scholarly journals Sense of Coherence and Burnout in Healthcare Professionals in the COVID-19 Era

2021 ◽  
Vol 12 ◽  
Author(s):  
Kristina Stoyanova ◽  
Drozdstoy Stoyanov Stoyanov

Emotional exhaustion in the context of vulnerability to burnout is a part of the universal narrative of high stress and systematically reported in healthcare professionals. The sense of coherence (SOC) is a salutogenic construct, operationalized by A. Antonovsky as a generalized resistance resource (GRR) to stress in three dimensions: meaningfulness (Me), the desire of a person to be motivated to cope; comprehensibility (C), the belief that the challenge is understood; and manageability (Ma), the belief that coping resources are available. The relation between SOC and the dimensions of burnout—Emotional Exhaustion (EE), Depersonalization (D), and Personal Accomplishment (PA)—is a part of salutogenic functioning, which reveals the inner motivation and self-organization of the psycho-emotional energetic resource. This study traces the salutogenic functioning of Bulgarian healthcare professionals during the pandemic. A general psychological background of coherence and exhaustion has been identified. All components of the SOC were positively correlated to Personal Accomplishment. Emotional Exhaustion and Depersonalization correlated negatively with coherence. SOC was validated as a possible determinant to predict the reduction of exhaustion and depersonalization as well as high levels of professional performance. The dimension of Meaningfulness in the coherence phenomenon was demonstrated to have the highest predictive value for professional burnout.

Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 158
Author(s):  
Naira Delgado ◽  
Helena Bonache ◽  
Moisés Betancort ◽  
Yurena Morera ◽  
Lasana T. Harris

It is generally accepted that empathy should be the basis of patient care. However, this ideal may be unrealistic if healthcare professionals suffer adverse effects when engaging in empathy. The aim of this study is to explore the effect of inferring mental states and different components of empathy (perspective-taking; empathic concern; personal distress) in burnout dimensions (emotional exhaustion; depersonalization; personal accomplishment). A total of 184 healthcare professionals participated in the study (23% male, Mage = 44.60; SD = 10.46). We measured participants’ empathy, the inference of mental states of patients, and burnout. Correlation analyses showed that inferring mental states was positively associated with perspective-taking and with empathic concern, but uncorrelated with personal distress. Furthermore, emotional exhaustion was related to greater levels of personal distress and greater levels of inferences of mental states. Depersonalization was associated with greater levels of personal distress and lower levels of empathic concern. Personal accomplishment was associated with the inference of mental states in patients, lower levels of personal distress, and perspective-taking. These results provide a better understanding of how different components of empathy and mental state inferences may preserve or promote healthcare professionals’ burnout.


2002 ◽  
Vol 5 (1) ◽  
pp. 35-62 ◽  
Author(s):  
M. Basson ◽  
S. Rothmann

People in almost any occupation could develop burnout. The objective of this research was to determine the relationship between sense of coherence, coping and burnout in a corporate pharmacy group. A cross-sectional survey design was used. The study population consisted of 67 pharmacists. The Maslach Burnout Inventory, Orientation to Life Questionnaire and COPE were administered. The results showed that sense of coherence is significantly related to emotional exhaustion, depersonalisation and personal accomplishment. Regarding coping strategies, mental disengagement was positively related to emotional exhaustion and depersonalisation, while positive reinterpretation and restraint coping were positively related to personal accomplishment. Sense of coherence and coping strategies explained 44 per cent, 35 per cent and 41 per cent of the variance in emotional exhaustion, depersonalisation and personal accomplishment respectively.


2017 ◽  
Vol 63 (No. 2) ◽  
pp. 70-74
Author(s):  
Lotfalian Majid ◽  
Sheikhmoonesi Fatemeh ◽  
Sabzi Mahbobeh ◽  
Abaspour Mahbobeh ◽  
Peyrov Saba

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.


2007 ◽  
Vol 101 (2) ◽  
pp. 457-468 ◽  
Author(s):  
Su-Chiun Liang ◽  
An-Tien Hsieh

The relationship between burnout and workplace deviance, identified as a component of job performance, was examined. Burnout was assessed with the Maslach Burnout Inventory which has three dimensions, Emotional Exhaustion, Depersonalization, and Reduced Personal Accomplishment. Workplace deviance was defined as voluntary behavior that violates significant organizational norms and threatens the well-being of an organization, its members, or both. This was assessed with the Workplace Deviance Scale, measuring the extent to which the participants had engaged in workplace deviant behavior such as taking property from work without permission, making fun of someone at work, or cursing at someone at work. Anonymous questionnaires with stamped envelopes were distributed to a sample of 1,470 Taiwanese flight attendants at the Arrival Hall of Taiwan Taoyuan International Airport. A response rate of 22.45% was obtained. After cases with missing data ( n = 27) had been eliminated, the sample totaled 303, 17 men and 286 women. The average age was 28.7 yr. ( SD = 4.6). Results of hierarchical regression showed that Depersonalization scores were significantly predictive of Workplace Deviance scores but not Emotional Exhaustion and Reduced Personal Accomplishment scores. Possible reasons and implications of these findings were discussed.


Open Medicine ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 328-334 ◽  
Author(s):  
Natalija Skorobogatova ◽  
Nida Žemaitienė ◽  
Kastytis Šmigelskas ◽  
Rasa Tamelienė

AbstractThe aim of this study was to analyze nurses’ professional burnout and health complaints and the relationship between the two components.MethodsThe anonymous survey included 94 neonatal intensive care nurses from two centers of perinatology. The Maslach Burnout Inventory-Human Services Survey (MBI-HSS) was used to evaluate professional burnout; it consisted of 3 components, Emotional Exhaustion, Depersonalization, and Personal Accomplishments, with 22 items in total. Health complaints were evaluated by 21 items, where nurses were asked to report the occurrence of symptoms within the last year. Scale means were presented with standard deviations (SD). Inferential analysis was conducted with multivariate logistic regression, adjusting for age, residence, and work experience.ResultsThe mean score of professional burnout on the Emotional Exhaustion subscale was 14.4 (SD=7.91), Depersonalization 3.8 (SD=4.75), and Personal Accomplishment 29.1 (SD=10.12). The health assessment revealed that sleeplessness, lack of rest, nervousness, and tiredness were the most common complaints. The regression analysis revealed that tiredness was independently associated with significantly increased odds of professional burnout (OR=4.1).ConclusionsIn our study, more than half of the nurses in neonatal intensive care had moderate or high levels of emotional exhaustion, while levels of depersonalization were significantly lower. In contrast, the level of personal accomplishment was low in more than half of the nurses. The most common health complaints were sleep disturbances, nervousness, and tiredness. Tiredness was most strongly associated with professional burnout.


2016 ◽  
Vol 19 ◽  
Author(s):  
José M. Tomás ◽  
Saturnino de los Santos ◽  
Alicia Alonso-Andres ◽  
Irene Fernández

AbstractBurnout is characterized by emotional exhaustion, depersonalization and lack of personal accomplishment (Bakke, Demerouti, & Sanz-Vergel, 2014). Several instruments for its measurement exist, but the most widely used scale for measuring its dimensions, by far, is the Maslach Burnout Inventory (MBI) in its different versions. Among the available versions of the scale, the MBI-General Survey was developed to measure three dimensions of burnout (cynicism, personal accomplishment, and emotional exhaustion) regardless of the type of work. The aim of this research is to offer evidence on the psychometric properties of the MBI-GS for its use in the Dominican Republic and other Caribbean Spanish-speaking countries, using representative sample of Dominican teachers. The factorial validity was studied through confirmatory factor analysis. Several competing models were proved in order to test the dimensionality of the scale. The confirmatory analyses shown that the original three-factor structure had a superior fit, but item eleven was removed in order to get an excellent fit χ2(87) = 211.19, p < .001, CFI = .98, RMSEA = .038 90% CI [.032–.045]. Regarding internal consistency, the CRI´s are well above the cut-off criteria of .7 (CRI’s ranged from .74 to .86). Concerning criterion-related validity, the three factors were correlated in the expected direction. Professional efficacy, a dimension of burnout measured in the opposite direction, was positively correlated with the three factors of work engagement, also as expected. This version was found to be a psychometrically sound measure of the three core dimensions of burnout.


2016 ◽  
Vol 13 (2) ◽  
pp. 3469 ◽  
Author(s):  
Taha Yasin Ilkım ◽  
Mehmet Güllü

The purpose of this study was to examine the job satisfaction and professional burnout levels of the national and international wrestling referees in terms of various factors in Turkey.The method of the study was the descriptive method. The study group consists of 126 international and national wrestling referees on active duty in 2010-2011 wrestling season. The questionnaire form was used as the data collection tool in the study. The questionnaire form consists of 3 sections, which are the Personal Information Form, the Maslach Burnout Inventory, and the Job Satisfaction Scale. It was observed abnormal distribution of dates of inventory and scale according to the Kolmogorov-Smirnov Test. Due to this reason, the Mann-Whitney U Test was used for the two independent samples test in analyzing the data; the Kruskal-Wallis H Test and the Mann-Whitney U Tests with Bonferroni correction were used for multiple comparisons; and the Spearman Correlation was used in analyzing the relations. The critical point for the significance value was accepted as α=0.05It was determined in the light of the findings of the study that the job satisfaction of the wrestling referees were at the medium level; the emotional exhaustion levels were high; the depersonalization levels were medium; and personal accomplishment  levels were low. Significant difference was found among the depersonalization levels of the referees according to the referee categories of the wrestling referees (p<0,05). A significant difference has been found among the monthly average income levels and the emotional exhaustion levels of the wrestling referees (p<0,05). A significant difference was also determined among the viewpoints of the referees on the financial income of the referees and the job satisfaction levels according to the social status (p<0,05). In addition, a reverse, significant and weak relation was found between the job satisfaction and emotional exhaustion levels of the referees (r= -0,255, p<0,01); a reverse, significant and weak relation between the depersonalization (r= -0,97, p<0,01); and a weak positive relation was determined between the personal accomplishment levels (r= 0,341, p<0,01).As a result, the national and international wrestling referees in Turkey do not have adequate satisfaction from being referees, and are experiencing professional burnout. As the job satisfaction levels of the wrestling referees increase, depersonalization levels and emotional exhaustion levels decrease, and personal accomplishment levels increase.


2019 ◽  
pp. 1-3
Author(s):  
Sangeeta Sood

Teachers' experience emotional exhaustion and develop a cynical attitude toward teaching and students (depersonalization). Feelings of exhaustion and ineffectiveness continue as mental and physical resources are depleted in the pursuit of unreachable and sometimes unrealistic goals (Maslach, Schaefeli & Leiter 2001).The teacher then experiences a reduction in accomplishments, leaving him or her with a loss of self-esteem and dissatisfaction with these job accomplishments. This chain of event ultimately interferes with the burnout in teacher's ability to continue to meet teaching demands. Thus, the three dimensions of the burnout syndrome: emotional exhaustion, depersonalization and a reduced sense of personal accomplishment, begins. Consequences of teacher burnout can lead to feelings of hopelessness, absenteeism, increased turnover, and decreased job performance. The results of current study indicated that male primary school teachers score higher mean scores than female teachers in depersonalization than female teachers had of personal accomplishment. No significant difference between private and government primary school teachers with reference to job burnout were found. However private school teachers feel more emotional exhaustion as compared to their counterparts in government schools.


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Linfeng Zou ◽  
Yun Zhang ◽  
Ying Wang ◽  
Lei Zhang ◽  
Peng Xia ◽  
...  

Abstract Background and Aims Doctors are exposed to high levels of stress in their profession and are particularly susceptible to experiencing burnout. Rare disease researches are enlightening, with more workload to clinicians, especially during the Covid-19 pandemic. We aim to explore the mental influence of participating in rare disease researches on clinicians. Method Doctors received electronic questionnaires regarding job-burnout in October 2020. The modified Maslach Burnout Inventory-General Survey (MBI-GS) was used to evaluate job burnout state. The MBI-GS consisting of three dimensions, emotional exhaustion (five questions), cynicism (five questions), and reduced personal accomplishment (six questions). The 7-grade Likert scale is adopted in each question, from 0 point (never) to 6 points (very frequently). Job burnout was considered if the average score of any dimension is no less than three.  Results Questionnaires from all 203 doctors were analysed in this study, with females (70.0%, n=140). Age ranging from 25 to 39, 40 to 54, and above 55 were 41.4%, 50.7%, 7.9%, respectively. Nearly half of the subjects (50.2%, n=102) fulfil the definition of job-burnout, which was fewer than that in the residency program (50.2% vs. 62.9%, p=0.02). An inappropriate evaluation system (36.0%) and lack of private time (35.5%) were the leading cause of job-burnout. The pressure of scientific researches (79.3%) and career promotion (58.1%) was the major source of mental pressure. Doctors who participated in rare disease researches (46.8%, n=95) did not show significant differences in burnout rate than individuals who did not (44.2% vs 55.6%, p=0.123), nor as in three dimensions (27.3% vs 36.1%, p=0.183 for emotional exhaustion, 21.1% vs 20.4%, p=0.905 for cynicism, 21.1% vs 27.8%, p=0.267 for reduced personal accomplishment). Logistic analysis revealed that high requirement from superior (22.5% vs 6.9%, p= 0.001), pressure from family (33.3% vs 17.8%, p=0.010), inappropriate job allocation (47.1% vs 29.7%, p= 0.019) as well as delayed off-work time (p=0.013) were independent risk factors of job-burnout. Physicians who participate in rare disease research had better job allocation (75.8% vs. 49.1%, p&lt;0.001), but not in the other three risk factors.  Conclusion More workload did not increase the job-burnout of physicians participating in the rare disease research, which might be contributed by the appropriate job allocation.


2020 ◽  
Vol 37 (2) ◽  
pp. 5-12
Author(s):  
Attila András PANDUR ◽  
Szabolcs CSEH ◽  
József TOLLÁR ◽  
Imre REPA ◽  
Csaba VANDULEK ◽  
...  

Purpose: The aim of our study was to explore the burnout rate of radiographers working in oncology patient care. Materials and methods: Our cross-sectional, targeted non-random sampled research was carried out from June 2018 to September 2018. We used the Maslach Burnout Inventory supplemented with our own questionnaire for online data collection. In addition to demographic aspects, we collected data about job characteristics to examine predictors of burnout. Statistical analysis was performed using descriptive statistics, two-sampled t-test, analysis of variance, Mann-Whitney test and Kruskal-Wallis test were used at 95% confidence level (p=0.05). Results: We analyzed the data of 72 radiographers working in oncology patient care (n=72) and 332 radiographers working in other fields of patient care (n=332). Radiographers working in oncology patient care were characterized by a significantly increased value of emotional exhaustion (p=0.001). Respondents who were single, provided monthly on-call duty and held university degree showed depersonalization (p=0.001). The presence of a secondary job, working more than 40 hours of work per week and active participation in on-call duty services had a negative effect on emotional exhaustion (p=0.001). Respondents with more than one child in their household showed a significantly better value of personal accomplishment (p=0.001). The subjective assessesment of poor financial status had negative effect on all three dimensions of burnout (p=0.001). Conclusion: The mean values of the emotional exhaustion of radiograhers working in oncology patient care increased significantly. The observed elevated value of personal accomplishment shows a sign of positive feedback coming from the patients towards the radiographer.


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