The international journal of health, wellness & society最新文献

{"title":"Chronotype, Shift Work, and Sleep Problems Among Emergency Medicine Clinicians","authors":"E. Hirsh, T. Britt, Zachary Klinefelter, Justine Liptak, C. Meyers, Katie Daniels, L. Fowler","doi":"10.55504/2578-9333.1073","DOIUrl":"https://doi.org/10.55504/2578-9333.1073","url":null,"abstract":"Introduction : Extensive research has demonstrated that shift work can be detrimental to sleep. Chronotype, the preference for time of day to sleep or be active, can influence how we function at different times of day and how shift work impacts us. This study was designed to assess the chronotype of emergency physicians (EPs) and emergency advanced practice providers (EAPPs) and examine how chronotype was related to sleep problems and shifts worked over a three-month period. Methods : A survey assessing chronotype and sleep quality was sent to 225 EPs and EAPPs in a single, large academic Department of Emergency Medicine. An archival database indicated the shifts worked during the prior three months and the percentages of day, evening, and night shifts for each practitioner were calculated. Results : 127 people completed the survey (56.4%). Of the three chronotypes (morning, intermediate, eve-ning), most EM clinicians were categorized as intermediate chronotype (56/127, 44.1%), followed by morning type (39/127, 30.7%) and then evening type (32/127, 25.2%). Those with an evening chronotype were more likely to report daytime dysfunction (a lack of enthusiasm and propensity to fall asleep during activities) (p < 0.01) and worked a greater percentage of night shifts than other chronotypes (p < 0.05). Interestingly, the effect of evening chronotype on daytime dysfunction was no longer significant when controlled for the rela-tively greater percentage of night shifts worked, suggesting that the observed dysfunction was more likely an artifact of the night shifts worked, rather than purely chronotype driven. Conclusion : This is the first study of a large cohort of EM practitioners investigating chronotype and its influence on shift preference and sleep quality. In this pilot investigation, most of the surveyed clinicians were categorized as an intermediate chronotype. Working night shifts was associated more closely with daytime dysfunction than was chronotype, strengthening the latent literature that working night shift carries with it significant challenges to the EM clinician. Future research should evaluate the relationship between chronotype malalignment to practitioner burnout and well-being. ABSTRACT","PeriodicalId":90738,"journal":{"name":"The international journal of health, wellness & society","volume":"199 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72746243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wellness and Professional Quality of Life in Counselor-in-Training Interns: Assessment of Wellness and Non-Wellness-Infused Supervision","authors":"Ashley J Blount, Abby L. Bjornsen, D. Kissinger, Kara Schneider, Lindsay M. Vik, Jessica Gonzalez-Voller","doi":"10.55504/2578-9333.1065","DOIUrl":"https://doi.org/10.55504/2578-9333.1065","url":null,"abstract":"Introduction: Counselors-in-training (CITs) commonly encounter issues of burnout, compassion fatigue, and/or vicarious traumatization due to the nature of their jobs in the helping profession. Wellness infused supervision may help CITs foster personal wellness and mitigate deleterious effects of helping. This investigation examined connections related to counselor-in-training wellness and professional quality of life during an internship-level supervision course across a wellness and control section. Methods: A quasi-experimental design was piloted, comparing a wellness-focused supervision internship section with a non-wellness control group supervision internship section during one academic semester. Participants included 15 clinical mental health CITs (9 experimental; 6 control), who were randomly assigned into the wellness or control internship section. Internship classes consisted of two-hour meetings across a 16 week semester, with participants working towards 300 clock hours of experience. All participants who were offered inclusion into internship accepted, and were randomly assigned into the wellness-infused or control internship sections, which took place within a large, Council for Accreditation in Counseling and Related Educational Program (CACREP) accredited program. Results: Results indicated decreased wellness scores in both internship sections from pre-to-post assessment, no differences between wellness-based internship and the control group in wellness or professional quality of life, and an increase in compassion satisfaction in the wellness-based internship group. Conclusion: Although counselors are vulnerable to compromised wellness due to the nature of their work, training CITs to work from a wellness paradigm in their personal and professional lives may facilitate well-be-ing, and mitigate the effects of burnout and fatigue. Results from this study shed light on how CITs are viewing their personal wellness and how supervisors can utilize assessments to facilitate reflective conversations with supervisees about their wellness and quality of life. ABSTRACT","PeriodicalId":90738,"journal":{"name":"The international journal of health, wellness & society","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87543247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wellness Review 2021, Part 2","authors":"B. Ferguson, M. Huecker","doi":"10.55504/2578-9333.1133","DOIUrl":"https://doi.org/10.55504/2578-9333.1133","url":null,"abstract":"Welcome to Part 2 of the Journal of Wellness 2021 wellness literature review. JWellness editors continue the goal of summarizing recent publications within the wellness domain to bring a cohesive awareness of recent literature to our readers. We summarize new science and resilience initiatives published outside of JWellness that seek understanding of burnout and resilience among healthcare workers (HCWs).","PeriodicalId":90738,"journal":{"name":"The international journal of health, wellness & society","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91220857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Before They Crash and Burn (Out): A Compassion Fatigue Resilience Model","authors":"Kerry A. Schwanz, Melissa L. Paiva-Salisbury","doi":"10.55504/2578-9333.1100","DOIUrl":"https://doi.org/10.55504/2578-9333.1100","url":null,"abstract":"Introduction: We propose a working model of compassion fatigue resilience by identifying compassion fatigue (CF) and compassion satisfaction correlates as potential targets for building resilience. Further, we explore focusing on pre-professionals as a method of primary prevention of CF. Methods: The participants were 143 college students who completed self-report measures to assess current CF, self-care behaviors, self-care beliefs, self-esteem, frequency of helping behaviors, and exposure to others under extreme stress. Results: Notably, hierarchical regression analyses (controlling for helping frequency and exposure to high stress individuals) suggested that self-care beliefs and self-care behaviors contributed to concurrent experiences of CF, through secondary traumatic stress (R2 =.3, F(5,135) = 11.69, p <.001) and burnout (R2 =.4, F(5,135) = 18.08, p <.001), respectively. Self-care behaviors were associated with compassion satisfaction in our regression model, which explained 36.1% of the variance in compassion satisfaction (R2 =.36, F(5,135) = 15.24, p <.001). Conclusion: Remarkably, we found self-care beliefs as a significant predictor of concurrent CF. In line with prior research on professionals, we found compassion satisfaction to have an inverse relationship with burnout, and found self-care behaviors to predict concurrent compassion satisfaction. Based on our findings, a working model to build resilience to compassion fatigue is proposed (which centers on the importance of both self-care beliefs and self-care behaviors). Resilience promotion should focus on educating individuals about the risks of secondary traumatic stress and burnout prior to starting a career in the helping professions, before patterns of self-care beliefs and behaviors are firmly established. ABSTRACT","PeriodicalId":90738,"journal":{"name":"The international journal of health, wellness & society","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84725560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Last Conversation","authors":"Muhammad Ismail khalid Yousaf","doi":"10.55504/2578-9333.1119","DOIUrl":"https://doi.org/10.55504/2578-9333.1119","url":null,"abstract":"","PeriodicalId":90738,"journal":{"name":"The international journal of health, wellness & society","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82314638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women Just Wanna Have Time: Wellness Innovation Research","authors":"Jessica Long, J. Simon, V. deMartelly, C. Norcott, Adrianne Dade","doi":"10.55504/2578-9333.1069","DOIUrl":"https://doi.org/10.55504/2578-9333.1069","url":null,"abstract":"Many studies have shown that the stress / mental tension that residents endure in the workspace and within the familial domain (particularly female residents) can have a negative impact on their well-being [4-6, 9-10, 12-15, 17, 20-21]. Well-being originates from positive emotion, flow or the ability to be fully consumed by an activity, and from perceived life purpose [4-6, 9-10, 12-15, 17,20-21]. Over recent years, there has been an emphasis on improving well-being amongst medical residents in response to observed high burnout rates. Often, this well-being improvement focused on stress reduction [6]. Many of the interventional studies that sought to impact stress perception in residents utilized techniques such as mindfulness, meditation, and movement, often running several weeks, sessions lasting 1 – 2 hours [4-5, 9-10, 12-15, 17-18, 20-21]. Although many of these studies showed positive outcomes, we sought to evaluate how 15 minutes a day of self-led movement, meditation, and mindfulness exercises could improve the experience of stress in the obstetrics and gynecology (OBGYN) resident population at a university associated medical center residency program.","PeriodicalId":90738,"journal":{"name":"The international journal of health, wellness & society","volume":"135 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75758024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ideas to Action: Using Curriculum Design to Develop a “Roadmap to Wellness” Curriculum","authors":"C. Stehman, K. Williamson, E. Dehon, A. Alvarez, Manisha Garg, M. Lall","doi":"10.55504/2578-9333.1067","DOIUrl":"https://doi.org/10.55504/2578-9333.1067","url":null,"abstract":"Physician burnout, first publicly discussed almost 40 years ago, has drawn increasing focus since its prevalence among physicians was published by Shanafelt et al. in 2012, and even more so in the wake of the COVID-19 pandemic [1-2]. With the spotlight on burnout and its consequences, the concepts of physician wellness, well-being, resilience, and professional fulfillment are considered possible counters to burnout. Training physicians within all specialties in these areas seems critical to ending the problem of physician burnout; yet, creating a comprehensive and practical curriculum may initially seem overwhelming. It is important to distinguish wellness, which describes maintaining health through illness or obstacles, from well-being, which describes a more holistic condition of livelihood. Thus, well-being encompasses wellness and both terms provide important goals to strive towards. This white paper from the Council of Residency Directors in Emergency Medicine (CORD) Resilience Committee Wellness Curriculum Subcommittee aims to provide faculty and institutions with a stepwise approach to develop an institution-specific wellness curriculum.","PeriodicalId":90738,"journal":{"name":"The international journal of health, wellness & society","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83685898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived Stress and Self-Care in Graduate Students Amidst the COVID-19 Pandemic","authors":"Devona M. Stalnaker-Shofner, Catherine J. Lounsbury, Sadie Collagan, S. Keck, Ryan Roberts","doi":"10.55504/2578-9333.1059","DOIUrl":"https://doi.org/10.55504/2578-9333.1059","url":null,"abstract":"The Centers for Disease Control (CDC) reports that since January 21, 2020, the United States has more than 28 million current cases of COVID-19, with an average reporting of COVID positive tests equating to nearly 200,000 new cases daily this fall [1]. As of mid-February 2021, there have been more than 500,000 reported COVID-related deaths, with an average of +2500 deaths reported each day. Per Wang et al (2020), recent assessments of mental health in the general populations of China and Iran, countries that experienced significant COVID outbreaks, show increased levels of stress due to the pandemic, with a key concern during the pandemic relating to the mental health of vulnerable populations, including college students [2]. The 2019 Annual Report of the Center for Collegiate Mental Health reported that anxiety continues to be the most common problem (62.7% of 82,685 respondents) among students who completed the Counseling Center Assessment of Psychological Symptoms [3]. Per Czeisler et al., (2020), the COVID-19 pandemic has been associated with mental health challenges related to the morbidity and mortality caused by the disease and to mitigation activities, including the impact of physical distancing and stay-at-home orders [4]. The researcher report that “elevated levels of adverse mental health conditions, substance use, and suicidal ideation were reported by adults in the United JOURNAL OF WELLNESS ORIGINAL RESEARCH","PeriodicalId":90738,"journal":{"name":"The international journal of health, wellness & society","volume":"182 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88470442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When the ER Doc Became the Patient's Dad","authors":"Bradd A. Buckingham","doi":"10.55504/2578-9333.1075","DOIUrl":"https://doi.org/10.55504/2578-9333.1075","url":null,"abstract":"","PeriodicalId":90738,"journal":{"name":"The international journal of health, wellness & society","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76559116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Grandparent Caregivers: Promoting Positive Life Satisfaction","authors":"F. Coleman-Reed, Debra Nelson-Gardell","doi":"10.18848/2156-8960/CGP/V11I01/159-170","DOIUrl":"https://doi.org/10.18848/2156-8960/CGP/V11I01/159-170","url":null,"abstract":"","PeriodicalId":90738,"journal":{"name":"The international journal of health, wellness & society","volume":"13 1","pages":"159-170"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84332792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}