Inter-generational Effects of Technology: Why Millennial Physicians May Be Less at Risk for Burnout Than Baby Boomers

Nakagawa, Keisuke; Yellowlees, Peter Mackinlay

doi:10.1007/s11920-020-01171-2

Cited by 41 publications

(44 citation statements)

References 25 publications

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“…Willingness to practice telemedicine might require more long-standing professional experience with patients and resultant self-confidence regarding diagnosis/treatment than use of other eHealth tools, such as electronic patient records, webinars, or monitoring apps. Besides, the acceptance and use of telemedicine as well as other digital tools might have increased significantly over the years among health care professionals of all age group and years of experience [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Willingness to Use Digital Health Tools in Patient Care Among Health Care Professionals and Students at a University Hospital in Saudi Arabia: Quantitative Cross-sectional Survey

Thapa¹,

Nielsen²,

Aldahmash³

et al. 2021

JMIR Med Educ

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Background The adoption rate of digital health in the health care sector is low in many countries. A facilitating factor for successful implementation and adoption of digital health is acceptance by current and future health care professionals. Objective This study was conducted to identify factors associated with willingness to use digital health tools in patient care among health care professionals and students. Methods This was a quantitative cross-sectional survey study conducted among health care professionals and students at a university hospital in Riyadh, Saudi Arabia. A nonprobability convenience sampling procedure was used to recruit participants. Data were collected using a self-completed e-questionnaire that was distributed by email. Chi-square tests, t tests, and logistic regression were used to analyze the data. Results We found that 181 out of 218 health care professionals (83.0%; 75.6% [59/78] physicians; 87.1% [122/140] nurses) and 115 out of 154 students (74.7%; 80.0% [76/95] medical students and 66.1% [39/59] nursing students) were willing to use digital tools in patient care. Willingness to use digital tools was significantly associated with attitude (Adjusted Odds Ratios [AOR] 1.96; 95% CI 1.14-3.36) and self-efficacy (AOR 1.64; 95% CI 1.17-2.30) among health care professionals, and with current year of study (AOR 2.08; 95% CI 1.18-3.68) and self-efficacy (AOR 1.77; 95% CI 1.17-2.69) among students. No significant difference in willingness to use digital tools was found between physicians and nurses (P=.113), and between medical and nursing students (P=.079). Conclusions The findings of this study should encourage policy makers and hospital managers to implement relevant eHealth interventions within routine health care systems in Saudi Arabia. For successful implementation, digital health education programs should be implemented simultaneously, so that current and future health care professionals are able to develop required positive attitudes as well as practical skills and competencies.

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Section: Discussionmentioning

confidence: 99%

Willingness to Use Digital Health Tools in Patient Care Among Health Care Professionals and Students at a University Hospital in Saudi Arabia: Quantitative Cross-sectional Survey

Thapa¹,

Nielsen²,

Aldahmash³

et al. 2021

JMIR Med Educ

View full text Add to dashboard Cite

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“…11,15 Older generations are just as willing to use telehealth during the pandemic, contrary to the resistance sometimes found among Baby Boomers. 26 Among those surveyed who use telehealth, most reported that they thought telehealth was effective in preventing suicides among American Indian communities in Montana during the COVID-19 pandemic. This survey also found that providers perceive suicide prevention services through tele-health as effective as face-to-face care (e.g., asking individuals direct and open questions and responding to those at risk for suicide), whereas providers viewed other tasks more ambivalently (e.g., transitions in care).…”

Section: Discussionmentioning

confidence: 99%

“…19,23,25 This telehealth resistance is higher among Baby Boomers (ages 56 to 73) who have been found to be less comfortable with digital technology, compared with Generation X (ages 40 to 55), Millennials (ages 24 to 39) and Generation Z providers (age 24 and under). 26 However, since the coronavirus pandemic, providers may be increasingly open to using telehealth as an option for delivery of the various aspects of suicide prevention service, including identification of warning signs, treatment for those at elevated risk for suicide, and transition support for patients navigating the health system. 15 This study sought to identify perceptions and attitudes of behavioral health and medical care providers on the impact of the coronavirus pandemic on suicide risks among American Indians in Montana, changes in suicide prevention care, adoption of telehealth, and the effectiveness and efficiency of telehealth for suicide prevention services.…”

mentioning

confidence: 99%

Telehealth During COVID-19: Suicide Prevention and American Indian Communities in Montana

Pruitt

Chapin

Eakin

et al. 2022

Telemedicine and e-Health

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Background: Public health measures that prevent the spread of COVID-19, such as social distancing, may increase the risk for suicide among American Indians due to decreased social connectedness that is crucial to wellbeing. Telehealth represents a potential solution, but barriers to effective suicide prevention may exist. Materials and Methods: In collaboration with Tribal and Urban Indian Health Center providers, this study measured suicide prevention practices during COVID-19. A 44-item Likert-type, web-based survey was distributed to Montanabased professionals who directly provide suicide prevention services to American Indians at risk for suicide. Descriptive statistics were calculated for survey items, and Mann-Whitney U tests examined the differences in telehealth use, training, skills among Montana geographic areas, and barriers between providers and their clients/patients. Results: Among the 80 respondents, two-thirds agreed or strongly agreed that American Indians experienced greater social disconnection since the COVID-19 pandemic began. Almost 98% agreed that telehealth was needed, and 93% were willing to use telehealth for suicide prevention services. Among current users, 75% agreed telehealth was effective for suicide prevention. Over one-third of respondents reported using telehealth for the first time during COVID-19 pandemic, and 30% use telehealth at least ''usually'' since the COVID-19 pandemic began, up from 6.3%. Compared with their own experiences, providers perceive their American Indian client/patients as experiencing greater barriers to telehealth. Discussion: Telehealth was increasingly utilized for suicide prevention during the COVID-19 pandemic. Opportunities to improve telehealth access should be explored, including investments in telehealth technologies for American Indians at risk for suicide.

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“…This finding may reflect generational changes in perceptions about work-life balance (and work-life integration), but there are also data to suggest that younger physicians will drive technological advancement and integration faster than previous generations to improve efficiency, allow more flexible working arrangements, and increase convenience for patients/physicians, making them perhaps more resilient to burnout than previous generations. 44 Ergonomic challenges facing vascular surgeons have recently garnered appropriate attention. Workload data recently reported by Davila et al 24 that more than 87% of surgeons operate 3 or more days per week and 4 or more hours per day with lead garments worn by almost one-half of these surgeons daily and more than 90% wearing lead at least once per week.…”

Section: Discussionmentioning

confidence: 99%

Vascular surgeon wellness and burnout: A report from the Society for Vascular Surgery Wellness Task Force

Wohlauer

Hallbeck

Halloran

et al. 2021

Journal of Vascular Surgery

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Introduction: Physician burnout has been linked to medical errors, decreased patient satisfaction, and decreased career longevity. In light of the increasing prevalence of cardiovascular disease, vascular surgeon burnout presents a legitimate public health concern owing to the impact on the adequacy of the vascular surgery workforce. The aims of this study were to define the prevalence of burnout among practicing vascular surgeons and identify factors that contribute to burnout to facilitate future Society for Vascular Surgery (SVS) initiatives to mitigate this crisis.Methods: In 2018, active SVS members were surveyed electronically and confidentially using the Maslach Burnout Inventory. The survey was tailored to explore specialty-specific issues, and to capture demographic and practice-related characteristics. Emotional exhaustion (EE) and depersonalization (DP) were analyzed as dimensions of burnout. Consistent with convention, surgeons with a high score on the DP and/or EE subscales of the Maslach Burnout Inventory were considered to have at least one manifestation of professional burnout. Risk factors associated with symptoms of burnout were identified using bivariate analyses (c 2 , Kruskal-Wallis). Multivariate logistic regression models were developed to identify independent risk factors for burnout.Results: Of 2905 active SVS members, 960 responded to the survey (34% participation rate). After excluding retired surgeons and incomplete submissions, responses from 872 practicing vascular surgeons were analyzed. The mean age was 49.7 6 11.0 years; the majority of respondents (81%) were male. Primary practice settings were academic (40%), community practice (41%), veteran's hospital (3.3%), active military practice (1.5%), or other. Years in practice averaged 15.7 6 11.7. Overall, 41% of respondents had at least one symptoms of burnout (ie, high EE and/or high DP), 37% endorsed symptoms of depression in the past month, and 8% indicated they had considered suicide in the last 12 months. In unadjusted analysis, factors significantly associated with burnout (P < .05) included clinical work hours, on-call frequency, electronic medical record and documentation requirements, work-home conflict, and work-related physical pain. On multivariate analysis, age, work-related physical pain and work-home conflict were independent predictors for burnout.Conclusions: Symptoms of burnout and depression are common among vascular surgeons. Advancing age, work-related physical pain, and work-home conflict are independent predictors for burnout among vascular surgeons. Efforts to promote vascular surgeon well-being must address specialty-specific challenges, including the high prevalence of workhome conflict and occupational factors that contribute to work-related pain.

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Inter-generational Effects of Technology: Why Millennial Physicians May Be Less at Risk for Burnout Than Baby Boomers

Cited by 41 publications

References 25 publications

Willingness to Use Digital Health Tools in Patient Care Among Health Care Professionals and Students at a University Hospital in Saudi Arabia: Quantitative Cross-sectional Survey

Willingness to Use Digital Health Tools in Patient Care Among Health Care Professionals and Students at a University Hospital in Saudi Arabia: Quantitative Cross-sectional Survey

Telehealth During COVID-19: Suicide Prevention and American Indian Communities in Montana

Vascular surgeon wellness and burnout: A report from the Society for Vascular Surgery Wellness Task Force

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