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

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

<p><strong>Introduction:</strong> 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.<br /><strong>Material and Methods:</strong> 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%).<br /><strong>Results:</strong> 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).<br /><strong>Discussion:</strong> 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.<br /><strong>Conclusions:</strong> 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.</p>

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

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

<p><strong>Introduction:</strong> 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.<br /><strong>Material and Methods:</strong> 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%).<br /><strong>Results:</strong> 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).<br /><strong>Discussion:</strong> 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.<br /><strong>Conclusions:</strong> 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.</p>

scholarly journals Burnout syndrome in primary healthcare professionals

2018 ◽  
Vol 8 (2) ◽  
pp. 122-127
Author(s):  
Amela Džubur ◽  
Delila Lisica ◽  
Damir Abdulahović ◽  
Dijana Avdić ◽  
Munib Smajović ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Drinking Alcohol ◽  
Increased Risk ◽  
Older Subjects ◽  
High Level

Introduction: The aim of this study was to assess the level of burnout syndrome among primary healthcare professionals in Canton Sarajevo and whether there is a link between the levels of burnout syndrome and sociodemographic parameters. Methods: We included a total of 300 primary healthcare professionals. The burnout syndrome level was measured by Maslach Burnout Inventory, consisting of 22 particles (3 subscales) measuring the level of emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). We analyzed the correlation and difference between the level of burnout and sociodemographic parameters. Results: The study revealed that in Canton Sarajevo 25.3% of healthcare professionals experience a high level of EE, 17.7% experience DP, and 19.0% experience a low level of PA. The subjects under 40 years experienced a higher level of EE than older subjects (p=0.000). There were significant differences in PA subscale between men and women (p=0.033), women having lower level of PA than males. Respondents who worked in shifts and respondents with indefinite period employment experience significantly a high level of EE. Subjects who drink alcohol had a higher level of DP. Conclusion: Healthcare professionals are at increased risk of burnout. Factors which increase the burnout syndrome risk in health professionals in Sarajevo Canton were: age under 40 years old, female, working in shifts and drinking alcohol.

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

2020 ◽  
Vol 16 (4) ◽  
pp. e366-e376
Author(s):  
Davor Kust ◽  
Jure Murgic ◽  
Petra Vukovic ◽  
Ivan Kruljac ◽  
Marin Prpic ◽  
...  
Keyword(s):  
High Risk ◽  
Eastern Europe ◽  
Online Survey ◽  
Care Delivery ◽  
Multivariate Logistic Regression Analysis ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Optimal Care

PURPOSE: Burnout is defined as a three-dimensional syndrome—emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (PA)—caused by chronic occupational stress. The aim of the current study was to investigate the prevalence of burnout among oncologists in Eastern Europe and to identify the contributing factors. METHODS: The study was conducted as an online survey between October 2017 and March 2018. Oncologists (including medical, radiation, clinical, and surgical oncologists) from 19 countries were invited to participate. The survey consisted of 30 questions, including the standardized burnout instrument, Maslach Burnout Inventory, and eight demographic questions. Burnout risk was scored according to the scoring manual for health care workers. RESULTS: The study included 637 oncologists. Overall, 28% were at low or intermediate risk and 72% were at high risk for burnout. Forty-four percent of participants were at high risk for EE, 28.7% for DP, and 47.3% for PA. EE risk was associated with female sex. DP risk was highest among clinical and radiation oncologists, whereas PA risk was positively correlated with years of service, percentage of cancer deaths, and availability of the number of oncologists. In multivariate logistic regression analysis, burnout was significantly associated with standardized cancer mortality and fewer years of practice. CONCLUSION: Burnout among oncologists in Eastern Europe is high, and younger oncologists are the most vulnerable group. Preventive measures should be taken to address this issue, which negatively affects optimal care delivery and poses a threat to oncologists’ health and well-being.

scholarly journals Forest bathing: a narrative review of the effects on health for outdoor and environmental education use in Canada

2019 ◽  
Author(s):  
Sandrine Mathias ◽  
Patrick Daigle ◽  
Kelsey Needham Dancause ◽  
Tegwen Gadais
Keyword(s):  
Health Professionals ◽  
Healthcare Professionals ◽  
Well Being ◽  
Alternative Intervention ◽  
Education And Health ◽  
Canadian Context ◽  
French And English ◽  
Narrative Literature ◽  
Narrative Literature Review ◽  
Health And Well Being

Background: Education and health professionals from a range of disciplines seek alternatives to promote well-being through nature. Shinrin Yoku, originating from Japan, means “forest baths” or “taking in the forest atmosphere” and provides the opportunity to reconnect with nature and its benefits, with great potential in Canada. This brief review aims to highlight the potential for the use of Shinrin Yoku in the Canadian context of education and healthcare. Methods: We conducted a narrative literature review including a search of four French and English databases (Google Scholar, Pubmed, Scopus, Cairn) from 1985 to 2017. Then, we classified 26 articles according to three main categories that emerged from the first reading of the abstracts. Results: Benefits of Shinrin Yoku have been classified into physiological, psychological, and environmental categories. We synthesize key benefits of Shinrin Yoku and highlight opportunities to use this alternative intervention by educators and health professionals in Canada. Conclusion: A growing body of research suggests that Shinrin Yoku can have benefits on many aspects of an individual's health and well-being. Given the resources already available in Canada, Shinrin Yoku could be integrated into existing programs and interventions, and could provide another option to educators and healthcare professionals seeking low-risk educational and intervention alternatives for their students and patients.

Association between burnout and cortisol secretion, perceived stress, and psychopathology in palliative care unit health professionals

2017 ◽  
Vol 16 (3) ◽  
pp. 286-297 ◽  
Author(s):  
José Carlos Fernández-Sánchez ◽  
José Manuel Pérez-Mármol ◽  
Antonia Blásquez ◽  
Ana María Santos-Ruiz ◽  
María Isabel Peralta-Ramírez
Keyword(s):  
Palliative Care ◽  
Perceived Stress ◽  
Health Professionals ◽  
Health Workers ◽  
Maslach Burnout Inventory ◽  
Palliative Care Unit ◽  
Burnout Syndrome ◽  
Cortisol Secretion ◽  
Palliative Care Units ◽  
Waking Up

ABSTRACTObjective:A high incidence of burnout has been reported in health professionals working in palliative care units. Our present study aims to determine whether there are differences in the secretion of salivary cortisol between palliative care unit health professionals with and without burnout, and to elucidate whether there is a relationship between burnout syndrome and perceived stress and psychopathological status in this population.Method:A total of 69 health professionals who met the inclusion criteria participated in our study, including physicians, nurses, and nursing assistants. Some 58 were women (M = 29.65 years, SD = 8.64) and 11 men (M = 35.67 years, SD = 11.90). The level of daily cortisol was registered in six measurements taken over the course of a workday. Burnout syndrome was evaluated with the Maslach Burnout Inventory–Human Services Survey (MBI–HSS), the level of perceived stress was measured using the Perceived Stress Scale, and psychopathological status was gauged using the SCL–90–R Symptoms Inventory.Results:There were statistically significant differences in secretion of cortisol in professionals with high scores on a single subscale of the MBI–HSS [F(3.5) = 2.48, p < 0.03]. This effect was observed 15–30 minutes after waking up (p < 0.01) and at bedtime (p < 0.06). Moreover, the professionals with burnout showed higher scores on the psychopathology and stress subscales than professionals without it.Significance of results:A higher score in any dimension of the burnout syndrome in palliative care unit health professionals seems to be related to several physiological and psychological parameters. These findings may be relevant for further development of our understanding of the relationship between levels of burnout and cortisol secretion in the health workers in these units.

scholarly journals 4526 Coping with End of Life Care: Compassion Fatigue and Burnout Effects on Cortisol Patterns of Health Care Providers Caring for Children

2020 ◽  
Vol 4 (s1) ◽  
pp. 71-71
Author(s):  
Liza Carolina Sanchez-Plazas ◽  
Ricardo L. Garcia ◽  
Kelly Komatz
Keyword(s):  
End Of Life ◽  
Compassion Fatigue ◽  
Child Death ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Burnout Syndrome ◽  
Control Group ◽  
Care Providers ◽  
Dying Children ◽  
The Impact

OBJECTIVES/GOALS: The objectives are to assess the impact of cumulative grief on the development of Compassion Fatigue (CF) and Burnout Syndrome (BS) in HCPs who care for dying children. We will also evaluate the relationship between CF and cortisol patterns in HCPs. METHODS/STUDY POPULATION: Cross-sectional study to be conducted in a Pediatric Hospital in Puerto Rico. A sample of 50 pediatric nurses will be selected to collect the data to evaluate the occurrence of CF and BS among HCP caring for children during end of life (EoL). Study subjects will include nurses who care for dying children in the Intensive Care Units and Oncology ward. Nurses working in the pediatric ward will be included as the control group. Three validated instruments (Spanish Version) will be administered (Professional Quality of Life vIV, Maslach Burnout Inventory- HSS, briefCOPE scale). Cortisol samples in saliva and hair will also be taken to determine levels in these HCPs. RESULTS/ANTICIPATED RESULTS: Our expected outcome is that CF and BS will be more frequent in HCPs caring for children during EoL compared with controls and that EoL nurses will have higher scores on CF scale and more frequent dysregulated cortisol patterns. DISCUSSION/SIGNIFICANCE OF IMPACT: Understanding how HCPs cope with grief caused by child death and the occurrence of CF and BO in our hispanic population allowing us to develop support strategies based on the specific HCPs needs. This knowledge will help improve HCPs’ well-being and may diminish the physiologic impact on cortisol.

scholarly journals The status of adolescent medicine: building a global adolescent workforce

2016 ◽  
Vol 28 (3) ◽  
pp. 233-243 ◽  
Author(s):  
Lana Lee ◽  
Krishna K. Upadhya ◽  
Pamela A. Matson ◽  
Hoover Adger ◽  
Maria E. Trent
Keyword(s):  
Young People ◽  
Adolescent Health ◽  
Health Workforce ◽  
Health Professionals ◽  
Care Delivery ◽  
Well Being ◽  
Health Needs ◽  
Adolescent Medicine ◽  
Global Networks ◽  
Global Workforce

Abstract Remarkable public health achievements to reduce infant and child mortality as well as improve the health and well-being of children worldwide have successfully resulted in increased survival and a growing population of young people aged 10–24 years. Population trends indicate that the current generation of 1.8 billion young people is the largest in history. However, there is a scarcity of dedicated resources available to effectively meet the health needs of adolescents and young adults worldwide. Growing recognition of the pivotal roles young people play in the cultures, societies, and countries in which they live has spurred an expanding global movement to address the needs of this special population. Building an effective global workforce of highly-skilled adolescent health professionals who understand the unique biological, psychological, behavioral, social, and environmental factors that affect the health of adolescents is a critical step in addressing the health needs of the growing cohort of young people. In this review, we aim to: 1) define a global assessment of the health needs for adolescents around the world; 2) describe examples of current training programs and requirements in adolescent medicine; 3) identify existing gaps and barriers to develop an effective adolescent health workforce; and 4) develop a call for targeted actions to build capacity of the adolescent health workforce, broaden culturally relevant research and evidence-based intervention strategies, and reinforce existing interdisciplinary global networks of youth advocates and adolescent health professionals to maximize the opportunities for training, research, and care delivery.

scholarly journals THE STUDY ON MEDICAL WORKERS’ EMOTIONAL BURNOUT SYNDROME

2021 ◽  
Vol 7 (4) ◽  
pp. 153-162
Author(s):  
Olha Prymachenko ◽  
◽  
Yevhenii Prokopovych ◽  
Serhii Prymachenko ◽  
◽  
...  
Keyword(s):  
Empirical Study ◽  
Health Professionals ◽  
Maslach Burnout Inventory ◽  
Burnout Syndrome ◽  
Urgent Care ◽  
Psychological State ◽  
Stressful Situation ◽  
Study Results ◽  
Emotional Burnout ◽  
Emotional Burnout Syndrome

The article is important because the problem of emotional burnout is particularly actual one for health professionals in Ukraine and around the world at the moment. The medical staffs of medical departments are exposed to excessive stress on a daily basis in the course of their professional activities due to constant and direct contact with patients who need urgent care or are in a critical psychological state. These circumstances in most cases cause negative emotions, excessive mental stress and physical fatigue. The article purpose was to study of the syndrome of “emotional burnout” and the peculiarities of its manifestation in health professionals depending on gender. The conducted empirical study was devoted to the psychological manifestations of medical workers’ emotional burnout among (depending on genders); it was organised in 2020. The special socio-psychological study included 60 medical workers (30 women-nurses and 30 male doctors) with 5 or more years of experience working in medical institutions in Kyiv. The following psychological techniques were used in the empirical study: V.V. Boyko’s method determining the level of "emotional burnout"; J. Greenberg’s method studying burnout; Maslach Burnout Inventory for “person – person” professions; S.A. Budassi’s method for self-assessment; Cattell 16PF Questionnaire. The study results allowed us to draw the following conclusions. Analyzing the link between gender and emotional burnout, we should say that women in a stressful situation are more prone to psychosomatic and psychovegetative disorders, and men are prone to personal alienation (depersonalization). In addition, women’s syndrome is manifested not only through “resistance” symptoms - inadequate selective emotional response and reduction of professional responsibilities, but also through experienced traumatic circumstances - a symptom of the "stress" phase, while men’s emotional burnout unfolds only via the “resistance” symptoms. Prospects for further research: to consider the problem of burnout factors appeared at medical workers’ professional path in a new perspective. Based on the obtained results, we can say that many of the studied health professionals needed specialized psychological care to overcome the emotional burnout syndrome.

HEALTH SYSTEMS ISSUES IN GERMANY RELEVANT TO WELL-BEING AND BURN-OUT

2021 ◽  
Vol 9 (2) ◽  
pp. 57-63
Author(s):  
Stephan Hofmeister
Keyword(s):  
Ambulatory Care ◽  
Working Conditions ◽  
Rural Areas ◽  
National Level ◽  
Working Hours ◽  
Well Being ◽  
Health Technologies ◽  
Self Employment ◽  
Burn Out ◽  
The Difference

Background: The German ambulatory care sector is mainly sustained by more than 177 000 statutory health insurance physicians and psychotherapists. They provide approximately 650 million high quality treatments per year (versus around 20 million treatments in hospitals) including ambulatory emergency care around the clock. The system is based on self-employment with doctors and psychotherapists running their own practices. They are organized within a system of self-government on a regional and a national level. Satisfaction with working conditions and income is high. Objectives: This article considers the difference between employed and selfemployed doctors as the main key to understanding reasons by which employed doctors are prone to a higher risk of suffering from burn-out than self-employed doctors. It further describes how working conditions are changing and which challenges arise for doctors both in the ambulatory sector and in hospitals. Method: In addressing these objectives, this article considers databases and several surveys performed by the Kassenärztliche Bundesvereinigung and German health profession organizations. Results and Discussion: Owing to several factors, the number of employed doctors in the ambulatory care sector is rising. As for employed physicians in the hospital sector, the employed doctors in the ambulatory care sector show significantly lower satisfaction rates with their working conditions. This group is at higher risk of experiencing burn-out or at least limited well-being within their professional lives. Conclusion: To prevent doctors in the ambulatory care sector from suffering burn-out it is important to reinforce the principles of self-employment within owner-run practice structures. It is also important to improve the efficiency of doctoral working hours by reducing the currently expanding bureaucracy and by cautiously considering the appointment of non-medical professionals that operate under strict guidance of doctors in addressing aspects of ambulatory care that would be suitable for this task-shifting. It is also essential to improve and implement e-health technologies, and for instance facilitate remote treatment in rural areas.

iReport SportsPhysio Platform

2014 ◽  
Vol 9 (3) ◽  
pp. 22-35
Author(s):  
Patricia Macedo ◽  
Rui Neves Madeira ◽  
Marco Jardim
Keyword(s):  
Health Professionals ◽  
Sports Injuries ◽  
Global Analysis ◽  
Scientific Evidence ◽  
National Level ◽  
Public Health Problem ◽  
Sports Injury ◽  
Well Being ◽  
Major Public Health Problem ◽  
Sports Organizations

An accumulation of scientific evidence has emerged during the 1980s and 1990s, that is, physical activity would have significant benefits on health and well-being. Consequently, increasing participation of people in physical activities over the last decades has also led to a growing number of sports injuries and, simultaneously, higher demands on financial resources in global healthcare systems. Today, sports injuries are seen as a major public health problem in many developed, as well as developing, countries. This article illustrates the importance of having a platform such as iReport SportsPhysio to address such a rising issue globally. iReport SportsPhysio is a Web-based platform directed to sports health professionals to provide standard sports injuries monitoring and surveillance at a national level. The platform supports the acquisition, analysis and dissemination of sports injuries information, allowing health professionals to register and analyze sports injuries across various sports populations. Essentially, the platform provides a mechanism to house diverse statistical data in the form of tables and charts to analyze injuries at three levels: (1) athlete level independently of where individual athlete practices; (2) specific sports level across organizations; and (3) sports organizations level. A module for a global analysis is also made available, which allows the iReport SportsPhysio to obtain the incidence and prevalence measures, besides the socioeconomics costs relating to sports injuries at a global level. In order to offer these features, the platform is based on a global sports injury data model with the goal of standardizing data related to sports injuries.

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