Cultivating a way of being and doing: Individual strategies for physician well-being and resilience

Gogo, Albina; Osta, Amanda; McClafferty, Hilary; Rana, Deborah T.

doi:10.1016/j.cppeds.2019.100663

Cited by 30 publications

(26 citation statements)

References 54 publications

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“…economic development, social capital, information and communication, and community competence (French Red Cross, 2008), so that the resilience indicator is very complex compared to the indicators in individual and family aspects. As for the strategies that can be carried out to maintain resilience, both the resilience of individuals, families, and communities seen from the approach of health is divided into 3 strategies: 1) gratification (connection and communication, meaning and purpose), 2) resilience in building practice (self-reflection, time for self, compassion, spirituality, 3) useful attitudes (acceptance, flexibility, self-awareness) (Gogo et al, 2019). The strategy of maintaining and fostering resilience in terms of health is built with the existence of good relationships between individuals and families, acceptance, awareness and adaptive to existing changes, and accompanied by a strong spirituality from each member of society.…”

Section: Resultsmentioning

confidence: 99%

“…Education, social and economic sectors have been impacted significantly (Tapung et al,, 2020). Inequality, poverty and education are the pathways most affected by this pandemic because they reduce the income of the vulnerable and the poor (Hidayatullah et al, 2020). The education sector made major changes in carrying out learning patterns and teaching and learning activities of various levels of educational institutions.…”

Section: Introductionmentioning

confidence: 99%

“…Individual indicators of resilience include 1) personal control, 2) self-efficacy, 3) belief, 4) spirituality, 5) emotional regulation, 6) effective skills, and 7) a positive outlook (Distelberg, et.al, 2015). The strategies for maintaining resilience seen from the health approaches are divided into 3 strategies: 1) gratification (connection and communication, meaning and purpose), 2) resilience in building practice (self-reflection, time for yourself, compassion, spirituality, 3) useful (acceptance, flexibility, selfawareness) (Gogo et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Analysis of The Resilience Conditions of Individual, Family, and Community during The Covid-19 Pandemic

Hasanah

Boriboon

Jubaedah

et al. 2021

Journal of Nonformal Education

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The COVID-19 pandemic outbreak, a disaster that shocked the whole world, has affected various aspects of people's lives, including the resilience of society, especially the poor. This study aims to see the condition of the resilience of the poor in Bandung in facing the COVID-19 pandemic. The survey method was chosen to obtain the latest data flexibly with a total of 200 respondents, through the distribution of a questionnaire of 40 items consisting of aspects of individual, family, and community resilience. The results show that individual resilience is very dominant during the COVID-19 pandemic disaster, this mutually affects family resilience and community resilience. The most dominant factor in the resilience of individuals and families is the factor of spirituality and optimism in facing this epidemic, the factors that affect community resilience are individual interactions in community activities in the security, social and religious fields

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Analysis of The Resilience Conditions of Individual, Family, and Community during The Covid-19 Pandemic

Hasanah

Boriboon

Jubaedah

et al. 2021

Journal of Nonformal Education

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“…Consistent with our observations, existing evidence also suggests that resilience can be learned and enhanced, thus improving over time and with age ( Denkova et al 2020 ). Individual-directed interventions to increase resilience, including mindfulness, stress-management training, small group discussion, narrative medicine, and cognitive behavioral techniques, have been identified as effective ways to boost resilience ( Awa et al, 2010 , Epstein and Krasner, 2013 , Gogo et al, 2019 , Mahmoud and Rothenberger, 2019 , Panagioti et al, 2017 , Shanafelt et al, 2017 , West et al, 2016 ). Mindfulness is the process of enhancing self-regulation by directing focus to the present and maintaining low emotional reactivity ( Tang et al, 2015 ).…”

Section: Discussionmentioning

confidence: 99%

The challenge of change: Resilience traits in Women’s Dermatological Society Forum participants by generation

Ludwig

Geisler

Fernandez

et al. 2020

International Journal of Women's Dermatology

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Background Physician burnout is a common problem that can have negative ramifications for both physicians and patients. Lack of effective coping mechanisms decreases resilience, which can lead to burnout, and women may be particularly vulnerable. Objective We aimed to evaluate resilience by generation among professionals in dermatology. We hope to gain a better understanding of the plasticity of resilience traits to identify modifiable resilience components. Methods Attendees of the 2020 Women’s Dermatological Society Forum were asked to complete an 80-item questionnaire evaluating eight characteristics of resilience. Each participant received scores electronically, and attendees were invited to anonymously submit scores, job category (physician or industry), and birth year and/or generation category. Participants who provided scores and were part of the millennial generation (born 1980–1994; ages 26–40 years at the time of survey completion), Generation X (born 1965–1979; ages 41–55 years), or baby boomer generation (born 1944–1964; ages 56–76 years) were included. Results Of the 67 participants meeting the inclusion criteria, 96.7% were women and 3.3% were men, 69.4% were physicians and 30.6% were industry representatives. Millennials accounted for 43.3%, Generation X for 35.8%, and baby boomers for 20.9% of the study participants. There was a significant difference among the three generations for mean scores on rumination ( p = .0071) and flexibility ( p = .0005), with scores becoming more ideal for older generations. There was no significant difference among generations for other resilience or burnout indicators, including emotional inhibition, toxic achieving, avoidance coping, perfect control, detached coping, and sensitivity. Conclusion Resilience traits such as rumination and flexibility differed by generation, with the most favorable scores occurring in the oldest cohort, suggesting that some resilience traits may be malleable and improve with age or be inherently affected by environment during development. Health care professionals may benefit from engaging in activities that enhance malleable resilience traits and improve the ability to manage work-related stressors.

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“…66 Finally, allowing time to debrief, meditate, or discuss challenging situations and grief can be helpful to prevent burnout. 67 Governmental and health care agencies, institutions, and professional societies can help by sharing and continually updating information and resources. Communication that is concise, clear, transparent, timely, and thoughtful will help build a sense of control in health care providers.…”

Section: Coping and Wellness Toolsmentioning

confidence: 99%

Clinician Wellness During the COVID-19 Pandemic: Extraordinary Times and Unusual Challenges for the Allergist/Immunologist

Bansal¹,

Bingemann

Greenhawt

et al. 2020

The Journal of Allergy and Clinical Immunology: In Practice

180

173

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The global spread of coronavirus disease 2019 (COVID-19) has caused sudden and dramatic societal changes. The allergy/ immunology community has quickly responded by mobilizing practice adjustments and embracing new paradigms of care to protect patients and staff from severe acute respiratory syndrome coronavirus 2 exposure. Social distancing is key to slowing contagion but adds to complexity of care and increases isolation and anxiety. Uncertainty exists across a new COVID-19 reality, and clinician well-being may be an underappreciated priority. Wellness incorporates mental, physical, and spiritual health to protect against burnout, which impairs both coping and caregiving abilities. Understanding the stressors that COVID-19 is placing on clinicians can assist in recognizing what is needed to return to a point of wellness. Clinicians can leverage easily accessible tools, including the Strength-Focused and Meaning-Oriented Approach to Resilience and Transformation approach, wellness apps, mindfulness, and gratitude. Realizing early warning signs of anxiety, depression, substance abuse, and posttraumatic stress disorder is important to access safe and confidential resources. Implementing wellness strategies can improve flexibility, resilience, and outlook. Historical parallels demonstrate that perseverance is as inevitable as pandemics and that we need not navigate this unprecedented time alone.

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Cultivating a way of being and doing: Individual strategies for physician well-being and resilience

Cited by 30 publications

References 54 publications

Analysis of The Resilience Conditions of Individual, Family, and Community during The Covid-19 Pandemic

Analysis of The Resilience Conditions of Individual, Family, and Community during The Covid-19 Pandemic

The challenge of change: Resilience traits in Women’s Dermatological Society Forum participants by generation

Clinician Wellness During the COVID-19 Pandemic: Extraordinary Times and Unusual Challenges for the Allergist/Immunologist

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