scholarly journals Understanding the Occupational Burnout Experience of Medical Specialists at the Time of Education and Career Launch: A Case Study of the Sechenov First Moscow State Medical University Students and Residents of the Alekseev Psychiatric Hospital N1

2022 ◽  
Vol 10 (E) ◽  
pp. 40-49
Author(s):  
Anzhela Avagimyan ◽  
Nataliya Kasimovskaya ◽  
Olga Naryzhenko ◽  
Ekaterina Diatlova ◽  
Raisat Adzhimuradova ◽  
...  
Keyword(s):  
Psychiatric Hospital ◽  
Psychiatric Hospitals ◽  
Burnout Syndrome ◽  
Moderate Intensity ◽  
Stressful Situation ◽  
Occupational Burnout ◽  
Professional Careers ◽  
General Terms ◽  
Personal Qualities ◽  
Medical University

BACKGROUND: Occupational burnout in the most general terms is seen as a long-lasting stressful situation resulting from continuing occupational stress of moderate intensity. AIM: The objective of this article is to provide analysis of occupational burnout in psychiatrists and nurses of psychiatric hospitals, and the development of occupational burnout in students and residents. MATERIALS AND METHODS: The level of occupational burnout was determined using the “Attitude to work and occupational burnout” test, Seashore Group Cohesion Index, Stolin’s Self-Concept Questionnaire, and the Freiburg Multidimensional Personality Questionnaire (Freiburg Personality Inventory). The study proved the existence of patterns of occupational burnout in psychiatrists and nurses of psychiatric hospitals, as well as in students and residents. RESULTS: It has been revealed that the development of the burnout syndrome is influenced by personal qualities of psychiatrists and nurses (residents and students), and the managerial features of their activities, and that occupational burnout develops in psychiatrists and nurses over the course of their professional careers, but starts to emerge during their education. The score of the Integrative Burnout Index ranges from 48.99 in students of the [BLINDED] University to 23.52 in psychiatrists of the Alekseev Psychiatric Hospital N1. Occupational burnout syndrome is spread in medical students worldwide, with its level higher than in the overall population, in students of other specialties. CONCLUSIONS: Burnout at the stage of getting the education can hinder the professional development of students, expose patients to risk, and promote the development of various personality problems in future psychiatrists and nurses. The need of preventing professional burnout at the stage of obtaining a specialty has been substantiated.

scholarly journals Family involvement and patient-experienced improvement and satisfaction with care: a nationwide cross-sectional study in Danish psychiatric hospitals

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Marie Louise Svendsen ◽  
Trine Ellegaard ◽  
Karoline Agerbo Jeppesen ◽  
Erik Riiskjær ◽  
Berit Kjærside Nielsen
Keyword(s):  
Psychiatric Hospital ◽  
Hospital Care ◽  
Psychiatric Hospitals ◽  
Cross Sectional Study ◽  
Satisfaction With Care ◽  
Sectional Study ◽  
Cross Sectional ◽  
Caregiver Relationship ◽  
Patient Reported ◽  
Caregiver Involvement

Abstract Background Randomised controlled trials suggest that family therapy has a positive effect on the course of depression, schizophrenia and anorexia nervosa. However, it is largely unknown whether a positive link also exists between caregiver involvement and patient outcome in everyday psychiatric hospital care, using information reported directly from patients, i.e. patient-reported experience measures (PREM), and their caregivers. The objective of this study is to examine whether caregiver-reported involvement is associated with PREM regarding patient improvement and overall satisfaction with care. Methods Using data from the National Survey of Psychiatric Patient Experiences 2018, we conducted a nationwide cross-sectional study in Danish psychiatric hospitals including patients and their caregivers who had been in contact with the hospital (n = 940 patients, n = 1008 caregivers). A unique patient identifier on the two distinct questionnaires for the patient and their caregiver enabled unambiguous linkage of data. In relation to PREM, five aspects of caregiver involvement were analysed using logistic regression with adjustment for patient age, sex and diagnosis. Results We consistently find that high caregiver-reported involvement is statistically significantly associated with high patient-reported improvement and overall satisfaction with care with odds ratios (OR) ranging from 1.69 (95% confidence interval (CI) 0.95–2.99) to 4.09 (95% CI 2.48–6.76). This applies to the following aspects of caregiver-reported involvement: support for the patient-caregiver relationship, caregiver information, consideration for caregiver experiences and the involvement of caregivers in decision making. No statistically significant association is observed regarding whether caregivers talk to the staff about their expectations for the hospital contact. Conclusion This nationwide study implies that caregiver involvement focusing on the patient-caregiver relationship is positively associated with patient improvement and overall satisfaction with care in everyday psychiatric hospital care.

scholarly journals To the question of the formation of personal qualities of future doctors by means of combat sports

2014 ◽  
Vol 18 (5) ◽  
pp. 43-47 ◽  
Author(s):  
L.D. Khripunova
Keyword(s):  
Professional Activity ◽  
Combat Sports ◽  
Theoretical Substantiation ◽  
Self Confidence ◽  
Literary Sources ◽  
Personal Qualities ◽  
The Subject ◽  
Medical University ◽  
Difficult Situations

Purpose : to provide theoretical analysis of the notion of „assertiveness” and rationale of approaches to the development of future doctors’ assertiveness by means of combat sports (Sambo and Judo). Material : analysis of regulatory documents, literary sources. Results : the author has analysed the essence of the notion of assertiveness, and ideas about the relevance of the quality in doctors’ professional activity. The notion of assertiveness has been defined as the subject quality of an individual integrating initiative and willingness to take risks in difficult situations, self-confidence and positive attitude towards others, the ability to freely make decisions and be responsible for their consequences, persistence in protecting one’s own rights and achieve life goals. It has been shown that the key component of assertiveness manifestations are technologies of subject-subject interaction, that provide mutual correctness and effectiveness of acceptable relations. Means of the combat sports have been viewed as instruments of the development of future doctors’ personal qualities. The potentialities of assertiveness formation by means of the combat sports have been defined. Conclusions : the introduction of the combat sports elements in the professionally applied training of medical university students is an important issue of nowadays, which needs theoretical substantiation and methodical support.

Forensic care in Germany

2017 ◽  
Vol 41 (S1) ◽  
pp. S61-S61
Author(s):  
H. Dressing ◽  
H.J. Salize
Keyword(s):  
Psychiatric Hospital ◽  
Psychiatric Hospitals ◽  
Epidemiological Data ◽  
Mentally Ill Offenders ◽  
Legal Regulations ◽  
Forensic Patients ◽  
Penal Law ◽  
Forensic Psychiatric ◽  
Competing Interest ◽  
Legal Frameworks

Although the idea that offenders suffering from a mental disorder must primarily be considered as ill and should therefore be exempted from punishment is of considerable antiquity legal frameworks and key concepts, which are applied in this field, differ widely in European Union member States. The respective legal regulations and epidemiological data of Germany will be presented.In German penal law the question of the guilt of an offender is of central significance. Legal regulations on the placement and treatment of mentally ill offenders in a forensic psychiatric hospital are subsumed under the section “Measures on improvement and safety”. Section 63 of the German penal law provides for the temporally unlimited commitment to a forensic- psychiatric hospital.In accordance with section 64 of the German penal law addicted offenders can be committed to a detoxification center for a period of up to two years. The available epidemiological data show a clear increase in the admissions to forensic psychiatric hospitals and to detoxification centers since beginnings of the 1990s. Recently the German parliament passed a new law. The aim of the new law is to strengthen patients’ rights and to diminish the number of forensic patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The sense of occupational burnout and the styles of coping with stress among workers in the helping professions

2021 ◽  
Vol 597 (2) ◽  
pp. 43-54
Author(s):  
Anna Kanios
Keyword(s):  
Coping Styles ◽  
Maslach Burnout Inventory ◽  
Burnout Syndrome ◽  
Stress Coping ◽  
Helping Professions ◽  
Coping With Stress ◽  
Occupational Burnout ◽  
Study Objective ◽  
And Coping

Workers of the helping professions are particularly susceptible to the occupational burnout syndrome. This stems from the very nature of helping other people who experience several social problems in their everyday life. Working in the helping and caregiving professions relies on direct contact with another human being and involves intensive stress. The burnout syndrome is a consequence of functioning under long-term stress resulting, for example, from overwork. The study objective was to diagnose the occupational burnout among workers in the helping professions and to determine the correlation between burnout and stress-coping styles. In the study, we used Maslach Burnout Inventory (MBI) by C. Maslach (to assess an individual’s experience of burnout) and Coping Inventory for Stressful Situations (CISS) by S. Norman, S. Endler, J.D.A. Parker (adapted by P. Szczepaniak, J. Strelau, K. Wrześniewski) (to assess styles of coping with stress). The empirical analyses indicated the existence of a correlation between the sense of occupational burnout among the workers studied and their styles of coping with stress.

scholarly journals Readmission after discharge from a medium secure unit

2013 ◽  
Vol 37 (4) ◽  
pp. 124-129 ◽  
Author(s):  
Martin Clarke ◽  
Conor Duggan ◽  
Clive R. Hollin ◽  
Nick Huband ◽  
Lucy McCarthy ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Hospital ◽  
Psychiatric Hospitals ◽  
Patient Treatment ◽  
Multiple Sources ◽  
Long Term Follow Up ◽  
Secure Unit

Aims and methodWe examined readmission to psychiatric hospital of 550 patients discharged from one medium secure unit over 20 years. Multiple sources were used to obtain readmission data.ResultsReadmission was common, particularly to non-secure psychiatric hospitals. At least 339 patients (61.6%) were readmitted to any psychiatric hospital (mean follow-up 9.5 years), with over a third (37.6%) subsequently being readmitted to medium- or high-security or both. Of those discharged directly to the community, having previous in-patient treatment and a Mental Health Act classification of mental illness were associated with shorter time to first readmission.Clinical implicationsThe long-standing nature of disorders is evident in the high rates of readmission overall and the need for readmission to medium and high secure services, suggesting that these patients require long-term follow-up and support from mental health services.

scholarly journals Occupational stress and burnout among physiotherapists: a cross-sectional survey in Cadiz (Spain)

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Ines Carmona-Barrientos ◽  
Francisco J. Gala-León ◽  
Mercedes Lupiani-Giménez ◽  
Alberto Cruz-Barrientos ◽  
David Lucena-Anton ◽  
...  
Keyword(s):  
Occupational Stress ◽  
Linear Regression Analysis ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Academic Training ◽  
Stressful Situation ◽  
Inadequate Response ◽  
Cross Sectional ◽  
Sociodemographic Variables ◽  
High Level

Abstract Background Occupational stress is considered an ongoing epidemic. An inadequate response to a stressful situation can trigger burnout syndrome. In this way, the assistant services (health and teaching) often reach higher levels of burnout. The present study aimed to measure the level of occupational stress and burnout in physiotherapists in the province of Cadiz (Spain), working in the public and/or private sector. Methods This was an observational, descriptive and cross-sectional study. A sample of 272 physiotherapists took part in the study. The variables measured were sociodemographic variables, working conditions, level of occupational stress and burnout. Burnout includes three characteristics or dimensions: emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA). Correspondence analysis of the sociodemographic, organizational and psychological variables were analyzed using Chi-squared significance tests. Spearman correlations and a linear regression analysis were also carried out to determine the dependence between occupational stress and burnout. Results The results showed that 30.51% of physiotherapists suffered from a high level of occupational stress, while 34.56% suffered from an average level. There was a clear dependence between a high level of stress and professionals who felt stressed during their academic training period (p = 0.02), those who were in temporary work (p = 0.03) and those with over 10 years of professional experience (p = 0.05). The overall level of burnout was low, since only the EE dimension had a high value; the average was 21.64 ± 10.57. The DP (6.57 ± 4.65) and PA (39.52 ± 5.97) levels were low. There was a significant dependence (p < 0.05) between EE and the following sociodemographic variables: work shift, willingness to study the same degree, stress and inadequate academic training, and a stressful job. In addition, a significant correlation was found between occupational stress and the EE and DP dimensions of burnout. Conclusions A high prevalence of occupational stress was detected among physiotherapists in Cadiz (Spain). The levels of occupational stress and its correlation with burnout show that the cumulative effect of stress could lead to burnout. Furthermore, these results regarding occupational stress show the necessity of developing coping strategies for physiotherapists and healthcare staff.

scholarly journals Staff attitudes to a psychiatric hospital closure

1997 ◽  
Vol 21 (3) ◽  
pp. 139-141
Author(s):  
Nick Ardagh-Walter ◽  
Prakash Naik ◽  
David Tombs
Keyword(s):  
Psychiatric Hospital ◽  
Psychiatric Hospitals ◽  
Staff Attitudes ◽  
Staff Morale ◽  
Hospital Closures ◽  
Factors Influencing ◽  
Hospital Closure ◽  
Future Hospital ◽  
The Uk ◽  
Enoch Powell

Many psychiatric hospitals in the UK have closed. Factors influencing staff morale around the time of a hospital closure will affect the functioning of that institution. This study surveyed staff anxieties, attitudes and expectations in a major psychiatric hospital three weeks prior to its closure. We found evidence of widespread denial despite energetic dissemination of information. There were also significant differences between staff groups. Our findings will have implications for the management of future hospital closures.“We have to get it into our heads that a hospital is like a shell, a framework to contain certain processes, and when the processes are superseded, the shell must, most probably, be scrapped and the framework dismantled” (Enoch Powell, 1961).

Deprivation of Liberty in Psychiatric Treatment: a Finnish perspective

2001 ◽  
Vol 8 (6) ◽  
pp. 522-532 ◽  
Author(s):  
Maritta Välimäki ◽  
Johanna Taipale ◽  
Riittakerttu Kaltiala-Heino
Keyword(s):  
Mental Health ◽  
Inpatient Treatment ◽  
Psychiatric Hospitalization ◽  
Psychiatric Treatment ◽  
Psychiatric Hospitals ◽  
Mutual Understanding ◽  
Theoretical Studies ◽  
Relevant Research ◽  
General Terms ◽  
Research Findings

This article is concerned with the deprivation of patients’ liberty while undergoing psychiatric treatment, with special reference to the situation in Finland. It is based on a review of Finnish law, health care statistics, and empirical and theoretical studies. Relevant research findings from other countries are also discussed. In Finland, it is required that patients are cared for by mutual understanding with themselves; coercive measures may be applied only if they are necessary for the treatment of the illness, or for safeguarding patients’ safety or the safety of others. Involuntary psychiatric hospitalization is closely regulated by the Mental Health Act. However, the rules concerning the deprivation of liberty during inpatient treatment (by seclusion, restraint and restricted leave) are formulated in very general terms. Therefore, Finnish psychiatric hospitals have their own policies concerning when and how seclusion may be used. The practice of seclusion and the use of restraint therefore vary among the psychiatric hospitals in Finland.

scholarly journals Psychosocial and Demographic Variables as Correlates of Patterns of Substance Abuse among in-Patients in Two Selected Neuro-Psychiatric Hospitals in South-West, Nigeria

2020 ◽  
pp. 65-76
Author(s):  
Quamariyat Adekemi Akinlawon ◽  
Christiana Obiageli Emeghara ◽  
Christian C. C. Asonye ◽  
Olawale Rasheed Oladapo ◽  
Okechukwu Emeghara
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Psychiatric Hospital ◽  
Significant Influence ◽  
Demographic Factors ◽  
Psychiatric Hospitals ◽  
Demographic Variables ◽  
Psychoactive Substance ◽  
Social Psychological ◽  
Psychoactive Substance Use

Aims: The study main objective is to access psychosocial and demographic variables as correlates of patterns of psychoactive substance abuse among patients admitted to drug treatment centers in two federal mental health institutions in Nigeria. Study Design: Descriptive correlational research design. Place and Duration of Study: Neuropsychiatric Hospital (Aro & Lantoro Annex) Abeokuta and Federal Neuro Psychiatric Hospital, Yaba, Lagos in February 2018. Methodology: The sample size for this study comprises 224 patients admitted for treatment due to psychoactive substance abuse at the Neuropsychiatric Hospital (Aro & Lantoro Annex) Abeokuta and Federal Neuro Psychiatric Hospital, Yaba, Lagos. A self-developed, pre-tested semi structured interviewer administered questionnaire was used to collect data on psychosocial and demographic variables that may explain the patterns of substance abuse among. Data were analysed using descriptive and inferential statistics at 0.05 level of significance. Results: The study found that social, psychological and demographic factors have significant influence on psychoactive substance use (F (6, 213) =23.214, P=0.07), Adj R2 = .158 (F (3, 216) =33.193, P=0.000), Adj R2 = .104, (F (6, 213) =10.101, P=0.031), Adj R2 = .062 respectively. Social factors of accessibility, family usage, affordability and peer usage exerted positive impact on psychoactive substance use β = .81, P = 000, β =.127, P = .037, β = .118, P = 0.011 and β = .139, P = .009 respectively. The psychological factors of perception, impulsivity and self- gratification exerted positive and significant influence on psychoactive substance use β = .148, P = 047, β =.197, P = .000 and β = .107, P = 0.03 respectively. Demographic factors age (x2 = 21.347, P = .000); gender (x2 = 5.432, P = .013); marital status (x2 = 2.707, P = .034) and religion is (x2 = 4.119, P = .009) exerted significant effect on pattern of substance abuse. Conclusion: The study concluded that social, psychological and demographic variables are the main correlates of psychoactive substance abuse among patients admitted and treated in sampled Neuropsychiatric Hospitals.

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