Development of the Resident Wellness Scale for Measuring Resident Wellness
Purpose: Graduate medical education programs have a responsibility to monitor resident wellness. Residents are at risk of burnout, depression, and suicide. Burnout and depression are associated with poor patient care. Many existing tools measure burnout, depression, and general human well-being, but...
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Format: | Article |
Language: | English |
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Advocate Aurora Health
2019-01-01
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Series: | Journal of Patient-Centered Research and Reviews |
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Online Access: | https://digitalrepository.aurorahealthcare.org/cgi/viewcontent.cgi?article=1653&context=jpcrr |
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author | R. Brent Stansfield Dan Giang Tsveti Markova |
author_facet | R. Brent Stansfield Dan Giang Tsveti Markova |
author_sort | R. Brent Stansfield |
collection | DOAJ |
description | Purpose: Graduate medical education programs have a responsibility to monitor resident wellness. Residents are at risk of burnout, depression, and suicide. Burnout and depression are associated with poor patient care. Many existing tools measure burnout, depression, and general human well-being, but resident wellness is a distinct construct. We aimed to develop an instrument to measure resident wellness directly. Methods: An expert panel from two purposefully different graduate medical education institutions generated a behavior- and experience-based model of resident wellness. The panel and resident leaders from both institutions generated 92 items, which were tested alongside anchor scales measuring burnout, depression, personality, optimism, life satisfaction, and social desirability in a convenience sample of 62 residents. Ten items were selected using a combination of factor analysis, a genetic algorithm, and purposeful selection. The 10-item scale was distributed to 5 institutions at which 376 residents completed it anonymously. Exploratory factor analysis was used to examine the factor structure of the scale. Results: The model of resident wellness aligned with an accepted framework of well-being in the literature. The 10-item Resident Wellness Scale broadly covered the model and correlated meaningfully with anchor scales. The factor structure of the scale suggested sensitivity to meaningful work, life security, institutional support, and social support. Conclusions: This novel Resident Wellness Scale is designed to track residents’ wellness longitudinally. It is sensitive to aspects of resident wellness that have been shown to reduce burnout and depression and appears to be a psychometrically strong measure of resident wellness. |
first_indexed | 2024-04-10T18:01:43Z |
format | Article |
id | doaj.art-7c436e91c16a41bbb5ca773302ee4db8 |
institution | Directory Open Access Journal |
issn | 2330-0698 |
language | English |
last_indexed | 2024-04-10T18:01:43Z |
publishDate | 2019-01-01 |
publisher | Advocate Aurora Health |
record_format | Article |
series | Journal of Patient-Centered Research and Reviews |
spelling | doaj.art-7c436e91c16a41bbb5ca773302ee4db82023-02-02T15:23:17ZengAdvocate Aurora HealthJournal of Patient-Centered Research and Reviews2330-06982019-01-0161172710.17294/2330-0698.1653Development of the Resident Wellness Scale for Measuring Resident WellnessR. Brent Stansfield0Dan Giang1Tsveti Markova2Wayne State University, Detroit, MILoma Linda University, Loma Linda, CAWayne State University, Detroit, MIPurpose: Graduate medical education programs have a responsibility to monitor resident wellness. Residents are at risk of burnout, depression, and suicide. Burnout and depression are associated with poor patient care. Many existing tools measure burnout, depression, and general human well-being, but resident wellness is a distinct construct. We aimed to develop an instrument to measure resident wellness directly. Methods: An expert panel from two purposefully different graduate medical education institutions generated a behavior- and experience-based model of resident wellness. The panel and resident leaders from both institutions generated 92 items, which were tested alongside anchor scales measuring burnout, depression, personality, optimism, life satisfaction, and social desirability in a convenience sample of 62 residents. Ten items were selected using a combination of factor analysis, a genetic algorithm, and purposeful selection. The 10-item scale was distributed to 5 institutions at which 376 residents completed it anonymously. Exploratory factor analysis was used to examine the factor structure of the scale. Results: The model of resident wellness aligned with an accepted framework of well-being in the literature. The 10-item Resident Wellness Scale broadly covered the model and correlated meaningfully with anchor scales. The factor structure of the scale suggested sensitivity to meaningful work, life security, institutional support, and social support. Conclusions: This novel Resident Wellness Scale is designed to track residents’ wellness longitudinally. It is sensitive to aspects of resident wellness that have been shown to reduce burnout and depression and appears to be a psychometrically strong measure of resident wellness.https://digitalrepository.aurorahealthcare.org/cgi/viewcontent.cgi?article=1653&context=jpcrrresident wellnessscale developmentburnoutfactor analysisgraduate medical education |
spellingShingle | R. Brent Stansfield Dan Giang Tsveti Markova Development of the Resident Wellness Scale for Measuring Resident Wellness Journal of Patient-Centered Research and Reviews resident wellness scale development burnout factor analysis graduate medical education |
title | Development of the Resident Wellness Scale for Measuring Resident Wellness |
title_full | Development of the Resident Wellness Scale for Measuring Resident Wellness |
title_fullStr | Development of the Resident Wellness Scale for Measuring Resident Wellness |
title_full_unstemmed | Development of the Resident Wellness Scale for Measuring Resident Wellness |
title_short | Development of the Resident Wellness Scale for Measuring Resident Wellness |
title_sort | development of the resident wellness scale for measuring resident wellness |
topic | resident wellness scale development burnout factor analysis graduate medical education |
url | https://digitalrepository.aurorahealthcare.org/cgi/viewcontent.cgi?article=1653&context=jpcrr |
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