A pilot study exploring interventions for physician distress in pediatric subspecialists. Academic Article uri icon

Overview

abstract

  • BACKGROUND: While institution-sponsored wellness programs may be effective, little is known about their availability and utilization in pediatric subspecialists, and about programs physicians wish were available. METHODS: A survey of perceptions about, and availability and utilization of institutional wellness activities, was distributed electronically to pediatric subspecialists nationally. Bivariate analyses were performed using χ2 tests or independent t tests. Multivariable logistic regression models for categories of institution-sponsored programming as a function of potential predictors of program utilization were performed. Qualitative content analysis was performed for free-text survey answers. RESULTS: Approximately 60% of respondents participated in institution-sponsored wellness opportunities. Debriefs, Schwartz Center Rounds, mental health services, and team building events were the most available institution-sponsored wellness activities, whereas debriefs, team building, Schwartz Center Rounds, and pet therapy were most frequently utilized. Respondents desired greater social/emotional support, improved leadership, enhanced organizational support, and modifications to the physical work environment, with no significant differences across subspecialties for "wish list" items. CONCLUSIONS: Physician wellness requires more than a "one-size-fits-all" initiative. Our data highlight the importance of encouraging and normalizing self-care practices, and of listening to what physicians articulate about their needs. Pre-implementation needs assessment allows a "bottom-up" approach where physician voices can be heard.

publication date

  • February 12, 2020

Research

keywords

  • Health Promotion
  • Neonatology
  • Pediatricians
  • Pediatrics

Identity

PubMed Central ID

  • PMC7223747

Scopus Document Identifier

  • 85090026819

Digital Object Identifier (DOI)

  • 10.1038/s41390-020-0805-x

PubMed ID

  • 32054989

Additional Document Info

volume

  • 88

issue

  • 3