Doctors’ wellbeing: learning from the past can help improve the future

Arnold-Forster, Agnes

doi:10.1136/bmj.k4101

Cited by 3 publications

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“…Some scholars—including those represented in this special issue—have looked at the feelings of healthcare practitioners and the efforts on behalf of governments, administrators, managers, and policymakers to manage the emotional landscape of modern and contemporary healthcare. Exceptions include Sarah Chaney, who has looked at the development of ‘compassion’ as an emotional trait among British nurses (Chaney 2021), and Michael Brown and Agnes Arnold-Forster, who have explored the affective landscape of surgery in the 19th and 20th/21st centuries, respectively (Brown 2022; Arnold-Forster 2018; Arnold-Forster 2022). Social scientific investigations of practitioner feelings are perhaps more common.…”

Section: Disciplines and Approachesmentioning

confidence: 99%

Health, policy and emotion

2022

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Section: Disciplines and Approachesmentioning

confidence: 99%

Health, policy and emotion

2022

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“…79. Agnes Arnold-Forster, “Doctors’ wellbeing: learning from the past can help improve the future”, BMJ, (2018).…”

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‘A small cemetery’: death and dying in the contemporary British operating theatre

Arnold-Forster

2019

Med Humanities

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Surgeon Henry Marsh begins his autobiography, Do No Harm, with a quotation from the French practitioner René Leriche, “Every surgeon carries within himself a small cemetery, where from time to time he goes to pray—a place of bitterness and regret, where he must look for an explanation for his failures”. This article uses memoirs and oral history interviews to enter the operating theatre and consider the contemporary history of surgeons’ embodied experiences of patient death. It will argue that these experiences take an under-appreciated emotional toll on surgeons, but also that they are deployed as a narrative device through which surgeons construct their professional identity. Crucially, however, there is as much forgetting as remembering in their accounts, and the ‘labour’ of death has been increasingly shifted out of the operating theatre, off the surgeons’ hands and into the laps of others. The emotional costs of surgical care remain understudied. Indeed, while many researchers agree that undergoing surgery can be a troubling emotional experience for the patient, less scholarly attention has been paid to the emotional demands performing surgery makes on surgical practitioners. Is detachment the modus operandi of the modern surgeon and if so, is it tenable in moments of emotional intensity—like patient death?

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Assessment of burnout levels among anesthesiologists and anesthesiology technicians in Kosovo: A cross-sectional study

Neziri¹,

Tahirbegolli²,

Selmani³

et al. 2022

JRS

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BACKGROUND: Anaesthesiology practitioners experience extraordinary pressure and stress in their daily work. OBJECTIVE: The purpose of this research is to assess the occupational factors and burnout syndrome among anaesthesiologists and anaesthesiology technicians in Kosovo. METHODS: This is a cross-sectional study carried out on a sample of 154 (out of 220) anaesthesiologists and anaesthesiology technicians in Kosovo. We collected the data using the Maslach Burnout Inventory and Occupational Role Stressors Scale. RESULTS: The mean ± SD age of the study sample was 42.5 ± 8.7 years, and 57% of them were working more than 40 h per week. A high level of burnout in terms of depersonalization (DP) was found among 48 of anaesthesiologists and anaesthesiology technicians, 26 had high level of emotional exhaustion (EE). EE and DP showed significant positive correlation with work overload, managerial responsibility role, and overall occupational stress (p < 0.05). Female anaesthesiologists and anaesthesiology technicians showed higher score of personal achievement (PA) compared to males (p < 0.05). CONCLUSION: Approximately one-third of Kosovar anaesthesiologists and anaesthesiology technicians showed high level of burnout and it is rising as work overload and the role of managerial responsibility increases. Increasing the number of employed anaesthesiologists and anaesthesiology technicians in health institutions in Kosovo will lead to a better workload distribution and lower burnout syndrome.

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Doctors’ wellbeing: learning from the past can help improve the future

Abstract: Much of the current focus on doctors’ emotional health is preoccupied with piecemeal solutions

Cited by 3 publications

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Health, policy and emotion

Health, policy and emotion

‘A small cemetery’: death and dying in the contemporary British operating theatre

Assessment of burnout levels among anesthesiologists and anesthesiology technicians in Kosovo: A cross-sectional study

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