scholarly journals Effects of organisational and patient factors on doctors’ burnout: a national survey in China

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e024531
Author(s):  
Yao Cheng ◽  
Fang Wang ◽  
Liuyi Zhang ◽  
Ping Zhang ◽  
Beizhu Ye ◽  
...  
Keyword(s):  
Emotional Exhaustion ◽  
Primary Outcome ◽  
Job Involvement ◽  
Cross Sectional Study ◽  
Personal Accomplishment ◽  
Full Time ◽  
Patient Factors ◽  
Cross Sectional ◽  
Convenience Sampling ◽  
Organisational Factors

ObjectivesTo measure the burnout of doctors affiliated with western medicine (WM) and traditional Chinese medicine (TCM) hospitals and to evaluate its relationships with organisational and patient factors.DesignA national cross-sectional study in China.SettingBy convenience sampling, this study was conducted in 64 general hospitals from six provinces and Beijing between July 2014 and April 2015. There were a total of 2576 eligible participants, including 1766 WM doctors and 810 TCM doctors in this study.Primary outcome measuresBurnout symptoms of emotional exhaustion, job involvement and personal accomplishment were measured.ResultsIn total, 73.6% of doctors reported emotional exhaustion, the core component of burnout. In multivariable models, emotional exhaustion was significantly associated with organisational factors, including salary fairness [WM: odds ratio (OR)=2.36, 95% confidence interval (CI): 1.80 to 3.09; TCM: OR=1.59, 95% CI: 1.08 to 2.33], participation in organisational decision-making (WM: OR=1.58, 95% CI: 1.21 to 2.08; TCM: OR=1.84, 95% CI: 1.23 to 2.74), professional value (WM: OR=1.74, 95% CI: 1.35 to 2.25), frequency of participation in full-time training (TCM: OR=1.48, 95% CI: 1.01 to 2.16) and frequency of participation in clinical meetings (WM: OR=1.53, 95% CI: 1.11 to 2.10; TCM: OR=2.48, 95% CI: 1.57 to 3.92). Patient factors are also associated with burnout among both WM and TCM doctors, including respect (WM: OR=1.73, 95% CI: 1.31 to 2.28; TCM: OR=1.65, 95% CI: 1.10 to 2.45) and unreasonable demands (WM: OR=2.31, 95% CI: 1.68 to 3.20; TCM: OR=3.44, 95% CI: 2.15 to 5.49). Moreover, job involvement and personal accomplishment among both WM and TCM doctors were significantly associated with organisational and patient factors.ConclusionsOur results suggest that improving organisational management and patient behaviours may be beneficial to reduce doctors’ burnout. Our findings require further validation in different organisational settings.

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

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.

Psychopathological Factors Associated With Burnout in Intensive Care Nurses: A Cross-Sectional Study

2021 ◽  
pp. 107839032199972
Author(s):  
Erman Yıldız
Keyword(s):  
Intensive Care ◽  
Emotional Exhaustion ◽  
Cross Sectional Study ◽  
Personal Accomplishment ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Anxiety Depression ◽  
The Relationship

BACKGROUND: Although previous studies have separately revealed that parameters such as anxiety, depression, and secondary traumatic stress (STS) are associated with burnout, there is still a limited understanding of the relationship between anxiety, depression, and STS and burnout in intensive care unit (ICU) nurses. AIMS: To investigate the relationship between levels of burnout, anxiety, depression, and STS in ICU nurses. METHOD: A cross-sectional study was conducted with ICU nurses ( N = 164) from a university hospital in eastern Turkey. The participants completed the anxiety, depression, STS, and burnout scales along with the descriptive characteristics form. The data were analyzed using descriptive statistics, correlation, and logistic regression analysis. RESULTS: The mean scores for STS, anxiety, depression, and burnout were 40.60 ± 13.77, 17.14 ± 12.90, 13.28 ± 9.75 and 41.39 ± 14.87, respectively. The results showed that, in the ICU nurses, anxiety, depression, and STS components explained 61% of emotional exhaustion, 38% of depersonalization, and 13% of personal accomplishment. CONCLUSIONS: While the present findings supported the paradigm that burnout in ICU nurses is associated with STS, anxiety, and depression, they also revealed some details about the psychopathological factors associated with burnout. These details were as follows: (1) individuals who resorted to avoidance as a component of STS on a high level were more likely to experience emotional exhaustion and depersonalization, (2) individuals with severe depressive symptoms were more likely to experience a decrease in their personal accomplishment, and (3) individuals with anxiety symptoms were more likely to experience both emotional exhaustion and personal accomplishment.

scholarly journals 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

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.

Hospital Nurses in Comparison to Community Nurses: Motivation, Empathy, and the Mediating Role of Burnout

2018 ◽  
Vol 51 (2) ◽  
pp. 72-83 ◽  
Author(s):  
Asnat Dor ◽  
Michal Mashiach Eizenberg ◽  
Ofra Halperin
Keyword(s):  
Emotional Exhaustion ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Personal Accomplishment ◽  
Hospital Nurses ◽  
Strongly Correlated ◽  
Cross Sectional ◽  
Community Clinic ◽  
Mediating Role

Background Hospital nurses’ experience of their profession differs from that of community clinic nurses due to different working conditions and settings. Purpose To compare hospital nurses and community clinic nurses as to the mediating role of burnout on motivation and empathy. Methods In this cross-sectional study, 457 nurses completed four questionnaires: Demographic, Motivation Questionnaire, the Maslach Burnout Inventory, and the Toronto Empathy Questionnaire. Results Emotional exhaustion and depersonalization among hospital nurses were significantly higher than among community nurses. No significant differences were found in personal accomplishment, empathy, and motivation between the groups. Empathy and motivation were more strongly correlated among hospital nurses than among community nurses. Burnout was found to be a significant mediator between empathy and motivation in both groups but in each group by different burnout subscales. Conclusions To reduce burnout, leaders in the nursing field must enhance conditions in the hospital nurses’ work environment to lower levels of emotional exhaustion and depersonalization; community nurses should be guided to improve their attitudes toward their on-the-job performance to promote their personal accomplishment. Understanding the differences could direct policy makers’ desire toward enacting policies that accommodate these differences and focus on the needs of both groups of professionals.

The relationship between burnout and suicidal ideations among Jamaican police officers

2019 ◽  
Vol 21 (3) ◽  
pp. 181-189 ◽  
Author(s):  
Candice A. Wray ◽  
Sharlene Beckford Jarrett
Keyword(s):  
Suicidal Ideation ◽  
Emotional Exhaustion ◽  
Police Officers ◽  
Well Being ◽  
Cross Sectional Study ◽  
Personal Accomplishment ◽  
Self Report ◽  
Cross Sectional ◽  
High Crime ◽  
The Relationship

Jamaican police officers often encounter organizational and societal stressors through their work in high-crime and low-resource settings. Repeated exposure to stressors, with limited opportunities for support, can compromise emotional well-being and increase the risk of experiencing burnout and suicidal ideation. This cross-sectional study examines the relationship between burnout (emotional exhaustion, depersonalization and personal accomplishment) and suicidal ideations among Jamaican police officers surveyed in 2017. Jamaican police officers ( N = 305) from five major urban divisions completed two self-report questionnaires. The results revealed significant relationships between emotional exhaustion and suicidal ideations ( r = .17, p < .01) and depersonalization and suicidal ideations ( r = .18, p < .01). However, there was no significant relationship between personal accomplishment and suicidal ideations ( p > .01). Implementing programmes that offer access to adaptive coping or stress management skills and social support systems may reduce burnout and decrease risk for suicidal ideation.

scholarly journals Prevalence of burnout among forest workers in Mazandaran, Iran

2017 ◽  
Vol 63 (No. 2) ◽  
pp. 70-74
Author(s):  
Lotfalian Majid ◽  
Sheikhmoonesi Fatemeh ◽  
Sabzi Mahbobeh ◽  
Abaspour Mahbobeh ◽  
Peyrov Saba
Keyword(s):  
Emotional Exhaustion ◽  
Significant Proportion ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Personal Accomplishment ◽  
Three Dimensions ◽  
Mazandaran Province ◽  
Cross Sectional ◽  
Staff Burnout ◽  
Lower Education Level

Burnout imposes consequences and costs on the organization and employees, such as frequent job and workplace replacement, frequent absenteeism and permissions, and reduced work quantity and quality. So it seems necessary to perform institutional interventions to reduce the staff burnout. The aim of the present study was to determine prevalence of burnout among forest workers in Mazandaran. This descriptive cross-sectional study was conducted on a sample of workers in the forests of Mazandaran province. Result showed that a significant proportion of workers had burnout in terms of the three dimensions of Maslach Burnout Inventory. 46.90% of respondents suffered from high emotional exhaustion, 43.36% had high depersonalization and 49.56% of respondents suffered from low personal accomplishment. In this study it was shown that people with bachelor or higher degree (compared to people with a lower education level) were in better conditions in terms of all three dimensions of burnout; they had higher personal accomplishment and higher emotional exhaustion and lower depersonalization. It was shown that burnout is highly prevalent among chainsaw operators and skidder drivers.

scholarly journals Burnout among clinicians in tertiary care setting

2018 ◽  
Vol 5 (3) ◽  
pp. 1157 ◽  
Author(s):  
Rajya Lakshmi Chepuru ◽  
Siva Kumar Lotheti ◽  
Devi Madhavi Bhimarasetty
Keyword(s):  
Emotional Exhaustion ◽  
Work Experience ◽  
Care Setting ◽  
Tertiary Care ◽  
Working Hours ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Personal Accomplishment ◽  
Three Dimensions ◽  
Cross Sectional

Background: “Burnout” is defined as a state of physical, emotional and mental exhaustion, or a coping mechanism to working conditions that are stressful, demanding and lack of recognition. Effects of burnout are many and can eventually threaten one’s job satisfaction, relationship and also health. High patient load, long working hours, poor logistics and infrastructure support and unreasonable demands from patients make clinicians vulnerable for stress and burnout. Objective was to study the prevalence of burn out in clinicians and factors associated with burnout.Methods: The study was an observational descriptive cross-sectional study conducted among Doctors in clinical departments of a Tertiary Medical care setting in October-November 2015. Sample size was 97. Study was conducted using Maslach Burnout Inventory with additional questions on demographic factors, work experience, hours of work and speciality. The inventory comprised 22 items on a seven-point Likert scale. Frequency of symptoms (ranging from ‘0=never’ to ‘6=every day’). Burnout was measured in three dimensions - emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA). The data was collected after taking Institutional ethics committee approval and verbal consent from participants. Data was analyzed using MS Excel 2007.Results: About 15% 0f clinicians showed high emotional exhaustion, 9% high depersonalization, and 18% low Personal accomplishment. More Females showed burnout than males and more clinicians from surgical branches showed burnout when compared to medical branches.Conclusions: Burnout exists among healthcare professionals and measures should be taken to identify causes and take remedial actions.

scholarly journals Burnout syndrome among Thai intensivists and nurses in pre-COVID19 era

2021 ◽  
Author(s):  
Chatchai Laopakorn ◽  
Pimsai Kunakorn ◽  
Petch Wacharasint
Keyword(s):  
Risk Factors ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Full Time ◽  
Cross Sectional ◽  
Related Data ◽  
The Past ◽  
Icu Physicians

Background: Burnout syndrome (BOS), a work-related constellation of symptoms and signs, causes individuals emotional stress and is associated with increasing job-related disillusionment. ICU-BOS among Thai intensivists and ICU nurses has never been clarified. Methods & materials: We performed a multicenter, prospective cross-sectional study in 17 hospitals in Thailand. BOS-related data were collected from full time ICU physicians and ICU nurses using electronic questionnaires. ICU-BOS was defined when participants exhibited at least 1 of 3 aspects (depersonalization, emotion exhaustion and personal accomplishment) regarding the Maslach Burnout Inventory. Primary outcome was prevalence of ICU-BOS among intensivists and ICU nurses, and secondary outcomes were risk factors for ICU-BOS. Results: After a total of 193 electronic surveys were sent, 171 responders (ICU physicians n=66, ICU nurses n=105) were included in this analysis (88.6%). Overall prevalence of ICU-BOS was 62.6%. Using multivariate analysis, the risk factors for ICU-BOS among intensivists were 1) income <20,000 THB, 2) feeling of quitting caring for patients in an ICU within the past year, 3) need >2 holidays/wk and 4) patient’s ICU-LOS >5 days (adjusted odd ratio (OR) of 31.5, 15.9, 7.4, 14.9; p =0.04, 0.007, 0.035, 0.004 respectively). Risk factors for ICU-BOS among ICU nurses were 1) age >40 years, 2) ICU experience >5 years, 3) patient’s ICU-LOS >5 days, 4) nurse to patient ratio lower than 1:1 5) feeling assignments in the ICU were too numerous and 6) feeling of quitting caring for patients in an ICU within the past year (adjusted OR of 15.7, 4.6, 10.0, 68.7, 4.3, 5.3; p =0.009, 0.04, 0.004, 0.004, 0.04, 0.007 respectively). Conclusion: In this study, we found a high prevalence of ICU-BOS among Thai intensivists and ICU nurses. Co-independent risk factors for BOS were patient’s ICU-LOS >5 days and feeling of quitting caring for patients in an ICU within the past year.

Risk Factors of Burnout among Egyptian Medical Students: A Cross-sectional Study

2021 ◽  
Vol 16 (3) ◽  
pp. 205-212
Author(s):  
Ayman A.A. Al-Maksoud ◽  
Amir F. Asla ◽  
Mariam A. Awad ◽  
Mohamed Maray ◽  
Mohamed M. Omar ◽  
...  
Keyword(s):  
Risk Factors ◽  
Medical Students ◽  
Marital Status ◽  
Emotional Exhaustion ◽  
Cross Sectional Study ◽  
Personal Accomplishment ◽  
Sectional Study ◽  
Cross Sectional ◽  
Social Burden ◽  
Future Burden

Background: Burnout is characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. It was initially investigated among employees and restricted to those who work in human services and educational institutions. However, this study aimed to evaluate the prevalence and associated risk factors of burnout among Egyptian medical students in Damietta Faculty of Medicine, Al-Azhar University. Methods : This cross-sectional study was conducted between December 2017 and March 2018, involved first to sixth-year medical students. The questioner consisted of four sections: 1) Sociodemographics and personal characteristics of participants such as age, gender, and academic year; 2) Burnout measurement: Burnout was measured by MBI-SS, a modified form of MBI-GS; 3) Related risk factors; 4) association between burnout and performance. Results: Out of 322 students, 222 students completed the questionnaire with a 67% response rate. The mean age was 21.1 ± 1.9, and 197 (88.7%) students were males. Our analysis demonstrated that the prevalence of burnout was 51.8%. In terms of subscales, 198 participants have high emotional exhaustion, 201 showed a high degree of depersonalization, and 110 participants have personal accomplishment. There was a significant difference between both groups in terms of gender (p=0.01) and marital status (p=0.005). Regression analysis demonstrated that high-risk factors related to studying burden, social burden, and future burden are associated with a higher risk of burnout with odd ratio (OR= 1.10, 95% CI (1.05-1.155), p<0.05), (OR= 1.05, 95% CI (1.01-1.09), p<0.05), and (OR= 1.15, 95% CI (1.05-1.26), p<0.05), respectively. Conclusion: This study found that the burnout prevalence was 52% with quite a high percentage of emotional exhaustion (EE) and depersonalization (DP), and a low level of personal accomplishment. Moreover, a significant association between gender, grade of medical school, marital status, and risk factors related to the study burden, future burden, and social burden.

scholarly journals Factors Associated With Circadian Rhythm, Job Burnout, And Perceived Stress Among Nurses In Chinese Tertiary Hospitals: A cross-Sectional Study

2021 ◽  
Author(s):  
Jianfei Xie ◽  
Jie Li ◽  
Chun Zhang ◽  
Yi Zhou ◽  
Xiaofei Luo ◽  
...  
Keyword(s):  
Circadian Rhythm ◽  
Perceived Stress ◽  
Emotional Exhaustion ◽  
Cross Sectional Study ◽  
Job Burnout ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Sectional Study ◽  
Cross Sectional ◽  
Tertiary Hospitals

Abstract Background: Shift work is a common work pattern for nurses worldwide. Circadian rhythm dysregulation affects the quality of nurses’ work and their physical and psychological health. Eveningness and occupational stress might be associated with burnout syndrome.Methods: A Cross-sectional study design. Between July and September 2020, 23 tertiary hospitals were randomly selected from among 113 tertiary hospitals in Hunan Province for participation in this study. At least 25% of the nurses working in each hospital were targeted. Nurses’ circadian rhythm, job burnout, and perceived stress were evaluated. This paper complies with the STROBE reporting guideline for cross-sectional studies.Results: A total of 28.1% and 17.6% of nurses reported eveningness type and morningness type, respectively. The scores for emotional exhaustion, depersonalization, and perceived stress of eveningness nurses were higher than those of their morningness counterparts. Eveningness nurses also reported a lower sense of personal accomplishment (P<.05). Predictors of MEQ score included age 36-40 years, widowed or divorced, BMI ≥25 kg/m2, history of chronic disease, working for 11-20 years or 21 years and above, emotional exhaustion, personal accomplishment, perceived stress.Conclusions: A large proportion of nurses experience circadian rhythm dysregulation. It is necessary to understand the predictors and influencing factors of circadian rhythm dysregulation in nurses to relieve their job burnout and reduce perceived stress.

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