Oncologist Burnout Syndrome in Eastern Europe: Results of the Multinational Survey

Abstract Introduction Burnout syndrome can be defined as emotional exhaustion, depersonalization, and perceived lack of personal accomplishment, all of which lead to decreased effectiveness at work. The Medscape burnout and depression report of 2018 suggests that the burnout range across various specialties ranges from 23 to 48%. There are no studies to assess the burnout among plastic surgery residents in India. This study is an attempt to assess the same. Materials and Methods An online survey was conducted in March and April 2019 for plastic surgery residents across India. Various parameters including those related to gender, year of the curriculum, hobbies, exercise, and marital status were assessed. There were multiple sections in the survey, which included the demographic details, stress-related variables, and the abbreviated Maslach Burnout Inventory. The abbreviated Maslach Burnout Inventory is a validated scale that has been used to assess the burnout among plastic surgery residents in India. The three subscales, emotional exhaustion, depersonalization, and personal accomplishment were measured on a Likert scale. Univariable and multivariable analysis of factors associated with burnout was performed. Results Of the 185 respondents, 48.4% experienced moderate-to-high burnout. Of these, 25% (n = 46) were above the 75th centile of the overall burnout score, indicating severe burnout. Insufficient faculty involvement, insufficient time allotted for formalized teaching, conflict with colleagues, and lack of adequate support staff correlated with resident burnout on multivariate analysis. Residents who pursued their hobbies or performed physical activities for exercise had significantly lesser burnout. Conclusion The incidence of burnout in plastic surgery residents surveyed in our study was 48.4%. The faculty of the departments and the residents themselves, as well as the governing bodies, all have a role to play to address the issue of burnout among residents. Dedicated and persistent efforts toward improving physical and psychological well-being of plastic surgery residents will positively impact not only the well-being of the residents but also the quality of patient care.

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Burnout em Profissionais da Saúde Portugueses: Uma Análise a Nível Nacional

Acta Médica Portuguesa ◽

10.20344/amp.6460 ◽

2016 ◽

Vol 29 (1) ◽

pp. 24 ◽

Cited By ~ 13

Author(s):

João Marôco ◽

Ana Lúcia Marôco ◽

Ema Leite ◽

Cristina Bastos ◽

Maria José Vazão ◽

...

Keyword(s):

Working Conditions ◽

Health Professionals ◽

Healthcare Professionals ◽

Care Delivery ◽

National Level ◽

Maslach Burnout Inventory ◽

Well Being ◽

Burnout Syndrome ◽

Ordinal Scale ◽

Personalized Health

Introduction: Burnout is a psychological syndrome, characterized by a state of high emotional exhaustion, high depersonalization and low personal accomplishment, which leads to erosion of personal, professional and health values. This study reports the incidence of burnout in Portuguese Healthcare professionals. Material and Methods: Burnout in Portugal’s health professionals was assessed with the Maslach Burnout Inventory - Human Services Survey, using a zero (never) to six (always) ordinal scale, on a sample of 1 262 nurses and 466 physicians with mean age of 36.8 year (SD = 12.2) and 38.7 (SD = 11.0), respectively. Participants came from all national districts (35% Lisbon, 18% Oporto, 6% Aveiro, 6% Setúbal, 5% Coimbra, 5% Azores and Madeira), working in hospitals (54%), Families’ Health Units (30%), Personalized Health Units (8%) and other public or private institutions (8%). Results: Analysis of MBI-HSS scores, stratified by district, revealed that both types of professionals had moderate to high levels of burnout (M = 3.0, SD = 1.7) with no significant differences between the two groups. Vila Real (M = 3.8, SD = 1.7) and Madeira (M = 2.5, SD = 1.5) were the regions where burnout levels were higher and lower, respectively. Burnout levels did not differ significantly between Hospital, Personalized Health Units and Families’ Health Centers. Professionals with more years in the function were less affected by Burnout (r = -0.15). No significant association was observed with the duration of the working day (r = 0.04). The strongest predictor of burnout was the perceived quality of working conditions (r = -0.35). Discussion: The occurrence of the burnout syndrome in Portuguese health professionals is frequent, being associated with a poor working conditions perception and reduced professional experience. The incidence of the burnout syndrome shows regional differences which may be associated with different and suboptimal conditions for health care delivery. Results suggest the need for interventions aimed at improving working conditions and initial job training of health professionals, as requisites for a good professional practice and personal well-being. Conclusions: At the national level, between 2011 and 2013, 21.6% of healthcare professionals showed moderate burnout and 47.8% showed high burnout. The perception of poor working conditions was the main predictor of burnout occurrence among the Portuguese health professionals.

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Burnout Syndrome in Paediatric Nurses: A Multi-Centre Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18031324 ◽

2021 ◽

Vol 18 (3) ◽

pp. 1324

Author(s):

Emilia I. De la Fuente-Solana ◽

Laura Pradas-Hernández ◽

Carmen Tamara González-Fernández ◽

Almudena Velando-Soriano ◽

María Begoña Martos-Cabrera ◽

...

Keyword(s):

Prolonged Exposure ◽

Maslach Burnout Inventory ◽

Well Being ◽

Personal Accomplishment ◽

Burnout Syndrome ◽

Personality Factors ◽

Multi Centre Study ◽

Research Attention ◽

Neo Personality Inventory ◽

The Impact

Background: Burnout syndrome is an increasingly prevalent problem, characterised by emotional exhaustion (EE), depersonalization (D), and low personal accomplishment (PA), feelings that appear with prolonged exposure to stress-inducing situations. The syndrome alters physical well-being and endangers the quality of services provided. Among nurses working in the paediatric area, the association between burnout and the corresponding risk profile has received little research attention, despite the highly stressful nature of this work. Materials and Methods: The study population was composed of 95 nurses working in four hospitals in the province of Granada. Data were collected using the Maslach Burnout Inventory, the NEO Personality Inventory, and the Educational-Clinical Questionnaire: Anxiety and Depression. Results: According to the results obtained, 22.0% of the nurses working in the paediatric area present high levels of EE, 18.5% present high levels of D, and 39.6% had feelings of low PA. These burnout levels do not depend on sociodemographic or labour variables, but the three domains of the syndrome are related to the psychological factors analysed. Conclusions: Among the nurses who participated in this study, 38.6% presented high levels of burnout, especially regarding feelings of low personal accomplishment. Personality factors play an important role in the development of this syndrome. This study shows the impact of burnout in paediatric nurses as well as the risk factors, providing information for the development of strategies to prevent it.

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Burnout Syndrome Among Hospital Healthcare Workers During the COVID-19 Pandemic and Civil War: A Cross-Sectional Study

Frontiers in Psychiatry ◽

10.3389/fpsyt.2020.579563 ◽

2020 ◽

Vol 11 ◽

Author(s):

Muhammed Elhadi ◽

Ahmed Msherghi ◽

Moutaz Elgzairi ◽

Ayiman Alhashimi ◽

Ahmad Bouhuwaish ◽

...

Keyword(s):

Civil War ◽

Emotional Exhaustion ◽

Healthcare Workers ◽

Maslach Burnout Inventory ◽

Well Being ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Burnout Syndrome ◽

Sectional Study ◽

Cross Sectional

Objective: We aimed to determine the prevalence of burnout among hospital healthcare workers in Libya during the coronavirus disease (COVID-19) pandemic and civil war.Methods: A cross-sectional study was conducted from April 18 to May 2, 2020 among Libyan healthcare workers. Data on participant characteristics were collected with a specifically designed questionnaire. Burnout was assessed with the abbreviated Maslach Burnout Inventory (aMBI) comprising three subscales: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA), with each sub-scale score range from 0 to 18. For EE and DP, scores of 10 to 18 were regarded as “moderate to severe burnout.” PA was scored inversely, where a score ≤ 10 indicated severe burnout.Results: The study yielded a sample size of 532 participants. Of these, 357 (67.1%) reported emotional exhaustion (EE Score ≥ 10), 252 (47.4%) reported depersonalization (DP score ≥ 10), and 121 (22.7%) reported a lower sense of personal accomplishment (PA score ≤ 10). Verbal abuse was experienced by 304 participants (57.1%) and physical abuse in 93 (17.5). Gender was associated with high emotional exhaustion and high depersonalization. Being 35 years or older was associated with high depersonalization. Professional specialty was significantly associated with high emotional exhaustion and depersonalization. Fear of COVID-19 infection was associated with high emotional exhaustion and high depersonalization.Conclusion: The rising prevalence of mental disorders and inadequate availability of health services facilities during the COVID-19 pandemic and civil war demonstrated the need for healthcare policies to address the well-being of healthcare workers to decrease the risk of loss, suicide, and medical negligence.

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Burnout em Profissionais da Saúde Portugueses: Uma Análise a Nível Nacional

Acta Médica Portuguesa ◽

10.20344/amp6460 ◽

2016 ◽

Vol 29 (1) ◽

pp. 24

Author(s):

João Marôco ◽

Ana Lúcia Marôco ◽

Ema Leite ◽

Cristina Bastos ◽

Maria José Vazão ◽

...

Keyword(s):

Working Conditions ◽

Health Professionals ◽

Healthcare Professionals ◽

Care Delivery ◽

National Level ◽

Maslach Burnout Inventory ◽

Well Being ◽

Burnout Syndrome ◽

Ordinal Scale ◽

Personalized Health

Introduction: Burnout is a psychological syndrome, characterized by a state of high emotional exhaustion, high depersonalization and low personal accomplishment, which leads to erosion of personal, professional and health values. This study reports the incidence of burnout in Portuguese Healthcare professionals. Material and Methods: Burnout in Portugal’s health professionals was assessed with the Maslach Burnout Inventory - Human Services Survey, using a zero (never) to six (always) ordinal scale, on a sample of 1 262 nurses and 466 physicians with mean age of 36.8 year (SD = 12.2) and 38.7 (SD = 11.0), respectively. Participants came from all national districts (35% Lisbon, 18% Oporto, 6% Aveiro, 6% Setúbal, 5% Coimbra, 5% Azores and Madeira), working in hospitals (54%), Families’ Health Units (30%), Personalized Health Units (8%) and other public or private institutions (8%). Results: Analysis of MBI-HSS scores, stratified by district, revealed that both types of professionals had moderate to high levels of burnout (M = 3.0, SD = 1.7) with no significant differences between the two groups. Vila Real (M = 3.8, SD = 1.7) and Madeira (M = 2.5, SD = 1.5) were the regions where burnout levels were higher and lower, respectively. Burnout levels did not differ significantly between Hospital, Personalized Health Units and Families’ Health Centers. Professionals with more years in the function were less affected by Burnout (r = -0.15). No significant association was observed with the duration of the working day (r = 0.04). The strongest predictor of burnout was the perceived quality of working conditions (r = -0.35). Discussion: The occurrence of the burnout syndrome in Portuguese health professionals is frequent, being associated with a poor working conditions perception and reduced professional experience. The incidence of the burnout syndrome shows regional differences which may be associated with different and suboptimal conditions for health care delivery. Results suggest the need for interventions aimed at improving working conditions and initial job training of health professionals, as requisites for a good professional practice and personal well-being. Conclusions: At the national level, between 2011 and 2013, 21.6% of healthcare professionals showed moderate burnout and 47.8% showed high burnout. The perception of poor working conditions was the main predictor of burnout occurrence among the Portuguese health professionals.

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Stress, Burnout, and Resilience among Healthcare Workers during the COVID-19 Emergency: The Role of Defense Mechanisms

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18105258 ◽

2021 ◽

Vol 18 (10) ◽

pp. 5258

Author(s):

Mariagrazia Di Giuseppe ◽

Gianni Nepa ◽

Tracy A. Prout ◽

Fabrizio Albertini ◽

Stefano Marcelli ◽

...

Keyword(s):

Healthcare Workers ◽

Defense Mechanisms ◽

Online Survey ◽

Healthcare Professionals ◽

Well Being ◽

Personal Accomplishment ◽

Traumatic Experience ◽

Psychological Resources ◽

Defensive Functioning ◽

The Impact

The experience of working on the frontlines of the COVID-19 healthcare crisis has presented a cumulative traumatic experience that affects healthcare professionals’ well-being. Psychological resources such as resilience and adaptive defense mechanisms are essential in protecting individuals from severe stress and burnout. During September 2020, 233 healthcare workers responded to an online survey to test the impact of demographic variables, COVID-19 exposure, and psychological resources in determining stress and burnout during the COVID-19 emergency. Frontline workers reported higher scores for stress, emotional exhaustion, and depersonalization (p < 0.001) as compared to colleagues working in units not directly serving patients with COVID-19. Mature defensive functioning was associated with resilience and personal accomplishment (r = 0.320; p < 0.001), while neurotic and immature defenses were related to perceived stress and burnout. Stress and burnout were predicted by lower age, female gender, greater exposure to COVID-19, lower resilience, and immature defensive functioning among healthcare professionals (R2 = 463; p < 0.001). Working on the frontlines of the COVID-19 pandemic appears to provoke greater stress and burnout. On the other hand, resilience and adaptive defense mechanisms predicted better adjustment. Future reaction plans should promote effective programs offering support for healthcare workers who provide direct care to patients with COVID-19.

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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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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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Increasing Resident Physician Well-Being through a Motivational Fitness Curriculum: A Pilot Study

Kansas Journal of Medicine ◽

10.17161/kjm.v13i.14631 ◽

2020 ◽

Vol 13 ◽

pp. 228-234

Author(s):

Ruth Nutting ◽

Justin Grant ◽

Samuel Ofei-Dodoo ◽

Matthew Runde ◽

Kethlyn Staab ◽

...

Keyword(s):

Pilot Study ◽

Family Medicine ◽

Maslach Burnout Inventory ◽

Well Being ◽

Resident Physician ◽

Personal Accomplishment ◽

Depression Anxiety Stress Scale ◽

Post Intervention ◽

Resident Physicians ◽

Fitness Curriculum

Introduction. Healthcare professionals who participate in regular exercise better manage job related stressors, utilize fewer sick days, and discuss fitness with patients at increased rates. Although resident physicians are aware of the health benefits of exercise their rates of exercise are much lower than among medical trainees and practicing physicians. Resident physicians have reported lack of time for traditional structured workouts as one of the greatest barriers to fitness. This study sought to increase resident physician well-being by providing brief workouts through a motivational fitness curriculum. Methods. This pilot study utilized a nonexperimental design; a pre-/post-intervention consisted of a 10-month motivational fitness curriculum. Thirteen family medicine residents at a training program in the midwestern United States participated in this study. The Depression Anxiety Stress Scale-21 (DASS-21) and the Abbreviated Maslach Burnout Inventory (MBI-9) were used to measure the participants’ well-being, pre- and post-curriculum. Standard descriptive statistics and paired samples t-test were used to analyze the data. Results. Twenty-eight percent (13/36) of eligible first-year and second-year family medicine resident physicians participated in the study. On the DASS-21, study participants displayed an improvement in depression, anxiety, and stress scores post-curriculum. On the MBI-9, the participants reported decreased score in emotional exhaustion, but there were no changes in depersonalization and personal accomplishment scores over time.Conclusion. A motivational fitness curriculum may be a convenient way to support well-being among resident physicians. These findings were salient, as graduate medical education programs can implement similar initiatives to support resident physicians’ psychological and physical well-being.

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Factors influencing resilience and burnout among resident physicians - a National Survey

BMC Medical Education ◽

10.1186/s12909-021-02950-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Cristina Nituica ◽

Oana Alina Bota ◽

John Blebea ◽

Chin-I Cheng ◽

Gus J. Slotman

Keyword(s):

Training Program ◽

Online Survey ◽

High Stress ◽

Institutional Support ◽

Maslach Burnout Inventory ◽

Demographic Characteristics ◽

Burnout Syndrome ◽

Cross Sectional ◽

Resident Physicians ◽

Factors Influencing

Abstract Background Residency training exposes young physicians to a challenging and high-stress environment, making them vulnerable to burnout. Burnout syndrome not only compromises the health and wellness of resident physicians but has also been linked to prescription errors, reduction in the quality of medical care, and decreased professionalism. This study explored burnout and factors influencing resilience among U.S. resident physicians. Methods A cross-sectional study was conducted through an online survey, which was distributed to all accredited residency programs by Accreditation Council of Graduate Medical Education (ACGME). The survey included the Connor-Davidson Resilience Scale (CD-RISC 25), Abbreviated Maslach Burnout Inventory, and socio-demographic characteristics questions. The association between burnout, resilience, and socio-demographic characteristics were examined. Results The 682 respondents had a mean CD-RISC score of 72.41 (Standard Deviation = 12.1), which was equivalent to the bottom 25th percentile of the general population. Males and upper-level trainees were more resilient than females and junior residents. No significant differences in resilience were found associated with age, race, marital status, or training program type. Resilience positively correlated with personal achievement, family, and institutional support (p < 0.001) and negatively associated with emotional exhaustion and depersonalization (p < 0.001). Conclusions High resilience, family, and institutional support were associated with a lower risk of burnout, supporting the need for developing a resilience training program to promote a lifetime of mental wellness for future physicians.

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