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Transdisciplinary Strategies for Physician Wellness: Qualitative Insights from Diverse Fields.

Identifieur interne : 000439 ( Main/Exploration ); précédent : 000438; suivant : 000440

Transdisciplinary Strategies for Physician Wellness: Qualitative Insights from Diverse Fields.

Auteurs : Rachel Schwartz [États-Unis] ; Marie C. Haverfield [États-Unis] ; Cati Brown-Johnson [États-Unis] ; Amrapali Maitra [États-Unis] ; Aaron Tierney [États-Unis] ; Shreyas Bharadwaj [États-Unis] ; Jonathan G. Shaw [États-Unis] ; Farzad Azimpour [États-Unis] ; Sonoo Thadaney Israni [États-Unis] ; Abraham Verghese [États-Unis] ; Donna M. Zulman [États-Unis]

Source :

RBID : pubmed:31037542

Descripteurs français

English descriptors

Abstract

BACKGROUND

While barriers to physician wellness have been well detailed, concrete solutions are lacking.

OBJECTIVE

We looked to professionals across diverse fields whose work requires engagement and interpersonal connection with clients. The goal was to identify effective strategies from non-medical fields that could be applied to preserve physician wellness.

DESIGN

We conducted semi-structured interviews with 30 professionals outside the field of clinical medicine whose work involves fostering effective connections with individuals.

PARTICIPANTS

Professionals from diverse professions, including the protective services (e.g., police officer, firefighter), business/finance (e.g., restaurateur, salesperson), management (e.g., CEO, school principal), education, art/design/entertainment (e.g., professional musician, documentary filmmaker), community/social services (e.g., social worker, chaplain), and personal care/services (e.g., massage therapist, yoga instructor).

APPROACH

Interviews covered strategies that professionals use to initiate and maintain relationships, practices that cultivate professional fulfillment and preserve wellness, and techniques that facilitate emotional presence during interactions. Data were coded using an inductive thematic analysis approach.

KEY RESULTS

Professionals identified self-care strategies at both institutional and individual levels that support wellness. Institutional-level strategies include scheduling that allows for self-care, protected time to connect with colleagues, and leadership support for debriefing after traumatic events. Individual strategies include emotionally protective distancing techniques and engagement in a bidirectional exchange that is central to interpersonal connection and professional fulfillment.

LIMITATIONS

In this exploratory study, the purposive sampling technique and single representative per occupation could limit the generalizability of findings.

CONCLUSION

Across diverse fields, professionals employ common institutional and personal wellness strategies that facilitate meaningful engagement, support collegiality, and encourage processing after intense events. The transdisciplinary nature of these wellness strategies highlights universal underpinnings that support wellbeing in those engaging in people-oriented professions.


DOI: 10.1007/s11606-019-04913-y
PubMed: 31037542
PubMed Central: PMC6614234


Affiliations:


Links toward previous steps (curation, corpus...)


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<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
</p>
<p>While barriers to physician wellness have been well detailed, concrete solutions are lacking.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>We looked to professionals across diverse fields whose work requires engagement and interpersonal connection with clients. The goal was to identify effective strategies from non-medical fields that could be applied to preserve physician wellness.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DESIGN</b>
</p>
<p>We conducted semi-structured interviews with 30 professionals outside the field of clinical medicine whose work involves fostering effective connections with individuals.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>PARTICIPANTS</b>
</p>
<p>Professionals from diverse professions, including the protective services (e.g., police officer, firefighter), business/finance (e.g., restaurateur, salesperson), management (e.g., CEO, school principal), education, art/design/entertainment (e.g., professional musician, documentary filmmaker), community/social services (e.g., social worker, chaplain), and personal care/services (e.g., massage therapist, yoga instructor).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>APPROACH</b>
</p>
<p>Interviews covered strategies that professionals use to initiate and maintain relationships, practices that cultivate professional fulfillment and preserve wellness, and techniques that facilitate emotional presence during interactions. Data were coded using an inductive thematic analysis approach.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>KEY RESULTS</b>
</p>
<p>Professionals identified self-care strategies at both institutional and individual levels that support wellness. Institutional-level strategies include scheduling that allows for self-care, protected time to connect with colleagues, and leadership support for debriefing after traumatic events. Individual strategies include emotionally protective distancing techniques and engagement in a bidirectional exchange that is central to interpersonal connection and professional fulfillment.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>LIMITATIONS</b>
</p>
<p>In this exploratory study, the purposive sampling technique and single representative per occupation could limit the generalizability of findings.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>Across diverse fields, professionals employ common institutional and personal wellness strategies that facilitate meaningful engagement, support collegiality, and encourage processing after intense events. The transdisciplinary nature of these wellness strategies highlights universal underpinnings that support wellbeing in those engaging in people-oriented professions.</p>
</div>
</front>
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<DateCompleted>
<Year>2020</Year>
<Month>10</Month>
<Day>30</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>10</Month>
<Day>30</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1525-1497</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>34</Volume>
<Issue>7</Issue>
<PubDate>
<Year>2019</Year>
<Month>07</Month>
</PubDate>
</JournalIssue>
<Title>Journal of general internal medicine</Title>
<ISOAbbreviation>J Gen Intern Med</ISOAbbreviation>
</Journal>
<ArticleTitle>Transdisciplinary Strategies for Physician Wellness: Qualitative Insights from Diverse Fields.</ArticleTitle>
<Pagination>
<MedlinePgn>1251-1257</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s11606-019-04913-y</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND">While barriers to physician wellness have been well detailed, concrete solutions are lacking.</AbstractText>
<AbstractText Label="OBJECTIVE">We looked to professionals across diverse fields whose work requires engagement and interpersonal connection with clients. The goal was to identify effective strategies from non-medical fields that could be applied to preserve physician wellness.</AbstractText>
<AbstractText Label="DESIGN">We conducted semi-structured interviews with 30 professionals outside the field of clinical medicine whose work involves fostering effective connections with individuals.</AbstractText>
<AbstractText Label="PARTICIPANTS">Professionals from diverse professions, including the protective services (e.g., police officer, firefighter), business/finance (e.g., restaurateur, salesperson), management (e.g., CEO, school principal), education, art/design/entertainment (e.g., professional musician, documentary filmmaker), community/social services (e.g., social worker, chaplain), and personal care/services (e.g., massage therapist, yoga instructor).</AbstractText>
<AbstractText Label="APPROACH">Interviews covered strategies that professionals use to initiate and maintain relationships, practices that cultivate professional fulfillment and preserve wellness, and techniques that facilitate emotional presence during interactions. Data were coded using an inductive thematic analysis approach.</AbstractText>
<AbstractText Label="KEY RESULTS">Professionals identified self-care strategies at both institutional and individual levels that support wellness. Institutional-level strategies include scheduling that allows for self-care, protected time to connect with colleagues, and leadership support for debriefing after traumatic events. Individual strategies include emotionally protective distancing techniques and engagement in a bidirectional exchange that is central to interpersonal connection and professional fulfillment.</AbstractText>
<AbstractText Label="LIMITATIONS">In this exploratory study, the purposive sampling technique and single representative per occupation could limit the generalizability of findings.</AbstractText>
<AbstractText Label="CONCLUSION">Across diverse fields, professionals employ common institutional and personal wellness strategies that facilitate meaningful engagement, support collegiality, and encourage processing after intense events. The transdisciplinary nature of these wellness strategies highlights universal underpinnings that support wellbeing in those engaging in people-oriented professions.</AbstractText>
</Abstract>
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<ForeName>Rachel</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Center for Health Policy and Center for Primary Care and Outcomes Research, Stanford University School of Medicine, Stanford, CA, USA. raschwartz@stanford.edu.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Menlo Park, CA, USA. raschwartz@stanford.edu.</Affiliation>
</AffiliationInfo>
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<ForeName>Marie C</ForeName>
<Initials>MC</Initials>
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<Affiliation>Center for Health Policy and Center for Primary Care and Outcomes Research, Stanford University School of Medicine, Stanford, CA, USA.</Affiliation>
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<AffiliationInfo>
<Affiliation>Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Menlo Park, CA, USA.</Affiliation>
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<LastName>Brown-Johnson</LastName>
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</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford, CA, USA.</Affiliation>
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<ForeName>Jonathan G</ForeName>
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</AffiliationInfo>
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<ForeName>Farzad</ForeName>
<Initials>F</Initials>
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</AffiliationInfo>
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<ForeName>Sonoo</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
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</AffiliationInfo>
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<ForeName>Abraham</ForeName>
<Initials>A</Initials>
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</AffiliationInfo>
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<Initials>DM</Initials>
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</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford, CA, USA.</Affiliation>
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<Language>eng</Language>
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<Year>2019</Year>
<Month>04</Month>
<Day>29</Day>
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<Country>United States</Country>
<MedlineTA>J Gen Intern Med</MedlineTA>
<NlmUniqueID>8605834</NlmUniqueID>
<ISSNLinking>0884-8734</ISSNLinking>
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<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D002055" MajorTopicYN="N">Burnout, Professional</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007588" MajorTopicYN="N">Job Satisfaction</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000073397" MajorTopicYN="N">Occupational Stress</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010820" MajorTopicYN="N">Physicians</DescriptorName>
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</MeshHeading>
<MeshHeading>
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<MeshHeading>
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</MeshHeadingList>
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<Keyword MajorTopicYN="Y">doctor-patient relationships</Keyword>
<Keyword MajorTopicYN="Y">medical humanities</Keyword>
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