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Mahdi, Nik Nor Ronaidi Nik
- Modifiable Factors Influencing Resilience among Medical Interns
Abstract Views :388 |
PDF Views:262
Authors
Ong Yu Xuan
1,
Nurulhuda Mat Hassan
1,
Norwati Daud
1,
Nik Nor Ronaidi Nik Mahdi
1,
Mohd Salami Ibrahim
1,
Yuzana Mohd Yusop
1
Affiliations
1 Faculty of Medicine, University Sultan Zainal Abidin, Kuala Terengganu, Terengganu – 20400, MY
1 Faculty of Medicine, University Sultan Zainal Abidin, Kuala Terengganu, Terengganu – 20400, MY
Source
Asian Journal of Pharmaceutical Research and Health Care, Vol 13, No 3 (2021), Pagination: 266-274Abstract
Resilience among the medical interns is essential and is protective against the state of burnout. However, it is not thoroughly investigated among medical interns. Is there any behavioural and modifiable factors influencing resilience? The objective of this study is to determine the level of resilience among medical interns in Malaysia and its associated factors. This nationwide cross-sectional study recruited medical interns from 17 randomly selected Malaysian hospitals accredited for medical intern training. All medical interns who reported to the selected hospitals from January to April 2020 were invited to answer an online questionnaire. The questionnaire incorporated Connor-Davidson Resilience Scale-10 (CD-RISC-10) for resilience, USMEQ-i to measure emotional quotient, Brief-Cope to assess coping styles, Preparedness for Hospital Practice Questionnaire (PHPQ test) to assess internship preparedness and questions related to sociodemographic, undergraduate training and interest to become a doctor. 524 from 870 medical interns (60.2%) responded. Mean resilience score was 28.6 (SD = 6.33). Significant factors associated with resilience include active involvement in sports (p = 0.002), high EQ (p<0.001), interest to become a doctor (p<0.001), coping using humour (p<0.001), less coping by venting (p<0.001) and no failures in any clinical posting (p = 0.012). The regression model was substantiated by adjusted R2 of 62.8%. Factors affecting resilience among medical interns include modifiable factors such as coping styles and involvement in sports. The findings could guide targeted intervention to promote during medical schools or internship preparation programmes to increase resilience among medical interns.Keywords
Coping Styles, Emotional Intelligence, Medical Interns, Resilience.Full Text
References
- Stoppler MC. Definition of Intern [Internet]. MedicineNet. 2019 [updated 2019; cited 2020 Nov 10]. https://www.medicinenet.com/script/main/art.asp?articlekey=9956
- Al-Dubai SAR, Ganasegeran K, Perianayagam W, Rampal KG. Emotional burnout, perceived sources of job stress, professional fulfillment and engagement among medical residents in Malaysia. Sci World J. 2013; 2013. PMid: 24367238 PMCid: PMC3842044. https://doi.org/10.1155/2013/137620
- Yeoh OC. Medical graduates and the pressure they face. New Straits Times [Internet]. 2016 Aug 1 [cited 2020 Nov 10]. https://www.nst.com.my/news/2017/03/162222/medical-graduates-and-pressures-they-face
- Fertleman C, Carroll W. Protecting students and promoting resilience. BMJ. 2013; 347(7923). PMid: 23999895. https://doi.org/10.1136/bmj.f5266
- Jackson D, Firtko A, Edenborough M. Personal resilience as a strategy for surviving and thriving in the face of workplace adversity: A literature review. J Adv Nurs. 2007; 60(1):1–9. PMid: 17824934. https://doi.org/10.1111/j.1365-2648.2007.04412.x
- Fortney L, Luchterhand C, Zakletskaia L. Abbreviated mindfulness intervention for job satisfaction, quality of life and compassion in primary care clinicians: A pilot study. 2013. PMid: 24019272 PMCid: PMC3767709. https://doi.org/10.1370/afm.1511
- Taku K. Relationships among perceived psychological growth, resilience and burnout in physicians. Pers Individ Dif. 2014; 59:120–3. https://doi.org/10.1016/j.paid.2013.11.003
- Matheson C, Robertson HD, Elliott AM, Iversen L, Murchie P. Resilience of primary healthcare professionals working in challenging environments: A focus group study. Br J Gen Pract. 2016; 66(648):e507–e515. PMid: 27162205 PMCid: PMC4917054. https://doi.org/10.3399/bjgp16X685285
- Dyrbye LN, Power DV, Stanford Massie F, et al. Factors associated with resilience to and recovery from burnout: A prospective, multi-institutional study of US medical students. Med Educ. 2010; 44(10):1016–26. PMid: 20880371. https://doi.org/10.1111/j.1365-2923.2010.03754.x
- Carver CS, Connor-Smith J. Personality and coping. Annu Rev Psychol. 2010; 61:679–704. PMid: 19572784. https://doi.org/10.1146/annurev.psych.093008.100352
- Cooke GPE, Doust JA, Steele MC. A survey of resilience, burnout and tolerance of uncertainty in Australian general practice registrars. BMC Med Educ. 2013; 13:2. PMid: 23294479 PMCid: PMC3563610. https://doi.org/10.1186/1472-6920-13-2
- Physician LRF, Seedat S, Emsley RA. The prevalence of burnout and depression in medical doctors working in the Cape Town Metropolitan Municipality community healthcare clinics and district hospitals of the Provincial Government of the Western Cape : A cross- sectional study The prevalence o. 2014; 6190. https://doi.org/10.1080/2078 6204.2013.10874418
- Hamdan-mansour A, Hamdan-Mansour AHM. Correlates of resilience among university students. Eur Psychiatry. 2015; 30(4):1945. https://doi.org/10.1016/S0924-9338(15)31485-1
- Bonanno GA. Loss, trauma and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? Am Psychol. 2004; 59(1):20–8. PMid: 14736317. https://doi.org/10.1037/0003-066X.59.1.20
- Rutter M. The promotion of resilience in the face of adversity. Fam Count Eff Child Adolesc Dev. 2006: 26–52. https:// doi.org/10.1017/CBO9780511616259.003
- Tugade MM, Fredrickson BL. Regulation of positive emotions: Emotion regulation strategies that promote resilience. J Happiness Stud. 2007; 8(3):311–33. https://doi. org/10.1007/s10902-006-9015-4
- Soenens B, Vansteenkiste M, Sierens E. How are parental psychological control and autonomy-support related? A cluster-analytic approach. J Marriage Fam. 2009; 71(1):187– 202. https://doi.org/10.1111/j.1741-3737.2008.00589.x
- Dawson M, Pooley JA. Resilience: The role of optimism, perceived parental autonomy support and perceived social support in first year university students. J Educ Train Stud. 2013; 1(2):38–49. https://doi.org/10.11114/jets.v1i2.137
- Othman N, Nasurdin AAM. Work engagement of Malaysian nurses : Exploring the impact of hope and resilience. Int J Soc Manag Econ Bus Eng. 2011; 5(12):395–9.
- Unrath M, Zeeb H, Letzel S, Claus M. Identification of possible risk factors for alcohol use disorders among general practitioners in. 2012 Aug: 1–9. PMid:2 2915283. https://doi.org/10.4414/smw.2012.13664
- Olson K, Kemper KJ, Mahan JD. What factors promote resilience and protect against burnout in first-year pediatric and medicine-pediatric residents? J Evidence-Based Complement Altern Med. 2015; 20(3):192–8. PMid: 25694128. https://doi.org/10.1177/2156587214568894
- Mokhtar Azizi NS, Azizi Z, Azrin Baharuddin HE, Abdul Razak F. Examining factors of resilience in built environment students: Malaysia Case Study. Int J Adv Res Eng Technol. 2020; 11(9):305–14. https://doi.org/10.34218/IJARET.11.9.2020.031
- De Oliveira ACP, Machado APG, Aranha RN. Identification of factors associated with resilience in medical students through a cross-sectional census. BMJ Open. 2017; 7(11):1–8. PMid: 29133319 PMCid: PMC5695417. https://doi.org/10.1136/bmjopen-2017-017189
- Harris LS. Effects of gender and spirituality on adults’ resilience to daily non-traumatic stressors. Diss Abstr Int Sect A Humanit Soc Sci. 2017; 78(4-A(E)).
- Lee MN. Applying risk and resilience framework in examining youth’s sustainability in coping with life’s challenges. Int J Trade Econ Financ. 2011; 2(5):407–11. https://doi.org/10.7763/IJTEF.2011.V2.140
- Lian SY, Tam CL. Work stress, coping strategies and resilience: A study among working females. Asian Soc Sci. 2014; 10(12):41–52. https://doi.org/10.5539/ass.v10n12p41
- Fresco DM, Moore MT, Walt L, Craighead LW. Self administered optimism training: Mechanisms of change in a minimally supervised psychoeducational intervention. J Cogn Psychother. 2009; 23(4):350–67. https://doi.org/10.1891/0889-8391.23.4.350
- Meevissen YMC, Peters ML, Alberts HJEM. Become more optimistic by imagining a best possible self: Effects of a two week intervention. J Behav Ther Exp Psychiatry. 2011; 42(3):371–8. PMid: 21450262. https://doi.org/10.1016/j.jbtep.2011.02.012
- Bird A, Pincavage A. A curriculum to foster resident resilience. Med Ed PORTAL Publ. 2016; 12. PMid: 31008217 PMCid: PMC6464448. https://doi.org/10.15766/mep_2374-8265.10439
- Campbell-Sills L, Stein MB. Psychometric analysis and refinement of the Connor-davidson Resilience Scale (CD-RISC): Validation of a 10-item measure of resilience. 2007; 20(3):251–62. https://doi.org/10.1037/t09624-000
- Hazilah N, Manaf A, Johari R, et al. Preparedness for hospital practice in assuring quality of care. TQM J. 2016; 28(6):834–46. https://doi.org/10.1108/TQM-06-2014-0053
- Saiful M, Yusoff B. Stability of USMEQ-i in measuring emotional intelligence in medical students. 2012 Jun; 13.
- Koenig HG, Bussing A. The Duke University Religion Index (DUREL): A five-item measure for use in epidemological studies. Religions. 2010; 1(1):78–85. https://doi.org/10.3390/rel1010078
- Eisenberg SA, Shen BJ, Schwarz ER, Mallon S. Avoidant coping moderates the association between anxiety and patient-rated physical functioning in heart failure patients. J Behav Med. 2012; 35(3):253–61. PMid: 21660588. https://doi.org/10.1007/s10865-011-9358-0
- Levasseur M, Roy M, Michallet B, St-Hilaire F, Maltais D, Genereux M. Associations between resilience, community belonging, and social participation among community-dwelling older adults: Results From the Eastern Townships Population Health Survey. Arch Phys Med Rehabil. 2017; 98(12):2422–32. PMid: 28455192. https://doi.org/10.1016/j.apmr.2017.03.025
- Hartley MT. Assessing and promoting resilience: An additional tool to address the increasing number of college students with psychological problems. J Coll Couns. 2012; 15(1):37–51. https://doi.org/10.1002/j.2161-1882.2012.00 004.x
- Rahimi B, Baetz M, Bowen R, Balbuena L. Resilience, stress and coping among Canadian medical students. Can Med Educ J. 2014; 5(1):e5–e12. https://doi.org/10.36834/cmej.36689
- Chamberlain D, Williams A, Stanley D, Mellor P, Cross W, Siegloff L. Dispositional mindfulness and employment status as predictors of resilience in third year nursing students: a quantitative study. Nurs Open. 2016; (4):212–21. PMid: 27708832 PMCid: PMC5050545. https://doi.org/10.1002/nop2.56
- Mathad MD, Pradhan B, Rajesh SK. Correlates and predictors of resilience among baccalaureate nursing students. J Clin Diagnostic Res. 2017; 11(2):JC05–8. PMid: 28384889 PMCid: PMC5376833. https://doi.org/10.7860/JCDR/2017/24442.9352
- Orosz G, Toth-Kiraly I, Buki N, Ivaskevics K, Bothe B, Fulop M. The four faces of competition: The development of the Multidimensional Competitive Orientation Inventory. Front Psychol. 2018 May; 9:1–16. PMid: 29872415 PMCid: PMC5972296. https://doi.org/10.3389/fpsyg.2018.00779
- Montero-Marin J, Tops M, Manzanera R, Piva Demarzo MM, De Mon MÁ, García-Campayo J. Mindfulness, resilience and burnout subtypes in primary care physicians: The possible mediating role of positive and negative effect. Front Psychol. 2015Dec; 6:1–8. PMid: 26733900 PMCid: PMC4681844. https://doi.org/10.3389/fpsyg.2015.01895
- Weidong J, Guoquan Z, Yaosheng P, et al. Relationship between resilience and social support, coping style of students in middle school. Eur Psychiatry. 2012; 27:1. https://doi.org/10.1016/S0924-9338(12)75574-8
- Anasuri S, Anthony K. Resilience levels among college students: A comparative study from two southern states in the USA. IOSR J Humanit Soc Sci. 2018; 23(1):52–73. https://doi.org/10.9790/0837-2301035273
- Splan RK, Brooks RM, Porr S, Broyles TW. Resiliency and achievement goal orientation among agricultural students. NACTA J. 2011; 55(4):31.
- Chacon-Cuberos R, Castro-Sanchez M, Perez-Turpin JA, Olmedo-Moreno EM, Ortega FZ. Levels of physical activity are associated with the motivational climate and resilience in university students of physical education from andalucía: An explanatory model. Front Microbiol. 2019 Aug; 10:1–11. PMid: 31447747 PMCid: PMC6691152. https://doi.org/10.3389/fpsyg.2019.01821
- Magnano P, Craparo G, Paolillo A. Resilience and emotional intelligence: Which role in achievement motivation Resiliencia e Inteligencia Emocional: qué rol tienen en la motivación al logro Resilience and emotional Intelligence. Int J Psychol Res. 2016; 9(1):9–20. https://doi. org/10.21500/20112084.2096
- Keeton K, Fenner DE. Predictors of physician career satisfaction. Work-life balance and burnout. 2007; 109(4):949–55. PMid: 17400859. https://doi.org/10.1097/01. AOG.0000258299.45979.37
- Cherry KE, Sampson L, Galea S, et al. Spirituality, humor and resilience after natural and technological disasters. J Nurs Scholarsh. 2018; 50(5):492–501. PMid: 30058284. https://doi.org/10.1111/jnu.12400 49. Stratta P, Capanna C, Dell’Osso L, et al. Resilience and coping in trauma spectrum symptoms prediction: A structural equation modeling approach. Pers Individ Dif. 2015; 77:55– 61. https://doi.org/10.1016/j.paid.2014.12.035
- Patel RS, Tarrant C, Bonas S, Shaw RL. Medical students’ personal experience of high-stakes failure: Case studies using interpretative phenomenological analysis. BMC Med Educ. 2015; 15(1):1–9. PMid: 25964102 PMCid: PMC4548844. https://doi.org/10.1186/s12909-015-0371-9