"I need to have a fulfilling job": A qualitative study of surgeon well-being and professional fulfillment.
Adaptation, Psychological
Administrative Personnel
/ organization & administration
Burnout, Professional
/ prevention & control
Faculty, Medical
/ organization & administration
Female
Hospitals, University
/ organization & administration
Humans
Job Satisfaction
Male
Models, Organizational
Qualitative Research
Quality Improvement
Specialties, Surgical
/ organization & administration
Surgeons
/ organization & administration
Utah
Work-Life Balance
/ organization & administration
Burnout
Interviewing
Professional fulfillment
Qualitative
Well-being
Wellness
Journal
American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473
Informations de publication
Date de publication:
01 2022
01 2022
Historique:
received:
23
03
2021
revised:
25
05
2021
accepted:
19
07
2021
pubmed:
2
8
2021
medline:
27
1
2022
entrez:
1
8
2021
Statut:
ppublish
Résumé
Burnout, often regarded as an individual failing, rather than a systemic one, negatively impacts quality of care, patient safety and healthcare costs. Focusing on improving well-being can help mitigate burnout. This study examined protective factors that promote well-being and professional fulfillment in surgeons. Using a purposive sample, 32 semi-structured 30-60-min interviews were conducted with surgeons of varying sub-specialties and rank. Abductive exploratory analysis was used to code and interpret interview transcripts and to build a conceptual model of surgeon well-being. Emergent protective factors were placed into one of three levels of implementation: individual, team-level, and institutional (figure). Individual factors for well-being included autonomy and adequate time to pursue non-clinical endeavors. Team-level factors consisted of adaptability, boundaries, and cohesion. Institutional factors related to diversifying performance evaluations and celebrating and recognizing individual value and contributions. The conceptual model developed from the results of this study highlights factors important to surgeons' professional well-being. This model can be used to guide quality improvement efforts.
Sections du résumé
BACKGROUND
Burnout, often regarded as an individual failing, rather than a systemic one, negatively impacts quality of care, patient safety and healthcare costs. Focusing on improving well-being can help mitigate burnout. This study examined protective factors that promote well-being and professional fulfillment in surgeons.
METHODS
Using a purposive sample, 32 semi-structured 30-60-min interviews were conducted with surgeons of varying sub-specialties and rank. Abductive exploratory analysis was used to code and interpret interview transcripts and to build a conceptual model of surgeon well-being.
RESULTS
Emergent protective factors were placed into one of three levels of implementation: individual, team-level, and institutional (figure). Individual factors for well-being included autonomy and adequate time to pursue non-clinical endeavors. Team-level factors consisted of adaptability, boundaries, and cohesion. Institutional factors related to diversifying performance evaluations and celebrating and recognizing individual value and contributions.
CONCLUSIONS
The conceptual model developed from the results of this study highlights factors important to surgeons' professional well-being. This model can be used to guide quality improvement efforts.
Identifiants
pubmed: 34332744
pii: S0002-9610(21)00409-8
doi: 10.1016/j.amjsurg.2021.07.029
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
6-11Commentaires et corrections
Type : CommentIn
Informations de copyright
Published by Elsevier Inc.