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29.04.2019 | Original Research | Ausgabe 7/2019

Journal of General Internal Medicine 7/2019

Transdisciplinary Strategies for Physician Wellness: Qualitative Insights from Diverse Fields

Zeitschrift:
Journal of General Internal Medicine > Ausgabe 7/2019
Autoren:
PhD Rachel Schwartz, PhD Marie C. Haverfield, PhD Cati Brown-Johnson, MD, PhD Amrapali Maitra, BA Aaron Tierney, MS Shreyas Bharadwaj, MD, MS Jonathan G. Shaw, MD Farzad Azimpour, MBA Sonoo Thadaney Israni, MD, MACP, FRCP(Edin) Abraham Verghese, MD, MS Donna M. Zulman
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s11606-019-04913-y) contains supplementary material, which is available to authorized users.
Prior Presentations: Content from this study appeared in posters presented at the Society for General Internal Medicine Annual Meeting in April 2018, in Denver, Colorado, and at the Stanford Bedside Medicine Clinical Skills Symposium in September 2018 in Stanford, California.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Abstract

Background

While barriers to physician wellness have been well detailed, concrete solutions are lacking.

Objective

We looked to professionals across diverse fields whose work requires engagement and interpersonal connection with clients. The goal was to identify effective strategies from non-medical fields that could be applied to preserve physician wellness.

Design

We conducted semi-structured interviews with 30 professionals outside the field of clinical medicine whose work involves fostering effective connections with individuals.

Participants

Professionals from diverse professions, including the protective services (e.g., police officer, firefighter), business/finance (e.g., restaurateur, salesperson), management (e.g., CEO, school principal), education, art/design/entertainment (e.g., professional musician, documentary filmmaker), community/social services (e.g., social worker, chaplain), and personal care/services (e.g., massage therapist, yoga instructor).

Approach

Interviews covered strategies that professionals use to initiate and maintain relationships, practices that cultivate professional fulfillment and preserve wellness, and techniques that facilitate emotional presence during interactions. Data were coded using an inductive thematic analysis approach.

Key Results

Professionals identified self-care strategies at both institutional and individual levels that support wellness. Institutional-level strategies include scheduling that allows for self-care, protected time to connect with colleagues, and leadership support for debriefing after traumatic events. Individual strategies include emotionally protective distancing techniques and engagement in a bidirectional exchange that is central to interpersonal connection and professional fulfillment.

Limitations

In this exploratory study, the purposive sampling technique and single representative per occupation could limit the generalizability of findings.

Conclusion

Across diverse fields, professionals employ common institutional and personal wellness strategies that facilitate meaningful engagement, support collegiality, and encourage processing after intense events. The transdisciplinary nature of these wellness strategies highlights universal underpinnings that support wellbeing in those engaging in people-oriented professions.

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ESM 1 (DOCX 19.8 kb)
11606_2019_4913_MOESM1_ESM.docx
Literatur
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