Work-related adverse events leaving their mark: a cross-sectional study among Dutch gynecologists

Baas, Melanie A. M.; Scheepstra, Karel W.F.; Stramrood, Claire A. I.; Evers, Ruth; Dijksman, Lea M.; Pampus, Maria G. van

doi:10.1186/s12888-018-1659-1

Cited by 41 publications

(64 citation statements)

References 38 publications

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“…Whether the non-practicing group stopped working because of complaints at the disciplinary board cannot be answered because of the small numbers. The amount pediatricians who received a complaint to the disciplinary board is low compared to gynecologists [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…When physicians are unfit, this may have a negative impact on their practice [ 23 ], whereas occupational well-being can positively contribute to patient satisfaction and the quality of interpersonal aspects of care [ 6 ]. In this questionnaire, coping strategies applied by the pediatricians were similar to coping strategies of gynecologists in the study by Baas et al [ 17 ]. Almost 20% of the respondents adjusted their job and 40% seriously considered quitting their job completely.…”

Section: Discussionmentioning

confidence: 99%

“…The first draft of the questionnaire was reviewed by members of the Childbirth and Psychotrauma Research (CAPTURE) group of the hospital OLVG in Amsterdam, The Netherlands, as well as by MdV. Furthermore, this questionnaire was conducted with gynecologists in 2014 and with orthopedic surgeons in 2016 (accepted for publication) [ 17 ]. The questionnaires were kept very similar to make it possible to compare the different specialties.…”

Section: Methodsmentioning

confidence: 99%

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Occupational well-being in pediatricians—a survey about work-related posttraumatic stress, depression, and anxiety

et al. 2019

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The objective of this study was to study mental health, coping, and support after work-related adverse events among pediatricians. Physicians are frequently exposed to adverse events. It makes them at risk for posttraumatic stress disorder (PTSD), depression, and anxiety disorders. Besides the personal impact, physicians could pose a threat towards patients, as mental health problems are associated with medical errors. A questionnaire was sent to all members of the Pediatric Association of The Netherlands in October 2016. The questionnaire focused on adverse events, coping, and support. The Hospital Anxiety and Depression Scale and the Trauma Screening Questionnaire were included for evaluation of anxiety, depression, and posttraumatic stress. Four hundred ten questionnaires (18.9%) were eligible for analysis. Seventy-nine % ( n = 325) of the respondents experienced adverse events, with “missing a diagnosis” having the most emotional impact and “aggressive behavior” as the most common adverse event. Nine (2.2%) pediatricians scored above the cut-off value on the Trauma Screening Questionnaire, indicative of PTSD. In total, 7.3% ( n = 30) and 14.1% ( n = 58) scored above the cut-off values in the Hospital Anxiety and Depression Scale, indicative of depression and anxiety. Only 26.3% reported to have a peer support protocol available for emotional support following adverse events. Conclusion : Pediatricians experience a considerable amount of adverse and potentially traumatizing events associated with significantly higher mental health problems compared to the general high-income population. Aggression towards pediatricians seems to be a common problem. Protocolled (peer) support should be implemented. What is known: • Physicians are frequently exposed to adverse events. It makes physicians at risk for depression, anxiety, and posttraumatic stress. • Physicians who are affected by these events pose a threat towards patients, as mental health problems are associated with medical errors. What is new: • Pediatricians experience a considerable amount of adverse and potentially traumatizing events associated with significantly higher mental health problems. • It is advised that (peer) support after adverse events is protocolled and education on coping strategies is implemented, to improve mental well-being of pediatricians.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Occupational well-being in pediatricians—a survey about work-related posttraumatic stress, depression, and anxiety

et al. 2019

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“…A recent survey by the General Medical Council reported that 24% of trainees and 21% of trainers from across the United Kingdom (UK) described ‘feeling burnt out’ based on self-reported symptoms 9. The consequences of burnout among doctors have been investigated primarily in the United States (USA)10 with relatively few large studies conducted in Europe11–16 and Asia17 18 to validate these findings internationally. These include a negative impact on health including higher rates of substance abuse, depression, suicide and a poorer quality of life 19 20.…”

Section: Introductionmentioning

confidence: 99%

Burnout, well-being and defensive medical practice among obstetricians and gynaecologists in the UK: cross-sectional survey study

et al. 2019

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ObjectivesTo determine the prevalence of burnout in doctors practising obstetrics and gynaecology, and assess the association with defensive medical practice and self-reported well-being.DesignNationwide online cross-sectional survey study; December 2017–March 2018.SettingHospitals in the UK.Participants5661 practising obstetrics and gynaecology consultants, specialty and associate specialist doctors and trainees registered with the Royal College of Obstetricians and Gynaecologists.Primary and secondary outcome measuresPrevalence of burnout using the Maslach Burnout Inventory and defensive medical practice (avoiding cases or procedures, overprescribing, over-referral) using a 12-item questionnaire. The odds ratios (OR) of burnout with defensive medical practice and self-reported well-being.Results3102/5661 doctors (55%) completed the survey. 3073/3102 (99%) met the inclusion criteria (1462 consultants, 1357 trainees and 254 specialty and associate specialist doctors). 1116/3073 (36%) doctors met the burnout criteria, with levels highest amongst trainees (580/1357 (43%)). 258/1116 (23%) doctors with burnout reported increased defensive practice compared with 142/1957 (7%) without (adjusted OR 4.35, 95% CI 3.46 to 5.49). ORs of burnout with well-being items varied between 1.38 and 6.37, and were highest for anxiety (3.59, 95% CI 3.07 to 4.21), depression (4.05, 95% CI 3.26 to 5.04) and suicidal thoughts (6.37, 95% CI 95% CI 3.95 to 10.7). In multivariable logistic regression, being of younger age, white or ‘other’ ethnicity, and graduating with a medical degree from the UK or Ireland had the strongest associations with burnout.ConclusionsHigh levels of burnout were observed in obstetricians and gynaecologists and particularly among trainees. Burnout was associated with both increased defensive medical practice and worse doctor well-being. These findings have implications for the well-being and retention of doctors as well as the quality of patient care, and may help to inform the content of future interventions aimed at preventing burnout and improving patient safety.

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“…Two types of midwives can be distinguished: midwives working in primary care, who independently assist women at home and in birthing centers, and midwives working in secondary or tertiary care, who work in a hospital setting under supervision of an obstetrician. Recently, a study from the Netherlands on the impact of work‐related adverse events on gynecologists and residents in obstetrics and gynecology was published . However, no data on midwives and possible associations between psychological symptoms and the organization of care are available.…”

Section: Introductionmentioning

confidence: 99%

Traumatic Experiences and the Midwifery Profession: A Cross‐Sectional Study Among Dutch Midwives

Kerkman

Dijksman

Baas

et al. 2019

J Midwife Womens Health

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Introduction Traumatic events that occur in a clinical setting can have long‐lasting adverse effects on persons who are affected, including health care providers. This study investigated the prevalence of work‐related traumatic events, posttraumatic stress disorder (PTSD), anxiety, and depression among Dutch midwives. Additionally, differences between midwives working in primary care (independently assisting births at home and in birthing centers) and midwives working in secondary or tertiary care (hospital setting) were examined. Finally, this study investigated the support midwives would like to receive after experiencing a work‐related adverse event. Methods A descriptive, cross‐sectional online survey of Dutch midwives was conducted. The respondents completed a questionnaire about demographic and work‐related events, as well as the Trauma Screening Questionnaire and the Hospital Anxiety and Depression Scale. Results The estimated response rate was 23%, with 691 questionnaires eligible for analysis. Thirteen percent of respondents reported having experienced at least one work‐related traumatic event. Among these, 17% screened positive for PTSD, revealing an estimated PTSD prevalence of 2% among Dutch midwives. Clinically relevant anxiety symptoms were reported by 14% of the respondents, significantly more often among midwives working in primary care (P = .014). Depressive symptoms were reported by 7% of the respondents. The desired strategies to cope with an adverse event were peer support by direct colleagues (79%), professional support from a coach or psychologist (30%), multidisciplinary peer support (28%), and support from midwives who are not direct coworkers (17%). Discussion Dutch midwives are at risk of experiencing work‐related stressful or traumatic events that might lead to PTSD, anxiety, or depression. Midwives working in primary care reported higher levels of anxiety compared with their colleagues working in a clinical setting (secondary or tertiary care). Most midwives preferred peer support with direct colleagues after an adverse event, and some could have profited from easier access to seeking professional help. It could be speculated that midwives would benefit from increased awareness about work‐related traumatic events as well as implementation of standardized guidelines regarding support after a traumatic event.

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Work-related adverse events leaving their mark: a cross-sectional study among Dutch gynecologists

Cited by 41 publications

References 38 publications

Occupational well-being in pediatricians—a survey about work-related posttraumatic stress, depression, and anxiety

Occupational well-being in pediatricians—a survey about work-related posttraumatic stress, depression, and anxiety

Burnout, well-being and defensive medical practice among obstetricians and gynaecologists in the UK: cross-sectional survey study

Traumatic Experiences and the Midwifery Profession: A Cross‐Sectional Study Among Dutch Midwives

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