“I need to have a fulfilling job”: A qualitative study of surgeon well-being and professional fulfillment

Walker, Heather R.; Evans, Ethan J; Nirula, Raminder; Hyngstrom, John; Matsen, Cindy B.; Nelson, Edward; Pickron, Bartley; Zurbuchen, Ellie; Morrow, Ellen

doi:10.1016/j.amjsurg.2021.07.029

Cited by 14 publications

(5 citation statements)

References 22 publications

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“…In a qualitative study, factors that protected against burnout pertained to individuals (autonomy and sufficient time for nonclinical projects), teams (good adaptability, clear boundaries, and a high level of cohesion), and institutions (diversified performance evaluations and acknowledgment of individual contributions). Grit, defined as the drive to pursue long-term goals despite setbacks, was somewhat protective against burnout in a study of orthopedic surgeons .…”

Section: Discussionmentioning

confidence: 99%

“…28 Facilitated small-group curriculum reduced depersonalization. 29 In a qualitative study, 30 factors that protected against burnout pertained to individuals (autonomy and sufficient time for nonclinical projects), teams (good adaptability, clear boundaries, and a high level of cohesion), and institutions (diversified performance evaluations and…”

Section: Career Is As Expectedmentioning

confidence: 99%

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Job Strain, Burnout, and Suicidal Ideation in Tenured University Hospital Faculty Staff in France in 2021

et al. 2023

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ImportanceThe ability to attract and retain university hospital faculty staff is in jeopardy because of the high levels of mental symptoms in this professional group.ObjectiveTo examine the prevalence and determinants of symptoms of severe burnout, job strain, and suicidal ideation in tenured associate and full professors in university hospitals.Design, Setting, and ParticipantsThis nationwide cross-sectional study offered online surveys to 5332 tenured university hospital faculty members in France from October 25, 2021, to December 20, 2021.ExposuresBurnout and job strain.Main Outcomes and MeasuresParticipants completed the 22-item Maslach Burnout Inventory and a 12-item job strain assessment tool, reported suicidal ideation, and used visual analog scales to evaluate unidimensional parameters. The primary outcome was presence of severe burnout symptoms. Factors associated with mental health symptoms were identified by multivariable logistic regression.ResultsCompleted questionnaires were returned by 2390 of 5332 faculty members (response rate, 45%; range, 43%-46%). Tenured associate professors were a median of 40 (IQR, 37-45) years old with a sex ratio of 1:1, whereas tenured full professors were a median of 53 (IQR, 46-60) years old with a sex ratio of 1:5. Of 2390 respondents, 952 (40%) reported symptoms of severe burnout. Symptoms of job strain (296 professors [12%]) and suicidal ideation (343 professors [14%]) were also reported. Compared with full professors, significantly more associate professors reported feeling overwhelmed at work (496 [73%] vs 972 [57%]; P &lt; .001), considering resignation (365 [54%] vs 834 [49%]; P = .004), or considering a career change (277 [41%] vs 496 [29%]; P &lt; .001). Factors independently associated with less burnout were a longer time being a professor (adjusted odds ratio [aOR], 0.97; 95% CI, 0.96-0.98 per year of age), sleeping well (aOR, 0.88; 95% CI, 0.83-0.92), feeling valued by colleagues (aOR, 0.91; 95% CI, 0.86-0.95 per visual analog scale point) or the public (aOR, 0.92; 95% CI, 0.88-0.96 per visual analog scale point), and accepting more tasks (aOR, 0.82; 95% CI, 0.72-0.93). Factors independently associated with more burnout were having a nonclinical position (OR, 2.48; 95% CI, 1.96-3.16), reporting work encroachment on private life (OR, 1.17; 95% CI, 1.10-1.25), feeling the need to constantly put on a brave face (OR, 1.82; 95% CI, 1.32-2.52), considering a career change (OR, 1.53; 95% CI, 1.22-1.92), and having experienced harassment (OR, 1.52; 95% CI, 1.22-1.88).Conclusions and RelevanceThese findings suggest that the psychological burden on tenured university hospital faculty staff in France is considerable. Hospital administrators and health care authorities should urgently develop strategies for burden prevention and alleviation and for attraction of the next generation.

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Section: Discussionmentioning

confidence: 99%

Section: Career Is As Expectedmentioning

confidence: 99%

Job Strain, Burnout, and Suicidal Ideation in Tenured University Hospital Faculty Staff in France in 2021

et al. 2023

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“…A single institution study interviewed their surgeons to determine factors that would improve their career fulfillment and then implemented changes based on these interviews. The institution hired administrative assistants to decrease the burden of administrative tasks and hired additional faculty to reduce the call burden and clinical load for surgeons [ 33 ]. In order to support surgeons after adverse events, one institution implemented a peer-to-peer coaching program for surgeons after common bile duct injury during laparoscopic cholecystectomy.…”

Section: Emotional Well-being: the Emotional Stress Response To Diffi...mentioning

confidence: 99%

Environmental Factors Impacting Wellness in the Trauma Provider

2022

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Purpose of Review The purpose of this review is to evaluate the recent literature on environmental factors impacting wellness for the acute care surgeon. This includes factors influencing physical, mental, and emotional well-being. Recent Findings Recent studies have identified challenges to surgeon wellness including increased incidence of sleep deprivation, musculoskeletal pain and injuries, pregnancy complications, moral injury, posttraumatic stress disorder (PTSD), and burnout. Qualitative studies have characterized the surgeon’s emotional response to occupational stress, adverse events, and surgical complications. Further descriptive studies offer interventions to prevent moral injury after adverse events and to improve surgeon work environment. Summary Acute care surgeons are at increased risk of sleep deprivation, musculoskeletal pain and injury, pregnancy complications, moral injury, PTSD, and burnout. Surgeons experience feelings of isolation and personal devaluation after adverse events or complications, and this may lead to practice limitation and progression to PTSD and/or burnout. Interventions to provide mentorship, peer support, and education may help surgeons recover after adverse events. Further study is necessary to evaluate institution-driven interventional opportunities to improve surgeon well-being and to foster an inclusive and supportive environment.

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“…Meanwhile, example of individual factors includes social connectedness (Shanafelt & Noseworthy, 2017). Lastly, example of context factors includes degree of autonomy and flexibility, adaptability, boundaries, cohesion, individual worth and contributions, as well as diversifying performance evaluations (Walker et al, 2022). The purpose of this study therefore to determine factors associated to wellbeing among PSE with CHP after returning to work.…”

Section: Introductionmentioning

confidence: 99%

Returned to Work Employees: Predictors of their Well-being

Basiron¹,

Alias²

2022

IJAREMS

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Due to fast changing working environment leading to potential strains among employees, chronic health problems (CHP) become more prevalent especially among aging employees regardless of working sectors. By 2019, Public Service Department (PSD) reported 4,677 public service employees (PSE) with CHP. The organization has suffered losses due to the long-term medical leave taken by the CHP PSE, particularly when it involves talents. Organization has to bear greater losses if they do not take into account the well-being of returned to work (RTW) employees. To date, there are unavailable studies conducted on well-being of RTW PSE with CHP in Malaysia. Therefore, this study aims to determine predictors of well-being among PSE with CHP after returning to work at Ministry of Health Malaysia (MOH) which focuses on three (3) predictors identified: work adjustment, work environment and perceived organizational support (POS). This study was conducted based on quantitative, non-experimental and cross-sectional research paradigm. Specifically, this study employed descriptive and correlational research designs to entertain the research objectives. Based on findings of data collected among 125 respondents, the most dominant predictor of well-being among RTW employees is work adjustment and followed by work environment. This study contributes significantly to the Theory of Work Adjustment and Job Demands-Resources Model. Recommendations for future research are also provided.

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“I need to have a fulfilling job”: A qualitative study of surgeon well-being and professional fulfillment

Cited by 14 publications

References 22 publications

Job Strain, Burnout, and Suicidal Ideation in Tenured University Hospital Faculty Staff in France in 2021

Job Strain, Burnout, and Suicidal Ideation in Tenured University Hospital Faculty Staff in France in 2021

Environmental Factors Impacting Wellness in the Trauma Provider

Returned to Work Employees: Predictors of their Well-being

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