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Physician assistant burnout

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https://www.readbyqxmd.com/read/27895218/a-new-approach-to-identify-high-burnout-medical-staffs-by-kernel-k-means-cluster-analysis-in-a-regional-teaching-hospital-in-taiwan
#1
Yii-Ching Lee, Shian-Chang Huang, Chih-Hsuan Huang, Hsin-Hung Wu
This study uses kernel k-means cluster analysis to identify medical staffs with high burnout. The data collected in October to November 2014 are from the emotional exhaustion dimension of the Chinese version of Safety Attitudes Questionnaire in a regional teaching hospital in Taiwan. The number of effective questionnaires including the entire staffs such as physicians, nurses, technicians, pharmacists, medical administrators, and respiratory therapists is 680. The results show that 8 clusters are generated by kernel k-means method...
2016: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://www.readbyqxmd.com/read/27138425/worklife-and-wellness-in-academic-general-internal-medicine-results-from-a-national-survey
#2
Mark Linzer, Sara Poplau, Stewart Babbott, Tracie Collins, Laura Guzman-Corrales, Jeremiah Menk, Mary Lou Murphy, Kay Ovington
BACKGROUND: General internal medicine (GIM) careers are increasingly viewed as challenging and unsustainable. OBJECTIVE: We aimed to assess academic GIM worklife and determine remediable predictors of stress and burnout. DESIGN: We conducted an email survey. PARTICIPANTS: Physicians, nurse practitioners, and physician assistants in 15 GIM divisions participated. MAIN MEASURES: A ten-item survey queried stress, burnout, and work conditions such as electronic medical record (EMR) challenges...
September 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27130622/physician-scribe-and-patient-perspectives-on-clinical-scribes-in-primary-care
#3
Chen Yan, Susannah Rose, Michael B Rothberg, Mary Beth Mercer, Kenneth Goodman, Anita D Misra-Hebert
BACKGROUND: Extending medical assistants and nursing roles to include in-visit documentation is a recent innovation in the age of electronic health records. Despite the use of these clinical scribes, little is known regarding interactions among and perspectives of the involved parties: physicians, clinical scribes, and patients. OBJECTIVE: The purpose of this project is to describe perspectives of physicians, clinical scribes, and patients regarding clinical scribes in primary care...
September 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27123598/burnout-in-rural-physician-assistants-an-initial-study
#4
Marc A Benson, Teri Peterson, Lisa Salazar, Wesley Morris, Rebecca Hall, Bernadette Howlett, Paula Phelps
PURPOSE: To assess the prevalence and causes of burnout in rural physician assistants. (PA in this article refers to personal accomplishment. To avoid confusion, we will spell out physician assistant throughout the article, instead of using PA to refer to both physician assistant and personal accomplishment.) METHODS: Physician assistants who practice in rural communities were asked to complete the Maslach Burnout Inventory. A preliminary assessment of burnout was determined using the 3 Maslach Burnout Inventory subscale scores: emotional exhaustion, depersonalization, and personal accomplishment, as well as causes of burnout assessed for a correlation to personal and professional factors...
June 2016: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/27043800/relation-between-physicians-work-lives-and-happiness
#5
Jodie Eckleberry-Hunt, Heather Kirkpatrick, Kanako Taku, Ronald Hunt, Rashmi Vasappa
OBJECTIVES: Although we know much about work-related physician burnout and the subsequent negative effects, we do not fully understand work-related physician wellness. Likewise, the relation of wellness and burnout to physician happiness is unclear. The purpose of this study was to examine how physician burnout and wellness contribute to happiness. METHODS: We sampled 2000 full-time physician members of the American Academy of Family Physicians. Respondents completed a demographics questionnaire, questions about workload, the Physician Wellness Inventory, the Maslach Burnout Inventory, and the Subjective Happiness Scale...
April 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/26818248/making-space-for-empathy-supporting-doctors-in-the-emotional-labour-of-clinical-care
#6
Angeliki Kerasidou, Ruth Horn
BACKGROUND: The academic and medical literature highlights the positive effects of empathy for patient care. Yet, very little attention has been given to the impact of the requirement for empathy on the physicians themselves and on their emotional wellbeing. DISCUSSION: The medical profession requires doctors to be both clinically competent and empathetic towards the patients. In practice, accommodating both requirements can be difficult for physicians. The image of the technically skilful, rational, and emotionally detached doctor dominates the profession, and inhibits physicians from engaging emotionally with their patients and their own feelings, which forms the basis for empathy...
2016: BMC Medical Ethics
https://www.readbyqxmd.com/read/26570421/760-burnout-is-common-among-critical-care-physician-assistants
#7
Muneer Bhatt, Danny Lizano, Anthony Carlese, Vladimir Kvetan, Hayley Gershengorn
No abstract text is available yet for this article.
December 2015: Critical Care Medicine
https://www.readbyqxmd.com/read/26513936/burnout-levels-of-assistant-physicians-working-at-a-turkish-university-hospital
#8
Edibe Pirincci, Safiye Selcen Vicdanli
The purpose of the present study was to determine their current levels of burnout and to identify the factors associated with burnout syndrome among assistant physicians who are undergoing further training in medical specialties. The present descriptive study was conducted on assistant physicians at a Turkish university hospital. The participants were subject to a 26-item questionnaire and the Maslach Burnout Inventory (MBI). The mean age of the participants was 29.95 ± 3.79 years. Their mean scores in the three sub-scales of the MBI were as follows: 22...
March 2015: Southeast Asian Journal of Tropical Medicine and Public Health
https://www.readbyqxmd.com/read/26350707/the-relationship-between-burnout-and-mobbing-among-hospital-managers
#9
Seda Karsavuran, Sıdıka Kaya
BACKGROUND: Mobbing and burnout can cause serious consequences, especially for health workers and managers. Level of burnout and exposure to mobbing may trigger each other. There is a need to conduct additional and specific studies on the topic to develop some strategies. RESEARCH OBJECTIVES: The purpose of this study is to determine the relationship between level of burnout and exposure to mobbing of the managers (head physician, assistant head physician, head nurse, assistant head nurse, administrator, assistant administrator) at the Ministry of Health hospitals...
September 8, 2015: Nursing Ethics
https://www.readbyqxmd.com/read/26329810/mindfulness-perceived-stress-and-subjective-well-being-a-correlational-study-in-primary-care-health-professionals
#10
Ana C M Atanes, Solange Andreoni, Marcio S Hirayama, Jesús Montero-Marin, Viviam V Barros, Telmo M Ronzani, Eliza H Kozasa, Joaquim Soler, Ausiàs Cebolla, Javier Garcia-Campayo, Marcelo M P Demarzo
BACKGROUND: Primary health care professionals (PHPs) usually report high levels of distress and burnout symptoms related to job strain. Mindfulness, defined as non-judgmental-present-moment awareness, seems to be a moderator in the causal association between life stressors and well-being. This study aimed to verify correlations among self-reported mindfulness, perceived stress (PS), and subjective well-being (SW) in Brazilian PHPs. METHODS: We performed a correlational cross-sectional study in a purposive sample of Brazilian PHPs (physicians, nurses, nursing assistants, and community health workers), working in community-oriented primary care programs (known locally as "Family Health Programs")...
2015: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/26181523/burnout-in-physicians
#11
REVIEW
Y Y Lee, A R L Medford, A S Halim
Increasing numbers of doctors are experiencing burnout now more than ever before and the worrying part is that what we see is just the tip of the iceberg. Burnout, a state of mental exhaustion caused by the doctor's professional life, is characterised by emotional exhaustion, depersonalisation and a reduced sense of accomplishment or success. Burnout has been largely ignored or under-recognised previously. This paper provides a perspective on burnout among doctors, including an overview of symptoms, the scale of the problem, the implications and causes of burnout and, finally, a strategic framework to provide a basis for managing it...
2015: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/25872689/surgeons-in-difficulty-an-exploration-of-differences-in-assistance-seeking-behaviors-between-male-and-female-surgeons
#12
Hilary Sanfey, John Fromson, John Mellinger, Jan Rakinic, Michael Williams, Betsy Williams
BACKGROUND: Physician burnout is associated with diminished ability to practice with requisite skill and safety. Physicians are often reluctant to seek help for an impaired colleague or for impairment that affects their own ability to practice. To better support surgeons in difficulty, we explored sex differences in assistance-seeking behaviors under stress. STUDY DESIGN: Surgeons in 3 national societies completed an IRB-approved anonymous multiple-choice and free-text response survey...
August 2015: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/25576157/the-iatroref-study-medical-errors-are-associated-with-symptoms-of-depression-in-icu-staff-but-not-burnout-or-safety-culture
#13
MULTICENTER STUDY
Maité Garrouste-Orgeas, Marion Perrin, Lilia Soufir, Aurélien Vesin, François Blot, Virginie Maxime, Pascal Beuret, Gilles Troché, Kada Klouche, Laurent Argaud, Elie Azoulay, Jean-François Timsit
PURPOSE: Staff behaviours to optimise patient safety may be influenced by burnout, depression and strength of the safety culture. We evaluated whether burnout, symptoms of depression and safety culture affected the frequency of medical errors and adverse events (selected using Delphi techniques) in ICUs. METHODS: Prospective, observational, multicentre (31 ICUs) study from August 2009 to December 2011. RESULTS: Burnout, depression symptoms and safety culture were evaluated using the Maslach Burnout Inventory (MBI), CES-Depression scale and Safety Attitudes Questionnaire, respectively...
February 2015: Intensive Care Medicine
https://www.readbyqxmd.com/read/25567818/breathe-out-a-randomized-controlled-trial-of-a-structured-intervention-to-improve-clinician-satisfaction-with-difficult-visits
#14
RANDOMIZED CONTROLLED TRIAL
Jennifer Y C Edgoose, Caitlin J Regner, Larissa I Zakletskaia
PURPOSE: Difficult patients comprise at least 15% of ambulatory visits and are associated with clinician burnout. No structured procedure has been reported to assist health care practitioners with these challenging relationships. This randomized trial evaluated whether a pre- and postvisit patient-centered and clinician-reflective technique called BREATHE OUT improved clinician satisfaction during visits with patients perceived by the clinician as difficult. METHODS: Six family medicine residency clinics paired as urban, suburban, and rural sites were randomized by clinic to the BREATHE OUT intervention or usual care of difficult patients...
January 2015: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/25539056/the-experience-of-patient-aligned-care-team-pact-members
#15
Amy C Ladebue, Christian D Helfrich, Zachary T Gerdes, Stephan D Fihn, Karin M Nelson, George G Sayre
BACKGROUND: In April 2010, the Veterans Health Administration (VHA) launched the Patient Aligned Care Team (PACT) initiative to implement a patient-centered medical home (PCMH) model. Few evaluations have addressed the effects of PCMH on health care professionals' experiences. PURPOSES: The aim of this study was to contribute to evaluation of the PACT initiative and the broader literature on PCMH by assessing respondents' experiences of implementing a PCMH model and becoming a teamlet...
January 2016: Health Care Management Review
https://www.readbyqxmd.com/read/25499810/care-of-the-clinician-after-an-adverse-event
#16
REVIEW
S D Pratt, B R Jachna
The past two decades has seen a growing understanding that health care leads to harm in a large number of patients. With this insight has come an understanding that clinicians who care for patients who are harmed experience an understandable and predictable emotional response. After an adverse event, medical care givers may experience a wide range of symptoms including anger, guilt, shame, fear, loneliness, frustration and decreased job satisfaction. These may be accompanied by physical signs of fatigue, sleep disturbances, concentration difficulties, tachycardia and hypertension...
February 2015: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/25181719/burnout-in-army-health-care-providers
#17
Teresa A Walters, Eric P Matthews, Jason I Dailey
Research performed on soldiers in the military far exceeds that of research performed on military health care providers. The focus of this study was to explore the prevalence of burnout among the health care providers of the 101 st Airborne Division in relation to deployments. A cross-sectional survey was electronically dispersed to 158 health care professionals including combat medics, physician assistants, and physicians. Over one-third of these professionals completed the online anonymous survey successfully...
September 2014: Military Medicine
https://www.readbyqxmd.com/read/25050618/prevalence-of-anxiety-and-depressive-symptoms-and-related-risk-factors-among-physicians-in-china-a-cross-sectional-study
#18
Yanhong Gong, Tieguang Han, Wei Chen, Hassan H Dib, Guoan Yang, Runsen Zhuang, Yuqi Chen, Xinyue Tong, Xiaoxv Yin, Zuxun Lu
BACKGROUND: Physicians' poor mental health not only hinders their professional performance and affects the quality of healthcare provided but also adversely affects patients' health outcomes. Few studies in China have evaluated the mental health of physicians. The purposes of this study are to quantify Chinese physicians' anxiety and depressive symptoms as well as evaluate associated risk factors. METHODS: In our study, 2641 physicians working in public hospitals in Shenzhen in southern China were recruited and interviewed by using a structured questionnaire along with validated scales testing anxiety and depressive symptoms...
2014: PloS One
https://www.readbyqxmd.com/read/24983579/-spurious-pity-lethal-consequences-how-helpers-turn-into-offenders
#19
Karl H Beine
This study gives a general view of 40 cases of killing series by members of staff in health care professions in hospitals and homes. The main issue of the analyses are the nine killing series in the German language area. For the investigation legal documents concerning specific characteristics of victims, site of crime and offenders were evaluated. The respective fields of work were investigated concerning the working climate, the position of the offenders in their working group, conflicts in the work place and the handling of the first intern hints to suspective behaviour...
July 2014: Psychiatrische Praxis
https://www.readbyqxmd.com/read/24947754/psychological-consequences-of-aggression-in-pre-hospital-emergency-care-cross-sectional-survey
#20
RANDOMIZED CONTROLLED TRIAL
Mónica Bernaldo-De-Quirós, Ana T Piccini, M Mar Gómez, Jose C Cerdeira
BACKGROUND: Pre-hospital emergency care is a particularly vulnerable setting for workplace violence. However, there is no literature available to date on the psychological consequences of violence in pre-hospital emergency care. OBJECTIVES: To evaluate the psychological consequences of exposure to workplace violence from patients and those accompanying them in pre-hospital emergency care. DESIGN: A retrospective cross-sectional study. SETTING: 70 pre-hospital emergency care services located in Madrid region...
January 2015: International Journal of Nursing Studies
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