scholarly journals Investigating the association between Physicians self-efficacy regarding communication skills and risk of "Burnout".

2020 ◽  
Author(s):  
Andrea Messerotti ◽  
Federico Banchelli ◽  
Silvia Ferrari ◽  
Emiliano Barbieri ◽  
Francesca Bettelli ◽  
...  
Keyword(s):  
Communication Skills ◽  
Self Efficacy ◽  
Ad Hoc ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Bad News ◽  
University Hospitals ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Stressful Task

Abstract Background: Breaking bad news (BBN) may be associated with increasing risk of burnout in practising physicians. However, there is little research on the association between the way bad news is broken and burnout. We investigated the association between physicians' self-efficacy regarding communication to patients and risk of burnout.Methods: We performed a cross-sectional study by proposing an ad-hoc survey exploring attitudes and practice regarding BBN and the Maslach Burnout Inventory - Human Service Survey to 379 physicians from two University Hospitals in Italy. Associations were assessed by multivariable logistic regression models.Results: Two-hundred twenty-six (60%) physicians returned the questionnaires. 76% of physicians acquired communication skills by observing mentors or colleagues, 64% considered BBN as discussing a poor prognosis, 56% reported discussing prognosis as the most difficult task, 38% and 37% did not plan a BBN encounter and considered it stressful. The overall burnout rate was 59%. Considering BBN a stressful task was independently associated with high risk of burnout (OR 3.01; p=0.013). Planning the encounter (OR=0.43, p=0.037), mastering communication skills (OR=0.19, p=0.034) and the self-evaluation as good or very good at BBN (OR 0.32; 0.15 to 0.71; p=0.0) were associated with low risk of burnout.Conclusions: Our findings suggest that some physicians' BBN attitudes and knowledge of conceptual frameworks may influence the risk of burnout and support the notion that increasing knowledge about communication skills may protect clinicians from burnout. Further research is needed in this area.

scholarly journals A survey of Italian Physicians self-efficacy regarding communication skills and its correlation with a measure of "Burnout"

2020 ◽  
Author(s):  
Andrea Messerotti ◽  
Federico Banchelli ◽  
Silvia Ferrari ◽  
Emiliano Barbieri ◽  
Francesca Bettelli ◽  
...  
Keyword(s):  
Communication Skills ◽  
Self Efficacy ◽  
Poor Prognosis ◽  
Relevant Literature ◽  
Multivariable Analysis ◽  
Maslach Burnout Inventory ◽  
University Hospitals ◽  
Logistic Regression Models ◽  
Stressful Task ◽  
High Level

Abstract Background: The majority of practising physicians experience burnout. One of the factors most frequently advocated to increase such risk is breaking bad news (BBN). Several reports, by showing alteration of physiological indices, have empirically suggested that BBN may stress physicians, ultimately contributing to burnout. However, the association between the way serious news is broken and burnout has not been explored yet. In this study we investigated the correlation between burnout and physicians' self-efficacy regarding communication to patients. Methods: A 23-item questionnaire exploring attitudes and practice regarding BBN and the Maslach Burnout Inventory test were administered to 379 physicians from two University Hospitals. Associations were assessed by means of logistic regression models. Results: 226 (60%) returned the questionnaires. 76% of physicians acquired communication skills by observing mentors or colleagues, 64% considered BBN as discussing a poor prognosis, 56% reported discussing prognosis as the most difficult task, 38% and 37% did not plan a BBN encounter and considered it stressful. The overall burnout rate was 59%. At the multivariable analysis considering BBN as discussing a poor prognosis and a stressful task were related to high level of burnout (OR 2.42, p=0.042; OR 3.56, p=0.005); whereas planning the encounter and mastering communication skills even by just by means of reading relevant literature were correlated to low level of burnout (OR=0.43, p=0.037; OR=0.19, p=0.034). Conclusions: Our study identifies some physicians' BBN attitudes and knowledge of conceptual frameworks which may influence the risk of burnout and support the notion that increasing knowledge about communication skills may protect clinicians from burnout.

scholarly journals Burnout and work stress among medical oncologists: Egyptian multi-centric study

2020 ◽  
Vol 27 (1) ◽  
Author(s):  
M. R. Soltan ◽  
S. S. Soliman ◽  
S. A. Al-Hassanin ◽  
W. A. ElSherief ◽  
M. S. Elnaggar ◽  
...  
Keyword(s):  
Work Stress ◽  
Maslach Burnout Inventory ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Workplace Stress ◽  
University Hospitals ◽  
Cross Sectional ◽  
Medical Oncologists ◽  
Younger Age ◽  
Care Health

Abstract Background Cancer-care health professionals are at great risk of workplace stress and high burnout levels. Only a few studies were studying the prevalence of workplace stress and burnout in medical oncologists in Egypt. The aim of the work is to study the prevalence of burnout levels and work stress among medical oncologists working at multi-centers in Egypt (Cairo, Menoufia, Fayoum, and Assiut university hospitals). A cross-sectional study was conducted on a total of 100 medical oncologists at four medical oncology centers in Egypt. Self-administered Maslach Burnout Inventory (MBI) questionnaire and Workplace Stress Scale (WSS) were used to assess the burnout and stress levels respectively among the participants. Results Out of 100 participants, 32% were overall burnout positive as they met the criteria for all the burnout subscales. The percentages of emotional exhaustion, depersonalization, and reduced personal capacity were 30%, 30%, and 25%, respectively. About 60% were having job stress. The present study showed that younger age (≤ 40 years), female gender, being single, with no children, junior physicians (residents or physicians < 10 years in practice), with work time directed to both patient care and research, and those with more than 6 shifts per month were associated with higher burnout and workplace stress. Conclusion Medical oncologists experienced high burnout levels and workplace stress. More studies are needed to assess these problems in large scales to try to mitigate them.

scholarly journals Gender difference of symptoms of acute coronary syndrome among Chinese patients: a cross-sectional study

2018 ◽  
Vol 18 (3) ◽  
pp. 179-184 ◽  
Author(s):  
Libin An ◽  
Wentao Li ◽  
Hongling Shi ◽  
Xiaohua Zhou ◽  
Xin Liu ◽  
...  
Keyword(s):  
Gender Differences ◽  
Acute Coronary Syndrome ◽  
Gender Difference ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Chinese Patients ◽  
University Hospitals ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Coronary Syndrome

Background: The incidence of acute coronary syndrome is increasing in China. Objective: To investigate gender differences in Chinese patients’ acute coronary syndrome symptoms, attribution of symptoms and reasons for seeking medical service. Methods: This was a cross-sectional, multicentre study. Acute coronary syndrome patients were recruited from five university hospitals located in four cities, between June 2013 and February 2014. Data were collected using the McSweeney acute and prodromal myocardial infarction symptom survey. Results: A total of 806 patients with acute coronary syndrome (323 men, 483 women) participated in the study. Adjusted (diabetes, smoking, age) logistic regression models revealed that women were significantly more likely to have pain or discomfort in the: central high chest; back, between, or under the shoulder blades; neck or throat; or arms relative to men. Women were also more likely to have unusual fatigue, weakness, shortness of breath or difficulty breathing, or dizziness relative to men. Conversely, women were significantly less likely to have generalised chest pain relative to men. Gender difference in the attribution of symptoms was largely driven by women’s attribution to having a heart attack more frequently than men. Finally, women were more often told by a friend to seek medical help or they knew their symptoms were different, while men more frequently sought medical help because their symptoms did not go away. Conclusions: There were gender differences in pain, discomfort and other symptoms. Both potential patients and healthcare providers need to be more aware of potential gender differences in acute coronary syndrome symptoms and decisions to seek care to ensure quick access.

HUBUNGAN ANTARA SELF EFFICACY DAN STRES KERJA DENGAN BURNOUT PADA PERAWAT DALAM MELAKUKAN ASUHAN KEPERAWATAN DI RUMAH SAKIT UMUM UNIVERSITAS MUHAMMADIYAH CIREBON

2020 ◽  
Vol 1 (1) ◽  
pp. 4
Author(s):  
Idah Faridah ◽  
Aria Pranatha ◽  
Aditiya Puspanegara
Keyword(s):  
Self Efficacy ◽  
Maslach Burnout Inventory ◽  
Cross Sectional ◽  
Spearman Rank

Profesi kesehatan pemberi pelayanan kesehatan di rumah sakit yang paling rentan mengalami burnout adalah perawat. Faktor individu dan faktor lingkungan dapat mempengaruhi terjadinya Burnout. Faktor individu salah satunya adalah self efficacy sedang faktor lingkungan disebabkan stres kerja Adapun tujuan dari penelitian ini adalah untuk mengetahui hubungan Self Efficacy dan stress kerja dengan Burnout pada perawat dalam melakukan asuhan keperawatan di Rumah Sakit Umum Universitas Muhammadiyah Cirebon. Penelitian ini merupakan penelitian kuantitatif dengan metode analitik korelasional dan rancangan cross sectional yang menggunakan 70 orang sampel perawat dan yang termasuk ke kriteria inklusi sebanyak 58 orang sampel dengan teknik Total Sampling. Pengumpulan data menggunakan kuesioner Maslach Burnout Inventory, Self Efficacy dan stres kerja. Hasil penelitian menunjukkan 55,2% responden memiliki self efficacy sedang, 70,7% responden mengalami stres kerja ringan, 81% responden mengalami burnout sedang. Berdasarkan hasil uji statistik dengan Spearman Rank diperoleh dengan p = 0,278 dan p=0,120 (p > 0,05), hal ini menunjukkan tidak ada hubungan yang kuat antara self-efficacy dan stres kerja dengan burnout. Dari hasil penelitian ini diharapkan para perawat mampu menghindari dan memanajemen stress agar tidak terjadi Burnout serta tetap menunjukkan profesionalitasnya dalam menjalankan tugas. Implikasi utuk peneliti selanjutnya dapat mengembangkan penelitian dengan mempertimbangkan faktor individu, faktor lingkungan, faktor organisasi yang dapat mempengaruhi burnout. Rumah sakit dapat melakukan kegiatan untuk meningkatkan self efficacy perawat melalui pelatihan kompetensi, menurunkan stres kerja dan burnout melalui kegiatan refreshing, dan rotasi kerja.

scholarly journals SARS-CoV-2 seroprevalence and asymptomatic viral carriage in healthcare workers: a cross-sectional study

Thorax ◽  
2020 ◽  
Vol 75 (12) ◽  
pp. 1089-1094 ◽  
Author(s):  
Adrian Shields ◽  
Sian E Faustini ◽  
Marisol Perez-Toledo ◽  
Sian Jossi ◽  
Erin Aldera ◽  
...  
Keyword(s):  
Intensive Care ◽  
Healthcare Workers ◽  
Venous Blood ◽  
Cross Sectional Study ◽  
Nasopharyngeal Swab ◽  
Sectional Study ◽  
University Hospitals ◽  
Cross Sectional ◽  
General Internal ◽  
Increased Risk

ObjectiveTo determine the rates of asymptomatic viral carriage and seroprevalence of SARS-CoV-2 antibodies in healthcare workers.DesignA cross-sectional study of asymptomatic healthcare workers undertaken on 24/25 April 2020.SettingUniversity Hospitals Birmingham NHS Foundation Trust (UHBFT), UK.Participants545 asymptomatic healthcare workers were recruited while at work. Participants were invited to participate via the UHBFT social media. Exclusion criteria included current symptoms consistent with COVID-19. No potential participants were excluded.InterventionParticipants volunteered a nasopharyngeal swab and a venous blood sample that were tested for SARS-CoV-2 RNA and anti-SARS-CoV-2 spike glycoprotein antibodies, respectively. Results were interpreted in the context of prior illnesses and the hospital departments in which participants worked.Main outcome measureProportion of participants demonstrating infection and positive SARS-CoV-2 serology.ResultsThe point prevalence of SARS-CoV-2 viral carriage was 2.4% (n=13/545). The overall seroprevalence of SARS-CoV-2 antibodies was 24.4% (n=126/516). Participants who reported prior symptomatic illness had higher seroprevalence (37.5% vs 17.1%, χ2=21.1034, p<0.0001) and quantitatively greater antibody responses than those who had remained asymptomatic. Seroprevalence was greatest among those working in housekeeping (34.5%), acute medicine (33.3%) and general internal medicine (30.3%), with lower rates observed in participants working in intensive care (14.8%). BAME (Black, Asian and minority ethnic) ethnicity was associated with a significantly increased risk of seropositivity (OR: 1.92, 95% CI 1.14 to 3.23, p=0.01). Working on the intensive care unit was associated with a significantly lower risk of seropositivity compared with working in other areas of the hospital (OR: 0.28, 95% CI 0.09 to 0.78, p=0.02).Conclusions and relevanceWe identify differences in the occupational risk of exposure to SARS-CoV-2 between hospital departments and confirm asymptomatic seroconversion occurs in healthcare workers. Further investigation of these observations is required to inform future infection control and occupational health practices.

scholarly journals Tired, Worried and Burned Out, but Still Resilient: A Cross-Sectional Study of Mental Health Workers in the UK during the COVID-19 Pandemic

2021 ◽  
Vol 18 (9) ◽  
pp. 4457
Author(s):  
Sofia Pappa ◽  
Joshua Barnett ◽  
Ines Berges ◽  
Nikolaos Sakkas
Keyword(s):  
Mental Health ◽  
Emotional Exhaustion ◽  
Organizational Support ◽  
Sleep Problems ◽  
Health Workers ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Mental Health Workers ◽  
Sectional Study ◽  
Cross Sectional

The burden of the COVID-19 pandemic on health systems and the physical and mental health of healthcare workers (HCWs) has been substantial. This cross-sectional study aims to assess the effects of COVID-19 on the psychological wellbeing of mental health workers who provide care to a vulnerable patient population that have been particularly affected during this crisis. A total of 387 HCWs from across a large urban mental health service completed a self-administered questionnaire consisting of socio-demographic, lifestyle and work-based information and validated psychometric scales. Depression and anxiety were measured using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder Scale (GAD-7), respectively; sleep problems with the Athens Insomnia Scale (AIS); burnout with the Maslach Burnout Inventory (MBI); and resilience with the Resilience Scale-14 (RS-14). Multivariable logistic regression analysis was performed to determine potential mediating factors. Prevalence of burnout was notable, with 52% recording moderate/severe in Emotional Exhaustion, 19.5% moderate/severe in Depersonalisation, and 55.5% low/moderate Personal Accomplishment. Over half of all respondents (52%) experienced sleep problems; the presence of depressive symptoms was a significant predictor of insomnia. An increase in potentially harmful lifestyle changes, such as smoking, alcohol consumption and overeating was also observed. However, high Resilience was reported by 70% of the samples and the importance of this is highlighted. Female gender was associated with increased levels of depression and emotional exhaustion while those with a history of mental health conditions were most at risk of affective symptoms, insomnia, and burnout. Overall, our study revealed considerable levels of psychological distress and maladaptive coping strategies but also resilience and satisfaction with organizational support provided. Findings can inform tailored interventions in order to mitigate vulnerability and prevent long-term psychological sequelae.

scholarly journals The number of household members as a risk factor for peptic ulcer disease

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Mi Hong Yim ◽  
Keun Ho Kim ◽  
Bum Ju Lee
Keyword(s):  
Peptic Ulcer ◽  
Peptic Ulcer Disease ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Living Alone ◽  
Cross Sectional ◽  
Ulcer Disease ◽  
Logistic Regression Models ◽  
Household Members ◽  
H Pylori

AbstractPeptic ulcer disease (PUD) is caused by many sociodemographic and economic risk factors other than H. pylori infection. However, no studies reported an association between PUD and the number of household members. We showed the number of family members affected by PUD based on sex in a Korean population. This cross-sectional study used 1998–2009 data from the Korea National Health and Nutrition Examination Survey of the Korea Centers for Disease Control and Prevention. Multiple binary logistic regression models adjusted for confounders were constructed to analyze the association of PUD with the number of household members. The number of household members was associated with PUD, age, body mass index (BMI), waist circumference, systolic blood pressure, hemoglobin, glucose, location (urban/rural), income, education level, stress, current drinking, and smoking in both sexes. Men with other household members had a higher PUD risk compared to men or women living alone (reference), and the opposite was observed for women. Men with 4 household members had a higher PUD risk than men living alone in the model adjusted for age, BMI, income, location, education, and stress (OR = 2.04 [95% CI 1.28–3.27], p value = .003). Women with more than 6 household members had a lower PUD risk than women living alone in the adjusted model (OR = 0.50 [0.33–0.75], p value = .001). Women with more household members had a lower PUD risk. However, more men had PUD than women regardless of the number of household members.

scholarly journals Recent smell loss is the best predictor of COVID-19 among individuals with recent respiratory symptoms

2020 ◽  
Author(s):  
Richard C Gerkin ◽  
Kathrin Ohla ◽  
Maria G Veldhuizen ◽  
Paule V Joseph ◽  
Christine E Kelly ◽  
...  
Keyword(s):  
Symptom Onset ◽  
Respiratory Symptom ◽  
Respiratory Illness ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Olfactory Loss ◽  
Visual Analog Scales ◽  
Cardinal Symptoms ◽  
Smell Loss

Abstract In a preregistered, cross-sectional study we investigated whether olfactory loss is a reliable predictor of COVID-19 using a crowdsourced questionnaire in 23 languages to assess symptoms in individuals self-reporting recent respiratory illness. We quantified changes in chemosensory abilities during the course of the respiratory illness using 0-100 visual analog scales (VAS) for participants reporting a positive (C19+; n=4148) or negative (C19-; n=546) COVID-19 laboratory test outcome. Logistic regression models identified univariate and multivariate predictors of COVID-19 status and post-COVID-19 olfactory recovery. Both C19+ and C19- groups exhibited smell loss, but it was significantly larger in C19+ participants (mean±SD, C19+: -82.5±27.2 points; C19-: -59.8±37.7). Smell loss during illness was the best predictor of COVID-19 in both univariate and multivariate models (ROC AUC=0.72). Additional variables provide negligible model improvement. VAS ratings of smell loss were more predictive than binary chemosensory yes/no-questions or other cardinal symptoms (e.g., fever). Olfactory recovery within 40 days of respiratory symptom onset was reported for ~50% of participants and was best predicted by time since respiratory symptom onset. We find that quantified smell loss is the best predictor of COVID-19 amongst those with symptoms of respiratory illness. To aid clinicians and contact tracers in identifying individuals with a high likelihood of having COVID-19, we propose a novel 0-10 scale to screen for recent olfactory loss, the ODoR-19. We find that numeric ratings ≤2 indicate high odds of symptomatic COVID-19 (4&lt;OR&lt;10). Once independently validated, this tool could be deployed when viral lab tests are impractical or unavailable.

scholarly journals Difference in the general medicine in-training examination score between community-based hospitals and university hospitals: a cross-sectional study based on 15,188 Japanese resident physicians

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuji Nishizaki ◽  
Keigo Nozawa ◽  
Tomohiro Shinozaki ◽  
Taro Shimizu ◽  
Tomoya Okubo ◽  
...  
Keyword(s):  
Physical Examination ◽  
General Medicine ◽  
Cross Sectional Study ◽  
Medical Interview ◽  
Sectional Study ◽  
University Hospitals ◽  
Community Based ◽  
Cross Sectional ◽  
Clinical Competencies ◽  
Clinical Procedures

Abstract Background The general medicine in-training examination (GM-ITE) is designed to objectively evaluate the postgraduate clinical competencies (PGY) 1 and 2 residents in Japan. Although the total GM-ITE scores tended to be lower in PGY-1 and PGY-2 residents in university hospitals than those in community-based hospitals, the most divergent areas of essential clinical competencies have not yet been revealed. Methods We conducted a nationwide, multicenter, cross-sectional study in Japan, using the GM-ITE to compare university and community-based hospitals in the four areas of basic clinical knowledge“. Specifically, “medical interview and professionalism,” “symptomatology and clinical reasoning,” “physical examination and clinical procedures,” and “disease knowledge” were assessed. Results We found no significant difference in “medical interview and professionalism” scores between the community-based and university hospital residents. However, significant differences were found in the remaining three areas. A 1.28-point difference (95% confidence interval: 0.96–1.59) in “physical examination and clinical procedures” in PGY-1 residents was found; this area alone accounts for approximately half of the difference in total score. Conclusions The standardization of junior residency programs and the general clinical education programs in Japan should be promoted and will improve the overall training that our residents receive. This is especially needed in categories where university hospitals have low scores, such as “physical examination and clinical procedures.”

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.

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