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Sheri Price - One of the best experts on this subject based on the ideXlab platform.
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future directions for Career Choice research in nursing a discussion paper
International Journal of Nursing Studies, 2009Co-Authors: Sheri PriceAbstract:The last few decades have seen considerable changes in the characteristics of the healthcare workplace and workforce. There is a significant emphasis on recruitment and retention of healthcare providers internationally especially within the profession of Nursing, where there is a critical and growing shortage of nurses. Career Choice is a critical component of recruitment and retention strategies and has significant organizational implications in regards to person-environment fit, Career satisfaction and commitment. Many extant Career Choice theories fail to capture the challenges, complexities and uncertainties of the 21st century. Moreover, some early theories do not recognize the unique characteristics of upcoming generational cohorts and the multivariate influences on their Career decisions. An extensive review and synthesis of the related literature provide the basis for a critical discussion on the adoption of new methodological approaches to exploring Career Choice in Nursing. The use of qualitative and mixed method approaches, a focus on generational differences and an exploration of adaptive and adjustment processes to Career change provide a foundation for future Career Choice research and theoretical development which are reflective of the characteristics of the contemporary employee and the reality of modern healthcare organizations.
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becoming a nurse a meta study of early professional socialization and Career Choice in nursing
Journal of Advanced Nursing, 2009Co-Authors: Sheri PriceAbstract:Title. Becoming a nurse: a meta-study of early professional socialization and Career Choice in nursing. Aim. This paper is a report of a meta-study of early professional socialization and Career Choice in nursing. Background. The current and growing shortage of nurses is a global issue, and nursing recruitment and retention are recognized priorities internationally. The future of nursing will lie in the ability to recruit and retain the next generation to the profession. Data sources. Studies were identified through a search of the CINAHL, PsycInfo, Sociological Abstracts, PubMed; Medline and Embase databases from 1990 to 2007. Review methods. Studies were included if they gave insight into the experience of choosing nursing as a Career, used qualitative methodology and methods, and were published in English. Analysis was undertaken using Paterson et al.’s framework for qualitative meta-synthesis. Results. Ten primary studies were included in the review. Their methodologies included: ethnography (4); descriptive qualitative (3); grounded theory (2); and phenomenology (1). The location of the research was Canada (3), United Kingdom (2), United States of America (2), Australia (1), Japan (1) and Sweden (1). Three main themes were identified: influence of ideals; paradox of caring and role of others. Conclusion. Career Choice and early professional socialization are influenced by multiple factors. In future recruitment and retention strategies to address the critical nursing shortage, it is important to consider the role of mentors, peers and role models in the formulation of Career expectations, and Career Choice decisions. It is also necessary to consider the role of mentors, peers and role models in the formulation of Career expectations, and Career Choice decisions.
Michael P Robich - One of the best experts on this subject based on the ideXlab platform.
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predictors of Career Choice among cardiothoracic surgery trainees
The Annals of Thoracic Surgery, 2015Co-Authors: Vakhtang Tchantchaleishvili, Damien J Lapar, David D Odell, William Stein, Muhammad Aftab, Kathleen S Berfield, Amanda L Eilers, Shawn S Groth, John F Lazar, Michael P RobichAbstract:Background The impact of factors influencing Career Choice by cardiothoracic surgery (CTS) trainees remains poorly defined in the modern era. We sought to examine the associations between CTS trainee characteristics and future Career aspirations. Methods The 2012 Thoracic Surgery In-Training Examination survey results were used to categorize responders according to Career interest: congenital, adult cardiac, mixed cardiac/thoracic, and general thoracic surgery. Univariate and multivariable analyses were used to identify and analyze characteristics associated with Career interest categories. Results With a 100% response rate, 300 responses from trainees in programs accredited by the Accreditation Council for Graduate Medical Education were included in the analysis. Multinomial logistic regression identified three factors associated with Career Choice in CTS: level of training ( p p p = 0.002). Trainees interested in general thoracic surgery were more likely to commit to CTS during their senior years of general surgery training and were more likely to enroll in 2-year or 3-year traditional fellowships, whereas individuals pursuing adult or congenital cardiac surgery were more likely to commit earlier during training and were more commonly interested in 6-year integrated or joint training pathways. Moreover, trainees interested in general thoracic surgery were predominantly influenced by early mentorship ( p = 0.025 vs adult cardiac), and trainees interested in adult cardiac surgery were more likely to be influenced by types of operations ( p = 0.047 vs general thoracic). Conclusions Career Choice in CTS appears strongly associated with level of training, exposure to mentors, and training paradigm. These results demonstrate the importance of maintaining all four currently approved training pathways to retain balance and diversity in future CTS practices.
Dorene F Balmer - One of the best experts on this subject based on the ideXlab platform.
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pediatric Career Choice insights from a novel medical school pathway program
Academic Pediatrics, 2020Co-Authors: Dorene F Balmer, Rachel Gottliebsmith, Patricia M Hobday, Michele Long, Carol Carraccio, James F Bale, Lindsey J LaneAbstract:Abstract Objective Research on how medical students choose a Career in pediatrics is either dated or conflated with primary care Career Choice. Capitalizing on student participation in an innovative, time-variable, competency based pathway program, Education in Pediatrics Across the Continuum (EPAC), the authors explored the process of Career decision-making in students at five medical schools (including 4 EPAC sites) who begin medical school with an interest in pediatrics. Methods Individual, semi-structured interviews were conducted with students in five groups: Group 1: accepted into EPAC, n=8; Group 2: accepted into EPAC, opted-out, n=4; Group 3 applied to EPAC, not accepted, pursued pediatrics, n=4; Group 4: applied to EPAC, not accepted, did not pursue pediatrics, n=3; Group 5: pursued pediatrics at a non-EPAC site, n=6. Data collection and analysis occurred iteratively, with inductive coding of data revealing patterns in data explored in subsequent interviews and refined in the final analysis. Results All students described intrinsic guiding principles, i.e., “doing what you love”, that attracted them to pediatrics. They described extrinsic, phase-specific experiences before medical school, before clerkship, and in clerkship that shaped their perceptions of a Career in pediatrics and shed light on collective values of different specialties. Student's assessment of how their guiding principles aligned with the collective values of pediatrics, which students encountered in the clerkship phase, was key to making Career decisions. Conclusions Intrinsic and extrinsic factors do not act alone but interact in clerkships, and influence Career Choice of students who enter medical school with an interest in pediatrics.
Liselotte N. Dyrbye - One of the best experts on this subject based on the ideXlab platform.
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Original Research: An Investigation of Career Choice Regret Among American Nurses.
AJN American Journal of Nursing, 2020Co-Authors: Liselotte N. Dyrbye, Colin P. West, Pamela O. Johnson, Pamela F. Cipriano, Cheryl Peterson, Dale E. Beatty, Brittny Major-elechi, Tait D. ShanafeltAbstract:Purpose To explore whether burnout is an independent predictor of Career Choice regret among nurses. Methods In November 2017 we invited a random sample of 89,995 members of the American Nurses Association to participate in an anonymous online survey. The survey collected demographic and professional information and included the Maslach Burnout Inventory-Human Services Survey for Medical Personnel (known as the MBI-HSS [MP]), as well as several items exploring Career Choice regret. Of the 86,858 nurses who received the e-mail invitation, 8,638 (9.9%) responded. Multivariable logistic regression analysis was conducted for the final sample of 6,933 nurses who provided complete responses to the MBI-HSS (MP) and the Career Choice regret survey items. Results Fifteen percent of the 6,933 participating nurses had Career Choice regret. On multivariable analysis, experiencing burnout, working unplanned or mandatory overtime, being male, and having a higher academic degree related to nursing were independent predictors of Career Choice regret. Burnout was the strongest such predictor. Conclusion Career Choice regret among U.S. nurses is relatively common. Of the independent predictors this study identified, burnout had the strongest relationship with Career Choice regret. Organizational strategies aimed at reducing burnout and supporting nurses' ongoing professional development should be pursued.
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association of clinical specialty with symptoms of burnout and Career Choice regret among us resident physicians
JAMA, 2018Co-Authors: Liselotte N. Dyrbye, Sara E Burke, Rachel R Hardeman, Jeph Herrin, Natalie M Wittlin, Mark W Yeazel, John F Dovidio, Brooke A Cunningham, Richard O White, Sean M PhelanAbstract:Importance Burnout among physicians is common and has been associated with medical errors and lapses in professionalism. It is unknown whether rates for symptoms of burnout among resident physicians vary by clinical specialty and if individual factors measured during medical school relate to the risk of burnout and Career Choice regret during residency. Objective To explore factors associated with symptoms of burnout and Career Choice regret during residency. Design, Setting, and Participants Prospective cohort study of 4732 US resident physicians. First-year medical students were enrolled between October 2010 and January 2011 and completed the baseline questionnaire. Participants were invited to respond to 2 questionnaires; one during year 4 of medical school (January-March 2014) and the other during the second year of residency (spring of 2016). The last follow-up was on July 31, 2016. Exposures Clinical specialty, demographic characteristics, educational debt, US Medical Licensing Examination Step 1 score, and reported levels of anxiety, empathy, and social support during medical school. Main Outcomes and Measures Prevalence during second year of residency of reported symptoms of burnout measured by 2 single-item measures (adapted from the Maslach Burnout Inventory) and an additional item that evaluated Career Choice regret (defined as whether, if able to revisit Career Choice, the resident would choose to become a physician again). Results Among 4696 resident physicians, 3588 (76.4%) completed the questionnaire during the second year of residency (median age, 29 [interquartile range, 28.0-31.0] years in 2016; 1822 [50.9%] were women). Symptoms of burnout were reported by 1615 of 3574 resident physicians (45.2%; 95% CI, 43.6% to 46.8%). Career Choice regret was reported by 502 of 3571 resident physicians (14.1%; 95% CI, 12.9% to 15.2%). In a multivariable analysis, training in urology, neurology, emergency medicine, and general surgery were associated with higher relative risks (RRs) of reported symptoms of burnout (range of RRs, 1.24 to 1.48) relative to training in internal medicine. Characteristics associated with higher risk of reported symptoms of burnout included female sex (RR, 1.17 [95% CI, 1.07 to 1.28]; risk difference [RD], 7.2% [95% CI, 3.1% to 11.3%]) and higher reported levels of anxiety during medical school (RR, 1.08 per 1-point increase [95% CI, 1.06 to 1.11]; RD, 1.8% per 1-point increase [95% CI, 1.6% to 2.0%]). A higher reported level of empathy during medical school was associated with a lower risk of reported symptoms of burnout during residency (RR, 0.99 per 1-point increase [95% CI, 0.99 to 0.99]; RD, −0.5% per 1-point increase [95% CI, −0.6% to −0.3%]). Reported symptoms of burnout (RR, 3.20 [95% CI, 2.58 to 3.82]; RD, 15.0% [95% CI, 12.8% to 17.3%]) and clinical specialty (range of RRs, 1.66 to 2.60) were both significantly associated with Career Choice regret. Conclusions and Relevance Among US resident physicians, symptoms of burnout and Career Choice regret were prevalent, but varied substantially by clinical specialty. Further research is needed to better understand these differences and to address these issues.
Joseph Mattana - One of the best experts on this subject based on the ideXlab platform.
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Career Choice selection and satisfaction among us adult nephrology fellows
Clinical Journal of The American Society of Nephrology, 2012Co-Authors: Hitesh H Shah, Kenar D Jhaveri, Matthew A Sparks, Joseph MattanaAbstract:Summary Although many anticipate that there will be an eventual shortage of practicing nephrologists, a complete understanding is lacking regarding the current factors that lead US adult nephrology fellows to choose nephrology as a Career and their satisfaction with this Choice. It is of great concern that interest in obtaining nephrology fellowship training continues to decline in the United States, especially among US medical graduates, and the reasons for this are unclear. The exposure that students and residents have to nephrology is likely to play an important role in the Career Choices that they make and their ultimate satisfaction with this Career Choice is likely influenced by several factors, including job opportunities. Some of the findings presented here suggest that there may be a high percentage of nephrology fellows who are dissatisfied with their Career Choice. Failure to understand the factors that influence trainees to choose nephrology as a Career and those that affect their satisfaction with this Choice may impair the ability to graduate a sufficient number of nephrologists to meet projected demand. In this article, a number of variables related to the Choice of nephrology as a Career and satisfaction with a Career in nephrology are discussed. Some steps that the nephrology training community might take to help promote interest in nephrology and optimize the satisfaction that nephrology graduates derive from their Careers are also proposed.