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  • Madden, Caoimhe  (2)
  • 2015-2019  (2)
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  • 2015-2019  (2)
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  • 1
    Online Resource
    Online Resource
    A Mixed-Methods Exploration of the Educational Climate and Safety Climate During the First Year of Clinical Practice in Ireland
    Ovid Technologies (Wolters Kluwer Health) ; 2019
    In:  Academic Medicine Vol. 94, No. 11 ( 2019-11), p. 1800-1805
    Details
    In: Academic Medicine, Ovid Technologies (Wolters Kluwer Health), Vol. 94, No. 11 ( 2019-11), p. 1800-1805
    Abstract: Educational climate (EC) and safety climate (SC) are key determinants of residents’ professional development. The goal of this study was to gather longitudinal EC data and data on perceptions of SC in residency, and provide data on practices related to perceptions of EC and SC, by identifying factors associated with and changes in perceptions of EC and SC across the first year of practice, and elucidating good and poor practice relating to key elements of EC and SC. Method A mixed-methods design was adopted. First, 131 first-year residents in Ireland were surveyed at the end of each of their first 3 rotations (August 2016–March 2017). The survey measured EC and SC using established measures. Next, 69 semistructured interviews were conducted with a representative sample of residents (March–May 2017). An interview schedule was developed to aid in-depth probing of EC and SC perceptions. A deductive content analysis approach was adopted. Results Perceptions of EC worsened over time. The EC and SC of surgical rotations were significantly poorer than those of medical rotations. Residents were more likely to describe team practices, rather than organizational practices, that contributed positively to their perceptions of EC and SC. Conclusions Further research is necessary to facilitate improvement of EC and SC for residents, particularly within surgical training. Future research exploring the contribution of organizational practices to EC and SC, the impact of targeted improvement activities, and best practices for involving residents in quality and safety initiatives is recommended.
    Type of Medium: Online Resource
    ISSN: 1040-2446
    URL: Article
    DOI: 10.1097/ACM.0000000000002818
    RVK:
    XA 10000
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2019
    detail.hit.zdb_id: 2025367-9
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    Online Resource
  • 2
    Online Resource
    Online Resource
    A systematic review of interventions to foster physician resilience
    Oxford University Press (OUP) ; 2018
    In:  Postgraduate Medical Journal Vol. 94, No. 1109 ( 2018-03-01), p. 162-170
    Details
    In: Postgraduate Medical Journal, Oxford University Press (OUP), Vol. 94, No. 1109 ( 2018-03-01), p. 162-170
    Abstract: This review aimed to synthesise the literature describing interventions to improve resilience among physicians, to evaluate the quality of this research and to outline the type and efficacy of interventions implemented. Searches were conducted in April 2017 using five electronic databases. Reference lists of included studies and existing review papers were screened. English language, peer-reviewed studies evaluating interventions to improve physician resilience were included. Data were extracted on setting, design, participant and intervention characteristics and outcomes. Methodological quality was assessed using the Downs and Black checklist. Twenty-two studies were included. Methodological quality was low to moderate. The most frequently employed interventional strategies were psychosocial skills training and mindfulness training. Effect sizes were heterogeneous. Methodologically rigorous research is required to establish best practice in improving resilience among physicians and to better consider how healthcare settings should be considered within interventions.
    Type of Medium: Online Resource
    ISSN: 0032-5473 , 1469-0756
    URL: Article
    URL: Article
    URL: Article
    URL: Article
    DOI: 10.1136/postgradmedj-2017-135212
    DOI: 10.1136/postgradmedj-2017-135212.supp1
    DOI: 10.1136/postgradmedj-2017-135212.supp2
    DOI: 10.1136/postgradmedj-2017-135212.supp3
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2018
    detail.hit.zdb_id: 2009568-5
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