Relation of People-centered public health and person-centered healthcare management: a case study to reduce burn-out
Keywords:Burn out, flame up, harm avoidance, negative emotions, people-centered public health, persistence, person-centered healthcare, personality, positive emotions, professional exhaustion, psychological climate, self-transcendence, temperament.
AbstractHealthcare management is one practical tool for mediation and implementation of public health into clinical health care outcomes and is taken in our case study as an exemplar arena to demonstrate the vital importance of the person-centered approach.Health care personnel are frequently at risk for the ‘burn out’ syndrome. However, modern measures of burn out recognize burn out only at a late stage when it is fully developed. There are no available methods to assess the risk for vulnerability to burn out in health care systems. Our aim was therefore to design a complex person-centered model for detection of high risk for burn out at an early stage, which we have termed ‘flame up’. We accept the observation that decreased personal performance is one crucial expression of burn out. Low personal performance and negative emotions are strongly related to low self-directedness as measured by the Temperament and Character Inventory (TCI). At the same, time burn-out is characterized by decreased interest and positive emotions from work. Decreased positive emotion is directly related to low self-transcendence as measured by the TCI. Burn-out is also frequently associated with feelings of social alienation or inadequacy of support, which is in turn related to low TCI Cooperativeness. However, high Persistence and Harm Avoidance are predisposing traits for burn-out in health care professionals who are often overly perfectionistic and compulsive, predisposing them to anxiety, depression, suicide, and burn-out. Hence, people at risk for future burn-out are often highly conscientious over-achievers with intense mixtures of positive and negative emotions. The high demand for perfection comes from both intrinsic characteristics and from features of the social milieu in their psychological climate. Letting go of the unfulfillable desire to be perfect by increasing self-transcendence allows acceptance of the imperfection of the human condition, thereby preventing burn-out and other negative emotions while promoting positive emotions and work in the service of others.Hence we can evaluate vulnerable populations via a person-centered diagnostic method using the TCI and also relate well being to the psychological climate of the work place. The proposed diathesis-stress model can directly impact on the management of human resources and related decision-making. The introduction of such person-centered assessments can encourage and improve public health outcomes by promoting the personal wellbeing of health care employees.
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