Model for early assessment of burn out syndrome in health care employees

There is a widespread concern that the medical profession is itself sick. This is represented in professional disillusionment and demoralisation, an increasing inclination to consider leaving the profession, and the ill-health of its practitioners in terms of their mental health, marriages and use of drugs and alcohol (British Medical Association, 1992). These trends have been attributed, at least in part, to protracted job stress and dissatisfaction, which may in turn be a major determinant in the quality of health care (Caplan, 1994). Although these issues have been cautiously acknowledged for some time, the concept of ‘burn-out’ has provided an opportunity for more open acceptance and creative debate.

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The Emotional Labor of Personal Grief in Palliative Care: Balancing Caring and Professional Identities

Qualitative Health Research ◽

10.1177/1049732317729139 ◽

2017 ◽

Vol 27 (14) ◽

pp. 2211-2221 ◽

Cited By ~ 15

Author(s):

Laura M. Funk ◽

Sheryl Peters ◽

Kerstin Stieber Roger

Keyword(s):

Health Care ◽

Emotional Labor ◽

Professional Identities ◽

Patient Death ◽

Role Identities ◽

Health Care Employees ◽

Health Care Aides ◽

Normative Constraints ◽

And Coping ◽

Provision Of Care

The paid provision of care for dying persons and their families blends commodified emotion work and attachments to two often-conflicting role identities: the caring person and the professional. We explore how health care employees interpret personal grief related to patient death, drawing on interviews with 12 health care aides and 13 nurses. Data were analyzed collaboratively using an interpretively embedded thematic coding approach and constant comparison. Participant accounts of preventing, postponing, suppressing, and coping with grief revealed implicit meanings about the nature of grief and the appropriateness of grief display. Employees often struggled to find the time and space to deal with grief, and faced normative constraints on grief expression at work. Findings illustrate the complex ways health care employees negotiate and maintain both caring and professional identities in the context of cultural and material constraints. Implications of emotional labor for discourse and practice in health care settings are discussed.

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Identifying Occupational and Non-Occupational Factors Affecting the Retention of Health Care Employees in the Covid-19 Pandemic: A Systematic Review Study

Journal of Ergonomics ◽

10.30699/jergon.9.1.15 ◽

2021 ◽

Vol 9 (1) ◽

pp. 15-32

Author(s):

Masoud Khosravipour ◽

Payam Khanlari ◽

Mohammad Reza Jafari ◽

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...

Keyword(s):

Systematic Review ◽

Health Care ◽

Occupational Factors ◽

Factors Affecting ◽

Health Care Employees ◽

Review Study

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Short-Term and Long-Term Effects of Off-Job Activities on Recovery and Sleep: A Two-Wave Panel Study among Health Care Employees

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15092044 ◽

2018 ◽

Vol 15 (9) ◽

pp. 2044 ◽

Cited By ~ 1

Author(s):

Jan de Jonge ◽

Akihito Shimazu ◽

Maureen Dollard

Keyword(s):

Health Care ◽

Sleep Quality ◽

Panel Study ◽

Long Term Effects ◽

Short Term ◽

Negatively Associated ◽

Health Care Employees ◽

Long Run ◽

Job Activities

This study examined whether particular recovery activities after work have a positive or negative effect on employee recovery from work (i.e., cognitive, emotional, and physical detachment) and sleep quality. We used a two-wave panel study of 230 health care employees which enabled looking at both short-term and long-term effects (i.e., two-year time interval). Gender, age, marital status, children at home, education level, management position, and working hours were used as control variables. Hierarchical multiple regression analyses showed that work-related off-job activities were negatively associated with cognitive and emotional detachment in both the short and long run, whereas low-effort off-job activities were positively related to cognitive detachment in the short run. Moreover, household/care off-job activities were positively related to sleep quality in the long run, whereas physical off-job activities were negatively associated with sleep quality in the long run. The long-term findings existed beyond the strong effects of baseline detachment and sleep quality. This study highlights the importance of off-job recovery activities for health care employees’ detachment from work and sleep quality. Practical implications and avenues for further research are discussed.

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Burn-out of the Medical Oncology Health Care Professionals and Associated Factors in Tunisia

Psycho-Oncologie ◽

10.3166/pson-2020-0134 ◽

2020 ◽

Vol 14 (4) ◽

pp. 207-216

Author(s):

W. Khechine ◽

F. Ezzaairi ◽

J. Sahli ◽

I. Belaid ◽

A. Daldoul ◽

...

Keyword(s):

Health Care ◽

Emotional Exhaustion ◽

Health Care Professionals ◽

Medical Oncology ◽

Maslach Burnout Inventory ◽

Public Hospitals ◽

Personal Accomplishment ◽

Unexplained Pain ◽

Burn Out ◽

Functional Complaints

Introduction: Burn-out is defined as a syndrome of emotional exhaustion, depersonalization and diminished self-achievement that affects individuals exposed to chronic occupational stress. Physicians and caregivers faced with the death of their patients, such as oncology, are particularly vulnerable to this syndrome. Objectives: To evaluate the burn-out of medical professionals in medical oncology, to research the predisposing factors and to analyze the functional complaints and the behavior of the staff associated with this syndrome. Methods: A descriptive and analytical cross-sectional study among medical oncology professionals practicing in public hospitals in the Tunisian territory who exercise more than two years in oncology; with the Maslach Burnout Inventory (MBI). Results: Our study population was predominantly female (81%). 53% are doctors and 47% are paramedical health care professionals. A high degree of emotional exhaustion, depersonalization and personal achievement were found in 63%, 53% and 59% in our population, respectively. With 21% global high burn-out. The female sex was associated with high emotional exhaustion and low personal accomplishment as well as global burn-out. This burn-out was attributed to factors associated with working conditions and professional climate, mainly: overwork, poor organization of service, lack of resources and time, lack of recognition, lack of communication, lack of respect, conflicts with colleagues, report unsatisfactory salary effort and aggressions by patients and their families. Functional complaints and health care professional’s behavior associated with burn-out were: feelings of sadness, blockage, and irritability, sleep disorders, unexplained pain, epigastralgia, addictive behaviors, psychotropic consumption, suicidal thoughts, decreased performance and desire for a job transfer. Conclusions: By its impact on professionals, burn-out in medical oncology represents a major threat to the quality of health care. Its etiologies, although complex and intricate, are well known. Its prevention and its support are possible, but involve mobilization at all levels.

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