What Makes Psychiatry such a Stressful Profession? A Qualitative Study

2007 ◽  
Vol 15 (5) ◽  
pp. 417-421 ◽  
Author(s):  
Jesse Fischer ◽  
Shailesh Kumar ◽  
Simon Hatcher

Objective: We aimed to elucidate causative and protective factors associated with burnout in New Zealand psychiatrists, to identify signs and symptoms of the burnout syndrome, and to identify any difference in the perspectives of psychiatrists who scored high versus low on the emotional exhaustion (EE) subscale of the Maslach Burnout Inventory (MBI). Method: Twelve participants were randomly selected, six from each group of psychiatrists (high versus low EE). A face-to-face interview based on a semi-structured questionnaire was carried out with each participant. The interviews were recorded and transcribed verbatim. The transcriptions were manually analysed by two independent reviewers using a grounded theory approach for qualitative analysis. Results: Major features of burnout were changes in appearance, behaviour and mood. Causes of burnout identified were external, internal and interpersonal factors, and changing work environment. Protective factors associated with burnout included supportive relationships, extracurricular activities, variety in one's work, a positive attitude towards one's work and high job satisfaction. Conclusions: A preliminary profile of the burnout syndrome was established and has a potential role in the prevention of burnout in psychiatrists. Causative factors associated with burnout were identified and supported previous findings. Novel factors protective against burnout were suggested and require further investigation. No differences were apparent between the two subgroups of psychiatrists (high versus low EE).

2014 ◽  
Vol 22 (6) ◽  
pp. 934-941 ◽  
Author(s):  
Jamila Geri Tomaschewski-Barlem ◽  
Valéria Lerch Lunardi ◽  
Guilherme Lerch Lunardi ◽  
Edison Luiz Devos Barlem ◽  
Rosemary Silva da Silveira ◽  
...  

OBJECTIVE: to investigate the burnout syndrome and its relationship with demographic and academic variables among undergraduate nursing students at a public university in Southern Brazil.METHOD: a quantitative study with 168 students, by applying an adaptation of the Maslach Burnout Inventory - Student Survey, validated for this study. We used descriptive and variance analysis of the data analysis.RESULTS: we found that students do not have the burnout syndrome, manifesting high average scores in Emotional Exhaustion, low in Disbelief and high in Professional Effectiveness; that younger students who perform leisure activities have greater Professional Effectiveness, unlike students in early grades with no extracurricular activities; combining work and studies negatively influenced only the Professional Effectiveness factor, while the intention of giving up influenced negatively Disbelief and Professional Effectiveness factors.CONCLUSION: the situations that lead students to Emotional Exhaustion need to be recognized, considering the specificity of their study environments.


2017 ◽  
Vol 41 (S1) ◽  
pp. S298-S298 ◽  
Author(s):  
N. Capraz ◽  
D. Ceylan Tufan Ozalp ◽  
M. Yalcin ◽  
E. Tellioglu Can ◽  
T. Alkin

IntroductionPrevious studies reported high burnout rates and indicated significant factors associated with burnout syndrome among psychiatric trainees, such as hard working conditions, lack of supervision and not opting for psychiatry as a first career choice.ObjectivesA substantial amount of variance was reported in psychiatry training across countries. However, there is not sufficient national data regarding the rates and risk factors of burnout syndrome among psychiatric trainees in Turkey.AimsTo determine the burnout syndrome rates and the risk factors associated with burnout syndrome among psychiatric trainees.MethodsA questionnaire of occupational, educational and personal factors and Maslach burnout inventory (MBI) were answered by 180 of 450 psychiatric trainees in Turkey. The data was collected from 167 (56% females) trainees who completed the survey material. Converting the scores of three subscales by using MBI manual, a dichotomous variable (severe/non-severe burnout) was obtained for each participant and the data was analyzed using descriptive statistics and regression models.ResultsMean age was 28.85 ± 2.99-year-old and mean duration of residency was 2.61 ± 1.31 years. Severe burnout was found in 38.3% of the trainees. Logistic regression confirmed that older age (P = 0.02) and pressure from superiors (P = 0.04) are predictive factors associated with severe burnout. The high number of patient visits (P = 0.001), violation of employee personal rights (P = 0.04) and pressure from superiors (P = 0.01) were significantly associated with the “wish working in another institution”.ConclusionsPressure from superiors and older age can be described as risk factors associated with burnout syndrome among psychiatric trainees in Turkey.Disclosure of interestThe authors have not supplied their declaration of competing interest.


BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e023261 ◽  
Author(s):  
Katey Warran ◽  
Daisy Fancourt ◽  
Theresa Wiseman

ObjectiveThis study aimed to build an understanding of how the process of singing impacts on those who are affected by cancer, including patients, staff, carers and those who have been bereaved.DesignA qualitative study, informed by a grounded theory approach.Setting and participantsPatients with cancer, staff, carers and bereaved who had participated for a minimum of 6 weeks in one of two choirs for people affected by cancer.Methods31 participants took part in Focus Group Interviews lasting between 45 min and an hour, and 1 participant had a face-to-face interview.FindingsFour overarching themes emerged from the iterative analysis procedure. The overarching themes were: building resilience, social support, psychological dimensions and process issues. Following further analyses, a theoretical model was created to depict how building resilience underpins the findings.ConclusionGroup singing may be a suitable intervention for building resilience in those affected by cancer via an interaction between the experience and impact of the choir.


2021 ◽  
Vol 1 ◽  
Author(s):  
Natalia Dalla Costa Becker ◽  
Adilson Carlos da Rocha ◽  
Franciele Aní Caovilla Follador ◽  
Guilherme Welter Wendt ◽  
Lirane Elize Defante Ferreto ◽  
...  

Objectives: This investigation sought to identify the prevalence of Burnout Syndrome (BS) among Brazilian medical doctors (BS) and the associations with risk factors and protective factors.Methods: Out of 206 registered MD from a medium-sized municipality, 121 were enrolled in this cross-sectional study. Convenience sampling was used. Based on Cohen's f2, a power of 98% and a 0.05 alpha was achieved. MD responded to sociodemographic questions and to the Portuguese-version of the Maslach Burnout Inventory–Human Services Survey (MBI). Risk and protective factors linked with BS were examined with regression analyses.Results: The age of the participants ranged from 25 to 69 years (M = 40.89; SD = 10.13) and 73.6% were male. The prevalence of BS was 7.5%. Differential aspects were related to BS. For instance, while not reporting satisfaction with the institution (β = 16.16, p < 0.001) and not practicing physical exercise (β = 7.39, p = 0.014) were associated with higher scores in the BS composite score, those who did not intend to change their careers (β = −17.15, p < 0.001) and participants who saw mental health specialists (β = −8.99, p = 0.007) scored lower, accounting for nearly a half of the BS composite score (R2 = 46%).Conclusion: The prevalence of BS in this study falls within the range previously reported among healthcare professionals (i.e., 2.6–11.8%). Moreover, data suggested that commitment with the occupation and with the participant's own mental health could boost reactions against the deleterious effects of the BS. In this sense, organizations can develop strategies for preventing BS, a process that is known to be chronic and, to some extent, preventable.


2018 ◽  
Vol 2 (1) ◽  
pp. 104
Author(s):  
Márcia Oliveira Staffa Tironi ◽  
Gabriella Bené Barbosa ◽  
Gabriel Silva Rocha ◽  
Karole Brito Alves Costa ◽  
Marcos Almeida Matos ◽  
...  

The work in intensive care unit (ICU) can be considered one of the most stressful for the physician and the relation between this work and the burnout syndrome is still little studied. A systematic review was carried out to describe the scientific production on the prevalence and factors related with burnout syndrome in intensive care physicians, published in databases: IBECS, LILACS, MEDLINE, Psyc Info, PubMed and Scielo. Inclusion criteria were original studies, with transversal delimitation, that used the Maslach Burnout Inventory (MBI) in intensive care physicians. The search identified 118 articles and of these, 09 articles were eligible. The second decade of the 2000s had the largest concentration of articles and five publications were held in Brazil, which may mean an increase in the national scientific production on the subject. The results of the studies that used as a diagnostic criterion the high level in at least one dimension of the syndrome, indicated a high prevalence of burnout. It was also observed a diversity of factors associated with the prevalence of burnout. It was found a heterogeneity of criteria for identifying the syndrome and ways of calculating and interpreting MBI results. It is suggested to standardize the criteria for identification of the syndrome, calculations and interpretation of MBI results.


Author(s):  
Manuel Acosta Contreras ◽  
Ana Isabel Burguillos Peña

Abstract.STRESS AND BURNOUT IN TEACHERS OF PRIMARY AND SECONDARY EDUCATION OF HUELVA: COPING LIKE PROTECTION FACTORThe aim of this study was to examine the existence of work stress and burnout syndrome in a sample of teachers from E. Elementary and Secondary Education, and relationships with two possible “protective factors, coping strategies and emotional intelligence. The sample consisted of 92 teachers of Primary and Secondary from eight centers Huelva. We used a questionnaire developed for the collection of personal data relating to schools, the Scale for Assessment of Stress (EAE), the Maslach Burnout Inventory (MBI) and the COPE Questionnaire. The coping strategies adopted by teachers not being as useful measures to improve these problems, so it would not act as a protective factor.Keywords: Laboral Stress, Burnout Syndrome, Coping.Resumen.El objetivo del estudio ha sido examinar la existencia de Estrés Laboral y Síndrome de Burnout en una muestra de docentes de E. Primaria y Secundaria, y establecer relaciones con dos posibles “factores de protección”, las estrategias de afrontamiento y la inteligencia emocional. La muestra estaba formada por 92 docentes de Enseñanza Primaria y Secundaria procedentes de ocho Centros de Huelva. Se empleó un Cuestionario elaborado para la recogida de los datos personales y relativos a los centros docentes, la Escala de Apreciación del Estrés (EAE), el Maslach Burnout Inventory (MBI) y el Cuestionario COPE. Las estrategias de afrontamiento adoptadas por los docentes no están siendo medidas útiles en cuanto a la mejora de estos problemas, por lo que no actuaría como factor de protección.Palabras clave: Estrés Laboral, Síndrome de Burnout, Estrategias de Afrontamiento al estrés.


Author(s):  
Laís Valencise MAGRI ◽  
Melissa de Oliveira MELCHIOR ◽  
Larissa JARINA ◽  
Flávia Fanchiotti SIMONAGGIO ◽  
César BATAGLION

ABSTRACT Objective: To investigate the incidence of painful temporomandibular disorders (TMD) and Burnout Syndrome (BS) in Dentistry students, based on the subjective perception of signs and symptoms, and to verify if there is a coexistence relation between these conditions. Methods: 57 students (8th period of the dentistry course, 23 years mean age), 39 women and 18 men, responded to the Maslach Burnout Inventory Questionnaire – Students Survey (MBI-SS), ProTMDMulti and were evaluated for the presence of TMD diagnosis (DC/TMD). Results: The incidence of TMD was 22% and BS was 8.7%. Among the students with BS, 80% had a TMD diagnosis, as well as a greater subjective perception of TMD signs and symptoms and a longer duration of pain. They also showed higher scores of signs/symptoms perception for situations involving orofacial function. Conclusion: There seems to be a clinical coexistence between the BS and painful TMD in the studied sample, Dentistry students with BS and high scores on the MBI-SS are more likely to have painful TMD.


Author(s):  
Shana M. Clor-Proell ◽  
Kathryn Kadous ◽  
Chad A. Proell

Lower-level auditors are likely to encounter client information that may reflect important audit issues. The audit team cannot address these issues unless they are communicated upward. However, research indicates that lower-level auditors sometimes withhold issues, threatening audit effectiveness. We use a multi-method grounded theory approach to expand our understanding of the factors associated with auditors’ decision to speak up about potential audit issues. We use an experiential questionnaire to draw out participants’ real-life experiences with the decision to speak up or remain silent in the field (i.e., the “voice” decision). We summarize this work in a framework of audit voice determinants and a theoretical model of audit voice. We then use the determinants framework and the developed theory to conduct an experiment as an exemplar for how our work can be useful in generating future research.


Author(s):  
Ines Testoni ◽  
Irene Nencioni ◽  
Lucia Ronconi ◽  
Francesca Alemanno ◽  
Adriano Zamperini

The literature on burnout syndrome among Penitentiary Police Officers (PPOs) is still rather scarce, and there are no analyses on the protective factors that can prevent these workers from the dangerous effect of burnout, with respect to the weakening of the reasons for living and de-humanization. This study aimed to examine the relationships between burnout, protective factors against weakening of the reasons for living and not desiring to die and the role of de-humanisation, utilising the Maslach Burnout Inventory (MBI); the Reasons for Living Inventory (RFL); the Testoni Death Representation Scale (TDRS); and the Human Traits Attribution Scale (HTAS), involving 86 PPOs in a North Italy prison. Results showed the presence of a high level of burnout in the group of participants. In addition, dehumanization of prisoners, which is considered a factor that could help in managing other health professional stress situations, does not reduce the level of burnout.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
E. Gilbert ◽  
A. Ewald

Abstract Background Flavour capsule cigarettes are one of the fastest growing segments of the tobacco market, and there is evidence that Australian young people are increasingly using menthol flavoured capsule cigarettes. This qualitative research examines how young women construct and experience menthol flavour capsule cigarettes as part of their smoking practices, and explores the perceived differences between menthol capsule cigarettes and regular cigarettes. Semi-structured face-to-face in-depth interviews were conducted with 41 Australian young women smokers, using a constructivist grounded theory approach. Results Findings reveal that the perceived fresh and improved taste of menthol and the ability to customise the smoking process positively contributed to young women’s experiences of smoking menthol capsule cigarettes. In particular, menthol capsule flavour cigarettes were constructed by the young women as “fresh”, “light” and “minty”, and “popping” the menthol capsule allowed the young women to personalise their smoking experience. Conclusion These results indicate that specific public health campaigns and legislation should be developed to counter the powerfully alluring effects and the innovative appeal of menthol capsule cigarettes.


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