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Emergency medicine burnout

Francesco Zaghini, Valentina Biagioli, Rosario Caruso, Sondra Badolamenti, Roberta Fida, Alessandro Sili
OBJECTIVES: The aim of this study was to examine, in a sample of nurses, the relationships between the organizational context variables (i.e., workload, interpersonal conflicts, organizational constraints), the burnout, the moral disengagement, and the counterproductive work behaviors (CWB), within their clinical work settings. METHODS: A descriptive, correlational study was conducted in a sample of 347 nurses working in different clinical settings in a big university hospital in Central Italy...
April 21, 2017: La Medicina del Lavoro
Michelle O'Driscoll, Stephen Byrne, Aoife Mc Gillicuddy, Sharon Lambert, Laura J Sahm
Health and social care undergraduate students experience stress due to high workloads and pressure to perform. Consequences include depression and burnout. Mindfulness may be a suitable way to reduce stress in health and social care degree courses. The objective of this systematic review is to identify and critically appraise the literature on the effects of Mindfulness-Based Interventions for health and social care undergraduate students. PubMed, EMBASE, Psych Info, CINAHL, The Cochrane Library and Academic Search Complete were searched from inception to 21st November 2016...
January 19, 2017: Psychology, Health & Medicine
Andrew Perrella
Feedback in medical education provides the impetus for growth in a field pressured to demonstrate continuous progress. Unfortunately, as it always incorporates some level of judgment, certain students appear more resistant than receptive to receiving feedback. Coupled with the ubiquitous stressors of medicine-examinations, perpetual knowledge acquisition, competition for employment-there subtly emerges a learning environment in which the mindset of medical trainees morphs from collegiality to outperformance of one's peers...
May 2017: Medical Teacher
Charlotte N L Chambers, Christopher M A Frampton, Murray Barclay, Martin McKee
OBJECTIVES: To explore the prevalence of, and associated factors contributing to burnout among senior doctors and dentists working in the New Zealand's public health system. DESIGN: Cross-sectional, mixed methods study. SETTING: New Zealand's 20 district health boards (DHBs). PARTICIPANTS: A total of 1487 of 3740 senior doctors and dentists who are members of the Association of Salaried Medical Specialists working in DHBs were recruited (response rate 40%)...
November 23, 2016: BMJ Open
Kathleen M McKenna, Daniel A Hashimoto, Michael S Maguire, William E Bynum
Awareness of the risks of burnout, depression, learner mistreatment, and suboptimal learning environments is increasing in academic medicine. A growing wellness and resilience movement has emerged in response to these disturbing trends; however, efforts to address threats to physician resilience have often emphasized strategies to improve life outside of work, with less attention paid to the role of belonging and connection at work. In this Commentary the authors propose that connection to colleagues, patients, and profession is fundamental to medical learners' resilience, highlighting "social resilience" as a key factor in overall well-being...
September 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Elena Salmoirago-Blotcher, George Fitchett, Katherine Leung, Gregory Volturo, Edwin Boudreaux, Sybil Crawford, Ira Ockene, Farr Curlin
BACKGROUND: Burnout is highly prevalent among Emergency Medicine (EM) physicians and has significant impact on quality of care and workforce retention. The objective of this study was to determine whether higher religion/spirituality (R/S) is associated with a lower prevalence of burnout among EM physicians (primary outcome). A history of malpractice lawsuits and maladaptive behaviors were the secondary outcomes. METHODS: This was a cross-sectional, survey-based study conducted among a random sample of physicians from the Massachusetts College of Emergency Physicians mailing list...
June 2016: Preventive Medicine Reports
Brenda K Wiederhold, Giuseppe Riva, Andrea Gaggioli, Mark D Wiederhold
Creating a significant negative impact on both their quality of life and the quality of patient care with an evident economical burden for the healthcare system, there is a growing concern over physician burnout. The range of interventions and treatments that have been used to address this problem, however, appear quite fragmented and lack compelling efficacy. We describe the main factors known to contribute to the development of physician burnout as well as currently available treatments. Studies seem to indicate that both specialisation area as well as personality traits may contribute to the manifestation...
2016: Studies in Health Technology and Informatics
Bedia Gulen, Mustafa Serinken, Cenker Eken, Özgür Karcıoglu, Okkes Taha Kucukdagli, Elif Kilic, Guleser Akpinar, Suleyman Nogay, Mahmut Kuh
OBJECTIVES: Burnout syndrome is recognized as a major global problem among emergency healthcare workers as it causes prevalent fatigue, job separations, and disappointment. The objective of this study was to investigate the relationship of the glial marker S100B in sera of emergency physicians with burnout syndrome and depression. METHODS: This was a prospective observational study of emergency medicine residents in three distinct university-based departments of emergency medicine...
July 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Benjamin Schooley, Neset Hikmet, Menderes Tarcan, Gamze Yorgancioglu
Studies on the topic of burnout measure the effects of emotional exhaustion (EE), depersonalization (DP) (negative or cynical attitudes toward work), and reduced sense of personal accomplishment (PA). While the prevalence of burnout in practicing emergency medicine (EM) professionals has been studied, little is known of the prevalence and factors across physicians, nurses, technicians, and health information technicians working for the same institution. The aim of this study was to assess burnout differences across EM professional types...
March 2016: Medicine (Baltimore)
Yuuki Matsumoto, Michiko Hoshiko, Yoshitaka Morimatsu, Mihoko Mori, Nanae Kushino, Tatsuya Ishitake
OBJECTIVES: Fatigue caused by high workload is often responsible for the high attrition among doctors, and has contributed to a disruption in community medicine. In order to address this problem, institutional mechanisms at the hospital level are required. Previous studies have shown that systemic measures at the hospital level and a change in the mindset of patients can help manage the problem. "Convenient visits" refer to emergency visits for non-emergency problems. It is an avoidable cause of high workload on doctors...
2015: [Nihon Kōshū Eisei Zasshi] Japanese Journal of Public Health
Irene Bopp-Kistler
Before the disclosure of the diagnosis, both the patients with dementia and their relatives experience a long time not only full of insecurity, uncertainty, fear and misgivings but also of conflicts. The beginning of a neurodegenerative disease is always associated with a lot of open questions. If young patients are still active in their professional life, already the stage of "Mild Cognitive Impairment" will cause mistakes, burnout, mobbing, depression and sick leaves. In the partner relationship conflicts and accusations may emerge...
April 2015: Therapeutische Umschau. Revue Thérapeutique
Kenneth Wj Heng
Multitasking is an essential skill to develop during Emergency Medicine (EM) residency. Residents who struggle to cope in a multitasking environment risk fatigue, stress, and burnout. Improper management of interruption has been causally linked with medical errors. Formal teaching and evaluation of multitasking is often lacking in EM residency programs. This article reviewed the literature on multitasking in EM to identify best practices for teaching and evaluating multitasking amongst EM residents. With the advancement in understanding of what multitasking is, deliberate attempts should be made to teach residents pitfalls and coping strategies...
2014: International Journal of Emergency Medicine
Enrico Pira
Herein the question of health protection/safety and well being in the Law Enforcement is introduced and includes examples of some particular risk conditions that may be multiple and polymorphous. Not only the "traditional" sources are involved in these risks, like chemical, physical and biological agents, but other issues emerge in these "new scenarios" connected to risk factors involving organization and/or psychosocial elements. From this, we may deduce that there is a specific need for all the operators involved in prevention/care in this particular sector to be well versed on the highest possible updated specialized knowledge along with having a complete and thorough mastery of the best practices in Occupational Medicine to face this task in the correct manner:...
October 2014: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
Amany Ali Kotb, Khalid Abd-Elmoez Mohamed, Mohammed Hbany Kamel, Mosleh Abdul Rahman Ismail, Abdulmajeed Ahmed Abdulmajeed
INTRODUCTION: The burnout syndrome is characterized by emotional exhaustion, depersonalization, and low personal accomplishment. It is associated with impaired job performance. METHODS: This descriptive study examined 171 physicians for the presence of burnout and its related risk factors. The evaluation of burnout was through Maslach Burnout Inventory (MBI). The participant was considered to meet the study criteria for burnout if he or she got a "high" score on at least 2 of the three dimensions of MBI...
2014: Pan African Medical Journal
Tajek B Hassan
Sustainable and satisfying working practices in emergency medicine are vital to produce career longevity and prevent premature 'burnout'. A range of strategies is required to ensure success for the individual and the system in which he/she works.
November 2014: British Journal of Hospital Medicine
Kevin Reynard, Ruth Brown
Workforce crises in medicine can be devastating for a specialty, patients and professionals. Emergency medicine and general practice are currently affected but other acute specialties are showing early signs and symptoms of the condition. While symptomatic treatments are helpful, recognition and treatment of the causes is critical.
November 2014: British Journal of Hospital Medicine
Yunbei Xiao, Jinguo Wang, Si Chen, Zhigang Wu, Jian Cai, Zhiliang Weng, Chengdi Li, Xiaowei Zhang
BACKGROUND: Chinese physicians are not only facing heavy work overloads, but also abuse and injury because of patient mistrust of physicians. The primary objective of the present study was to measure psychological distress, burnout levels and job satisfaction among Chinese emergency physicians. METHODS: All the physicians from the EDs of three large general hospitals were recruited to undertake a questionnaire-based survey from March to April 2012. The Hospital Anxiety and Depression Scale (HADS), Maslach Burnout Inventory-General Survey and Minnesota Satisfaction Questionnaire were used...
December 2014: Emergency Medicine Australasia: EMA
Christian Beneker
No abstract text is available yet for this article.
July 24, 2014: MMW Fortschritte der Medizin
James Kimo Takayesu, Edward A Ramoska, Ted R Clark, Bhakti Hansoti, Joseph Dougherty, Will Freeman, Kevin R Weaver, Yuchiao Chang, Eric Gross
OBJECTIVES: While the prevalence of burnout in practicing emergency physicians has been studied, little is known of the prevalence and risk factors in emergency medicine (EM) residents. The aim of this study was to assess the prevalence of burnout among EM residents and the individual-level factors associated with burnout. METHODS: Eight EM residency programs were surveyed using the Maslach Burnout Inventory (MBI). Demographic data and data on job satisfaction and tolerance of uncertainty in clinical decision-making were collected using validated instruments...
September 2014: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Hilary McClafferty, Oscar W Brown
Physician health and wellness is a critical issue gaining national attention because of the high prevalence of physician burnout. Pediatricians and pediatric trainees experience burnout at levels equivalent to other medical specialties, highlighting a need for more effective efforts to promote health and well-being in the pediatric community. This report will provide an overview of physician burnout, an update on work in the field of preventive physician health and wellness, and a discussion of emerging initiatives that have potential to promote health at all levels of pediatric training...
October 2014: Pediatrics
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