Literature Review

All posts tagged with “Clinical News | Mental Health - Staff.”



How to give physicians autonomy—and protect them from burnout

07/09/25 at 03:00 AM

How to give physicians autonomy—and protect them from burnout American Medical Association (AMA); by Georgia Garvey; 7/1/25 Almost everyone appreciates having autonomy at work. But when physicians spend more than a decade in high-stakes and grueling medical training, only to enter practice with virtually no control over their work environment, schedule or day, it can lead to the kind of spiraling frustration that often turns into burnout or leaving the profession entirely. “It’s one of those things where the more you try to micromanage a physician’s schedule, the more a feeling of distrust you give to the physicians ...” said Jill Jin, MD, MPH, an internist and senior physician adviser for the AMA, one of the authors of the AMA STEPS Forward® “Value of Feeling Valued Playbook.” ... Though the percentages of those experiencing burnout have declined from the peak during the COVID-19 public health emergency, 43.2% of physicians still say they have at least one symptom of burnout.  ... When physicians feel valued—... as competent professionals who have devoted immense time and energy to becoming experts at their jobs—it is proven to be positively associated with lower levels of burnout.

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Clinicians’ perceptions about institutional factors in moral distress related to potentially nonbeneficial treatments

07/05/25 at 03:25 AM

Clinicians’ perceptions about institutional factors in moral distress related to potentially nonbeneficial treatmentsJAMA Network Open; Teva D. Brender, MD; Julia K. Axelrod, BA; Sofia Weiss Goitiandia, MA, MSc; Jason N. Batten, MD, MA; Elizabeth W. Dzeng, MD, PhD, MPH; 6/25In this qualitative study, we described institutional factors that may exacerbate, prevent, or mitigate the influence of societal factors contributing to moral distress related to potentially nonbeneficial LST [life-sustaining treatments]. Health systems should consider how health care consumerism influences patients’, families’, and clinicians’ expectations regarding potentially nonbeneficial LST, particularly at hospitals with advanced technological interventions (eg, organ transplantation, extracorporeal membrane oxygenation, salvage chemotherapies). Future studies should explore the societal and institutional factors contributing to moral distress for clinicians at lower-resourced hospitals, such as inaccessible advanced treatments and barriers to transferring patients for higher levels of care. While some institutions lacked sufficient structures to support clinicians’ efforts to de-escalate potentially nonbeneficial treatments, policies empowering clinicians across the medical hierarchy, as well as conflict resolution and emotional support resources (eg, palliative care) might prevent or mitigate moral distress.

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Sacred moment experiences among internal medicine physicians

06/21/25 at 03:10 AM

Sacred moment experiences among internal medicine physiciansJAMA Network Open; Jessica Ameling, MPH; Nathan Houchens, MD; M. Todd Greene, PhD, MPH; David Ratz, MS; Martha Quinn, MPH; Latoya Kuhn, MPH; Sanjay Saint, MD, MPH; 5/25Some have described sacred moments as sudden intimacies or moments of deep memorable connection with another person. The health care setting is replete with opportunities for the types of human connections that lead to sacred moments, such as times of crises or grief, or conversely, times of great happiness. These moments leave participants with a sense of joy, peace, and empathy for the others involved. In this survey study of 629 physicians, 68% reported experiencing a sacred moment with a patient, and physicians who considered themselves very spiritual or possessing a strong sense of purpose in life or work had increased odds of experiencing a sacred moment. Both experiencing sacred moments often and discussing them with colleagues were associated with less burnout [and] improve[d] physician well-being.

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From burnout to belonging: Creating space for grief in clinical education

06/20/25 at 03:00 AM

From burnout to belonging: Creating space for grief in clinical education American Academy of Pediatrics (AAP) Journals Blog; by Rachita Gupta; 6/16/25 ... While significant progress has been made in addressing burnout and emotional distress in medicine, and in incorporating these topics into medical education, many clinicians remain hesitant and uncertain about how to address grief and distress from patient care in day-to-day clinical practice. This uncertainty exists both in terms of their own experiences and, even more so, in supporting trainees. A lack of emotional processing in these difficult situations can accelerate burnout and further disconnect clinicians from the humanism and vulnerability that are intrinsic to the privilege of practicing medicine. ... The recently published Hospital Pediatrics article by Bloomhardt et al, “Good Grief? Introducing the TEARS Framework for Educator to Support Learners Experiencing Grief,” (10.1542/hpeds.2024-008096) addresses the hesitancy many clinicians experience when assessing learners’ emotional processing during or after distressing patient cases by introducing the TEARS framework. ...Editor's Note: See a related post in today's newsletter, "“Her toes fell off into my hand”: 50 moments that changed healthcare workers forever."

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“Her toes fell off into my hand”: 50 moments that changed healthcare workers forever

06/20/25 at 02:00 AM

“Her toes fell off into my hand”: 50 moments that changed healthcare workers forever BoredPanda; by Dominyka; 6/18/25 When we go through traumatic events, our brain can shut out feelings and thoughts as a way to protect us from emotional or physical damage. This can make people go numb in stressful situations, so our bodies have time to figure out the best course of survival.  Healthcare workers are frequently exposed to traumatic experiences, so when they were asked what event made them go permanently numb, they shared many devastating stories. Scroll down to find them below, and don’t forget to share similar ones if you have any. 

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Empath revamping physical, digital workspace for improved employee experience

06/17/25 at 03:00 AM

Empath revamping physical, digital workspace for improved employee experience Hospice News; by Jim Parker; 6/16/25 ... [Empath is updating] its physical locations to enhance the workspace for employees. “Some of this workspace design that we’re doing is innovative. We’ve invested in common workplace environments. We have quiet rooms, where people can go and focus on rest, relaxation and ease in the middle of the day. We leave your laptops, leave your phones out of that room,” Fleece told Hospice News. “We’ve invested in common kitchen areas and gathering places that are like a workplace cafe, with coffee, lounge chairs, TVs and things like that, so people can get together and socialize while they are in the office.” Florida-based Empath Health is the parent company of 17 affiliates and four philanthropic foundations. The organization provides care to more than 81,000 patients annually. 

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Serious illness has mental health implications — palliative care can help

06/16/25 at 03:00 AM

Serious illness has mental health implications — palliative care can help Becker's Behavioral Health; by Dr. Simeon Kwan and Dr. Rowland Pearsall; 6/12/25 ... As health plans and providers strive to deliver whole-person, value-based care, we must recognize that treating the body is only part of the equation. Mental and emotional well-being are critical dimensions of serious illness, and they demand more focused attention. Fortunately, we have a powerful but often underutilized ally: palliative care. ... According to multiple studies, up to 40% of patients with advanced cancer experience clinical depression. Anxiety and spiritual distress are also common, particularly when facing the unknown or confronting the loss of autonomy. For those managing progressive illnesses over time, mental health concerns can erode treatment adherence, accelerate physical decline, and strain family caregivers.

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