Burnout in surgeons and organisational interventions

Hirayama, Megumi; Fernando, Senaka

doi:10.1177/0141076816666810

Cited by 5 publications

(4 citation statements)

References 16 publications

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“…This fits with the current understanding of mental health and burnout in healthcare settings 64 , 65 , where the relationship between personality, psychological skills and mental health is likely influenced by many factors including organizational and systemic issues. While the research highlights the important role of individual psychological skill in protecting against mental health difficulties in surgery, this does not diminish the vital role of organizations in prioritizing systemic interventions and structures that improve surgeon wellbeing and support more widely 66 .…”

Section: Discussionmentioning

confidence: 99%

Association of resilience and psychological flexibility with surgeons’ mental wellbeing

Greville-Harris,

Withers,

Wezyk

et al. 2024

BJS Open

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Background Existing research highlights the link between certain personality traits and mental health in surgeons. However, little research has explored the important role of psychological skills and qualities in potentially explaining this link. A cross-sectional survey of UK-based surgeons was used to examine whether two such skills (psychological flexibility and resilience) helped to explain why certain personality traits might be linked to mental health in surgeons. Method An online survey comprising measures of personality (neuroticism, extraversion and conscientiousness), psychological skills/qualities (psychological flexibility and resilience) and mental health (depression, anxiety, stress and burnout) was sent to surgeons practising in the UK. Mediation analyses were used to examine the potential mediating role of psychological flexibility and resilience in explaining the relationship between personality factors and mental health. Results A total of 348 surgeons completed the survey. In all 12 mediation models, psychological flexibility and/or resilience played a significant role in explaining the relationship between personality traits (neuroticism, extraversion and conscientiousness) and mental health (depression, anxiety and burnout). Conclusion Findings suggest that it is not only a surgeon’s personality that is associated with their mental health, but the extent to which a surgeon demonstrates specific psychological qualities and skills (psychological flexibility and resilience). This has important implications for improving surgeons’ mental wellbeing, because psychological flexibility and resilience are malleable, and can be successfully targeted with interventions in a way that personality traits cannot.

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Section: Discussionmentioning

confidence: 99%

Association of resilience and psychological flexibility with surgeons’ mental wellbeing

Greville-Harris,

Withers,

Wezyk

et al. 2024

BJS Open

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“…Special committees such as “joy in medicine” committees 41 and workflows must be created with allocated time in order to quickly implement regulations without passing the strain of interpretation and fear of regulation on to the frontline health care practitioners. 36 Methods to mitigate and help perioperative physicians with social media nuances, systems to assist with messaging demands, and integrated technologies with training must become priorities. 82 These cannot be passed down to individuals as they affect the entire workplace culture and are not limited to a single person.…”

Section: Strategies To Mitigate Perioperative Physician Burnoutmentioning

confidence: 99%

Time Out: The Impact of Physician Burnout on Patient Care Quality and Safety in Perioperative Medicine

Shin¹,

Desai²,

Conte³

et al. 2023

TPJ

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Perioperative care delivery is a patient-centered, multidisciplinary process. It relies heavily on synchronized teamwork from a well-coordinated team. Perioperative physicians—surgeons and anesthesiologists—face enormous challenges in surgical care delivery due to changing work environments, post-COVID consequences, shift work disorder, value conflict, escalating demands, regulatory complexity, and financial uncertainties. Physician burnout in this working environment has become increasingly prevalent. It is not only harmful to physicians’ health and well-being, but it also affects the quality and safety of patient care. Additionally, the economic costs associated with physician burnout are untenable due to the high turnover rate, high recruitment expenses, and potential early permanent exit from medical practice. In this deteriorating environment of unbalanced physician supply/demand, recognizing, managing, and preventing physician burnout may help preserve the system’s most valuable asset and contribute to higher quality and safety of patient care. Leaders in government agencies, health care systems, and organizations must work together to re-engineer the health care system for better physicians and patient care.

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“…A psychologically safe culture and practice environment with the Engagement, Inclusion and Diversity principle in mind should be the top priority for any organization and its leaders, especially in the areas of communication and signage. Special committees such as “joy in medicine” committees [ 27 ] and workflows must be created with allocated time to quickly implement regulations without passing the strain of interpretation and fear of regulation on to the frontline health care practitioners [ 28 ]. Methods for enhancing patient engagement with psychological safety with social media nuances, systems to assist with messaging demands, and integrated technologies with training must become priorities [ 29 ].…”

Section: Strategies To Enhance Patient Engagement With Psychological ...mentioning

confidence: 99%

Patient engagement with psychological safety

Fukami

2023

Dialogues in Health

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Burnout in surgeons and organisational interventions

Cited by 5 publications

References 16 publications

Association of resilience and psychological flexibility with surgeons’ mental wellbeing

Association of resilience and psychological flexibility with surgeons’ mental wellbeing

Time Out: The Impact of Physician Burnout on Patient Care Quality and Safety in Perioperative Medicine

Patient engagement with psychological safety

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