Professional Well-Being of Practicing Physicians: The Roles of Autonomy, Competence, and Relatedness

Бабенко, Оксана

doi:10.3390/healthcare6010012

Cited by 19 publications

(22 citation statements)

References 23 publications

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“…This study is part of a larger research project investigating personal and contextual factors in the learning and wellbeing of medical students and practicing physicians. The findings on student and physician motivation and lifelong learning have been reported elsewhere [ 16 , 17 , 18 , 19 ]. In the present study, we examined the association of physicians’ self-compassion with work engagement, exhaustion, and professional life satisfaction.…”

Section: Methodssupporting

confidence: 60%

Association of Physicians’ Self-Compassion with Work Engagement, Exhaustion, and Professional Life Satisfaction

et al. 2019

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Self-compassion has shown promise as an adaptive resource for coping with uncertainties and challenges. This study examined the relationship between self-compassion and professional wellbeing (work engagement, exhaustion, and professional life satisfaction) of physicians, who frequently face uncertainties and challenges in their clinical practice. Fifty-seven practicing physicians in Canada participated in the study. Overall, 65% of the participants were female; 47% were in the early-career stage; 49% were family medicine (FM) physicians, with the rest being non-FM specialists. It was hypothesized that (a) self-compassionate physicians would experience greater work engagement and less exhaustion from work than physicians reporting lower self-compassion and (b) self-compassionate physicians would experience greater professional life satisfaction through their greater work engagement and less exhaustion than physicians reporting lower self-compassion. Sequential regression analyses were performed. The results confirmed the hypothesized associations, indicating that self-compassionate physicians experienced more positive work engagement, felt less emotionally, physically, and cognitively exhausted due to work demands, and were more satisfied with their professional life than physicians who exhibited less compassion toward themselves in uncertain and challenging times. Future studies are needed to determine optimal ways to support practicing physicians and medical trainees in becoming more self-compassionate for their enhanced wellbeing and, ultimately, for the provision of effective patient care.

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Section: Methodssupporting

confidence: 60%

Association of Physicians’ Self-Compassion with Work Engagement, Exhaustion, and Professional Life Satisfaction

et al. 2019

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“…Physicians in LASs usually have to work independently, isolated from their professional community [47][48][49]. Such professional communities are generally sustained by means of informal gatherings of physicians in their workplace or professional organizations; they are also formally formed via hierarchical work relations or by taking part in conference meetings or CME activities.…”

Section: Self-determination Theorymentioning

confidence: 99%

“…Such professional communities are generally sustained by means of informal gatherings of physicians in their workplace or professional organizations; they are also formally formed via hierarchical work relations or by taking part in conference meetings or CME activities. A study with Canadian family doctors revealed that feeling related was the largest contributor to physicians’ job satisfaction and work-related engagement [ 49 ]. The working conditions in LASs are such, however, that physicians have less professional connections, thereby reducing their opportunities to talk with colleagues about their work, their patients, and to seek their support, empathy, or simply the passion and motivation to work [ 48 ].…”

Section: Self-determination Theorymentioning

confidence: 99%

“…It has been suggested that to increase physicians’ feelings of relatedness, it is important to first carefully analyze their learning needs [ 51 ] and to connect them with their community [ 49 , 52 ]. To strengthen their feelings of competence, moreover, physicians should be continuously updated with new knowledge and practice [ 53 ] and receive close supervision via on-site follow-up and evaluation [ 54 ].…”

Section: Self-determination Theorymentioning

confidence: 99%

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Attracting and retaining physicians in less attractive specialties: the role of continuing medical education

et al. 2021

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Background Less attractive specialties in medicine are struggling to recruit and retain physicians. When properly organized and delivered, continuing medical education (CME) activities that include short courses, coaching in the workplace, and communities of practice might offer a solution to this problem. This position paper discusses how educationalists can create CME activities based on the self-determination theory that increase physicians’ intrinsic motivation to work in these specialties. Main content The authors propose a set of guidelines for the design of CME activities that offer physicians meaningful training experiences within the limits of the available resources and support. First, to increase physicians’ sense of professional relatedness, educationalists must conduct a learner needs assessment, evaluate CME’s long-term outcomes in work-based settings, create social learning networks, and involve stakeholders in every step of the CME design and implementation process. Moreover, providing accessible, practical training formats and giving informative performance feedback that authentically connects to learners' working life situation increases physicians’ competence and autonomy, so that they can confidently and independently manage the situations in their practice contexts. For each guideline, application methods and instruments are proposed, making use of relevant literature and connecting to the self-determination theory. Conclusions By reducing feelings of professional isolation and reinforcing feelings of competence and autonomy in physicians, CME activities show promise as a strategy to recruit and retain physicians in less attractive specialties.

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“…This study found that issues related to burnout and stress were not clinical were commonly associated with systemic processes and structures beyond the control of individual intensive care specialists. Wellbeing of healthcare professionals is dependent on engagement, autonomy, connection, being valued and appreciated as well as respect [42][43][44][45] . There are several ndings in this study that demonstrate how health authorities can build on the commitment and job satisfaction for intensivists and what interventions could occur to negate the negative aspects of the job and culture.…”

Section: Implications For Clinicians Researchers and Policy Makersmentioning

confidence: 99%

Prevalence, Features and Workplace Factors Associated With Burnout Amongst Intensivists in Australia and New Zealand

Mair¹,

Crowe²,

Nicholls³

et al. 2020

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BackgroundBurnout has been reported to be common amongst intensive care physicians and can be associated with staff absenteeism, drug and alcohol abuse, and suboptimal patient care. We aimed to investigate the prevalence and features of self-reported burnout amongst intensivists working in Australia and New Zealand (ANZ); and to evaluate workplace stressors associated with increased risk of self-reported burnout.MethodsElectronic survey amongst registered intensivists in Australia and New Zealand. Burnout and professional quality of life were measured using the Professional Quality of Life Scale 5 (ProQOL-5). Socio-organisational factors were defined a-priori and assessed using a five-point Likert scale. Thematic analysis was conducted on an open-ended question on workplace stressors. Associations between the ProQOL burnout subscale and demographic characteristics were investigated using analysis of variance or Kruskal-Wallis. Results261 of 921 estimated intensivists responded (response rate: 28.3%). Overall, few participants (0.8%) demonstrated high scores (>75th centile) for burnout, and 70.9% of participants scored in the average range for burnout. Of note, 98.1% of participants scored in the average to high range for compassion satisfaction. No association was found between gender, age, or years of practice with the level of burnout or compassion satisfaction. Seven themes emerged regarding intensivists’ most stressful aspects of work: (1) interpersonal interactions and workplace relationships (25.5%); (2) workload and its impact (24.9%); (3) resources and capacity (16.3%); (4) health systems leadership and bureaucracy (16.1%); (5) end-of-life issues and moral distress (8.4%); (6) clinical management (4.9%); and (7) job security and future uncertainty (1.3%). ConclusionFewer ANZ intensivists experienced burnout than has previously been reported. Many self-reported work stressors do not relate to clinical work, but instead potentially modifiable factors related to interpersonal interactions with other colleagues and, more importantly, hospital administrators.

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Professional Well-Being of Practicing Physicians: The Roles of Autonomy, Competence, and Relatedness

Cited by 19 publications

References 23 publications

Association of Physicians’ Self-Compassion with Work Engagement, Exhaustion, and Professional Life Satisfaction

Association of Physicians’ Self-Compassion with Work Engagement, Exhaustion, and Professional Life Satisfaction

Attracting and retaining physicians in less attractive specialties: the role of continuing medical education

Prevalence, Features and Workplace Factors Associated With Burnout Amongst Intensivists in Australia and New Zealand

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