Burn-out of the Medical Oncology Health Care Professionals and Associated Factors in Tunisia

2020 ◽  
Vol 14 (4) ◽  
pp. 207-216
Author(s):  
W. Khechine ◽  
F. Ezzaairi ◽  
J. Sahli ◽  
I. Belaid ◽  
A. Daldoul ◽  
...  
Keyword(s):  
Health Care ◽  
Emotional Exhaustion ◽  
Health Care Professionals ◽  
Medical Oncology ◽  
Maslach Burnout Inventory ◽  
Public Hospitals ◽  
Personal Accomplishment ◽  
Unexplained Pain ◽  
Burn Out ◽  
Functional Complaints

Introduction: Burn-out is defined as a syndrome of emotional exhaustion, depersonalization and diminished self-achievement that affects individuals exposed to chronic occupational stress. Physicians and caregivers faced with the death of their patients, such as oncology, are particularly vulnerable to this syndrome. Objectives: To evaluate the burn-out of medical professionals in medical oncology, to research the predisposing factors and to analyze the functional complaints and the behavior of the staff associated with this syndrome. Methods: A descriptive and analytical cross-sectional study among medical oncology professionals practicing in public hospitals in the Tunisian territory who exercise more than two years in oncology; with the Maslach Burnout Inventory (MBI). Results: Our study population was predominantly female (81%). 53% are doctors and 47% are paramedical health care professionals. A high degree of emotional exhaustion, depersonalization and personal achievement were found in 63%, 53% and 59% in our population, respectively. With 21% global high burn-out. The female sex was associated with high emotional exhaustion and low personal accomplishment as well as global burn-out. This burn-out was attributed to factors associated with working conditions and professional climate, mainly: overwork, poor organization of service, lack of resources and time, lack of recognition, lack of communication, lack of respect, conflicts with colleagues, report unsatisfactory salary effort and aggressions by patients and their families. Functional complaints and health care professional’s behavior associated with burn-out were: feelings of sadness, blockage, and irritability, sleep disorders, unexplained pain, epigastralgia, addictive behaviors, psychotropic consumption, suicidal thoughts, decreased performance and desire for a job transfer. Conclusions: By its impact on professionals, burn-out in medical oncology represents a major threat to the quality of health care. Its etiologies, although complex and intricate, are well known. Its prevention and its support are possible, but involve mobilization at all levels.

scholarly journals Burnout Impact of COVID-19 Pandemic on Health-Care Professionals at Assiut University Hospitals, 2020

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.

scholarly journals COVID-19 Outbreak Can Change the Job Burnout in Health Care Professionals

2020 ◽  
Vol 11 ◽  
Author(s):  
Xinghuang Liu ◽  
Jie Chen ◽  
Dongke Wang ◽  
Xin Li ◽  
Erchuan Wang ◽  
...  
Keyword(s):  
Health Care ◽  
Statistical Analysis ◽  
Emotional Exhaustion ◽  
Health Care Professionals ◽  
Coping Style ◽  
Maslach Burnout Inventory ◽  
Job Burnout ◽  
Personal Accomplishment ◽  
Three Dimensions ◽  
Negative Coping

Background: The outbreak of COVID-19 in China was a sudden bio-disaster, which may bring a negative impact on the job burnout of health care professionals (HCPs).Objective: We aim to find out the association factors, especially those closely related to this outbreak, of job burnout in Chinese HCPs.Method: The cross-sectional survey about HCPs' job burnout based on a network platform was conducted in high and low infection regions during the COVID-19 outbreak in China. The demographic characteristics, medical-work-related factors, risk of getting infected due to occupational exposure, and family factors were collected by the self-reported questionnaire. The Chinese version of the Maslach Burnout Inventory (CMBI) and the Trait Coping Style Questionnaire (TCSQ) were employed in this study to evaluate the job burnout and coping style, respectively. Furthermore, statistical analysis was done to find out the associated factors of job burnout.Results: We collected 880 complete questionnaires from doctors and nurses from February 9, 2020 to February 11, 2020. In this study, the positive rates of three dimensions of burnout (emotional exhaustion, depersonalization, and reduced personal accomplishment) and overall burnout were 9.09, 50.57, 56.59, and 73.98%, respectively. After the statistical analysis, we found that several factors can independently affect the dimensions. Working in the high infection region and negative coping styles can affect all three dimensions at once. More night shift quantity and having symptoms could increase emotional exhaustion and depersonalization, while higher work intensity and senior title could increase emotional exhaustion and reduce personal accomplishment, respectively.Conclusion: The rate of moderate and severe burnout had increased due to the outbreak. More attention should be paid to burnout in HCPs, especially those with negative coping. There were some potential ways to reduce burnout, such as reducing their workload and providing better protection from the virus.

Burnout in Home Palliative Care: What Is the Role of Coping Strategies?

2019 ◽  
Vol 35 (1) ◽  
pp. 46-52 ◽  
Author(s):  
Giacomo Ercolani ◽  
Silvia Varani ◽  
Barbara Peghetti ◽  
Luca Franchini ◽  
Maria Beatrice Malerba ◽  
...  
Keyword(s):  
Palliative Care ◽  
Coping Strategies ◽  
Emotional Exhaustion ◽  
Health Care Professionals ◽  
Work Experience ◽  
General Health Questionnaire ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Cross Sectional ◽  
Palliative Care Teams

Objective: The study examines psychophysical distress of health-care professionals providing home-based palliative care. The aim is to investigate potential correlations between dimensions of burnout and different coping strategies. Methods: The present study is an observational cross-sectional investigation. The study involved all the home palliative care teams of an Italian nonprofit organization. Of a total of 275 practitioners working for the organization, 207 (75%) decided to participate in the study and complete questionnaires. Questionnaires employed were Maslach Burnout Inventory, General Health Questionnaire 12, Psychophysiological Questionnaire of CBA 2.0, and Coping Orientation to Problems Experienced. Professionals were physicians (50%), nurses (36%), and psychologists (14%). There were no exclusion criteria. Data were processed by SPSS 23 and analyses employed were Spearman ρ, Mann-Whitney U test, and 1-way analysis of variance on ranks. Results: Among participants, a low number of professionals were emotionally exhausted (11%) or not fulfilled at work (20%), whereas most of them complained of depersonalization symptoms (67%). Emotional exhaustion and depersonalization were found to be associated with avoidance coping strategies, whereas problem-solving and positive attitude were negatively associated with emotional exhaustion and positively with personal accomplishment. Moreover, using avoidance strategies was related to a worse psychological and physical condition. Conclusions: Findings suggest the need to provide professionals training programs about coping and communication skills tailored to fit the professionals’ needs according to their work experience in palliative care and aimed at improving the approach to patients and relatives.

The burden of care and burn out syndrome in caregivers of an Egyptian sample of schizophrenia patients

2021 ◽  
pp. 002076402199315
Author(s):  
Sherien Ahmed Khalil ◽  
Amira Naseeb Elbatrawy ◽  
Nermin Mohamed Saleh ◽  
Dalia Abdel Moniem Mahmoud
Keyword(s):  
Emotional Exhaustion ◽  
Rural Areas ◽  
Family Income ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Burden Of Care ◽  
Clinical Correlates ◽  
Interview Score ◽  
Burn Out ◽  
The Mean

Background: The role of caregivers of schizophrenia patients in management and prognosis is crucial, caregivers are considered cornerstones in getting better outcome and quality of life. Aim: To assess the burden of care and burn out syndrome in the caregivers of schizophrenia patients and its sociodemographic and clinical correlates. Methods: Recruiting all schizophrenia patients and their caregivers who sought help at El Mamoura hospital, Alexandria, Egypt, for assessment of burn out syndrome and burden of care and its sociodemographic and clinical correlates over full 6 months period. Results: The study included 120 schizophrenia patient and their 120 caregivers, Zarit Caregiver Burden Interview score was 25.758 ± 7.382, which indicates high burden level. Regarding the Maslach Burnout Inventory results, the mean score of Emotional Exhaustion was 50% of the caregivers have high Emotional Exhaustion scores, 35% have moderate scores; followed by 15% with low scores. The mean score of Depersonalization 46.67% of the caregivers have high (DP) scores, 30.83% have moderate scores; while 22.50% low scores. The mean score of Personal Accomplishment was 62.50% of the caregivers have low scores; 36.67% have moderate scores, while only 0.83% have high scores. Most important correlates were, male patient, positive symptoms, continuous course of illness, noncompliance, living in rural areas, and low family income. Conclusions: Levels of Burn out syndrome and burden of care is high in caregivers of schizophrenia patients, caring for caregivers is very important for providing better mental health services, more research is still needed in this field.

Burnout syndrome among health care workers in the tertiary psychiatric facility in Serbia

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
Z Terzic-Supic ◽  
G Trajkovic ◽  
K Camagic ◽  
J Todorovic ◽  
V Djordjevic ◽  
...  
Keyword(s):  
Health Care ◽  
Beck Depression Inventory ◽  
Mental Health Professionals ◽  
Health Care Workers ◽  
Health Care Professionals ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Psychiatric Facility ◽  
Care Workers

Abstract Background Recent studies reported there is a high prevalence of burnout syndrome in healthcare workers and particularly among mental health professionals. The aim of this study was to examine the burnout syndrome in the tertiary level psychiatric hospital and potential factors associated with it. Methods This study was conducted as a cross sectional study, during September 2017 in Clinic for psychiatric disorders “Dr Laza Lazarevic” Belgrade, Serbia. The study included 159 health care professionals. Instrument used consisted of section on socio-demographic characteristics, linguistically adapted Serbian versions of Maslach Burnout Inventory - General Survey (MBI-GS) with three subscales (emotional exhaustion-EE, depersonalization- DP, low personal accomplishment-PA) and Beck's Depression Inventory (BDI). Results The mean age of the participants was 42.46±10.2 years (the youngest participant was 20 years old, and the oldest was 65 years old). In the overall sample, almost 70% of respondents were educated nurse-technicians. The physicians had the highest values on the EE and DP scale and the lowest values on PA scale: physicians- EE scale: 24.86 ± 15.27, DP scale: 4.29 ± 5.77, PA scale: 37.19 ± 9.77 vs. nurses: EE scale: 17.70 ± 13.58, DP scale: 4.07 ± 6.15, PA scale: 32.56 ± 16.62 vs. health associates: EE scale: 15.54 ± 5.85, DP scale: 3.18 ± 3.43, PA scale: 37.00 ± 6.53. The score on EE-subscale was associated with the years of age (ß=0.310, p = 0.037) and score on Beck's depression inventory (ß=0.828, p < 0.001). The score on DP scale was associated with the score on Beck depression inventory (ß=0.339, p < 0.001). The score on PA scale was associated with the score on Beck depression inventory (ß=0.363, p < 0.001). Conclusions Physicians are the category of employees in psychiatry with the highest severity of burnout syndrome at work, and the degree of development of this syndrome depends on age and degree of depression. Key messages Physicians are the most vulnerable to the burnout syndrome among health care workers at psychiatry. All three domains of burnout are associated with the scores on Beck depression inventory.

scholarly journals Mindfulness-Based Medical Practice: Exploring the Link between Self-Compassion and Wellness

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Julie Anne Irving ◽  
Patricia L Dobkin ◽  
Jeeseon Park-Saltzman ◽  
Marilyn R. Fitzpatrick ◽  
Tom A Hutchinson
Keyword(s):  
Health Care ◽  
Perceived Stress ◽  
Medical Practice ◽  
Health Care Professionals ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Personal Accomplishment ◽  
Self Report ◽  
Process Measures ◽  
Self Compassion

Objectives: In light of the detrimental impact of burnout upon clinicians and their patients, the identification of means through which the well-being of health care professionals can be fostered and protected is timely and important.  The present study explored outcomes associated with participation in Mindfulness-Based Medical Practice (MBMP), a program modeled after Mindfulness-Based Stress Reduction which included additional mindful communication exercises to foster the integration of mindfulness in various clinical settings.Methods: Physicians, nurses, psychologists, occupational therapists, and social workers enrolled in the 8-week MBMP program.  Participants (N = 110) between the age of 24 and 82 years (M = 46.5, SD = 11.4: 73% women) completed self-report measures prior to and following the program; the Maslach Burnout Inventory, Perceived Stress Scale-10 and the Ryff Scales of Psychological Well-Being. Two process measures designed to capture mechanisms of change were administered: the Mindful Attention Awareness Scale, and the Neff Self-Compassion Scale.Results: Results from paired-sample t-tests indicated that health care professionals enrolled in MBMP can benefit from the program. Analyses demonstrated significant decreases upon measures of perceived stress [p= .000], emotional exhaustion [p= .000], depersonalization [p= .000], and an increase in personal accomplishment [p= .000] as well as mindfulness [p=.000], self-compassion [p= .000], and well-being [p= .000].  Hierarchical regression analyses indicated that change scores on perceived stress (Beta = -1.46, p LT 0.000) and self-compassion (Beta = 9.02, p LT 0.006) predicted changes in well-being in this sample. Additionally, participants rate perceived importance of having taken part in the course using a Likert-scale from 1-10 (M=8.5, SD = 1.51).Conclusions: This study suggests that for health care professionals enrolled in MBMP may experience a variety of benefits associated with participation in the program. Further, increases in self-compassion may hold particular implications for well-being in this population.

scholarly journals Job Burnout and Related Factors among Health Sector Employees

2019 ◽  
Author(s):  
Elham Bazmi ◽  
Abbas Alipour ◽  
Mohamad Taghi Yasamy ◽  
Ali Kheradmand ◽  
Soosan Salehpour ◽  
...  
Keyword(s):  
Health Care ◽  
Emotional Exhaustion ◽  
Work Experience ◽  
Maslach Burnout Inventory ◽  
Job Burnout ◽  
Personal Accomplishment ◽  
Care Staff ◽  
Health Care Staff ◽  
Care Providers ◽  
Contributing Factors

Objective: Job burnout can cause physical and psychological damage and reduce job efficiency, especially in difficult jobs such as health care fields. This study aimed to assess the association between the level of job burnout and some contributing factors among health care providers in Iran. Method: This study was performed on the data derived from 1807 participants from the first phase of the employees’ health cohort in 2017-2018. The data were collected using as a self-administrated tool utilizing Maslach Burnout Inventory. The questionnaire scores ranged from never to everyday, with 3 levels of burnout as well as burnout itself; then, the scores were categorized as low, moderate, or high. Ordinal logistic regression model was used to adjust ordinal dependent variables. Results: The mean score of the total burnout was 16.5±7.77 and was associated with work experience and age group (p < 0.001). The components of burnout consisted of emotional exhaustion (8.9± 9.0), depersonalization (23± 2.9), and personal accomplishment (34± 8.6). Emotional exhaustion was related to sex (less among males, OR=0.48) and type of job (less among officials compared to health care staff, OR=0.488). Composite burnout was more common among younger staff (OR= 3.85). Depersonalization was associated with duty shift workers (OR=2.42). Conclusion: Job burnout is a major concern, and lack of personal accomplishment, as a component of burnout, was highly prevalent among Iranian health care employees. Being a single woman, health care provider, and having more than 20 years of work experience with a duty shift were contributing factors for burnout experience. Monitoring symptoms of burnout and its associated factors in the workplace and proposing an alternative organizational and behavioral system and sharing it with relevant authorities may help prevent or reduce job burnout and its deleterious effects.

scholarly journals Associations Between Integrated Care Practice and Burnout Factors of Primary Care Physicians

2018 ◽  
Vol 50 (10) ◽  
pp. 770-774 ◽  
Author(s):  
Max Zubatsky ◽  
Doug Pettinelli ◽  
Joanne Salas ◽  
Dawn Davis
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Integrated Care ◽  
Health Care Professionals ◽  
Primary Care Physicians ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Care Practice ◽  
Routine Practice ◽  
Physician Burnout

Background and Objectives: Physician burnout is increasingly problematic across many health care settings. Despite this trend, little is known about whether the type of collaboration in these settings may potentially help curb this trend. We explored whether higher levels of integrated care practice are associated with reduced burnout for physicians across settings. Methods: A national survey was sent to health care professionals who work in a variety of medical settings. Primary care physicians (n=288) were a subset of this sample and were asked about their practice demographics and perceptions of burnout. A shortened version of the Maslach Burnout Inventory (MBI) assessed for areas of burnout in physicians. Results: Higher levels of integrated care were associated with higher personal accomplishment (B=1.89, 95% CI:0.47, 3.31) and lower depersonalization (B=-2.48, 95% CI:-4.54, -0.42) in routine practice on the MBI. No significant associations were found between MBI scores and both years of practice at a current site or number of providers at the site. Conclusions: While physician burnout continues to be a worsening problem, integrated care may be an additional strategy to help curb this trend. Administrators need to consider the value of integrated practice in addressing physician wellness—the potentially next big aim of health care.

scholarly journals RIGHT TO DEVELOPMENT AND EMOTIONAL EXHAUSTION: THE CASE OF HEALTHCARE INSTITUTIONS IN TURKEY

2019 ◽  
Vol 10 ◽  
pp. 157-182
Author(s):  
Mehmet Emin Bilge ◽  
Rauf Karasu ◽  
Merve Aysegul Kulular Ibrahim
Keyword(s):  
Health Care ◽  
Emotional Exhaustion ◽  
Health Care Professionals ◽  
Political Development ◽  
Health Workers ◽  
Maslach Burnout Inventory ◽  
Demographic Characteristics ◽  
Care Staff ◽  
Health Care Institutions ◽  
Right To Development

Right to development covers economic, social, cultural, and political development. Encouraging its subjects to participate actively in economic, social, cultural, and political development, right to development has significant impact on each person. Although it is wide in scope, person, being the central subject of development, this study focuses on right to development of health care professionals limited to doctors and nurses. This paper assessed right to development of health care staff, considering their work conditions and other demographic characteristics. For the implementation of regulations regarding to right to development, a significant fieldwork covering 20 health care institutions in three cities of Turkey was successfully completed. In this fieldwork, Maslach Burnout Inventory (MBI) was used for data collection. This article assessed emotional exhaustion of 185 health workers via SPSS program. The analyse found that education status and type of health care institution have effect on emotional exhaustion while other demographic characteristics such as work experience, annual income or the city were found non-effective on emotional exhaustion of health care professionals. Considering results of this fieldwork, the correlation of emotional exhaustion with the right to development was discussed. The findings reveal that the fear of aggression, lack of sufficient trainings, defamation or mobbing by senior doctors are potential adverse effects causing emotional exhaustion of health workers. To decrease emotional exhaustion caused by work, institutions are suggested to provide ongoing training or a sustainable method for decrement of patient burden and workload. Last but not least, as a sustainable solution, a national wide precise legal monitoring mechanism covering both public and private, ordinary and university health care institutions is strictly offered to be created for prevention of infringement on right to development of medical staff.

scholarly journals Factors Associated With Burnout Among Nurses at International Hospital Kampala (IHK)

2020 ◽  
Vol 5 (4) ◽  
pp. 32
Author(s):  
Ashaba Aheebwa Anita ◽  
Omona Kizito
Keyword(s):  
Social Support ◽  
Emotional Exhaustion ◽  
Health Care Professionals ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Personal Accomplishment ◽  
Cross Sectional ◽  
Factors Associated ◽  
Cross Sectional Design ◽  
Methods Analytical

Introduction: Burnout is a psychological syndrome involving physical depletion, feelings of helplessness, negative self-concept, and negative attitudes towards work, life, and others. Burnout is a problem among health care professionals and nurses are found to be vulnerable. It is associated with a decrease in occupational well-being and increase in absenteeism, turnover and illness.Objectives: To evaluate the prevalence and factors associated with burnout among nurses at International Hospital Kampala (IHK).Methods: Analytical cross-sectional design was used. Data was collected from a sample of 120 nurses using questionnaire and Maslach Burnout Inventory (MBI) tools. Analysis was done using Statistical Package for Social Sciences and Microsoft excel.Results: The prevalence of burnout within the MBI subscales was highest in the subscale of personal accomplishment (PA) - 72.5%), followed by Depersonalization (DP) – 66.8% and Emotional Exhaustion (EE) - 61.7%. Overall prevalence of burnout among was 66.95%. Nurses with high burnout had the lowest level of personal accomplishment-18.33% while nurses with low burnout had the highest level of personal accomplishment-72.5%. Age (X2(2) =6.670, p=0.036) was associated with burnout. Respondent years in service was more highly associated with burnout (X2(2) = 10.961, p=0.004). Job satisfaction (X2(1) = 4.361, p=0.037) was associated with burnout. Emotional Exhaustion (EE) of the respondents (X2(2) =29.197, p=0.000) was associated with burnout. Many nurses, 61(50.8%) had EE and burnout. Depersonalization (DP) (X2(2) =72.803, p=0.000) was also associated with burnout. Hours worked in a day (X2(1) =72.803, p=0.016) was associated with burnout. Getting social support at work (X2(1) =72.803, p=0.016) was associated with burnout, thus 48(40.0%) of the nurses who got social support had burnout.Conclusion: The prevalence of burnout is quite high among nurses. 

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