Association between burnout and cortisol secretion, perceived stress, and psychopathology in palliative care unit health professionals

2017 ◽  
Vol 16 (3) ◽  
pp. 286-297 ◽  
Author(s):  
José Carlos Fernández-Sánchez ◽  
José Manuel Pérez-Mármol ◽  
Antonia Blásquez ◽  
Ana María Santos-Ruiz ◽  
María Isabel Peralta-Ramírez
Keyword(s):  
Palliative Care ◽  
Perceived Stress ◽  
Health Professionals ◽  
Health Workers ◽  
Maslach Burnout Inventory ◽  
Palliative Care Unit ◽  
Burnout Syndrome ◽  
Cortisol Secretion ◽  
Palliative Care Units ◽  
Waking Up

ABSTRACTObjective:A high incidence of burnout has been reported in health professionals working in palliative care units. Our present study aims to determine whether there are differences in the secretion of salivary cortisol between palliative care unit health professionals with and without burnout, and to elucidate whether there is a relationship between burnout syndrome and perceived stress and psychopathological status in this population.Method:A total of 69 health professionals who met the inclusion criteria participated in our study, including physicians, nurses, and nursing assistants. Some 58 were women (M = 29.65 years, SD = 8.64) and 11 men (M = 35.67 years, SD = 11.90). The level of daily cortisol was registered in six measurements taken over the course of a workday. Burnout syndrome was evaluated with the Maslach Burnout Inventory–Human Services Survey (MBI–HSS), the level of perceived stress was measured using the Perceived Stress Scale, and psychopathological status was gauged using the SCL–90–R Symptoms Inventory.Results:There were statistically significant differences in secretion of cortisol in professionals with high scores on a single subscale of the MBI–HSS [F(3.5) = 2.48, p < 0.03]. This effect was observed 15–30 minutes after waking up (p < 0.01) and at bedtime (p < 0.06). Moreover, the professionals with burnout showed higher scores on the psychopathology and stress subscales than professionals without it.Significance of results:A higher score in any dimension of the burnout syndrome in palliative care unit health professionals seems to be related to several physiological and psychological parameters. These findings may be relevant for further development of our understanding of the relationship between levels of burnout and cortisol secretion in the health workers in these units.

scholarly journals A Multicenter Study into Burnout, Perceived Stress, Job Satisfaction, Coping Strategies, and General Health among Emergency Department Nursing Staff

2020 ◽  
Vol 9 (4) ◽  
pp. 1007 ◽  
Author(s):  
Silvia Portero de la Cruz ◽  
Jesús Cebrino ◽  
Javier Herruzo ◽  
Manuel Vaquero-Abellán
Keyword(s):  
Job Satisfaction ◽  
Emergency Department ◽  
Perceived Stress ◽  
Emergency Departments ◽  
General Health ◽  
Clinical Manifestations ◽  
Maslach Burnout Inventory ◽  
Burnout Syndrome ◽  
Social Dysfunction ◽  
Brief Cope

Burnout is a major problem among nurses working in emergency departments and is closely related to a high turnover of personnel, nursing errors, and patient dissatisfaction. The aims of this study were to estimate burnout, perceived stress, job satisfaction, coping and general health levels experienced by nurses working in emergency departments in Spain and to analyze the relationships between sociodemographic, occupational, and psychological variables and the occurrence of burnout syndrome among these professionals. A cross-sectional study was conducted in four emergency departments in Andalusia (Spain) from March to December 2016. The study sample was composed of n = 171 nurses. An ad hoc questionnaire was prepared to collect sociodemographic and work data, and the Maslach Burnout Inventory, the Perceived Stress Scale, the Font–Roja Questionnaire, the Brief Cope Orientation to Problem Experience and the General Health Questionnaire were used. The prevalence of high burnout was 8.19%. The levels of perceived stress and job satisfaction were moderate. The most frequent clinical manifestations were social dysfunction and somatic symptoms, and problem-focused coping was the strategy most used by nurses. Lack of physical exercise, gender, years worked at an emergency department, anxiety, social dysfunction, and avoidance coping were significant predictors of the dimensions of burnout.

scholarly journals Burnout em Profissionais da Saúde Portugueses: Uma Análise a Nível Nacional

2016 ◽  
Vol 29 (1) ◽  
pp. 24 ◽  
Author(s):  
João Marôco ◽  
Ana Lúcia Marôco ◽  
Ema Leite ◽  
Cristina Bastos ◽  
Maria José Vazão ◽  
...  
Keyword(s):  
Working Conditions ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Care Delivery ◽  
National Level ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Burnout Syndrome ◽  
Ordinal Scale ◽  
Personalized Health

<p><strong>Introduction:</strong> Burnout is a psychological syndrome, characterized by a state of high emotional exhaustion, high depersonalization and low personal accomplishment, which leads to erosion of personal, professional and health values. This study reports the incidence of burnout in Portuguese Healthcare professionals.<br /><strong>Material and Methods:</strong> Burnout in Portugal’s health professionals was assessed with the Maslach Burnout Inventory - Human Services Survey, using a zero (never) to six (always) ordinal scale, on a sample of 1 262 nurses and 466 physicians with mean age of 36.8 year (SD = 12.2) and 38.7 (SD = 11.0), respectively. Participants came from all national districts (35% Lisbon, 18% Oporto, 6% Aveiro, 6% Setúbal, 5% Coimbra, 5% Azores and Madeira), working in hospitals (54%), Families’ Health Units (30%), Personalized Health Units (8%) and other public or private institutions (8%).<br /><strong>Results:</strong> Analysis of MBI-HSS scores, stratified by district, revealed that both types of professionals had moderate to high levels of burnout (M = 3.0, SD = 1.7) with no significant differences between the two groups. Vila Real (M = 3.8, SD = 1.7) and Madeira (M = 2.5, SD = 1.5) were the regions where burnout levels were higher and lower, respectively. Burnout levels did not differ significantly between Hospital, Personalized Health Units and Families’ Health Centers. Professionals with more years in the function were less affected by Burnout (r = -0.15). No significant association was observed with the duration of the working day (r = 0.04). The strongest predictor of burnout was the perceived quality of working conditions (r = -0.35).<br /><strong>Discussion:</strong> The occurrence of the burnout syndrome in Portuguese health professionals is frequent, being associated with a poor working conditions perception and reduced professional experience. The incidence of the burnout syndrome shows regional differences which may be associated with different and suboptimal conditions for health care delivery. Results suggest the need for interventions aimed at improving working conditions and initial job training of health professionals, as requisites for a good professional practice and personal well-being.<br /><strong>Conclusions:</strong> At the national level, between 2011 and 2013, 21.6% of healthcare professionals showed moderate burnout and 47.8% showed high burnout. The perception of poor working conditions was the main predictor of burnout occurrence among the Portuguese health professionals.</p>

scholarly journals THE STUDY ON MEDICAL WORKERS’ EMOTIONAL BURNOUT SYNDROME

2021 ◽  
Vol 7 (4) ◽  
pp. 153-162
Author(s):  
Olha Prymachenko ◽  
◽  
Yevhenii Prokopovych ◽  
Serhii Prymachenko ◽  
◽  
...  
Keyword(s):  
Empirical Study ◽  
Health Professionals ◽  
Maslach Burnout Inventory ◽  
Burnout Syndrome ◽  
Urgent Care ◽  
Psychological State ◽  
Stressful Situation ◽  
Study Results ◽  
Emotional Burnout ◽  
Emotional Burnout Syndrome

The article is important because the problem of emotional burnout is particularly actual one for health professionals in Ukraine and around the world at the moment. The medical staffs of medical departments are exposed to excessive stress on a daily basis in the course of their professional activities due to constant and direct contact with patients who need urgent care or are in a critical psychological state. These circumstances in most cases cause negative emotions, excessive mental stress and physical fatigue. The article purpose was to study of the syndrome of “emotional burnout” and the peculiarities of its manifestation in health professionals depending on gender. The conducted empirical study was devoted to the psychological manifestations of medical workers’ emotional burnout among (depending on genders); it was organised in 2020. The special socio-psychological study included 60 medical workers (30 women-nurses and 30 male doctors) with 5 or more years of experience working in medical institutions in Kyiv. The following psychological techniques were used in the empirical study: V.V. Boyko’s method determining the level of "emotional burnout"; J. Greenberg’s method studying burnout; Maslach Burnout Inventory for “person – person” professions; S.A. Budassi’s method for self-assessment; Cattell 16PF Questionnaire. The study results allowed us to draw the following conclusions. Analyzing the link between gender and emotional burnout, we should say that women in a stressful situation are more prone to psychosomatic and psychovegetative disorders, and men are prone to personal alienation (depersonalization). In addition, women’s syndrome is manifested not only through “resistance” symptoms - inadequate selective emotional response and reduction of professional responsibilities, but also through experienced traumatic circumstances - a symptom of the "stress" phase, while men’s emotional burnout unfolds only via the “resistance” symptoms. Prospects for further research: to consider the problem of burnout factors appeared at medical workers’ professional path in a new perspective. Based on the obtained results, we can say that many of the studied health professionals needed specialized psychological care to overcome the emotional burnout syndrome.

Acute care medical interventions in the palliative care unit versus inpatient hospice.

2017 ◽  
Vol 35 (31_suppl) ◽  
pp. 88-88
Author(s):  
Marieberta Vidal
Keyword(s):  
Palliative Care ◽  
The United States ◽  
Palliative Care Unit ◽  
Advanced Cancer Patients ◽  
Optimal Care ◽  
Medical Interventions ◽  
Team Meetings ◽  
Care Specialist ◽  
Hospital Executives ◽  
Palliative Care Units

88 Background: In a survey of different cancer centers in the United States, only 23% reported having dedicated palliative care beds and hospital executives have reported not having further plans for expansion of their program. Barriers that are often cited include poor reimbursement for services, limited institutional support and resources. Patients admitted to an Acute Palliative care unit (APCU) benefit from the multidisciplinary approach that is evident in daily rounds, interdisciplinary team meetings, and family conferences. There could be occasionally misconceptions about the differences between inpatient hospice and an APCU. Even though the psychosocial component of palliative care is extremely important a significant amount of medical interventions also are necessary to provide patients and family with a sense of and optimal care during this time. Methods: A retrospective chart reviewed was performed in 100 consecutives patients admitted to the APCU and inpatient hospice prior to October 2013. From this data we identified the acute medical interventions ordered by the palliative Care specialist tduring the first 5 days of admission. Results: A total of 100 patients from the APCU and 100 patients from inpatient hospice were reviewed. In the APCU 100% of patients had iv fluids vs 7% in inpatient hospice. Antibiotics were given in 52% of APCU patients vs 2% in the inpatient hospice. Steroids were given in 48% of APCU patients vs 30% in inpatient hospices. (See Table). Conclusions: The APCU in comparison to inpatient hospices had higher rate of acute medical interventions with the most common been iv fluids, antibiotics, laboratory and radiologic diagnostic tests. This represent the importance of Acute Palliative Care Units in advanced cancer patients with complicated situations to achieve comfort when transitioning to EOL. [Table: see text]

Burnout syndrome in nurses working in palliative care units: An analysis of associated factors

2017 ◽  
Vol 26 (1) ◽  
pp. 19-25 ◽  
Author(s):  
Mercedes Rizo-Baeza ◽  
Susana Virginia Mendiola-Infante ◽  
Armina Sepehri ◽  
Antonio Palazón-Bru ◽  
Vicente Francisco Gil-Guillén ◽  
...  
Keyword(s):  
Palliative Care ◽  
Associated Factors ◽  
Burnout Syndrome ◽  
Palliative Care Units

BURNOUT SYNDROME IN OUTPATIENT HEALTH CARE WORKERS

2021 ◽  
pp. 135-139
Author(s):  
Сергей Юрьевич Кисляк ◽  
Елена Анатольевна Ханина ◽  
Ирина Сергеевна Добрынина ◽  
Анна Александровна Зуйкова ◽  
Марина Николаевна Муравицкая
Keyword(s):  
Work Experience ◽  
Health Workers ◽  
Maslach Burnout Inventory ◽  
Medical Personnel ◽  
Russian Language ◽  
Burnout Syndrome ◽  
Average Level ◽  
Low Level ◽  
Professional Activities ◽  
Emotional Burnout

В данной научной работе проводилось выявление и распространение эмоционального выгорания, психического истощения, деперсонализации, у врачей и младшего медицинского персонала (медицинских сестер) на амбулаторно-поликлиническом этапе. Исследование проводилось с помощью опросника MBI (Maslach Burnout Inventory) в русскоязычной адаптации Н.Е. Водопьяновой и Е.С. Старченковой. Осуществлялся анализ зависимости синдрома эмоционального выгорания от стажа работы обследуемых. Исследовались наиболее значимые внешние и внутренние факторы, провоцирующие синдром эмоционального выгорания у медицинского персонала. В ходе исследовательской работы было определено, что у половины медицинских работников преобладает средний уровень синдрома эмоционального выгорания, у большинства респондентов преобладает средний уровень профессионального выгорания, средний уровень деперсонализации и низкий уровень редукции личных достижений, с увеличением стажа работы происходит увеличение уровня эмоционального выгорания, у врачей наиболее распространен средний уровень психоэмоционального истощения, деперсонализации и редукции личных достижений, у среднего медицинского персонала - низкий уровень психоэмоционального истощения, деперсонализации и редукции личных достижений. Средний уровень эмоционального выгорания более высокий у медицинских сестер, по сравнению с врачами. Наиболее значимым внешним фактором, провоцирующим синдром эмоционального выгорания, у медицинских работников является дестабилизирующая организация деятельности, у 90% медицинских работников присутствует интенсивное восприятие и переживание обстоятельств профессиональной деятельности, 75% склонны к эмоциональной ригидности. У 46% респондентов слабая мотивация эмоциональной отдачи в профессиональной деятельности и 10% имеют нравственные дефекты личности In this scientific work, the identification and dissemination of emotional burnout, mental exhaustion, depersonalization, among doctors and junior medical personnel (nurses) at the outpatient stage was carried out. The study was conducted using the MBI questionnaire (Maslach Burnout Inventory) in the Russian-language adaptation by N. E. Vodopyanova and E. S. Starchenkova. The analysis of the dependence of the burnout syndrome on the work experience of the subjects was carried out. The most significant external and internal factors provoking the burnout syndrome in medical personnel were studied. During the research it was determined that half of the health workers is dominated by the average level of burnout, the majority of respondents is dominated by the average level of professional burnout, the average level of depersonalization, and a low level of reduction of personal achievements, with increasing experience, there is an increase in the level of burnout among physicians is most common, the average level of emotional exhaustion, depersonalization and reduction of personal achievement, the average medical personnel - low level of psychoemotional exhaustion, depersonalization and reduction of personal achievements. The average level of emotional burnout is higher in nurses, compared to doctors. The most significant external factor that provokes the burnout syndrome in medical workers is the destabilizing organization of activities, 90% of medical workers have an intense perception and experience of the circumstances of their professional activities, 75% are prone to emotional rigidity. 46% of respondents have a weak motivation for emotional return in their professional activities and 10% have moral personality defects

Burnout among physicians in palliative care: Impact of clinical settings

2015 ◽  
Vol 14 (4) ◽  
pp. 402-410 ◽  
Author(s):  
Soazic Dréano-Hartz ◽  
Wadih Rhondali ◽  
Mathilde Ledoux ◽  
Murielle Ruer ◽  
Julien Berthiller ◽  
...  
Keyword(s):  
Palliative Care ◽  
Emotional Exhaustion ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Clinical Settings ◽  
Cross Sectional ◽  
Mobile Team ◽  
The Impact

AbstractObjective:Burnout syndrome is a work-related professional distress. Palliative care physicians often have to deal with complex end-of-life situations and are at risk of presenting with burnout syndrome, which has been little studied in this population. Our study aims to identify the impact of clinical settings (in a palliative care unit (PCU) or on a palliative care mobile team (PCMT)) on palliative care physicians.Method:We undertook a cross-sectional study using a questionnaire that included the Maslach Burnout Inventory (MBI), and we gathered sociodemographic and professional data. The questionnaire was sent to all 590 physicians working in palliative care in France between July of 2012 and February of 2013.Results:The response rate was 61, 8% after three reminders. Some 27 (9%) participants showed high emotional exhaustion, 12 (4%) suffered from a high degree of depersonalization, and 71 (18%) had feelings of low personal accomplishment. Physicians working on a PCMT tended (p = 0.051) to be more likely to suffer from emotional exhaustion than their colleagues. Physicians working on a PCMT worked on smaller teams (fewer physicians, p < 0.001; fewer nonphysicians, p < 0.001). They spent less time doing research (p = 0.019), had fewer resources (p = 0.004), and their expertise seemed to be underrecognized by their colleagues (p = 0.023).Significance of Results:The prevalence of burnout in palliative care physicians was low and in fact lower than that reported in other populations (e.g., oncologists). Working on a palliative care mobile team can be a more risky situation, associated with a lack of medical and paramedical staff.

A Retrospective Chart Review of Transfusion Practices in the Palliative Care Unit Setting

2018 ◽  
Vol 36 (3) ◽  
pp. 185-190 ◽  
Author(s):  
Giovanna Sirianni ◽  
Giulia Perri ◽  
Jeannie Callum ◽  
Sandra Gardner ◽  
Anna Berall ◽  
...  
Keyword(s):  
Palliative Care ◽  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Chart Review ◽  
Tertiary Care ◽  
Retrospective Chart Review ◽  
Palliative Care Unit ◽  
Assessment Tools ◽  
Palliative Care Units

Background: There remains limited data in the literature on the frequency, clinical utility and effectiveness of transfusions in palliative care, with no randomized controlled trials or clinical practice guidelines on this topic. There are no routinely accepted practices in place for the appropriate transfusion of blood products in this setting. Aim: The aim of this study was to retrospectively review all transfusions in the palliative care units of 2, tertiary care hospitals in Canada. The goals were to elucidate the frequency, indications, patient characteristics, and practices around this intervention. Design: Descriptive, retrospective chart review. Setting/Participants: The clinical charts of patients admitted to the palliative care unit and who obtained blood transfusions for the period of April 1, 2015, to March 31, 2017, were reviewed. All patients admitted who obtained a transfusion were included. There were no exclusion criteria. Results: Transfusions in the palliative care units were rare despite their availability (0.9% at Sunnybrook and 1.4% Baycrest) and were primarily given to patients with cancer. The main symptom issues identified for transfusion were fatigue and dyspnea. The majority of patients endorsed symptomatic benefit with minimal adverse reactions though pre- and post-transfusion assessment practices varied greatly between institutions. Conclusions: Transfusions in the palliative care units were infrequent, symptom targeted, and well tolerated, though the lack of standardized pre/post assessment tools limits any ability to draw conclusions about utility. Patients would benefit from additional research in this area and the development of clinical practice guidelines for transfusions in palliative care.

scholarly journals Prevalence of Burnout syndrome in health professionals of an onco-hematological pediatric hospital

2015 ◽  
Vol 49 (2) ◽  
pp. 0253-0258 ◽  
Author(s):  
Aline Bedin Zanatta ◽  
Sergio Roberto de Lucca
Keyword(s):  
Job Performance ◽  
Health Professionals ◽  
Participant Observation ◽  
Maslach Burnout Inventory ◽  
Self Report ◽  
Burnout Syndrome ◽  
Pediatric Hospital ◽  
Cross Sectional ◽  
Cross Sectional Design ◽  
Performance Satisfaction

OBJECTIVE To identify the prevalence of Burnout Syndrome in medical professionals, nurses and nursing technicians working in an Onco-Hematological Pediatric Hospital in São Paulo. METHOD An exploratory, descriptive study with cross-sectional design and quantitative approach, with a sample of 188 health professionals. Data were collected using two self-report instruments: the Maslach Burnout Inventory (MBI-HSS) which is a biosocial data form, and a non-participant observation guide. RESULTS High depersonalization for nurses (29.8%), low job performance for physicians (27.8%), and of nursing technicians (25.5%). High scores were identified in at least two domains of Burnout in 19.2% of nurses, 16.8% of nursing technicians, and 16.6% of doctors. CONCLUSION Health professionals are highly vulnerable to each of the dimensions of Burnout syndrome - namely emotional exhaustion, alienation, and low job performance/satisfaction- in the hospital work.

scholarly journals Síndrome de burnout en el Sistema de Salud: el caso de las trabajadoras sociales sanitarias

2020 ◽  
Vol 19 (2) ◽  
pp. 141-161 ◽  
Author(s):  
Rubén González-Rodríguez ◽  
Antonio López-Castedo ◽  
Enrique Pastor-Seller ◽  
Carmen Verde-Diego
Keyword(s):  
Emotional Exhaustion ◽  
Human Services ◽  
Health Workers ◽  
Maslach Burnout Inventory ◽  
Three Dimensions ◽  
Burnout Syndrome ◽  
Social Health ◽  
Cross Sectional ◽  
El Sistema ◽  
General Goal

Objetivo: El objetivo general de esta investigación es medir la prevalencia del síndrome de burnout en el colectivo profesional de trabajadoras sociales sanitarias que ejercen su actividad laboral en los diferentes servicios y centros del Servicio Público de Salud de Galicia (España).Método: Se ha planteado un diseño de enfoque cuantitativo-analítico y transversal, utilizando como instrumento principal el cuestionario Maslach Burnout Inventory, versión Human Services Suvey. Dicho cuestionario mide tres dimensiones relacionadas con el burnout: Agotamiento emocional, Despersonalización y Realización personal. La recogida de datos se realizó a través de una aplicación de encuestas entre las trabajadoras sociales colegiadas en el Colegio Oficial de Trabajo Social de Galicia.Resultados: El 86,2% de la población objeto de estudio son mujeres y un 13,8% hombres, y sus edades están comprendidas entre los 23 y los 63 años. Los datos de prevalencia del estudio arrojan unos resultados elevados, especialmente en la dimensión de Agotamiento Emocional donde más de la mitad de la población objeto de estudio presenta una puntuación considerada alta.Conclusión: Al igual que otros colectivos profesionales que ejercen su actividad laboral en el sistema de salud, como es el caso de Enfermería y Medicina, las trabajadoras sociales sanitarias presentan índices elevados de burnout, siendo el Agotamiento Emocional la dimensión más afectada. Objective: The general goal of this research is to measure the prevalence of the burnout syndrome in the professional group of social health workers who perform their work in the diverse services and centers of the Public Health Service of Galicia (Spain).Method: A quantitative-analytical and cross-sectional design was proposed, using as the main instrument the Maslach Burnout Inventory, Human Services Survey version. This inventory measures three dimensions related to burnout: Emotional Exhaustion, Depersonalization, and Personal Fulfillment. Data collection was carried out through a survey among the social workers registered in the Official Association of Social Work of Galicia.Results: 86.2% of the population under study are women and 13.8% are men; their ages range between 23 and 63 years. The study prevalence data yields high scores, especially in the Emotional Exhaustion dimension, where more than half of the population under study obtained a high score.Conclusion: Like other professional groups that perform their work in the health system, as is the case of Nursing and Medicine, social health workers present high rates of burnout, with Emotional Exhaustion being the most affected dimension.

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