Influential Factors of Burnout among Village Doctors in China: A Cross-Sectional Study

(1) Background: The heavy workload and understaffed personnel of village doctors is a challenge to the rural healthcare system in China. Previous studies have documented the predictors of doctors’ burnout; however, little attention has been paid to village doctors. This study aims to investigate the prevalence and influential factors of burnout among village doctors. (2) Methods: Data was collected by a self-administered questionnaire from 1248 village doctors who had worked at rural clinics for more than a year. Burnout was measured using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) with three dimensions—emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (PA). A logistic regression model was applied to estimate the influential factors of burnout. (3) Results: The prevalence of overall burnout was 23.6%. Being male (OR = 0.58, 95%CI: 0.41–0.82), poor health status (OR = 0.80, 95%CI: 0.67–0.94), low income (OR = 0.62, 95%CI: 0.40–0.95), and a poor doctor–patient relationship (OR = 0.57, 95%CI: 0.48–0.67) were significantly related to burnout. Conclusion: Burnout is prevalent among Chinese village doctors. Policies such as increasing village doctors’ income and investing more resources in rural healthcare system should be carried out to mitigate and prevent burnout.

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Prevalence of burnout among forest workers in Mazandaran, Iran

Journal of Forest Science ◽

10.17221/111/2015-jfs ◽

2017 ◽

Vol 63 (No. 2) ◽

pp. 70-74

Author(s):

Lotfalian Majid ◽

Sheikhmoonesi Fatemeh ◽

Sabzi Mahbobeh ◽

Abaspour Mahbobeh ◽

Peyrov Saba

Keyword(s):

Emotional Exhaustion ◽

Significant Proportion ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Three Dimensions ◽

Mazandaran Province ◽

Cross Sectional ◽

Staff Burnout ◽

Lower Education Level

Burnout imposes consequences and costs on the organization and employees, such as frequent job and workplace replacement, frequent absenteeism and permissions, and reduced work quantity and quality. So it seems necessary to perform institutional interventions to reduce the staff burnout. The aim of the present study was to determine prevalence of burnout among forest workers in Mazandaran. This descriptive cross-sectional study was conducted on a sample of workers in the forests of Mazandaran province. Result showed that a significant proportion of workers had burnout in terms of the three dimensions of Maslach Burnout Inventory. 46.90% of respondents suffered from high emotional exhaustion, 43.36% had high depersonalization and 49.56% of respondents suffered from low personal accomplishment. In this study it was shown that people with bachelor or higher degree (compared to people with a lower education level) were in better conditions in terms of all three dimensions of burnout; they had higher personal accomplishment and higher emotional exhaustion and lower depersonalization. It was shown that burnout is highly prevalent among chainsaw operators and skidder drivers.

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Burnout among clinicians in tertiary care setting

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20180776 ◽

2018 ◽

Vol 5 (3) ◽

pp. 1157 ◽

Cited By ~ 2

Author(s):

Rajya Lakshmi Chepuru ◽

Siva Kumar Lotheti ◽

Devi Madhavi Bhimarasetty

Keyword(s):

Emotional Exhaustion ◽

Work Experience ◽

Care Setting ◽

Tertiary Care ◽

Working Hours ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Three Dimensions ◽

Cross Sectional

Background: “Burnout” is defined as a state of physical, emotional and mental exhaustion, or a coping mechanism to working conditions that are stressful, demanding and lack of recognition. Effects of burnout are many and can eventually threaten one’s job satisfaction, relationship and also health. High patient load, long working hours, poor logistics and infrastructure support and unreasonable demands from patients make clinicians vulnerable for stress and burnout. Objective was to study the prevalence of burn out in clinicians and factors associated with burnout.Methods: The study was an observational descriptive cross-sectional study conducted among Doctors in clinical departments of a Tertiary Medical care setting in October-November 2015. Sample size was 97. Study was conducted using Maslach Burnout Inventory with additional questions on demographic factors, work experience, hours of work and speciality. The inventory comprised 22 items on a seven-point Likert scale. Frequency of symptoms (ranging from ‘0=never’ to ‘6=every day’). Burnout was measured in three dimensions - emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA). The data was collected after taking Institutional ethics committee approval and verbal consent from participants. Data was analyzed using MS Excel 2007.Results: About 15% 0f clinicians showed high emotional exhaustion, 9% high depersonalization, and 18% low Personal accomplishment. More Females showed burnout than males and more clinicians from surgical branches showed burnout when compared to medical branches.Conclusions: Burnout exists among healthcare professionals and measures should be taken to identify causes and take remedial actions.

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Burnout Among Health Care Providers During COVID-19 Outbreak

ACTA MEDICA IRANICA ◽

10.18502/acta.v59i2.5577 ◽

2021 ◽

Author(s):

Benyamin Mousavi-Asl ◽

Mohammadreza Firouzifar ◽

Leyla Noury ◽

Parnian Khamushian ◽

Dina Mousavi-Asl ◽

...

Keyword(s):

Health Care ◽

Health Care Providers ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

General Information ◽

Job Burnout ◽

Personal Accomplishment ◽

Three Dimensions ◽

Care Providers ◽

Cross Sectional

COVID-19, which quickly became a global problem, in addition to its effects on public health, is very important in terms of the effect on mental health and anxiety in health care providers. Job burnout should be considered during such health crises. The study design is a cross-sectional study. A total of 87 health care providers (nurses and physicians) were included in the study. Their general information such as age, gender, years of experience, and hours working in COVID-19 was asked. They all filled Maslach burnout inventory, a questionnaire measuring job burnout with three dimensions: Emotional exhaustion (EE), Depersonalization (DP), and personal accomplishment (PA). We found that in physicians, EE (r:0.54, P<0.001) and DP were correlated with hours working in the COVID-19 ward, but no such correlation was found in nurses. Physicians had a higher DP score (mean 12.66 vs. 8.28, P<0.001) and lower PA score (mean 22.71 vs. 25.62, P:0.004) both of them represent higher burnout levels in physicians. Comparing our results with previous studies show that during the COVID-19 breakout higher level of job burnout could be found in health care workers, especially in physicians. Hours working in COVID-19 special wards can increase the level of burnout.

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STRESS AND BURNOUT SYNDROME AMONG MOROCCAN MEDICAL STUDENTS: A CROSS-SECTIONAL STUDY

International Journal of Advanced Research ◽

10.21474/ijar01/13949 ◽

2021 ◽

Vol 9 (12) ◽

pp. 610-618

Author(s):

Laila Lahlou ◽

◽

Sabah Benhamza ◽

Nafissa Karim ◽

Majdouline Obtel ◽

...

Keyword(s):

Medical Students ◽

Working Hours ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Three Dimensions ◽

Burnout Syndrome ◽

Cross Sectional ◽

Student Stress ◽

Female Predominance

Background:Christina Maslach and colleagues define burnout as a psychological syndrome in response to chronic interpersonal stressors on the job which is further characterized by its three dimensions of exhaustion, depersonalization, and a decreased sense of accomplishment. Burnout and stress are symptomatically similar, with burnout attributed specifically to occupational or academic stressors. Both can cause seriousconsequences on studenthealth, professionalism, and patient care. There are few studies evaluating the level of stress and burnoutsyndrome among medical students in Morocco.The aim of this study was to assess the prevalence and levels of burnout syndrome to identify associated factors as well as the level of stress among a group of medical students in Morocco. Method: Our study was descriptive andcross-sectional. It focused on 5th grade level medical students and was carried out during the month of November 2014. Data was collected through a self-administered questionnaire based on volunteering. Results:The study was conducted in a total of 178 fifth-year medical students. The response rate was 97.2% (n = 173). The mean age was 22.2 years (SD = 0.87 years) with a female predominance (74%). The average daily working hours were 8.33 hours (SD= 2.74) and the average daily hours of sleep was 7 hours (SD= 1.1). The majority of students (96.5%) were single.The prevalence of burnout, based on Maslach Burnout Inventory, was 49% (n = 87) of students.The prevalence of high emotional exhaustion was 44%, high depersonalization was 33.3% and high burnout score for personal accomplishment accounted for 64 %.We found a positive correlation between the number of working hours and the burnout score (r = 0.341, p <0.001) as well as the stress score (r=0.3, p=0.009). We also found a negative correlation between the number of hours of sleep and the Burnout score (r = -0.215, p = 0.019).Clearly, this study provides an idea for necessity to plan specific interventions to reduce student stress and avoid burnout.

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Is Burnout in Family Physicians in Croatia Related to Interpersonal Quality of Care?

Archives of Industrial Hygiene and Toxicology ◽

10.2478/10004-1254-64-2013-2307 ◽

2013 ◽

Vol 64 (2) ◽

pp. 255-264 ◽

Cited By ~ 7

Author(s):

Zlata Ožvačić Adžić ◽

Milica Katić ◽

Josipa Kern ◽

Jean Karl Soler ◽

Venija Cerovečki ◽

...

Keyword(s):

Job Satisfaction ◽

Family Physicians ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Three Dimensions ◽

Cross Sectional ◽

Patient Enablement ◽

The Impact

The impact of physician burnout on the quality of patient care is unclear. This cross-sectional study aimed to investigate the prevalence of burnout in family physicians in Croatia and its association with physician and practice characteristics, and patient enablement as a consultation outcome measure.Hundred and twenty-five out of 350 family physicians responded to our invitation to participate in the study. They were asked to collect data from 50 consecutive consultations with their adult patients who had to provide information on patient enablement (Patient Enablement Instrument). Physicians themselves provided their demographic and professional data, including workload, job satisfaction, consultation length, and burnout [Maslach Burnout Inventory - Human Services Survey (MBI-HSS )]. MBI-HSS scores were analysed in three dimensions: emotional exhaustion (EE), depersonalisation (DP), and personal accomplishment (PA).Of the responding physicians, 42.4 % scored high for EE burnout, 16.0 % for DP, and 15.2 % for PA. Multiple regression analysis showed that low job satisfaction and more patients per day predicted high EE scores. Low job satisfaction, working more years at a current workplace, and younger age predicted high DP scores. Lack of engagement in education and academic work, shorter consultations, and working more years at current workplace predicted low PA scores, respectively (P<0.05 for each).Burnout is common among family physicians in Croatia yet burnout in our physicians was not associated with patient enablement, suggesting that it did not affect the quality of interpersonal care. Job satisfaction, participation in educational or academic activities and sufficient consultation time seem to reduce the likelihood of burnout.

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Burnout and Its Relationship with Demographic and Job-Related Variables among Dentists in Lithuania: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18083968 ◽

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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Addressing the relationship between perceived fear of COVID-19 virus infection and emergence of burnout symptoms in a sample of Egyptian physicians during COVID-19 pandemic: a cross-sectional study

Middle East Current Psychiatry ◽

10.1186/s43045-020-00079-0 ◽

2020 ◽

Vol 27 (1) ◽

Author(s):

Mohamed Abdelghani ◽

Hayam M. El-Gohary ◽

Eman Fouad ◽

Mervat S. Hassan

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Virus Infection ◽

Emotional Exhaustion ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Sectional Study ◽

Cross Sectional

Abstract Background Physicians during the COVID-19 pandemic are working under relentless stress. This study aimed to identify the impact of the perceived fears of COVID-19 virus infection on the quality of life and the emergence of burnout syndrome among physicians in Egypt during the COVID-19 outbreak. This cross-sectional study was conducted between May 10th and June 9th, 2020, and included 320 Egyptian physicians who were working during the outbreak of the COVID-19 pandemic. The participants were interviewed using the Fear of COVID-19 scale (FCV-19S), Hospital Anxiety and Depression Scale (HADS), Maslach Burnout Inventory, and World Health Organization Quality of Life Scale (WHOQOL-BREF) for assessment of the perceived fears of COVID-19 virus infection, associated anxiety and depressive symptoms, burnout symptoms, and quality of life, respectively. Results Overall, most physicians were females (63%). Ideas about death, moderate-to-severe anxiety, and depressive symptoms were reported by 11, 28, and 29% of physicians, respectively. For burnout symptoms, high emotional exhaustion, high depersonalization, and low personal accomplishment were reported by 20, 71, and 39% of physicians, respectively. The perceived fear of COVID-19 virus infection was positively correlated with anxiety, depression, and burnout emotional exhaustion, and depersonalization symptoms, and negatively correlated with personal accomplishment and all quality of life domains. Conclusions Egyptian physicians experienced higher levels of COVID-19-related fears, anxiety, and depressive and burnout symptoms. There was a robust correlation between these perceived fears, and higher burnout symptoms, and poor quality of life among physicians. Specific interventions should be tailored to minimize the physical and mental burdens on the physicians during the COVID-19 pandemic.

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Radiológiai osztályon dolgozó szakdolgozók kiégési szintje Magyarországon

Orvosi Hetilap ◽

10.1556/650.2019.31442 ◽

2019 ◽

Vol 160 (27) ◽

pp. 1070-1077 ◽

Cited By ~ 1

Author(s):

Dávid Sipos ◽

Veronika Varga ◽

Attila András Pandur ◽

András Kedves ◽

Melinda Petőné Csima ◽

...

Keyword(s):

Healthcare System ◽

Emotional Exhaustion ◽

Negative Impact ◽

Maslach Burnout Inventory ◽

Three Dimensions ◽

Radiology Department ◽

Online Questionnaire ◽

Descriptive Data ◽

Cross Sectional ◽

Work Related

Abstract: Introduction: Burnout can have a wide negative impact on the quality and the effectiveness of the health care system. The aim of our research was to assess the burnout level of the radiology department workers in Hungary. Method: Our quantitative, cross-sectional, descriptive data collection lasted from June to September 2018 using an online questionnaire. Simple, non-random sampling was carried out among radiology department workers in Hungary. In addition to our self-made questionnaire which included socio-demographic and work-related questions, an internationally validated Maslach Burnout Inventory questionnaire was sent out. Results: After data cleaning, a total number of 404 (n = 404) respondents were included in the statistical analysis. The majority of the respondents works in county hospital, the average year spent in the healthcare system was 18.3 (SD 13,7). The sample’s values at the depersonalization and emotional exhaustion dimension were slightly elevated in contrast to the average values. Educational level, age and years spent in the healthcare system had a significant influence on all the three dimensions of burnout (p≤0.05). The group of workers being 31–35 years old and the group of those who spent 16–20 years in the healthcare system are considered to be the most compromised groups in all the three dimensions of burnout. Respondents with master degree had significantly lower emotional exhaustion values than their colleagues. Conclusion: The increased value of the depersonalization and the emotional exhaustion can be an indicator for employers. Our results are similar like described in the international literature. Orv Hetil. 2019; 160(27): 1070–1077.

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Prevalence and Predictors of Burnout in Athletic Training Students: A Comparison of Undergraduate and Graduate Students

Athletic Training Education Journal ◽

10.4085/1947-380x-20-22 ◽

2021 ◽

Vol 16 (2) ◽

pp. 101-111

Author(s):

Ashlyne Paige Vineyard ◽

Andrew Gallucci ◽

Kathleen Adair ◽

Leslie Oglesby ◽

Kristina White ◽

...

Keyword(s):

Graduate Students ◽

Athletic Training ◽

Social Stress ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Athletic Training Students ◽

Cross Sectional ◽

Web Based ◽

Survey Responses

Context Burnout is a psychological syndrome consisting of increased emotional exhaustion (EE), depersonalization (DP), and decreased personal accomplishment (PA). To date, examinations of burnout among athletic training students (ATS) is limited. Objective To determine prevalence and antecedents of burnout among ATS. Design Cross-sectional study. Setting Web-based survey. Patients or Other Participants Students enrolled in athletic training programs (ATP). Intervention(s) A survey assessed demographics, stressors, and burnout measured by the Maslach Burnout Inventory–Human Services Survey. Main Outcome Measure(s) Multiple regression analyses were used to determine relationships between variables. Results A total of 725 students participated. Most respondents were undergraduates (n = 582, 80%), female (n = 518, 71%), Caucasian (n = 564, 78%), and single (n = 422, 58%). Mean burnout scores for EE, DP, and PA were 33 ± 10, 17 ± 4.5, and 39 ± 5.8, respectively. Survey responses showed that 70.8% of undergraduate and 62.9% of graduate students reported high EE. All the students (100%) in both samples reported high DP. Undergraduates pursuing internships or residencies (b = −7.69, P < .001) and who were currently enrolled in non–Division I institutions (b = −2.90, P < .01) had decreased EE. Increased stress revealed increased EE (overall stress: b = 3.11, P < .001; social stress: b = 1.32, P < .05; class stress: b = 1.45, P < .05). Increases in clinical hours also related to increased EE (b = 1.49, P < .001). Those pursuing internships or residencies (b = −2.10, P < .05) and who were female (b = −2.10, P < .05) reported decreased DP. Being married (b = 2.87, P < .01), increased clinical hours (b = 0.77, P < .001), and social stress (b = 0.59, P < .05) resulted in increased DP. Increased PA was seen in students intending to pursue graduate education (b = 1.76, P < .05) and female students (b = 1.17, P < .05). Graduate students' stress levels revealed increased EE (b = 6.57, P < .01) and DP (b = 0.98, P < .05). Conclusions Differences exist between undergraduate and graduate burnout scores and associated predictors. Further research is needed to identify student responses to burnout.

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Nurses Burnout, Resilience, and Its Association With Socio-Demographic Factors During COVID-19 Pandemic

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.803506 ◽

2022 ◽

Vol 12 ◽

Author(s):

Majid Heidari Jamebozorgi ◽

Ali Karamoozian ◽

Tayebe Ilaghinezhad Bardsiri ◽

Hojjat Sheikhbardsiri

Keyword(s):

Negative Correlation ◽

Maslach Burnout Inventory ◽

Significant Negative Correlation ◽

Cross Sectional Study ◽

Stressful Events ◽

Personal Accomplishment ◽

Cross Sectional ◽

Work Related ◽

Socio Demographic Factors

BackgroundIn the recent pandemic, nurses have faced workload and being exposed to burnout. Resilience helps address work-related psychological problems such as stressful events and burnout. According to the roles of nurses in the healthcare system, we investigated the relationship between resiliency and burnout in nurses.Material and MethodsIn this descriptive analytical cross-sectional study, 364 nurses participated from April to June 2021. Census sampling was used to recruit participants. Maslach burnout inventory (MBI), Connor-Davidson Resiliency Scale (CDRISC), and a demographic check-list were utilized to collect data. Data analysis was done using SPSS version 22. Shapiro-Wilk, Kruskal–Wallis test, Mann–Whitney U-test, correlation analysis, and generalized linear model were applied accordingly.ResultsOverall, the findings showed that nurses had severe symptoms of burnout and a moderate level of resilience. The two domains of burnout, emotional exhaustion and personal accomplishment had a significantly negative correlation with resilience (r = −0.442, p < 0.001 and r = −0.351, p = 0.03, respectively). Linear regression showed that demographic characteristics (Hospital type, ward type, gender, and overtime) were the major predictors of the 3 sub-categories of burnout. A significant negative correlation was observed between burnout and resilience highlighting the role of resilience in reducing burnout (P < 0.05).ConclusionIn order to help nurses to tackle and endure burnout in pandemic times, there is a need to implement national and local policies to help them accordingly.

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