Organizational strategy to improve the medical well-being of an academic gynecology unit in Uruguay
Abstract
Introduction: Physician well-being has gained relevance in health care, especially in the face of the “burnout epidemic.” This study aims to evaluate the implementation and effectiveness of a program to improve the well-being of the staff of the Academic Unit of Gynecology and Obstetrics A of the Faculty of Medicine of the University of the Republic, Uruguay.
Method: A descriptive study was developed following a logical model of program evaluation. An organizational strategy focused on identifying stress factors and promoting well-being was implemented. The intervention included qualitative surveys, focus groups, and the formation of a Well-Being Referent Team (ERB), trained to guide the continuous improvement process.
Results: Priorities were identified in the dimensions of workload, resources, community at work, organizational culture, and work life balance. Throughout the process, key actions were implemented to improve the work environment and team effectiveness. The commitment of unit leaders and collaborative work with external consultants were fundamental to the success of the program.
Discussion: Organizational interventions, although more complex, appear to be more effective in promoting well-being. The changes achieved at this initial stage suggest a positive impact, although long-term monitoring is required to ensure the sustainability of improvements.
Conclusions: The innovative experience presented offers a roadmap for improving the well-being of health personnel in academic and healthcare contexts, highlighting the importance of leadership and collaboration in these processes.
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References
Dapueto JJ, Viera M, Samenow C, Swiggart WH, Steiger J. A Tale of Two Countries: Innovation and Collaboration Aimed at Changing the Culture of medicine in Uruguay. HEC Forum. 2018 Dec 1;30(4):329–39.
Dapueto JJ, Klasse E, Campos N, Rodríguez Andrada B, Romero Agüit S, Braquehais MD, et al. Design and implementation of the Professional Wellbeing Programme of the Medical Council Association of Uruguay. Rev
Colomb Psiquiatr. 2021 Apr 12.
Shanafelt TD, Hasan O, Dyrbye LN, Sinsky C, Satele D, Sloan J, et al. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014. Mayo Clin Proc.
Dec;90(12):1600–13.
Morgan HK, Winkel AF, Nguyen AT, Carson S, Ogburn T, Woodland MB. Obstetrics and Gynecology Residents’ Perspectives on Wellness: Findings From a National Survey. Obstet Gynecol. 2019 Mar 1;133(3):552–7.
Goñi M, Danza A, Urgoiti M, Durante E. Correlación entre clima educativo y síndrome de burnout en practicantes internos de la carrera de Doctor en Medicina de Uruguay. Rev Méd Urug. 2015;31(4):272–81.
Frye AW, Hemmer PA. Program evaluation models and related theories: AMEE Guide No. 67. Med Teach. 2012 May 19;34(5):e288–99.
Maslach C, Jackson SE. The measurement of experienced burnout. J Organ Behav. 1981;2(2):99–113.
Shanafelt TD, Noseworthy JH. Executive Leadership and Physician Well being. Mayo Clin Proc. 2017 Jan;92(1):129–46.
Dyrbye LN, Meyers D, Ripp J, Dalal N, Bird SB, Sen S. A Pragmatic Approach for Organizations to Measure Health Care Professional Well-Being. NAM Perspect. 2018 Oct 1;8(10):1–11.
Demerouti E, Bakker AB, Nachreiner F, Schaufeli WB. The job demands resources model of burnout. J Appl Psychol. 2001;86(3):499–512.
Braquehais MD, Tresidder A, DuPont RL. Service provision to physicians with mental health and addiction problems. Curr Opin Psychiatry. 2015 Jul;28(4):324–9.
Maslach C. What have we learned about burnout and health? Psychol Heal. 2001;16(5):607–11.
Organización Mundial de la Salud. Herramientas de codificación de la CIE 11. https://icd.who.int/ct11/icd11_mms/es/release.
Bakker AB, Demerouti E, Sanz-Vergel A. Job Demands-Resources Theory: Ten Years Later. Annu Rev Organ Psychol Organ Behav. 2023 Jan 23;10:25–53.
Cohen C, Pignata S, Bezak E, Tie M, Childs J. Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: a systematic review. BMJ Open. 2023;13:71203.
Nozar F, Briozzo L, Gallino V, Fiol V, Piastri M, Coppola F, et al. Descentralización de los escenarios de enseñanza-aprendizaje de los posgrados de Ginecotocología. Rev Médica del Uruguay. 2019 Jul 16;35(3):218–23.
Shanafelt TD, Sinsky CA. Establishing a Chief Wellness Officer Position Create the Organizational Groundwork for Professional Well-Being. 2020.
Moncada S, Llorens C, Andrés R, Moreno N, Molinero E. Manual del método CoPsoQ-istas21 (versión 2) para la evaluación y la prevención de los riesgos psicosociales en empresas con 25 o más trabajadores y trabajadoras - VERSIÓN MEDIA. Barcelona; 2014.
West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet. 2016 Nov;388(10057):2272–81.
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