Vinayak Dev, Tony Fernando, & Nathan Consedine WHY BOTHER? - - PowerPoint PPT Presentation
Vinayak Dev, Tony Fernando, & Nathan Consedine WHY BOTHER? Compassion is a cornerstone for quality healthcare Predicts greater work-related pleasure compassion satisfaction For patients, compassion predicts:
Vinayak Dev, Tony Fernando, & Nathan Consedine
lower anxiety better relationships greater healthcare satisfaction improved recovery greater responsibility and control
is compassion fatigue lower in older physicians and nurses? do younger clinicians report greater burnout and lower satisfaction?
whether such differences are reflected in barriers to compassion? what younger carers can learn from more experienced carers
Participants: 1,700 health professionals (and trainees) Samples to date:
801 nurses 383 medical students 516 New Zealand doctors 378 Filipino doctors (not included in the published manuscript)
Procedure: Online surveys, convenience sampling in NZ and the Philippines Measures:
Predictors: Training/profession Confounds: Demographics, work characteristics, burnout Outcomes: Barriers to compassion
Greater experience = Greater workload BUT lower burnout and lower barriers to compassion Students have lower workload than nurses and physicians, BUT generally report greater barriers
3.75 2.99 3.11 2.54 [VALUE]0 [VALUE]0 3.36 2.83 BURNOUT-RELATED ENVIRONMENTAL PATIENT AND FAMILY- RELATED CLINICAL
Means Barriers to Compassion
Physicians Medical Students
Medical students reported greater scores than experienced physicians across ALL barriers
Relative to more experienced physicians, medical students reported greater burnout-related, environmental, and clinical barriers to compassion, but NOT patient and family-related barriers.
0.21
0.19
0.22
0.11 NZ DOCTORS FILIPINO DOCTORS NURSES MEDICAL STUDENTS
Pearson’s r Correlations Between Experience and Barriers Barriers to Compassion
Burnout-related Environmental Patient and family-related Clinical
Overall, greater experience was associated with lower barriers across all professional samples – i.e., NZ and Filipino doctors, and nurses. BUT, in medical students, experience was associated with greater barriers.
1. Attrition, retirement, differential job change – ‘the mean doctors leave’ 2. Cohort effects – ‘carers trained in different times “work” differently’ 3. Professional and individual development – ‘something changes over time’ a) A seniority effect? Greater autonomy? b) Less prone to judgement? An “I’ve-seen-worse” effect? c) Developmental changes in emotion regulation?
Twitter handle: @vinayakdev_
Twitter handle: @tonyfernando3rd
Twitter handle: @nathanconsedine
Advisory Board. (2016). Survey: Many doctors looking to leave profession amid burnout, low morale. Retrieved from https://www.advisory.com/daily- briefing/2016/09/26/doctors-leaving-profession?wt.mc_id=email%7Cdailybriefing+headline%7Cdba%7Cdb%7C2016sep23%7Catestdb2016sep26%7C%7C%7C%7C Crawford, R. L., & McCormack, R. C. (1971). Reasons physicians leave primary practice. Academic Medicine, 46, 263-268. Retrieved from https://journals.lww.com/academicmedicine/Abstract/1971/04000/Reasons_physicians_leave_primary_practice.1.aspx Dev, V., Fernando, A. T., Kirby, J. N., & Consedine, N. S. (2019). Variation in the barriers to compassion across healthcare training and disciplines: A cross-sectional study of doctors, nurses, and medical students. International Journal of Nursing Studies, 90, 1-10. doi:10.1016/j.ijnurstu.2018.09.015 Douglas, H. (2017). Why are women leaving medicine? Retrieved from http://www.medicaleconomics.com/medical-economics-blog/why-are-women-leaving-medicine Fernando, A. T., & Consedine, N. S. (2017). Barriers to medical compassion as a function of experience and specialization: Psychiatry, pediatrics, internal medicine, surgery, and general practice. Journal of Pain and Symptom Management, 53, 979-987. doi:10.1016/j.jpainsymman.2016.12.324 Gaitniece-Putāne, A. (2006). Gender and age differences in emotional intelligence, stoicism and aggression. Baltic Journal of Psychology, 7, 26-42. Retrieved from http://dspace.lu.lv/dspace/bitstream/handle/7/1315/BalticJournPsychol-2006-Vol-7_No-2.pdf?sequence=1&isAllowed=y#page=26 Griffiths, S., & Corke, J. (2017). 300 student doctors quit university each year. Retrieved from https://www.thetimes.co.uk/article/300-british-student-doctors-quit-university-each- year-7p8q697vz Jefferson, L., Bloor, K., & Maynard, A. (2015). Women in medicine: Historical perspectives and recent trends. British Medical Bulletin, 114, 5–15. doi:10.1093/bmb/ldv007 Jonassen, D., Spector, M. J., Driscoll, M., Merrill, M.D., & van Merrienboer, J. (2008). Handbook of research on educational communications and technology: A project of the association for educational communications and technology. Abingdon, United Kingdom: Routledge. Papadimos, T. J. (2004). Stoicism, the physician, and care of medical outliers. BMC Medical Ethics, 5, 8-15. doi:10.1186/1472-6939-5-8 Ramakrishnan, A., Sambuco, D., & Jagsi, R. (2014). Women's participation in the medical profession: insights from experiences in Japan, Scandinavia, Russia, and Eastern
Silvers, J. A., McRae, K., Gabrieli, J. D., Gross, J. J., Remy, K. A., & Ochsner, K. N. (2012). Age-related differences in emotional reactivity, regulation, and rejection sensitivity in
Spector, N. (2018). The doctor is out? Why physicians are leaving their practices to pursue other careers. Retrieved from https://www.nbcnews.com/business/business-news/doctor-
Urry, H. L., & Gross, J. J. (2010). Emotion regulation in older age. Current Directions in Psychological Science, 19, 352-357. doi:10.1177/0963721410388395 Yong, H. H., Gibson, S. J., Horne, D. J., & Helme, R. D. (2001). Development of a pain attitudes questionnaire to assess stoicism and cautiousness for possible age differences. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 56, 279-284. doi:10.1093/geronb/56.5.P279