A Multicenter Study Investigating Empathy and Burnout Characteristics in Medical Residents with Various Specialties

Park, Chanmin; Lee, Yeon Jung; Hong, Minha; Jung, Chul Ho; Synn, Yeni; Kwack, Young Sook; Ryu, Jae Sung; Park, Tae Won; Lee, Seong Ae; Bahn, Geon Ho

doi:10.3346/jkms.2016.31.4.590

Cited by 54 publications

(63 citation statements)

References 37 publications

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“…There was no significant relationship between number of children's of residents and burnout in this study. Which is consistent with the results of Park et al and Olson et al studies (Park at al, 2016;Olson et al, 2014). Also Martini et al (2004) reported that 56.4% of residents without children met the criteria for burnout while it was found in 36.4% of residents with one or more child, (indicating no significant difference).…”

supporting

confidence: 90%

“…Also, female physicians' role as homemakers, managing all the household problems and nurturing the children adds to the amount of stress that they experience. There was no significant association between marital status of residents and burnout levels in this study which was consistent with the results of Shanafelt et al (2002), (Martini, Arfken, & Balon, 2006) and also Park et al (2016). In 2004 Martini et al found that being single was significantly associated with burnout (65.2% burnout in divorced or single residents and 40% burnout in married residents) We can conclude that being married and having a spouse with a supporting and comforting role can reduce anxiety and stress and eventually reduce the burnout rate.…”

supporting

confidence: 90%

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Prevalence of Burnout among Resident Physicians in Mazandaran University of Medical Sciences, Iran

Sheikhmoonesi¹,

khani²,

Khademloo³

et al. 2017

GJHS

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Introduction: Burnout is a state of mental and physical exhaustion which is developed under high levels of work-related stress. Burnout during residency training has gained significant attention since it leaves negative impacts on job performance and patient care. This study aimed at investigating the rate of burnout among residents in different medical fields. Method:A descriptive cross sectional study was carried out in 170 medical residents in Mazandaran University of Medical Sciences, 2012. Data was collected using a demographic questionnaire and Maslach Burnout Inventory (MBI).Results: Overall 52% of residents met burnout criteria ranging from 33% to 73% in different fields. There was a significant difference between specialties regarding emotional exhaustion subscale. (p=0.022). There was also a significant relationship between age and emotional exhaustion, in fact younger residents reported higher emotional exhaustion. (p=0.004) Conclusions:There was a considerable degree of burnout among residents and we found a relationship between educational field and emotional exhaustion. The highest degree of burnout was observed in Gynecology residents, and highest degree of emotional exhaustion was reported between younger residents.

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confidence: 90%

supporting

confidence: 90%

Prevalence of Burnout among Resident Physicians in Mazandaran University of Medical Sciences, Iran

Sheikhmoonesi¹,

khani²,

Khademloo³

et al. 2017

GJHS

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“…It has been demonstrated in physicians that empathic relationships with their patients provide an intrinsically joyful reward that serves as a remedy for the stress associated to their profession (Zuger, 2004). Empathy has been also identified as a protective factor against the stress experienced by clinicians (Shamasundar, 1999), as a potential factor for their well being (Hyyppä et al, 1991), and a protective factor against burnout in physicians (Thirioux et al, 2016), in physicians-in-training (Park et al, 2016), in nurses (Yu et al, 2016), and in medical students (Hojat et al, 2015b). …”

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confidence: 99%

Professionalism and Occupational Well-Being: Similarities and Differences Among Latin American Health Professionals

2017

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Context: Empathy, teamwork, and lifelong learning are described as key elements of professionalism. The first recipients of their benefits are professionals themselves. Paradoxically, scarce studies have reported association between professionalism and occupational well-being. The main purpose of this study was to characterize the influence that empathy, teamwork, and lifelong learning, play in the occupational well-being of physicians and nurses working in Latin American healthcare institutions.Materials and Methods: The Jefferson Scale of Empathy, the Jefferson Scale of Attitudes toward Physician-Nurse Collaboration, the Jefferson Scale of Physicians Lifelong Learning, and the Scale of Collateral Effects (somatization, exhaustion, and work alienation), were administered to 522 physicians and nurses working in institutions of Mexico, Colombia, Ecuador, and Argentina. Internal reliability was calculated. Gender and discipline were used as explanatory variables in comparison analysis. Two-way analysis of variance was performed to examine differences due to the main effects of the gender, and discipline, and to determine possible combined effects. Correlation analysis was performed to measure associations between collateral effects and age, and between collateral effects and professionalism.Results: A total of 353 (68%) surveys were returned fully completed. Adequate reliability was confirmed in all instruments. No differences were found among countries for collateral effects. Correlation analysis confirmed in physicians an inverse association between empathy and collateral effects (P = -0.16; p < 0.05), and between collateral effects and lifelong learning (P = -0.18; p < 0.01). In nurses, this association was confirmed only for empathy (P = -0.19; p < 0.05). Important differences in the development of professionalism and in its effects on occupational well-being appeared associated to inter-professional collaboration and work roles. An inverse correlation between age and collateral effects was confirmed in physicians (P = -0.22; p < 0.001) and in nurses (P = -28; p < 0.001). Comparison by gender confirmed higher somatization in women physicians and nurses than in men groups (p < 0.001). On the other hand, comparison by discipline confirmed higher exhaustion and alienation in physicians than in nurses (p < 0.01).Conclusion: The findings support the importance that empathy, teamwork, and lifelong learning have in practitioners’ health and welfare, and the role that cultural behaviors, associated to work professional models and social stereotypes, play in the interaction between professionalism and occupational well-being.

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“…The high levels of burnout during residency have detrimental personal consequences such as substance abuse (Lebensohn et al 2013) and suicidal thoughts (van der Heijden et al 2008). Furthermore, when suffering from burnout resident physicians commit more medical errors (Baer et al 2017;Prins et al 2009), express lower empathy (Ferreira et al 2020;Park et al 2016), and adhere less to practice and safety standards (de Oliveira et al 2013).…”

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confidence: 99%

A Mindfulness Program to Improve Resident Physicians’ Personal and Work-Related Well-being: a Feasibility Study

et al. 2020

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Objectives Many resident physicians suffer from mental distress. This endangers the individual physician as well as the quality of patient care. This study tested the feasibility of a novel 8-week mindfulness program tailored to improve resident physicians' personal and work-related well-being. Methods Participants were nine resident physicians from a major hospital in southern Germany. Feasibility was assessed in seven domains (demand, acceptability, implementation, practicality, adaptation, integration, and preliminary effectiveness), using selfreports, attrition, attendance, and daily home practice. Using a pre-post within-subjects design, changes were assessed in hair cortisol as a biomarker of stress as well as in self-reported personal and work-related well-being. Results The program is feasible in all domains. Participants positively rated the program regarding satisfaction, helpfulness, usage, and personal and professional benefit. All participants indicated to recommend the program. There was no study attrition, high attendance, and an average daily home practice of 13.5 min. A medium reduction was observed with hair cortisol secretion (d = 0.64). In terms of personal well-being, medium-to-large improvements were observed with perceived stress (d = 0.58), mental health (d = 0.77), self-attributed mindfulness (d = 0.92), and self-compassion (d = 1.21). In terms of work-related wellbeing, small-to-medium improvements were observed with self-reported job strain (d = 0.58), effort-reward imbalance (d = 0.36), work-related burnout (d = 0.32), thriving at work (d = 0.24), and physician empathy (d = 0.21).Conclusions This study provides evidence that a tailored mindfulness program is feasible and may be effective in reducing hair cortisol secretion and improving resident physicians' personal and work-related well-being. These promising findings warrant further investigation within a randomized controlled trial.

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A Multicenter Study Investigating Empathy and Burnout Characteristics in Medical Residents with Various Specialties

Cited by 54 publications

References 37 publications

Prevalence of Burnout among Resident Physicians in Mazandaran University of Medical Sciences, Iran

Prevalence of Burnout among Resident Physicians in Mazandaran University of Medical Sciences, Iran

Professionalism and Occupational Well-Being: Similarities and Differences Among Latin American Health Professionals

A Mindfulness Program to Improve Resident Physicians’ Personal and Work-Related Well-being: a Feasibility Study

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