SP4.1.16 V is for vicious: a COVID burnout vector perspective

Abstract Aims No employment sector has been more heavily pressed by COVID-19 than healthcare. This study aimed to characterise surgical trainee burnout related to the pandemic, following a previous observational cohort study reporting 59% burnout. Methods A 36-point survey, including the 22-point Maslach Burnout Inventory evaluated emotional exhaustion, depersonalisation, and personal accomplishment amongst all surgical trainees within a UK Statutory Education Body, with responses received from 121 (75 Core (CST), 46 Higher Surgical Trainees (HST)). Results High burnout levels were evident across one, two, or all three domains in 60.3% (n = 73), 32.2% (n = 39) and 13.2% (n = 16), respectively. Median emotional exhaustion, depersonalisation and personal accomplishment scores were 19 (range 0-48), 7 (0-25) and 36 (6-48), respectively. Median emotional exhaustion score was related to age (25-29yr 25 vs. >40yr 4; p = 0.016), trainee grade (CST 23 vs. HST 13; p = 0.001) and parenthood (parents 13 vs. not parents 21; p = 0.011), as was depersonalisation: 9 (25-29yr) vs. 1 (>40yr; p = 0.001), 8 (CST) vs. 6 (HST; p = 0.006) and 5 (parents) vs. 8 (not parents; p < 0.001), respectively. COVID-19 induced curriculum working pattern disruption was observed in 82.6% (n = 100), with 31.4% (n = 38) redeployed away from surgery. Barriers to training and career development were the commonest stressors (71.9%) and more prevalent among younger trainees (25-29yr. 76.8% vs. >40yr. 28.6%; p = 0.045) and CST (80.0% vs. HST 58.7%; p = 0.011). Clinical workload concerns were associated with emotional exhaustion (OR 3.12; p = 0.008). Conclusions Burnout endures, though unique adverse clinical work environments may have boosted resilience. Countermeasures including Enhanced Stress Resilience Training remain a priority.

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Job Satisfaction and Burnout Levels of Home Care Nurses in Turkey

Africa Journal of Nursing and Midwifery ◽

10.25159/2520-5293/4325 ◽

2019 ◽

Vol 21 (1) ◽

Author(s):

Nilgun Yurtsever ◽

Medine Yilmaz

Keyword(s):

Job Satisfaction ◽

Home Care ◽

Emotional Exhaustion ◽

Maslach Burnout Inventory ◽

Personal Accomplishment ◽

Home Healthcare ◽

Satisfaction Scale ◽

Work Related ◽

Related Stress ◽

Home Care Nurses

Owing to the nature of their jobs, nurses all over the world experience burnout. The aim of this descriptive and correlational study was to describe the job characteristics, job satisfaction and burnout levels of home care nurses, and to predict what factors contributed to their job satisfaction and burnout levels. The study population consisted of 80 nurses working in home care units. Of them, 71 participated in the study. A socio-demographic questionnaire, the Minnesota Satisfaction Scale and the Maslach Burnout Inventory were used. Of the participants, 85.9 per cent were female, 56.4 per cent had a bachelor’s degree, and 46.5 per cent were employed in the public sector, 36.6 per cent in municipalities and 16.9 per cent in the private sector. The results revealed that their burnout levels for emotional exhaustion and personal accomplishment were high, and moderate for depersonalisation. Perceived work-related stress was more associated with emotional exhaustion and depersonalisation than with work satisfaction. Home healthcare nurses were suffering from high levels of burnout. Interventions are needed to improve job satisfaction, to reduce the burden of burnout among nurses, and to prevent them from leaving their jobs and retiring earlier.

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Burnout and Its Relationship with Demographic and Job-Related Variables among Dentists in Lithuania: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18083968 ◽

2021 ◽

Vol 18 (8) ◽

pp. 3968

Author(s):

Eglė Slabšinskienė ◽

Andrej Gorelik ◽

Aistė Kavaliauskienė ◽

Apolinaras Zaborskis

Keyword(s):

Job Satisfaction ◽

Emotional Exhaustion ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Cross Sectional ◽

Satisfaction Index ◽

Sum Score ◽

Sum Scores ◽

High Level

Although burnout has been described as a serious hazard for personal and professional lives and has been surveyed among dentists in many countries, no study has been published regarding burnout among dentists in Lithuania. This study aimed to evaluate the burnout level among Lithuanian dentists and its association with demographic variables, job satisfaction, and other job-related variables. The data were collected among dentists online or during professional conferences while using an anonymous questionnaire (n = 380). The Maslach Burnout Inventory (MBI) was used to evaluate the burnout level. A Poisson regression was applied for the analysis of relationships between variables. We observed that 42.3% of the respondents had a high emotional exhaustion (EE) (95% confidence interval (CI): 37.4–42.3%), while 18.7% (95% CI: 15.0–22.9%) and 28,2% (95% CI: 23.4–32.6%) had high depersonalization (DP) and low personal accomplishment (PA), respectively. Nonetheless, 15.3% (95% CI: 11.8–18.9%) of the study population experienced a high level of overall burnout. An original job satisfaction index was elaborated. It was significantly associated with sum scores of all burnout dimensions: with the EE sum score (Ratio of Sum Score Means (RSSM) 1.54; 95% CI: 1.46–1.62), DP sum score (RSSM 1.59; 95% CI: 1.45–1.74), and PA sum score (RSSM 0.88; 95% CI: 0.84–0.92). It was concluded that Lithuanian dentists can be characterised by high burnout intensity and high prevalence of burnout, being especially evident in emotional exhaustion. The dentist with low job satisfaction appeared to be the most vulnerable to all burnout dimensions.

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Addressing the relationship between perceived fear of COVID-19 virus infection and emergence of burnout symptoms in a sample of Egyptian physicians during COVID-19 pandemic: a cross-sectional study

Middle East Current Psychiatry ◽

10.1186/s43045-020-00079-0 ◽

2020 ◽

Vol 27 (1) ◽

Author(s):

Mohamed Abdelghani ◽

Hayam M. El-Gohary ◽

Eman Fouad ◽

Mervat S. Hassan

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Virus Infection ◽

Emotional Exhaustion ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Sectional Study ◽

Cross Sectional

Abstract Background Physicians during the COVID-19 pandemic are working under relentless stress. This study aimed to identify the impact of the perceived fears of COVID-19 virus infection on the quality of life and the emergence of burnout syndrome among physicians in Egypt during the COVID-19 outbreak. This cross-sectional study was conducted between May 10th and June 9th, 2020, and included 320 Egyptian physicians who were working during the outbreak of the COVID-19 pandemic. The participants were interviewed using the Fear of COVID-19 scale (FCV-19S), Hospital Anxiety and Depression Scale (HADS), Maslach Burnout Inventory, and World Health Organization Quality of Life Scale (WHOQOL-BREF) for assessment of the perceived fears of COVID-19 virus infection, associated anxiety and depressive symptoms, burnout symptoms, and quality of life, respectively. Results Overall, most physicians were females (63%). Ideas about death, moderate-to-severe anxiety, and depressive symptoms were reported by 11, 28, and 29% of physicians, respectively. For burnout symptoms, high emotional exhaustion, high depersonalization, and low personal accomplishment were reported by 20, 71, and 39% of physicians, respectively. The perceived fear of COVID-19 virus infection was positively correlated with anxiety, depression, and burnout emotional exhaustion, and depersonalization symptoms, and negatively correlated with personal accomplishment and all quality of life domains. Conclusions Egyptian physicians experienced higher levels of COVID-19-related fears, anxiety, and depressive and burnout symptoms. There was a robust correlation between these perceived fears, and higher burnout symptoms, and poor quality of life among physicians. Specific interventions should be tailored to minimize the physical and mental burdens on the physicians during the COVID-19 pandemic.

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Burnout Impact of COVID-19 Pandemic on Health-Care Professionals at Assiut University Hospitals, 2020

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18105368 ◽

2021 ◽

Vol 18 (10) ◽

pp. 5368

Author(s):

Shimaa A. Elghazally ◽

Atef F. Alkarn ◽

Hussein Elkhayat ◽

Ahmed K. Ibrahim ◽

Mariam Roshdy Elkhayat

Keyword(s):

Health Care ◽

Health Care Providers ◽

Emotional Exhaustion ◽

Health Care Professionals ◽

Maslach Burnout Inventory ◽

Adverse Outcomes ◽

Personal Accomplishment ◽

Burnout Syndrome ◽

Care Providers ◽

University Hospitals

Background: burnout syndrome is a serious and growing problem among medical staff. Its adverse outcomes not only affect health-care providers’ health, but also extend to their patients, resulting in bad-quality care. The COVID-19 pandemic puts frontline health-care providers at greater risk of psychological stress and burnout syndrome. Objectives: this study aimed to identify the levels of burnout among health-care professionals currently working at Assiut University hospitals during the COVID-19 pandemic. Methods: the current study adopted an online cross-sectional design using the SurveyMonkey® website for data collection. A total of 201 physicians were included and the Maslach Burnout Inventory (MBI) scale was used to assess the three burnout syndrome dimensions: emotional exhaustion, depersonalization, and reduced personal accomplishment. Results: about one-third, two-thirds, and one-quarter of the respondents had high emotional exhaustion, high depersonalization, and low personal accomplishment, respectively. Younger, resident, and single physicians reported higher burnout scores. The personal accomplishment score was significantly higher among males. Those working more than eight hours/day and dealing with COVID-19 patients had significantly higher scores. Conclusion: during the COVID-19 pandemic, a high prevalence of burnout was recorded among physicians. Age, job title, working duration, and working hours/day were significant predictors for burnout syndrome subscale results. Preventive and interventive programs should be applied in health-care organizations during pandemics.

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Latent Profiles of Burnout, Self-Esteem and Depressive Symptomatology among Teachers

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17186760 ◽

2020 ◽

Vol 17 (18) ◽

pp. 6760

Author(s):

Inmaculada Méndez ◽

Juan Pedro Martínez-Ramón ◽

Cecilia Ruiz-Esteban ◽

José Manuel García-Fernández

Keyword(s):

Emotional Exhaustion ◽

Depressive Symptomatology ◽

Maslach Burnout Inventory ◽

Self Esteem ◽

Personal Accomplishment ◽

The Self ◽

Teaching Staff ◽

The Third ◽

Group 2 ◽

Group 1

Burnout is a reality in the teaching profession. Specifically, teaching staff usually have higher burnout rates. The present study aims to analyze the different burnout profiles and to verify if there were differences between burnout profiles in depressive symptomatology and in the self-esteem of the teachers at school. The total number of participants was 210 teachers from 30 to 65 years. The first scale was the Maslach burnout inventory, the second scale was the Self-Rating depression scale and the third scale was the Rosenberg Self-Esteem Scale. The latent class analysis identified three burnout profiles: the first group with a high level of emotional exhaustion, low personal accomplishment and depersonalization (high burnout); the second group with low emotional exhaustion, low depersonalization and high personal accomplishment (low burnout) and the third group with low depersonalization, low emotional exhaustion and low personal accomplishment (moderate burnout). The results revealed that there were differences in depressive symptomatology (group 1 obtained higher scores than group 2 and group 3) and self-esteem (group 2 obtained higher scores than group 1). The psychological balance and health of teachers depend on preventing the factors that have been associated with this syndrome.

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Burnout Syndrome in UK Intensive Care Unit staff: Data from all three Burnout Syndrome domains and across professional groups, genders and ages

Journal of the Intensive Care Society ◽

10.1177/1751143719860391 ◽

2019 ◽

Vol 20 (4) ◽

pp. 363-369 ◽

Cited By ~ 5

Author(s):

Laura Vincent ◽

Peter G Brindley ◽

Julie Highfield ◽

Richard Innes ◽

Paul Greig ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Emotional Exhaustion ◽

Comprehensive Evaluation ◽

Maslach Burnout Inventory ◽

Medical Personnel ◽

Personal Accomplishment ◽

Burnout Syndrome ◽

Age Group ◽

The Uk

IntroductionThis is the first comprehensive evaluation of Burnout Syndrome across the UK Intensive Care Unit workforce and in all three Burnout Syndrome domains: Emotional Exhaustion, Depersonalisation and lack of Personal Accomplishment.MethodsA questionnaire was emailed to UK Intensive Care Society members, incorporating the 22-item Maslach Burnout Inventory Human Services Survey for medical personnel. Burnout Syndrome domain scores were stratified by ‘risk’. Associations with gender, profession and age-group were explored.ResultsIn total, 996 multi-disciplinary responses were analysed. For Emotional Exhaustion, females scored higher and nurses scored higher than doctors. For Depersonalisation, males and younger respondents scored higher.ConclusionApproximately one-third of Intensive Care Unit team-members are at ‘high-risk’ for Burnout Syndrome, though there are important differences according to domain, gender, age-group and profession. This data may encourage a more nuanced understanding of Burnout Syndrome and more personalised strategies for our heterogeneous workforce.

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Burnout in gastroenterology registrars: a pilot study of trainees in the East of England

10.1101/2020.03.18.20038463 ◽

2020 ◽

Author(s):

John Ong ◽

Carla Swift ◽

Wanyen Lim ◽

Sharon Ong ◽

Yasseen Al-Naeeb ◽

...

Keyword(s):

Pilot Study ◽

Emotional Exhaustion ◽

Support Services ◽

Human Services ◽

Maslach Burnout Inventory ◽

Personal Accomplishment ◽

Professional Support ◽

Free Text ◽

List Type ◽

Item Questionnaire

ABSTRACTObjectiveThe scale of burnout in UK gastroenterology trainees and the feasibility to determine its prevalence using the validated Maslach Burnout Inventory Human Services Survey (MBI-HSS) tool are unknown. A region-wide pilot study was conducted to determine the uptake of a 31-item questionnaire and estimate the prevalence of burnout in gastroenterology trainees within the East of England deanery (EoE). Symptom severity across the three domains of burnout (emotional exhaustion, depersonalisation, and low personal accomplishment), and frequently experienced stressors by gastroenterology trainees were also studied.DesignThis was a cross-sectional study involving gastroenterology trainees from 16 hospitals across EoE using a 31-item questionnaire. The questionnaire consisted of the 22-item MBI-HSS and 9 additional free-text questions. All gastroenterology trainees in EoE were invited to complete the anonymized survey online. Data were analysed quantitatively and qualitatively.ResultsUptake of the survey was above-average; 44.0% (40/91) response rate. 57.5% (23/40) of gastroenterology trainees suffered emotional exhaustion. 23.5% (8/34) had depersonalisation and 63.9% (23/36) experienced low professional accomplishment. Burnout prevalence was 35.3% (12/34). Only 48.4% (15/31) of gastroenterology trainees were aware of professional support services within EoE. Stressors related to service requirements and professional relationships were commonly reported; 65.6% and 25.0% respectively.ConclusionsIt is feasible to use a 31-item questionnaire to detect and study burnout in a national cohort of gastroenterology trainees. Burnout in EoE gastroenterology trainees was high and this may reflect the national prevalence within the specialty. Larger studies, greater awareness of burnout, and better access to professional support services are needed.Summary BoxWhat is already known about the subject?Burnout in physicians is a growing problem worldwide which can lead to personal ill-health and suboptimal patient care.Burnout in young gastroenterology fellows in the US are reported as high as 50% but the prevalence in UK gastroenterology trainees is unknown.The Maslach Burnout Inventory - Human Services Survey (MBI-HSS) is the most validated tool to determine physician burnout but survey length may affect uptake by UK gastroenterology trainees and the feasibility of future studies.What are the new findings?This pilot study demonstrated the feasibility of a 31-item questionnaire which included the MBI-HSS in studying burnout in UK gastroenterology trainees.Emotional exhaustion and a sense of low personal accomplishment affect more than half of gastroenterology trainees within the East of England.The prevalence of burnout in UK gastroenterology trainees is estimated to be high (35.3%) but larger studies are needed.Approximately half of gastroenterology trainees in the East of England were not aware of existing support services to help them cope with burnout.How might it impact on clinical practice in the foreseeable future?This pilot study may increase the awareness of burnout among UK trainees and trainers in gastroenterology.An estimate of burnout prevalence in UK gastroenterology trainees is provided so future research and remediation measures in the specialty can be justified.

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Correlation between Job Burnout and Fear of COVID-19 among ICU and CCU Nurses

10.21203/rs.3.rs-1040376/v2 ◽

2021 ◽

Author(s):

F. Golabi ◽

M. B. Alizadeh Aghdam ◽

H. Akbarian ◽

M. M. Hosseini Mazraehshadi

Keyword(s):

Nursing Care ◽

Emotional Exhaustion ◽

Maslach Burnout Inventory ◽

Job Burnout ◽

Personal Accomplishment ◽

Occupational Burnout ◽

Major Factors ◽

The Relationship ◽

Quality Of Nursing

Abstract Background: Occupational burnout among nurses is one of the major factors which affect the quality of nursing care. Assessing the relationship between burnout and its associated factors is one of the most basic things that should be done so that later, actions can be taken to reduce burnout. Fear of COVID-19 is one of the factors that can increase burnout of nurses during the Coronavirus Disease 2019(COVID-19) pandemic.Aim: To investigate the relationship between job burnout and fear of COVID-19 among ICU and CCU nurses.Methods: The Maslach Burnout Inventory (MBI) and the Fear of COVID-19 Scale (FCV-19S) were distributed to ICU and CCU nurses (n = 170) at Shahid Madani Cardiac Hospital, Tabriz, Iran, and the correlation between job burnout and fear of COVID-19 was calculated.Results: The results show that the level of emotional exhaustion and reduced personal accomplishment among participants of this study is average, and depersonalization is at a low level. Also, the level of fear of coronavirus is below average among the respondents. The research showed that emotional exhaustion and fear of COVID-19 were positively correlated (p < 0.05), but there was not any significant correlation between depersonalization and fear of Coronavirus; as the relationship between reduced personal accomplishment and fear of COVID-19. In addition, there were significant correlations between age and reduced personal accomplishment, as well as marital status and reduced personal accomplishment (p < 0.05). On the other hand, the results showed that there were not any significant correlations between gender and burnout dimensions, nor between educational degree and burnout dimensions.Conclusion: As job burnout reduces the quality of nursing care, managers must take strategies that reduce job burnout. One of the strategies that they can take is to reduce the fear of COVID-19 by taking wise strategies.

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Areas of Work Life as Predictors of Occupational Burnout of Nurses and Doctors in Operating Theaters in Poland—Multicenter Studies

Healthcare ◽

10.3390/healthcare10010026 ◽

2021 ◽

Vol 10 (1) ◽

pp. 26

Author(s):

Piotr Jarzynkowski ◽

Renata Piotrkowska ◽

Wioletta Mędrzycka-Dąbrowska ◽

Janina Książek

Keyword(s):

Emotional Exhaustion ◽

Maslach Burnout Inventory ◽

Work Life ◽

Personal Accomplishment ◽

Survey Study ◽

Cross Sectional Survey ◽

Occupational Burnout ◽

Multicenter Studies ◽

Cross Sectional ◽

Mean Values

Introduction: Researchers’ interest in occupational burnout results primarily from the dangerous and extensive consequences of this phenomenon. The aim of the study was to analyze the level of occupational burnout among nurses and doctors in operating theaters. Materials and Methods: A cross-sectional survey study conducted on 325 nurses and doctors of seven hospitals in Poland. The Maslach Burnout Inventory (MBI) and the Areas of Worklife Survey (AWS) by Michael Leiter and Christina Maslach. Results: The mean values for the level of occupational burnout for the entire sample according to the scale from the Maslach Burnout Inventory by C. Maslach amounted to 14.35 for emotional exhaustion, 8.56 for depersonalization, and 11.90 for personal accomplishment; when compared to reference levels, they classified emotional exhaustion at a low level, depersonalization at an average level, and personal accomplishment at a high level of burnout. Areas of work life are predictors of occupational burnout. The analysis showed a relationship between three of the six variables. As the workload increased, so did the level of burnout among participants, and the categories of honesty and values. Conclusions: The conducted research has shown that occupational burnout among nurses and doctors in operating theaters occurs in all dimensions of this phenomenon (emotional exhaustion, depersonalization, job satisfaction). It was also shown that the areas of work life (workload, control, community, rewards, fairness, values) are predictors of occupational burnout among the respondents. This article shows how important the problem of burnout among operating theater medical staff is. Perhaps it will allow nurses and doctors to recognize this syndrome and encourage them make changes to their work to prevent burnout.

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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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