The Relationship Between Hope, Meaning in Work, Secondary Traumatic Stress, and Burnout Among Child Abuse Pediatric Clinicians

Passmore, Sarah; Hemming, Eden; McIntosh, Heather Chancellor; Hellman, Chan M.

doi:10.7812/tpp/19.087

Cited by 26 publications

(20 citation statements)

References 32 publications

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“…It may be that one of the most effective ways to increase resiliency and mitigate burnout is to focus on building community within our healthcare teams and a sense of hope for the future. 67,68 Crises such as the COVID pandemic pose challenges for individuals and organizations, but they also create opportunities to build community. Powley describes how organization resilience arises in the face of a crisis.…”

Section: A Way Forwardmentioning

confidence: 99%

Shifting Focus from Burnout and Wellness toward Individual and Organizational Resilience

Vercio

Loo

Green

et al. 2021

Teaching and Learning in Medicine

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Issue: Burnout is reported to be epidemic among physicians and medical trainees, and wellness has been the predominant target for intervention in academic medicine over the past several years. However, both burnout and wellness suffer from a lack of standardized definition, often making interventions difficult to generalize and extrapolate to different sites. Although well-meaning, current frameworks surrounding wellness and burnout have limitations in fully addressing the challenges of improving physician mental health. Wellness as a framework does not inherently acknowledge the adversity inevitably experienced in the practice of medicine and in the lives of medical trainees. During a crisis such as the current pandemic, wellness curricula often do not offer adequate frameworks to address the personal, organizational, or societal crises that may ensue. This leaves academic institutions and their leadership ill-equipped to appropriately address the factors that contribute to burnout. More recently, resilience has been explored as another framework to positively influence physician wellness and burnout. Resilience acknowledges the inevitable adversity individuals encounter in their life and work, allowing for a more open discussion on the tensions and flexibility between facets of life. However, emphasizing personal resiliency without addressing organizational resiliency may leave physicians feeling alienated or marginalized from critical support and resources that organizations can and should provide. Evidence: Despite intense focus on wellness and burnout, there have not been significant positive changes in physicians' mental health. Many interventions have aimed at the individual level with mindfulness or other reflective exercises; unfortunately these have demonstrated only marginal benefit. Systems level approaches have demonstrated more benefit but the ability of organizations to carry out any specific intervention is likely to be limited by their own unique constraints and may limit the spread of innovation. We believe the current use of these conceptual lenses (wellness and burnout) has been clouded by lack of uniformity of definitions, an array of measurement tools with no agreed-upon standard, a lack of understanding of the complex interaction between the constructs involved, and an over-emphasis on personal rather than organizational interventions and solutions. Implications: If the frameworks of burnout and wellness are limited, and personal resilience by itself is inadequate, what framework would be helpful? We believe that focusing on organizational resilience and the connecting dimensions between organizations and their physicians could be an additional framework helpful in addressing physician mental health. An organization connects with its members along multiple dimensions, including communication, recognition of gifts, shared vision, and sense of belonging. By finding ways to positively affect these dimensions, organizations can create change in the culture and mental health of physicians and tr...

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Section: A Way Forwardmentioning

confidence: 99%

Shifting Focus from Burnout and Wellness toward Individual and Organizational Resilience

Vercio

Loo

Green

et al. 2021

Teaching and Learning in Medicine

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show abstract

“…Bazı çalışmalarda ise işi anlamlı bulmanın sonuçları incelenmiş ve bunlara göre işini anlamlı bulan çalışanların daha fazla psikolojik iyi hal (Arnold vd., 2007;Passmore, Hemming, McIntosh, ve Hellman, 2020;Steger vd., 2012), işe adanmışlık (Jung ve Yoon, 2016;Steger vd., 2013), işe yönelik içsel motivasyon, öz yeterlilik ve örgütsel bağlılık (Jung ve Yoon, 2016;Leonardo vd., 2019;Steger vd., 2012), iş ve yaşam doyumu (Belwalkar, Vohra ve Pandey, 2018;Kamdron, 2005;Sparks ve Schenk, 2001;Spreizer vd., 1997;Steger vd., 2012;Wrzesniewski vd., 1997) ve iş performansı (Evcimen, Çakıcı ve Çakıcı, 2020;Özkan, 2017;Sigler ve Pearson, 2000) gösterdikleri bulunmuştur.…”

Section: İşin Anlamlı Bulunmasıunclassified

İşin Anlamlı Bulunmasının Örgütsel Vatandaşlık Davranışlarına Etkisi: Sosyal Hizmet Kuruluşlarına İlişkin Bir Çalışma

Vural

Güney

Metin-Orta

2021

Toplum Ve Sosyal Hizmet

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positive meaning in work, meaning making through work, and greater good motivations were examined in relation to meaning of work; and the variables of altruism, courtesy, sportsmanship, conscientiousness, and civic virtue were examined in relation to OCBs in this study. Based on the study hypotheses, it is expected that each dimension of the meaning of work variable (positive meaning in work, meaning making through work, and greater good motivations) will be positively correlated with OCB. The sample consisted of 104 employees in four Nursing Home Geriatric Care and Rehabilitation Centers, which give service under the Ministry of Family and Social Policies and located in Çankaya and Yenimahalle districts of Ankara. The questionnaire including The Work and Meaning Inventory, the Organizational Citizenship Behaviour Scale and personal information form was filled out by participants voluntarily in their work place. The results of Pearson correlation analysis showed significant positive correlations between meaning of work and dimensions of OCB, and dimensions of meaning of work and OCB. Independent samples t-test analyses were conducted to test whether there are significant differences on meaning of work, OCB and demographic variables regarding the employees' gender and level of education. As a result, it was demonstrated that male participants worked for longer periods than females in terms of both professions and institutions, and participants having a higher level of education displayed more OCB than those having a lower level of education. Lastly, the results of the hierarchical regression analysis showed that each dimension of meaning of work (positive meaning in work, meaning making through work, and greater good motivations) positively predicted OCB. That is, the employees who ascribe positive meaning to their work, make meaning through work, and have greater good motivations showed more OCB. These findings support the study hypotheses. The findings of the current study emphasize the importance of meaning of work in promoting the employees' OCB.

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“…2, 2020 unnecessary removal of infants, splitting up of families and sentencing innocent caregivers to prison (Guthkelch, 2012;Squier, n.d.)? If the number of wrongful diagnoses and wrongful convictions in isolated triad cases could be minimized, burnout might decrease (Passmore, Hemming, Chancellor McIntosh, & Hellman, 2020;. Another reason for burnout might be the dilemma that child abuse clinicians have a responsibility to protect infants and it is mandated that the welfare of the infant takes precedent.…”

Section: Responsibility Crisis and Social Consequencesmentioning

confidence: 99%

“…If child abuse pediatricians and other clinicians concerned were to admit that the non-shaken baby theory is actually more plausible than the OUAHT theory, at least in triad cases without external signs of trauma, they would probably feel responsible for not having acted in the best interests of the infant; instead they would feel responsible for unwarranted splitting of families, unwarranted removal of infants and siblings, and for having contributed to the conviction of innocent caregivers. This might already present a problem for at least some neuropathologists and probably also some child abuse pediatricians (Passmore, Hemming, Chancellor McIntosh, & Hellman, 2020;.…”

Section: The Reception Of the Theoriesmentioning

confidence: 99%

Do Child Abuse Pediatricians Search for a “Pediatric Vulcan Planet”? Comparison of Controversies about the Vulcan-Must-Exist-Theory and the Infant-Must-Have-Been-Shaken-Theory

Lynøe¹,

Juth²,

Eriksson³

2020

JRPH

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We argue that there are similarities between the Vulcan-must-exist-theory, derived from the Original Unrestricted Newtonian Gravitational (OUNG) theory, on the one hand, and on the other hand the infant-must-have-been-shaken-theory, derived from the Original Unrestricted Abusive Head Trauma (OUAHT) theory. Although the Vulcan-must–exist-theory was apparently supported by observations over a period of 50 years, after the introduction of Einstein’s general relativity theory in 1915 and its corroboration in 1919, the alleged planet was subsequently neither observed nor needed. In analogy with the Einstein/Vulcan reasoning, we suggest that the introduction of the non-shaken baby theory by Geddes et al. in 2001-2004 indicates that in cases where an infant displays no external signs of trauma, the infant-must-have-been-shaken-theory is no longer needed. Moreover we argue that the two new theories -Einstein’s and Geddes et al.’s- have relevant similarities in terms of the effect on the respective original, unrestricted theory. Just as acceptance of Einstein’s general relativity theory led to the abandonment of the Vulcan-must-exist-theory, it is reasonable to claim that the infant-must-have-been-shaken-theory should also be abandoned. We finally argue that while the consequences of abandoning the Vulcan-must-exist-theory were restricted to some scientific and astronomical issues, the infant-must-have-been-shaken-theory has not yet been abandoned because of the societal and legal consequences.

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The Relationship Between Hope, Meaning in Work, Secondary Traumatic Stress, and Burnout Among Child Abuse Pediatric Clinicians

Cited by 26 publications

References 32 publications

Shifting Focus from Burnout and Wellness toward Individual and Organizational Resilience

Shifting Focus from Burnout and Wellness toward Individual and Organizational Resilience

İşin Anlamlı Bulunmasının Örgütsel Vatandaşlık Davranışlarına Etkisi: Sosyal Hizmet Kuruluşlarına İlişkin Bir Çalışma

Do Child Abuse Pediatricians Search for a “Pediatric Vulcan Planet”? Comparison of Controversies about the Vulcan-Must-Exist-Theory and the Infant-Must-Have-Been-Shaken-Theory

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