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Provider Burnout

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61. Organ procurement center allows for daytime liver transplantation with less resource utilization: may address burnout, pipeline and safety for field of transplantation. (Abstract)

associated with extubation in the operating room and less postoperative transfusion. There were no significant differences in short- or long-term postoperative outcomes. For exported livers, 54.3% were procured by a local team, saving 137 flights (151 559 miles). The OPC resulted in optimally timed liver transplants and decreased resource utilization with no negative impact on patient outcomes. It allows for ease in exporting organs procured by local surgeons, and potentially addresses provider burnout (...) Organ procurement center allows for daytime liver transplantation with less resource utilization: may address burnout, pipeline and safety for field of transplantation. Abdominal organ transplantation faces several challenges: burnout, limited pipeline of future surgeons, changes in liver allocation potentially impacting organ procurement travel, and travel safety. The organ procurement center (OPC) model may be one way to mitigate these issues. Liver transplants from 2009 to 2016 were reviewed

2018 American Journal of Transplantation

62. Novel electronic health record (EHR) education intervention in large healthcare organization improves quality, efficiency, time, and impact on burnout. Full Text available with Trip Pro

Novel electronic health record (EHR) education intervention in large healthcare organization improves quality, efficiency, time, and impact on burnout. A novel approach to advanced electronic health record (EHR) skills training was developed in a large healthcare organization to improve high-quality EHR documentation, while reducing stressors linked to physician burnout.The 3-day intensive EHR education intervention covered best practices in EHR documentation and physician well-being (...) . The specialty physician faculty used interactive teaching including demonstration, facilitation, and individual coaching. Laptops were provided for hands-on practice. Mixed-method evaluation included real-time feedback, daily surveys, and post-activity surveys to measure participant learning and satisfaction, and also collection of performance data from the EHR to measure use of order sets designed to improve quality of care.Since 2014, 46 trainings were held with 3500 physicians. Most physicians (85%-98

2018 Medicine

63. Psychometric properties of the Shirom-Melamed Burnout Measure (SMBM) among adolescents: results from three cross-sectional studies. Full Text available with Trip Pro

in each sample.The SMBM had adequate internal consistency. Confirmatory factor analyses showed that both a first- and second-order model achieve good model fit. Moreover, evidence for sufficient convergent and discriminant validity was found. Finally, in two of the three samples, female adolescents reported higher SMBM scores.The SMBM has been widely used in international burnout research. However, this is the first study providing empirical evidence that the SMBM has acceptable psychometric (...) Psychometric properties of the Shirom-Melamed Burnout Measure (SMBM) among adolescents: results from three cross-sectional studies. Burnout has long been understood as work-related physical, emotional, and cognitive exhaustion. However, burnout symptoms can also be found among younger people, including school-aged adolescents. While the Shirom-Melamed Burnout Measure (SMBM) is a widely applied instrument, its psychometric properties have not yet been investigated in adolescent populations. We

2018 BMC Psychiatry

64. The Relationship of Safety with Burnout for Mobile Health Employees Full Text available with Trip Pro

The Relationship of Safety with Burnout for Mobile Health Employees The study examined the relationship of occupational safety with job burnout.The study used a cross-sectional survey design.The setting was Nova Scotia, Canada.Mobile health employees (N = 156) completed surveys on road safety, workload, burnout and supervisor incivility.The main outcome measure was the Maslach Burnout Inventory.Results found that safety concerns improved the prediction of exhaustion beyond that provided (...) by workload concerns alone. Further, confidence in safety buffered the relationship of exhaustion with cynicism such that the exhaustion/cynicism relationship was stronger for employees who had lower confidence in road safety.Employees' confidence in occupational safety while addressing work responsibilities on the road has implications for their experience of job burnout.

2018 International journal of environmental research and public health

65. Pediatric Integrative Medicine in Residency Program: Relationship between Lifestyle Behaviors and Burnout and Wellbeing Measures in First-Year Residents Full Text available with Trip Pro

and wellbeing. The potential of the PIMR to provide interventions addressing gaps in lifestyle behaviors with recognized association to burnout is discussed. (...) Pediatric Integrative Medicine in Residency Program: Relationship between Lifestyle Behaviors and Burnout and Wellbeing Measures in First-Year Residents It is widely recognized that burnout is prevalent in medical culture and begins early in training. Studies show pediatricians and pediatric trainees experience burnout rates comparable to other specialties. Newly developed Accreditation Council for Graduate Medical Education (ACGME) core competencies in professionalism and personal development

2018 Children

66. Burnout and Exposure to Critical Incidents in a Cohort of Emergency Medical Services Workers from Minnesota Full Text available with Trip Pro

in the profession.We administered a 167-item electronic survey that included the Maslach Burnout Inventory (MBI) and a modified version of the Critical Incident History Questionnaire (n=29 incident types) to paramedics, emergency medical technicians (EMTs), and dispatchers of a single ambulance service. We defined the presence of burnout as a high score on either the emotional exhaustion or depersonalization subscales of the MBI.Survey respondents who provided regular 911 response at the time of the survey (...) Burnout and Exposure to Critical Incidents in a Cohort of Emergency Medical Services Workers from Minnesota Very little quantitative data on occupational burnout and exposure to critical incidents are available from contemporary United States emergency medical services (EMS) cohorts. Given that burnout has been associated positively with turnover intentions and absenteeism in EMS workers, studies that uncover correlates of burnout may be integral to combating growing concerns around retention

2018 Western Journal of Emergency Medicine

67. Exploring the relative importance of work-organizational burnout risk factors in Belgian residents Full Text available with Trip Pro

Exploring the relative importance of work-organizational burnout risk factors in Belgian residents Previous research has shown that residents are at risk for developing burnout. Most burnout measures focus on individual risk factors, although work-organizational-focused measures might be beneficial as well. This study analyzed the relative importance of positive and negative work-organizational stressors, according to residents themselves, with NVivo11. Eleven work-organizational themes were (...) hours. Our results suggest to allocate resources to improve supervisors' skills, such as providing social support, feedback, and recognition. A better match between internship obligations and residents' studies could also contribute positively to this purpose.

2018 Medical education online

68. Association of burnout with doctor–patient relationship and common stressors among postgraduate trainees and house officers in Lahore—a cross-sectional study Full Text available with Trip Pro

Association of burnout with doctor–patient relationship and common stressors among postgraduate trainees and house officers in Lahore—a cross-sectional study Burnout is defined as a prolonged state of physical and psychological exhaustion. Doctors, due to the demanding nature of their job, are susceptible to facing burnout, which has far reaching implications on their productivity and motivation. It affects the quality of care they provide to patients, thus eroding the doctor-patient (...) relationship which embodies patient centeredness and autonomy. The study aims at addressing the stressors leading to burnout and its effect on the doctor-patient relationship.A descriptive, cross-sectional study design with convenience (non-probability) sampling technique was employed in six major hospitals of Lahore, Pakistan. A total of 600 doctors were approached for the study which included house officers or "HOs" (recent graduates doing their 1 year long internship) and post-graduate trainees or "PGRs

2018 PeerJ

69. A Theoretical and Clinical Framework for Parental Burnout: The Balance Between Risks and Resources (BR2) Full Text available with Trip Pro

, and providing directions for intervention. The secondary goal was to operationalize this theory in a tool that would be easy to use for both researchers and clinicians. The results of this two-wave longitudinal study conducted on 923 parents suggest that the Balance between Risks and Resources (BR2) theory proposed here is a relevant framework to predict and explain parental burnout. More specifically, the results show that (1) the BR2 instrument reliably measures parents' balance between risks (parental (...) A Theoretical and Clinical Framework for Parental Burnout: The Balance Between Risks and Resources (BR2) Parental burnout is a specific syndrome resulting from enduring exposure to chronic parenting stress. But why do some parents burn out while others, facing the same stressors, do not? The main aim of this paper was to propose a theory of parental burnout capable of predicting who is at risk of burnout, explaining why a particular parent burned out and why at that specific point in time

2018 Frontiers in psychology

70. Work Engagement, Burnout and Personal Accomplishments Among Social Workers: A Comparison Between Those Working in Children and Adults’ Services in England Full Text available with Trip Pro

Work Engagement, Burnout and Personal Accomplishments Among Social Workers: A Comparison Between Those Working in Children and Adults’ Services in England Social workers (SWs) provide emotional and practical support to vulnerable service users who are likely to suffer from emotional trauma and mental health conditions. Stress and burnout levels are reported to be high among SWs, however, little is known about their relationships with different characteristics. The current article utilises (...) unique and large dataset (n = 3786) on SWs working in adults and children's services to examine factors associated with burnout. Employing job-demand/resources model and structural equations modelling, we highlight the varying significant impact of work-engagement, administrative support and work experience as moderating factors to burnout across adult and children service specialism in this sample.

2018 Administration and Policy in Mental Health

71. Burnout and Scope of Practice in New Family Physicians Full Text available with Trip Pro

Burnout and Scope of Practice in New Family Physicians 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.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.Forty-two percent of respondents reported feeling burned out from their work once a week or more. In bivariate analysis, elements of scope of practice associated with higher burnout rates included providing more

2018 Annals of family medicine

72. Organizational Factors and Burnout of Perioperative Nurses Full Text available with Trip Pro

factors. Promoting positive leadership styles, providing necessary resources, and creating a positive climate in the work environment could increase psychosocial wellbeing and decrease burnout among perioperative nurses. (...) Organizational Factors and Burnout of Perioperative Nurses Knowing the organizational factors that predict burnout in perioperative nurses is paramount for improving the care of patients and promoting nurses' psychosocial well-being and health.To determine the influence of organizational factors of the perioperative nurse's work environment on the three burnout dimensions: emotional exhaustion, despersonalization, and personal accomplishment.A cross-sectional study was conducted among 136

2018 Clinical practice and epidemiology in mental health : CP & EMH

73. Chinese Anesthesiologists Have High Burnout and Low Job Satisfaction: A Cross-Sectional Survey. (Abstract)

multivariable logistic regression analysis, we found that age, hospital category, working hours per week, caseload per day, frequency of perceived challenging cases, income, and sleep quality were independent variables associated with burnout. Anesthesiologists with a high level of depersonalization tended to engage in shorter preoperative conversations with patients, provide less information about pain or the procedure, and to have less empathy with them.The anesthesiologists in the Beijing-Tianjin-Hebei (...) Chinese Anesthesiologists Have High Burnout and Low Job Satisfaction: A Cross-Sectional Survey. The Chinese health care system must meet the needs of 19% of the world's population. Despite recent economic growth, health care resources are unevenly distributed. This creates the potential for job stress and burnout. We therefore conducted a survey among anesthesiologists in the Beijing-Tianjin-Hebei region focusing on job satisfaction and burnout to determine the incidence and associated

2018 Anesthesia and Analgesia

74. Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reported Medical Errors. Full Text available with Trip Pro

hierarchical models evaluated the associations among burnout, well-being measures, work unit safety grades, and medical errors.Of 6695 responding physicians in active practice, 6586 provided information on the areas of interest: 3574 (54.3%) reported symptoms of burnout, 2163 (32.8%) reported excessive fatigue, and 427 (6.5%) reported recent suicidal ideation, with 255 of 6563 (3.9%) reporting a poor or failing patient safety grade in their primary work area and 691 of 6586 (10.5%) reporting a major (...) Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reported Medical Errors. To evaluate physician burnout, well-being, and work unit safety grades in relationship to perceived major medical errors.From August 28, 2014, to October 6, 2014, we conducted a population-based survey of US physicians in active practice regarding burnout, fatigue, suicidal ideation, work unit safety grade, and recent medical errors. Multivariate logistic regression and mixed-effects

2018 Mayo Clinic Proceedings

75. Burnout in oncologists is a serious issue: What can we do about it? (Abstract)

on the wellbeing of oncologists and their patients. In this review article, we provide an oncologist's perspective on this important and topical issue. We have summarised the literature with regard to the consequences of physician burnout, its associated risk factors and previously evaluated solutions. We conclude by suggesting further strategies for addressing this problem.Copyright © 2018. Published by Elsevier Ltd. (...) Burnout in oncologists is a serious issue: What can we do about it? The cancer burden is rising globally with an increasing need for oncologists. The significant demands associated with caring for cancer patients within a rapidly evolving scientific field, poses manifold challenges, including the risk of work-related burnout. Surveys have already shown that the prevalence of burnout in oncologists worldwide is significant. There is growing concern that burnout has a detrimental impact

2018 Cancer Treatment Reviews

76. Adopting the Quadruple Aim: The University of Rochester Medical Center Experience<sup>,,✯✯✯</sup>: Moving from Physician burnout to Physician Resilience. Full Text available with Trip Pro

Adopting the Quadruple Aim: The University of Rochester Medical Center Experience,,✯✯✯: Moving from Physician burnout to Physician Resilience. The high rates of burnout among medical professionals in the United States are well documented. The reasons for burnout and the factors that contribute to physician resilience among health care providers in academic centers, however, are less well studied.Health care providers at a large academic center were surveyed to measure their degree (...) of burnout and callousness and identify associated factors. Additional questions evaluated features linked to resilience. The survey assessed demographic variables, work characteristics, qualifications, experience, and citizenship.A total of 528 surveys were sent out; 469 providers responded, and 444 (84%) completed the survey. High burnout was reported by 214 providers (45.6%), and callousness was noted among 163 (34.8%). Rates of burnout and callousness were higher among advanced practice providers

2018 American Journal of Medicine

77. Burnout Syndrome: Global Medicine Volunteering as a Possible Treatment Strategy. (Abstract)

Burnout Syndrome: Global Medicine Volunteering as a Possible Treatment Strategy. In the last few decades, "burnout syndrome" has become more common among clinicians, or at least more frequently recognized. Methods to prevent and treat burnout have had inconsistent results. Simultaneously, clinicians' interest in global medicine has increased dramatically, offering a possible intervention strategy for burnout while providing help to underserved areas.Caused by a variety of stressors, burnout (...) for combating burnout by reconnecting physicians with their love of the profession.Because studies have shown that regular volunteering improves mental health, short-term global medicine experiences may reinvigorate and reengage clinicians on the verge of, or suffering from, persistent burnout syndrome. Fortuitously, this intervention often will greatly benefit medically underserved populations.Copyright © 2018 Elsevier Inc. All rights reserved.

2018 Journal of Emergency Medicine

78. Gender Differences in Utilization of Duty-Hour Regulations, Aspects of Burnout, and Psychological Well-being Among General Surgery Residents in the United States. (Abstract)

differences include a lack of female mentorship/leadership, dual-role responsibilities, gender blindness, and differing pressures and approaches to patient care.Female residents report working more, experiencing certain aspects of burnout more frequently, and having poorer psychological well-being. Qualitative themes provide insights into possible cultural and programmatic shifts to address the concerns for female residents. (...) Gender Differences in Utilization of Duty-Hour Regulations, Aspects of Burnout, and Psychological Well-being Among General Surgery Residents in the United States. The aim of the study was to (1) assess differences in how male and female general surgery residents utilize duty-hour regulations and experience aspects of burnout and psychological well-being, and (2) to explore reasons why these differing experiences exist.There may be differences in how women and men enter, experience, and leave

2018 Annals of Surgery

79. Gendered Expectations: Do They Contribute to High Burnout Among Female Physicians? Full Text available with Trip Pro

Gendered Expectations: Do They Contribute to High Burnout Among Female Physicians? Patients have differing expectations of female versus male physicians. Female patients tend to seek more empathic listening and longer visits, especially with female physicians; however, female doctors are not provided more time for this. Female doctors have more female patients than male doctors, and more patients with psychosocial complexity. We propose that gender differences in patient panels and gendered (...) expectations of female physicians may contribute to the high rate of burnout among female clinicians, as well as to the many female physicians working part-time to reduce stress in their work lives. We propose several mechanisms for addressing this, including brief increments in visit time (20, 30 and 40 min), staff awareness, training in patient expectations during medical school, adjusting for patient gender in compensation plans, and co-locating behavioral medicine specialists in primary care settings

2018 Journal of General Internal Medicine

80. The Effects of "Three Good Things" Positive Psychotherapy on Nurses' Burnout

. The Effects of "Three Good Things" Positive Psychotherapy on Nurses' 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: NCT03645798 Recruitment Status : Completed First Posted : August 24, 2018 Last Update Posted : August 24, 2018 Sponsor: Central South University Information provided by (Responsible (...) want others to access the data. Layout table for additional information Studies a U.S. FDA-regulated Drug Product: No Studies a U.S. FDA-regulated Device Product: No Keywords provided by Yufang Guo, Central South University: burnout turnover intention job performance job satisfaction resilience self-efficacy coping style cortisol nurse Additional relevant MeSH terms: Layout table for MeSH terms Burnout, Psychological Stress, Psychological Behavioral Symptoms

2018 Clinical Trials

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