Addressing physician quality of life: understanding the relationship between burnout, work engagement, compassion fatigue and satisfaction

Chan, A. M. C.; Chan, Yiong Huak; Chuang, Kee Puay; Ng, Joyce Sc; Neo, Patricia Soek Hui

doi:10.5430/jha.v4n6p46

Cited by 16 publications

(28 citation statements)

References 42 publications

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“…[16] Some physicians appear to be more resilient in the face of potentially stressful work conditions as a result of intrinsic or personality factors. [17] This resiliency may have the potential to improve physician wellness by mitigating distress, especially when used as a prevention strategy rather than a response to existing problems. [18,19] Furthermore, since organizational characteristics such as work hours and demands may be difficult to change, improving physicians' resilience may hold benefits for both individual physicians and the health care system more broadly.…”

Section: Introductionmentioning

confidence: 99%

“…[18,19] Furthermore, since organizational characteristics such as work hours and demands may be difficult to change, improving physicians' resilience may hold benefits for both individual physicians and the health care system more broadly. [17] These stakeholders may be well served by mounting a joint effort at fostering physician resilience. [11,17,20] Before implementing programs to improve physician resilience, it is important to understand what resilience means to physicians in order to develop programs that resonate with physicians and encourage their participation in such programs.…”

Section: Introductionmentioning

confidence: 99%

“…[17] These stakeholders may be well served by mounting a joint effort at fostering physician resilience. [11,17,20] Before implementing programs to improve physician resilience, it is important to understand what resilience means to physicians in order to develop programs that resonate with physicians and encourage their participation in such programs.…”

Section: Introductionmentioning

confidence: 99%

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The look and feel of resilience: A qualitative study of physicians’ perspectives

Polachek

Wallace

Gautam

et al. 2016

JHA

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Some physicians can effectively cope and thrive in the face of potentially stressful job conditions, while others experience serious, negative consequences. This ability to be resilient may improve physician wellness and benefit health care organizations, yet little is known about what resilience means to physicians. This paper explores how physicians understand resilience both as they observe it in their colleagues and as they experience it themselves. Semi-structured interviews were conducted with 32 physicians practicing in Alberta, Canada. Two questions explored physicians' experiences of resilience or non-resilience, while two other questions considered what they observed in physician colleagues. Interview transcripts were independently coded by two authors and discussed to ensure agreement on the key themes. There were several similarities in how physicians described resilience or non-resilience in themselves and their colleagues related to control, positivity or negativity, boundaries and balance, coping, and support. There were also important differences in how physicians described their own experiences and their observations of colleagues. Participants' portrayals of themselves suggested being immune to stress and responsible for their success or failure in being resilient. Their depictions of colleagues, however, focused on professionalism, work performance, commitment to values, and experience or wisdom. There appears to be a difference in how physicians understand resilience in themselves compared to what they observe in their colleagues. Specifically, physicians may hold unrealistic and unachievable expectations for their own resilience. Initiatives aimed at improving physician resilience and wellness may be best served by raising awareness about more realistic expectations and self-appraisals.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The look and feel of resilience: A qualitative study of physicians’ perspectives

Polachek

Wallace

Gautam

et al. 2016

JHA

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“…The median of each reader's inspection times for the four types of trials was computed: (1) normal cases without nodules, (2) normal cases with added nodules, (3) abnormal cases without added nodules and (4) abnormal cases with added nodules. The addition of the nodule did not significantly affect inspection time (F (1, 19) = 0.96, p = 0.3400), with non-SOS readings requiring 48.3 seconds on average and SOS readings requiring 46.5 seconds.…”

Section: Resultsmentioning

confidence: 99%

“…In recent years there has been concern over the impact of errors (1, 2) and fatigue on performance in medicine in general (3, 4) and for radiology in particular (5–7). Increased volumes of imaging studies that are more complex in nature have led to increased workloads and longer hours interpreting cases (6).…”

Section: Introductionmentioning

confidence: 99%

The Impact of Fatigue on Satisfaction of Search in Chest Radiography

et al. 2017

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Purpose To assess the nature of the satisfaction of search (SOS) effect in chest radiography when observers are fatigued; determine if we could replicate recent findings that have documented the nature of the SOS effect to be due to a threshold shift rather than a change in diagnostic accuracy as in earlier film-based studies. Materials and Methods Nearing or at the end of a clinical workday, 20 radiologists read 64 chest images twice, once with and once without the addition of a simulated pulmonary nodule. Half of the images had different types of “test” abnormalities. Decision thresholds were analyzed using the center of the range of false positive (FP) and true positive (TP) fractions associated with each Receiver Operating Characteristic (ROC) point for reporting test abnormalities. Detection accuracy was assessed with ROC technique and inspection time was recorded. Results The SOS effect was confirmed to be a reduction in willingness to respond (threshold shift). The center of the FP range was significantly reduced (FP = 0.10 without added nodules, FP = 0.05 with added nodules, F(1,18) = 19.85, p = 0.0003). The center of the TP range was significantly reduced (TP = 0.39 without added nodules, TP = 0.33 with added nodules, F(1,18) = 10.81, p = 0.004). Conclusion This study suggests that fatigue does not change the nature of the SOS effect, but rather may be additive with the SOS effect. SOS reduces both true and false positive responses, whereas fatigue reduces true positives more than false positives.

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Research on Physician Burnout and Wellbeing: A Solution-Oriented Perspective

Bogue

Downing

2019

Transforming the Heart of Practice

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Addressing physician quality of life: understanding the relationship between burnout, work engagement, compassion fatigue and satisfaction

Cited by 16 publications

References 42 publications

The look and feel of resilience: A qualitative study of physicians’ perspectives

The look and feel of resilience: A qualitative study of physicians’ perspectives

The Impact of Fatigue on Satisfaction of Search in Chest Radiography

Research on Physician Burnout and Wellbeing: A Solution-Oriented Perspective

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