Burnout, Professional, Professional-Patient Relations
Conditions
Keywords
Professionalism, Burnout prevention, Resiliency, Student education
Brief summary
Due to their difficult and stressful work surgeons are under continuous physical and mental stress exposing them to increased risk for burnout and lack of professionalism. The present intervention focuses on providing time and a safe space to debrief and explore personal and group experiences and dilemmas, as well as acquire coping skills related to burnout, communication and professionalism.
Interventions
OTHERPreventing Professionals burnout
Sponsors
Association for Children at Risk
Tel Aviv University
michal roll
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* All physicians (residents and experts) of the Surgical Division at Tel Aviv Sourasky Medical Center. * All medical students studying at the Sackler Faculty of Medicine, Tel Aviv University, and attending a surgery round at the Surgical Division at Tel Aviv Sourasky Medical Center. * Patients (and/or family members) in the Surgical Division at Tel Aviv Sourasky Medical Center following their surgery.
Exclusion criteria
* The research will not include children and/or judgment-impaired patients; * population not met by inclusion criteria; * non-Hebrew speaking patients; * ventilated patients; * patients in surgical intensive care; * patients medically defined as suffering from clouding of conscious or delirium; * subjects who decided to stop their participation in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Professionalism Culture Scale | Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively) | 12 item scale developed by the American Board of Internal Medicine, by (DeLisa, Foye, Jain, Kirshblum, & Christodoulou, 2001 |
| Abbreviated Burnout Scale | Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively) | Nine item scale focused on 3 burnout factors (Iverson, Olekalns & Erwin, 1998) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Moral & Cognitive Courage Scale | Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively) | A newly developed questionnaire focused on self efficacy to intervene when a physician acts immorally and actual experience with acting in such cases. |
| Jefferson Health Professionals Empathy Scale | Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively) | 20 items questionnaire developed by Hojat, Mangione, Nasca, Cohen, Gonnella, Erdmann & Magee, 2001 |
| The Areas of Work life Scale (AWS) | Change (increase in balance) from baseline to short and long term measurements (after one year, 3 years, respectively) | 29 items questionnaire developed by Leiter & Maslach, 2004 to measure 6 factors related to work load, control, appreciation, community, fairness and values |
| Professionals Self Care Practices questionnaire | Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively) | 43 items comprised from two questionnaires focused on different aspects of self care (Teng, Yen & Fetzer & Shananfelt et al., 2005). the combination of these two questionnaires was assessed by Karnieli-Miller & Michael. |
| Life satisfaction questionnaire | Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively) | 3 item questionnaire focused on general life satisfaction. |
| Perceived Stress Scale (PSS) | Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively) | 10 item scale focused on perceived stress in the clinics (4 items validated in Ben-Zur & Michael) and 6 items developed by the research team to assess concern and fear from medical mistakes and hierarchy. |
| Work-Life Balance | Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively) | 6 item questionnaire developed by Greenhaus & Powell, 2006) |
| Adapted Professionalism Mini-Evaluation Scale Exercise scale | Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively) | originally included 24 items developed by Cruess, McIlroy, Cruess, Ginsburg, and Steinert (2006). Translated and adapted by the research team, and now include 31 items. |
| Specific Life Satisfaction Questionnaire | Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively) | 12 items questionnaire developed by Karnieli-Miller & Michael to measure satisfaction with different life domains (e.g., relationships, financial etc). |
| Brief Resilience Scale (BRS) | Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively) | 6 item questionnaire developed by Smith et al., 2008 |
| Patient Satisfaction questionnaire | Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively) | 23 items questionnaire focused on patient-physician communication skills and satisfaction from care. |
| Physician Transcendence Scale (PTS) | Baseline | A 16 items newly developed questionnaire focused on the physicians' transcendence. Laor, Wolmer & Hamiel |
| Demographic information questions | Baseline | questions concerning gender, age, seniority, specialty, country of birth, |
| Life Events Scale | Baseline | Assessing life events the individual experienced, such as divorce, a death of a loved one, etc. |
| Resilient Coping Questionnaire (RCQ) | Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively) | 24 items questionnaire developed by Wolmer, Hamiel & Laor (2105) |
| Cynicism in Medicine Questionnaire (CMQ) | Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively) | 14 item questionnaire developed by Teserman, Morton, Loo, Worthle & Lamberton, 1996 |
Contacts
Primary ContactOrit Karnieli-Miller, PhD
Backup ContactNathaniel Laor, MD; PhD
Outcome results
None listed