wow-inequalities/02-data/intermediate/wos_sample/a8861aed46c399006a40eb76e8f0e2fb-lebares-carter-c.-a/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'IMPORTANCE Physician well-being is a critical component of sustainable
health care. There are few data on the effects of multilevel well-being
programs nor a clear understanding of where and how to target resources.
OBJECTIVE To inform the design of future well-being interventions by
exploring individual and workplace factors associated with surgical
trainees'' well-being, differences by gender identity, and end-user
perceptions of these initiatives.
DESIGN, SETTING, AND PARTICIPANTS This mixed-methods study among
surgical trainees within a single US academic surgical department
included a questionnaire in January 2019 (98 participants, including
general surgery residents and clinical fellows) and a focus group (9
participants, all clinical residents who recently completed their third
postgraduate year {[}PGY 3]) in July 2019. Participants self-reported
gender (man, woman, nonbinary).
EXPOSURES Individual and organizational-level initiatives, including
mindfulness-based affective regulation training (via Enhanced Stress
Resilience Training), advanced scheduling of time off, wellness
half-days, and the creation of a resident-driven well-being committee.
MAIN OUTCOMES AND MEASURES Well-being was explored using validated
measures of psychosocial risk (emotional exhaustion, depersonalization,
perceived stress, depressive symptoms, alcohol use, languishing,
anxiety, high psychological demand) and resilience (mindfulness, social
support, flourishing) factors. End-user perceptions were assessed
through open-ended responses and a formal focus group.
RESULTS Of 98 participants surveyed, 64 responded (response rate, 65\%),
of whom 35 (55\%) were women. Women vs men trainees were significantly
more likely to report high depersonalization (odds ratio {[}OR], 5.50;
95\% CI, 1.38-21.85) and less likely to report high mindfulness
tendencies (OR, 0.17; 95\% CI, 0.05-0.53). Open-ended responses
highlighted time and priorities as the greatest barriers to using
well-being resources. Focus group findings reflected Job Demand-Resource
theory tenets, revealing the value of individual-level interventions to
provide coping skills, the benefit of advance scheduling of time off for
maintaining personal support resources, the importance of work quality
rather than quantity, and the demoralizing effect of inefficient or
nonresponsive systems.
CONCLUSIONS AND RELEVANCE In this study, surgical trainees indicated
that multilevel well-being programs would benefit them, but tailoring
these initiatives to individual needs and specific workplace elements is
critical to maximizing intervention effects.'
affiliation: 'Lebares, CC (Corresponding Author), Univ Calif San Francisco, Dept Surg,
513 Parnassus Ave,HSW 1601, San Francisco, CA 94143 USA.
Lebares, Carter C.; Greenberg, Anya L.; Ascher, Nancy L.; Reilly, Linda M.; O''Sullivan,
Patricia, Univ Calif San Francisco, Dept Surg, 513 Parnassus Ave,HSW 1601, San Francisco,
CA 94143 USA.
Delucchi, Kevin L., Univ Calif San Francisco, Dept Psychiat, San Francisco, CA USA.
Van der Schaaf, Marieke, Univ Med Ctr Utrecht, Ctr Res \& Dev Hlth Profess Educ,
Utrecht, Netherlands.
Baathe, Fredrik, Univ Gothenburg, Inst Care \& Hlth Serv, Gothenburg, Sweden.
Baathe, Fredrik, Inst Stress Med, Gothenburg, Sweden.
Baathe, Fredrik; Isaksson Ro, Karin, Univ Oslo, Inst Studies Med Profess, Oslo,
Norway.'
article-number: e2032676
author: Lebares, Carter C. and Greenberg, Anya L. and Ascher, Nancy L. and Delucchi,
Kevin L. and Reilly, Linda M. and Van der Schaaf, Marieke and Baathe, Fredrik and
O'Sullivan, Patricia and Isaksson Ro, Karin
author-email: carter.lebares@ucsf.edu
author_list:
- family: Lebares
given: Carter C.
- family: Greenberg
given: Anya L.
- family: Ascher
given: Nancy L.
- family: Delucchi
given: Kevin L.
- family: Reilly
given: Linda M.
- family: Van der Schaaf
given: Marieke
- family: Baathe
given: Fredrik
- family: O'Sullivan
given: Patricia
- family: Isaksson Ro
given: Karin
da: '2023-09-28'
doi: 10.1001/jamanetworkopen.2020.32676
files: []
issn: 2574-3805
journal: JAMA NETWORK OPEN
keywords-plus: 'TRAIT ANXIETY; JOB DEMANDS; BURNOUT; DEPRESSION; MINDFULNESS;
RESILIENCE; STRESS; MODEL; ENGAGEMENT; RESOURCES'
language: English
month: JAN 6
number: '1'
number-of-cited-references: '53'
orcid-numbers: 'Edwards, Anya/0000-0002-6174-5976
Baathe, Fredrik/0000-0002-3799-1077'
papis_id: 235977e4a3b7bede4318dfd7da346a12
ref: Lebares2021explorationindividua
times-cited: '15'
title: Exploration of Individual and System-Level Well-being Initiatives at an Academic
Surgical Residency Program A Mixed-Methods Study
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000610371200007
usage-count-last-180-days: '1'
usage-count-since-2013: '13'
volume: '4'
web-of-science-categories: Medicine, General \& Internal
year: '2021'