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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Main Authors: R. Brent Stansfield, Dan Giang, Tsveti Markova
Format: Article
Language:English
Published: Advocate Aurora Health 2019-01-01
Series:Journal of Patient-Centered Research and Reviews
Subjects:
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.
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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
work_keys_str_mv AT rbrentstansfield developmentoftheresidentwellnessscaleformeasuringresidentwellness
AT dangiang developmentoftheresidentwellnessscaleformeasuringresidentwellness
AT tsvetimarkova developmentoftheresidentwellnessscaleformeasuringresidentwellness