A diagnosis of well-being: a phenomenological study exploring women resident physicians’ perceptions of their personal experiences with occupational burnout and attending physicians’ leadership styles

This qualitative, hermeneutic phenomenological research study explored the shared lived experience of occupational burnout and wellness in female Resident Physicians. The phenomenon was explored to identify if the Residents believed their Attending Physicians’ leadership styles ameliorated or exacerbated their feelings of occupational burnout. The theoretical frameworks of Herzberg’s Two-Factor Theory (Gardner, 1977) and Positive Psychology (Seligman, 2019) were used to examine the Residents’ ability to navigate their workplaces. Virtual, semi-structured interviews were conducted to gain a perspective of the female physicians’ residency experience and to learn how each felt their Attendings’ leadership styles impacted them. The hermeneutic phenomenological approach identified common themes from the interviews and highlighted the following: (a) their training experience as female Residents, (b) their experience of occupational burnout, (c) their perceptions of leadership styles that alleviated or exacerbated occupational burnout; and (d) the coping strategies and social support they employed when navigating occupational situations that promoted occupational well-being or exacerbated occupational burnout. This research study offered a perspective on how occupational burnout impacts female Residents and how medical leaders, such as Attending Physicians, might help to assuage or prevent this phenomenon from befalling them so early in their medical careers

Supporting "Bleeders" and "Billers": How Safety-Net Administrators Mitigate Provider Burnout During the COVID-19 Pandemic and Beyond.

Organizational factors impacting burnout have been underexplored among providers in low-income, minority-serving, safety-net settings. Our team interviewed 14 health care administrators, serving as key decision makers in Federally Qualified Health Center primary care clinics. Using a semistructured interview guide, we explored burnout mitigation strategies and elements of organizational culture and practice. Transcribed interviews were coded and analyzed using the Braun and Clark (2006) Thematic Analysis method. Mission-Driven Ethos to Mitigate Provider Burnout emerged as the primary theme with 2 categories: (1) Promoting the Mission: "Bleeders" and (2) Competing Priorities: "Billers." These categories represent various properties and reflect administrators' use of organizational mission statement as a driver of staff recruitment, training, retention, and stratification. Data collection occurred before and during the COVID-19 global pandemic, as such additional themes associated with administrative behaviors during a prolonged, clinical crisis provide insight into possible strategies that may mitigate burnout in this setting