Burn-on statt Burn-out: Selbstfürsorge und funktionale Bewältigungsstrategien schützen PsychotherapeutInnen vor psychischen Belastungen während der Corona-Pandemie

2021 ◽  
Author(s):  
Laura Schwartzkopff ◽  
Johanna Schüller ◽  
Meike Müller-Engelmann
Keyword(s):  
Work Life ◽  
Psychische Belastung ◽  
Work Life Balance ◽  
Life Balance ◽  
Präventive Maßnahmen ◽  
Burn Out

Zusammenfassung Ziel der Studie Durch die Corona-Pandemie sind PsychotherapeutInnen mit neuen beruflichen Herausforderungen konfrontiert. Im Hinblick auf die zu gewährleistende PatientInnenversorgung, erscheint die Frage nach Risiko- und Schutzfaktoren zum Erhalt des Wohlbefindens während der Pandemie relevant, um Folgeerscheinungen wie Burnout vorzubeugen. Dies ist die erste Studie, die den Einfluss von Bewältigungs- und Selbstfürsorgestrategien auf die psychische Belastung ambulant arbeitender PsychotherapeutInnen in Deutschland während der Corona-Pandemie untersuchte. Methodik Von April bis Juni 2020 nahmen 155 PsychotherapeutInnen an der Online-Fragebogenstudie teil. Untersucht wurden neben beruflichen Veränderungen, die Stressbelastung, Burnout-Symptome und das Wohlbefinden. Darüber hinaus wurde der Einfluss aktiver und vermeidender Bewältigungsstrategien sowie verschiedener Arten der Selbstfürsorge (z. B. berufliche Unterstützung, Achtsamkeit für arbeitsbezogenen Stress und die Balance zwischen Berufs- und Privatleben) auf die psychische Belastung untersucht. Ergebnisse PsychotherapeutInnen waren während der Pandemie im Schnitt 1,22 Stunden pro Woche weniger therapeutisch tätig als vor der Pandemie. 38% der Behandlungen erfolgten per Videotherapie. Vermeidende Bewältigungsstrategien waren mit einem erhöhten Stresserleben assoziiert, was wiederum höhere Burnout-Werte und ein geringeres Wohlbefinden vorhersagte. Eine gute Work-Life-Balance, eine gute tägliche Balance im Arbeitsalltag und aktive Bewältigungsstrategien wirkten sich hingegen positiv aus. Entgegen der Erwartung hing Achtsamkeit für berufsbezogenen Stress mit einem geringeren Wohlbefinden zusammen. Diskussion Die Balance zwischen Berufs- und Privatleben kann als eine präventive Maßnahme dienen, um Stress während der Corona-Pandemie zu reduzieren und dadurch das Burnoutrisiko zu senken und das Wohlbefinden zu verbessern. Vermeidende Bewältigungsstrategien stellen hingegen einen Risikofaktor für ein erhöhtes Stresserleben während der Pandemie dar und begünstigen Burnout sowie ein geringeres Wohlbefinden. Schlussfolgerung Diese Studie lieferte Hinweise darauf, wo präventive Maßnahmen zur Stressprophylaxe und zum Erhalt des Wohlbefindens von PsychotherapeutInnen perspektivisch ansetzen könnten, um dazu beizutragen, dass diese Ihre PatientInnen während der Pandemie weiterhin gut versorgen können.

Work–life balance: Break or burn out

Nature ◽  
2017 ◽  
Vol 545 (7654) ◽  
pp. 375-377 ◽  
Author(s):  
Kendall Powell
Keyword(s):  
Work Life ◽  
Work Life Balance ◽  
Life Balance ◽  
Burn Out

scholarly journals When burn-out reaches a pandemic level in gastroenterology: a call for a more sustainable work–life balance

2021 ◽  
pp. flgastro-2020-101725
Author(s):  
Nikki Duong ◽  
Steven Bollipo ◽  
Aparna Repaka ◽  
Shaji Sebastian ◽  
Christina Tennyson ◽  
...  
Keyword(s):  
Work Life ◽  
Work Life Balance ◽  
Life Balance ◽  
Burn Out

scholarly journals Forty-five good things: a prospective pilot study of the Three Good Things well-being intervention in the USA for healthcare worker emotional exhaustion, depression, work–life balance and happiness

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e022695 ◽  
Author(s):  
J Bryan Sexton ◽  
Kathryn C Adair
Keyword(s):  
Pilot Study ◽  
Emotional Exhaustion ◽  
Well Being ◽  
Work Life ◽  
Effect Sizes ◽  
Work Life Balance ◽  
Depression Symptoms ◽  
Life Balance ◽  
Prospective Pilot Study ◽  
Burn Out

ObjectivesHigh rates of healthcare worker (HCW) burn-out have led many to label it an ‘epidemic’ urgently requiring interventions. This prospective pilot study examined the efficacy, feasibility and evaluation of the ‘Three Good Things’ (3GT) intervention for HCWs, and added burn-out and work–life balance to the set of well-being metrics.Methods228 HCWs participated in a prospective, repeated measures study of a web-based 15-day long 3GT intervention. Assessments were collected at baseline and 1, 6 and 12-month post-intervention. The primary measure of efficacy was a derivative of the emotional exhaustion subscale of the Maslach Burnout Inventory. The secondary measures were validated instruments assessing depression symptoms, subjective happiness, and work–life balance. Paired samples t-tests and Cohen’s d effect sizes for correlated samples were used to examine the efficacy of the intervention.Results3GT participants exhibited significant improvements from baseline in emotional exhaustion, depression symptoms and happiness at 1 month, 6 months and 12 months, and in work–life balance at 1 month and 6 months (effect sizes 0.16–0.52). Exploratory subgroup analyses of participants meeting ‘concerning’ criteria at baseline revealed even larger effects at all assessment points (0.55–1.57). Attrition rates were similar to prior 3GT interventions.Conclusion3GT appears a promising low-cost and brief intervention for improving HCW well-being.Ethics and disseminationThis study is approved by the Institutional Review Board of Duke University Health System (Pro00063703). All participants are required to give their informed consent prior to any study procedure.

scholarly journals Doctors don’t Do-little: a national cross-sectional study of workplace well-being of hospital doctors in Ireland

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e025433 ◽  
Author(s):  
Blánaid Hayes ◽  
Lucia Prihodova ◽  
Gillian Walsh ◽  
Frank Doyle ◽  
Sally Doherty
Keyword(s):  
Work Ability ◽  
Well Being ◽  
Cross Sectional Study ◽  
Work Life ◽  
Work Life Balance ◽  
Sectional Study ◽  
Cross Sectional ◽  
Life Balance ◽  
Burn Out ◽  
Hospital Doctors

ObjectivesTo measure levels of occupational stress, burn-out, work–life balance, presenteeism, work ability (balance between work and personal resources) and desire to practise in trainee and consultant hospital doctors in Ireland.DesignNational cross-sectional study of randomised sample of hospital doctors. Participants provided sociodemographic data (age, sex), work grade (consultant, higher/basic specialist trainee), specialty, work hours and completed workplace well-being questionnaires (Effort–Reward Imbalance (ERI) Scale, overcommitment, Maslach Burnout Inventory) and single item measures of work ability, presenteeism, work–life balance and desire to practise.SettingIrish publicly funded hospitals and residential institutions.Participants1749 doctors (response rate of 55%). All hospital specialties were represented except radiology.Results29% of respondents had insufficient work ability and there was no sex, age or grade difference. 70.6% reported strong or very strong desire to practise medicine, 22% reported good work–life balance, 82% experienced workplace stress, with effort greatly exceeding reward, exacerbated by overcommitment. Burn-out was evident in 29.7% and was significantly associated with male sex, younger age, lower years of practice, lower desire to practise, lower work ability, higher ERI ratio and greater overcommitment. Apart from the measures of work ability and overcommitment, there was no sex or age difference across any variable. However, ERI and burn-out were significantly lower in consultants than trainees.ConclusionsHospital doctors across all grades in Ireland had insufficient work ability, low levels of work–life balance, high levels of work stress and almost one-third experienced burn-out indicating suboptimal work conditions and environment. Yet, most had high desire to practise medicine. Measurement of these indices should become a quality indicator for hospitals and research should focus on the efficacy of a range of individual and organisational interventions for burn-out and occupational stress.

Inleiding: Opkomende thema's in arbeid

2006 ◽  
Vol 22 (1) ◽  
Author(s):  
Peter Smulders
Keyword(s):  
Return To Work ◽  
Job Demands ◽  
Control Model ◽  
Job Control ◽  
Work Life ◽  
Work Life Balance ◽  
Life Balance ◽  
Burn Out ◽  
Emerging Issues

Vorig jaar werd in Japan de tweede conferentie over 'Psychosociale factoren in het werk' gehouden. Het ging daar met name over onderwerpen als stress en burn-out, ziekteverzuim, re-integratie ('return to work'), ongevalsrisico's, werktijden en overwerk, de 'work-life balance', het bekende Job Demands-Job Control-model en allerlei interventiestudies. Naar mijn smaak waren daar de 'emerging issues':

scholarly journals Relationship between medical students’ negative perceptions of colleagues’ work–life and burn-out during clerkships: a longitudinal observational cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e049672
Author(s):  
Yung Kai Lin ◽  
Blossom Yen-Ju Lin ◽  
Chia-Der Lin ◽  
Der-Yuan Chen
Keyword(s):  
Cohort Study ◽  
Medical Students ◽  
Work Life ◽  
Work Life Balance ◽  
Undergraduate Medical Students ◽  
Life Balance ◽  
Contagion Effects ◽  
Quality Of Life Scale ◽  
Burn Out ◽  
Negative Perceptions

ObjectiveBecause work and educational environments are closely related and can affect each other, this study examined whether medical students’ negative perceptions of their colleagues’ work–life balance (NWLB) during their clinical rotations would be related to burn-out in clerkships and investigated the effect of students’ gender on this relationship.DesignA longitudinal, prospective 2-year cohort study conducted between September 2013 and April 2015.SettingMedical students from a university school of medicine in Taiwan.ParticipantsOne voluntary cohort of undergraduate medical students in clerkships was invited to participate. Among 190 medical students recruited in September 2013, a total of 124 students provided written informed consent. Participants were free to decide whether to complete each survey; therefore, varying numbers of responses were obtained during the study period. Those who responded to our survey for more than 6 months were included in our analyses. Overall, 2128 responses from 94 medical students were analysed, with each student providing an average of 23 responses for 2 years.Primary outcome measureBurn-out was measured using the Professional Quality of Life Scale.ResultsOur study found that a strong NWLB was related to high burn-out levels among medical students during their clerkships (p<0.001). However, the gender of the student had no effect on this relationship (p>0.05). In addition, our study indicated that medical students living with a companion had decreased burn-out levels than did those living alone during their clerkships.ConclusionsThe significance of policies promoting employee work–life balance should be emphasised because of the potential for social contagion effects on medical students. Clerkship trainees might be vulnerable to such negative contagion effects during the transition to their early clinical workplace training and may, therefore, require advanced socialisation and mentoring.

scholarly journals Work-life balance and burnout: the practicing doctor's dilemma

2020 ◽  
Vol 2 ◽  
pp. 97-101
Author(s):  
C Ogbonna
Keyword(s):  
Public Sector ◽  
Health Sector ◽  
Work Life ◽  
Work Life Balance ◽  
Life Balance ◽  
Burn Out ◽  
High Work ◽  
Sector Work ◽  
Public Sector Work

Burnout rates and physician dissatisfaction are at an all-time high. Work-life balance is the panacea to worker's burn-out. The dictionary defines work-life balance as "the amount of time you spend doing your job compared with the amount of time you spend with yournfamily and doing things you enjoy". Workers in public sector work officially for 8hrs per day and depending on the profession this may be further prolonged as in the health sector for 24hrs in some days of the week.

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