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Provider Burnout

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181. The prevalence and effect of burnout on graduate healthcare students (PubMed)

. The high prevalence of burnout within graduate healthcare students can have an effect on their mental health, empathy, and professional conduct. Understanding the occurrence and effects of burnout within graduate healthcare programs allows faculty and administration to plan curriculum, and provide information to students to understand, recognize, and create opportunities to decrease burnout in order to create long lasting quality clinicians. (...) The prevalence and effect of burnout on graduate healthcare students Burnout is a growing epidemic among professional healthcare students. Unaddressed burnout has been shown to have psychological and performance related detriments. The purpose of this scoping literature review was to investigate the prevalence of burnout and its effects on the psychological, professional, empathetic ability, and academic acuity of graduate healthcare students. Inclusion criteria included English language papers

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2017 Canadian medical education journal

182. Younger Members of the Dental Profession are More Likely to have Burnout Syndrome

of all the reported mental pathologies. Increased age was a protective factor in perceived satisfaction in the dental profession. For each gained year in age, analyses concluded there was a 2% increased possibility of being ‘satisfied or absolutely satisfied’ with dental practice. Evidence Search maslach+burnout+inventory+dentist Comments on The Evidence This research provides reliable evidence that increasing age is a protective factor against Burnout Syndrome amongst dentists. Applicability Now (...) Younger Members of the Dental Profession are More Likely to have Burnout Syndrome UTCAT2590, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Younger Members of the Dental Profession are More Likely to have Burnout Syndrome Clinical Question Is Burnout Syndrome more common in younger or older dental professionals? Clinical Bottom Line Burnout decreases with age in the dental profession. Maslach Burnout Inventory

2013 UTHSCSA Dental School CAT Library

183. Clinicians' Perspectives on Providing Emergency-Only Hemodialysis to Undocumented Immigrants: A Qualitative Study. (PubMed)

incentives, and concerns about sustainability), and 4) inspiration toward advocacy (deriving inspiration from patients and strengthened altruism).Whether the findings apply to other settings is unknown, and social desirability response bias might have reduced reporting of negative perceptions and experiences.Clinicians in safety-net settings who provide EOHD to undocumented patients describe experiencing moral distress and being driven toward professional burnout. The burden of EOHD on clinicians should (...) Clinicians' Perspectives on Providing Emergency-Only Hemodialysis to Undocumented Immigrants: A Qualitative Study. In the United States, nearly half of undocumented immigrants with end-stage kidney disease receive hemodialysis only when they are evaluated in an emergency department and are found to have life-threatening renal failure ("emergency-only hemodialysis" [EOHD]). These patients experience psychosocial distress and much higher mortality than patients receiving regularly scheduled

2018 Annals of Internal Medicine

184. The impact of psychological capital on mental health among Iranian nurses: considering the mediating role of job burnout (PubMed)

The impact of psychological capital on mental health among Iranian nurses: considering the mediating role of job burnout The role of nurses in providing high quality healthcare to patients is so important that creating a desirable working environment to enhance their overall performance is unavoidable. This paper aimed to explore the impact of psychological capital on mental health by investigating the mediating effects of job burnout on this relationship.The data used in this research (...) was obtained via a survey conducted among selected Iranian nurses in public hospitals. In total, 450 questionnaires were distributed and 384 were completed and returned. Collected data was analysed using Structural Equation Modelling (SEM).Findings showed that there is a significant relationship between psychological capital, job burnout and mental health; also, there is a significant negative relationship between psychological capital and job burnout, and a significant positive relationship between

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2016 SpringerPlus

185. Working Overtime in Community Mental Health: Associations with Clinician Burnout and Perceived Quality of Care (PubMed)

Working Overtime in Community Mental Health: Associations with Clinician Burnout and Perceived Quality of Care Funding cuts have increased job demands and threatened clinicians' ability to provide high-quality, person-centered care. One response to increased job demands is for clinicians to work more than their official scheduled work hours (i.e., overtime). We sought to examine the frequency of working overtime and its relationships with job characteristics, work-related outcomes, and quality (...) of care in community health clinicians.One hundred eighty-two clinicians completed demographic and job characteristics questions and measures of burnout, job satisfaction, turnover intention, work-life conflict, and perceived quality of care. Clinicians also reported the importance of reducing stress and their confidence in reducing their stress. Clinicians who reported working overtime were compared to clinicians that did not on demographic and job characteristics and work-related outcomes.Ninety

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2016 Psychiatric rehabilitation journal

186. Burnout Preventions, Professionalism Heightening, and Enhancing Resiliency (BUPHER)

adding more. Burnout Preventions, Professionalism Heightening, and Enhancing Resiliency (BUPHER) (BUPHER) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT02963792 Recruitment Status : Not yet recruiting First Posted (...) : November 15, 2016 Last Update Posted : November 15, 2016 See Sponsor: michal roll Collaborators: Association for Children at Risk Tel Aviv University Information provided by (Responsible Party): michal roll, Tel-Aviv Sourasky Medical Center Study Details Study Description Go to Brief Summary: Due to their difficult and stressful work surgeons are under continuous physical and mental stress exposing them to increased risk for burnout and lack of professionalism. The present intervention focuses

2016 Clinical Trials

187. Emotional Experience and Burnout in Physician

provided by (Responsible Party): Assistance Publique - Hôpitaux de Paris Study Details Study Description Go to Brief Summary: Recent studies have highlighted a high incidence of burnout among surgeons. The aim of this study is in particular to investigate if this is the consequence of performing surgery (i.e. invasive procedures) or whether it is related to the cultural background of surgeons. Condition or disease Emotional Experience and Burnout in Physicians Detailed Description: A mixed method (...) Individual Participant Data (IPD) Sharing Statement: Plan to Share IPD: Undecided Keywords provided by Assistance Publique - Hôpitaux de Paris: Emotional experience and burnout in physicians Additional relevant MeSH terms: Layout table for MeSH terms Burnout, Psychological Stress, Psychological Behavioral Symptoms

2016 Clinical Trials

188. Recognizing and Preventing Burnout

Recognizing and Preventing Burnout Recognizing and Preventing Burnout - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Recognizing and Preventing Burnout The safety and scientific validity of this study (...) is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02825004 Recruitment Status : Completed First Posted : July 7, 2016 Last Update Posted : February 1, 2018 Sponsor: Fondazione Don Carlo Gnocchi Onlus Information provided by (Responsible Party): Paolo Banfi, Fondazione Don Carlo Gnocchi Onlus Study Details Study Description Go to Brief Summary: The purpose

2016 Clinical Trials

189. Why physician burnout treatment doesn’t work

providers what they are dealing with, then create training to address those things. Only then will you be able to start to gather accurate data that will allow you to create pilot projects that will help and support your doctors and decrease the rate of burnout in your organization. Realizing that burnout is not a problem for which we can create a “physician burnout treatment” or “solution” is the access to us getting underneath the root cause. Distinguishing these various causes will allow us to create (...) Why physician burnout treatment doesn’t work Why physician burnout treatment doesn’t work Why physician burnout treatment doesn’t work | | December 17, 2016 147 Shares Physician burnout has become a popular buzzword in the medical community causing physicians, organizations, and medical education programs to seek solutions to what seems to be a growing problem. The result: Tons of research, new pilot projects, and burnout prevention programs are being implemented to try to “treat the problem

2016 KevinMD blog

190. How can doctors avoid burnout?

How can doctors avoid burnout? How can doctors avoid burnout? How can doctors avoid burnout? | | December 13, 2016 336 Shares Medicine has become increasingly stressful for all levels of health care providers. Every year, nearly 400 physicians commit suicide, and in a study published in the , researchers found that almost 10 percent of final year medical students and first-year residents (called interns) reported having suicidal thoughts. Previous studies from the found that physicians were (...) are emotionally and physically depleted as commonly seen in burnout, patient care may suffer. Distraction, lack of attention to detail and poor decision-making can be more common. To provide the best care, physicians must engage with their patients and develop a personal connection. If physicians have burnout, often there is no time or energy left for cultivating these important relationships. Depression/suicide. A staggeringly high number of doctors, when polled, have clinical signs of depression and many

2016 KevinMD blog

191. Burnout in the intensive care unit professionals: A systematic review. (PubMed)

-being and the quality of professional care they provide and can, therefore, be detrimental to patient safety. The objectives of this study were: to determine the prevalence of burnout in the ICU setting; and to identify factors associated with burnout in ICU professionals.The original articles for observational studies were retrieved from PubMed, MEDLINE, and Web of Science in June 2016 using the following MeSH terms: "burnout" and "intensive care unit". Articles that were published in English (...) Burnout in the intensive care unit professionals: A systematic review. Burnout has been described as a prolonged response to chronic emotional and interpersonal stress on the job that is often the result of a period of expending excessive effort at work while having too little recovery time. Healthcare workers who work in a stressful medical environment, especially in an intensive care unit (ICU), may be particularly susceptible to burnout. In healthcare workers, burnout may affect their well

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2016 Medicine

192. Physician burnout, physician-patient communication and marketing advice your allergy practice - Twitter summary from #ACAAI16 meeting

matched controls. Men 40% above national rate. Women 130%! Healthcare changes have caused a marked increase in physician burnout. The more burned out MDs are, the worse care they can provide. ICU outcomes worse where MDs score higher on testing for burnout. Most doctors blame EMR for increased stress in practice. 73% of time on EHR only 27% with the patient! 73% of physician time spent on administrative tasks. "Pajama time" is when physicians complete their documentation and other work at home (...) health care system results in healthy patients and healthy providers. "Physician quality of life" is as important as "patient quality of life". A burnout immunization program: Learn to say “No”, prioritize what you value, actually take vacations, acknowledge your good work. Look at what is right, look out for your team. Use your team to decrease administrative burdens. Remember to care for your 'work family' as well; craft your team to focus on wellbeing, work to connect personally with each patient

2016 Allergy Notes blog

193. How this psychiatrist handles burnout

, doctors and other health care providers and countless others. Looking back on it, I have experienced various degrees of burnout several times in my career in medicine. The symptoms I have fought with, sometimes silently, have included extreme fatigue, emotional withdrawal, disinterest, lack of a sense of purpose, lack of motivation, lack of joy, and decreased participation in enjoyable activities. I was not depressed. One does not have to be clinically depressed to be burned out. I was simply existing (...) How this psychiatrist handles burnout How this psychiatrist handles burnout How this psychiatrist handles burnout | | December 27, 2016 87 Shares I listened to a Planet Money podcast recently titled, . It dealt with the origin and characteristics of burnout, and I would highly recommend it. You’ve all heard the term and have a vague knowledge of what burnout is, I’m sure. You may have experienced it yourself. It affects call center employees (as in the podcast), all sorts of service workers

2016 KevinMD blog

194. Burnout left its mark on this physician

with the proverbial faceless bureaucrats that decided I couldn’t even try to provide proper care. One tantrum later, I gave my notice. It’s been almost a year since I’ve seen a live patient. I once thought I’d be able to go back, even made plans for temporary gigs or permanent part-time work. But I don’t enjoy medicine, and never did for very long, and even a six figure income isn’t worth 30 more years of cyclical unhappiness. More importantly, burnout has left its mark. I am irretrievably cynical about (...) Burnout left its mark on this physician Burnout left its mark on this physician Burnout left its mark on this physician | | December 28, 2016 52 Shares In a previous piece, I described the in medicine, namely, bleakness, boredom, and bureaucracy. Both times I went through burnout, the cycle started with boredom. I found medicine so full of the mundane most days, after about five years in practice, I grew restless. There’s only so much time after your office is done, the kitchen is clean

2016 KevinMD blog

195. Stress, burnout and depression: A systematic review on DNA methylation mechanisms. (PubMed)

of stress-related mental disorders. Thus, the aim of this review is to provide an overview of DNA methylation mechanisms in stress, burnout and depression. In addition to state-of-the-art overview, the goal of this review is to provide a scientific base for burnout biomarker research. We performed a systematic literature search and identified 25 pertinent articles. Among these, 15 focused on depression, 7 on chronic stress and only 3 on work stress/burnout. Three epigenome-wide studies were identified (...) Stress, burnout and depression: A systematic review on DNA methylation mechanisms. Despite that burnout presents a serious burden for modern society, there are no diagnostic criteria. Additional difficulty is the differential diagnosis with depression. Consequently, there is a need to dispose of a burnout biomarker. Epigenetic studies suggest that DNA methylation is a possible mediator linking individual response to stress and psychopathology and could be considered as a potential biomarker

2016 Journal of psychosomatic research

196. Self-care as a professional imperative: physician burnout, depression, and suicide. (PubMed)

Self-care as a professional imperative: physician burnout, depression, and suicide. Burnout has been identified in approximately half of all practicing physicians, including anesthesiologists. In this narrative review, the relationship between burnout, depression, and suicide is explored, with particular attention to the anesthesiologist. Throughout this review, we highlight our professional imperative regarding this epidemic.The authors searched the existing English language literature via (...) PubMed from 1986 until present using the search terms physician burnout, depression, and suicide, with particular attention to studies regarding anesthesiologists and strategies to address these problems.Burnout and depression have increased among physicians, while the rate of suicide has remained relatively the same. There are many factors associated with burnout and depression as well as many causes. Certain individual factors include sex, amount of social support, and mental health history

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2016 Canadian Journal Of Anaesthesia

197. Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis. (PubMed)

of organization-directed approaches. This finding provides support for the view that burnout is a problem of the whole health care organization, rather than individuals. (...) Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis. Burnout is prevalent in physicians and can have a negative influence on performance, career continuation, and patient care. Existing evidence does not allow clear recommendations for the management of burnout in physicians.To evaluate the effectiveness of interventions to reduce burnout in physicians and whether different types of interventions (physician-directed or organization-directed

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2016 JAMA Internal Medicine

198. The Relationship Between Professional Burnout and Quality and Safety in Healthcare: A Meta-Analysis. (PubMed)

The Relationship Between Professional Burnout and Quality and Safety in Healthcare: A Meta-Analysis. Healthcare provider burnout is considered a factor in quality of care, yet little is known about the consistency and magnitude of this relationship. This meta-analysis examined relationships between provider burnout (emotional exhaustion, depersonalization, and reduced personal accomplishment) and the quality (perceived quality, patient satisfaction) and safety of healthcare.Publications were (...) identified through targeted literature searches in Ovid MEDLINE, PsycINFO, Web of Science, CINAHL, and ProQuest Dissertations & Theses through March of 2015. Two coders extracted data to calculate effect sizes and potential moderators. We calculated Pearson's r for all independent relationships between burnout and quality measures, using a random effects model. Data were assessed for potential impact of study rigor, outliers, and publication bias.Eighty-two studies including 210,669 healthcare providers

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2016 Journal of General Internal Medicine

199. Efficacy of an internet-based intervention for burnout: a randomized controlled trial in the German working population. (PubMed)

-follow-up. Intention-to-treat analyses revealed significant group differences in favor of the intervention group in depression (d = 0.66), cynicism (d = 0.87) and personal accomplishment (d = 0.75).The intervention helped ameliorate symptoms of work-related stress and burnout. Although limited by a small sample size, the study suggests that the program provides effective support for affected individuals. However, further studies with bigger sample sizes should be conducted to examine the effects (...) Efficacy of an internet-based intervention for burnout: a randomized controlled trial in the German working population. Internet-based interventions are a viable treatment option for various mental problems. However, their effects on the burnout syndrome yielded mixed results. In this paper, we examine the efficacy of a structured and therapist-guided internet intervention, based on solution-focused and cognitive-behavioral therapy, for individuals with symptoms of burnout.Two-arm, Internet

2016 Anxiety, stress, and coping

200. How empathy can help physician burnout

How empathy can help physician burnout How empathy can help physician burnout How empathy can help physician burnout | | October 9, 2016 148 Shares By the time I reached Dr. R, I was twelve months into an undiagnosed, severe, lower abdominal pain condition. Desperate for an accurate diagnosis and treatment plan after seeing ten doctors who had misdiagnosed me, I was exhausted and beyond frustrated with the care I’d received. Seated across from Dr. R. in her office with copies of my medical (...) of my capacity to mother our young daughter. Dr. R. was the only doctor who conveyed empathy. That’s one out of ten. Empathy is a vital component of care. According to the , “Providing empathic care improves the physician–patient relationship, resulting in improved patient outcomes and satisfaction.” Is empathy a dying art in medicine? A study published in the found that empathy erodes in medical students by the third year in medical school. Because current medical education emphasizes detachment

2016 KevinMD blog

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