scholarly journals The challenge of Burnout in Public Medical Teachers in Pakistan: A mixed methods study

2021 ◽  
Vol 37 (5) ◽  
Author(s):  
Ali Madeeh Hashmi
Keyword(s):  
Mixed Methods ◽  
Emotional Exhaustion ◽  
Significant Proportion ◽  
Maslach Burnout Inventory ◽  
Clinical Science ◽  
Mixed Methods Study ◽  
Science Faculty ◽  
Medical Education And Training ◽  
Medical University ◽  
Medical Teachers

Background and Objectives: Burnout is common in healthcare workers and affects multiple domains of functioning. The objective of this study was to assess burnout in medical teachers in a large public medical university in Lahore, Pakistan and explore the factors behind it. Methods: Using an explanatory sequential mixed methods design, we first sent out the abbreviated Maslach Burnout Inventory (aMBI) to all teaching faculty of basic and clinical science at King Edward Medical University (KEMU) Lahore. Descriptive analysis was performed on the 203 respondents who returned the survey. Of those who scored higher on the aMBI, 10 respondents (8 clinical science faculty and two basic science faculty) were selected for detailed semi-structured interviews exploring possible reasons for burnout. Thematic analysis of interview transcripts was performed using Interpretive Phenomenological Analysis. Triangulation and member checking was used for validation. Results: About 38.9% of respondents scored high on the Emotional Exhaustion subscale and 31.5% scored high on the Depersonalization subscale. There were statistically significant differences on the mean Emotional Exhaustion scores (p <0.001) between Basic and Clinical Sciences Departments with respondents from the Clinical Departments having higher scores (7.84 ± 4.32). Four main themes and multiple sub-themes emerged around burnout after qualitative analysis of the data. These included 1. Work-related factors 2. Family and social factors including challenges related specifically to women 3. Feelings and emotions and 4. Personal Qualities. Conclusion: A significant proportion of medical faculty experiences burnout related to their professional and personal responsibilities. The reasons are varied. Policy planners and University/College administrators must acknowledge the negative effects of burnout on medical teachers and take steps to ameliorate it in the interests of improving medical education and training. doi: https://doi.org/10.12669/pjms.37.5.4429 How to cite this:Hashmi AM. The challenge of Burnout in Public Medical Teachers in Pakistan: A mixed methods study. Pak J Med Sci. 2021;37(5):---------. doi: https://doi.org/10.12669/pjms.37.5.4429 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

A mixed methods study of emotional exhaustion: Energizing and depleting work within an innovative healthcare team

2017 ◽  
Vol 31 (6) ◽  
pp. 714-724 ◽  
Author(s):  
Cindy L. Cain ◽  
Caitlin Taborda-Whitt ◽  
Monica Frazer ◽  
Sandra Schellinger ◽  
Katie M. White ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Emotional Exhaustion ◽  
Mixed Methods Study ◽  
Healthcare Team

Never Enough Time: Mixed Methods Study Identifies Drivers of Temporal Demand That Contribute to Burnout Among Physicians Who Care for Pediatric Hematology-Oncology Patients

2021 ◽  
pp. OP.20.00754
Author(s):  
Lindsay J. Blazin ◽  
Michael A. Terao ◽  
Holly Spraker-Perlman ◽  
Justin N. Baker ◽  
Valerie McLaughlin Crabtree ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Emotional Exhaustion ◽  
Qualitative Interviews ◽  
Personal Accomplishment ◽  
Mixed Methods Study ◽  
Cancer Center ◽  
Semistructured Interview ◽  
Oncology Patients ◽  
Cross Sectional ◽  
Pediatric Hematology

PURPOSE: Burnout is a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment because of chronic occupational stress. Approximately one third of pediatric hematology-oncology physicians experience burnout. The goal of this mixed methods study was to determine the prevalence and drivers of burnout among physicians caring for pediatric hematology-oncology patients at our institution. MATERIALS AND METHODS: This mixed methods, cross-sectional study was conducted at a large academic cancer center. Validated survey instruments were used to measure burnout, job demands, experience with patient safety events, and workplace culture. Quantitative data informed development of a semistructured interview guide, and physicians were randomly selected to participate in individual interviews. Interviews were transcribed and analyzed via content analysis based on a priori codes. RESULTS: The survey was distributed to 132 physicians, and 53 complete responses were received (response rate 40%). Of the 53 respondents, 15 (28%) met criteria for burnout. Experiencing burnout was associated with increased temporal demand. Twenty-six interviews were conducted. Qualitative themes revealed that frequent meetings, insufficient support staff, and workflow interruptions were key drivers of temporal demand and that temporal demand contributed to burnout through emotional exhaustion and reduced personal accomplishment. CONCLUSION: Nearly one-third of participating physicians met criteria for burnout, and burnout was associated with increased temporal demand. Qualitative interviews identified specific drivers of temporal demand and burnout, which can be targeted for intervention. This methodology can be easily adapted for broad use and may represent an effective strategy for identifying and mitigating institution-specific drivers of burnout.

scholarly journals Cleaning the palate and tongue without nausea: a mixed methods study exploring the appropriate depth and direction of oral care

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yang Cheng ◽  
Yu-feng Zhou ◽  
Ya-ping Ding ◽  
Ying Xing ◽  
Enfang Shan ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Oral Care ◽  
Mixed Methods Study ◽  
Adult Males ◽  
Insertion Depth ◽  
Group A ◽  
Gag Reflex ◽  
Group B ◽  
Cleaning Methods ◽  
Medical University

Abstract Background It is advisable to clean the palate and tongue thoroughly during oral care to protect against nosocomial infections. However, improper cleaning may cause nausea. To date, no robust data are available regarding how to implement this procedure properly. Furthermore, traditional cotton balls, forceps and normal saline are still used in clinical in China. This mixed methods study aimed to explore the appropriate depth and direction of cleaning methods for palates and tongues without causing nausea and the factors influencing cleaning depth and discomfort in traditional oral care. Methods Our study recruited students (n = 276) from a medical university. The first phase was a quantitative study, in which forceps were slowly inserted into their throats until the gag reflex was triggered, and then, the insertion depth was measured. After that, participants were randomly divided into two groups. In group A, palates and tongues were cleaned coronally and then sagittally, with the converse order used for group B. The extent of nausea was measured. Additionally, the qualitative data were types of discomfort other than nausea reported by the participants. Results The tolerable depths (without causing nausea) for cleaning the palate and tongue were 6.75 ± 1.07 cm and 6.92 ± 1.11 cm, respectively. Participants of male sex and with high BMI (overweight/obese) were associated with greater tolerable cleaning depth. The extent of nausea caused by cleaning both the palate and the tongue sagittally was higher than that elicited by coronal cleaning (p = 0.025 and p = 0.003, respectively). Other discomforts included itching, saltiness and coldness. Conclusion It is appropriate to increase the cleaning depth of the palate and tongue for adult males and overweight/obese individuals. Moreover, coronal cleaning causes lower levels of nausea, and traditional oral care appliances should be improved.

Capturing religious identity during hospital admission: a valid practice in our increasingly secular society?

2017 ◽  
Vol 41 (6) ◽  
pp. 626 ◽  
Author(s):  
David Glenister ◽  
Martin Prewer
Keyword(s):  
Mixed Methods ◽  
Religious Identity ◽  
Significant Proportion ◽  
Mixed Methods Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Royal Melbourne Hospital ◽  
Qualitative Component ◽  
Spiritual Screening ◽  
Insight Into

Objective Most major Victorian hospitals include religious identity in routine admission demographic questions. However, approximately 20% of admissions do not have their religious identity recorded. At the Royal Melbourne Hospital this missing 20% was surveyed throughout 2014–15 for two reasons: (1) to enable patient care; and (2) to provide an insight into the significance of religious identity for patients. There is scarce literature on this subject, so the present mixed-methods study, including a qualitative component, will start to bridge the gap. Methods Mixed methods, cross-sectional survey. Results The quantitative component of the study found that religious identity was important for a significant proportion of our diverse population and that, in general, demographics were congruent with Australian Bureau of Statistics (ABS) census figures. The qualitative component also revealed significant complexity behind religious identity labels, which the census is unable to capture, providing an insight into the requirements of our growing multicultural population. Conclusions This study illustrates that religious identity is important for a majority of Royal Melbourne’s culturally diverse inpatients. This data would seem to give the practice of collecting religious identity data on admission new credence, especially as our culturally and linguistically diverse populations increase. In order to understand these nuances and provide appropriate care, skilled spiritual screening and assessment would appear to be not optional, but rather necessary in our increasingly complex healthcare future. What is known about the topic? A search of the literature using related terms (religious, religion, spiritual identity, care) revealed that there is scarce literature on the subject of religious identity and its importance and meaning to patients. What does this paper add? This mixed methods study approaches the issue of the importance of religious identity from the patient perspective via a spiritual screening survey that included a qualitative component, so will begin to bridge a gap in knowledge. What are the implications for practitioners? Improved understanding of the complexity of the spiritual needs of our Victorian multicultural population and commensurate emphasis on the need for individual spiritual screening and assessment.

scholarly journals Exploring the impact of rural health system factors on physician burnout: a mixed-methods study in Northern Canada

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nathaniel Hansen ◽  
Kennedy Jensen ◽  
Ian MacNiven ◽  
Nathaniel Pollock ◽  
Thomsen D’Hont ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Health System ◽  
Maslach Burnout Inventory ◽  
Cross Cultural ◽  
Cultural Safety ◽  
Mixed Methods Study ◽  
Cultural Issues ◽  
Resource Constrained ◽  
System Factors ◽  
The Impact

Abstract Background Burnout among physicians is a consequence of chronic occupational stresses and emotionally intense work demands. However, much of the evidence exploring burnout is derived from urban settings and may not reflect the work and social contexts of physicians in Indigenous communities or in rural and resource-constrained areas. We sought to characterize health system factors that influence burnout among physicians practicing in the three northern territories of Canada. Methods We conducted a mixed-methods study that included an online survey and qualitative interviews with physicians practicing in Nunavut, Northwest Territories, or Yukon in 2019. The survey adapted content from the Maslach Burnout Inventory. Results were analyzed with logistic regression to assess the association between health system factors and burnout. We conducted in-depth interviews with 14 physicians. Qualitative data was coded and analyzed for themes using the ATLAS.ti software. Results Thirty-nine percent of survey respondents (n = 22/57) showed features associated with burnout. Factors associated with burnout included use of electronic medical records (β = − 0.7, p < .05), inadequate financial remuneration (β = − 1.0, p < .05), and cross-cultural issues (β = − 1.1, p < .05). Qualitative analysis further identified physician perceptions of lack of influence over health system policies, systemic failures in cultural safety, discontinuity of care, administrative burden, and physician turnover as important drivers of burnout. Conclusions Physicians practicing in northern regions in Canada experience stress and burnout related to health system factors and cross-cultural issues. The relationship between cross-cultural issues and burnout has not previously been reported. This work may have implications for physician wellbeing and workforce attrition in other resource-constrained or culturally diverse clinical settings.

scholarly journals Impact of faculty development programme on self-efficacy, competency and attitude towards medical education in Bhutan: a mixed-methods study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Karma Tenzin ◽  
Thinley Dorji ◽  
Tshering Choeda ◽  
Krit Pongpirul
Keyword(s):  
Medical Education ◽  
Mixed Methods ◽  
Faculty Development ◽  
Self Efficacy ◽  
Medical Curriculum ◽  
Postgraduate Medical Education ◽  
Mixed Methods Study ◽  
The University ◽  
Medical University ◽  
The Impact

Abstract Background Soon after Bhutan’s first medical university was established in 2012, Faculty Development Programmes (FDPs) were adopted for efficient delivery of postgraduate medical curriculum. Medical education was an additional responsibility for the clinicians who already had multi-dimensional roles in the healthcare system where there is acute shortage of healthcare professionals. We studied the impact of FDPs on postgraduate medical education in Bhutan. Methods This was a mixed-methods study with a quantitative (cohort study – quasi-experimental with 18 participants) and concurrent explanatory qualitative component (focused group discussion (FGD) with 11 teaching faculty members). The 18 participants were given a structured FDP designed by the University. The FGD assessed teacher self-efficacy and competency using standard tools before and after the FDP. Thematic analysis of the FGD explored the impact of FDPs in the delivery of postgraduate residency programmes. Results There were significant increase in the teacher self-efficacy (31 vs 34, p = 0.009) and competency scores (56 vs 64, p = 0.011). There were significant improvements in self-efficacy in the domain of the teaching relevant subject contents and developing creative ways to cope with system constraints. In teaching-learning assessments, there was a significant appreciation of the effectiveness of lectures and tutorials and the use of essay questions. The FGD demonstrated the acceptance of FDPs and its importance in quality improvement of postgraduate medical education, professional development of teachers and improvement of their communication skills. The teachers have now migrated from the conventional methods of teaching to workplace-based teaching and assessment. The FDPs also resulted in review and revision of postgraduate medical curriculum soon after the first batch graduated in 2018. Lack of adequate support from relevant stakeholders and lack of a medical education centre in the University were seen as major challenges. Conclusions The FDPs have brought tangible professionalization of postgraduate medical education at an early stage of the medical university. There is a need for continued efforts to strengthen, sustain and consolidate the gains made thus far.

Determining Emotional Tone and Verbal Behavior in Patients With Tinnitus and Hyperacusis: An Exploratory Mixed-Methods Study

2019 ◽  
Vol 28 (3) ◽  
pp. 660-672
Author(s):  
Suzanne H. Kimball ◽  
Toby Hamilton ◽  
Erin Benear ◽  
Jonathan Baldwin
Keyword(s):  
Mixed Methods ◽  
Verbal Behavior ◽  
Coping Strategies ◽  
Mixed Methods Study ◽  
Self Report ◽  
Anxiety And Depression ◽  
Negative Consequences ◽  
Emotional Tone ◽  
Explanatory Mixed Methods ◽  
Quantitative Results

Purpose The purpose of this study was to evaluate the emotional tone and verbal behavior of social media users who self-identified as having tinnitus and/or hyperacusis that caused self-described negative consequences on daily life or health. Research Design and Method An explanatory mixed-methods design was utilized. Two hundred “initial” and 200 “reply” Facebook posts were collected from members of a tinnitus group and a hyperacusis group. Data were analyzed via the LIWC 2015 software program and compared to typical bloggers. As this was an explanatory mixed-methods study, we used qualitative thematic analyses to explain, interpret, and illustrate the quantitative results. Results Overall, quantitative results indicated lower overall emotional tone for all categories (tinnitus and hyperacusis, initial and reply), which was mostly influenced by higher negative emotion. Higher levels of authenticity or truth were found in the hyperacusis sample but not in the tinnitus sample. Lower levels of clout (social standing) were indicated in all groups, and a lower level of analytical thinking style (concepts and complex categories rather than narratives) was found in the hyperacusis sample. Additional analysis of the language indicated higher levels of sadness and anxiety in all groups and lower levels of anger, particularly for initial replies. These data support prior findings indicating higher levels of anxiety and depression in this patient population based on the actual words in blog posts and not from self-report questionnaires. Qualitative results identified 3 major themes from both the tinnitus and hyperacusis texts: suffering, negative emotional tone, and coping strategies. Conclusions Results from this study suggest support for the predominant clinical view that patients with tinnitus and hyperacusis have higher levels of anxiety and depression than the general population. The extent of the suffering described and patterns of coping strategies suggest clinical practice patterns and the need for research in implementing improved practice plans.

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