burnout profiles were considered by 5 main occupational groups (physicians, nurses, other clinical, administrative, and wage grade [trade, craft, and labor workers]) in survey respondents (n = 86,257 employees). Logistic regression analyses were conducted to examine how burnout profiles were associated with health controlling for gender, age, race, ethnicity, and occupational group...
April 23, 2018: Stress and Health: Journal of the International Society for the Investigation of Stress
Yu Shi, Hui Guo, Shue Zhang, Fengzhe Xie, Jinghui Wang, Zhinan Sun, Xinpeng Dong, Tao Sun, Lihua Fan
This study had three objectives: (1) to investigate the impact of workplace incivility on job burn-out of new nursing staff, (2) to verify the partial mediating role of anxiety in the relationship between workplace incivility and job burn-out, (3) to examine the resilience moderating the relations between workplace incivility and job burn-out. DESIGN: A cross-sectional online survey was conducted in May 2016 in China. SETTING: The survey was conducted in 54 cities across 29 provinces of China...
April 5, 2018: BMJ Open
Mariam El Cheikh, Ahmad Berjawi, Arafat Tfayli, Nadim Kanj
No abstract text is available yet for this article.
April 2018: Journal of Bronchology & Interventional Pulmonology
Arabella L Simpkin, Alisa Khan, Daniel C West, Briana M Garcia, Theodore C Sectish, Nancy D Spector, Christopher P Landrigan
BACKGROUND: Depression and burnout are highly prevalent among residents, but little is known about modifiable personality variables, such as resilience and stress from uncertainty, that may predispose to these conditions. Residents are routinely faced with uncertainty when making medical decisions. OBJECTIVE: To determine how stress from uncertainty is related to resilience among pediatric residents and whether these attributes are associated with depression and burnout...
March 7, 2018: Academic Pediatrics
N Séjourné, R Sanchez-Rodriguez, A Leboullenger, S Callahan
INTRODUCTION: Maternal burn-out is a psychological, emotional and physiological condition resulting from the accumulation of various stressors characterised by a moderate but also a chronic and repetitive dimension. Little research has focused on this syndrome. OBJECTIVE: The current study aims to assess maternal burn-out rate and to identify factors associated with this state of exhaustion. METHOD: 263 French mothers aged between 20 and 49 years answered five scales quantifying maternal burn-out, perceived social support, parental stress, depression and anxiety symptoms and history of postnatal depression...
February 21, 2018: Journal of Reproductive and Infant Psychology
Anette Fischer Pedersen, Mads Lind Ingeman, Peter Vedsted
OBJECTIVE: Research has suggested that physicians' gut feelings are associated with parents' concerns for the well-being of their children. Gut feeling is particularly important in diagnosis of serious low-incidence diseases in primary care. Therefore, the aim of this study was to examine whether empathy, that is, the ability to understand what another person is experiencing, relates to general practitioners' (GPs) use of gut feelings. Since empathy is associated with burn-out, we also examined whether the hypothesised influence of empathy on gut feeling use is dependent on level of burn-out...
February 28, 2018: BMJ Open
Samantha K Jones, Yannick Griep
Employees often draw meaning from personal experiences and contributions in their work, particularly when engaging in organizational activities that align with their personal identity or values. However, recent empirical findings have demonstrated how meaningful work can also have a negative effect on employee's well-being as employees feel so invested in their work, they push themselves beyond their limits resulting in strain and susceptibility to burnout. We develop a framework to understand this "double edged" role of meaningful work by drawing from ideological psychological contracts (iPCs), which are characterized by employees and their employer who are working to contribute to a shared ideology or set of values...
2018: Frontiers in Psychology
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