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A year in transition: a qualitative study examining the trajectory of first year residents’ well-being

BACKGROUND: It is generally understood that trainees experience periods of heightened stress during first year residency, yet there is little information on variations in stress and well-being over the transition period or those factors that contribute to these variations. This qualitative study exp...

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Autores principales: Hurst, Christopher, Kahan, Deborah, Ruetalo, Mariela, Edwards, Susan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3712006/
https://www.ncbi.nlm.nih.gov/pubmed/23842470
http://dx.doi.org/10.1186/1472-6920-13-96
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author Hurst, Christopher
Kahan, Deborah
Ruetalo, Mariela
Edwards, Susan
author_facet Hurst, Christopher
Kahan, Deborah
Ruetalo, Mariela
Edwards, Susan
author_sort Hurst, Christopher
collection PubMed
description BACKGROUND: It is generally understood that trainees experience periods of heightened stress during first year residency, yet there is little information on variations in stress and well-being over the transition period or those factors that contribute to these variations. This qualitative study explored the trajectory of well-being described by first year residents in the context of challenges, supports and adaptations over time. METHODS: In-depth interviews were conducted face-to-face with 17 first year residents at the University of Toronto. Participants drew a graph of their well-being over the course of their first year and described critical periods of challenge and adaptation. Interviews were audio-taped and transcribed. Results were organized into a thematic analysis using NVivo software. RESULTS: Residents described a pattern of well-being that varied in accordance with changes in rotations. Well-being increased when residents perceived high levels of team support, felt competent and experienced valued learning opportunities. Well-being decreased with low team support, heavy work demands, few learning opportunities and poor orientations. Anxiety and excitement in the beginning of the year gave way to heightened confidence but increased fatigue and apathy towards the year’s end. Residents used a number of cognitive, behavioural and self-care strategies to cope with transitional challenges. CONCLUSIONS: Residents experienced a pattern of highly fluctuating well-being that coincided with changes in rotations. Residents’ well-being varied according to levels of supervisor and colleague support, learning opportunities, and work demands. Residents’ well-being may be improved by program interventions that facilitate better team and supervisory supports, maintain optimal service to learning ratios, establish effective fatigue and risk management systems, offer wellness support services and integrate skills based resiliency training into the curriculum.
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spelling pubmed-37120062013-07-16 A year in transition: a qualitative study examining the trajectory of first year residents’ well-being Hurst, Christopher Kahan, Deborah Ruetalo, Mariela Edwards, Susan BMC Med Educ Research Article BACKGROUND: It is generally understood that trainees experience periods of heightened stress during first year residency, yet there is little information on variations in stress and well-being over the transition period or those factors that contribute to these variations. This qualitative study explored the trajectory of well-being described by first year residents in the context of challenges, supports and adaptations over time. METHODS: In-depth interviews were conducted face-to-face with 17 first year residents at the University of Toronto. Participants drew a graph of their well-being over the course of their first year and described critical periods of challenge and adaptation. Interviews were audio-taped and transcribed. Results were organized into a thematic analysis using NVivo software. RESULTS: Residents described a pattern of well-being that varied in accordance with changes in rotations. Well-being increased when residents perceived high levels of team support, felt competent and experienced valued learning opportunities. Well-being decreased with low team support, heavy work demands, few learning opportunities and poor orientations. Anxiety and excitement in the beginning of the year gave way to heightened confidence but increased fatigue and apathy towards the year’s end. Residents used a number of cognitive, behavioural and self-care strategies to cope with transitional challenges. CONCLUSIONS: Residents experienced a pattern of highly fluctuating well-being that coincided with changes in rotations. Residents’ well-being varied according to levels of supervisor and colleague support, learning opportunities, and work demands. Residents’ well-being may be improved by program interventions that facilitate better team and supervisory supports, maintain optimal service to learning ratios, establish effective fatigue and risk management systems, offer wellness support services and integrate skills based resiliency training into the curriculum. BioMed Central 2013-07-10 /pmc/articles/PMC3712006/ /pubmed/23842470 http://dx.doi.org/10.1186/1472-6920-13-96 Text en Copyright © 2013 Hurst et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Hurst, Christopher
Kahan, Deborah
Ruetalo, Mariela
Edwards, Susan
A year in transition: a qualitative study examining the trajectory of first year residents’ well-being
title A year in transition: a qualitative study examining the trajectory of first year residents’ well-being
title_full A year in transition: a qualitative study examining the trajectory of first year residents’ well-being
title_fullStr A year in transition: a qualitative study examining the trajectory of first year residents’ well-being
title_full_unstemmed A year in transition: a qualitative study examining the trajectory of first year residents’ well-being
title_short A year in transition: a qualitative study examining the trajectory of first year residents’ well-being
title_sort year in transition: a qualitative study examining the trajectory of first year residents’ well-being
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3712006/
https://www.ncbi.nlm.nih.gov/pubmed/23842470
http://dx.doi.org/10.1186/1472-6920-13-96
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