Origin Storytelling in Faculty Well-being: A Pilot Study

Background and Objectives: In 2020, approximately 47% of family physicians reported burnout. For physicians, professional burnout is implicated in damage to relationships, increased rates of alcohol and/or substance abuse, depression, and suicide. Professional isolation can be a major contributor to burnout. Organizational interventions targeted at promoting workplace community and collegiality have been effective in decreasing professional isolation. This study sought to decrease professional isolation and promote collegiality among family medicine faculty through an origin storytelling group. Methods: Family medicine faculty of a residency program in the Midwestern United States were invited to participate in an 8-week origin storytelling group. At the end of the study, individual interviews were offered for participants to reflect on the perceived impact of the process. Additionally, 1 year poststudy, open-ended email responses were invited to assess lasting effects of collegiality. Results: Fifty percent (12/24) of eligible faculty members participated in the study. Participants who completed one-on-one structured interviews shared their perspectives of the study, which allowed for the importance of the study and next directions to be identified. One-year postcompletion of the study, participants described continued changes they experienced from these groups, via open-ended, email response. Conclusion: Storytelling groups can provide acceptable, valuable, and easily-implemented contributions to initiatives that enhance physician faculty well-being.

Download Full-text

“We Begin 300 Metres Behind the Starting Line”

Journal of International Students ◽

10.32674/jis.v11i2.1779 ◽

2021 ◽

Vol 11 (2) ◽

Author(s):

Sara Hosseini-Nezhad ◽

Saba Safdar ◽

Lan Anh Nguyen Luu

Keyword(s):

International Students ◽

Well Being ◽

Psychosocial Adaptation ◽

Structured Interviews ◽

One Year ◽

Iranian Students ◽

Almost All ◽

The Impact ◽

Longitudinal Qualitative Research ◽

Over Time

This longitudinal qualitative research aimed to investigate the psychosocial adaptation trajectory of Iranian international students in Hungary and the challenges they encountered. Semi-structured interviews were conducted at seven-month to one-year intervals with 20 Iranian students; inductive content analysis was utilized to analyze the interview transcripts. Three topics were identified: (1) visa and banking challenges, (2) the impact of the currency crisis in Iran on mental health, and (3) positive and negative changes in psychological well-being over time. The results revealed that almost all students’ well-being improved over time, despite facing challenges related to visas, banking, and Iran’s recent economic crisis (specifically, the drastic plunge of the Iranian currency).

Download Full-text

Hope under the shadow of fear and uncertainty : Resilience factors among working adolescents

Nursing Practice Today ◽

10.18502/npt.v8i2.5127 ◽

2021 ◽

Author(s):

Mohammad Ali Cheraghi ◽

Fatemeh Khoshnavay Fomani ◽

Abbas Ebadi ◽

Deirdre Gartland ◽

Yahya Ghaedi

Keyword(s):

Well Being ◽

Structured Interviews ◽

School Factors ◽

Related Factors ◽

Community Factors ◽

The Family ◽

Resilience Factors ◽

One Year ◽

Purposive Sample ◽

Health And Well Being

Background & Aim: Working adolescents need to cope with extreme situations they face, and it is important to identify what factors influence their resilience to better support their health and well-being. The purpose of this study was to explore resilience in working adolescents. Methods & Materials: The directed content analysis approach based on the ecologicaltransactional resilience model was employed across five domains of resilience (Self, Family, Peers, School, and Community). Semi-structured interviews with a purposive sample of working adolescents were conducted. Inclusion criteria were being 12-18 years of age, Persian speaker, and direct experience of being forced to work for at least one year. Hsieh & Shannon (2005) instruction was used for data analysis. Results: 17 participants were interviewed, 59% were male, 88% immigrants, and 41% had started working by age 6. Adolescents reported experience of significant adversity. A dichotomic range of resilience-related factors was identified within five domains, embedded with distinct themes. There was evidence of self-care, patience, empathy, and emotional insight within extremely difficult life circumstances. Peers and schools were identified as supporting resilience. Very few Family or Community resilience factors were identified; instead, adolescents reported hurt, alienation, and voicelessness within the family; and fear and insecurity in the community. Conclusion: Working adolescents in this study revealed some dichotomic strengths and vulnerabilities. Individual, peer, and school factors were more evident than family and community factors in fostering resilience among working adolescents.

Download Full-text

Reflections on Joint and Individual Interviews With Couples: A Multi-Level Interview Mode

International Journal of Qualitative Methods ◽

10.1177/16094069211016733 ◽

2021 ◽

Vol 20 ◽

pp. 160940692110167

Author(s):

Sharon Blake ◽

Astrid Janssens ◽

Jan Ewing ◽

Anne Barlow

Keyword(s):

Well Being ◽

Structured Interviews ◽

Reflective Process ◽

Individual Interviews ◽

Multi Level ◽

Reflective Questions ◽

Rich Data ◽

Study Context ◽

The Impact

When researchers are interested in the experiences of couples, the mode of interview is typically considered a binary choice between separate individual interviews with each partner, or a joint interview with both partners together. That is, if interview mode is explicitly considered at all. In this article, we illustrate a reflective process undertaken to explore the role of interview mode in the production of knowledge. Our focus is the adoption of multi-level semi-structured interviews wherein couples were interviewed both jointly and individually in one visit. The paper is set out in two parts. In part one, the study context and how the mode of interview was conceptualized is considered, before describing the chosen multi-level interview design. In part two, how the mode of interview worked in practice is discussed. The triangulation of individual and dyadic level perspectives collected rich data. Despite the novelty of mode, the challenges encountered reflected familiar concerns with semi-structured interviews: characteristic match between interviewer and interviewee, recording tacit knowledge, moving beyond normative expression and balancing disclosure with interviewee well-being. The paper concludes with a consideration of our assumptions of what constitutes a “successful” interview and offers guiding reflective questions for researchers who are considering semi-structured interviews. Further research is needed to explore the impact of different interview modes.

Download Full-text

Life During COVID-19: The Student Experience

Pedagogy in Health Promotion ◽

10.1177/23733799211017562 ◽

2021 ◽

pp. 237337992110175

Author(s):

Julianne LaRosa ◽

Cierrah Doran ◽

Amanda Guth ◽

Karan Varshney ◽

Beverly Anaele ◽

...

Keyword(s):

Video Conferencing ◽

Well Being ◽

Faculty Members ◽

Pedagogical Practices ◽

Photo Elicitation ◽

Call To Action ◽

Elicitation Study ◽

Student Researchers ◽

Study Participants ◽

Clear Statement

This study’s objectives were to provide university faculty and administration examples of the challenges students face during COVID-19 and give students a chance to process their experiences with one another. A team of student researchers and interdisciplinary faculty members conducted a photo-elicitation study. Participants were instructed to take photographs for up to 10 days that helped them describe life during the pandemic. The students were subsequently interviewed about their photos over a video conferencing platform. We conducted semistructured photo-elicitation interviews with 43 university students from April 20, 2020, to May 26, 2020. Qualitative analysis of interview transcripts revealed that students were affected by the pandemic at three levels: individual, interpersonal, and organizational. Participant responses are a call to action for educators to prioritize safety, connection, and wellness in their pedagogical practices. The students who participated in this project made a clear statement to faculty about their learning and well-being needs. Learning cannot be prioritized over loss of safety amid the pandemic, health concerns, or social injustices.

Download Full-text

A 3-Year Study of Resident Reaction to 2011 ACGME Work Hour Rules in a Family Medicine Residency

PRiMER ◽

10.22454/primer.2018.915876 ◽

2018 ◽

Vol 2 ◽

Author(s):

Anne Picciano ◽

Lauren Guth ◽

Robin O. Winter

Keyword(s):

Family Medicine ◽

Patient Care ◽

Care Transitions ◽

Educational Experience ◽

Well Being ◽

Care Quality ◽

Structured Interviews ◽

Personal Lives ◽

Family Medicine Residency ◽

Work Hour

Introduction: 2011 Accreditation Council for Graduate Medical Education (ACGME) work hour rules prompted concerns regarding potential negative impacts on patient care and resident education. We were interested in resident reaction to call restructuring and night float (NF) in a family medicine residency over 3 years following implementation of the 2011 rules. Methods: We conducted structured interviews of residents from 2011-2012 through 2013-2014. Interviews were recorded, transcribed, and analyzed for themes. Results: Fifty-eight interviews were conducted, including 18/18 residents in 2011-2012 (100%), 18/20 residents in 2012-2013 (90%), and 22/22 residents in 2013-2014 (100%). Following introduction of the 24-hour work limit, upper year residents reported significantly less fatigue and improved personal lives, patient care, and educational experience. Reactions to NF varied with length and intensity of the NF rotation; most PGY-1 residents reported increased fatigue, more burnout, and worse personal lives on NF. Most residents felt patient care quality on NF did not differ from non-NF rotations because improved inpatient nighttime continuity mitigated effects of fatigue and increased care transitions. Reactions regarding educational experience on NF were initially negative, but improved over time. Conclusions: Residents’ reactions to 2011 ACGME work hour rules suggest the rules improved resident well-being, except on NF. Negative effects of NF may be minimized by limiting NF rotations to 5 nights/week for 2 consecutive weeks, and 1 month total per academic year.

Download Full-text

Quality of Life Analysis of Patients Undergoing Immunotherapy for Allergic Rhinitis

Ear Nose & Throat Journal ◽

10.1177/014556139707600809 ◽

1997 ◽

Vol 76 (8) ◽

pp. 528-536 ◽

Cited By ~ 16

Author(s):

William R. Fell ◽

Richard L. Mabry ◽

Cynthia S. Mabry

Keyword(s):

Quality Of Life ◽

Allergic Rhinitis ◽

Well Being ◽

Life Questionnaire ◽

Intradermal Testing ◽

Social And Emotional ◽

Individual Interviews ◽

One Year

Allergic rhinitis has been conservatively estimated to affect 35 million Americans, with an annual US expenditure of more than $2 billion for treatment. Immunotherapy is generally administered to patients with allergic rhinitis when avoidance is impossible or impractical, when pharmacotherapy provides insufficient relief, and/or symptoms span more than one season. Immunotherapy based on quantified testing (e.g., dilutional intradermal testing [SET] or in vitro methods [RAST, ELISA]) allows administration of antigens in a manner that achieves therapeutic antigen doses more rapidly, yet more safely than immunotherapy administered through a schedule that mixes all antigens at the same concentration and advances on an empirical basis. Sixty patients who received at least one year of quantified testing-based immunotherapy were evaluated using a quality of life questionnaire and individual interviews. Changes in physical, social and emotional well-being were determined. Also investigated were changes in productivity and medication usage. The majority of patients noted significant improvement in all areas within four to six months of initiating immunotherapy, and an overwhelming majority felt that such treatment represented a worthwhile investment of their time and money.

Download Full-text

Perception of Students and Faculty Members of the Impact of a Preparatory Year Program on the Students of Health Professions Education Colleges

Sultan Qaboos University Medical Journal [SQUMJ] ◽

10.18295/squmj.5.2021.094 ◽

2021 ◽

Author(s):

Ahmed Aldarmahi ◽

Mohammed Alrabia ◽

Fatimah Alserhani ◽

Hanan Alzahrani ◽

Norah Alrabia ◽

...

Keyword(s):

Health Professions ◽

Undergraduate Curriculum ◽

Faculty Members ◽

Health Professions Education ◽

Structured Interviews ◽

Health Occupations ◽

Preparatory Program ◽

One Year ◽

Preparatory Year ◽

The Impact

Objective: The Preparatory Year Program (PYP) is a one-year preparatory program to prepare students for a full multi-year degree curriculum. It offers a bridge between students’ high-school and university-level studies. The study aimed at evaluating the impact of the King Abdulaziz University preparatory year program on students of the health professions education colleges from both students' and faculty viewpoints. Methods: This is a descriptive study that depended on the collection of data from both students and faculty members based on their perceptions. It was conducted during the period from May 2019 to January 2020. Data was collected from students through self-administered questionnaires and from faculty members through structured interviews. Descriptive statistics were applied. Results: Around half of the students agreed that the preparatory year made them self-confident and reinforced their discipline (49.2% and 46.9%, respectively). Less than two-thirds agreed that the preparatory year reinforced their sense of responsibility and helped them adapt to the university educational environment (60.6% and 64.3%, respectively). On the other hand, more than half of them (58.5%) disagreed that the preparatory year classes helped them select their majors. Also, more than half of them (57.2%) disagreed that the preparatory year prepared them for their major classes. Conclusion: The impact of the preparatory year on students of the health professions colleges is weak. This is the opinion of both students and faculty members. In-depth studies are needed to further investigate this impact. Keywords: Universities; Health Occupations; Undergraduate; Curriculum; Saudi Arabia.

Download Full-text

Career satisfaction among medical school professors: a case study in Brazil

Revista Brasileira de Educação Médica ◽

10.1590/s0100-55022009000300004 ◽

2009 ◽

Vol 33 (3) ◽

pp. 339-348 ◽

Cited By ~ 2

Author(s):

Nilce Maria da Silva Campos Costa

Keyword(s):

Medical School ◽

Qualitative Methodology ◽

Career Satisfaction ◽

Medical Profession ◽

Well Being ◽

Faculty Members ◽

Structured Interviews ◽

The University ◽

University Setting

OBJECTIVE: To investigate the career satisfaction of medical school professors in relation to initial motivation, satisfaction factors, and the desire to remain in the profession. METHODOLOGY: A qualitative methodology was used, based on questionnaires and semi-structured interviews with faculty members at a federal institution of higher education in Brazil. RESULTS: For 42.86% of the sample, teaching began while they were medical students; 80% had chosen teaching either as a vocation or due to influence from families or professors; 20% chose teaching as a professional opportunity. The majority, 57.14%, stated they were happy with teaching, and 51.42% did not plan to leave the career. Factors involved in satisfaction with teaching were: the possibility of remaining up-to-date in the medical profession, the feeling of doing their duty, their contribution to training future doctors, and contact with young people and the university setting. Factors leading to dissatisfaction were pedagogical (33.33%), economic (30.95%), institutional (14.28%), and relational (14.28%). CONCLUSIONS: Subjects expressed a positive attitude towards teaching, and because of their great personal satisfaction with the career, they did not plan to leave it. These findings should shed light on factors that interfere with career satisfaction and help increase those that promote satisfaction, thus improving the productivity and well-being of medical professors.

Download Full-text

Supporting Holistic Student Development Through Online Community Building

Online Learning ◽

10.24059/olj.v25i4.2882 ◽

2021 ◽

Vol 25 (4) ◽

Author(s):

Katrina Borowiec ◽

Deoksoon Kim ◽

Lizhou Wang ◽

Julie Kim ◽

Stanton Wortham

Keyword(s):

Student Development ◽

Online Community ◽

Course Design ◽

Research Question ◽

Well Being ◽

Faculty Members ◽

Health Crisis ◽

Individual Interviews ◽

Sequential Mixed Methods ◽

Building Community

Faculty members abruptly transitioned to online course delivery during the COVID-19 public health crisis. Unfortunately, the isolation of learning online had the potential to damage students’ well-being during an already stressful pandemic. Furthermore, many faculty members had little experience with online modes of instruction and few effective strategies for building community online. This exploratory sequential mixed methods study uses data from 37 individual interviews with faculty across diverse disciplines, course evaluations from 13 of the 37 interview participants, and survey data from 347 faculty to answer the following research question: How did faculty foster a sense of community online to support students’ holistic well-being during the COVID pandemic? What strategies can faculty use to create community and foster well-being in online courses? Results show that successful strategies centered around intentional and purposeful course design, establishing clear expectations for faculty and students, and fostering supportive and trustworthy online learning environments.

Download Full-text

Investing in the Future: A Comprehensive Evaluation of Mentorship Networks for Residents

Canadian Journal of General Internal Medicine ◽

10.22374/cjgim.v13i2.228 ◽

2018 ◽

Vol 13 (2) ◽

pp. 6-23

Author(s):

Omar Farooq Khan ◽

Alison Walzak ◽

Rahim Kachra ◽

Theresa J.B. Kline ◽

Fiona M. Clement ◽

...

Keyword(s):

Comprehensive Evaluation ◽

Cost Benefit ◽

Faculty Members ◽

Self Awareness ◽

Dyadic Relationships ◽

Structured Interviews ◽

Cost Benefit Ratio ◽

Short And Long Term ◽

One Year ◽

Multiple Domains

Background: Formal mentorship plays a key career development role in medicine. Traditional mentorship consists of dyadic relationships between mentors and their mentees. However, research favours utilization of mentorship networks involving individuals at multiple levels.Objective: This study aimed to rigorously evaluate a formalized mentorship network program within a Canadian Internal Medicine residency program from 2012 to 2013.Methods: Residents participated in one-on-one semi-structured interviews at baseline and after one year of participation in the mentorship network. Closed-ended surveys assessed affective organizational commitment, self-efficacy, career satisfaction and overall wellness among residents and faculty members. 89 residents and 28 faculty members were invited to participate; 40 residents and 18 faculty members completed the survey after one year.Results: Residents perceived mentorship networks to add value across multiple domains, including self-awareness, overall efficiency, and physician wellness. Satisfaction with the program was very high, with 98% (n = 39/40) of residents and 89% of faculty members (n = 16/18) wanting the program to continue after year one. Male mentors were more likely to report benefits from serving as a mentor than their female counterparts. In contrast to this, female mentees found mentorship more useful than male mentees.Conclusions: Network mentorship is associated with personal and system benefits, though these benefits are difficult to quantify. The network model is feasible and well-received by mentors and mentees. Further research considering both short- and long-term endpoints is required to delineate the true cost-benefit ratio of mentorship programs to both mentors and mentees.

Download Full-text