Learning the ropes : Origins, counterbalances, and consequences for learning of stress among pediatric residents

Dijkstra, Ids (2010) Learning the ropes : Origins, counterbalances, and consequences for learning of stress among pediatric residents. thesis, Other studies (UMCG).

Text Dijkstra_2010_Learning_the_ropes.pdf Download (1MB)

Abstract

Pediatric residents are frequently found to score high on burnout measures. Though many models are developed to explain stress, most are too general to apply to specific sit-uations. Hence present research used 7 semi-structured interviews to examine the sources of stress among pedia-tric residents. This has ultimately led to five main categories of demand: content demand, organizational demand, emo-tional demand, personal demand and general demand. Yet apart from demands, five categories of resources were found to counterbalance stress: skills, job control, social supports, personal characteristics and general resources. The present study furthermore aimed to explore the rela-tion between stress and learning Residents are primarily supposed to develop medical knowledge and skills, which is however difficult to achieve in the stressful situation of re-sidency. Several explanations are given. The differentiation between challenge stress and hindrance stress and the bal-ance between effort and reward appeared to be important links to unravel why some demanding situations lead to motivation while others lead to frustration. A final line of research investigated the route from novice to expert. Do novices devote their attention to different things than ex-perienced residents and are competences developed in a hierarchical order. Novices were in contrast to experienced residents found to spend most of their time at learning to organize and communicate, leaving little time to develop medical knowledge and skills. Ultimately the results are dis-cussed. The report ends with practical implications and suggestions for further research.

Item Type:	Thesis (Thesis)
Supervisor name:	Pols, dr. J.
Supervisor name:	Meer, dr. P.H. van der
Faculty:	Economics and Business
Keywords:	werkdruk, Assistent In Opleiding (AIOS), stress
Date Deposited:	25 Jun 2020 10:38
Last Modified:	25 Jun 2020 10:38
URI:	https://umcg.studenttheses.ub.rug.nl/id/eprint/10

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