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Occupational Medicine (Oxford, England) Jan 2022Identifying the most significant risk factors for physician burnout can help to define the priority areas for burnout prevention. However, not much is known about the...
BACKGROUND
Identifying the most significant risk factors for physician burnout can help to define the priority areas for burnout prevention. However, not much is known about the relative importance of these risk factors.
AIMS
This study was aimed to examine the relative importance of multiple work-related psychosocial factors in predicting burnout dimensions among physicians.
METHODS
In a cross-sectional sample of 2423 Finnish physicians, dominance analysis was used to estimate the proportionate contribution of psychosocial factors to emotional exhaustion, depersonalization and reduced personal accomplishment. The psychosocial factors included job demands (time pressure, patient-related stress, lack of support, stress related to information systems, work-family conflict) and job resources (job control, team climate, organizational justice).
RESULTS
Together, psychosocial factors explained 50% of the variance in emotional exhaustion, 24% in depersonalization and 11% in reduced professional efficacy. Time pressure was the most important predictor of emotional exhaustion (change in total variance explained ΔR2 = 45%), and patient-related stress was the most important predictor of both depersonalization (ΔR2 = 52%) and reduced professional accomplishment (ΔR2 = 23%). Stress related to information systems was the least important predictor of the burnout dimensions (ΔR2 = 1-2%).
CONCLUSIONS
Psychosocial factors in physicians' work are differently associated with the dimensions of burnout. Among the factors, the most significant correlates of burnout are job demands in the form of time pressure and patient-related stress.
Topics: Burnout, Professional; Burnout, Psychological; Cross-Sectional Studies; Humans; Job Satisfaction; Organizational Culture; Physicians; Social Justice; Surveys and Questionnaires
PubMed: 34729593
DOI: 10.1093/occmed/kqab147 -
British Journal of Anaesthesia Jan 2024Technological innovation has greatly aided modern medicine, and anaesthesiology in particular, but also contributes to dehumanising influences that promote physician...
Technological innovation has greatly aided modern medicine, and anaesthesiology in particular, but also contributes to dehumanising influences that promote physician burnout and dissatisfaction among patients. Here we advocate for a profound reaffirmation of humanistic principles-empathy, compassion, and communication-in perioperative medicine. We propose adaptable strategies to bolster humanism in practice, such as curricular offerings, simulation training, role modelling, and recognition. As perioperative technologies continue to evolve, the threat of depersonalisation in anaesthetic care looms, making commitments to humanism a crucial precondition for healing in the communities in which we work and live.
Topics: Humans; Anesthesiology; Humanism; Physicians; Communication; Technology
PubMed: 37884409
DOI: 10.1016/j.bja.2023.09.026 -
Frontiers in Psychiatry 2021Emotional exhaustion in the context of vulnerability to burnout is a part of the universal narrative of high stress and systematically reported in healthcare...
Emotional exhaustion in the context of vulnerability to burnout is a part of the universal narrative of high stress and systematically reported in healthcare professionals. The sense of coherence (SOC) is a salutogenic construct, operationalized by A. Antonovsky as a generalized resistance resource (GRR) to stress in three dimensions: meaningfulness (Me), the desire of a person to be motivated to cope; comprehensibility (C), the belief that the challenge is understood; and manageability (Ma), the belief that coping resources are available. The relation between SOC and the dimensions of burnout-Emotional Exhaustion (EE), Depersonalization (D), and Personal Accomplishment (PA)-is a part of salutogenic functioning, which reveals the inner motivation and self-organization of the psycho-emotional energetic resource. This study traces the salutogenic functioning of Bulgarian healthcare professionals during the pandemic. A general psychological background of coherence and exhaustion has been identified. All components of the SOC were positively correlated to Personal Accomplishment. Emotional Exhaustion and Depersonalization correlated negatively with coherence. SOC was validated as a possible determinant to predict the reduction of exhaustion and depersonalization as well as high levels of professional performance. The dimension of Meaningfulness in the coherence phenomenon was demonstrated to have the highest predictive value for professional burnout.
PubMed: 34408684
DOI: 10.3389/fpsyt.2021.709587 -
Psychiatria Polska Oct 2019The aim of this work is to present the results of research on occupational burnout in a group of psychiatrists. The electronic databases and empirical publications from... (Review)
Review
The aim of this work is to present the results of research on occupational burnout in a group of psychiatrists. The electronic databases and empirical publications from 2000-2017 were searched. In order to identify reports that met the selection criteria, the papers was critically assessed. In the presented studies it was shown that the burnout syndrome is most often presented in accordance with the theoretical model proposed by Christina Maslach (including the dimension of depersonalization, emotional exhaustion and the feeling of lack of personal achievements). Risk factors include, among others: too long working hours, low earnings, negative self-image, specificity of treated patients, conflicts with colleagues, satisfaction with the work performed, insufficient supervision of work.
Topics: Achievement; Adaptation, Psychological; Adult; Burnout, Professional; Burnout, Psychological; Depersonalization; Female; Humans; Job Satisfaction; Male; Severity of Illness Index; Stress, Psychological; Workplace
PubMed: 31955191
DOI: 10.12740/PP/OnlineFirst/91686 -
Revista Latino-americana de Enfermagem 2019to analyze the burnout dimensions scores in Brazilian and Spanish nursing workers. (Comparative Study)
Comparative Study
OBJECTIVE
to analyze the burnout dimensions scores in Brazilian and Spanish nursing workers.
METHOD
quantitative, cross-sectional and comparative study conducted with 589 Nursing workers who answered the Sociodemographic and Professional Characterization Questionnaire and the Maslach Burnout Inventory. Descriptive and analytical analysis of the data was performed.
RESULTS
Spanish Nursing workers presented higher averages in the Depersonalization dimension (p = 0.004) and Brazilians, higher scores in the Professional Achievement dimension (p = 0.031). In both Spain and Brazil, nursing assistants / technicians were found to have higher Emotional Exhaustion than nurses; In Brazil, Depersonalization is higher in nurses and in Spain it is higher in Nursing assistants / technicians. Statistically significant results were found in the association of burnout dimensions with sociodemographic and work characteristics: age; professional category; workplace; work regime; work shift; time of professional experience; working time in the same workplace and consider stressful work.
CONCLUSION
Although Brazilian and Spanish nursing workers score low levels of Depersonalization and high Professional Achievement, there are average levels of Emotional Exhaustion, indicating an important preventive factor to be worked on, since Emotional Exhaustion is considered the first stage of burnout.
Topics: Adult; Brazil; Burnout, Professional; Cross-Sectional Studies; Female; Humans; Male; Middle Aged; Nursing Assistants; Nursing Staff; Occupational Diseases; Socioeconomic Factors; Spain; Surveys and Questionnaires; Workplace
PubMed: 31826153
DOI: 10.1590/1518-8345.2818.3192 -
Work (Reading, Mass.) 2023Burnout is not only related to mental health but also to efficiency. Thus, recognizing effective coping strategies has a significant role in improving mental health, the...
BACKGROUND
Burnout is not only related to mental health but also to efficiency. Thus, recognizing effective coping strategies has a significant role in improving mental health, the efficiency and productivity of human resources, and making better the level of quality of service.
OBJECTIVE
To determine burnout syndrome and examine related factors among the employees of Mashhad University of Medical Sciences.
METHOD
This cross-sectional study was conducted among 600 employees at Mashhad University of Medical Sciences. They were selected by a stratified sampling method. The data collection tool was the demographic information and the Burnout Self-Test Maslach Burnout Inventory (MBI) questionnaire. Data were analyzed through SPSS software version 20, using descriptive statistics and independent samples t-tests, one-way ANOVA, and Pearson and Spearman regression.
RESULTS
The findings showed that emotional exhaustion (EE) and depersonalization (DP) in the majority of employees were high and personal accomplishment (PA) was low at 88.33% of cases. All participants presented burnout. However, participants aged 35-40 years, those with professional and Ph.D. degrees, and research staff reported higher burnout levels.
CONCLUSION
Job burnout and its subscale levels among the employees were high. Job burnout is associated with socioeconomic status that can be affected by individual, organizational, management, and environmental factors. Therefore, this study suggests that employees need to get out of EE and DP conditions for higher job performance. Additionally, further research is required to examine the long-term effects of workplace burnout.
Topics: Humans; Cross-Sectional Studies; Burnout, Professional; Health Personnel; Workforce; Emotional Exhaustion; Surveys and Questionnaires
PubMed: 37393473
DOI: 10.3233/WOR-220485 -
Work (Reading, Mass.) 2021Although job demands, supervisory support, and burnout have been identified as significant predictors of turnover intention, little attention has been paid to the...
BACKGROUND
Although job demands, supervisory support, and burnout have been identified as significant predictors of turnover intention, little attention has been paid to the mechanisms among these determinants.
OBJECTIVE
Based on the job demand and resource (JD-R) model, this study examined the mediating roles of emotional exhaustion and depersonalization.
METHODS
Data were collected from private sector social workers in three metropolitan areas of South Korea (N = 316). Two serial multiple mediation analyses were conducted to examine the mediating effects of emotional exhaustion and depersonalization in the relationships between job demands and turnover intention and between job resources and turnover intention, respectively.
RESULTS
Job demands and resources were associated with turnover intention both directly and indirectly, through emotional exhaustion and depersonalization. Whereas job demands were positively associated with emotional exhaustion only, job resources were negatively associated with both emotional exhaustion and depersonalization. The sequential link from emotional exhaustion to depersonalization was present in both job demands and in the resources models.
CONCLUSIONS
The findings underscore the importance of addressing potential burnout to effectively reduce turnover intention among social workers in South Korea. Implications and strategies for developing interventions and policies to reduce turnover by improving work environments are suggested.
Topics: Burnout, Professional; Cross-Sectional Studies; Depersonalization; Emotions; Humans; Intention; Job Satisfaction; Personnel Turnover; Salaries and Fringe Benefits; Surveys and Questionnaires
PubMed: 34511473
DOI: 10.3233/WOR-213574 -
Work (Reading, Mass.) 2020The work of nurses and correctional officers alike has long been pointed at as among the most stressful in the world. (Comparative Study)
Comparative Study
BACKGROUND
The work of nurses and correctional officers alike has long been pointed at as among the most stressful in the world.
OBJECTIVE
The primary aim was to evaluate the prevalence and level of occupational burnout among 214 hospital nurses and 201 correctional officers from Bulgaria. One of the focuses was to examine whether gender roles or occupational roles were more related to burnout.
METHODS
The current work used a descriptive cross-sectional inter-occupational comparative survey design. The participation was voluntary, individually and anonymously without any financial compensation. The only qualification in the sample selection was that the employee had direct contact with patients and inmates respectively. A translated MBI-Bulgarian version was used to measure burnout. Data were entered into SPSS17.0 to carry out data analysis.
RESULTS
The level of emotional exhaustion and personal accomplishment of nurses were significantly higher than that of correctional officers. Mean depersonalization score of correctional officers was significantly higher than that of nurses. Correctional officers demonstrated a higher prevalence of burnout syndrome compared with nurses. To examine whether gender is associated with burnout, Mann-Whitney U test was utilized to assess gender differences of correctional officers. Our results suggest that being male or female is not a critical determinant of burnout.
CONCLUSION
Correctional officers were found to have a higher prevalence of burnout syndrome compared with nurses.
Topics: Adult; Bulgaria; Burnout, Professional; Cross-Sectional Studies; Depersonalization; Emotions; Female; Humans; Male; Middle Aged; Nursing Staff, Hospital; Occupational Stress; Prevalence; Prisons; Sex Factors; Surveys and Questionnaires
PubMed: 31868713
DOI: 10.3233/WOR-193059 -
Cognitive Neuropsychiatry May 2023Here we present a case of Depersonalisation-Derealisation Disorder which involves an unusual environmental trigger and profile of symptoms in a patient with an...
INTRODUCTION
Here we present a case of Depersonalisation-Derealisation Disorder which involves an unusual environmental trigger and profile of symptoms in a patient with an underlying left frontal encephalomalacia.
METHODS
The clinical information has been collected from multiple neurological, psychiatric, neuropsychological examinations and from the patient's medical records.
RESULTS
The neuropsychiatric assessment showed depersonalisation, derealisation, de-somatisation and de-affectualisation, along with a good response to SSRI + Lamotrigine; all typical features of DPD. The neuropsychological assessment showed language problems, and other mild cognitive difficulties that may provide a neuropsychological foundation contributing to the DPD episodes.
DISCUSSION AND CONCLUSION
Given Mr R's underlying neuropsychological deficit, hearing voices without speech-associated gestures might place excessive demands on his ability to process the information, exacerbating his feelings of threat. This sets up the pattern of suppressed insula activation, and possibly the suppression of the auditory cortex leading to the presented unusual DPD symptoms.
Topics: Humans; Depersonalization; Emotions; Neuropsychological Tests
PubMed: 37057376
DOI: 10.1080/13546805.2023.2197201 -
Annals of Medicine Dec 2022There have been few studies carried out into empathy in physiotherapists. Burnout can debilitate the quality of care and the efficacy of treatment as the empathetic...
BACKGROUND
There have been few studies carried out into empathy in physiotherapists. Burnout can debilitate the quality of care and the efficacy of treatment as the empathetic capacity of the professional diminishes.
OBJECTIVE
The objective of the study was to examine the association between the construct burnout, empathy and sociodemographic aspects in Spanish physiotherapists.
METHODS
A cross-sectional electronic survey including the Maslach Burnout Inventory (for burnout assessment), the Interpersonal Reactivity Index (for empathy assessment) and sociodemographic data was answered by 461 Spanish physical therapists. A descriptive, bivariate and lineal regression analysis was performed.
RESULTS
There was an association between burnout and empathy. Specifically, higher levels of burnout are associated with lower levels of empathy, whilst years of work experience is associated with lower levels of burnout.
CONCLUSIONS
The results of this study contribute to a greater understanding of the relationship between the level of burnout and the dimensions of empathy in physiotherapists. The influence of burnout, which causes difficulties in the mobilization of the professional towards the establishment of a quality therapeutic relationship, is highlighted.KEY MESSAGESEmotional exhaustion is associated to greater personal discomfort and less empathy.The depersonalization is associated to personal discomfort and less empathy.Depersonalization is negatively associated to the lack of perspective.
Topics: Burnout, Professional; Burnout, Psychological; Cross-Sectional Studies; Empathy; Humans; Physical Therapists
PubMed: 35377264
DOI: 10.1080/07853890.2022.2059102