Pediatric Residents’ Sense of Meaning in Their Work: Is This Value Related to Higher Specialty Satisfaction and Reduced Burnout?

Bayer, Nathaniel D.; Taylor, April; Fallon, Anne; Wang, Hongyue; Santolaya, Joaquín; Bamat, Tara W.; Washington, Nicole

doi:10.1016/j.acap.2020.10.012

Cited by 9 publications

(11 citation statements)

References 37 publications

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“…Residents cited the importance of patient care in regards to control through autonomy in patient-care decisions, to value through learning via patient care, to reward through seeing the impact of resident’s care on patient outcomes, and to workload through having the time/ability to develop meaningful patient relationships. Our results support past studies that identified patient care as a critical element to finding meaning in work, which is correlated to less burnout [ 4 , 15–19 ]. Hipp et al identified the means to enhance meaning in work as ‘more time spent at the bedside with patients, with more engagement in direct care, dialogue with patients and families, and bedside clinic teaching.’[ 19 ] Bayer et al more recently showed that meaning in work was associated with less burnout by using the Work and Meaning Inventory[ 15 ].…”

Section: Discussionsupporting

confidence: 91%

“…Our results support past studies that identified patient care as a critical element to finding meaning in work, which is correlated to less burnout [ 4 , 15–19 ]. Hipp et al identified the means to enhance meaning in work as ‘more time spent at the bedside with patients, with more engagement in direct care, dialogue with patients and families, and bedside clinic teaching.’[ 19 ] Bayer et al more recently showed that meaning in work was associated with less burnout by using the Work and Meaning Inventory[ 15 ]. This inventory maps closely to those Areas of Worklife that strongly connected to patient care.…”

Section: Discussionsupporting

confidence: 91%

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Understanding burnout in Pediatric residency through the lens of the ‘Areas of worklife’

Zuniga

Nichols

Turner

et al. 2022

Medical Education Online

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Background and Objectives Burnout is a widespread problem in medicine, especially among trainees. Despite this, data on effective interventions are limited. An organizational context for burnout entitled Areas of Worklife identified six areas of the work environment that can affect burnout through mismatches between individuals expectations of that area and the reality of the work environment. This study aimed to gain a deeper understanding of pediatric residents’ perspectives of the Areas of Worklife to allow programs to utilize this framework in the development of future interventions. Methods Using qualitative methodology founded in grounded theory, we employed an iterative data collection by conducting semi-structured interviews, until data saturation was achieved, with 15 pediatric residents in 2018. We recorded interviews and transcribed them verbatim. Content analysis was conducted concurrently with data collection using constant comparison methods; the principal investigator and co-investigators worked jointly to generate codes and identify themes. Results Themes were identified for the individual Areas of Worklife that represented resident perspectives and mismatches with the work environment. Overall, patient care was a central focus connecting the areas of control, reward, values, and workload; themes in these areas concentrated on resident’s ability to interact with and learn from patients. Conclusions Residents’ definitions of the Areas of Worklife can be used to identify mismatches between residents’ expectations and their work environment, which can inform organizational interventions. These findings highlight the importance of a patient-focused approach to residency training, which is consistent with literature that shows patient care is a means to find meaning in their work. Resident definitions of the Areas of Worklife offer residency programs a practical approach in their battle against burnout by providing focused direction to respond to resident needs and identify tangible targets for intervention.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 91%

Understanding burnout in Pediatric residency through the lens of the ‘Areas of worklife’

Zuniga

Nichols

Turner

et al. 2022

Medical Education Online

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“…This finding is consistent with FIRST Trial data showing that residents randomized to flexible duty hours were less likely to miss or leave during an operation and reported better well-being despite an acknowledged decrement in time for their health, family/friends, and/or rest 26 . These national studies build upon a prior single institution study of pediatrics residents, who were less likely to experience burnout if they also reported satisfactory meaning at work 27 . Meaningful participation in clinical care creates purpose in the training experience and therefore enhances trainee well-being.…”

Section: Discussionsupporting

confidence: 84%

See One, Do One, Improve One’s Wellness

Abahuje,

Smith,

Amortegui

et al. 2023

Annals of Surgery

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Objective: We sought to examine the factors associated with resident perceptions of autonomy and to characterize the relationship between resident autonomy and wellness. Summary Background Data: Concerns exist that resident autonomy is decreasing, impacting competence. Methods: Quantitative data were collected through a cross-sectional survey administered following the 2020 ABSITE. Qualitative data were collected via interviews and focus groups with residents and faculty at 15 programs. Results: 7233 residents (85.5% response rate) from 324 programs completed the survey. Of 5139 residents with complete data, 4424 (82.2%) reported appropriate autonomy, and these residents were less likely to experience burnout (OR 0.69; 95% CI 0.58-0.83), suicidality (OR 0.69; 95% CI 0.54-0.89), and thoughts of leaving their programs (OR 0.45; 95% CI 0.37-0.54). Women were less likely to report appropriate autonomy (OR 0.81; 95% CI 0.68-0.97). Residents were more likely to report appropriate autonomy if they also reported satisfaction with their workload (OR 1.65; 95% CI 1.28-2.11), work-life balance (OR 2.01; 95% CI 1.57-2.58), faculty engagement (OR 3.55; 95% CI 2.86-4.35), resident camaraderie (OR 2.23; 95% CI, 1.78-2.79), and efficiency and resources (OR 2.37; 95% CI 1.95-2.88). Qualitative data revealed that (1) autonomy gives meaning to the clinical experience of residency, (2) multiple factors create barriers to autonomy, and (3) autonomy is not inherent to the training paradigm, requiring residents to learn behaviors to “earn” it. Conclusion: Autonomy is not considered an inherent part of the training paradigm such that residents can assume that they will achieve it. Resources to function autonomously should be allocated equitably to support all residents’ educational growth and wellness.

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“…Perceiving one’s work as meaningful has been found to be associated with increased well-being [ 3 , 4 , 5 , 6 , 7 ] by reducing the impact of work-related stress [ 8 ] and adding to the sense of purpose in life [ 9 ]. In addition, studies have shown work meaning to be an important driver of motivation [ 5 , 10 , 11 ] associated with a lower risk of developing burnout [ 8 , 12 , 13 , 14 ]. Although previously studied, mostly in health-care settings, the potential protective role of work meaning in relation to the effects of prolonged exposure to stressful situations has not been investigated in firefighters.…”

Section: Introductionmentioning

confidence: 99%

“…Although the positive role of work meaning and its inverse association with burnout symptoms have been documented in different professions, such as physicians and nurses [ 14 ], pediatric residents [ 13 ], oncologists [ 45 ], schoolteachers [ 46 ], and social workers [ 47 ], there are still aspects of this relationship that need further investigation. How work meaning is maintained or constructed under various organizational contexts is an important issue that can add substantially to the understanding of this concept and its outcomes and interactions with other factors.…”

Section: Introductionmentioning

confidence: 99%

Job Demands and Exhaustion in Firefighters: The Moderating Role of Work Meaning. A Cross-Sectional Study

Roșca

Mateizer

Dan

et al. 2021

IJERPH

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Emotional exhaustion and other symptoms of burnout are often found among emergency services professions, such as firefighting. Given the social importance of this activity and the high responsibility it requires, prevention and alleviation of burnout symptoms become primary concerns in ensuring the well-being of firefighters. Although work meaning is one of the factors associated with a lower risk of developing burnout, its protective role has not been studied in firefighters. Therefore, the purpose of this study was to assess the buffering role of work meaning in the health-impairment process of the Job Demands-Resources model, targeting the relationship between job demands and related emotional exhaustion. A cross-sectional survey design was used to collect data from a sample consisting of Romanian firefighters (n = 1096). Structural equation modeling indicated a positive link between job demands and exhaustion. In addition, deriving personal meaning from work was associated with lower levels of exhaustion in firefighters. A small but significant interaction effect between work meaning and job demands showed that higher levels of work meaning attenuated the positive relationship between job demands and exhaustion. In conclusion, our findings suggest that work meaning has a buffering effect on the impact of various job demands on job-related exhaustion. Nevertheless, the small effect sizes warrant further research on this topic.

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Pediatric Residents’ Sense of Meaning in Their Work: Is This Value Related to Higher Specialty Satisfaction and Reduced Burnout?

Cited by 9 publications

References 37 publications

Understanding burnout in Pediatric residency through the lens of the ‘Areas of worklife’

Understanding burnout in Pediatric residency through the lens of the ‘Areas of worklife’

See One, Do One, Improve One’s Wellness

Job Demands and Exhaustion in Firefighters: The Moderating Role of Work Meaning. A Cross-Sectional Study

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