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Clinical Journal of Oncology Nursing Aug 2019Poor provider health and clinical staff burnout remain a threat to quality patient care. A meta-analysis of studies about nurse burnout reported the following estimates...
Poor provider health and clinical staff burnout remain a threat to quality patient care. A meta-analysis of studies about nurse burnout reported the following estimates about nurses in clinical practice: 31% had high emotional exhaustion, 24% demonstrated high depersonalization, and 38% had low personal accomplishment.
Topics: Blood Pressure; Burnout, Professional; Heart Rate; Humans; Job Satisfaction; Massage; Self Care
PubMed: 31322616
DOI: 10.1188/19.CJON.349 -
Journal of Psychiatric Research Apr 2020WHO recently declared burnout as a "occupational phenomenon" in the International Classification of Diseases 11th revision (ICD-11), recognizing burnout as a serious... (Meta-Analysis)
Meta-Analysis
WHO recently declared burnout as a "occupational phenomenon" in the International Classification of Diseases 11th revision (ICD-11), recognizing burnout as a serious health issue. Amongst healthcare workers, nurses are known to struggle with burnout symptoms the most, carrying serious consequences for patients, other healthcare professionals and healthcare organisations. Evidence has suggested that burnout symptoms in nurses is high across specialties and countries, but no meta-analysis have been performed to investigate burnout symptoms prevalence in nurses globally. We conducted a systematic review and meta-analysis to examine burnout symptoms prevalence in nurses worldwide using 8 academic research databases. Risk of bias, heterogeneity and subgroup analyses were further conducted in the meta-analysis. 113 studies were included for systematic review and 61 studies for the meta-analysis, consisting 45,539 nurses worldwide in 49 countries across multiple specialties. An overall pooled-prevalence of burnout symptoms among global nurses was 11.23%. Significant differences were noted between geographical regions, specialties and type of burnout measurement used. Sub-Saharan African region had the highest burnout symptoms prevalence rate while Europe and Central Asia region had the lowest. Paediatric nurses had the highest burnout symptoms prevalence rates among all specialties while Geriatric care nurses had the lowest. This study is the first study to synthesize published studies and to estimate pooled-prevalence of burnout symptoms among nurses globally. The findings suggest that nurses have high burnout symptoms prevalence warranting attention and implementation. This study serves as an impetus for intervention studies and policy change to improve nurses' work conditions and overall healthcare quality.
Topics: Aged; Burnout, Professional; Burnout, Psychological; Child; Europe; Health Personnel; Humans; Prevalence
PubMed: 32007680
DOI: 10.1016/j.jpsychires.2019.12.015 -
La Tunisie Medicale Mar 2023Assess the impact of stress and Burnout syndrome on health workers during the COVID-19 pandemic.
AIM
Assess the impact of stress and Burnout syndrome on health workers during the COVID-19 pandemic.
METHOD
A survey through an online questionnaire was conducted among health personnel, completed with a paper questionnaire collection, Information was collected on demographics, COVID-19 unit activity, the Burnout syndrome calculated by the Maslach Burnout Inventory scale, is defined by high levels of exhaustion and depersonalization when the total score reaches 30 and 12 points respectively and by a low level of professional accomplishment from a total score of 40, the level of stress perception is calculated by the post-traumatic stress scale, whose threshold is equal or greater than 44 points.
RESULTS
345 responses were included concerning doctors, paramedics and technical-administrative staff working in an Algerian health facility between October 2021 and January 2022. Prevalence rates were 44.3% for burnout, 30.1% for depersonalization and 56.2% for low achievement, the prevalence of Post-Traumatic Stress Disorder was 38.6% of study participants. Analysis of risk factors among caregivers (physicians and paramedics) showed that burnout was related to age (p=0.041), the notion of the workplace in a dedicated COVID-19 patient unit (p=0.009) and the occurrence of death in the health professional's entourage (p=0,015). The occurrence of a death event among those around caregivers is a risk factor for post-traumatic stress syndrome with a OR=2.02, IC 95% [1,17-3,47].
CONCLUSION
Knowledge of the impact of COVID-19 on health professionals is an important element in maintaining their mental health and is a key consideration when managing health crises.
Topics: Humans; Algeria; Mental Health; COVID-19; Pandemics; Health Personnel; Health Workforce; Psychological Tests; Self Report
PubMed: 38263925
DOI: No ID Found -
British Journal of Nursing (Mark Allen... Jan 2020A study was conducted to explore whether fatigue, workload, burnout and the work environment can predict the perceptions of patient safety among critical care nurses in...
A study was conducted to explore whether fatigue, workload, burnout and the work environment can predict the perceptions of patient safety among critical care nurses in Oman. A cross-sectional predictive design was used. A sample of 270 critical care nurses from the two main hospitals in the country's capital participated, with a response rate of 90%. The negative correlation between fatigue and patient safety culture (= -0.240) indicates that fatigue has a detrimental effect on nurses' perceptions of safety. There was also a significant relationship between work environment, emotional exhaustion, depersonalisation, personal accomplishment and organisational patient safety culture. Regression analysis showed that fatigue, work environment, emotional exhaustion, depersonalisation and personal accomplishment were predictors for overall patient safety among critical care nurses (=0.322, =6.117, <0.0001). Working to correct these predictors and identifying other factors that affect the patient safety culture are important for improving and upgrading the patient safety culture in Omani hospitals.
Topics: Adult; Attitude of Health Personnel; Burnout, Professional; Critical Care Nursing; Cross-Sectional Studies; Fatigue; Female; Humans; Male; Middle Aged; Nursing Staff, Hospital; Oman; Organizational Culture; Patient Safety; Workload; Workplace; Young Adult
PubMed: 31917951
DOI: 10.12968/bjon.2020.29.1.28 -
JB & JS Open Access 2021It has been postulated that the process of-and stresses associated with-medical training may cause a loss of empathy among trainees. Because empathy is considered an... (Review)
Review
BACKGROUND
It has been postulated that the process of-and stresses associated with-medical training may cause a loss of empathy among trainees. Because empathy is considered an important value for clinicians and may even be associated with better patient outcomes, we assessed the empathy of orthopaedic surgery trainees and identified factors associated with empathy.
METHODS
Between June and September 2020, an anonymous survey was distributed electronically to trainees in 23 Accreditation Council for Graduate Medical Education-accredited orthopaedic surgery residency programs via the Collaborative Orthopaedic Educational Research Group. The survey comprised the validated Short-Form 8-Item Empathy Quotient (EQ-8) questionnaire-scored on a scale of 0, least empathetic, to 16, most empathetic-and single-item measure of emotional exhaustion and depersonalization derived from the Maslach Burnout Index-scored using a frequency scale. In total, 438 of 605 (72%) trainees completed the survey. The scores were compared via one-way analysis of variance, with Bonferroni correction and Tukey post-hoc testing, α = 0.05.
RESULTS
The mean (±SD) EQ-8 score among respondents was 11.3 ± 3.3. Women scored significantly higher (mean, 12.2 ± 2.8) than men (mean, 11.2 ± 3.3) (p = 0.02). Mean scores were significantly higher for trainees planning on a career in academic medicine (12.0 ± 2.9) than those intending to pursue private practice (10.9 ± 3.3) or those with a military commitment (10.4 ± 3.4) (p = 0.01). An inverse relationship was found between EQ-8 scores and single-item Maslach Burnout Index measures in depersonalization and emotional exhaustion (both, p < 0.01). No significant differences were found in EQ-8 scores across postgraduate year, program location, primary training setting, intended fellowship, relationship status, or whether they reported having children.
CONCLUSIONS
We found no association between postgraduate year and EQ-8 score. Women and those intending to pursue a career in academic medicine had significantly higher levels of empathy. A significant inverse relationship was found between burnout and empathy. Respondents with higher levels of emotional exhaustion and depersonalization had lower levels of empathy.
PubMed: 34522833
DOI: 10.2106/JBJS.OA.21.00041 -
Mindfulness 2022Although depersonalization has been described as the antithesis of mindfulness, few studies have empirically examined this relationship, and none have considered how it...
OBJECTIVES
Although depersonalization has been described as the antithesis of mindfulness, few studies have empirically examined this relationship, and none have considered how it may differ across various facets of mindfulness, either alone or in interaction. The present study examined the relationship between symptoms of depersonalization and facets of dispositional mindfulness in a general population sample.
METHODS
A total of 296 adult participants (139 male, 155 female, 2 other) were recruited online via Qualtrics and completed the Cambridge Depersonalisation Scale; Depression, Anxiety, and Stress Scale; and Five Facet Mindfulness Questionnaire.
RESULTS
Controlling for general distress, depersonalization symptoms were positively associated with Observe, Describe, and Nonreactivity facets and negatively associated with Acting with Awareness and Nonjudgment facets. After controlling for intercorrelations among the facets, depersonalization symptoms remained significantly associated with higher Nonreactivity and lower Acting with Awareness. The overall positive relationship between depersonalization symptoms and the Observe facet was moderated by both Nonjudgment and Nonreactivity. Specifically, higher Observing was related to increased depersonalization symptoms at low levels of Nonjudgment and to decreased symptoms at low levels of Nonreactivity.
CONCLUSIONS
The current study provides novel insight into the relationship between depersonalization symptoms and various aspects of mindfulness. Experiences of depersonalization demonstrated divergent relationships with mindfulness facets, alone and in interaction. The results may inform theoretical models of depersonalization and mindfulness-based interventions for depersonalization.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1007/s12671-022-01890-y.
PubMed: 35492870
DOI: 10.1007/s12671-022-01890-y -
International Journal of Environmental... Sep 2022(1) Background: Various investigations have confirmed that burnout prevails in intensive and demanding contemporary working environments. Most of these studies have...
(1) Background: Various investigations have confirmed that burnout prevails in intensive and demanding contemporary working environments. Most of these studies have analyzed the associations between emotional exhaustion and various work factors. We studied the gap in the literature by simultaneously considering the three commonly recognized dimensions of burnout (emotional exhaustion, depersonalization, and reduced personal accomplishment) using a representative sample of telecommunication sales managers. (2) Methods: 849 survey respondents completed an anonymous questionnaire that included items representing psychosocial factors at work, lifestyle characteristics, and the Maslach Burnout inventory. The hierarchical regression analysis revealed the predictors of emotional exhaustion, depersonalization, and reduced personal accomplishment. (3) Results: job demands and witnessing bullying at the workplace were the most powerful predictors of emotional exhaustion, followed by self-rated health, night work, education, and physical inactivity. Witnessing bullying at the workplace, job control, self-rated health, and physical inactivity were the strongest predictors of depersonalization. Finally, direct experiences of negative acts at the workplace, job control, social support at work, bullying exposure duration, family crises, physical inactivity, smoking and alcohol, and body mass index were the most important predictors of reduced personal accomplishments. (4) Conclusions: the present study fills a gap in the research surrounding the three dimensions of burnout. The findings not only confirm that high job demands, low job control, and low social support at work contribute to burnout but also contribute to the novel understanding that workplace bullying plays an integral role.
Topics: Burnout, Professional; Burnout, Psychological; Humans; Job Satisfaction; Surveys and Questionnaires; Telecommunications; Workplace
PubMed: 36141531
DOI: 10.3390/ijerph191811249 -
The American Journal of Psychiatry Feb 2021
Topics: Brain; Depersonalization; Dissociative Disorders; Humans
PubMed: 33517751
DOI: 10.1176/appi.ajp.2020.20121728 -
BMC Health Services Research Nov 2022Burnout is common among physicians and has detrimental effects on patient care and physician health. Recent editorials call attention to perfectionism in medicine;...
BACKGROUND
Burnout is common among physicians and has detrimental effects on patient care and physician health. Recent editorials call attention to perfectionism in medicine; however, no studies to date have examined the effect of perfectionism on burnout in physicians practicing in the United States. This study examined associations among demographics, perfectionism and personality traits, and burnout among practicing physicians.
METHODS
This cross-sectional study included general pediatric and pediatric sub-specialist physicians. Out of the 152 physicians contacted, 69 enrolled (Mean = 44.16 ± 9.98; 61% female). Emotional exhaustion, depersonalization, and personal accomplishment burnout were assessed via the Maslach Burnout Inventory. Validated instruments were used to measure personality and perfectionism. Data were analyzed using linear regression models.
RESULTS
Across physicians assessed, 42% reported either high emotional exhaustion burnout or depersonalization burnout. High self-critical perfectionism uniquely predicted both high emotional exhaustion burnout (B = 0.55, 95%CI 0.25-0.85) and depersonalization burnout (B = 0.18, 95%CI 0.05-0.31). Low conscientiousness (B = -6.12; 95%CI, -10.95- -1.28) predicted higher emotional exhaustion burnout and low agreeableness (B = -3.20, 95%CI -5.93- -0.46) predicted higher depersonalization burnout.
CONCLUSIONS
Perfectionism is understudied among physicians and the current findings suggest that addressing system and individual-level factors that encourage perfectionism is warranted and may reduce risk for physician burnout.
Topics: Female; Humans; Child; Adult; Middle Aged; Male; Perfectionism; Cross-Sectional Studies; Burnout, Psychological; Physicians; Medicine
PubMed: 36443726
DOI: 10.1186/s12913-022-08785-7 -
Medizinische Klinik, Intensivmedizin... Nov 2019Burnout is an emerging topic and has recently been the subject of a position paper of the US American Society of Critical Care Medicine. (Review)
Review
BACKGROUND
Burnout is an emerging topic and has recently been the subject of a position paper of the US American Society of Critical Care Medicine.
OBJECTIVES
To give an overview over prevalence, causes, and relevance of burnout in intensive care unit (ICU) clinicians and point to potential prevention strategies MATERIALS AND METHODS: Narrative review.
RESULTS AND CONCLUSION
Burnout is a job-related state which results from long-lasting, permanent work overload when short spells of recreation, for instance during the weekend, are not effective to reduce exhaustion, vegetative symptoms, loss of efficiency, and depersonalization. Burnout may be due to (1) work-related factors, such as unmanageable workload and lack of appreciation by superiors and (2) personal factors, such as overly high demand and commitment. Surveys from France and Switzerland suggest that approximately one third to one half of ICU clinicians are affected. Large studies among hospital nurses show an increase in burnout. Burnout impairs patient safety and satisfaction, increases clinicians' intent to quit, and staff turnover.
CONCLUSIONS
Burnout is associated with a poor work environment. Burnout prevention or reduction is an important task which demands a multidimensional approach. The goal should be to improve the work environment, achieve good team collaboration, psychological safety, and inclusive leadership.
Topics: Burnout, Professional; Burnout, Psychological; Cross-Sectional Studies; Humans; Job Satisfaction; Nursing Staff, Hospital; Surveys and Questionnaires; Workload
PubMed: 29026930
DOI: 10.1007/s00063-017-0362-1