scholarly journals A Multicenter Study into Burnout, Perceived Stress, Job Satisfaction, Coping Strategies, and General Health among Emergency Department Nursing Staff

2020 ◽  
Vol 9 (4) ◽  
pp. 1007 ◽  
Author(s):  
Silvia Portero de la Cruz ◽  
Jesús Cebrino ◽  
Javier Herruzo ◽  
Manuel Vaquero-Abellán
Keyword(s):  
Job Satisfaction ◽  
Emergency Department ◽  
Perceived Stress ◽  
Emergency Departments ◽  
General Health ◽  
Clinical Manifestations ◽  
Maslach Burnout Inventory ◽  
Burnout Syndrome ◽  
Social Dysfunction ◽  
Brief Cope

Burnout is a major problem among nurses working in emergency departments and is closely related to a high turnover of personnel, nursing errors, and patient dissatisfaction. The aims of this study were to estimate burnout, perceived stress, job satisfaction, coping and general health levels experienced by nurses working in emergency departments in Spain and to analyze the relationships between sociodemographic, occupational, and psychological variables and the occurrence of burnout syndrome among these professionals. A cross-sectional study was conducted in four emergency departments in Andalusia (Spain) from March to December 2016. The study sample was composed of n = 171 nurses. An ad hoc questionnaire was prepared to collect sociodemographic and work data, and the Maslach Burnout Inventory, the Perceived Stress Scale, the Font–Roja Questionnaire, the Brief Cope Orientation to Problem Experience and the General Health Questionnaire were used. The prevalence of high burnout was 8.19%. The levels of perceived stress and job satisfaction were moderate. The most frequent clinical manifestations were social dysfunction and somatic symptoms, and problem-focused coping was the strategy most used by nurses. Lack of physical exercise, gender, years worked at an emergency department, anxiety, social dysfunction, and avoidance coping were significant predictors of the dimensions of burnout.

Evaluation of the relationship between testosterone levels and burnout levels and job satisfaction in emergency department female employees; a prospective study

2020 ◽  
pp. 1-14
Author(s):  
Dilek Atik ◽  
Basar Cander ◽  
Bensu Bulut ◽  
Hilmi Kaya ◽  
Ramiz Yazici ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Emergency Department ◽  
Prospective Study ◽  
Maslach Burnout Inventory ◽  
Burnout Syndrome ◽  
Satisfaction Scale ◽  
Testosterone Levels ◽  
The Status ◽  
Female Employees ◽  
The Difference

Abstract Objective: To evaluate the effect of testosterone on the status of burnout and job satisfaction. Methods: The prospective study was conducted at the Kanuni Sultan Suleyman Education and Research Hospital, Istanbul, Turkey, from April 1 to May 1, 2019, and comprised all female employees working in the emergency department. Data was collected using the Maslach Burnout Inventory and Minnesota Job Satisfaction Scale. Blood samples 5 cc were taken to measure the testosterone hormone level. Data was analysed using SPSS 20. Results: There were 95 females with a mean age of 33.6±7.1 years (range: 18-53 years). The level of exhaustion was high in 64(67.3%) subjects, intermediate in 20(21%) and low in 11(11.5%). the difference among the groups in relation to testosterone levels was significant (p<0.05). Though the difference in testosterone levels in the groups in terms of job satisfaction was also noted, it was not statistically significant (p>0.05). Conclusion: Hormone levels released from endocrine systems were found to be affected by psychosocial factors. Key Words: Testosterone, Burnout Syndrome, Job satisfaction. Continuous...

scholarly journals Prevalence of stress among postgraduate junior residents in Bangalore, Karnataka, India

2019 ◽  
Vol 6 (3) ◽  
pp. 1309
Author(s):  
Ramya H. S. ◽  
Nisar Ahamed A. R. ◽  
Rajendra Prasad T. C. ◽  
Muragesh Awati
Keyword(s):  
Coping Strategies ◽  
Perceived Stress ◽  
Tertiary Care ◽  
Physical Symptoms ◽  
Burnout Syndrome ◽  
Poor Sleep ◽  
Quality And Safety ◽  
Brief Cope ◽  
Self Reporting Questionnaire ◽  
Moderate Stress

Background: Post graduate residents in tertiary care teaching hospitals in metropolitan cities bear the overwhelming burden due to heavy workload, they are at high risk of developing burnout syndrome, which in turn may affect hospital outcomes such as the quality and safety of the provided care.  This study was conducted to assess their perceived stress, stress induced somatic symptoms and coping strategies by postgraduates in Bangalore, India.Methods: This cross-sectional study was conducted on all postgraduates willing to participate in the study, pursuing their post-graduation in various specialties in Six medical colleges in Bangalore, India. Stress was assessed by Perceived stress scale (PSS-10), Stress induced physical symptoms using selected items from self-reporting questionnaire (SRQ-20), coping strategies using selected items from BRIEF COPE. Descriptive and inferential statistical analysis has been carried out in the present study.Results: The mean PSS score in present study was found to be 22.92 (moderate stress). Stress was associated with clinical specialty, higher workload, poor sleep quality due to more working hours, marital status, harmful ideations. In present study Post graduates of OBG, pediatrics, radiology demonstrated higher perceived stress score with a mean PSS Score of 25.57, 24.25, 24.22 respectively. Dermatology postgraduates reported lowest stress levels with a mean PSS score of 16.86.Conclusions: In present study post graduates are facing moderate stress, affecting their physical and mental health resulting in dysfunctional coping strategies and harmful ideations like quitting, which has an impact on quality and safety of provided care.

scholarly journals Occupational Stress and Burnout Syndrome among ICU Nurses. A Prospective Observational Study

2019 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Petru Cotrau ◽  
Viviana Hodosan ◽  
Adriana Vladu ◽  
Călin Timar ◽  
Lucia Daina ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Intensive Care ◽  
Occupational Stress ◽  
Human Services ◽  
Maslach Burnout Inventory ◽  
Stress Factors ◽  
Burnout Syndrome ◽  
Stress Scale ◽  
Overall Job Satisfaction

Nurses in Intensive Care Units (ICU) may be exposed to considerable stress of work. High levels of stress in ICU nurses affect the quality of nursing and the quality of life at work. Determination of occupational stress levels, burnout syndrome and overall job satisfaction among ICU nurses. The research was conducted in Intensive Care Unit of Emergency Clinical County Hospital of Oradea, Romania. Data were collected from the questionnaires, 29 nurses (of the 35) were selected for this study. Professional stress factors have been assessed through Expanded Nurses Stress Scale (ENSS), burnout syndrome through Maslach Burnout Inventory-Human Services Survey (MBI-HSS), while overall job satisfaction was measured by a 7-step Likert scale. The highest levels of stress were associated with workload and conflicts with other health professionals, professional relationship between nurses have been described as the least stressful. About burnout levels: a high score for emotional exhaustion and depersonalization, and a low score for professional achievements. Professional satisfaction has reached an average level. The fidelity of the scales was verified by the Cronbach’s alfa coefficient: Expanded Nurses Stress Scale (ENSS) (0.98) and Maslach Burnout Inventory-Human Services Survey (MBI-HSS) (0.73).

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

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

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

scholarly journals AB0376 LEVEL OF DIAGNOSTIC AND THERAPEUTIC KNOWLEDGE, SKILLS AND COMPETENCIES IN GIANT CELL ARTERITIS AMONG EMERGENCY MEDICAL STAFF

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1215.1-1215
Author(s):  
C. Guillén-Astete ◽  
I. Perea-Fuentes ◽  
L. Ayala-Terrados ◽  
N. García-Montes
Keyword(s):  
Emergency Department ◽  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Emergency Departments ◽  
Medical Staff ◽  
Vision Loss ◽  
Analytical Data ◽  
Clinical Manifestations ◽  
Diagnostic Technique ◽  
Increased Risk

Background:Giant cell arteritis (GCA) is the most frequently diagnosed vasculitis in Spain. The highest incidence recorded in the country is 17 new cases per 100,000 inhabitants/year. Its delayed diagnosis exposes the patient to an increased risk of multiple ischaemic complications. Among them, vision loss has been reported in up to 1 in 6 cases. Most of these patients, according to unpublished local observations, presented with headache, visual disturbances or polymyalgic symptoms to an emergency department facility and were not correctly or prompted diagnosed.Objectives:To determine the level of knowledge, skills and diagnostic and therapeutic competencies of the medical staff of multiple emergency departments in our city in regard to giant cell arteritis.Methods:We designed an observational study based on a single survey carried out between February and March 2020 to medical staff from 12 emergency departments in the city of Madrid. Four private and eight public emergency departments were deliberately included. The selection of the surveyed staff was randomly selected to reach 50% of the total number of physicians in each department. A total of 229 surveys were distributed by e-mail. A total of 125 physicians responded (final response rate 54.5%). Twenty-two physicians (9.2%) did not respond to the request and the rest declined to participate, although they responded to the demographic section (35.8%).The survey included the following sections: respondent profile, knowledge of epidemiological aspects, identification of clinical manifestations, diagnostic and therapeutic skills, and educational interest.Results:Forty respondents (33.6%) worked in a privately managed emergency department and 79 (66.4%) in a public centre.The mean age of respondents was 37.3 SD 5.9 years, and the proportion of women was 62.4%. Mean length of service was 3.4 SD 1.2 years among physicians in private emergency departments and 5.7 SD 2.3 in a public management unit. Sixty-four respondents (53.7%) were specialists in Family and Community Medicine, and 46 (38.6%) in internal medicine. No significant differences in demographic characteristics were identified between respondents who agreed to participate and those who declined.In regard to epidemiological knowledge, 50.6% of respondents were unable to identify the age group at highest risk of GCA, 32.7% did not recognise its predominance in the female sex, and 26% did not know the approximate incidence of the disease.In terms of diagnostic suspicion, 46.2% of respondents were able to identify at least five clinical manifestations of the disease. Elevated ESR, CRP and the presence of anaemia were recognised as positive analytical data by 98.3%, 85.7% and 57.7% of respondents, respectively. Ultrasonography of temporal arteries was identified by 97.5% of respondents as a useful diagnostic technique.One hundred and two respondents (81.6%) indicated that they had not suspected GCA in the last month. In the last year, 34 respondents (27.2%) reported having diagnosed the disease on at least one occasion. Regarding treatment, in cases of absence of ischaemic lesion 85.7% indicated suboptimal corticosteroid therapy guidelines, however, 63.0% of the respondents self-rated their therapeutic skills as very good or excellent.Finally, 88.2% of respondents expressed interest in participating in training programmes in diagnosis and treatment of GCA.Conclusion:There are important areas for improvement in knowledge, diagnostic skills and therapeutic competencies among emergency physicians in relation to the suspicion and management of GCA.Disclosure of Interests:None declared

scholarly journals Stress, Burnout, and Coping among First-Year Medical Undergraduates

2021 ◽  
Author(s):  
Naresh Nebhinani ◽  
Pooja Patnaik Kuppili ◽  
Keyword(s):  
Perceived Stress ◽  
Maslach Burnout Inventory ◽  
Active Coping ◽  
First Year ◽  
Stress Coping ◽  
Moderate Degree ◽  
Student Survey ◽  
Brief Cope ◽  
Medical Undergraduates ◽  
And Coping

Abstract Background and Objectives Stress, burnout, and coping have been found to be interlinked with each other. Several adverse psychological outcomes have been associated with stress and burnout. Improving coping can decrease the stress and burnout. There is limited literature on perceived stress, coping, and burnout among first-year medical undergraduates from India. With this background, the study aimed to assess perceived stress, coping, and burnout among first-year medical undergraduates. Methods It was a cross-sectional study assessing 100 undergraduates studying in the first year of medical school. Medical Students Stressor Questionnaire, Brief COPE questionnaire, and Maslach burnout inventory–student survey were applied for assessment of perceived stress, burnout, and coping, respectively. Socio-demographic profile was assessed by a semi-structured proforma. Results Majority of students reported facing moderate level of stress in most of the domains, with stress being the highest for the academic aspects and least for social-related and drive- and desire-related areas. The stress was significantly greater in female students. Burnout was identified in 62% students by two-dimensional criteria and 30% by three-dimensional criteria. Among the coping strategies, active coping was most commonly used and substance use was less commonly used. No differences were found in coping between males and females except for active coping, which was significantly better in females. Conclusion The stress was of moderate degree in majority of students and academic stress was the most common stress. Burnout was present in at least one-third of the students. However, majority of the students practiced active coping.

scholarly journals Burnout Syndrome among Emergency Physicians and Nurses in Abha and Khamis Mushait Cities, Aseer Region, Southwestern Saudi Arabia

2019 ◽  
Vol 2019 ◽  
pp. 1-14 ◽  
Author(s):  
Abdulghani M. Alqahtani ◽  
Nabil J. Awadalla ◽  
Safar A. Alsaleem ◽  
Awad S. Alsamghan ◽  
Mohammed Abadi Alsaleem
Keyword(s):  
Emotional Exhaustion ◽  
Emergency Departments ◽  
Healthcare Professionals ◽  
Significant Risk ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Considerable Proportion ◽  
Emergency Physicians ◽  
History Of

Objectives. To explore the magnitude and determinants of burnout among emergency physicians and nurses working at emergency departments of hospitals in Abha and Khamis Mushait cities.Subjects and Methods. A cross-sectional hospital-based study was conducted in emergency departments of hospitals in Abha and Khamis Mushait cities belonging to Ministry of Health. All physicians (n=95) and nurses (n=187) currently working at these sites were invited to participate in the study by filling a validated self-administered questionnaire including two main sections: personal and professional characteristics of physicians and nurses as well as Maslach burnout inventory (MBI) to assess the three components of the burnout syndrome: emotional exhaustion, depersonalization, and reduced personal accomplishment.Results. The study included 282 physicians and nurses. The age of more than half of them (54.3%) ranged between 31 and 35 years. Most of them (70.9%) were females. About two-thirds of the respondents (66.3%) were nurses while the remaining 33.7% were physicians. Majority of the emergency healthcare professionals (88.7%) had high emotional exhaustion. The prevalence of high depersonalization (cynicism) was 20.6% whereas that of low personal accomplishment was 41.1% among emergency healthcare professionals. The overall prevalence of burnout among healthcare professionals was 16.3%. Multivariate logistic regression analysis revealed that male healthcare professionals were at almost higher three-folded risk for developing burnout compared to females (aOR=2.76; 95% confidence interval (CI): 1.21-6.28, p=0.017)). Smokers were at higher significant risk for burnout compared to nonsmokers (aOR=15.37; 95% CI: 7.06-33.45, p<0.001). Healthcare professionals who reported a history of taking medications for sleep disorders expressed higher risk for burnout opposed to those with no history of sleep disorder medication (aOR=6.59; 95% CI: 2.08-20.81, p=0.001).Conclusion. A considerable proportion of physicians and nurses working at emergency departments of hospitals in Abha and Khamis Mushait cities had burnout syndrome, particularly high emotional exhaustion and low personal accomplishment.

Job satisfaction, burnout and coping strategies: Comparison between medical and surgical specialties

2017 ◽  
Vol 41 (S1) ◽  
pp. S679-S679
Author(s):  
C. Derbel ◽  
A. Braham ◽  
A. Souilem ◽  
A. Ben Romdhane ◽  
R. Gallala ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Coping Strategies ◽  
Depression Scale ◽  
Maslach Burnout Inventory ◽  
University Hospital ◽  
Anxiety And Depression ◽  
Average Score ◽  
Brief Cope ◽  
And Coping

IntroductionDoctors have many constraints in their professional practice, which influence negatively the quality of their performance. This causes a psychological distress.AimTo compare job satisfaction (JS), burnout (BT), anxiety, depression and coping strategies among doctors of medical (DMS) and surgical specialities (DSS).MethodComparative and cross-sectional study conducted among 33 DMS and 63 DSS with different grades, in the university hospital Farhat Hached Sousse, Tunisia. We used job satisfaction scale (JSS) to determine the degree of JS, hospital anxiety and depression scale (HADS) to evaluate anxiety and depression, the Maslach burnout inventory to assess the BT and the brief cope to determine coping strategies.ResultsDMS were older than the DSS (P = 0.005). The MSC had more unsettled family life (P = 0.04) and more monthly guard (5.87 vs. 4.96, P = 0.03). DMS had more days of outpatient (P = 0.00), were more satisfied with the work schedule (P = 0.00), conditions of the guards (P = 0.02). Relationships with colleagues were more satisfactory among DMS (P = 0.001). DMS were less confronted to violent events (P = 0.03). The average score of JSS was higher among DMS (P = 0.014). The BT was more reported in the DSS (P = 0.049). An average sub-score HADS-D (depression) was higher in the DSS (P = 0.00). An avoidance-focused coping was more adopted by the DSS (P = 0.02).ConclusionDSS were generally less satisfied in their work than DMS with obvious psychological repercussions. This incites to intervene in factors that interfere with job satisfaction to improve the quality of physicians’ performance.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals P146: Does a communications skills intervention improve emergency department staff coping skills and burnout?

CJEM ◽  
2019 ◽  
Vol 21 (S1) ◽  
pp. S117
Author(s):  
F. Zhou ◽  
M. Howlett ◽  
J. Talbot ◽  
J. Fraser ◽  
B. Robinson ◽  
...  
Keyword(s):  
Emergency Department ◽  
Coping Skills ◽  
Coping Styles ◽  
Maslach Burnout Inventory ◽  
Skills Training ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Post Intervention ◽  
Significant Difference ◽  
Task Oriented

Introduction: Emergency department (ED) staff carry a high risk for the burnout syndrome of increased emotional exhaustion, depersonalization and decreased personal accomplishment. Previous research has shown that task-oriented coping skills were associated with reduced levels of burnout compared to emotion-oriented coping. ED staff at one hospital participated in an intervention to teach task-oriented coping skills. We hypothesized that the intervention would alter staff coping behaviors and ultimately reduce burnout. Methods: ED physicians, nurses and support staff at two regional hospitals were surveyed using the Maslach Burnout Inventory (MBI) and the Coping Inventory for Stressful Situations (CISS). Surveys were performed before and after the implementation of communication and conflict resolution skills training at the intervention facility (I) consisting of a one-day course and a small group refresher 6 to 15 months later. Descriptive statistics and multivariate analysis assessed differences in staff burnout and coping styles compared to the control facility (C) and over time. Results: 85/143 (I) and 42/110 (C) ED staff responded to the initial survey. Post intervention 46 (I) and 23(C) responded. During the two year study period there was no statistically significant difference in CISS or MBI scores between hospitals (CISS: (Pillai's trace = .02, F(3,63) = .47, p = .71, partial η2 = .02); MBI: (Pillai's trace = .01, F(3,63) = .11, p = .95, partial η2 = .01)) or between pre- and post-intervention groups (CISS: (Pillai's trace = .01, F(3,63) = .22, p = .88, partial η2 = .01); MBI: (Pillai's trace = .09, F(3,63) = 2.15, p = .10, partial η2 = .01)). Conclusion: We were not able to measure improvement in staff coping or burnout in ED staff receiving communication skills intervention over a two year period. Burnout is a multifactorial problem and environmental rather than individual factors may be more important to address. Alternatively, to demonstrate a measurable effect on burnout may require more robust or inclusive interventions.

Burnout Syndrome and Type a Behavior in Nurses and Teachers in Sicily

1997 ◽  
Vol 81 (2) ◽  
pp. 523-528 ◽  
Author(s):  
Gioacchino Lavanco
Keyword(s):  
High School ◽  
Job Satisfaction ◽  
Junior High School ◽  
Maslach Burnout Inventory ◽  
Type A ◽  
Type A Behavior ◽  
Teaching Profession ◽  
Burnout Syndrome ◽  
High Regard ◽  
Behavior Scale

Burnout and Type A behavior were studied in two groups of 50 teachers (26 working in high school and 24 in junior high school) and 50 nurses living and working in Sicily. Each group was composed of 19 men and 31 women. A revised version of the Maslach Burnout Inventory and the Adult and Adolescent Type A Behavior Scale-Revised Form 1 were used to measure burnout and Type A behavior, and a scale of job satisfaction was given. Analysis shows higher scores on stress for nurses, related to the low social acknowledgment of their job. Among nurses, Type A scores were correlated positively with scores on burnout and negatively with ratings of job satisfaction. The teachers showed greater compatibility with their work which may reflect that in Sicily, the teaching profession is still held in high regard.

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