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Factors affecting residents’ internal motivation, grit, and well-being

BACKGROUND: Residents completing competency-based medical education for postgraduate training face many challenging situations that may compromise their well-being or result in exhaustion or burnout. Factors described in self-determination theory and grit are important for residents’ achievement of...

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Autores principales: Chuented, Pimwipa, Puranitee, Pongtong, Pakakasama, Samart, Meepanya, Suganda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10588185/
https://www.ncbi.nlm.nih.gov/pubmed/37858074
http://dx.doi.org/10.1186/s12909-023-04679-2
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author Chuented, Pimwipa
Puranitee, Pongtong
Pakakasama, Samart
Meepanya, Suganda
author_facet Chuented, Pimwipa
Puranitee, Pongtong
Pakakasama, Samart
Meepanya, Suganda
author_sort Chuented, Pimwipa
collection PubMed
description BACKGROUND: Residents completing competency-based medical education for postgraduate training face many challenging situations that may compromise their well-being or result in exhaustion or burnout. Factors described in self-determination theory and grit are important for residents’ achievement of learning outcomes and well-being. This study explored the relationships among internal motivation, grit, well-being, and related factors among non-Western Asian residents. METHODS: We conducted an explanatory sequential mixed-methods survey-based study to explore correlations among satisfaction with basic psychological needs, grit, and well-being from September to November 2021 among residents at Ramathibodi Hospital, Mahidol University, Thailand. Data were collected with the Basic Psychological Needs Scale, Short Grit Scale, and World Health Organization-Five Well-Being Index. Next, participants with the highest and lowest scores for each scale were purposively invited to participate in semi-structured interviews. Interview data underwent thematic analysis and data collection continued until saturation was reached. RESULTS: In total, 245 residents (51% major ward, 65% female) completed the survey. There were strong associations between internal motivation, grit, and well-being (r = 0.46–0.90). Female residents had higher autonomy and relatedness scores than males (p = 0.04 and p = 0.01, respectively), and residents with less family responsibility had higher relatedness scores than other residents (p = 0.01). Residents who got more sleep had higher autonomy, relatedness, and well-being scores than those that slept less (p < 0.05). Residents who exercised > 5 times/week had higher well-being scores than other residents (p < 0.01). Thirty residents completed interviews. The thematic analysis revealed internal motivation, grit, and well-being were promoted by a supportive learning environment, a well-designed curriculum, actions and personalities of faculty members, and good personal factors. CONCLUSION: Internal motivation is significantly correlated with residents’ grit, well-being, gender, family burdens, exercise, and sleep hours. Priority should be given to promoting internal motivation, grit, and well-being among residents by enhancing a positive learning environment, creating well-designed curricula, fostering good characteristics and actions among faculty members, and supporting residents’ personal lives. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12909-023-04679-2.
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spelling pubmed-105881852023-10-21 Factors affecting residents’ internal motivation, grit, and well-being Chuented, Pimwipa Puranitee, Pongtong Pakakasama, Samart Meepanya, Suganda BMC Med Educ Research BACKGROUND: Residents completing competency-based medical education for postgraduate training face many challenging situations that may compromise their well-being or result in exhaustion or burnout. Factors described in self-determination theory and grit are important for residents’ achievement of learning outcomes and well-being. This study explored the relationships among internal motivation, grit, well-being, and related factors among non-Western Asian residents. METHODS: We conducted an explanatory sequential mixed-methods survey-based study to explore correlations among satisfaction with basic psychological needs, grit, and well-being from September to November 2021 among residents at Ramathibodi Hospital, Mahidol University, Thailand. Data were collected with the Basic Psychological Needs Scale, Short Grit Scale, and World Health Organization-Five Well-Being Index. Next, participants with the highest and lowest scores for each scale were purposively invited to participate in semi-structured interviews. Interview data underwent thematic analysis and data collection continued until saturation was reached. RESULTS: In total, 245 residents (51% major ward, 65% female) completed the survey. There were strong associations between internal motivation, grit, and well-being (r = 0.46–0.90). Female residents had higher autonomy and relatedness scores than males (p = 0.04 and p = 0.01, respectively), and residents with less family responsibility had higher relatedness scores than other residents (p = 0.01). Residents who got more sleep had higher autonomy, relatedness, and well-being scores than those that slept less (p < 0.05). Residents who exercised > 5 times/week had higher well-being scores than other residents (p < 0.01). Thirty residents completed interviews. The thematic analysis revealed internal motivation, grit, and well-being were promoted by a supportive learning environment, a well-designed curriculum, actions and personalities of faculty members, and good personal factors. CONCLUSION: Internal motivation is significantly correlated with residents’ grit, well-being, gender, family burdens, exercise, and sleep hours. Priority should be given to promoting internal motivation, grit, and well-being among residents by enhancing a positive learning environment, creating well-designed curricula, fostering good characteristics and actions among faculty members, and supporting residents’ personal lives. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12909-023-04679-2. BioMed Central 2023-10-19 /pmc/articles/PMC10588185/ /pubmed/37858074 http://dx.doi.org/10.1186/s12909-023-04679-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Chuented, Pimwipa
Puranitee, Pongtong
Pakakasama, Samart
Meepanya, Suganda
Factors affecting residents’ internal motivation, grit, and well-being
title Factors affecting residents’ internal motivation, grit, and well-being
title_full Factors affecting residents’ internal motivation, grit, and well-being
title_fullStr Factors affecting residents’ internal motivation, grit, and well-being
title_full_unstemmed Factors affecting residents’ internal motivation, grit, and well-being
title_short Factors affecting residents’ internal motivation, grit, and well-being
title_sort factors affecting residents’ internal motivation, grit, and well-being
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10588185/
https://www.ncbi.nlm.nih.gov/pubmed/37858074
http://dx.doi.org/10.1186/s12909-023-04679-2
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