ABSTRACT
Clinicians working with youth exposed to trauma may be at increased risk for experiencing elevated levels of stress and symptoms of secondary traumatic stress, which can negatively impact clinician wellbeing and ultimately contribute to reduced access to quality care for clients. An innovative Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) training incorporating self-care practices (i.e., Practice What You Preach; PWYP) was developed to help facilitate the implementation of TF-CBT and to enhance clinicians' coping and decrease stress. The primary purpose of this study was to determine whether the PWYP-augmented training met three Objectives: (1) increase clinicians' feelings of TF-CBT competency; (2) improve clinicians' coping abilities/reduce clinicians' stress; and (3) increase clinicians' insight into the benefits and/or challenges clients may experience in treatment. An exploratory aim was also developed to identify additional facilitators and barriers of TF-CBT implementation. The written reflections of 86 community-based clinicians who participated in the PWYP-augmented TF-CBT training were examined using qualitative methods. The majority of clinicians indicated increased feelings of competency and improved coping abilities and/or stress levels; almost half mentioned increased insight into clients' experiences. The most frequently mentioned additional facilitators were related to elements of the TF-CBT treatment model. Anxiety/self-doubt was the barrier most frequently mentioned, though all clinicians who mentioned this barrier indicated it lessened or resolved over the course of the training. Incorporating self-care strategies into trainings may serve as a facilitator for TF-CBT implementation by enhancing the competency and well-being of clinicians. The additional insights into barriers and facilitators can be used to further improve the PWYP initiative and future training and implementation efforts.
ABSTRACT
In the current study, we examined individual factors, organizational factors, COVID-19 anxiety, and trauma-informed supervision as predictors of prelicensed counsellor burnout and secondary traumatic stress (STS). In a sample of 282 prelicensed counsellors, we conducted two hierarchical regression analyses for counsellor burnout and STS. The variables of interest accounted for 38% of the variance in counsellor burnout and 32% of the variance in counsellor STS. In the model of counsellor burnout, statistically significant variables included age, caseload, setting, COVID-19 anxiety, and trauma-informed supervision. For STS, statistically significant predictor variables were age, caseload, COVID-19 anxiety, and trauma-informed supervision. Implications of the findings for prelicensed counsellors, supervisors, and counselling researchers are discussed.
ABSTRACT
This research analyzed the effect of professional, organizational and care-unit identifications on both healthcare professionals' quality of professional life and mental health. This research was done in a local hospital in a region of northern Italy which was one of the first regions to be impacted by the first wave of the pandemic. Using a cross-sectional research, a web-based questionnaire was sent to the healthcare professionals. Professional quality of life, professional identifications as well as emotional maladjustment in terms of stress, anxiety and depression were measured. Results indicated that professional and care unit identification were positively linked to increased compassion satisfaction and reduced burnout. Professional identification was negatively associated with secondary traumatic stress as well, while care unit identification was positively associated with vicarious trauma. The negative dimension of the professional quality of life had positive relations with emotional maladjustment. Professional and care unit identifications appeared to have an indirect effect via professional quality of life on maladjustment.
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Background The coronavirus disease 2019 (COVID-19) pandemic led to depression, stress and mental health problems in medical students working in hospitals. Objective The present study aims to evaluate the professional quality of life (QoL) of medical interns in Rasht, Iran during the COVID-19 pandemic. Methods This cross-sectional study was conducted on 152 medical interns working in hospitals affiliated to Guilan University of Medical Sciences in 2020. The professional QoL was assessed using the professional quality of life scale (ProQOL). Results The mean scores of compassion satisfaction, burnout, and secondary traumatic stress were 38.4±8.3, 30.9±5.4, and 25.3±7.5, respectively. Compassion satisfaction had a significant relationship with marital status, history of underlying diseases, being resident of the city, and work shift duration. Conclusion The professional QoL of medical interns in Rasht is low. Considering the differences in the spread of COVID-19 in Iran, it is necessary to conduct more study in other cities and on other medical trainees. [ FROM AUTHOR] Copyright of Journal of Guilan University of Medical Sciences is the property of Journal of Guilan University of Medical Sciences and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
ABSTRACT
Outcomes: 1. Analyze protective and risk factors affecting registered nurses who provided end-of-life care to critically ill patients during the COVID pandemic. 2. Evaluate ways involvement of palliative care teams can improve the experience of registered nurses who provided care to critically ill patients during the COVID pandemic. Introduction: Minimal research documents the lived experience of intensive care unit (ICU) registered nurses (RNs) providing end-of-life care during the COVID-19 pandemic. The mixed-methods study aimed to understand the impact of end-of-life care and communication during the COVID-19 pandemic to identify protective and risk factors influencing the sample population. Method(s): Surveys were distributed in early summer 2021 following the initial wave of COVID patient influx. Responses for nurses in COVID-designated units were compared to non-COVID units. The survey included demographic questions, the ProQOL survey instrument (measuring burnout, compassion fatigue, and secondary traumatic stress), and open-ended questions to identify protective factors and unique challenges. Both quantitative and qualitative analyses were conducted. Result(s): A total of 311 registered nurses were eligible to complete the survey across five critical care settings between May 3, 2021, and June 15, 2021. A total of 107 participants responded to the survey;however, 17 were incomplete. 90 allowed for comparative analysis. The vast majority (n= 71;78.89%) had experience caring for COVID patients. The study population consisted of COVID-designated unit RNs (n=48;53.33%) and non-COVID designated units (n=42;46.67%). Two-group comparison indicated significant differences for compassion (p=0.041), burnout (p=0.014), and stress subscales (p=0.002). Analysis between both groups revealed significantly lower mean compassion scores and significantly higher burnout and stress scores among those working in the COVID-designated units. Nurses in both groups were able to identify protective factors and challenges. Conclusion(s): Despite higher levels of burnout and stress and lower levels of compassion, nurses readily identified various protective factors that helped them cope with challenges. Involvement of palliative care teams, who are uniquely equipped to deal with complicated symptom management needs, communication challenges, and difficult emotions, can further improve the experience of bedside nurses providing care to patients by helping navigate the challenges posed by the COVID-19 pandemic.Copyright © 2023
ABSTRACT
Outcomes: 1. Explore the ways that palliative and mental health providers can collaborate to offer a novel, interdisciplinary wellness curriculum. 2. Evaluate impacts of a wellness course on secondary trauma, self-compassion, and burnout. Background(s): Palliative care and mental health providers possess skill sets that, when combined, can uniquely foster the well-being of colleagues within and beyond our specialties. The need for such peer support has become more urgent during the COVID pandemic. Self-care, compassion satisfaction, and trauma-informed training have been positively associated with an ability to cope with stressors in healthcare. We designed a 2-week GME elective intended to increase self-compassion and connection and reduce secondary trauma and burnout. Description: The course has been offered annually since 2019 to cohorts of 12-15 trainees across 14 specialties. Trainees participated in-person (2019, 2021) and virtually (2020). Coursework includes psychological safety, burnout/suicide prevention, self-compassion, occupational trauma and recovery, expressive art, medical error, cultural humility/upstanding, narrative medicine, conflict resolution, mindfulness, and others. We sought to evaluate the impact of the elective on burnout, self-compassion, and secondary trauma using the Professional Quality of Life (PROQOL) survey in the 2021 cohort. We evaluated trainee satisfaction with the course in all three cohorts (2019-2021). Result(s): 1 month after the elective, trainees reported a reduction in secondary trauma (p<0.0001) and an increase in self-compassion (p<0.005). The effect on burnout was not significant (p=0.57). Over 3 years, 100% of trainees (n=43) strongly agreed that the course was worth their time. Participants reported the course gave them "skills to better tolerate distress about things I cannot change" as well as self-agency through connection: "My peers helped me find new power that I didn't know I had." Conclusion(s): We generated a curriculum that impacted self-compassion and secondary trauma. We did not see an effect on burnout, which could be related to returning to an unchanged stressful environment following the course. Expanding access to this curriculum would afford opportunities to assess impact on a larger scale.Copyright © 2023
ABSTRACT
Introduction: Teachers play an integral role in providing positive life experiences for their students and are especially crucial for students who are experiencing or have experienced a trauma in their lives. In Australia however, teachers are increasingly stating that they do not plan on remaining in the profession causing media and governments to warn of a teacher shortage. Several key factors for teacher attrition have been proposed, with burnout being described as a contributing factor). Studies which have focused specifically on teachers' experiences working with students with histories of trauma have suggested links between lack of trauma-aware training and increased levels of compassion fatigue (CF), secondary traumatic stress (STS), and burnout. Methods: This paper draws on established research into CF, STS and burnout as well as trauma awareness of teachers using a narrative topical approach to explore the challenges faced by teachers and students in a post-covid landscape. Results: The results of this review suggest a need for additional research into the impact on teachers of working with an increasingly traumatized student body. Conclusion: The lack of trauma-specific training reported by pre-service and current teachers indicate a need for higher education institutions and schools to better prepare teachers to support traumatized students while safeguarding their own wellbeing. Copyright © 2023 Oberg, Carroll and Macmahon.
ABSTRACT
Due to the high rates of exposure to potentially traumatic events in childhood, educators may experience high levels of indirect trauma exposure that can lead to adverse consequences, such as Secondary Traumatic Stress (STS). STS is a potential "constellation of symptoms that may run parallel to those of posttraumatic stress disorder (PTSD) including symptoms of intrusion, avoidance, arousal, and emotional numbing" (Molnar et al., 2017, p. 130). However, STS remains understudied in the school personnel population. This quantitative survey study explored to what extent a set of professional (i.e., supervisor support, colleague support, trauma-informed practices professional development, professional role) and personal factors (self-care, personal trauma history, perceived dosage of student trauma, and subjective impact of the COVID-19 pandemic) predicted STS scores for a sample of 225 urban school personnel. Analyses included conducting descriptives and a series of hierarchical and moderation multiple regression analyses. Results reveal 41.2% of the participants met criteria for STS on the Secondary Traumatic Stress Scale (Bride et al., 2007). The results suggest the set of personal factors are significantly associated with STS scores. Professional factors, however, were found to be less strongly related, with the possible exception of supervisor support. Finally, the results suggest supervisor support may moderate or positively impact the relationship between some risk factors (e.g., perceived dosage of student trauma) and STS scores. Implications, limitations, and future directions are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
Throughout the past two years, education has seen a significant number of changes as schools, educators, and students navigated the COVID-19 pandemic. As teachers transitioned between instructional modes, including hybrid and remote instructional practices, they have seen the role of the teacher shift and evolve. Given these changes, teachers have endured a various challenges that contributed to the possibility of compassion fatigue. This study sought to understand the experience of the teacher and the impact of compassion fatigue (specifically looking at burnout and secondary traumatic stress) on teachers, exploring potential predictors of compassion fatigue. This study used the ProQOL path model as a conceptual framework, focusing on the contributing factors experienced in the teacher's work environment, client (or student/classroom) environment, and person environment. Grounded in a pragmatic philosophical approach to research, this study used a survey research methodology. This study included participants who were K-12 teachers from across the United States, with a majority of participants from the mid-western states. Independent samples t-test revealed that females had a higher rate of compassion fatigue than males, as indicated by higher scores for both burnout and secondary traumatic stress. Hierarchical regression analyses indicated that a participant's years employed in education, gender, resilience, and compassion satisfaction were predictors of compassion fatigue when looking at secondary traumatic stress. Similarly, hierarchical regression analyses indicated that resilience and compassion satisfaction were predictors of compassion fatigue when looking at burnout. Recommendations for teachers (and teacher organizations), school administrators, and school boards are discussed, along with recommendations for future research. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
OBJECTIVE: The toll of COVID-19 stress on the mental health of the workforce has been well-documented. The present study examined the use of the Project ECHO framework to provide practices and resources on stress management and emotion regulation to increase individual and organizational health and well-being. METHODS: Three independent ECHOs were designed and conducted over an 18-month period. Data was collected on the implementation of new learning and comparisons of organizational efforts toward being more secondary trauma responsive from baseline to post initiative, using cloud-based survey methods. RESULTS: Findings suggest that the use of micro-interventions at the organizational level improved over time in the areas of resilience-building and policy-making, and that individuals were actively integrating skills related to managing their stress. CONCLUSIONS: Lessons learned adapting and implementing ECHO strategies in the midst of a pandemic are offered, as well as how to cultivate wellness champions in the workforce.
ABSTRACT
Introduction: The rapid spread of COVID-19 poses a significant threat to nurses' lives and health, resulting in varying degrees of mental distress. Nurses may experience compassion fatigue, and their professional quality of life and satisfaction may suffer as a result. Their coping mechanisms may vary as well, influencing their compassionate and safe care. Objectives: The study's objectives are to explore levels of compassion satisfaction and fatigue among nurses and identify their coping strategies. Further, to investigate the relationship between coping strategies, compassion satisfaction, and compassion fatigue during the COVID-19 pandemic. Methods: Using a descriptive correlational design, this study was conducted with a convenience sample of 443 nurses working in an Egyptian university hospital. Nurses completed the coping strategy indicator scale and the professional quality of life (compassion satisfaction and compassion fatigue) scale. The data were analyzed using descriptive statistics, Pearson correlation, and regression analysis. Results: Nurses' professional quality of life was average in terms of compassion satisfaction (2.95 ± 0.92) and compassion fatigue (2.38 ± 0.35). Nurses have a moderate use of coping strategies (2.13 ± 0.35). Problem-solving was rated as the highest coping strategy, while avoidance was rated as the lowest. Coping strategies showed a positive correlation with compassion satisfaction (r = 0.503, p < .001) and a negative correlation with compassion fatigue (r = -0.352, p < .001). In addition, coping strategies could predict 25.4% and 12.4% of compassion satisfaction and compassion fatigue, respectively (p < .001). Conclusion: Compassion satisfaction and fatigue are key determinants of nurses' quality of work life. Coping strategies, especially problem-solving and support systems, are vital to increase compassion satisfaction and mitigate burnout and secondary stress syndrome. Nurse managers should establish supportive work environments that promote nurses' well-being. Resilience-building programs and coping strategies' training are recommended to enhance the nurses' quality of work life and positive work attitudes.
ABSTRACT
Introduction: Since the onset of the pandemic, nurses have been repeatedly exposed to their patients' COVID-19-related traumatic experiences. Therefore, they are at high risk for Secondary Traumatic Stress (STS), the stress syndrome resulting from helping others who are suffering. Positive psychological outcomes following this vicarious exposure are also likely. Vicarious posttraumatic growth (VPTG) refers to the positive changes from working with patients who themselves have coped with traumatic experiences. Objective(s): This study aims to examine STS and VPTG among 429 nurses during three lockdowns of the COVID-19 pandemic in Greece. Method(s):A repeated cross-sectional survey with a convenience and snowball sampling procedure was conducted. The Secondary Traumatic Stress Scale (STSS), the Post-Traumatic Growth Inventory (PTGI), the Brief Resilience Scale, and the Brief Cope (BC) were used to measure STS, VPTG, resilience, and coping strategies, respectively. Result(s): Nurses in Greece demonstrated high levels of STS at the first lockdown, significantly lower in the second one, which raised again -but not significantly- in the third lockdown. Resilience significantly decreased, whereas VPTG significantly increased across the three lockdowns. Following the escalation of the pandemic nurses in general used significantly more adaptive and less maladaptive coping strategies to deal with the crisis. Conclusion(s): Further research is needed to clarify the longitudinal course of the negative and positive psychological effects of the pandemic on healthcare staff. Conclusions can guide the development of interventions to safeguard nurses from the deleterious impacts of the COVID-19 and support them in their process of growth. (Figure Presented).
ABSTRACT
Due to the high rates of exposure to potentially traumatic events in childhood, educators may experience high levels of indirect trauma exposure that can lead to adverse consequences, such as Secondary Traumatic Stress (STS). STS is a potential "constellation of symptoms that may run parallel to those of posttraumatic stress disorder (PTSD) including symptoms of intrusion, avoidance, arousal, and emotional numbing" (Molnar et al., 2017, p. 130). However, STS remains understudied in the school personnel population. This quantitative survey study explored to what extent a set of professional (i.e., supervisor support, colleague support, trauma-informed practices professional development, professional role) and personal factors (self-care, personal trauma history, perceived dosage of student trauma, and subjective impact of the COVID-19 pandemic) predicted STS scores for a sample of 225 urban school personnel. Analyses included conducting descriptives and a series of hierarchical and moderation multiple regression analyses. Results reveal 41.2% of the participants met criteria for STS on the Secondary Traumatic Stress Scale (Bride et al., 2007). The results suggest the set of personal factors are significantly associated with STS scores. Professional factors, however, were found to be less strongly related, with the possible exception of supervisor support. Finally, the results suggest supervisor support may moderate or positively impact the relationship between some risk factors (e.g., perceived dosage of student trauma) and STS scores. Implications, limitations, and future directions are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
The study aims to make an assessment by focusing on the compassion fatigue of nurses, who work at Covid 19 clinic at a state hospital, during the pandemic. The study discusses the subject based on variables such as Covid 19 and working environment. In the research, content analysis perspective of the qualitative research method was used to understand and analyse the correlation between the Covid 19 phenomenon and compassion fatigue of the nurses who actively participate in the treatment process. In that scope, 18 nurses working at Covid 19 clinic were interviewed. A semi-structured form was prepared about compassion fatigue and 16 questions were asked to the nurses who are included in the sample. In the study conducted, it was found that compassion fatigue of the nurses who work at Covid 19 clinic is on the rise and more than half of the nurses who were interviewed were experiencing advance level of compassion fatigue with the Covid 19 pandemic. It was observed that reasons such as nurses’ empathizing with the patients that they provide care and treatment, patients’ feeling excessive pain, patients’ having extensive care needs, young patient deaths, nurses’ witnessing the last moments of patients, uncertainties in patients’ treatment process, some patients’ not getting better, patients’ emotional state, fear of death were effective in nurses’ having compassion fatigue. (English) [ FROM AUTHOR]
ABSTRACT
Background: Professional quality of life is one of the growing concerns among healthcare workers especially during COVID-19 pandemic. Presence and work of radiologist, as well as, medical imaging technologist for prolonged hours with patients could be stressful and painful. Objectives: This study aimed to assess the Professional Quality of Life among the radiologist and medical imaging technologist by analyzing professional satisfaction, compassion, and burnout during the Covid-19 pandemic. Methods: An online, cross-sectional, self-reported and internet-based survey was carried out among 153 radiologists and medical Imaging technologists. Descriptive statistics were used to summarize the sociodemographic variables and domains of professional quality of life scale. Cronbach's alpha was used to check internal consistency. Independent sample t test (two tailed) was used to compare the demographic variables and compassion satisfaction, burnout, and secondary traumatic stress. Results: The Majority of participants reported moderate and higher level of compassion satisfaction whereas moderate burnout and secondary traumatic stress was reported by majority of participants during Covid-19 pandemic. There was negative correlation between compassion satisfaction and burnout, secondary traumatic stress. Conclusion: The findings of this study are vital to understand the work-related quality of life among healthcare professionals not only during Covid-19 pandemic but also after the pandemic situation. There is a need to conduct qualitative evaluation to ascertain the risk factors associated with professional quality of life. The study also reflects the need to focus more on the mental health of healthcare professionals not only during and after pandemic situation.
ABSTRACT
Objective: With the increasing effects of stress caused by the COVID-19 pandemic and occupational stress on the mental health of frontline nurses, it is imperative to further investigate how these stresses affect nurses' mental health and secondary traumatic stress syndrome. This research aimed to investigate the relationship of nurses' occupational stress and concerns about COVID-19 with secondary traumatic stress syndrome, and also to investigate the mediating effect that concerns about the COVID-19 pandemic have on the relationship between nurses' occupational stress and secondary traumatic stress syndrome. Method : A cross-sectional design was adopted. The population of the study was defined as all front-line nurses in Shiraz hospitals, from which 225 nurses of two corona care hospitals were selected using convenience sampling. The degree of secondary traumatic stress, concerns about the COVID-19, and nurses' occupational stress were assessed using Bride's Secondary Traumatic Stress Scale (STSS), an adopted version of Level of Concerns about the COVID-19 questionnaire, and the Nurses' Occupational Stressor Scale (NOSS) among Hospital-based Healthcare Workers. Structural equation modeling (SEM) was used to examine the relationships among variables. Results: Results showed that nurses' occupational stresses presented a direct effect on nurses' level of concern about the COVID-19 pandemic (ß = 0.85, P < 0.001), and concern about the COVID-19 pandemic was directly related to front-line nurse's secondary traumatic stress syndrome (ß = 0.83, P < 0.001). In addition, nurses' level of concern about the COVID-19 pandemic fully mediated the effects of nurses' occupational stresses on their secondary traumatic stress (ß = 0.70, P < 0.001). This indirect effect has explained 68% of the variance in nurses' secondary traumatic stress. Conclusion: These results emphasized the indirect effect of nurses' occupational stresses on secondary traumatic stress syndrome via mediating the level of concern about COVID-19. Therefore, to reduce the secondary traumatic stress of nurses who have dealt directly with COVID-19 patients, it seems necessary to pay serious attention to the sources of their occupational stress, which probably existed even before this pandemic and increased their concerns in pandemic conditions.
ABSTRACT
Throughout the past two years, education has seen a significant number of changes as schools, educators, and students navigated the COVID-19 pandemic. As teachers transitioned between instructional modes, including hybrid and remote instructional practices, they have seen the role of the teacher shift and evolve. Given these changes, teachers have endured a various challenges that contributed to the possibility of compassion fatigue. This study sought to understand the experience of the teacher and the impact of compassion fatigue (specifically looking at burnout and secondary traumatic stress) on teachers, exploring potential predictors of compassion fatigue. This study used the ProQOL path model as a conceptual framework, focusing on the contributing factors experienced in the teacher's work environment, client (or student/classroom) environment, and person environment. Grounded in a pragmatic philosophical approach to research, this study used a survey research methodology. This study included participants who were K-12 teachers from across the United States, with a majority of participants from the mid-western states. Independent samples t-test revealed that females had a higher rate of compassion fatigue than males, as indicated by higher scores for both burnout and secondary traumatic stress. Hierarchical regression analyses indicated that a participant's years employed in education, gender, resilience, and compassion satisfaction were predictors of compassion fatigue when looking at secondary traumatic stress. Similarly, hierarchical regression analyses indicated that resilience and compassion satisfaction were predictors of compassion fatigue when looking at burnout. Recommendations for teachers (and teacher organizations), school administrators, and school boards are discussed, along with recommendations for future research. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
Background: NASPGHAN guidelines for fellowship training in pediatric gastroenterology (GI) highlight the importance of multidisciplinary treatment across GI conditions. Specific required medical knowledge for pediatric GI fellows includes (1) understanding of the biopsychosocial model and brain-gut axis involvement in functional GI disorders (FGIDs) and (2) familiarity with the role of psychological evaluation and interventions within the multidisciplinary management of FGIDs. Pediatric psychologists are well-suited to provide this training as education of interdisciplinary professionals is a defining competency in pediatric psychology. While pediatric GI psychologists may be informally involved in the training of GI fellows through shared multidisciplinary patient care, we sought to develop a didactic series to formalize a GI Psychology curriculum consistent with clinical training guidelines and the expressed interests of fellows at our institution. Method(s): GI psychologists and GI chief fellows at Children's Hospital of Philadelphia (CHOP) developed an 8-lecture didactic series to be incorporated into an existing weekly didactic meeting for all GI fellows. GI psychologists presented a topic quarterly over the course of 2 training years (FY20-FY21). Topics for the inaugural 2-year series were: Introduction to GI Psychology, Giving the Positive Functional Diagnosis, Cognitive Behavioral Therapy for Functional Abdominal Pain Disorders, Behavioral Interventions for Constipation and Encopresis, Psychosocial Adjustment in Inflammatory Bowel Disease, Behavioral Treatment of Rumination Syndrome, Somatic Symptom Disorders, and Treatment Adherence. In summer 2020, GI psychologists also presented an unplanned didactic session related to coping with secondary traumatic stress during the COVID-19 pandemic. For the next iteration of the 2-year series (FY22-FY23), GI psychologists selected a new topic of Feeding and Eating Difficulties: Role of GI Psychology to replace Introduction to GI Psychology. Introduction to GI Psychology was moved to a fellow orientation session. Fellows participated in the first three years of the program which spanned the inaugural 2-year series and 1 year of a second series (n = 12, 11, 11). Attendance at specific didactic sessions was not recorded. At the end of each training year, fellows completed an anonymous program evaluation survey via REDCap for ongoing quality improvement. Fellows rated 5 items assessing the impact of the didactics on their knowledge of the biopsychosocial approach, delivery of clinical impressions and recommendations, confidence with description of psychological goals and strategies, and recommendations for continuation of the GI Psychology didactics. Items were scored on a 5-point Likert scale ranging from Strongly Agree to Strongly Disagree. During the inaugural 2-year series, the survey also included items rating the value of each didactic topic. Each year the survey allowed for open-ended suggestions for additional topics. Result(s): The GI Psychology didactic series for GI fellows has been implemented successfully at CHOP for an inaugural 2-year series (FY20-FY21) with a second series currently in progress (FY22-FY23). Although survey response rate was low (33% FY20;9% FY21;45% FY22), 100% of the fellows completing the survey Agree/Strongly Agree the didactic series increased their knowledge of the biopsychosocial approach to managing GI conditions, informed how they deliver clinical impressions and treatment recommendations for patients/families, recommended continued GI Psychology involvement in GI fellow didactics and recommended other institutions consider Psychology involvement in GI fellow didactic education. Additionally, 80% of the fellows Agree/Strongly Agree the didactic series increased their confidence to describe common goals and strategies within psychological treatment for patients with GI conditions. Conclusion(s): We describe development of a novel GI Psychology curriculum for GI fellows at CHOP focused on core topics to enhance competency in the biopsychosocial approach across GI conditions, which was favorably evaluated by GI fellows. Fellowship training programs in pediatric GI may wish to consider a similar approach to incorporating didactic training from pediatric psychologists. Doing so may increase relevant medical knowledge and facilitate experience with and use of a multidisciplinary approach to evaluation and management across GI conditions, consistent with NASPGHAN clinical training guidelines and calls for best practice to incorporate integrated psychological care across GI conditions.
ABSTRACT
The overarching objective of this study was to investigate the impact of individual psychological flexibility (PF) based on three fundamental constructs: secondary trauma, compassion fatigue, and burnout experienced by healthcare workers during the COVID-19pandemic. Data were gathered from healthcare workers in the United States in ambulatory community health centers. Participants were drawn from public databases of demographic information, professional and social platforms such as LinkedIn, licensing and professionallistservs, and healthcare organization associations. Data sources included online self-report questionnaires using the AAQ-II and ProQOL. An analysis was conducted to determine if a relationship exists between PF and compassion fatigue (CF), secondary traumatic stress (STS), and burnout. Furthermore, data were reviewed and compiled for healthcare leaders, consultants, policymakers, and other relevant stakeholders to analyze the benefit of developing psychological flexibility as a tool to promote emotional and psychological wellness and resiliency in their staff and organizations. (PsycInfo Database Record (c) 2022 APA, all rights reserved)