A pilot study exploring interventions for physician distress in pediatric subspecialists.

Autor: Kase SM; Department of Medical Education, The Icahn School of Medicine at Mount Sinai, New York, NY, USA., Gribben JL; Department of Medical Education, The Icahn School of Medicine at Mount Sinai, New York, NY, USA., Waldman ED; Division of Palliative Care, Lurie Children's Hospital of Chicago, Chicago, IL, USA., Weintraub AS; Department of Pediatrics, Division of Newborn Medicine, The Icahn School of Medicine at Mount Sinai, New York, NY, USA. andrea.weintraub@mssm.edu.
Jazyk: angličtina
Zdroj: Pediatric research [Pediatr Res] 2020 Sep; Vol. 88 (3), pp. 398-403. Date of Electronic Publication: 2020 Feb 12.
DOI: 10.1038/s41390-020-0805-x
Abstrakt: Background: While institution-sponsored wellness programs may be effective, little is known about their availability and utilization in pediatric subspecialists, and about programs physicians wish were available.
Methods: A survey of perceptions about, and availability and utilization of institutional wellness activities, was distributed electronically to pediatric subspecialists nationally. Bivariate analyses were performed using χ 2 tests or independent t tests. Multivariable logistic regression models for categories of institution-sponsored programming as a function of potential predictors of program utilization were performed. Qualitative content analysis was performed for free-text survey answers.
Results: Approximately 60% of respondents participated in institution-sponsored wellness opportunities. Debriefs, Schwartz Center Rounds, mental health services, and team building events were the most available institution-sponsored wellness activities, whereas debriefs, team building, Schwartz Center Rounds, and pet therapy were most frequently utilized. Respondents desired greater social/emotional support, improved leadership, enhanced organizational support, and modifications to the physical work environment, with no significant differences across subspecialties for "wish list" items.
Conclusions: Physician wellness requires more than a "one-size-fits-all" initiative. Our data highlight the importance of encouraging and normalizing self-care practices, and of listening to what physicians articulate about their needs. Pre-implementation needs assessment allows a "bottom-up" approach where physician voices can be heard.
Databáze: MEDLINE