Understanding and cultivating well-being for the pediatrician : a compilation of the latest evidence in pediatrician well-being science / / editors : Sarah Webber, Jessica Babal, Megan A. Moreno

• Pubblicazione: Cham, Switzerland : , : Springer, , [2023]; ©2023
• Descrizione fisica: 1 online resource (387 pages)
• Disciplina: 618.92
• Soggetto topico: Pediatricians; Well-being
• Persona (resp. second.): BabalJessica; MorenoMegan A.; WebberSarah
• Nota di bibliografia: Includes bibliographical references and index.
• Nota di contenuto: Intro -- Preface -- Acknowledgments -- Contents -- Part I: Introduction to Pediatrician Well-Being -- Chapter 1: Physician Well-Being Challenges: An Historical Perspective -- Introduction -- Part 1: The Foundation of Organized US Medicine -- Early Century Physician Factions Develop, Creating Divisions and Hierarchies -- Regular Physicians -- Homeopathic Physicians -- Eclectic Physicians -- Physician Factions Enabled Philosophical Divides and Hierarchies in Medicine -- Regulars Fuel Scientific Reductionism and Emotional Minimization -- Homeopaths and Eclectics Assimilate -- Part 2: The Influence of the Flexner Report (1910) -- Flexner and the Triple-Threat -- Flexner and Mind-Body Dualism in Medicine -- Part 3: Physician Leaders Cultivate Structural Inequities -- Impact of Gender Discrimination, Racism, and Ethnocentrism on Physician Well-Being -- Flexner and Inequities in Medicine -- Part 4: Foundational Shifts in Twentieth Century Healthcare -- Major Shifts in Public Trust of Medicine -- The Boom and the Bust in Twentieth Century Public Trust in Medicine -- Physicians Begin to Advocate for Patient-Centered Care but Mistrust Remained -- The Corporatization of Medicine -- Personalized Medicine -- The Electronic Health Record (EHR) -- Conclusions -- References -- Chapter 2: Defining and Conceptualizing Pediatrician Well-Being -- Part 1: What Is Well-Being? -- "Western" Medicine's Conceptualization of Well-Being -- Key Issues in Current Well-Being Constructs -- The Diversity Problem -- The Individual and the Collective -- Critiques of Happiness -- Where Does Suffering Fit in? -- Toward a More Holistic and Inclusive Model of Well-Being -- The Ecologic System -- Equanimity -- Re-defining Self-Care -- Part 2: Pediatrician and Physician Well-Being -- The Evolution of Physician Well-being -- Part 3: A Model of Pediatrician Well-being. ; Sources and Roots of Our Model -- Foundations of Well-Being -- Activities -- Identity -- Environment -- The System -- Physical Environment -- Psychosocial Environment: Culture and Climate -- Well-Being Domains -- Emotional and Psychological Well-Being -- Physical Well-Being -- Connection -- Meaning and Purpose -- Authenticity -- Conclusion -- References -- Part II: Challenges to Pediatrician Well-Being -- Chapter 3: Acute and Chronic Illness in the Physician -- Some Herons -- My Story: The Diagnosis -- 28 August 2017 10:00 AM -- 20 September 2017 08:00 AM -- 26 September 2017 12:00 PM -- 27 September 2017 12:00 PM -- Illness in the Physician -- Barriers to Care -- Lack of Support for Physicians with Mental Illness -- Lack of Assistance for Identifying and Treatment of Substance Use Disorders in Physicians -- My Story: The Treatment -- October 2017 -- 8 October 2017-4 July 2018 -- Paid Sick Leave and FMLA -- My Story: Working while in Treatment, Working while Ill -- 1 March 2018 -- My Morning Daily Meditation -- Burden of COVID -- Conclusion -- Still Here -- My Story: In Remission, Almost… -- 12 Sep 2021 -- My Story: My Mission Statement -- References -- Chapter 4: Importance of and Barriers to Preventive Health -- Introduction -- Physician Preventive Health -- General Health Status -- Summary of Published Data (Table 4.1) -- Association with Pediatrician Well-Being -- General Preventive Care in the Clinical Setting -- Summary of Published Data (Table 4.2) -- Association with Pediatrician Well-Being -- Barriers -- Nutrition -- Summary of Published Data (Table 4.3) -- Association with Pediatrician Well-Being -- Barriers -- Exercise -- Summary of Published Data (Table 4.4) -- Association with Pediatrician Well-Being -- Barriers -- Sleep -- Summary of Published Data (Table 4.5) -- Association with Pediatrician Well-Being -- Barriers. ; AAP Pediatrician Life and Career Experience Study (PLACES) -- General Health Status and General Preventive Care in the Clinical Setting -- Exercise and Sleep -- Work-Life Balance -- Conclusion -- References -- Chapter 5: Substance Use Disorders and Recovery -- Introduction -- Epidemiology -- Substance Use in Medical Students -- Substance Use in Resident Physicians -- Substance Use in Pediatricians and Other Physicians -- Treatment and Recovery -- Physician Health Programs -- Substance Use Disorders and Pediatrician Well-Being -- Impact of Healthcare Culture -- Emotional and Psychological Well-Being -- Physical Health -- Connection -- Meaning and Purpose -- Authenticity -- Workplace Supports for Physicians with SUD -- Work-Life Integration -- Influence, Challenges, and Opportunities of Technology -- Conclusion -- References -- Chapter 6: Chronic Stress and Workload -- Understanding and Cultivating Pediatrician Well-Being -- What Is Stress? (An Evolving Understanding) -- Stress: Why Does It Matter? -- Eustress -- Negative Stress -- Stress and Our Health: The Mind-Body Connection -- The Effects of Cumulative Stress -- The Stress Response: Physiology -- Chronic Stress -- The Relaxation Response: An Antidote to Stress -- Understanding Workload -- Physician Work Demands Elaborated -- Physician Workload and Its Impact -- Work Out of Balance -- Job Control and Workload -- Work Resources, and Solutions -- The Electronic Health Record: A Complex Case of Demands and Resources -- On Efficiency -- Critical Steps in Systems Design to Optimize Physician Work for Well-Being -- Stress and Workload -- References -- Chapter 7: Physician Burnout -- Definition of Physician Burnout -- Epidemiology of Burnout -- Consequences of Burnout -- Drivers of Burnout -- Individual Drivers -- Systemic and Institutional Drivers -- Job Demands and Workplace Flexibility. ; Leadership Behaviors -- Electronic Medical Record -- Other Factors -- Conclusions: Solutions and Strategies for Mitigating Burnout -- References -- Chapter 8: Moral Distress and Injury -- Moral Injury: Basic Concepts -- The Moral Injury of Healthcare -- The Origins of Moral Injury Theory -- Medical Community Embrace of the Moral Injury in Healthcare Concept -- Should Moral Injury and Burnout Be Considered Overlapping Concepts? -- Similarities in Healthcare Worker and War Veteran Personal Characteristics That May Pre-dispose to Moral Injury Symptomatology -- The Continuum Between Moral Distress and Moral Injury -- Evidence for the Impact of Moral Distress on Well-Being -- Moral Distress and Burnout -- Moral Injury and Burnout -- Impact of System, Organizational Factors, and Healthcare Culture on Moral Challenges and Physician Well-Being -- Moral Injury and the Coronavirus Pandemic -- Approaches to Mitigating Moral Distress and Injury -- Conclusion -- Moral Distress, Moral Challenges: Cases -- References -- Chapter 9: Challenges in Diversity, Equity, and Inclusion -- What Is Diversity, Equity, and Inclusion? -- Epidemiology and Construct of Diversity, Equity, and Inclusion -- Intersectionality -- Benefits of DEI Extend Beyond Minority Physicians Alone -- The Intersections of Health and Well-Being with Diversity, Equity, and Inclusion -- Epidemiology: Who Are Pediatricians in the USA? -- Race and Ethnicity in Medicine -- Gender and Gender Identity in Medicine -- Sexual Orientation in Medicine -- Physical, Emotional, and Psychological Well-Being -- Effects of Racism on Physical and Psychological Well-Being -- Bias, Discrimination, and Racism in Medicine -- Sexism and Gender-Based Discrimination in Medicine -- Sexual Orientation and Homophobia/Transphobia in Medicine -- Effects on Evaluation, Recognition, and Career Progression -- The Minority Tax. ; Authenticity -- Professionalism -- Who Is Allowed To Feel? -- Connectedness -- Meaning and Purpose -- The Path Forward: Diversity, Equity, and Inclusion Are Foundational to Well-Being -- References -- Part III: Fostering Pediatrician Well-Being -- Chapter 10: Emotional Resilience and Mindset -- Introduction -- Why Emotional Resilience and Mindset Matter -- Mindfulness -- Positive Psychology and Self-Compassion -- Dynamic (vs. Fixed) Mindsets -- Cultivating Caring Connection -- Leading for Resilience -- Conclusion -- References -- Chapter 11: Compassion, Meaning, and Purpose in Medicine -- Meaning and Purpose -- The Purpose of Medicine -- Compassion as a Source of Purpose -- Physician Well-Being and Compassion -- The Needs of Patients and Parents -- Where Does Compassion Come from? -- A Deeper Understanding of Compassion -- A Relaxed Mind Is a More Compassionate Mind -- Thoughts -- Meditation -- Six Qualities of Compassion -- Generosity -- Ethics -- Tolerance -- Perseverance -- Concentration -- Wisdom -- Managing Our Sense of Self -- Putting It All Together -- References -- Chapter 12: Social Connection and Belonging -- Introduction -- The Umbuntu of Medicine -- Social Connection and Belonging (SC& -- B) Definitions and Theory -- Social Connection and Belonging: Professional Attrition and Burnout -- Social Connection and Belonging: Professional Fulfillment and Satisfaction -- Peer Support Programs -- Role of Mentorship and Sponsorship -- Institutional Utilization of Mentorship and Sponsorship -- Effective Mentorship -- Mentorship Training -- Professional Medical Organizations -- Professional Medical Organizations: Women and Underrepresented Physicians in Medicine -- SC& -- B and Personal Well-Being -- SC& -- B and Personal Health Outcomes -- Challenges and Opportunities in Cultivating SC& -- B at Work -- SC&. ; B Among UIM and Historically Excluded Groups.
• Titolo autorizzato: Understanding and cultivating well-being for the pediatrician
• ISBN: 3-031-10843-4
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910633919503321
• Lo trovi qui: Univ. Federico II