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Provider Burnout

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1441. Solution-focused therapy. Counseling model for busy family physicians. (PubMed)

therapy offers simplicity, practicality, and relative ease of application. From the perspective of a new learner, MECSTAT provides a framework that facilitates development of skills.Solution-focused therapy recognizes that, even in the bleakest of circumstances, an emphasis on individual strength is empowering. In recognizing patients as experts in self-care, family physicians support and accentuate patient-driven change, and in so doing, are freed from the hopelessness and burnout that can accompany (...) Solution-focused therapy. Counseling model for busy family physicians. To provide family doctors in busy office practices with a model for counseling compatible with patient-centred medicine, including the techniques, strategies, and questions necessary for implementation.The MEDLINE database was searched from 1984 to 1999 using the terms psychotherapy in family practice, brief therapy in family practice, solution-focused therapy, and brief psychotherapy. A total of 170 relevant articles were

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2001 Canadian Family Physician

1442. Family Violence and Family Physicians: Opportunity and obligation (PubMed)

Family Violence and Family Physicians: Opportunity and obligation The acronym IDEALS summarizes family physicians' obligations when violence is suspected: to identify family violence; document injuries; educate families and ensure safety for victims; access resources and coordinate care; co-operate in the legal process; and provide support for families. Failure to respond reflects personal and professional experience and attitudes, fear of legal involvement, and lack of knowledge. Risks (...) of intervention include physician burnout, physician overfunctioning, escalation of violence, and family disruption.

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1991 Canadian Family Physician

1443. Clinical supervision and support for nurses: an evaluation study. (PubMed)

Clinical supervision and support for nurses: an evaluation study. To assess the effects of clinical supervision and informal support on qualified nurses.Earlier small-scale research studies have provided conflicting evidence about the impact of clinical supervision, hence the need for this larger-scale study.Survey design drawing on an opportunity sample of 211 qualified nurses from 11 randomly selected hospital and community NHS Trusts in one region in England. Quantitative data collection (...) used the Maslach Burnout Inventory (MBI) and the Nursing in Context Questionnaire (NICQ), while qualitative data were based on written critical incidents. The analysis compared supervized with unsupervized nurses.The critical incident analysis revealed that supervized nurses continued to use informal support networks as well as their supervision sessions to discuss clinical issues. The MBI found no significant differences in levels of burnout between supervized and unsupervized nurses. However

2001 Journal of advanced nursing Controlled trial quality: uncertain

1444. Neurologists' assessment of their ability to provide high quality care. (PubMed)

Neurologists' assessment of their ability to provide high quality care. S: To assess levels of professional satisfaction and distress in a national sample of neurologists and to compare neurologists with other physicians.The authors used data from the 1996 through 1997 and 1998 through 1999 Community Tracking Study Physician Survey and analyzed responses in the two time frames to measures of career satisfaction, physician autonomy and communication, and ability to obtain needed services (...) for patients.Most physicians, including neurologists, are satisfied with careers in medicine. Neurologists feel they have more time to spend with patients than do other physicians but are more concerned than are other physicians about their ability to obtain needed services and to provide high-quality care for patients. One-third of all physicians feel that they cannot maintain the kind of continuing relationships with patients over time that are necessary for delivering high-quality care.The majority

2003 Neurology

1445. Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak. (PubMed)

Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak. Healthcare workers (HCWs) found the 2003 outbreak of severe acute respiratory syndrome (SARS) to be stressful, but the long-term impact is not known. From 13 to 26 months after the SARS outbreak, 769 HCWs at 9 Toronto hospitals that treated SARS patients and 4 Hamilton hospitals that did not treat SARS patients completed a survey of several adverse outcomes. Toronto HCWs reported (...) significantly higher levels of burnout (p = 0.019), psychological distress (p<0.001), and posttraumatic stress (p<0.001). Toronto workers were more likely to have reduced patient contact and work hours and to report behavioral consequences of stress. Variance in adverse outcomes was explained by a protective effect of the perceived adequacy of training and support and by a provocative effect of maladaptive coping style and other individual factors. The results reinforce the value of effective staff support

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2006 Emerging Infectious Diseases

1446. Teaching health-care providers coping: results of a two-year study. (PubMed)

Teaching health-care providers coping: results of a two-year study. This study examined coping strategies and occupational burnout in a sample of 118 health-care providers. Subjects who participated in a 6-week program designed to improve coping reported significant short-term decreases in emotional exhaustion and lack of personal accomplishment, two dimensions of burnout. Subjects who received 1-hr coping "refresher" sessions at 5, 11, and 17 months showed consistent decreases in burnout (...) throughout the 2-year period. However, those who did not receive the refresher sessions following the 6-week course showed only temporary improvement. Results indicate that health-care providers can be taught to employ adaptive coping strategies that improve levels of burnout, but long-term changes are achieved only through long-term coping training.

1999 Journal of behavioral medicine Controlled trial quality: uncertain

1447. Job satisfaction, stress, and burnout among Canadian gynecologic oncologists. (PubMed)

Job satisfaction, stress, and burnout among Canadian gynecologic oncologists. (1). To provide a job description of Canadian gynecologic oncologists. (2). To assess job satisfaction and job stress, and measure the prevalence of burnout and psychological morbidity.A cross-sectional survey was mailed to all Canadian gynecologic oncologists in September 2002.The job profile on Canadian gynecologic oncologists is predominantly clinical with a minor component of administration and to a less extent

2004 Gynecologic Oncology

1448. Significance of working conditions on burnout in anesthetists. (PubMed)

to be at risk for burnout, and three anesthetists (3.4%) had already developed full-blown burnout syndrome. Anesthetists at risk for burnout more frequently suffered from limited complexity of work (P=0.001), lacking individual time control (P=0.004), lack of participation possibilities (P=0.012), and had more physical complaints (P=0.017) and greater job dissatisfaction (P=0.002) than did their colleagues with no burnout symptoms.Job conditions providing little opportunity to influence work pace (...) Significance of working conditions on burnout in anesthetists. The influence of working conditions on the development of burnout syndrome was assessed in anesthetists working at a university hospital.Self-reporting questionnaires were used to assess physical health and emotional well-being (Health and Stress Profile), burnout syndrome (Maslach Burnout Inventory) and working conditions (Instrument for Stress-Oriented Task Analysis) in anesthetists.Twenty-three anesthetists (25.8%) appeared

2006 Acta Anaesthesiologica Scandinavica

1449. Sources of social support and burnout: a meta-analytic test of the conservation of resources model. (PubMed)

Sources of social support and burnout: a meta-analytic test of the conservation of resources model. The Conservation of Resources (COR) model of burnout (Hobfoll & Freedy, 1993) suggests that resources are differentially related to burnout dimensions. In this paper, I provide a meta-analysis of the social support and burnout literature, finding that social support, as a resource, did not yield different relationships across the 3 burnout dimensions (emotional exhaustion, depersonalization (...) future research directions to clarify the relationship between resources and burnout dimensions.(c) 2006 APA, all rights reserved

2006 The Journal of applied psychology

1450. Prevalence of Burnout in the U.S. Oncology Community: Results of a 2003 Survey (PubMed)

of burnout in the oncology community of the United States exceeds 60%. This report suggests causes and potential solutions for the high rate of burnout. Such information may lead to an improved understanding of the needed steps to improve the quality of life for the oncology community with the ultimate goal of further improving patient care. Patients deserve optimal medical and emotional support that is best provided by caring and well-informed practitioners. (...) Prevalence of Burnout in the U.S. Oncology Community: Results of a 2003 Survey To investigate the level of burnout in the oncology community in the United States.Seven thousand seven hundred fifteen oncology physicians were queried by e-mail or during attendance at oncologic meetings and asked to complete a 22-question survey concerning their feelings of personal burnout and their perceptions of physician burnout in the oncology community. The data were analyzed using standard statistical

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2005 Journal of Oncology Practice

1451. A multicenter study of burnout, depression, and quality of life in minority and nonminority US medical students. (PubMed)

A multicenter study of burnout, depression, and quality of life in minority and nonminority US medical students. To determine the well-being of minority medical students in a multicenter sample of US medical students.All 1098 medical students at 3 medical schools in Minnesota were surveyed in April 2004. Validated instruments were used to assess burnout, depression, and quality of life (QOL). Students were also asked about the prevalence of significant personal life events in the previous 12 (...) months and strategies used to cope with stress.Although symptoms of depression and overall burnout were similar among minority and nonminority students, minority students were more likely to have a low sense of personal accomplishment (P=.02) and lower QOL In a number of domains (all P< or =.05). These differences persisted on multivariate analysis that controlled for demographic characteristics and recent life events. Minority students were also more likely to have a child (P=.01), originate from

2006 Mayo Clinic Proceedings

1452. Recreational music-making: an integrative group intervention for reducing burnout and improving mood states in first year associate degree nursing students: insights and economic impact. (PubMed)

Recreational music-making: an integrative group intervention for reducing burnout and improving mood states in first year associate degree nursing students: insights and economic impact. The challenges of providing exemplary undergraduate nursing education cannot be underestimated in an era when burnout and negative mood states predictably lead to alarming rates of academic as well as career attrition. While the multi-dimensional nature of this complex issue has been extensively elucidated, few (...) rational strategies exist to reverse a disheartening trend recognizable early in the educational process that subsequently threatens to undermine the future viability of quality healthcare. This controlled prospective crossover study examined the impact of a 6-session Recreational Music-making (RMM) protocol on burnout and mood dimensions as well as Total Mood Disturbance (TMD) in first year associate level nursing students. A total of 75 first year associate degree nursing students from Allegany

2004 International journal of nursing education scholarship Controlled trial quality: uncertain

1453. Burnout and self-reported patient care in an internal medicine residency program. (PubMed)

of knowledge or inexperience"). Depression and at-risk alcohol use were assessed by using validated screening questionnaires.Of 115 (76%) responding residents, 87 (76%) met the criteria for burnout. Compared with non-burned-out residents, burned-out residents were significantly more likely to self-report providing at least one type of suboptimal patient care at least monthly (53% vs. 21%; P = 0.004). In multivariate analyses, burnout--but not sex, depression, or at-risk alcohol use--was strongly associated (...) Burnout and self-reported patient care in an internal medicine residency program. Burnout is a syndrome of depersonalization, emotional exhaustion, and a sense of low personal accomplishment. Little is known about burnout in residents or its relationship to patient care.To determine the prevalence of burnout in medical residents and explore its relationship to self-reported patient care practices.Cross-sectional study using an anonymous, mailed survey.University-based residency program

2002 Annals of Internal Medicine

1454. Cancer care workers in Ontario: prevalence of burnout, job stress and job satisfaction (PubMed)

was undertaken.A questionnaire was mailed to all 1016 personnel of the major providers of medical oncology services in Ontario. The questionnaire consisted of the Maslach Burnout Inventory, the 12-item General Health Questionnaire, a questionnaire to determine job satisfaction and stress, and questions to obtain demographic characteristics and to measure the staff's consideration of alternative work situations.The overall response rate was 70.9% (681 of 961 eligible subjects): by group it was 63.3% (131/207 (...) Cancer care workers in Ontario: prevalence of burnout, job stress and job satisfaction Cancer Care Ontario's Systemic Therapy Task Force recently reviewed the medical oncology system in the province. There has been growing concern about anecdotal reports of burnout, high levels of stress and staff leaving or decreasing their work hours. However, no research has systematically determined whether there is evidence to support or refute these reports. To this end, a confidential survey

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2000 CMAJ: Canadian Medical Association Journal

1455. Does training in psychosocial interventions reduce burnout rates in forensic nurses? (PubMed)

again.Staff in the experimental group showed significant improvements in their knowledge and attitudes about serious mental illness and a significant decrease in burnout rates, whilst staff in the control group showed a small but nonsignificant improvement in knowledge and attitudes, and increase in burnout.The findings suggest that providing forensic mental health nurses with a better understanding of serious mental illness and training them in a broader range of interventions, helps them to be more (...) Does training in psychosocial interventions reduce burnout rates in forensic nurses? Mental Health Nurses working in secure environments with patients suffering from serious mental illness have been shown to be at risk of clinical burnout syndrome, this can have adverse effects both on the nurses' health and the standards of care that they deliver.To evaluate the effect of Psychosocial Intervention Training (PSI) on the knowledge, attitudes and levels of clinical burnout in a group of forensic

2002 Journal of advanced nursing Controlled trial quality: uncertain

1456. Burnout in health care providers of dialysis service in Northern Italy--a multicentre study. (PubMed)

Burnout in health care providers of dialysis service in Northern Italy--a multicentre study. Few data are available regarding the prevalence of burnout among dialysis health care workers. Aims of the present study were to assess and compare burnout levels in a sample of nurses and physicians working in dialysis units, and to investigate their relationships with quality of life, in a cross-sectional observational study.A total of 344 workers from 10 dialysis centres in Northern Italy completed (...) for MCS and GHQ30. Lower PCS was associated with emotional exhaustion (P = 0.007) and GHQ30 > 5 with depersonalization (P = 0.032).Although burnout is not a general problem in dialysis health care providers, a subgroup of them may be identified, who would benefit from supportive measures to prevent this condition. Nurses appeared more burned-out in the emotional exhaustion scale than physicians.

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2007 Transplantation

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