scholarly journals Does burnout affect clinical reasoning? An observational study among residents in general practice

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Philippe Guillou ◽  
Thierry Pelaccia ◽  
Marie-Frédérique Bacqué ◽  
Mathieu Lorenzo
Keyword(s):  
General Practice ◽  
Observational Study ◽  
Clinical Reasoning ◽  
Emotional Exhaustion ◽  
Negative Impact ◽  
Maslach Burnout Inventory ◽  
Conventional Approach ◽  
Personal Accomplishment ◽  
Future Research ◽  
The Impact

Abstract Background Burnout results from excessive demands at work. Caregivers suffering from burnout show a state of emotional exhaustion, leading them to distance themselves from their patients and to become less efficient in their work. While some studies have shown a negative impact of burnout on physicians’ clinical reasoning, others have failed to demonstrate any such impacts. To better understand the link between clinical reasoning and burnout, we carried out a study looking for an association between burnout and clinical reasoning in a population of general practice residents. Methods We conducted a cross-sectional observational study among residents in general practice in 2017 and 2019. Clinical reasoning performance was assessed using a script concordance test (SCT). The Maslach Burnout Inventory for Human Services Survey (MBI-HSS) was used to determine burnout status in both original standards of Maslach’s burnout inventory manual (conventional approach) and when individuals reported high emotional exhaustion in combination with high depersonalization or low personal accomplishment compared to a norm group (“emotional exhaustion +1” approach). Results One hundred ninety-nine residents were included. The participants’ mean SCT score was 76.44% (95% CI: 75.77–77.10). In the conventional approach, 126 residents (63.31%) had no burnout, 37 (18.59%) had mild burnout, 23 (11.56%) had moderate burnout, and 13 (6.53%) had severe burnout. In the “exhaustion + 1“ approach, 38 residents had a burnout status (19.10%). We found no significant correlation between burnout status and SCT scores either for conventional or “exhaustion + 1“ approaches. Conclusions Our data seem to indicate that burnout status has no significant impact on clinical reasoning. However, one speculation is that SCT mostly examines the clinical reasoning process’s analytical dimension, whereas emotions are conventionally associated with the intuitive dimension. We think future research might aim to explore the impact of burnout on intuitive clinical reasoning processes.

Prevalence of Burnout among Canadian Radiologists and Radiology Trainees

2018 ◽  
Vol 69 (4) ◽  
pp. 367-372 ◽  
Author(s):  
Nanxi Zha ◽  
Michael N. Patlas ◽  
Nick Neuheimer ◽  
Richard Duszak
Keyword(s):  
Emotional Exhaustion ◽  
Treatment Strategies ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Future Research ◽  
Survey Period ◽  
Research Directions ◽  
Canadian Association ◽  
Future Research Directions ◽  
E Mail

Purpose Physician burnout is on the rise compared to the average population, and radiology burnout rates are ranked high compared to other specialties. We aim to assess radiologist and radiology trainee burnout in Canada. Methods A survey using the abbreviated 7-item Maslach Burnout Inventory that characterizes burnout symptoms into personal accomplishment, emotional exhaustion, and depersonalization was sent to all eligible members of the Canadian Association of Radiologists in January 2018. The anonymous survey was hosted on SurveyMonkey for 1 month. A reminder e-mail was sent halfway through the survey period. Results Overall, 262 of 1401 invited radiology trainees and radiologists completed the survey (response rate 18.7%). With regards to personal accomplishment, we observed that (1) burnout in this domain improved with increased years worked and (2) milder symptoms were observed in community radiologists compared with their academic counterparts. In comparison with other studies of radiologist burnout, we found mild burnout symptoms in personal accomplishment, but severe symptoms in the burnout domains of both emotional exhaustion and depersonalization. Conclusions Canadian radiologists and radiology trainees reported above average burnout symptoms with regard to both emotional exhaustion and depersonalization. Future research directions include exploring etiologies of burnout and implementation of treatment strategies based on these identified problem areas.

scholarly journals Experiences of renal healthcare practitioners during the COVID-19 pandemic: a multi-methods approach

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Clare Mc Keaveney ◽  
Joanne Reid ◽  
Claire Carswell ◽  
Ann Bonner ◽  
Ilaria de Barbieri ◽  
...  
Keyword(s):  
Mental Health ◽  
Emotional Exhaustion ◽  
Online Survey ◽  
General Health Questionnaire ◽  
Maslach Burnout Inventory ◽  
Future Research ◽  
Structured Interviews ◽  
Health Distress ◽  
Mental Health Distress ◽  
The Impact

Abstract Background Globally, renal healthcare practitioners provide intensive and protracted support to a highly complex multi-morbid patient population however knowledge about the impact of COVID-19 on these practitioners is extremely limited. Objective This study aimed to explore the experiences of COVID-19 with renal healthcare practitioners during the first global lockdown between June 2020 and September 2020. Methods A multi-methods approach was carried out including a quantitative survey and qualitative interviews. This was a multinational study of renal healthcare practitioners from 29 countries. Quantitative: A self-designed survey on COVID-19 experiences and standardised questionnaires (General Health Questionnaire-12; Maslach Burnout Inventory). Descriptive statistics were generated for numerical data. Qualitative: Online semi-structured interviews were conducted. Data was subjected to thematic analysis. Renal healthcare practitioners (n = 251) completed an online survey. Thirteen renal healthcare practitioners took part in semi-structured interviews (12 nurses and 1 dietician). Results The majority of participants surveyed were female (86.9 %; n = 218), nurses (86.9 %; n = 218) with an average 21.5 (SD = 11.1) years’ experience since professional qualification, and 16.3 years (SD = 9.3) working in renal healthcare. Survey responses indicated a level of preparedness, training and satisfactory personal protective equipment during the pandemic however approximately 40.3 % experienced fear about attending work, and 49.8 % experienced mental health distress. The highest prevalence of burnout was emotional exhaustion (35.9 %). Three themes emerged from the qualitative analysis highlighting the holistic complexities in managing renal healthcare, a neglected specialist workforce, and the need for appropriate support at work during a pandemic. Conclusions Results have highlighted the psychological impact, in terms of emotional exhaustion and mental health distress in our sample of renal healthcare practitioners. As the pandemic has continued, it is important to consider the long-term impact on an already stretched workforce including the risk of developing mental health disorders. Future research and interventions are required to understand and improve the provision of psychological support for specialist medical and nursing personnel.

scholarly journals Maslach Burnout Inventory-Human Services Survey (MBI-HSS) Versi Bahasa Indonesia: Studi Validasi Konstruk pada Anggota Polisi

2020 ◽  
Vol 9 (1) ◽  
pp. 19-29
Author(s):  
Heri Yulianto
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Emotional Exhaustion ◽  
Police Officers ◽  
Human Services ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Measurement Tool ◽  
Confirmatory Factor ◽  
The Impact

AbstractOne of the professions that has a high risk, stress and burnout rate is the police. To find out the extent of police officers against the impact of burnout, we need a valid and reliable measurement tool. This research seeks to test the construct validity of the Maslach Burnout Inventory-Human-Services Survey (MBI-HSS). The data used are data obtained from 504 police officers serving in the Metro Jaya Regional Police (Polda Metro Jaya); age between 21 and 56 years old (M = 33.04, SD = 8.533); male sex (99.8%) and female (0.2%); and length of work from 3–38 years (M = 15.04, SD = 8.533). The analytical method used is Confirmatory Factor Analysis (CFA) using Mplus 7.11. The test results prove that the data fit with the 3-correlated factor model that shows the correlation of emotional exhaustion and depersonalization factors = 0.966, emotional exhaustion and personal accomplishment = -0.590 and personal accomplishment and depersonalization =  -0.701, with RMSEA = 0.048, CFI = 0.943 and TLI = 0.934, indicating good fit.AbstrakSalah satu profesi yang memiliki resiko, stress dan tingkat burnout yang tinggi adalah polisi. Untuk mengetahui sejauh mana anggota polisi terhadap dampak burnout, dibutuhkan alat ukur yang valid dan reliabel. Oleh karena itu penelitian ini bertujuan untuk menguji validitas konstruk dari skala Maslach Burnout Inventory-Human-Services Survey (MBI-HSS). Data yang digunakan adalah data yang diperoleh dari 504 anggota polisi yang bertugas di Polda Metro Jaya; rentang usia 21 hingga 56 tahun (M = 33,04; SD = 8,533); jenis kelamin laki-laki (99,8%) dan wanita (0,2%); masa dinas mulai 3 hingga 38 tahun (M = 15,04; SD = 8,533). Metode analisis yang digunakan adalah Confirmatory Factor Analysis (CFA) dengan menggunakan software Mplus version 7.11. Hasil pengujian membuktikan bahwa data fit dengan model 3-correlated factor yang menunjukkan korelasi faktor emotional exhaustion dan depersonalisation = 0,966, emotional exhaustion dan personal accomplishment = -0,590 dan personal accomplishment dan depersonalisation = -0,701, dengan indeks kesesuaian RSMEA = 0,048; CFI = 0,943; dan TLI = 0,934. 

Burnout among physicians in palliative care: Impact of clinical settings

2015 ◽  
Vol 14 (4) ◽  
pp. 402-410 ◽  
Author(s):  
Soazic Dréano-Hartz ◽  
Wadih Rhondali ◽  
Mathilde Ledoux ◽  
Murielle Ruer ◽  
Julien Berthiller ◽  
...  
Keyword(s):  
Palliative Care ◽  
Emotional Exhaustion ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Clinical Settings ◽  
Cross Sectional ◽  
Mobile Team ◽  
The Impact

AbstractObjective:Burnout syndrome is a work-related professional distress. Palliative care physicians often have to deal with complex end-of-life situations and are at risk of presenting with burnout syndrome, which has been little studied in this population. Our study aims to identify the impact of clinical settings (in a palliative care unit (PCU) or on a palliative care mobile team (PCMT)) on palliative care physicians.Method:We undertook a cross-sectional study using a questionnaire that included the Maslach Burnout Inventory (MBI), and we gathered sociodemographic and professional data. The questionnaire was sent to all 590 physicians working in palliative care in France between July of 2012 and February of 2013.Results:The response rate was 61, 8% after three reminders. Some 27 (9%) participants showed high emotional exhaustion, 12 (4%) suffered from a high degree of depersonalization, and 71 (18%) had feelings of low personal accomplishment. Physicians working on a PCMT tended (p = 0.051) to be more likely to suffer from emotional exhaustion than their colleagues. Physicians working on a PCMT worked on smaller teams (fewer physicians, p < 0.001; fewer nonphysicians, p < 0.001). They spent less time doing research (p = 0.019), had fewer resources (p = 0.004), and their expertise seemed to be underrecognized by their colleagues (p = 0.023).Significance of Results:The prevalence of burnout in palliative care physicians was low and in fact lower than that reported in other populations (e.g., oncologists). Working on a palliative care mobile team can be a more risky situation, associated with a lack of medical and paramedical staff.

Working Conditions, Burnout and Stress Symptoms in University Professors: Validating a Structural Model of the Mediating Effect of Perceived Personal Competence

2010 ◽  
Vol 13 (1) ◽  
pp. 284-296 ◽  
Author(s):  
María Luisa Avargues Navarro ◽  
Mercedes Borda Mas ◽  
Ana María López Jiménez
Keyword(s):  
Emotional Exhaustion ◽  
Structural Model ◽  
Negative Impact ◽  
Maslach Burnout Inventory ◽  
Work Conditions ◽  
Perceived Competence ◽  
Personal Accomplishment ◽  
Mediating Effect ◽  
Burnout Syndrome ◽  
Stress Symptoms

The purpose of this study has been to test, with a sample of 193 Professors of the University of Seville, a structural model on the mediating role of personal perceived competence in the appearance of burnout syndrome and stress symptoms under potentially stressful work conditions. The instruments used to evaluate were a socio-demographic and work-related data questionnaire, The Maslach Burnout Inventory (M.B.I.), The Labour Scale of Stress and the Magallanes Stress Scale. The model of strategy implementation and LISREL 8.71 were used. The estimated model was adjusted satisfactorily, ascertaining the mediating effect of perceived competence in the effect exerted by the work conditions studied on the depersonalization and personal fulfillment, as well as in the appearance of stress symptoms. The effect on the emotional exhaustion dimension was not confirmed. The latter also acted on the estimated model as a mediating variable, facilitating the negative impact of stressors on emotional exhaustion, depersonalization and personal accomplishment.

scholarly journals Gender, Marital Status, and Children as Risk Factors for Burnout in Nurses: A Meta-Analytic Study

2018 ◽  
Vol 15 (10) ◽  
pp. 2102 ◽  
Author(s):  
Guillermo Cañadas-De la Fuente ◽  
Elena Ortega ◽  
Lucia Ramirez-Baena ◽  
Emilia De la Fuente-Solana ◽  
Cristina Vargas ◽  
...  
Keyword(s):  
Marital Status ◽  
Emotional Exhaustion ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Significant Relation ◽  
Burnout Risk ◽  
And Gender ◽  
Nursing Professionals ◽  
The Impact

The correlation between the burnout syndrome and sociodemographic variables in nursing professionals has been widely studied though research results are contradictory. The aim of this study was to assess the impact of gender, marital status, and children on the dimensions of the burnout syndrome (emotional exhaustion, depersonalization, and personal accomplishment) in nursing professionals, as measured with the Maslach Burnout Inventory. The search was performed in May 2018 in the next databases: CINAHL, CUIDEN, Dialnet, Psicodoc, ProQuest Platform, OVID Platform, and Scopus with the search equation (“Maslach Burnout Inventory” OR “MBI”) AND “nurs*”, without using any search restriction. The sample was n = 78 studies: 57 studies for gender; 32 for marital status; 13 for having children. A statistically significant relation between depersonalization and gender (r = 0.078), marital status (r = 0.047), and children (r = 0.053) was found. A significant relation was also found between emotional exhaustion and children (r = 0.048). The results showed that being male, being single or divorced, and not having children were related to the highest levels of burnout in nurses. Moreover, these relations could be accentuated by the influence of moderator variables (age, seniority, job satisfaction, etc.), which, in combination with the previously mentioned significant relations, should be evaluated in the design burnout risk profiles for nursing professionals.

scholarly journals The Relationship between Job Burnout and Gender-Based Socio-Demographic Characteristics in Lahore

2013 ◽  
Vol 1 (2) ◽  
pp. 65-95
Author(s):  
Shamila Nabi Khan
Keyword(s):  
Emotional Exhaustion ◽  
Work Experience ◽  
Manufacturing Industry ◽  
Maslach Burnout Inventory ◽  
Demographic Characteristics ◽  
Early Career ◽  
Job Burnout ◽  
Personal Accomplishment ◽  
Three Dimensions ◽  
The Impact

Job burnout has been extensively researched in the international literature. Burnout is caused by personal and occupational factors. This study analyzes the impact of burnout with respect to different socio-demographic characteristics and job-related factors. Based on a sample randomly selected from various industries in the Lahore region, we use cross-tabulations to analyze the effects of burnout, and calculate the mean frequencies of the variables used. We measure three dimensions of burnout—emotional exhaustion, cynicism, and lack of personal accomplishment—using the Maslach Burnout Inventory-General Survey. The study finds that women score significantly on emotional exhaustion while men score higher on cynicism and lack of personal accomplishment, compared to all other socio-demographics. Education and work experience are strongly associated with burnout in women while age and income are significantly related to burnout in men. Women’s higher burnout scores are related to higher levels of education (graduates), less work experience (0–10 years), income (PKR 10,000–25,000), age (24–35 years), being self-employed, and working in the manufacturing industry. Among men, burnout is associated with white-collar (upper and lower) employee positions, work experience of 0–4 years, incomes of PKR 25,000 or more, and working in the services industry. Burnout is more significant among men than women with regard to marital status. Among job stressors, men and women are not significantly different with respect to role ambiguity, role conflict, organizational politics, autonomy, and work overload. Most of our results confirm the findings of other studies on job burnout, with the exception that the male respondents in this study experienced high burnout at an early age (24–29-year-old category), which could be due to ‘reality shocks’ or ‘early career burnout’.

Job Satisfaction and Burnout Levels of Home Care Nurses in Turkey

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.

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.

scholarly journals Medical Studies during the COVID-19 Pandemic: The Impact of Digital Learning on Medical Students’ Burnout and Mental Health

2021 ◽  
Vol 18 (1) ◽  
pp. 349
Author(s):  
Panagiotis Zis ◽  
Artemios Artemiadis ◽  
Panagiotis Bargiotas ◽  
Antonios Nteveros ◽  
Georgios M. Hadjigeorgiou
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Emotional Exhaustion ◽  
Short Form ◽  
Maslach Burnout Inventory ◽  
Junior Doctors ◽  
Digital Learning ◽  
Student Survey ◽  
Medical Studies ◽  
The Impact

Objectives: The aim of this ecological study was to investigate what the impact of digital learning due to the COVID-19 pandemic was on the burnout and overall mental health (MH) of medical students. Background: During the unprecedented era of the COVID-19 pandemic, the majority of countries worldwide adopted very strong measures. Universities closed their doors, and education continued through digital learning lectures. Methods: An anonymous questionnaire was administered to all 189 eligible candidates before and during the COVID-19 pandemic. Mental health was assessed via the MH domain of the 36-item Short Form Health Survey (SF-36) and burnout with the Maslach Burnout Inventory—Student Survey (MBI-SS). Results: The overall response rate was 81.5%. The overall burnout prevalence did not differ significantly between the two periods (pre-COVID-19 18.1% vs. COVID-19 18.2%). However, the burnout prevalence dropped significantly in year 4 (pre-COVID-19 40.7% vs. COVID-19 16.7%, p = 0.011), whereas it increased significantly in year 6 (pre-COVID-19 27.6% vs. COVID-19 50%, p = 0.01). When looking at each MBI-SS dimension separately, we found that emotional exhaustion decreased significantly in year 4 but increased in year 6, and cynicism increased in all years. The overall MH deteriorated significantly between the two periods (pre-COVID-19 58.8 ± 21.6 vs. COVID-19 48.3 ± 23, p < 0.001). Conclusions: Digital learning in medical studies carries significant risks. Not only does the MH deteriorate, but cynicism levels also increase. Emotional exhaustion was found to increase particularly in final year students, who struggle with the lack of clinical experience just before they start working as qualified junior doctors.

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