Medicine and Health Sciences Commons^™

When Self-Care Is Not Enough: Reflections On How To Make Trauma-Intensive Clinical Work More Sustainable, Brianna C. Delker

Dignity: A Journal of Analysis of Exploitation and Violence

As a psychology resident on the psychiatry consultation-liaison service at a trauma center, I was asked by another trainee how I cope with the devastating cases of traumatic injury and abuse that we witnessed regularly on the service. This trainee’s courageous question about how we as providers cope sustainably with bearing witness to trauma coincided with my own reflection on the limits of “self-care” as it is often discussed and practiced in human service professions. In this article, I argue that an activity-based approach to self-care is not enough for providers in trauma-intensive service settings and must be complemented with …

Development Of The Resident Wellness Scale For Measuring Resident Wellness, R. Brent Stansfield, Dan Giang, Tsveti Markova

Journal of Patient-Centered Research and Reviews

Purpose: Graduate medical education programs have a responsibility to monitor resident wellness. Residents are at risk of burnout, depression, and suicide. Burnout and depression are associated with poor patient care. Many existing tools measure burnout, depression, and general human well-being, but resident wellness is a distinct construct. We aimed to develop an instrument to measure resident wellness directly.

Methods: An expert panel from two purposefully different graduate medical education institutions generated a behavior- and experience-based model of resident wellness. The panel and resident leaders from both institutions generated 92 items, which were tested alongside anchor scales measuring burnout, depression, personality, …

A First Step: Analyzing The Professional Quality Of Life Of U.S. College Mental Health Counselors, Jeffrey Yoichi Kuroiwa

Open Access Theses & Dissertations

The study used a demographic questionnaire and the Professional Quality of Life Scale (ProQOL) to conduct a national survey of mental health counselors (N = 236) working at colleges and universities in the United States. It was hypothesized that U.S. college mental health counselors would indicate higher than average scores on the ProQOL subscales for compassion satisfaction, burnout, and secondary traumatic stress. The results show that U.S. college mental health counselors indicate average potential for compassion satisfaction and average risk for developing burnout and secondary traumatic stress. It was also hypothesized that counselors' ProQOL scores would differ between gender, age, …

The Effects Of Compassion Fatigue On Burnout Among Inpatient Psychiatric And Intensive Care Unit Nurses, Amita Madan Neidlinger

DNP Projects

PURPOSE: This DNP project is relevant to nurses of the psychiatric and Intensive Care Unit (ICU) setting, as high stress environments may produce higher rates of compassion fatigue and burnout. Investigation of these areas may help illuminate unnecessary healthcare costs that are associated with these phenomena. This DNP project is important to the University of Kentucky’s healthcare system, its patients, and nurses. Increased absenteeism and increased medication errors are positively associated with the prevalence of compassion fatigue and burnout in nurses. Outcomes from this project will allow identification of unnecessary healthcare costs and encourage administrators to focus on reducing nurse …

Athletic Identity, Need Satisfaction, And Burnout In Collegiate Athletes, Rachel Brooke Daniels

Online Theses and Dissertations

PURPOSE: The relationship between need satisfaction and burnout has been well defined in literature, but studies of the relationship between athletic identity and burnout have produced varying results. The purpose of this study is to examine the factors that may contribute to burnout in athletes by determining the direction and strength of a relationship between burnout, athletic identity, and need satisfaction.

METHODS: In this study, an online survey was distributed to a population of NCAA Division I varsity and club student-athletes. The survey consisted of demographic questions, the Athletic Identity Measurement Scale (AIMS), the Basic Need Satisfaction in Sport Scale …

Examining Mental Health Stigma Among Doctoral-Level Healthcare Providers: The Impact Of Burnout, Therapeutic Optimism, Experience In The Field, And Gender On Attitudes Toward Patients With Mental Illness, Lindsay Blevins

Seton Hall University Dissertations and Theses (ETDs)

This study sought to discover differences in mental health stigma among doctoral-level healthcare providers. Previous research has found high levels of stigma among healthcare professionals and has often reported differences between non-mental health professionals and mental health practitioners (Bjorkman, Angelman, & Jönsson, 2008; Hori, Richards, Kawamoto, & Kunugi, 2011; Peris, Teachman, & Nosek, 2008). Most of the current literature has grouped many different levels of providers together, which makes it difficult to distinguish between the specific specialties and training models to determine if these factors impact stigma. Additionally, few studies have examined the connections between stigma and burnout or therapeutic …

Self-Care In Graduate And Undergraduate Social Work Students At The University Of Southern Maine, Rachel Andreasen

Thinking Matters Symposium Archive

Prior literature clearly demonstrates that social workers are at a high risk for burnout, compassion fatigue, secondary stress, and vicarious trauma (Kapilistas & Corcoran, 2015) (Kinman & Grant, 2011). Social work programs that have incorporated training on self-care education have found students less stressed and with less burnout. Using Self Care Deficit Theory as a theoretical basis, the purpose of this descriptive quantitative study is explore the ways in which social work students at the University of Southern Maine are incorporating self-care into their education and lives. Students participated in a survey, which measures self-care in multiple domains. Descriptive and …

Out Of The Straitjacket., Michael Weinstein

Department of Surgery Faculty Papers

No abstract provided.

Web Resources For Physician Wellness, Elizabeth C. Lawrence

Office of Physician and Student Wellness (OPSW)

A current listing of websites, TED talks, and podcasts related to physician wellness and resiliency.

Bibliography Of Physician Wellness Resources, Elizabeth C. Lawrence

Office of Physician and Student Wellness (OPSW)

Current list of articles and books on physician wellness.

Unm Gme Resources - July 2017, Elizabeth C. Lawrence

Office of Physician and Student Wellness (OPSW)

No abstract provided.

Exploring The Relationship Between Occupational Burnout And The Behavioral Well-Being Of Social Workers, Damian A. Pisapia

Electronic Theses, Projects, and Dissertations

The purpose of this study was to determine if there was a relationship between occupational burnout and the behavioral well-being of social workers. Burnout is a multidimensional syndrome where workers experience feelings of emotional exhaustion, depersonalization, and reduced personal accomplishment as a consequence of work related stress and overwhelming job demands. Burnout can negatively affect organizational functioning, work performance, and pose significant health risks to workers. There are a limited number of studies focusing on the impact of occupational burnout on the behavioral well-being of workers. The findings of this study indicated that there was a significant relationship between burnout …

The Role Of Self-Care And Hardiness In Moderating Burnout In Mental Health Counselors, Traci Danielle Richards

Counseling & Human Services Theses & Dissertations

This study explored the relationship between self-care, hardiness, and burnout in a sample of mental health counselors using a hierarchical multiple regression. Additionally, the relationship between hardiness, identity characteristics, and job factors was explored using a Pearson’s correlation and MANOVA. The study used valid and reliable instruments: the Maslach Burnout Inventory (MBI) to assess burnout and the Dispositional Resilience Scale (DRS) to assess hardiness. Results of a hierarchical multiple regression indicated that hardiness accounts for more of the variance in predicting burnout than self-care. Significant predictors of burnout include age, job satisfaction, self-care frequency, and hardiness. Data collected for this …

Medical Student Burnout: A Social Cognitive Learning Perspective On Medical Student Mental Health And Wellness, Robert Lubin, Michael Hamlin

Touro University Worldwide Publications and Research

Medical students' mental health is a topic of great interest as it has implications not only for medical students but also for the patients of these future doctors. Medical students face many academic pressures and burnout is one possible consequence of these stressors with some studies suggesting that burnout affects up to 50% of medical students. Our own study of American students in a medical programme located outside of the U.S. showed that student perceptions of the medical learning environment were linked with burnout suggesting that reducing burnout requires a pedagogical approach that addresses academically related stress factors. This chapter …

What Works For Successful In-Home Family Therapists Working At Community-Based Agencies, Aleyah R. Yasin

Department of Family Therapy Dissertations and Applied Clinical Projects

Resiliency is an important characteristic of successful therapists (Aponte, 1991; Aponte & Carlsen, 2009; Aponte & Winter, 2000; Clark, 2009; Hamel & Laraway, 2004; Kuiper, 2012; Protinsky & Coward, 2001; Rosenburg & Pace, 2006; Wolgien & Coady, 1997), especially those in entry-level positions that tend to involve high stress and turnover (Acker, 2004; Clark, 2009; Davis, 2013; Greenson, Guo, Barth, Harley, & Sission, 2009; Grosch & Olsen, 1994; Gupta, Peterson, Lysaght, & Zweck, 2012; Horan, 2002; Maslach & Leiter, 1997; Negash & Sahin, 2011; Rosenburg &Pace, 2006; Skovolt &Trotter Mathison, 2011). This study explored the perspectives of six therapists providing …

Finding The Resilient Teacher Within: A Workshop To Address K-12 Teacher Well-Being, Laura Jones

Educational Specialist, 2009-2019

Teacher stress comes from a variety of sources: accountability pressures, lack of time to relax, students who are not motivated, excessive duties and responsibilities that go beyond the classroom, testing pressure, large class size, lack of administrative support, and general concern for the safety and well being of their students (Richards, 2012). As a result of the constant high stress, more teachers are reporting mental/physical health issues and leaving the profession (Richards, 2012). One way to help deal with the stress teachers are feeling is to strengthen the teacher from within by using the resources they have already. This paper …

The Effect Of Education On Compassion Fatigue As Experienced By Staff Nurses, Kathryn L. Zehr

Evidence-Based Practice Project Reports

Historically, nursing has been perceived as a highly rewarding profession. Yet, due to the increasing complexity of today’s healthcare, nurses are faced with greater challenges in their work environments. Registered nurses who work in tertiary care settings are exposed to disturbing patient situations including trauma, death, abuse, or chronic disease. Joinson (1992) described this experience as compassion fatigue and symptoms include headaches, short attention span, or fatigue. A review of literature has identified that nurses should be educated about risk factors and coping strategies to combat compassion fatigue. Guided by the Model for Evidence-Based Practice Change and Jean Watson’s Theory …

Experiential Training To Address Secondary Traumatic Stress In Aid Personnel, Odelya Gertel Kraybill

Expressive Therapies Dissertations

Existing studies indicate the widespread existence of secondary traumatic stress (STS) in aid personnel and suggest the need for preventive and response strategies. This study examined the effectiveness of an integrated approach to reducing STS among aid personnel through a model that used psychoeducation, psychodrama, and cognitive behavioral resolution techniques. Data were collected pre- and post-intervention with the Professional Quality of Life Scale (ProQOL) (Stamm, 2009) and at a two-month follow-up (TMFU) for the intervention and control groups. An analysis of variance test was used to evaluate whether the intervention group showed more change on ProQOL scores than did the …

Spiritual Transcendence And Burnout Rate Among Psychologists And Social Workers Working With Severely Mentally Ill Patients, Cynthia Fuhrer Cameron

Walden Dissertations and Doctoral Studies

Burnout is a psychological syndrome caused by occupational stress, which often manifests in mental health professionals who experience demanding and emotionally charged relationships with clients. Guided by the equity theory, this study examined the relationship between spiritual transcendence and burnout in psychologists and social workers who work with severely mentally ill patients after accounting for specific personality traits. Constructs were measured via the Spiritual Transcendence scale (STS), Maslach Burnout inventory (MBI), and the NEO-Five Factor Inventory (NEO-FFI). Sixty eight psychologists and social workers were selected from psychiatric hospitals, community centers, and private practice in Nevada to participate in the study. …

Health Behaviors, Hardiness, And Burnout In Mental Health Workers, Jeremiah Brian Schimp

Walden Dissertations and Doctoral Studies

Burnout has emerged as a significant and costly issue in the modern workforce. Researchers have not fully explored the role of individual health behaviors and personality in burnout among mental health workers. The knowledge gap addressed in this study was the connection between health behaviors, what mental health workers do to take care of themselves, and hardiness, the characteristic way they perceive and interpret environmental challenges. The purpose of this study was to examine the influence of health behaviors and hardiness among mental health workers on the 3 dimensions of burnout as measured by the MBI-HSS: emotional exhaustion, depersonalization, and …

What Keeps Us Well? Professional Quality Of Life And Career Sustaining Behaviors Of Music Therapy Professionals, Shane C. Swezey

Theses and Dissertations--Music

Self-care can be seen as not only critical for individual professionals, but also for the growth of the helping professions and the quality of care which clients receive. The purpose of this study was to investigate use of career-sustaining behaviors and the levels of professional quality of life in music therapy professionals. This study investigated research questions regarding use of career sustaining behaviors and levels of professional quality of life, the relationship between these variables, the differences in the use of career sustaining behavior by demographics, and the use of music as a self-care strategy.

An online survey was sent …

A Proposed Mediation Model Of The Effects Of Motivation For A Healthy Lifestyle: Impacts On Emotional Exhaustion, Medication Regimens, And Low-Density Lipoprotein, Nathan M. Leuthold

Theses and Dissertations

This research addressed the following question: "How are behavioral indicators related to physiological responses?" Three theories -- Conservation of Resources, Planned Behavior, and Achievement Motivation -- were employed to build a proposed model of the effects that an individual's motivation for a healthy lifestyle would have on his/her emotional exhaustion, daily medication usage, and low-density lipoproteins. Motivation for a healthy lifestyle was hypothesized to have a negative relationship with emotional exhaustion when using body mass index as a partial mediator. Emotional exhaustion was hypothesized to have positive relationships with daily medication usage and low-density lipoproteins. The model was tested using …

Investigating Compassion Fatigue And Burnout Rates Among Mental Health Professionals At Sioux Trails Mental Health Center, Lora Schoewe

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this research is to explore the existence of compassion fatigue and burnout among mental health professionals at Sioux Trails Mental Health Center, which is a community based mental health center in located in various rural communities in Southern Minnesota. The research also sought to identify what the professional and agency can do to reduce burnout rates.

Research Questions: Does compassion fatigue and burnout exist among the mental health professionals at Sioux Trails Mental Health Center? What professional and personal resources do the mental health professionals use to reduce the risk of compassion fatigue an burnout?

The Eap Danger Zone: Conquering The Eap Burnout Monster, John C. Thomas

John C. Thomas

In an article published in the previous edition of EAP Digest, the Burnout Monster was introduced. This foreboding creature physically, emotionally, mentally, socially, and spiritually terrorizes its prey through stressful employment or from being a caregiver. Employee assistance professionals are especially vulnerable due to the helping nature of our work, the changing economy, and legal decisions that jeopardize our job security. In spite of the danger, there is hope. The Burnout Monster is not indomitable; it can be avoided, and if attacked it is susceptible to offensive engagement.

Psychotherapists Working With Homeless Clients: The Experience Of Stress, Burnout Symptoms, And Coping, Sharon D. Young

Antioch University Dissertations & Theses

Stress, secondary trauma, and burnout symptoms are significant problems within the field of human services. Homeless clients present many challenges, frequently are highly traumatized, and often require many services. Psychotherapist working with homeless clients experience negative effects of exposure to the stress and trauma of homeless clients, and as a result must develop strategies for coping in order to continue in the work. This study used a mixed method design to investigate psychotherapists' experience working with homeless clients through Healthcare for the Homeless grantee projects, and their strategies for coping with the stress of their work. A survey, which included …

Factors Affecting Burnout In School Counselors, Jane Webber

Seton Hall University Dissertations and Theses (ETDs)

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