Shared trust of resident physicians in top‐management and professional burnout: A cross‐sectional study towards capacity for patient‐focussed care, peer support and job expectations

Gabay, Gillie; Netzer, Doron; Elhayany, Asher

doi:10.1002/hpm.3479

Cited by 5 publications

(4 citation statements)

References 93 publications

(224 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, although providers work in a time-constrained work environment, with limited resources and a hectic pace, their attitudes rather than resources are key to forming nurturing provider-patient interactions. Furthermore, without nurturing relationship meaningfulness in providers, their job-dissatisfaction and burnout will deepen (49). Prioritizing care to meet patient's expectations will enhance both the short-term value and the long-term value of providers' work (49).…”

Section: Container Modes and Pccmentioning

confidence: 99%

“…Furthermore, without nurturing relationship meaningfulness in providers, their job-dissatisfaction and burnout will deepen (49). Prioritizing care to meet patient's expectations will enhance both the short-term value and the long-term value of providers' work (49).…”

Section: Container Modes and Pccmentioning

confidence: 99%

“…Providers work under increasing physical and mental stressful conditions when exposed to patients, and the physical and mental strain causes burnout resulting in psychological distance called Compassion Fatigue (49,(53)(54)(55). Compassion fatigue is manifested in the provider's inability or reduced ability to feel and express empathy and support for patients, limiting the capacity for implementing PCC (53).…”

Section: Container Modes and Pccmentioning

confidence: 99%

See 2 more Smart Citations

An Inverted Container in Containing and Not Containing Hospitalized Patients—A Multidisciplinary Narrative Inquiry

Gabay

Ben-Asher

2022

Front. Public Health

Self Cite

View full text Add to dashboard Cite

ObjectivePatient-centered care calls to contain patients in their time of crisis. This study extends the knowledge of provider patient interactions in the hectic environment of acute care applying Bion's container-contained framework from psychoanalysis.MethodsFollowing ethical approval, we performed a narrative inquiry of the experiences of ten patients upon discharge from lengthy hospitalizations in acute care. Interviews were conducted upon discharge and about one-month post-discharge.FindingsData analysis suggests four modes of containing of patients by providers. In nurturing interactions, typical of an active container-contained mode, patients experienced humanized care, symptom control, hope, and internal locus of control. This mode yielded patient gratitude toward providers, wellbeing, and post-discharge self-management of diseases. In rigid and wall-free modes of containing, patients experienced a sense of powerlessness and discomfort. A new mode of container-contained was identified, the “Inverted Container”, which extends Bion's theory and contradicts patient-centered care. In inverted containers, patients contained the providers yet reported feeling gratitude toward providers. The gratitude constitutes a defense mechanism and reflects a traumatic experience during hospitalization, which led to post-discharge distrust in providers and hospitals and poor self-management of illness.ConclusionsTo effectively provide patient-centered care, provider-patient interaction in lengthy hospitalizations must move along a clinical axis and a relationship axis. This shifting may facilitate containing patients in their time of crisis so essential processes of reflection, projection, and transference are facilitated in-hospital care.

show abstract

Section: Container Modes and Pccmentioning

confidence: 99%

Section: Container Modes and Pccmentioning

confidence: 99%

Section: Container Modes and Pccmentioning

confidence: 99%

See 1 more Smart Citation

An Inverted Container in Containing and Not Containing Hospitalized Patients—A Multidisciplinary Narrative Inquiry

Gabay

Ben-Asher

2022

Front. Public Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Also, during the pandemic, there was a significant increase in anxiety, depression, stress, insomnia, poor sleep quality, chronic fatigue, and lower psychological well-being (Dirzyte, Patapas & Zidoniene, 2022). These consequences jeopardize clinical judgment, quality of care, and safety (Gabay, Netzer & Elhayany, 2022).…”

Section: Introductionmentioning

confidence: 99%

Professional burnout among expert physicians, patient‐focused care, and trust in top management: Moving forward

Gabay

2024

Scandinavian J Psychology

Self Cite

View full text Add to dashboard Cite

IntroductionProfessional burnout in physicians is perceived as an inevitable occupational hazard inhibiting patient‐focused care, the preferred approach of care, which enhances satisfaction of physicians with their work and improves clinical outcomes. Burnout jeopardizes the physical, mental, and emotional health of physicians, inhibiting high‐quality care. Most individual‐driven interventions and job‐level interventions to reduce burnout proved inefficient or reduced burnout for only a short term. The potential of organizational processes to reduce burnout was acknowledged but is yet to be empirically tested. Drawing on social exchange theory, this study investigates the role of an organizational phenomenon, organizational trust among physicians in top management, on burnout.MethodsData were collected across specialties in 10 out of 20 Israeli public general hospitals. The sample comprised 798 senior expert physicians. Measures were all previously published. Structural equation modeling was performed.ResultsResponse rates ranged from 17% to 77% across the 10 hospitals. Mean burnout was 4.7 (SD = 0.68), mean patient‐focused care was 3.9 (SD = 0.79), and mean organizational trust was 3.7 (SD = 0.84). Mean burnout for women was 5.6 and for physicians from internal medicine was 5.5. The structural equation modeling supported the proposed study model, which explained 45% of burnout. Organizational trust reduced burnout by 14%.DiscussionEfforts to reduce burnout should integrate effective individual‐level and job‐level interventions with building trust among physicians in top management through implementing the paramount professional value of patient‐focused care.ConclusionsPerceiving management, among physicians, as facilitating the value of patient‐focused care led to organizational trust in top management, which was negatively associated with burnout.

show abstract

Identifying Novel Inhibitors of Workplace Support and the Importance of Value Congruence and Feeling Valued in General Surgery Residency Training

Ojute,

Gonzales,

Berler

et al. 2024

Journal of Surgical Education

View full text Add to dashboard Cite

Shared trust of resident physicians in top‐management and professional burnout: A cross‐sectional study towards capacity for patient‐focussed care, peer support and job expectations

Cited by 5 publications

References 93 publications

An Inverted Container in Containing and Not Containing Hospitalized Patients—A Multidisciplinary Narrative Inquiry

An Inverted Container in Containing and Not Containing Hospitalized Patients—A Multidisciplinary Narrative Inquiry

Professional burnout among expert physicians, patient‐focused care, and trust in top management: Moving forward

Identifying Novel Inhibitors of Workplace Support and the Importance of Value Congruence and Feeling Valued in General Surgery Residency Training

Contact Info

Product

Resources

About