{"title":"Environmental Factors Impacting Wellness in the Trauma Provider.","authors":"Alexis Hess, Maddison Porter, Saskya Byerly","doi":"10.1007/s40719-022-00246-0","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose of review: </strong>The purpose of this review is to evaluate the recent literature on environmental factors impacting wellness for the acute care surgeon. This includes factors influencing physical, mental, and emotional well-being.</p><p><strong>Recent findings: </strong>Recent studies have identified challenges to surgeon wellness including increased incidence of sleep deprivation, musculoskeletal pain and injuries, pregnancy complications, moral injury, posttraumatic stress disorder (PTSD), and burnout. Qualitative studies have characterized the surgeon's emotional response to occupational stress, adverse events, and surgical complications. Further descriptive studies offer interventions to prevent moral injury after adverse events and to improve surgeon work environment.</p><p><strong>Summary: </strong>Acute care surgeons are at increased risk of sleep deprivation, musculoskeletal pain and injury, pregnancy complications, moral injury, PTSD, and burnout. Surgeons experience feelings of isolation and personal devaluation after adverse events or complications, and this may lead to practice limitation and progression to PTSD and/or burnout. Interventions to provide mentorship, peer support, and education may help surgeons recover after adverse events. Further study is necessary to evaluate institution-driven interventional opportunities to improve surgeon well-being and to foster an inclusive and supportive environment.</p>","PeriodicalId":43614,"journal":{"name":"Current Trauma Reports","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9791636/pdf/","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Trauma Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s40719-022-00246-0","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CRITICAL CARE MEDICINE","Score":null,"Total":0}
引用次数: 2
Abstract
Purpose of review: The purpose of this review is to evaluate the recent literature on environmental factors impacting wellness for the acute care surgeon. This includes factors influencing physical, mental, and emotional well-being.
Recent findings: Recent studies have identified challenges to surgeon wellness including increased incidence of sleep deprivation, musculoskeletal pain and injuries, pregnancy complications, moral injury, posttraumatic stress disorder (PTSD), and burnout. Qualitative studies have characterized the surgeon's emotional response to occupational stress, adverse events, and surgical complications. Further descriptive studies offer interventions to prevent moral injury after adverse events and to improve surgeon work environment.
Summary: Acute care surgeons are at increased risk of sleep deprivation, musculoskeletal pain and injury, pregnancy complications, moral injury, PTSD, and burnout. Surgeons experience feelings of isolation and personal devaluation after adverse events or complications, and this may lead to practice limitation and progression to PTSD and/or burnout. Interventions to provide mentorship, peer support, and education may help surgeons recover after adverse events. Further study is necessary to evaluate institution-driven interventional opportunities to improve surgeon well-being and to foster an inclusive and supportive environment.
期刊介绍：
Aims: The goal of this journal is to provide concentrated, evidence-based information in the field of trauma through authoritative reviews. It has become almost impossible for the average physician to keep up with the flood of information that is published in numerous medical journals or the internet. Original articles, although often important or even ground-breaking, have typically a narrow focus and on occasions lack scientific rigor. Whereas physicians are encouraged to spend the necessary time reviewing critically the methodology and results of an original article, their fast-paced professional lives allow limited opportunities to do so. Therefore, the need for thoughtful, well-constructed, and comprehensive reviews has increased in our times more than ever before. Our new journal intends to do what the average reader cannot afford doing. It intends to summarize the pertinent information, exclude the irrelevant details, and offer thorough, clinically-focused reviews. We have summoned true experts from around the world to contribute these reviews, based on their detailed analysis of the literature and rich personal experience. We hope that this information will be readily useable and help shape the practice of those who read it.
Scope: Our journal is about trauma. It will include every possible blunt or penetrating traumatic injury in any part of the body. It will describe diagnostic and therapeutic strategies, operative and non-operative alike. It will present treatment algorithms and caution about pitfalls and complications. It will compare outcomes, as shown in the literature, and make evidence-based recommendations about preferred pathways. Besides the strict focus on traumatic diseases and their treatment, it will also expand on broader issues related to injury prevention and rehabilitation. All in all, we expect that the scope of the journal will cover everything that has to do with trauma.
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