Utility of a Brief Screening Tool to Identify Physicians in Distress

Dyrbye, Liselotte N.; Satele, Daniel; Sloan, Jeff A.; Shanafelt, Tait D.

doi:10.1007/s11606-012-2252-9

Cited by 166 publications

(188 citation statements)

References 31 publications

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“…31–33 After initial development and validation in medical students, 32,33 the MPWBI was subsequently adapted and tested in a national sample of approximately 7000 US physicians. 31 That study confirmed the utility of the MPWBI for assessing multiple dimensions of physician distress, defined the normative scores for US physicians, 31 and indicated that the index is associated with clinically relevant personal and professional endpoints (eg, medical errors, 15 intent to leave practice, 22 suicidal ideation 36 ). For the present study, a Web-based version of the MPWBI was created along with automated scoring reports that provided immediate, individualized feedback based on the MPWBI score.…”

Section: Methodsmentioning

confidence: 99%

“…For the present study, a Web-based version of the MPWBI was created along with automated scoring reports that provided immediate, individualized feedback based on the MPWBI score. This feedback informed physicians how their level of distress compared with national physician norms 31 and also provided dashboards that gave participating surgeons specific data on how their degree of distress may impact them personally and professionally in 6 dimensions. The feedback to all participants also included the phone number for the National Suicide Prevention hotline.…”

Section: Methodsmentioning

confidence: 99%

“…Through a 5-year iterative process, we developed and validated a brief 7-item self-assessment tool [Mayo Clinic Physician Well-Being Index (MPWBI) Table 1] to evaluate the dimensions of distress commonly experienced by physicians. 31–33 A recent validation study among approximately 7000 US physicians confirmed the utility of the MPWBI and indicated that the index was able to stratify an individual physician’s risk of experiencing adverse personal and professional consequences (eg, makeing medical error, intent to leave practice, suicidal ideation). 31 …”

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confidence: 99%

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An Interactive Individualized Intervention to Promote Behavioral Change to Increase Personal Well-Being in US Surgeons

et al. 2014

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Objective Evaluate the utility of a computer-based, interactive, and individualized intervention for promoting well-being in US surgeons. Background Distress and burnout are common among US surgeons. Surgeons experiencing distress are unlikely to seek help on their own initiative. A belief that distress and burnout are a normal part of being a physician and lack of awareness of distress level relative to colleagues may contribute to this problem. Methods Surgeons who were members of the American College of Surgeons were invited to participate in an intervention study. Participating surgeons completed a 3-step, interactive, electronic intervention. First, surgeons subjectively assessed their well-being relative to colleagues. Second, surgeons completed the 7-item Mayo Clinic Physician Well-Being Index and received objective, individualized feedback about their well-being relative to national physician norms. Third, surgeons evaluated the usefulness of the feedback and whether they intended to make specific changes as a result. Results A total of 1150 US surgeons volunteered to participate in the study. Surgeons’ subjective assessment of their well-being relative to colleagues was poor. A majority of surgeons (89.2%) believed that their well-being was at or above average, including 70.5% with scores in the bottom 30% relative to national norms. After receiving objective, individualized feedback based on the Mayo Clinic Physician Well-Being Index score, 46.6% of surgeons indicated that they intended to make specific changes as a result. Surgeons with lower well-being scores were more likely to make changes in each dimension assessed (all Ps < 0.001). Conclusions US surgeons do not reliably calibrate their level of distress. After self-assessment and individualized feedback using the Mayo Clinic Physician Well-Being Index, half of participating surgeons reported that they were contemplating behavioral changes to improve personal well-being.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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An Interactive Individualized Intervention to Promote Behavioral Change to Increase Personal Well-Being in US Surgeons

et al. 2014

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“…Few studies have investigated both burnout and symptoms of depression together (Fahrenkopf et al, 2008, Dyrbye et al, 2013, de Oliveira Jr et al, 2013, Garrouste-Orgeas et al, 2015 and none have proposed mechanisms for how these variables contribute together to patient safety perceptions. Furthermore, each of these studies was amongst medical staff.…”

Section: Discussionmentioning

confidence: 99%

“…In particular, while interventions addressing depressive symptoms may focus at the level of the individual (e.g., mindfulness), interventions for burnout should also involve organisational-level change, considering work-related changes such as work process restructuring, shift readjustments and performance appraisals (Awa et al, 2010, West andDawson, 2012). A small number of studies have investigated both burnout and depressive symptoms (de Oliveira Jr et al, 2013, Dyrbye et al, 2013, Fahrenkopf et al, 2008, GarrousteOrgeas et al, 2015, but none have proposed an explanatory model of how these variables contribute together to patient safety outcomes. Furthermore, each of these studies has been amongst doctors and no research has investigated these variables together in nursing staff.…”

Section: Contribution Of the Researchmentioning

confidence: 99%

Burnout mediates the association between depression and patient safety perceptions: a cross‐sectional study in hospital nurses

Johnson

Louch

Dunning

et al. 2017

Journal of Advanced Nursing

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Aims The aim of this study was to investigate the relationships between depressive symptoms, burnout and perceptions of patient safety. A mediation model was proposed whereby the association between symptoms of depression and patient safety perceptions was mediated by burnout. Background There is growing interest in the relationships between depressive symptoms and burnout in healthcare staff and the safety of patient care. Depressive symptoms are higher in healthcare staff than the general population and overlap conceptually with burnout. However, minimal research has investigated these variables in nurses. Given the conceptual overlap between depressive symptoms and burnout, there is also a need for an explanatory model outlining the relative contributions of these factors to patient safety. Design A cross‐sectional questionnaire was distributed at three acute NHS Trusts. Method Three‐hundred and twenty‐three hospital nursing staff completed measures of depressive symptoms, burnout and patient safety perceptions (including measures at the level of the individual and the work area/unit) between December 2015 ‐ February 2016. Results When tested in separate analyses, depressive symptoms and burnout facets were each associated with both patient safety measures. Furthermore, the proposed mediation model was supported, with associations between depressive symptoms and patient safety perceptions fully mediated by burnout. Conclusion These results suggest that symptoms of depression and burnout in hospital nurses may have implications for patient safety. However, interventions to improve patient safety may be best targeted at improving burnout in particular, with burnout interventions known to be most effective when focused at both the individual and the organisational level.

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