The Role Exercise and Other Coping Mechanisms Play in Physician Assistant Burnout

Location

Guzman 201, Dominican University of California

Start Date

4-17-2019 2:00 PM

End Date

4-17-2019 3:00 PM

Student Type

Undergraduate

Faculty Mentor(s)

Michaela George, PhD, MPH

Presentation Format

Poster Presentation

Abstract/Description

Burnout can negatively impact an individual’s physical and mental health (1). Mental health is very important in that it can affect how we think, act, and talk. It is essential to take the time to take care of yourself in order to avoid any mental health stressors. Caring for your physical self, eating healthy, taking adequate sleep, and exercising regularly can decrease effects of mental health (2). Stress is a day-to-day experience but burnout is a more serious consequence of the build-up of too much stress which causes the individual person to shut down (3). Burnout can have both physical and psychological consequences including

insomnia, family problems, personal distress, physical exhaustion, decrease in adequate patient care and use of alcohol and drugs (4). An American psychologist, Herbert Freudenberger, first envisioned burnout in the 1970s . He defined it as “a process that is caused by a depletion of energies, as well as feelings of being overwhelmed with many issues that may confront an individual in a work related setting” (5). An overwhelmed work place can also affect how you care for your patients to their satisfaction and drive physicians out of their profession. In a healthcare setting healthcare providers especially are prone to burnout. Physicians experience different types of stress including physical stress, emotional stress, acute stress, and chronics stress (6). An extended amount of scientific work suggest that there has been a positive effect of using exercise and other coping mechanisms to decrease burnout among healthcare professionals. When exercising your body releases endorphins that make you feel better (7). Participating in exercise has show that it can be related to lower emotional distress and lower rates of depression. It has also been shown that physical activity correlates with better mental health including fewer symptoms of anxiety and depression (8). Exercise and other coping mechanisms limit and decrease the effects of compassion fatigue in Physician Assistants. The purpose of this research is to examine the relationship between the benefits of exercise and other coping mechanisms in reducing the amount of stress in physician assistants measured by the rates of burnout.

1. Papathanasiou, I. (2015). Work-related Mental Consequences: Implications of Burnout on Mental Health Status Among Health Care Providers. Acta Informatica Medica, 23(1), 22. doi:10.5455/aim.2015.23.22-28

2. Mikkelsen, K., Stojanovska, L., Polenakovic, M., Bosevski, M., & Apostolopoulos, V. (2017). Exercise and mental health. Maturitas, 106, 48-56. doi:10.1016/j.maturitas. 2017.09.003

3. Lebares, C. C., Guvva, E. V., Ascher, N. L., O'Sullivan, P. S., Harris, H. W., & Epel, E. S. (2018). Original scientific article: Burnout and stress among US surgery residents: Psychological distress and resilience. Journal of the American College of Surgeons, 226, 80-90. doi:10.1016/j.jamcollsurg.2017.10.010

4.Bhatt, M., Lizano, D., Carlese, A., Kvetan, V., & Gershengorn, H. B. (2017). Severe burnout is common among critical care physician assistants. Critical Care Medicine, 45(11), 1900-1906. doi:10.1097/CCM.0000000000002689

5. Oliver Ochentel, Crystal Humphrey, Klaus Pfeifer. (2018). Efficacy of exercise therapy in persons with burnout. A systematic review and meta-analysis. Journal of Sports Science and Medicine, Vol 17, Iss 3, Pp 475-484 (2018), (3), 475. Retrieved from https:// dominican.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=edsdoj&AN=edsdoj.55cd827bcadc4c7fbd996dc522cda287&site=eds-live

6. Wolf, L. A., Perhats, C., Delao, A. M., Moon, M. D., Clark, P. R., & Zavotsky, K. E. (2015). Research Article: “It’s a Burden You Carry”: Describing Moral Distress in Emergency Nursing. Journal Of Emergency Nursing, doi:10.1016/j.jen.2015.08.008

7.Salmon, P. (2001). Effects of physical exercise on anxiety, depression, and sensitivity to stress: A unifying theorydoi://doi.org/10.1016/S0272-7358(99)00032-X

8. Fox, K. R. (1999). The influence of physical activity on mental well-being. Public Health Nutrition, 2(3a), 411-418. doi:10.1017/S1368980099000567

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The Role Exercise and Other Coping Mechanisms Play in Physician Assistant Burnout

Guzman 201, Dominican University of California

Burnout can negatively impact an individual’s physical and mental health (1). Mental health is very important in that it can affect how we think, act, and talk. It is essential to take the time to take care of yourself in order to avoid any mental health stressors. Caring for your physical self, eating healthy, taking adequate sleep, and exercising regularly can decrease effects of mental health (2). Stress is a day-to-day experience but burnout is a more serious consequence of the build-up of too much stress which causes the individual person to shut down (3). Burnout can have both physical and psychological consequences including

insomnia, family problems, personal distress, physical exhaustion, decrease in adequate patient care and use of alcohol and drugs (4). An American psychologist, Herbert Freudenberger, first envisioned burnout in the 1970s . He defined it as “a process that is caused by a depletion of energies, as well as feelings of being overwhelmed with many issues that may confront an individual in a work related setting” (5). An overwhelmed work place can also affect how you care for your patients to their satisfaction and drive physicians out of their profession. In a healthcare setting healthcare providers especially are prone to burnout. Physicians experience different types of stress including physical stress, emotional stress, acute stress, and chronics stress (6). An extended amount of scientific work suggest that there has been a positive effect of using exercise and other coping mechanisms to decrease burnout among healthcare professionals. When exercising your body releases endorphins that make you feel better (7). Participating in exercise has show that it can be related to lower emotional distress and lower rates of depression. It has also been shown that physical activity correlates with better mental health including fewer symptoms of anxiety and depression (8). Exercise and other coping mechanisms limit and decrease the effects of compassion fatigue in Physician Assistants. The purpose of this research is to examine the relationship between the benefits of exercise and other coping mechanisms in reducing the amount of stress in physician assistants measured by the rates of burnout.

1. Papathanasiou, I. (2015). Work-related Mental Consequences: Implications of Burnout on Mental Health Status Among Health Care Providers. Acta Informatica Medica, 23(1), 22. doi:10.5455/aim.2015.23.22-28

2. Mikkelsen, K., Stojanovska, L., Polenakovic, M., Bosevski, M., & Apostolopoulos, V. (2017). Exercise and mental health. Maturitas, 106, 48-56. doi:10.1016/j.maturitas. 2017.09.003

3. Lebares, C. C., Guvva, E. V., Ascher, N. L., O'Sullivan, P. S., Harris, H. W., & Epel, E. S. (2018). Original scientific article: Burnout and stress among US surgery residents: Psychological distress and resilience. Journal of the American College of Surgeons, 226, 80-90. doi:10.1016/j.jamcollsurg.2017.10.010

4.Bhatt, M., Lizano, D., Carlese, A., Kvetan, V., & Gershengorn, H. B. (2017). Severe burnout is common among critical care physician assistants. Critical Care Medicine, 45(11), 1900-1906. doi:10.1097/CCM.0000000000002689

5. Oliver Ochentel, Crystal Humphrey, Klaus Pfeifer. (2018). Efficacy of exercise therapy in persons with burnout. A systematic review and meta-analysis. Journal of Sports Science and Medicine, Vol 17, Iss 3, Pp 475-484 (2018), (3), 475. Retrieved from https:// dominican.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=edsdoj&AN=edsdoj.55cd827bcadc4c7fbd996dc522cda287&site=eds-live

6. Wolf, L. A., Perhats, C., Delao, A. M., Moon, M. D., Clark, P. R., & Zavotsky, K. E. (2015). Research Article: “It’s a Burden You Carry”: Describing Moral Distress in Emergency Nursing. Journal Of Emergency Nursing, doi:10.1016/j.jen.2015.08.008

7.Salmon, P. (2001). Effects of physical exercise on anxiety, depression, and sensitivity to stress: A unifying theorydoi://doi.org/10.1016/S0272-7358(99)00032-X

8. Fox, K. R. (1999). The influence of physical activity on mental well-being. Public Health Nutrition, 2(3a), 411-418. doi:10.1017/S1368980099000567