Physician Coaching to Enhance Well-being: A Qualitative Analysis of a Pilot Intervention

Schneider, S; Kingsolver, Karen; Rosdahl, Jullia A

doi:10.1016/j.explore.2014.08.007

Cited by 87 publications

(94 citation statements)

References 23 publications

(30 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These findings suggest that younger male GPs may experience lower levels of positive mental health than their older female colleagues, and that they might benefit from support measures designed to improve their wellbeing, such as coaching,74 – 76 or mindfulness 77 – 80. The relatively high levels of optimism, hope, and positive mental health in older GPs may have implications for morale and recruitment.…”

Section: Discussionmentioning

confidence: 90%

GPs’ mental wellbeing and psychological resources: a cross-sectional survey

2017

View full text Add to dashboard Cite

BackgroundThe negative impact of work has been the traditional focus of GP surveys. We know little about GP positive mental health and psychological resources.AimTo profile and contextualise GP positive mental health and personal psychological resources.Design and settingCross-sectional survey of GPs working in Northern Ireland (NI).MethodA questionnaire comprising the Warwick Edinburgh Mental Wellbeing Scale (WEMWBS) and measures of resilience, optimism, self-efficacy, and hope, and sociodemographic information was posted to 400 GPs randomly selected from a publicly available GP register.ResultsThe response rate was 55% (n = 221 out of 400). Mean value for GP wellbeing (WEMWBS) was 50.2 (standard deviation [SD] 8) compared to UK vets 48.8 (SD 9), UK teachers 47.2 (SD 9), and the population of NI 50.8 (SD 9). After adjustment for confounding, mean WEMWBS was 2.4 units (95% CI = 0.02 to 4.7) higher in female GPs than males (P = 0.05), and 4.0 units (95% CI = 0.8 to 7.3) higher in GPs ≥55 years than GPs ≤44 years (P = 0.02). Optimism was 1.1 units higher in female GPs than male GPs (95% CI = 0.1 to 2.0), and 1.56 units higher in GPs ≥55 years (95% CI = 0.2 to 2.9) than in those ≤44 years. Hope was 3 units higher in GPs ≥55 years (95% CI = 0.4 to 5.7) than in those aged 45–54 years. Correlation between WEMWBS and psychological resources was highest with hope (r = 0.65, P < 0.001).ConclusionGPs have levels of positive mental health that are comparable to the local population and better than other occupational groups, such as vets and teachers. Male and younger GPs may have most to gain from wellbeing interventions.

show abstract

Section: Discussionmentioning

confidence: 90%

GPs’ mental wellbeing and psychological resources: a cross-sectional survey

2017

View full text Add to dashboard Cite

show abstract

“…While all included studies were interventional in nature, there were differences in experimental design: 17 studies used a quantitative design,24–40 4 studies used mixed-method designs41–44 and 1 study used a qualitative design 45 Table 1. provides an overview of the characteristics of the included studies including study location, physician specialty or setting, methodological and study design and intervention time (for a detailed summary of each individual study, see online supplementary digital content 2).…”

Section: Resultsmentioning

confidence: 99%

“…Only one study employed an unstandardised Likert-style questionnaire developed by the authors that was intended to measure resilience 36. Two studies used qualitative interviews45 and focus groups42 to assess the impact of the resilience intervention. The remaining six studies did not use explicit measures of resilience, instead assessing variables and constructs hypothesised to be related to resilience or vulnerability to mental ill-health,27 28 30 31 41 43 44 such as perceived stress, anxiety and burnout.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of interventions to foster physician resilience

Fox

Lydon

Byrne

et al. 2017

Postgraduate Medical Journal

View full text Add to dashboard Cite

This review aimed to synthesise the literature describing interventions to improve resilience among physicians, to evaluate the quality of this research and to outline the type and efficacy of interventions implemented. Searches were conducted in April 2017 using five electronic databases. Reference lists of included studies and existing review papers were screened. English language, peer-reviewed studies evaluating interventions to improve physician resilience were included. Data were extracted on setting, design, participant and intervention characteristics and outcomes. Methodological quality was assessed using the Downs and Black checklist. Twenty-two studies were included. Methodological quality was low to moderate. The most frequently employed interventional strategies were psychosocial skills training and mindfulness training. Effect sizes were heterogeneous. Methodologically rigorous research is required to establish best practice in improving resilience among physicians and to better consider how healthcare settings should be considered within interventions.

show abstract

“…Some physicians have benefited from learning strategies such as prioritizing tasks and implementing and maintaining boundaries between their personal and work lives. 53 Additionally, mental health services need to be in place to enable convenient and confidential access to care for residents who need or want it for any reason. Some residency programs still create resident work schedules and manifest cultural attitudes that make seeing a professional extremely difficult.…”

Section: Valuesmentioning

confidence: 99%

Resident Wellness Matters

2015

View full text Add to dashboard Cite

The problem of poor mental health in residency is well established. Burnout, depression, and suicidal ideation are prevalent among resident physicians, and these problems appear to persist into practice. Leaders in graduate medical education such as policy makers at the Accreditation Council for Graduate Medical Education (ACGME) and directors of individual programs and institutions should acknowledge these important issues and take steps to address them. The ACGME's Clinical Learning Environment Review (CLER) Program currently outlines an expectation that institutions both educate residents about burnout and measure burnout annually. The CLER Program could go further by expecting institutions to create quality initiatives to enhance resident wellness and increase resident engagement. The ACGME should also call for and support research in this area. Leaders or directors of individual programs and institutions should consider wellness initiatives that both (1) identify and address suboptimal aspects of the learning environment and (2) train residents in resilience skills. Efforts to improve the residency learning environment could be guided by the work of Maslach and Leiter, who describe six categories of work stress that can contribute to burnout: (1) workload, (2) control, (3) balance between effort and reward, (4) community, (5) fairness, and (6) values.

show abstract

Physician Coaching to Enhance Well-being: A Qualitative Analysis of a Pilot Intervention

Cited by 87 publications

References 23 publications

GPs’ mental wellbeing and psychological resources: a cross-sectional survey

GPs’ mental wellbeing and psychological resources: a cross-sectional survey

A systematic review of interventions to foster physician resilience

Resident Wellness Matters

Contact Info

Product

Resources

About