Wellness: Combating Burnout and Its Consequences in Emergency Medicine
| Autor: | Adam R. Kellogg, Ryan L. Clark, Andrea Purpura, Christine R. Stehman |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
media_common.quotation_subject Psychological intervention MEDLINE lcsh:Medicine Review Article Burnout Patient care 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Physicians Medicine Humans Organizational Objectives Psychology Quality (business) 030212 general & internal medicine Quality of care Burnout Professional media_common Quality of Health Care business.industry lcsh:R lcsh:Medical emergencies. Critical care. Intensive care. First aid 030208 emergency & critical care medicine lcsh:RC86-88.9 General Medicine Organizational Culture Emergency medicine Emergency Medicine Quality of Life Provider Workforce business |
| Zdroj: | Western Journal of Emergency Medicine Western Journal of Emergency Medicine, Vol 21, Iss 3 (2020) |
| ISSN: | 1936-9018 1936-900X |
| Popis: | Medicine recognizes burnout as a threat to quality patient care and physician quality of life. This issue exists throughout medicine but is notably prevalent in emergency medicine (EM). Because the concept of “wellness” lacks a clear definition, attempts at ameliorating burnout that focus on achieving wellness make success difficult to achieve and measure. Recent work within the wellness literature suggests that the end goal should be to achieve a culture of wellness by addressing all aspects of the physician’s environment. A review of the available literature on burnout and wellness interventions in all medical specialties reveals that interventions focusing on individual physicians have varying levels of success. Efforts to compare these interventions are hampered by a lack of consistent endpoints. Studies with consistent endpoints do not demonstrate clear benefits of achieving them because improving scores on various scales may not equate to improvement in quality of care or physician quality of life. Successful interventions have uncertain, long-term effects. Outside of EM, the most successful interventions focus on changes to systems rather than to individual physicians. Within EM, the number of well-structured interventions that have been studied is limited. Future work to achieve the desired culture of wellness within EM requires establishment of a consistent endpoint that serves as a surrogate for clinical significance, addressing contributors to burnout at all levels, and integrating successful interventions into the fabric of EM. |
| Databáze: | OpenAIRE |
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