Sedney Cara L, Dekeseredy Patricia, Elmo Rebecca, Sofka Sarah
Cara Sedney MD MA. Associate Professor Department of Neurosurgery, Rockefeller Neuroscience Institute, West Virginia University, Morgantown, WV, USA.
Patricia Dekeseredy MScN RN. Clinical Research Specialist in the Department of Neurosurgery, WVU Medicine, Morgantown, WV, USA.
W V Med J. 2022 Mar;118(1):18-24. doi: 10.21885/wvmj.2022.3.
Social support is key to wellness, especially during times of stress and uncertainty. The working climate, including the multidisciplinary medical community provides opportunities for both positive and negative wellness experiences. The purpose of this study is to explore residents' concepts of wellness and the influence of programs, faculty, peers, and nursing and ancillary staff.
An email with a link to the REDCap survey was sent to each resident (n=450) in the school of medicine at West Virginia University asking them to give examples of ways their wellness has been supported (or not) by faculty members, their program, co-residents, and nursing and ancillary staff. The residents returned 51 completed surveys (11% response rate). Seven residents participated in a face to face interview. A content analysis using Hale's adaptation of resident wellness (based upon Maslow's Hierarchy of Needs) as the theoretical framework was conducted on the data.
Positive wellness elements frequently focused on time, supportive actions, and social connection. Negative examples impacting wellness included feeling disrespected, not being included in decision making, conflicts, and feeling unappreciated. Suggestions from the residents often described low cost interventions such as being" included" and feeling part of the team.
The participants described how all members of the healthcare team can support resident wellness in a variety of domains. Peers, support staff in the hospital environment, faculty supervisors, and the program overall can contribute to the basic physiologic needs, safety, belonging, esteem, and self-actualization of resident learners through social support.
社会支持是健康的关键，尤其是在压力和不确定性时期。工作环境，包括多学科医疗社区，为积极和消极的健康体验都提供了机会。本研究的目的是探讨住院医师对健康的概念以及项目、教员、同行、护理人员和辅助人员的影响。
向西弗吉尼亚大学医学院的每位住院医师（n = 450）发送一封包含REDCap调查问卷链接的电子邮件，要求他们举例说明其健康状况得到教员、项目、同住医师、护理人员和辅助人员支持（或未得到支持）的方式。住院医师共返回了51份完整的调查问卷（回复率为11%）。7名住院医师参加了面对面访谈。以 Hale 对住院医师健康状况的改编（基于马斯洛需求层次理论）为理论框架，对数据进行了内容分析。
积极的健康要素通常集中在时间、支持性行动和社会联系上。影响健康的负面例子包括感到不被尊重、未被纳入决策、冲突以及感到未被赏识。住院医师提出的建议通常描述了低成本的干预措施，例如被“接纳”并感觉自己是团队的一员。
参与者描述了医疗团队的所有成员如何在各个领域支持住院医师的健康。同行、医院环境中的支持人员、教员主管以及整个项目都可以通过社会支持，为住院医师学员的基本生理需求、安全、归属感、自尊和自我实现做出贡献。
