Pediatric Residents' Sense of Meaning in Their Work: Is This Value Related to Higher Specialty Satisfaction and Reduced Burnout?

Autor: Bayer ND; University of Rochester, Golisano Children's Hospital (ND Bayer, A Fallon, and H Wang), Rochester, NY. Electronic address: Nathaniel_Bayer@urmc.rochester.edu., Taylor A; Children's Hospital of Philadelphia (A Taylor, JL Santolaya, TW Bamat, and N Washington), Philadelphia, Pa., Fallon A; University of Rochester, Golisano Children's Hospital (ND Bayer, A Fallon, and H Wang), Rochester, NY., Wang H; University of Rochester, Golisano Children's Hospital (ND Bayer, A Fallon, and H Wang), Rochester, NY., Santolaya JL; Children's Hospital of Philadelphia (A Taylor, JL Santolaya, TW Bamat, and N Washington), Philadelphia, Pa., Bamat TW; Children's Hospital of Philadelphia (A Taylor, JL Santolaya, TW Bamat, and N Washington), Philadelphia, Pa., Washington N; Children's Hospital of Philadelphia (A Taylor, JL Santolaya, TW Bamat, and N Washington), Philadelphia, Pa.
Jazyk: angličtina
Zdroj: Academic pediatrics [Acad Pediatr] 2021 Apr; Vol. 21 (3), pp. 557-563. Date of Electronic Publication: 2020 Oct 28.
DOI: 10.1016/j.acap.2020.10.012
Abstrakt: Objective: Physician wellness is frequently measured as the absence of burnout, rather than the perception of meaningful work. This study of pediatric residents aimed to test the hypothesis that their sense of meaning at work is associated positively with specialty satisfaction and negatively with burnout.
Methods: In June 2018, we surveyed residents at a large urban pediatrics program, using the Work and Meaning Inventory (WAMI), the Global Specialty Satisfaction measure, and a single-item burnout measure. Residents were surveyed at the end of their intern, second or third/fourth year. We compared resident responses to outcome measures by year, gender, race, and type of program (pediatrics and medicine-pediatrics). We assessed the associations between WAMI scores and specialty satisfaction using linear regression and between WAMI scores and burnout using logistic regression, both adjusted for residency year and characteristics.
Results: The survey was completed by 119/154 (77.3%) residents. Mean WAMI score was 40.6 ± 5.6 (standard deviation), mean specialty satisfaction score was 11.9 ± 2.4, and 48.7% (58/119) of residents reported burnout with no significant differences in scores by residency year, gender, race, or type of program (all P > .05). Residents' WAMI scores were positively associated with specialty satisfaction (r = +0.57, P < .001) and negatively associated with burnout (adjusted odds ratio  = 0.80, 95% confidence interval 0.73-0.89).
Conclusions: Pediatric residents' sense of meaning at work was significantly positively associated with specialty satisfaction and negatively associated with burnout. We recommend that efforts to improve resident wellness focus on interventions to foster meaning in work, such as supporting team cohesion and autonomy in job design.
(Copyright © 2020 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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