Eight Domains of Pediatrician Wellness: A Stakeholder Informed Model

Sarah Webber; Ryan J Coller; Roger Schultz; Elizabeth E Rogers; Maren E Olson; Megan A Moreno; Jessica C Babal

doi:10.1016/j.acap.2023.12.014

Eight Domains of Pediatrician Wellness: A Stakeholder Informed Model

Acad Pediatr. 2024 Jan 10:S1876-2859(23)00480-1. doi: 10.1016/j.acap.2023.12.014. Online ahead of print.

Authors

Sarah Webber¹, Ryan J Coller², Roger Schultz², Elizabeth E Rogers³, Maren E Olson⁴, Megan A Moreno², Jessica C Babal²

Affiliations

¹ Department of Pediatrics (S Webber, RJ Coller, R Schultz, MA Moreno, and JC Babal), University of Wisconsin School of Medicine and Public Health, Madison, Wis. Electronic address: sawebber@wisc.edu.
² Department of Pediatrics (S Webber, RJ Coller, R Schultz, MA Moreno, and JC Babal), University of Wisconsin School of Medicine and Public Health, Madison, Wis.
³ Department of Pediatrics (EE Rogers), University of California San Francisco.
⁴ Department of Pediatrics (ME Olson), University of Minnesota, Minneapolis, Minn.

PMID: 38215902
DOI: 10.1016/j.acap.2023.12.014

Abstract

Background: Physician wellness is important to health care systems and quality patient care. There has been limited research clarifying the physician wellness construct. We aimed to develop a stakeholder-informed model of pediatrician wellness.

Methods: We performed a group concept mapping (GCM) study to create a model of pediatrician wellness. We followed the four main steps of GCM and recruited pediatricians at multiple sites and on social media. During brainstorming, pediatricians individually responded to a prompt to generate ideas describing the concept of pediatrician wellness. Second, pediatricians sorted the list of brainstormed ideas into conceptually similar groups and rated them on importance. Sorted data were analyzed to create maps showing each idea as a point, with lines around groups of points to create clusters of wellness. Mean importance scores for each cluster were calculated and compared using pattern match.

Results: Pediatricians in this study identified eight clusters of wellness: 1) Experiencing belonging and support at work, 2) Alignment in my purpose, my work, and my legacy, 3) Feelings of confidence and fulfillment at work, 4) Skills and mindset for emotional well-being, 5) Harmony in personal, professional, and community life, 6) Time and resources to support holistic sense of self, 7) Work boundaries and flexibility, and 8) Organizational culture of inclusion and trust. There were no significant differences in mean cluster rating score; the highest rated cluster was Harmony in personal, professional and community life (3.62).

Conclusion: Pediatricians identified eight domains of wellness, spanning professional and personal life, work, and individual factors.

Keywords: concept mapping; pediatrician wellness; physician wellness; work-life integration.