Research has found that men and women psychologists experience burnout differentially depending on the work setting. A total of 497 psychologists responded to a survey designed to replicate this finding and to investigate the role of work-family conflict in contributing to this difference. Results failed to replicate gender differences in levels of burnout according to work setting. In general, the overall pattern of results was the same for men and women. Findings indicated that family support was important for well-being at work and that conflict between work and family domains was associated with burnout. Mediational models indicated that work-family conflict and family-work conflict can help researchers understand the process by which resources or demands in work and family domains influence burnout at work.
The U.S. Department of Veterans Affairs (VA)/Department of Defense (DoD) Clinical Practice Guideline (CPG) for the Management of Posttraumatic Stress Disorder (PTSD) and Acute Stress Disorder strives to advance the VA's practice of recovery-oriented, evidence-based, patient-centered care (PCC) for veterans with PTSD. A core foundation of PCC is that care is individually tailored to meet the needs and preferences of each patient. Accordingly, the 2017 update to the CPG specifically recommends the use of shared decision making (SDM), an individualized collaborative approach to treatment planning, in the PTSD treatment planning process. Although SDM has been promoted by the CPG throughout the VA and SDM training is being developed, no systemic training was available at the time the guidelines were updated. Additionally, while early research has studied the impact and experience of SDM for the patient, no work has explored provider experiences with SDM for those who work with trauma populations. This project bridges this gap by examining survey data collected 6 months following a formal SDM training to staff and trainees working with veterans who have experienced trauma within a trauma clinic at a large VA hospital. After the training, clinicians understood SDM and were engaging in SDM with their patients. Patients indicated that they were satisfied with and felt like an active participant in the treatment planning process. Clinician assumptions about the SDM process and barriers to SDM shown in previous research were also demonstrated. Implications for future research and practice, such as using decision aids in PTSD treatment planning and targeting clinician beliefs about SDM, are discussed.
Impact StatementRecent PTSD clinical practice guidelines recommend engaging patients in SDM, however, research on SDM for PTSD treatment planning is lacking. We found that provider-facing SDM training promotes understanding and use of SDM among PTSD care team members, and patients are satisfied with the incorporation of SDM into PTSD treatment planning. Further development of providerfacing SDM training for PTSD care, such as the virtual training VA recently rolled, is warranted.
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