Healthcare and Lifestyle Practices of Healthcare Workers: Do Healthcare Workers Practice What They Preach?

Helfand, Benjamin; Mukamal, Kenneth J.

doi:10.1001/2013.jamainternmed.1039

Cited by 36 publications

(30 citation statements)

References 5 publications

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“…Oberg et al [40] reported that 75% of physicians reporting burnout also felt that they had poor health, compared with 45% of healthy controls. Helfand et al [41] expanded on this concept and found that healthcare workers were likely to exhibit less stress if they had exercised within the previous 30 days, and physicians who complained of symptoms of burnout had 14% higher levels of obesity compared with non-burnout controls.…”

Section: 6mentioning

confidence: 99%

Rates of self‐reported ‘burnout’ and causative factors amongst urologists in Ireland and the UK: a comparative cross‐sectional study

O’Kelly

Manecksha

Quinlan³

et al. 2015

BJU International

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ObjectivesTo determine the incidence of 'burnout' among UK and Irish urological consultants and non-consultant hospital doctors (NCHDs). The second objective was to identify possible causative factors and to investigate the impact of various vocational stressors that urologists face in their day-to-day work and to establish whether these correlate with burnout. The third objective was to develop a new questionnaire to complement the Maslach Burnout Inventory (MBI), more specific to urologists as distinct from other surgical/medical specialties, and to use this in addition to the MBI to determine if there is a requirement to develop effective preventative measures for stress in the work place, and develop targeted remedial measures when individuals are affected by burnout. Subjects and methodsA joint collaboration was carried out between the Irish Society of Urology (ISU) and the British Association of Urological Surgeons (BAUS). Anonymous voluntary questionnaires were sent to all current registered members of both governing bodies. The questionnaire comprised two parts: the first part encompassed sociodemographic data collection and identifying potential risk factors for burnout, and the second used the MBI to objectively assess for workplace burnout. To evaluate differences in burnout, 2 9 2 contingency tables and Fischer's exact probability tests were used. ResultsIn all, 575 urologists responded to the online survey out of a total of 1380 invites, yielding a 42% response rate. All respondents were aged <75 years (median age 45 years), with men representing 87.5% of respondents. In all, 75% of respondents worked in England, followed by the Republic of Ireland (9%), Scotland (8%), Northern Ireland (4%), and Wales (3%). In all, 79% of respondents were consultants, with 13% representing training posts, and 40% of respondents held a professorship/clinical lead position. Respondents' countries of origin included England, Scotland, Ireland, India, Wales, Malaysia, Pakistan and Sri Lanka. Overall, the mean emotion exhaustion (EE) score was 23.5, representing a moderate level of EE. The mean depersonalisation (DP) score was 8.2, representing a moderate level of DP. The mean personal achievement (PA) score was 17.1, representing high levels of PA. In all, 86 respondents (15%) reported self-medication with non-prescription drugs or alcohol to combat signs and symptoms of burnout, while 46 (8%) sought professional help for symptoms of burnout. In all, 460 respondents (80%) felt that burnout should be evaluated amongst members of the ISU/BAUS, and 345 (60%) would avail of counselling if provided. ConclusionsThis is the first study to address the issue of burnout across two separate health systems in the UK and Ireland. This study has shown previously undescribed high levels of burnout characterised by EE and DP, with associated significant levels of self-medication amongst a malepredominant cohort. Burnout was attributed to non-surgical administrative/institutional factors, with most respondents reporting support for staf...

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Section: 6mentioning

confidence: 99%

Rates of self‐reported ‘burnout’ and causative factors amongst urologists in Ireland and the UK: a comparative cross‐sectional study

O’Kelly

Manecksha

Quinlan³

et al. 2015

BJU International

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“…The prevalence of any tobacco use (39%) was much greater than that reported in a general U.S. adult population sample of 25% (Agaku et al, 2014) and largely accounted for by Iqmik use. The prevalence of cigarette smoking (18%) was identical to a large national sample of health care workers (18%) (Helfand and Mukamal, 2013), and only slightly higher than in the general population 17% (Jamal et al, 2015). Multiple tobacco use was not common and the use of e-cigarettes was very low.…”

Section: Discussionmentioning

confidence: 66%

Tobacco use and preferences for wellness programs among health aides and other employees of an Alaska Native Health Corporation in Western Alaska

Patten¹,

Bronars²,

Scott³

et al. 2017

Preventive Medicine Reports

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This study assessed health behaviors and preferences for wellness programs among employees of a worksite serving Alaska Native-people. Village-based Community Health Aides/Practitioners (CHA/Ps) were compared with all other employees on health indicators and program preferences. Using a cross-sectional design, all 1290 employees at the Yukon Kuskokwim Health Corporation (YKHC) in Western Alaska were invited in 2015 to participate in a 30-item online survey. Items assessed health behaviors, perceived stress, resiliency, and preferences for wellness topics and program delivery formats. Respondents (n = 429) were 77% female and 57% Alaska Natives. CHA/Ps (n = 46) were more likely than all other employees (n = 383) to currently use tobacco (59% vs. 36%; p = 0.003). After adjusting for covariates, greater stress levels were associated (p = 0.013) with increased likelihood of tobacco use. Employees reported lower than recommended levels of physical activity; 74% had a Body Mass Index (BMI) indicating overweight or obese. Top preferences for wellness topics were for eating healthy (55%), physical activity (50%), weight loss (49%), reducing stress (49%), and better sleep (41%). CHA/Ps reported greater interest in tobacco cessation than did other employees (37% vs. 21%; p = 0.016). Preferred program delivery format among employees was in-person (51%). The findings are important because tailored wellness programs have not been previously evaluated among employees of worksites serving Alaska Native people. Promoting healthy lifestyles among CHAP/s and other YKHC employees could ultimately have downstream effects on the health of Alaska Native patients and communities.

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“…8 Oberg et al reported an odds ratio of 2.1 for poor health in those with burnout, 9 while a study by Helfand et al in 2013 demonstrated that healthcare workers were likely to exhibit less stress with exercise, and that physicians who complained of symptoms of burnout had 14% higher levels of obesity compared with non-burnout controls. 10 As with all longitudinal studies, it is not possible to explore the effects in those who refused to participate in the study. Is it that such nonresponders are more likely to represent an extreme of burnout or do not want to accept or find out answers?…”

Section: Burnout In Urologymentioning

confidence: 99%

The ‘burnout complex’ in surgical practice

O’Kelly¹

2016

Trends Urol & Men's Health

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Healthcare and Lifestyle Practices of Healthcare Workers: Do Healthcare Workers Practice What They Preach?

Cited by 36 publications

References 5 publications

Rates of self‐reported ‘burnout’ and causative factors amongst urologists in Ireland and the UK: a comparative cross‐sectional study

Rates of self‐reported ‘burnout’ and causative factors amongst urologists in Ireland and the UK: a comparative cross‐sectional study

Tobacco use and preferences for wellness programs among health aides and other employees of an Alaska Native Health Corporation in Western Alaska

The ‘burnout complex’ in surgical practice

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