Resilience in medical doctors: a systematic review

McKinley, Nicola; Karayiannis, Paul Nicholas; Convie, Liam; Clarke, Mike; Kirk, Stephen; Campbell, W. J.

doi:10.1136/postgradmedj-2018-136135

Cited by 59 publications

(65 citation statements)

References 45 publications

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“…Importantly, our research has identified that the trainees who participated already recognised and actively used a number of approaches for addressing challenges and for maintaining their own well-being. However, it also adds weight to the argument that maintaining well-being is not something for which the responsibility rests with individuals alone 30. Our participants repeatedly highlighted the importance of their workplaces and their colleagues for maintaining their well-being.…”

Section: Discussionmentioning

confidence: 75%

Challenges to well-being for general practice trainee doctors: a qualitative study of their experiences and coping strategies

Ansell

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Bryce

2020

Postgraduate Medical Journal

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Purposes of the studyTo identify the challenges to well-being experienced by general practice postgraduate trainees and to explore how the trainees respond to those challenges.Study designQualitative focus group study with doctors in their final year of general practice training (n=16). The participants in the study were recruited from one training scheme in South West England. Data were thematically analysed.ResultsParticipants reported challenges to well-being relating to dysfunctional relationships with colleagues and patients, their workload, a perceived lack of support at work and also physical environmental challenges. They identified response strategies focused on cognitive processing, physical self-care, focusing on their professional purpose, building supportive relationships and adapting their working environment where possible. Additionally, there were factors that could support trainee well-being, including personal factors such as adaptability and self-awareness, but also external and organisational factors, such as culture, supportive colleagues and organisational adaptability in relation to workload management. The importance to trainees of the idea of being a ‘good doctor’ arose repeatedly in the data, as did the importance of the organisational environment. Participants reported finding their training placements in secondary care environments particularly challenging.ConclusionThis research highlights the strategies that general practice trainees use in response to challenges, but also that the responsibility for maintaining well-being cannot be borne by individuals alone. This study identifies that supportive approaches by healthcare organisations and educators are vitally important to general practitioner trainees’ well-being.

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Section: Discussionmentioning

confidence: 75%

Challenges to well-being for general practice trainee doctors: a qualitative study of their experiences and coping strategies

Ansell

Read

Bryce

2020

Postgraduate Medical Journal

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“…This factor might explain another of our findings, which related older age with decreased resilience, as opposed to other studies that reported the inverse relationship. 10 , 12 In addition, recent research suggests that professionals working on the front lines during the COVID-19 pandemic experienced a lower prevalence of burnout than their colleagues, 23 suggesting an interesting line of future research. Nonetheless, work shift and its relationship with resilience have rarely been reviewed in the literature, and no relationship has been established 6 ; given the demonstrated role of work shift as a predictor of resilience, this relationship should be analyzed in future studies.…”

Section: Discussionmentioning

confidence: 99%

“…For example, previous studies show a correlation between having a partner 10 and children 11 and better levels of resilience in nursing professionals, and indicate that age, colleagues' support, and work autonomy increase resilience in doctors. 9,12 However, the working conditions of nurses are also determinants of the development of resilience, which has been shown to be decreased when nurses suffer stress and workplace bullying. 13,14 Despite the numerous studies on resilience in health professionals 6,10 and the need to implement strategies to improve the situation of emergency workers, 15,16 institutions still do not take active measures to strengthen resilience.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Resilience Among Professional Health Workers in Emergency Services

Sánchez‐Zaballos¹,

Mosteiro-Díaz²

2021

Journal of Emergency Nursing

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The current literature on resilience indicates that several variables affect the development of nursing and health care workers' resilience. This article contributes the findings that resilience in nurses is low and is influenced by work-related and personal variables such as shift work, age, and marital status. Key implications for emergency nursing practice found in this article are that resilience needs to be strengthened and that organizations should actively participate in implementing strategies to improve working conditions and personal resources.

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“…Concerning healthcare workers, McKinley et al [37] suggest that resilience may be difficult to conceptualize and that resilience levels in doctors are influenced by demographics, personality, organizational or environmental factors, social support, leisure, having overcome previous adversity and having undergone interventions to improve resilience [4]. Many studies agree in highlighting how resilience is a protective factor against the development of secondary traumatic stress and burnout among human service professionals [38] and in nurses [39][40][41].…”

Section: Resilience and Hardiness As Protection Factors In Healthcarementioning

confidence: 99%

Hardiness, Stress and Secondary Trauma in Italian Healthcare and Emergency Workers during the COVID-19 Pandemic

et al. 2020

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Emergency situations such as the COVID-19 pandemic can lead healthcare and emergency workers to undergo severe stress reactions that increase the risk of developing secondary trauma. Hardiness is a protective factor that reduces the likelihood of negative outcomes such as secondary trauma. In this study, we analyzed the responses to physical, emotional, cognitive, organizational‒relational and COVID-19 stress of 140 healthcare and 96 emergency workers. Decision-making difficulties due to high uncertainty and the fear of contracting the virus and infecting others were also considered. We aimed to detect which stressors caused secondary trauma and to assess the protective power of hardiness. Participants completed the questionnaire online measuring stress, secondary trauma and resilience. We performed a t-test, correlational analysis and hierarchical regression. The healthcare workers had higher levels of stress and arousal than the emergency workers group and those involved in the treatment of COVID-19 were exposed to a large degree of stress and were at high risk of developing secondary trauma. Commitment is associated with high levels of stress, arousal and intrusion, while control shows a protective function. Stress and hardiness result in 37% and 17% of the variance of arousal and intrusion, respectively.

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Resilience in medical doctors: a systematic review

Cited by 59 publications

References 45 publications

Challenges to well-being for general practice trainee doctors: a qualitative study of their experiences and coping strategies

Challenges to well-being for general practice trainee doctors: a qualitative study of their experiences and coping strategies

Resilience Among Professional Health Workers in Emergency Services

Hardiness, Stress and Secondary Trauma in Italian Healthcare and Emergency Workers during the COVID-19 Pandemic

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