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Provider Burnout

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221. Physicians' satisfaction with providing buprenorphine treatment. Full Text available with Trip Pro

Physicians' satisfaction with providing buprenorphine treatment. Buprenorphine is a critically important treatment for addressing the opioid epidemic, but there are virtually no studies of physicians' job satisfaction with providing buprenorphine. Physicians' job satisfaction has been linked to burnout and turnover as well as patients' adherence to treatment recommendations, so it is important to understand how physicians' satisfaction with providing buprenorphine treatment compares (...) -waivered physicians both reported high global job satisfaction, these data suggest that some waivered physicians may view their buprenorphine work as somewhat less satisfying than their global medical practice. Given that job dissatisfaction is a risk factor for turnover and burnout, managers of treatment organizations should consider whether strategies may be able to mitigate some sources of lower satisfaction in the context of buprenorphine treatment. Trial registration ClinicalTrials.gov

2019 Addiction science & clinical practice Controlled trial quality: uncertain

222. Patients' and Providers' Views on Causes and Consequences of Healthcare Fragmentation in the Ambulatory Setting: a Qualitative Study. Full Text available with Trip Pro

levels of the healthcare system (patient, provider, healthcare organization, and healthcare environment); most causes were not related to medical need. Participants also identified 24 unique consequences of fragmentation, of which 3 were desirable and 21 were undesirable.The results of this study offer a granular roadmap for how to decrease healthcare fragmentation. The large number and severity of negative consequences (including medical errors, misdiagnosis, increased cost, and provider burnout (...) Patients' and Providers' Views on Causes and Consequences of Healthcare Fragmentation in the Ambulatory Setting: a Qualitative Study. Patients with chronic conditions routinely see multiple outpatient providers, who may or may not communicate with each other. Gaps in information across providers caring for the same patient can lead to harm for patients. However, the exact causes and consequences of healthcare fragmentation are not understood well enough to design interventions to address

2019 Journal of General Internal Medicine

223. Brief Mindfulness Practices for Healthcare Providers - a Systematic Literature Review Full Text available with Trip Pro

Brief Mindfulness Practices for Healthcare Providers - a Systematic Literature Review Mindfulness practice, where an individual maintains openness, patience, and acceptance while focusing attention on a situation in a nonjudgmental way, can improve symptoms of anxiety, burnout, and depression. The practice is relevant for health care providers; however, the time commitment is a barrier to practice. For this reason, brief mindfulness interventions (eg, ≤ 4 hours) are being introduced. We (...) positive changes in levels of stress, anxiety, mindfulness, resiliency, and burnout symptoms. No studies found an effect on provider behavior. Brief mindfulness interventions may be effective in improving provider well-being; however, larger studies are needed to assess an impact on clinical care.Published by Elsevier Inc.

2017 EvidenceUpdates

224. Provider Burnout

Provider Burnout Provider Burnout Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Provider Burnout Provider Burnout Aka: Provider (...) in Herbert (2016) EM:Rap 16(8):8 Kalantari in Herbert (2018) EM:Rap 18(8): 14-5 Bright and Shoenberger in Majoewsky (2013) EM:Rap 13(6): 10 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Provider Burnout." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Mental Health About FPnotebook.com is a rapid access, point-of-care medical reference

2015 FP Notebook

225. Health and Wellness in Healthcare Providers Post-disaster

to healthcare and social service providers in Southeast Texas and Puerto Rico. The MHPS services are designed to provide skills to reduce stress, improve coping and reduce symptoms of burnout (compassion fatigue). Condition or disease Intervention/treatment Phase Intervention 1: Resilience and Coping for Healthcare Group Intervention 2: Resilience and Coping for Healthcare Plus Additional Services Waitlist Control Group Behavioral: RCHC Behavioral: RCHC+ Other: Waitlist control Not Applicable Detailed (...) ) programming that AmeriCares (a non-profit disaster response organization) is currently providing to healthcare and social service providers in Southeast Texas and Puerto Rico. The MHPS services are designed to provide skills to reduce stress, improve coping and reduce symptoms of burnout (compassion fatigue). The study included naturalistic groups that will receive services from Americares based on the agencies needs. They will include: A waitlisted control group who will receive services within 3-months

2018 Clinical Trials

226. The Use of Simulation to Improve Family Understanding and Support of Anesthesia Providers Full Text available with Trip Pro

The Use of Simulation to Improve Family Understanding and Support of Anesthesia Providers Introduction  Burnout in medical providers is associated with work dissatisfaction, reduction in patient safety, and provider depression. Simulation is a tool effectively used for specific task training but has not been broadly used as a means to combat medical professional stress and enhance wellness. The authors created a medical simulation program targeted at those involved in the social support (...) of medical providers. The hypothesis was that education of non-medical persons involved in social support would translate into an enhanced understanding of the demands among medical providers in anesthesiology. This understanding would thereby open communication pathways within the social support system and contribute to enhanced wellness among providers. Methods To assess effectiveness and benefits of the event, survey data were obtained from anesthesia providers and their adult support persons before

2018 Cureus

227. Impact of Medical Scribes on Provider Efficiency in the Pediatric Emergency Department. Full Text available with Trip Pro

, 80% of parents of patients without a scribe rated the visit as very good/great compared to 84% with a scribe (p = 0.218). Of the 34 providers surveyed, 88% preferred working with a scribe. A majority of providers (82%) felt that their skills were used more effectively when working with a scribe, decreasing their likelihood of experiencing burnout. Of the 43 nurses surveyed, 51% preferred scribes and 47% were indifferent.Medical scribes increased ED efficiency without decreasing patient (...) Impact of Medical Scribes on Provider Efficiency in the Pediatric Emergency Department. Today's emergency department (ED) providers spend a significant amount of time on medical record documentation, decreasing clinical productivity. One proposed solution is to utilize medical scribes who assist with documentation. We hypothesized that scribes would increase provider productivity and increase provider satisfaction without affecting patient experience or nursing satisfaction.We conducted

2018 Academic Emergency Medicine

228. "We've Learned It's a Medical Illness, Not a Moral Choice": Qualitative Study of the Effects of a Multicomponent Addiction Intervention on Hospital Providers' Attitudes and Experiences. Full Text available with Trip Pro

, improving patient engagement and communication, and humanizing care. Participants valued post-hospital SUD treatment pathways and felt having systems to address SUD reduced burnout and provided relief. Providers noted that IMPACT had limited ability to address poverty or engage highly ambivalent patients.Providers' distress of caring for patients with SUD is not inevitable. Hospital-based SUD interventions can reframe providers' views of addiction and may have significant implications for clinical care (...) "We've Learned It's a Medical Illness, Not a Moral Choice": Qualitative Study of the Effects of a Multicomponent Addiction Intervention on Hospital Providers' Attitudes and Experiences. Substance use disorders (SUD) represent a national epidemic with increasing rates of SUD-related hospitalizations. However, most hospitals lack expertise or systems to directly address SUD. Healthcare professionals feel underprepared and commonly hold negative views toward patients with SUD. Little is known

2018 Journal of Hospital Medicine

229. Suffering in Silence: Medical Error and its Impact on Health Care Providers. (Abstract)

Suffering in Silence: Medical Error and its Impact on Health Care Providers. All humans are fallible. Because physicians are human, unintentional errors unfortunately occur. While unintentional medical errors have an impact on patients and their families, they may also contribute to adverse mental and emotional effects on the involved provider(s). These may include burnout, lack of concentration, poor work performance, posttraumatic stress disorder, depression, and even suicidality.The (...) objectives of this article are to 1) discuss the impact medical error has on involved provider(s), 2) provide potential reasons why medical error can have a negative impact on provider mental health, and 3) suggest solutions for providers and health care organizations to recognize and mitigate the adverse effects medical error has on providers.Physicians and other providers may feel a variety of adverse emotions after medical error, including guilt, shame, anxiety, fear, and depression. It is thought

2018 Journal of Emergency Medicine

230. Individual and organizational predictors of allied healthcare providers' job satisfaction in residential long-term care. Full Text available with Trip Pro

using the Michigan Organizational Assessment Questionnaire Job Satisfaction Subscale.Both individual and organizational context variables predicted job satisfaction among allied healthcare providers employed in LTC. Demographic variables did not predict job satisfaction. At the individual level, burnout (cynicism) (β = -.113, p = .001) and the competence subscale of psychological empowerment (β = -.224, p = < .001), were predictive of lower job satisfaction levels while higher scores on the meaning (...) Individual and organizational predictors of allied healthcare providers' job satisfaction in residential long-term care. Job satisfaction is a predictor of intention to stay and turnover among allied healthcare providers. However, there is limited research examining job satisfaction among allied health professionals, specifically in residential long-term care (LTC) settings. The purpose of this study was to identify factors (demographic, individual, and organizational) that predict job

2018 BMC health services research

231. Systematic review into electrodermal activity (EDA) and heart rate (HR) for prediction of job related stress or burnout in the employed population

Systematic review into electrodermal activity (EDA) and heart rate (HR) for prediction of job related stress or burnout in the employed population Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith (...) by the number of treatment groups served. Where applicable, Holm-Bonferroni correction for testing multiple subgroup analyses will be performed. If one or more subgroup analyses cannot be performed due to insufficient data, the p-value will be adjusted accordingly. ">Other Subgroup analysis or meta-regression are used to explore between-study heterogeneity and can provide insight into the relationship between study characteristics (e.g. species, sex or drug class or dose) and effect size. They should

2017 PROSPERO

232. Clinical psychologists' experience of stress, burnout and the coping strategies they use: a systematic review

Clinical psychologists' experience of stress, burnout and the coping strategies they use: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation (...) -Bonferroni correction for testing multiple subgroup analyses will be performed. If one or more subgroup analyses cannot be performed due to insufficient data, the p-value will be adjusted accordingly. ">Other Subgroup analysis or meta-regression are used to explore between-study heterogeneity and can provide insight into the relationship between study characteristics (e.g. species, sex or drug class or dose) and effect size. They should be considered hypothesis-generating. Ideally, a threshold describing

2017 PROSPERO

233. Effectiveness of web- and mobile-based interventions for stress, job burnout, and depression in the workplace setting: systematic review with meta-analysis

Effectiveness of web- and mobile-based interventions for stress, job burnout, and depression in the workplace setting: systematic review with meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith (...) by the number of treatment groups served. Where applicable, Holm-Bonferroni correction for testing multiple subgroup analyses will be performed. If one or more subgroup analyses cannot be performed due to insufficient data, the p-value will be adjusted accordingly. ">Other Subgroup analysis or meta-regression are used to explore between-study heterogeneity and can provide insight into the relationship between study characteristics (e.g. species, sex or drug class or dose) and effect size. They should

2017 PROSPERO

234. The rate of burnout in paramedics

The rate of burnout in paramedics Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address: Timing and effect measures Timing and effect measures Email (...) or more subgroup analyses cannot be performed due to insufficient data, the p-value will be adjusted accordingly. ">Other Subgroup analysis or meta-regression are used to explore between-study heterogeneity and can provide insight into the relationship between study characteristics (e.g. species, sex or drug class or dose) and effect size. They should be considered hypothesis-generating. Ideally, a threshold describing the number of studies per subgroup required for analysis should be specified

2017 PROSPERO

235. Systematic review of the effect of care staff burnout on outcomes in older patients

Systematic review of the effect of care staff burnout on outcomes in older patients Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address: Timing (...) subgroup analyses will be performed. If one or more subgroup analyses cannot be performed due to insufficient data, the p-value will be adjusted accordingly. ">Other Subgroup analysis or meta-regression are used to explore between-study heterogeneity and can provide insight into the relationship between study characteristics (e.g. species, sex or drug class or dose) and effect size. They should be considered hypothesis-generating. Ideally, a threshold describing the number of studies per subgroup

2017 PROSPERO

236. Burnout syndrome in the nursing team working in the Intensive Care Unit: a systematic review

Burnout syndrome in the nursing team working in the Intensive Care Unit: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address (...) subgroup analyses will be performed. If one or more subgroup analyses cannot be performed due to insufficient data, the p-value will be adjusted accordingly. ">Other Subgroup analysis or meta-regression are used to explore between-study heterogeneity and can provide insight into the relationship between study characteristics (e.g. species, sex or drug class or dose) and effect size. They should be considered hypothesis-generating. Ideally, a threshold describing the number of studies per subgroup

2017 PROSPERO

237. Resident Burnout

Resident Burnout Rotation Prep | NEJM Resident 360 Social Login Email Login Log in via Email Create Your Account We will not share your email with anyone. Password must be at least 8 characters. Show or Hide the password you are typing. Request to Join has invited you to join this group Your browser does not support video tags Welcome! NEJM Resident 360 helps you prepare for your next rotation quickly and efficiently, provides support for coping with the pressures of resident life, and equips (...) you to take the next major step in your career. Rotation Prep supports your learning with an overview of the basics, and expertly chosen resources that provide the foundational information you need. Explore the educational features in Learning Lab, ways to connect with peers in Resident Lounge, and find career tips and guidance in Career. Exploring , , , and is FREE. Access to Rotation Prep is FREE to you through your institution's subscription, or you may connect with an individual subscription

2016 Now@NEJM

238. Forget burnout. Let’s address physician dissatisfaction.

. The environment of care delivery has become so complex and fraught with barriers to providing the excellent care we were trained to give, that it is overwhelming to imagine where to begin. The physician engagement-burnout (or satisfaction-dissatisfaction) continuum is related to the ratio of work demands to the resources available to achieve success in that work. The demands of being a physician are many and varied. The nature of the work itself, that of caring for the sick and dying, can contribute to stress (...) , emotional exhaustion, and eventual burnout. Care providers, from physicians to ICU nurses to hospice workers, must recognize the potential hazards of the essential nature of their work and ensure adequate personal resources are in place to support that work. This is where support through mindfulness, resilience, reflection, friends and family plays an important role. But this is nothing new, as the burden of dealing with human suffering has always been part and parcel of the physician experience

2017 KevinMD blog

239. We need to start talking about what comes after physician burnout

We need to start talking about what comes after physician burnout We need to start talking about what comes after physician burnout We need to start talking about what comes after physician burnout | | February 12, 2017 960 Shares I burned out, big and bad. I can see that now. My practice environment had become gradually untenable and every attempt I made to change it was blocked. My call schedule was inflexible and a lot more frequent than when I started my job. The hospitalists and ED kept (...) sending me cases I didn’t feel qualified to manage, but as it was usually the middle of the night and I was the general surgeon on call, I had no choice. In the morning, when I asked again if we could find another way to manage these patients, I was told to suck it up, and usually something about bootstraps. I was also trying to handle this without appearing stressed so referring providers would keep sending me patients. Despite this, my projected salary for the next year was significantly lower

2017 KevinMD blog

240. Can health care executives help with physician burnout?

significantly in the past 10 years The most important of these is the workplace. Most hospitals and clinics are designed in a way that clinicians face growing barriers and frustrations as they strive to provide excellent patient care. Removing these barriers and frustrations is the hardest change to make and the one that has received the least attention until recently. Burnout impacts executives It’s not easy being a C-suite member in a hospital or health system. Many experience burnout themselves. Recall (...) it, but they have the most important role to play in fixing the most important cause of burnout. Operations are ultimately the responsibility of the leaders of the organization. If operations are dysfunctional, the workers will try to fix things but rarely succeed without support. Middle managers are the closest to the front line challenges. They often try to provide support to the front lines, but without getting support from those they report up to, they struggle as well. Executives are that missing

2017 KevinMD blog

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