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[PMID]:28460570
[Au] Autor:Houpy JC; Lee WW; Woodruff JN; Pincavage AT
[Ad] Endereço:a Department of Medicine , University of Chicago , Chicago , IL , USA.
[Ti] Título:Medical student resilience and stressful clinical events during clinical training.
[So] Source:Med Educ Online;22(1):1320187, 2017.
[Is] ISSN:1087-2981
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Medical students face numerous stressors during their clinical years, including difficult clinical events. Fostering resilience is a promising way to mitigate negative effects of stressors, prevent burnout, and help students thrive after difficult experiences. However, little is known about medical student resilience. OBJECTIVE: To characterize medical student resilience and responses to difficult clinical events during clinical training. DESIGN: Sixty-two third-year (MS3) and 55 fourth-year (MS4) University of Chicago medical students completed surveys in 2016 assessing resilience (Connor Davidson Resilience Scale, CD-RISC 10), symptoms of burnout, need for resilience training, and responses to difficult clinical events. RESULTS: Medical student mean resilience was lower than in a general population sample. Resilience was higher in males, MS4s, those without burnout symptoms, and students who felt able to cope with difficult clinical events. When students experienced difficult events in the clinical setting, the majority identified poor team dynamics among the most stressful, and agreed their wellbeing was affected by difficult clinical events. A majority also would prefer to discuss these events with their team later that day. Students discussed events with peers more than with attendings or residents. Students comfortable discussing stress and burnout with peers had higher resilience. Most students believed resilience training would be helpful and most beneficial during MS3 year. CONCLUSIONS: Clinical medical student resilience was lower than in the general population but higher in MS4s and students reporting no burnout. Students had some insight into their resilience and most thought resilience training would be helpful. Students discussed difficult clinical events most often with peers. More curricula promoting medical student resilience are needed.
[Mh] Termos MeSH primário: Esgotamento Profissional/psicologia
Educação de Graduação em Medicina/métodos
Resiliência Psicológica
Estresse Psicológico/psicologia
Estudantes de Medicina/psicologia
[Mh] Termos MeSH secundário: Adaptação Psicológica
Esgotamento Profissional/prevenção & controle
Currículo
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1080/10872981.2017.1320187


  2 / 9118 MEDLINE  
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[PMID]:28449049
[Au] Autor:Banerjee S; Califano R; Corral J; de Azambuja E; De Mattos-Arruda L; Guarneri V; Hutka M; Jordan K; Martinelli E; Mountzios G; Ozturk MA; Petrova M; Postel-Vinay S; Preusser M; Qvortrup C; Volkov MNM; Tabernero J; Olmos D; Strijbos MH
[Ad] Endereço:Gynaecology Unit Royal Marsden Hospital NHS Foundation Trust, Institute of Cancer Research, London.
[Ti] Título:Professional burnout in European young oncologists: results of the European Society for Medical Oncology (ESMO) Young Oncologists Committee Burnout Survey.
[So] Source:Ann Oncol;28(7):1590-1596, 2017 Jul 01.
[Is] ISSN:1569-8041
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Background: Burnout in health care professionals could have serious negative consequences on quality of patient care, professional satisfaction and personal life. Our aim was to investigate the burnout prevalence, work and lifestyle factors potentially affecting burnout amongst European oncologists ≤40 (YOs). Methods: A survey was conducted using the validated Maslach Burnout Inventory (MBI) and additional questions exploring work/lifestyle factors. Statistical analyses were carried out to identify factors associated with burnout. Results: Total of 737 surveys (all ages) were collected from 41 European countries. Countries were divided into six regions. Results from 595 (81%) YOs were included (81% medical oncologists; 52% trainees, 62% women). Seventy-one percent of YOs showed evidence of burnout (burnout subdomains: depersonalization 50%; emotional exhaustion 45; low accomplishment 35%). Twenty-two percent requested support for burnout during training and 74% reported no hospital access to support services. Burnout rates were significantly different across Europe (P < 0.0001). Burnout was highest in central European (84%) and lowest in Northern Europe (52%). Depersonalization scores were higher in men compared with women (60% versus 45% P = 0.0001) and low accomplishment was highest in the 26-30 age group (P < 0.01). In multivariable linear regression analyses, European region, work/life balance, access to support services, living alone and inadequate vacation time remained independent burnout factors (P < 0.05). Conclusions: This is the largest burnout survey in European Young Oncologists. Burnout is common amongst YOs and rates vary across Europe. Achieving a good work/life balance, access to support services and adequate vacation time may reduce burnout levels. Raising awareness, support and interventional research are needed.
[Mh] Termos MeSH primário: Esgotamento Profissional/epidemiologia
Saúde do Trabalhador
Oncologistas
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Atitude do Pessoal de Saúde
Esgotamento Profissional/diagnóstico
Esgotamento Profissional/psicologia
Esgotamento Profissional/terapia
Distribuição de Qui-Quadrado
Despersonalização
Emoções
Europa (Continente)/epidemiologia
Feminino
Conhecimentos, Atitudes e Prática em Saúde
Inquéritos Epidemiológicos
Seres Humanos
Satisfação no Emprego
Modelos Lineares
Modelos Logísticos
Masculino
Análise Multivariada
Oncologistas/psicologia
Aceitação pelo Paciente de Cuidados de Saúde
Qualidade de Vida
Fatores de Risco
Fatores Sexuais
Equilíbrio Trabalho-Vida
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170428
[St] Status:MEDLINE
[do] DOI:10.1093/annonc/mdx196


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[PMID]:29267421
[Au] Autor:Hartmann É; Mathieu C
[Ad] Endereço:Département de psychologie, Université du Québec à Trois-Rivières.
[Ti] Título:[The Relationship between Workaholism, Burnout and Personality: A Literature Review].
[Ti] Título:Liens entre ergomanie, épuisement professionnel et traits de personnalité associés : une synthèse des écrits..
[So] Source:Sante Ment Que;42(2):197-218, 2017.
[Is] ISSN:0383-6320
[Cp] País de publicação:Canada
[La] Idioma:fre
[Ab] Resumo:Objectives This paper reviews and summarizes the literature on personality traits associated with workaholism and burnout, using the Five Factors Model (FFM) of personality.Methods We searched among PsycINFO Database and Google Scholar web search engine to identify relevant articles and studies on workaholism, burnout and personality.Results The first part of this paper defines each concept individually, focussing on personal, environmental and organizational factors associated with workaholism and burnout. We also explore the impact on family, social and professional life. In the second part, results suggest that neuroticism, a personality trait, is associated with workaholism and burnout. Conscientiousness, agreeableness and extraversion also appear to have a significant but specific effects on burnout and workaholism.Conclusion It appears desirable for personal and organizational health, to explore specific factors of work-related illness, like personality traits. Implications for employee well-being and organizational health are discussed.
[Mh] Termos MeSH primário: Comportamento Aditivo/psicologia
Esgotamento Profissional/psicologia
Personalidade
Trabalho/psicologia
[Mh] Termos MeSH secundário: Esgotamento Profissional/etiologia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE


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[PMID]:29389801
[Au] Autor:Havens DS; Gittell JH; Vasey J
[Ad] Endereço:Author Affiliations: Professor (Dr Havens), School of Nursing, The University of North Carolina at Chapel Hill; Professor (Dr Gittell), Heller School for Social Policy & Management, Brandeis University, Waltham, Massachusetts; Principal (Dr Vasey), Tosti-Vasey & Vasey, Bellefonte, Pennsylvania.
[Ti] Título:Impact of Relational Coordination on Nurse Job Satisfaction, Work Engagement and Burnout: Achieving the Quadruple Aim.
[So] Source:J Nurs Adm;48(3):132-140, 2018 Mar.
[Is] ISSN:1539-0721
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:AIM: To explore how relational coordination, known to enhance quality and efficiency outcomes for patients and hospitals, impacts direct care nurse outcomes such as burnout, work engagement, and job satisfaction, addressing the "Quadruple Aim," to improve the experience of providing care. BACKGROUND: Hospitals are complex organizations in which multiple providers work interdependently, under conditions of uncertainty and time constraints, to deliver safe quality care despite differences in specialization, training, and status. Relational coordination-communicating and relating for the purpose of task integration-is known to improve quality, safety, and efficiency under these conditions, but less is known about its impact on the well-being of direct care providers themselves. METHODS: Surveys measuring relational coordination among nurses and other types of providers as well as job-related outcomes in 5 acute care community hospitals were completed by direct care RNs. RESULTS: Relational coordination was significantly related to increased job satisfaction, increased work engagement, and reduced burnout. CONCLUSIONS: Relational coordination contributes to the well-being of direct care nurses, addressing the Quadruple Aim by improving the experience of providing care.
[Mh] Termos MeSH primário: Esgotamento Profissional/psicologia
Satisfação no Emprego
Cuidados de Enfermagem/normas
Recursos Humanos de Enfermagem no Hospital/normas
Equipe de Assistência ao Paciente/normas
Qualidade da Assistência à Saúde/normas
Engajamento no Trabalho
[Mh] Termos MeSH secundário: Esgotamento Profissional/etiologia
Esgotamento Profissional/prevenção & controle
Seres Humanos
Relações Interprofissionais
Colaboração Intersetorial
Cuidados de Enfermagem/organização & administração
Cuidados de Enfermagem/psicologia
Recursos Humanos de Enfermagem no Hospital/organização & administração
Recursos Humanos de Enfermagem no Hospital/psicologia
Equipe de Assistência ao Paciente/organização & administração
Qualidade da Assistência à Saúde/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:180202
[St] Status:MEDLINE
[do] DOI:10.1097/NNA.0000000000000587


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[PMID]:29386455
[Au] Autor:Takai R; Nomura K; Hiraike H; Murakami A; Tanabe A; Tsuchiya A; Okinaga H
[Ad] Endereço:Faculty of Nursing, Toho University.
[Ti] Título:[An Investigation of Factors Associated with Emotional Exhaustion among Hospital Nurses: Adherence to "Maternal Affection" and Agreement with Stereotypical Gender Roles].
[So] Source:Nihon Eiseigaku Zasshi;73(1):90-95, 2018.
[Is] ISSN:1882-6482
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:OBJECTIVE: To investigate factors including adherence to "maternal affection" and stereotypical gender roles associated with emotional exhaustion among hospital nurses. METHOD: In 2014, among 2,690 workers recruited for this study, 891 participated with written informed consent. Of these, we investigated 464 hospital nurses. Adherence to maternal affection and emotional exhaustion were measured using valid and reliable scales developed by Egami (2005, 12 items) and Kubo (1992, 5 items), respectively. Stereotypical gender role was measured by asking "how much do you agree with the idea that women should stay home and men should work?". Workfamily conflict was measured in terms of the discrepancy in priority in life (i.e., a work or a private life) between the participant's ideal and the real world. RESULT: The majority of our participants were women (86%), aged 39 or younger (80%), and single (70%). About one-quarter had workfamily conflict (26%) and agreed with the stereotypical gender role (28%). The mean scores of emotional exhaustion and adherence to maternal affection were 17.2 (out of 25) and 30.8 (out of 48), respectively. A stepwise multivariable model showed that being a woman (p=0.028), being young (p=0.022), being single (p=0.007), and having workfamily conflict (p<0.001) were more likely to increase emotional exhaustion after adjusting for household income. Adherence to maternal affection and stereotypical gender role were not significantly associated with emotional exhaustion. CONCLUSION: This study demonstrated that adherence to "maternal affection" and stereotypical gender roles were not associated with psychological burnout. Special attention should be paid to hospital nurses who are women, young, or single, or who have workfamily conflict.
[Mh] Termos MeSH primário: Afeto
Esgotamento Profissional/psicologia
Emoções
Identidade de Gênero
Hospitais
Comportamento Materno/psicologia
Enfermeiras e Enfermeiros/psicologia
Estereotipagem
[Mh] Termos MeSH secundário: Adulto
Conflito Familiar
Feminino
Seres Humanos
Masculino
Meia-Idade
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180202
[St] Status:MEDLINE
[do] DOI:10.1265/jjh.73.90


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[PMID]:29269481
[Au] Autor:Warner G
[Ad] Endereço:Romsey SO51 0NU, UK.
[Ti] Título:Daily number of patient contacts as alternative measure of workload in general practice.
[So] Source:BMJ;359:j5770, 2017 12 21.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Agendamento de Consultas
Medicina de Família e Comunidade
Carga de Trabalho
[Mh] Termos MeSH secundário: Esgotamento Profissional/prevenção & controle
Seres Humanos
Estresse Psicológico/prevenção & controle
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171223
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j5770


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[PMID]:29385150
[Au] Autor:Metlaine A; Sauvet F; Gomez-Merino D; Boucher T; Elbaz M; Delafosse JY; Leger D; Chennaoui M
[Ad] Endereço:Université Paris Descartes, Sorbonne Paris Cité, Hôtel Dieu, Paris, France.
[Ti] Título:Sleep and biological parameters in professional burnout: A psychophysiological characterization.
[So] Source:PLoS One;13(1):e0190607, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Professional burnout syndrome has been described in association with insomnia and metabolic, inflammatory and immune correlates. We investigated the interest of exploring biological parameters and sleep disturbances in relation to burnout symptoms among white-collar workers. Fifty-four participants with burnout were compared to 86 healthy control participants in terms of professional rank level, sleep, job strain (Karasek questionnaire), social support, anxiety and depression (HAD scale). Fasting concentrations of glycaemia, glycosylated hemoglobin (HbA1C), total-cholesterol, triglycerides, C-reactive protein (CRP), thyroid stimulating hormone (TSH), 25-hydroxyvitamin D (25[OH]D), and white blood cell (WBC) counts were assessed. Analysis of variance and a forward Stepwise Multiple Logistic Regression were made to identify predictive factors of burnout. Besides reporting more job strain (in particular job control p = 0.02), higher levels of anxiety (p<0.001), and sleep disorders related to insomnia (OR = 21.5, 95%CI = 8.8-52.3), participants with burnout presented higher levels of HbA1C, glycaemia, CRP, lower levels of 25(OH)D, higher number of leukocytes, neutrophils and monocytes (P<0.001 for all) and higher total-cholesterol (P = 0.01). In particular, when HbA1c is > 3.5%, the prevalence of burnout increases from 16.6% to 60.0% (OR = 4.3, 95%CI = 2.8-6.9). Strong significant positive correlation existed between HbA1C and the two dimensions (emotional exhaustion and depersonalization (r = 0.79 and r = 0.71, p<0.01)) of burnout. Models including job strain, job satisfaction, anxiety and insomnia did not predict burnout (p = 0.30 and p = 0.50). However, when HbA1C levels is included, the prediction of burnout became significant (P = 0.03). Our findings demonstrated the interest of sleep and biological parameters, in particular HbA1C levels, in the characterization of professional burnout.
[Mh] Termos MeSH primário: Esgotamento Profissional
Psicofísica
Distúrbios do Início e da Manutenção do Sono/etiologia
Sono
[Mh] Termos MeSH secundário: Adulto
Proteína C-Reativa/metabolismo
Calcifediol/sangue
Estudos de Casos e Controles
Feminino
França
Hemoglobina A Glicada/metabolismo
Seres Humanos
Modelos Logísticos
Masculino
Exposição Ocupacional
Apoio Social
Tireotropina/sangue
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Glycated Hemoglobin A); 0 (hemoglobin A1c protein, human); 9002-71-5 (Thyrotropin); 9007-41-4 (C-Reactive Protein); P6YZ13C99Q (Calcifediol)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190607


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[PMID]:29195538
[Au] Autor:Schwab D; Napolitano N; Chevalier K; Pettorini-D'Amico S
[Ti] Título:Hidden Grief and Lasting Emotions in Emergency Department Nurses.
[So] Source:Creat Nurs;22(4):249-253, 2016 Nov 01.
[Is] ISSN:1078-4535
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The emergency department (ED) environment poses unique risks to developing moral distress and posttraumatic stress disorder (PTSD) in nurses. This impacts ED registered nurses' (RNs') ability to remain resilient. The purpose of this article is to explore the benefit of recognizing the signs and symptoms of burnout, introduce interventions to combat PTSD, and improve resiliency in ED RNs. The use of the wounded healer theory provides a framework to help nurse managers develop strategies such as critical incident stress debriefing (CISD) to address emotional distress.
[Mh] Termos MeSH primário: Adaptação Psicológica
Esgotamento Profissional/psicologia
Enfermagem em Emergência
Emoções
Satisfação no Emprego
Recursos Humanos de Enfermagem no Hospital/psicologia
Estresse Psicológico/prevenção & controle
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171203
[St] Status:MEDLINE
[do] DOI:10.1891/1078-4535.22.4.249


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[PMID]:29365301
[Au] Autor:Wright AA; Katz IT
[Ad] Endereço:Drs. Wright and Katz are national correspondents for the Journal.
[Ti] Título:Beyond Burnout - Redesigning Care to Restore Meaning and Sanity for Physicians.
[So] Source:N Engl J Med;378(4):309-311, 2018 Jan 25.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Pessoal Técnico de Saúde
Esgotamento Profissional
Assistência à Saúde/organização & administração
Médicos/psicologia
Carga de Trabalho
[Mh] Termos MeSH secundário: Colorado
Eficiência
Eficiência Organizacional
Registros Eletrônicos de Saúde
Docentes de Medicina
Feminino
Administração de Serviços de Saúde
Seres Humanos
Satisfação no Emprego
Liderança
Masculino
Equipe de Assistência ao Paciente
Fatores Sexuais
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180208
[Lr] Data última revisão:
180208
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180125
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMp1716845


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[PMID]:29365296
[Au] Autor:Dzau VJ; Kirch DG; Nasca TJ
[Ad] Endereço:From the National Academy of Medicine (NAM) Action Collaborative on Clinician Well-Being and Resilience (V.J.D., D.G.K., T.J.N.), the National Academy of Medicine (V.J.D.), and the Association of American Medical Colleges (D.G.K.) - all in Washington, DC; and the Accreditation Council for Graduate Medical Education, Chicago (T.J.N.).
[Ti] Título:To Care Is Human - Collectively Confronting the Clinician-Burnout Crisis.
[So] Source:N Engl J Med;378(4):312-314, 2018 Jan 25.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Esgotamento Profissional/prevenção & controle
Médicos/psicologia
Carga de Trabalho
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Satisfação no Emprego
Masculino
Sociedades Médicas
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180208
[Lr] Data última revisão:
180208
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180125
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMp1715127



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