Síndrome de Burnout em profissionais de saúde da linha de frente contra a Covid-19

Objetivo: Identificar a Síndrome de Burnout em profissionais de saúde da linha de frente contra a Covid-19. Metodologia: Estudo transversal realizado com 48 profissionais de saúde que atuaram diretamente na linha de frente contra a Covid -19 há mais de 30 dias, num hospital do interior de Minas Gerais. Utilizou-se a escala Oldenburg Burnout Inventory (OLBI), para avaliação da presença da Síndrome de Burnout. Resultados: 54,2% dos profissionais apresentaram sinais da Síndrome de Burnout, 27,1% esgotamento profissional e 18,8% não apresentavam sinais de esgotamento profissional. A maioria dos profissionais que apresentaram sinais síndrome são do sexo feminino e não estão em um relacionamento conjugal; não possuem outro vínculo empregatício, trabalham até 40 horas semanais, exercem cargo de nível médio, recebem até dois salários mínimos mensais, estão há mais de um ano na linha de frente e não apresentaram infecção pela Covid-19. Conclusão: Apesar de não se observar associação estatística significativa entre as variáveis sociodemográficas e profissionais e a ocorrência de sinais da Síndrome de Burnout, espera-se que os resultados do estudo em tela sirvam de subsídios para a formulação de políticas institucionais a fim de minimizar os efeitos negativos causados pela pandemia na saúde mental de seus colaboradores.

Psychometric Properties of the Oldenburg Burnout Inventory in a Portuguese Sample of Aircraft Maintenance Technicians

From its initial conceptualization as emotional exhaustion, cynicism, and reduced personal efficacy for the help professions, burnout has received increasing attention in modern times, especially after the 2019 WHO’s inclusion of this syndrome in the ICD-11 list. Burnout can be measured using several psychometric instruments that range in dimensionality, number of items, copyrighted, and free use formats. Here, we report the psychometric properties of data gathered with the Oldenburg Burnout Inventory (OLBI) in a sample of Portuguese Aircraft maintenance technicians. As far as we know, this is the first study addressing the burnout syndrome in this occupational group. Data gathered with the OLBI displayed good evidence of validity related to internal structure, to other variables, with good evidence of reliability. We showed that burnout significantly correlated with mental and physical fatigue emphasizing the vital critical role that these variables play with safety in the aviation industry.

Interest of a Joint Use of Two Diagnostic Tools of Burnout: Comparison between the Oldenburg Burnout Inventory and the Early Detection Tool of Burnout Completed by Physicians

Most research on burnout is based on self-reported questionnaires. Nevertheless, as far as the clinical judgement is concerned, a lack of consensus about burnout diagnosis constitutes a risk of misdiagnosis. Hence, this study aims to assess the added value of a joint use of two tools and compare their diagnostic accuracy: (1) the early detection tool of burnout, a structured interview guide, and (2) the Oldenburg burnout inventory, a self-reported questionnaire. The interview guide was tested in 2019 by general practitioners and occupational physicians among 123 Belgian patients, who also completed the self-reported questionnaire. A receiver operating characteristic curve analysis allowed the identification of a cut-off score for the self-reported questionnaire. Diagnostic accuracy was then contrasted by a McNemar chi-squared test. The interview guide has a significantly higher sensitivity (0.76) than the self-reported questionnaire (0.70), even by comparing the self-reported questionnaires with the interviews of general practitioners and occupational physicians separately. However, both tools have a similar specificity (respectively, 0.60–0.67), except for the occupational physicians’ interviews, where the specificity (0.68) was significantly lower than the self-reported questionnaire (0.70). In conclusion, the early detection tool of burnout is more sensitive than the Oldenburg burnout inventory, but seems less specific. However, by crossing diagnoses reported by patients and by physicians, they both seem useful to support burnout diagnosis.

Psychometric Evaluation of the Oldenburg Burnout Inventory for Nursing Students

BackgroundHigher education students, especially nursing students, have drawn more attention as a group that is vulnerable to the risk of developing burnout syndrome.PurposeTo test the psychometric properties of the Oldenburg Burnout Inventory in Nursing (OLBI-N).MethodsThe OLBI-N validity and reliability was tested in a sample of 476 nursing students. The validity was assessed with explorative and confirmative factor analyses. For hypothesis testing, we evaluated the correlation between burnout and academic self-efficacy.ResultsTwo factors (exhaustion and disengagement) were identified, and the confirmative factor analysis of the OLBI-N yielded a good fit. The OLBI-N was significantly correlated with academic self-efficacy (r = .29, −.37, p < .01).ConclusionsThe OLBI-N is a valid, reliable questionnaire for measuring burnout among nursing students.

61 Burnout in Core Surgical Trainees and Potential Use of Mindfulness

Aim Surgical trainees deal with long hours and stressful work content. We aimed to assess the burnout levels in London trainees, and trial a mindfulness intervention. Method London core surgical trainees (CST1) were asked to complete an online survey including validated burnout scoring system (Oldenburg Inventory). 54 of a possible 78 trainees responded (69%). We then asked them to take part in a 2-week mindfulness intervention (approximately 5 minutes a day using the app Headspace). We later resurveyed. Results 60% of trainees who answered the survey feel ‘somewhat’ or ‘completely’ burnt out. Oldenburg burnout inventory calculates 85% of trainees to be ‘disengaged’ and 93% ‘exhausted’. 13/54 trainees completed the mindfulness training. 10 out of 13 trainees found this to be ‘somewhat’ or ‘massively’ helpful for burnout. Conclusions A high percentage of year one surgical trainees can be categorised as burnt out. The low uptake of mindfulness may speak to lack of capacity trainees have to invest in resources that will self-resolve this. We cannot say with significance whether mindfulness helped burnout (and length of trial could be too short) but the majority who did trial report positive experience with mindfulness.

1 An evaluation of burnout amongst defence medical services anaesthesia trainees

IntroductionMultiple studies have found burnout to be the highest amongst Anaesthetists and Intensivists. A recent report by the Royal College of Anaesthetists (RCoA) in 2017 reported a burnout rate of 85% amongst anaesthetic trainees. This project aimed to evaluate following questions:What are the levels of burnout among defence anaesthetic trainees?What are the main causes of burnout among defence anaesthetic trainees?MethodsWe conducted an on-line anonymous survey across all trainees within the military anaesthesia cadre which consisted of the following sections:DemographicsOldenburg Burnout InventoryBaseline Mental Health (PHQ 9 & GAD 7)Stressors (Severity and Frequency)ResultsWhilst the burnout rate appears relatively high at 57.9%, it was comparatively lower against the RCoA report. Army (53%) and RAF (46%) trainees had similar rates of burnout whilst the Navy (76.9%) had notably a higher rate. Gender and seniority did not seem to have an effect on burnout. The findings of this study are more in line with other baseline burnout studies than the RCoA welfare report.ConclusionsThe effect of work on personal/family life and administrative burdens seem to be consistent regardless of burnout status. The perceived degree of workload and staff/resource availability appears to be discriminatory to those labelled low risk potentially mirroring the differences seen between services and highlights potential areas to modify our risk of burnout within our cadre.

BURNOUT AND SOURCES OF STRESS AMONG HEALTHCARE RISK MANAGERS & PATIENT SAFETY PERSONNEL DURING THE COVID-19 PANDEMIC: A PILOT STUDY

Objective: This study investigates burnout and sources of COVID-related stress among a group of healthcare risk managers/patient safety practitioners. Methods: An online survey including Oldenburg Burnout Inventory (OLBI), and one open-ended question: “Since the start of the COVID-19 pandemic, what work or non work-related issues have been causing you the most stress?” Results: 31 participants completed the OLBI; 27 answered the open-ended question. Over 70% of participants qualified as burned out. Thematic analysis was used to analyze stressors. Key themes included: Impacts of social distancing, changing duties and workload, real and potential impacts of the virus (e.g., fear of infection for self or others), and financial concerns (personal and organizational). Less common themes included untrustworthy and constantly changing guidance, feeling abused by persons in power, and positive comments about the experience of working during the pandemic. Conclusion: Burnout and pandemic-related stress may be very common in the healthcare risk management and patient safety workforce. Additional research is required to more robustly estimate the prevalence of burnout in this population. Meanwhile, the sources of stress identified here may aid healthcare organizations in taking immediate action to protect this vital workforce.

Insomnia among Prison Officers and Its Relationship with Occupational Burnout: The Role of Coping with Stress in Polish and Indonesian Samples

Thus far, data on sleep disorders among prison officers (POs) have been scarce. Research allows us to relate this problem to occupational stress, which POs experience every day. The aim of the current study was to analyze the scale, predictors, and impact of select factors on the relationship between insomnia and occupational burnout. This study was carried out on a sample of 376 Indonesian and 288 Polish POs using the Athens Insomnia Scale (AIS), the Coping Orientation to Problems Experienced (COPE) inventory, and the Oldenburg Burnout Inventory (OLBI). Results showed that 43.4% of the Polish sample exhibited early symptoms of insomnia, compared to 26.1% of the Indonesian sample. Sleep disorders had a significant role in developing occupational burnout. In both samples, coping strategies such as help-seeking and engagement were revealed to have a mediating role in the relationship between insomnia and occupational burnout dimensions. For the total sample and for the Polish sample, the coping strategy of help-seeking was the only predictor of insomnia. Discrepancies (concerning the role of age, gender, and multi-shift work) were observed between the current results and earlier studies. The current study’s limitations were discussed and new solutions were proposed.

Evaluation of a novel intervention to reduce burnout in doctors-in-training using self-care and digital wellbeing strategies: a mixed-methods pilot

Background Burnout for doctors-in-training is increasingly cause for concern. Our objectives were to assess the feasibility, acceptability and impact of a novel intervention to reduce burnout and improve wellbeing. This is the first wellbeing intervention for medical doctors to include strategies for work-life boundary management and digital wellbeing. Methods Twenty-two doctors participated in face-to-face workshops which included group discussion of challenges experienced and strategies to enhance self-care and wellbeing. A pre-post-test mixed-methods evaluation was undertaken. Questionnaire measures were the Oldenburg Burnout Inventory, Warwick-Edinburgh Mental Wellbeing Scale and the boundary control subscale of the Work-Life Indicator (i.e., the degree of perception of control of the boundaries between work and personal life). Paired t-tests examined whether there were statistically significant differences. Eleven doctors also participated in post-intervention semi-structured interviews. Transcripts were analysed using thematic analysis. Results The intervention was well-received, with all trainees finding the workshop useful and saying they would recommend it to others. At baseline most participants had scores indicative of burnout on both the disengagement (82%) and exhaustion (82%) subscales of the Oldenburg Burnout Inventory. One month post-intervention, participants had a statistically significant reduction in burnout (both disengagement and exhaustion) and improvement in boundary control. Wellbeing scores also improved, but differences were not statistically significant. Qualitative analysis indicated participants had welcomed a safe space to discuss stressors and many had implemented digital wellbeing strategies to manage their smartphone technology, and increased self-care such as mindfulness practice and walking in green space. Conclusions The intervention reduced burnout and improved boundary control. We suggest that having protected time for doctors to share personal experiences, adopt digital wellbeing and self-care strategies are effective tools to support doctors’ wellbeing and should be investigated further.