Physician resilience: a grounded theory study of obstetrics and gynaecology residents

Winkel, Abigail Ford; Robinson, Annie; Jones, Aubrie Ann; Squires, Allison

doi:10.1111/medu.13737

Cited by 41 publications

(56 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Collins English dictionary defines uncertainty as ‘a state of being uncertain about the future or doubt about what is the right thing to do’. This definition of uncertainty as well as the wider literature tends to disproportionately emphasise individual characteristics, discounting the importance of environmental factors and the interplay between internal and external factors in depicting health care professionals’ responses …”

Section: Uncertainty In Clinical Practicementioning

confidence: 99%

“…The typical orientation in health care is to reduce uncertainty rather than to manage it, with a prevailing ideology of ‘uncertainty reduction’ . The routine focus on ‘fixing’ or ‘solving’ complex clinical problems has led to many authors suggesting that the reduction of uncertainty can be achieved simply through the provision of more knowledge …”

Section: Reducing Uncertainty Through Scientific Knowledgementioning

confidence: 99%

“…Resilience has been suggested as a way to promote well‐being in spite of uncertain circumstances, where individual and environmental factors cannot be predicted . As health care professionals, however, we are often propelled or propel ourselves into situations where our ability to perceive what is happening is slightly behind the reality, often captured in the phrase ‘what just happened?’ Uncertainty can disorientate our feelings, behaviours and sense of being, in ways that are conscious and unconscious, rendering mute our ability to narrate or make sense of the situation . The relationship between uncertainty and well‐being is poorly understood and vaguely defined, and yet is an inherent paradox at the heart of medicine …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Well‐being and uncertainty in health care practice

George

Lowe

2019

The Clinical Teacher

View full text Add to dashboard Cite

Summary Background Well‐being and uncertainty are intimately related, although less easily defined from a health care perspective. Uncertainty is intrinsic to both the science and practice of health care, and dealing with uncertainty can bring feelings of stress, avoidance and resistance, all of which are detrimental to an individual's well‐being. Context Contrary to the majority of the literature, which suggests promoting resilience as a way to improve health care professionals’ well‐being, our paper argues that a better understanding of the relationship between well‐being and uncertainty can support health care professionals in managing the complexity of everyday clinical interactions. Innovation Various strategies and educational exercises around being comfortable in not knowing, preserving uncertainty through effective communication and the use of reflective silence are discussed to support clinical educators in recognising the impact of uncertainty on individual well‐being. Implications Our paper calls for a broader understanding of the term well‐being, recognising the interplay between individual and environmental factors that contribute to maintaining our well‐being. The recommended strategies and exercises can be considered in faculty member development sessions and used to promote the incorporation of curriculum initiatives in this area.

show abstract

Section: Uncertainty In Clinical Practicementioning

confidence: 99%

Section: Reducing Uncertainty Through Scientific Knowledgementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Well‐being and uncertainty in health care practice

George

Lowe

2019

The Clinical Teacher

View full text Add to dashboard Cite

show abstract

“…The organisational approach could reframe our conversations around culture change. Typically, calls for culture change treat culture as the problem—as a barrier to progress . The organisational perspective helps us to reframe culture as a pragmatic resource, affording new ways of thinking about how change occurs.…”

Section: The Organisational Perspectivementioning

confidence: 99%

Approaching culture in medical education: Three perspectives

2019

View full text Add to dashboard Cite

Background The notion of culture is increasingly invoked in the medical education literature as a key influence on how educational strategies unfold, and culture change is frequently identified as a necessary precursor to progress. A meaningful perspective on what culture means is often missing from these discussions, however. Without a theoretically grounded notion of culture, calls for culture change are challenging to interpret and to act upon. Objective In this cross‐cutting edge paper, we explore how culture has been defined and theorised using three lenses: the organisational perspective; the identity perspective, and the practice perspective. We consider what each perspective might offer to medical education researchers. Results Each of these perspectives draws on a range of disciplinary influences, and none represents a singular theory of culture. Broadly, the organisational perspective directs our attention to the shared assumptions and values that bind individuals within an organisation. It tends to view culture through a strategic lens; culture may be either a barrier to or a facilitator of the changes that are inevitably required of an organisation if it is to maintain its relevance. The identity perspective, particularly the notion of figured worlds, alerts us to the power of communal narratives to shape how individuals see themselves within particular cultural worlds. The practice perspective emphasises what actually occurs in practice, avoiding symbolic ideas about culture and shared values and instead privileging activity and human‐material networks or arrangements. Conclusions These diverse perspectives share a common thread— they shift our research gaze beyond the individual, allowing us instead to see how those individuals form organisations, inhabit cultural worlds and constitute practices. They afford substance and direction for explorations of culture, and thus offer the promise of a more nuanced understanding of some of medical education's most challenging problems.

show abstract

“…Adversity is the teacher of resilience . Resilience grows in some trainees as they connect to their professional identity and see evidence of their own developing competence through their navigation of obstacles . Are our efforts to address the looming crisis of physician burnout keeping our trainees from engaging with the authentic challenges of the work, developing autonomy and robust professional identities?…”

mentioning

confidence: 99%