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Central European Journal of Public... Dec 2023The aim of the study was to assess the factors determining the work of nurses in internal medicine departments.
OBJECTIVES
The aim of the study was to assess the factors determining the work of nurses in internal medicine departments.
METHODS
The study was multicentre, cross-sectional, and observational. The selection of the research group was intentional. The subject of the study were 209 nurses working in 11 internal medicine departments in 10 hospitals in the region of southern Poland.
RESULTS
The number of patients cared for by one nurse, nurses' participation in the decision-making process, and nurses' age were shown to be direct predictors of emotional exhaustion. The number of patients cared for by a single nurse, nurses' participation in the decision-making process, and age were direct predictors of depersonalization. It was shown that significant (p < 0.05) independent (multivariate analysis) variables of the job satisfaction subscale were information on support for nurses at work by managerial staff and nurses' participation in the decision-making process. After analysing the impact of socio-demographic factors on the nurses' working environment, it was found that the participation of nurses in the decision-making process was significantly lower in the youngest group than in the other age groups (p = 0.006).
CONCLUSIONS
Participation of nurses in the decision-making process is a direct determinant of occupational burnout. A higher number of patients under the care of a nurse, lack of participation in the decision-making process and a higher age of nurses are predictors of emotional exhaustion and depersonalization.
Topics: Humans; Cross-Sectional Studies; Nursing Staff, Hospital; Workplace; Burnout, Professional; Job Satisfaction; Emotional Exhaustion; Surveys and Questionnaires; Nurses
PubMed: 38309701
DOI: 10.21101/cejph.a7883 -
African Journal of Primary Health Care... Jan 2024Healthcare providers (HCPs) are at risk of burnout in sub-Saharan Africa. However, there is little research in rural and primary care settings.
BACKGROUND
Healthcare providers (HCPs) are at risk of burnout in sub-Saharan Africa. However, there is little research in rural and primary care settings.
AIM
To evaluate burnout and its associated factors among public sector HCPs in South Africa.
SETTING
Primary health care clinics, community health centres and district hospitals in Nkomazi Local Municipality, Mpumalanga province.
METHODS
Quantitative study design using a cross-sectional survey. Healthcare providers (n = 1139) working in Nkomazi Local Municipality were invited to participate. Burnout was assessed using the Maslach Burnout Inventory. A demographic and occupational questionnaire, the General Help-Seeking Questionnaire and the Health and Safety Executive Indicator Tool were used.
RESULTS
A total of 302 HCPs, between 23 and 61 years, mostly female (n = 252; 83.44%) and nurses (n = 235; 77.81%) participated. High burnout was observed for Emotional Exhaustion (median score 26 [IQR {interquartile range}: 34-16]) and Personal Accomplishment (median score 29 [IQR: 34-25]). Most participants (n = 215; 71.19%) would seek help if they had an emotional problem. Bivariate analysis revealed significant associations between workplace demands, control, management support, peer support, relationships, role and change with all subscales of burnout. Multivariate regression analysis found that Personal Accomplishment improved by 0.49 (95% CI: 0.10-0.89) for every point in improved work demands, by 0.84 (95% CI: 0.01-1.67) for every point towards improved management support and by 1.19 (95% CI: 0.48-1.90) for every point towards having an improved role.
CONCLUSIONS
During 2022, HCPs working in a rural area in South Africa displayed high levels of burnout for Emotional Exhaustion and Personal Accomplishment but not for Depersonalisation.Contributions: Improvements in work demands, managerial support and role clarity may reduce burnout among HCP in a rural, primary care setting.
Topics: Humans; Female; Male; Cross-Sectional Studies; South Africa; Burnout, Professional; Health Personnel; Surveys and Questionnaires; Psychological Tests; Self Report
PubMed: 38299543
DOI: 10.4102/phcfm.v16i1.4163 -
South African Family Practice :... Jan 2024There has been an increasing awareness of the importance of physician mental health. Several South African studies show a high prevalence of burnout among doctors....
There has been an increasing awareness of the importance of physician mental health. Several South African studies show a high prevalence of burnout among doctors. Burnout is characterised by three components: exhaustion, depersonalisation, and a sense of a lack of efficacy. Burnout is a result of both external and internal pressures. While lifestyle modification is essential, mindfulness-informed programmes promote self-regulation and resilience. Mindfulness programmes comprise three components: present moment awareness, perspective-taking and wisdom, and compassion. Physician wellness begins with individuals recognising the need of self-care and giving themselves permission to prioritise this. Ongoing identification of self-care needs and acting compassionately to address these needs is essential.
Topics: Humans; Mindfulness; Self Care; Physicians; Burnout, Professional; Empathy
PubMed: 38299520
DOI: 10.4102/safp.v66i1.5836 -
Heliyon Jan 2024Midwifery practice in Hungary is characterized by chronic stress, which may in turn lead to burnout and impaired perinatal care. However, little is known about the...
BACKGROUND
Midwifery practice in Hungary is characterized by chronic stress, which may in turn lead to burnout and impaired perinatal care. However, little is known about the degree and potential stressors of burnout, which hinder the development of strategies to promote well-being among midwives in Hungary.
AIM
To assess the prevalence of burnout and identify persistent individual and occupational stressors among midwives in Hungary over the past decade to inform prevention.
METHODS
We conducted two cross-sectional studies among midwives in 2014 and 2022. We used the Maslach Burnout Inventory to assess burnout (emotional exhaustion, depersonalization, and personal accomplishment) over time. We also collected data on individual and work characteristics. We performed a multivariate regression analysis to explore associations between burnout and respondents' characteristics.
FINDINGS
The degree and prevalence of emotional exhaustion among midwives increased significantly between 2014 (N = 224) and 2022 (N = 152). High workload, not feeling valued at work, poorly perceived health status and work dissatisfaction emerged as a significant positive correlate of emotional exhaustion or depersonalization in both studies. Living alone showed both a positive and inverse association with burnout in 2014 and 2022, respectively. Work satisfaction was a positive correlate of personal accomplishment in both studies.
CONCLUSIONS
Our results add to and confirm the growing body of evidence about the high prevalence of burnout among midwives in Hungary. We identified potential risk factors and outcomes of burnout, which remained unchanged over time. To prevent or reduce burnout among midwives, future interventions should focus on addressing these potential persistent risk factors. However, the time-varying role of factors influencing burnout makes it advisable to review preventive interventions from time to time.
PubMed: 38298615
DOI: 10.1016/j.heliyon.2024.e24495 -
Revista Cientifica Odontologica... 2023burnout syndrome is professional burnout resulting from chronic work stress with a three-dimensional complex characterized by emotional exhaustion, depersonalization and...
INTRODUCTION
burnout syndrome is professional burnout resulting from chronic work stress with a three-dimensional complex characterized by emotional exhaustion, depersonalization and personal fulfillment derived from work due to direct contact with patients.
OBJECTIVE
To estimate the frequency of severe burnout syndrome among dentists of Health Centers from Acapulco, Mexico.
MATERIAL AND METHODS
Cross-sectional design in a convenience sample of 80 dentists with the application of a self-administered questionnaire of 44 items during march to may 2022. The instrument contained the Maslach-Burnout Inventory of 22 items with Likert-type categorical responses, which established a global score with the sum of the three dimensions. A binary logistic regression analysis was applied based on the cut-off point established with SPSS V.24.0 statistical software.
RESULTS
The 50% of the dentists presented severe burnout. A related factor was found, the type of employment contract, in the category of temporary and fee contract (p=0.04).
CONCLUSION
Actions should be taken to improve labor stability conditions for dentists, through the recognition of their work, in order to improve the types of contracting in public health institutions.
PubMed: 38288447
DOI: 10.21142/2523-2754-1102-2023-150 -
Scientific Reports Jan 2024The European healthcare sector faces a significant shortage of healthcare workers. Assessing the prevalence of this issue and understanding its direct and indirect...
The European healthcare sector faces a significant shortage of healthcare workers. Assessing the prevalence of this issue and understanding its direct and indirect determinants are essential for formulating effective recruitment programs and enhancing job retention strategies for physicians and nurses. A multicentric cross-sectional study was conducted, involving 381 physicians and 1351 nurses recruited from eight European hospitals in Belgium, the Netherlands, Italy, and Poland. The study focused on assessing turnover intentions among healthcare workers based on the Job Demands-Resources model, using an online questionnaire. Structural equation models were employed to test the data collection questionnaires' construct validity and internal consistency. The turnover intention was assessed by agreement with the intention to leave either the hospital or the profession. Among physicians, 17% expressed an intention to leave the hospital, while 9% intended to leave the profession. For nurses, the figures were 8.9% and 13.6%, respectively. The internal consistency of the questionnaires exceeded 0.90 for both categories of health workers. Depersonalization and job dissatisfaction were identified as direct determinants of turnover intention, with work engagement being particularly relevant for nurses. We found a higher intention to leave the hospital among physicians, while nurses were more prone to leave their profession. To mitigate turnover intentions, it is recommended to focus on improving job satisfaction, work engagement and fostering a positive working climate, thereby addressing depersonalisation and promoting job retention.
Topics: Humans; Job Satisfaction; Cross-Sectional Studies; Intention; Depersonalization; Nursing Staff, Hospital; Europe; Physicians; Surveys and Questionnaires; Nurses
PubMed: 38282043
DOI: 10.1038/s41598-024-52887-7 -
ESMO Open Feb 2024High rates of burnout are observed among health care professionals worldwide, which could have negative consequences on personal and organizational levels. We aimed to...
BACKGROUND
High rates of burnout are observed among health care professionals worldwide, which could have negative consequences on personal and organizational levels. We aimed to evaluate the burnout prevalence and factors associated with burnout among oncologists in Poland.
MATERIALS AND METHODS
An online survey was conducted using the validated Maslach Burnout Inventory-Human Services Survey (MBI-HSS) and additional work/lifestyle questions. Descriptive statistics, parametric and nonparametric tests, and multivariate logistic regression were used to identify factors associated with burnout.
RESULTS
A total of 228 physicians participated in the survey, including 168 medical oncologists, 43 radiation oncologists, and 17 from other specialties. Data collected from 211 medical and radiation oncologists were included in the final analyses. Most participants were female (71.6%) and ≤40 years of age (70.1%). A self-reported feeling of burnout was present in 65.9% of participants. Based on the MBI-HSS, 74.9% showed evidence of burnout with burnout subdomains as follows: depersonalization 37.0%; emotional exhaustion 64.5%; low accomplishment 43.1%. There were no differences in burnout rates based on specialization (oncology/haematology-75.6%, radiotherapy-72.1%), career stage, gender, or age groups. Lack of work-life balance was the only significant factor associated with the risk of burnout in the logistic regression (relative risk 2.6, 95% confidence interval 1.3-5.4). Only 20.9% of physicians had access to psychological support in their workplace; however, 70.1% desired such support. Three main factors impacting burnout in cancer care workers were: bureaucracy and administrative duties overload, admissions of many patients, and poor work culture.
CONCLUSIONS
Burnout is common among medical and radiation oncologists in Poland. There is a high demand for psychological support and organizational changes in the workplace to reduce risk and mitigate the adverse effects of burnout among health care professionals.
Topics: Humans; Female; Male; Prevalence; Poland; Burnout, Professional; Oncologists; Psychological Tests; Self Report
PubMed: 38266421
DOI: 10.1016/j.esmoop.2023.102230 -
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 -
Frontiers in Psychiatry 2023Burnout is common among nurses and can lead to negative outcomes of medical care. This study aimed to explore the effectiveness of Balint groups to reduce burnout in...
BACKGROUND
Burnout is common among nurses and can lead to negative outcomes of medical care. This study aimed to explore the effectiveness of Balint groups to reduce burnout in head nurses in a Chinese hospital.
METHODS
This was a randomized controlled trial with a pre- and post-test. A total of 80 head nurses were randomly assigned to either a Balint group ( = 40) or a control group ( = 40). Participants participated in Balint group for a period of 3 months. Participants in both groups completed the Maslach Burnout Inventory-Human Services Survey and the General Self-Efficacy Scale at the beginning and end of the study. Balint group members also completed the Group Climate Questionnaire-Short Form.
RESULTS
In the Balint group, 33 participants attended all Balint groups, while the 40 participants in the control group had no intervention. Analysis of variance with repeated measures demonstrated a statistically significant difference on the Maslach Burnout Inventory subscale of sense of personal achievement ( = 9.598, = 0.003) between the Balint and control groups. However, there were no significant differences between the groups on the subscales of emotional exhaustion ( = 0.110, = 0.740) and depersonalization ( = 0.75, = 0.387), and the General Self-Efficacy Scale ( = 0.709, = 0.403).
CONCLUSIONS
Balint groups helped reduce burnout among head nurses in terms of personal achievement.
PubMed: 38260785
DOI: 10.3389/fpsyt.2023.1265976 -
Biomedicines Dec 2023Increased blood glucose levels atadmission are frequently observed in COVID-19 patients, even in those without pre-existing diabetes. Hyperglycaemia is associated with...
BACKGROUND AND OBJECTIVES
Increased blood glucose levels atadmission are frequently observed in COVID-19 patients, even in those without pre-existing diabetes. Hyperglycaemia is associated with an increased incidence of severe COVID-19 infection. The aim of this study was to evaluate the association between hyperglycaemia at admission with the need for invasive mechanical ventilation (IMV) and in-hospital mortality in patients without diabetes who were hospitalized for COVID-19 infection.
MATERIALS AND METHODS
This retrospective observational study was conducted at Vilnius University Hospital Santaros Clinics, Lithuania with adult patients who tested positive for severe acute respiratory syndrome coronavirus 2 SARS-CoV-2 and were hospitalized between March 2020 and May 2021. Depersonalized data were retrieved from electronic medical records. Based on blood glucose levels on the day of admission, patients without diabetes were divided into 4 groups: patients with hypoglycaemia (blood glucose below 4.0 mmol/L), patients with normoglycaemia (blood glucose between ≥4.0 mmol/L and <6.1 mmol/L), patients with mild hyperglycaemia (blood glucose between ≥6.1 mmol/L and <7.8 mmol/L), and patients with intermittent hyperglycaemia (blood glucose levels ≥7.8 mmol/L and <11.1 mmol/L). A multivariable binary logistic regression model was created to determine the association between hyperglycaemia and the need for IMV. Survival analysis was performed to assess the effect of hyperglycaemia on outcome within 30 days of hospitalization.
RESULTS
Among 1945 patients without diabetes at admission, 1078 (55.4%) had normal glucose levels, 651 (33.5%) had mild hyperglycaemia, 196 (10.1%) had intermittent hyperglycaemia, and 20 (1.0%) had hypoglycaemia. The oddsratio (OR) for IMV in patients with intermittent hyperglycaemia was 4.82 (95% CI 2.70-8.61, < 0.001), and the OR was 2.00 (95% CI 1.21-3.31, = 0.007) in those with mild hyperglycaemia compared to patients presenting normal glucose levels. The hazardratio (HR) for 30-day in-hospital mortality in patients with mild hyperglycaemia was 1.62 (95% CI 1.10-2.39, = 0.015), while the HR was 3.04 (95% CI 2.01-4.60, < 0.001) in patients with intermittent hyperglycaemia compared to those with normoglycaemia at admission.
CONCLUSIONS
In COVID-19 patients without pre-existing diabetes, the presence of hyperglycaemia at admission is indicative of COVID-19-induced alterations in glucose metabolism and stress hyperglycaemia. Hyperglycaemia at admission in COVID-19 patients without diabetes is associated with an increased risk of invasive mechanical ventilation and in-hospital mortality. This finding highlights the importance for clinicians to carefully consider and select optimal support and treatment strategies for these patients. Further studies on the long-term consequences of hyperglycaemia in this specific population are warranted.
PubMed: 38255162
DOI: 10.3390/biomedicines12010055