1
|
Mincarone P, Bodini A, Tumolo MR, Sabina S, Colella R, Mannini L, Sabato E, Leo CG. Association Between Physical Activity and the Risk of Burnout in Health Care Workers: Systematic Review. JMIR Public Health Surveill 2024; 10:e49772. [PMID: 38498040 PMCID: PMC10985610 DOI: 10.2196/49772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Revised: 09/18/2023] [Accepted: 12/12/2023] [Indexed: 03/19/2024] Open
Abstract
BACKGROUND Burnout is a multidimensional psychological syndrome that arises from chronic workplace stress. Health care workers (HCWs), who operate in physically and emotionally exhausting work contexts, constitute a vulnerable group. This, coupled with its subsequent impact on patients and public economic resources, makes burnout a significant public health concern. Various self-care practices have been suggested to have a positive effect on burnout among HCWs. Of these, physical activity stands out for its ability to combine psychological, physiological, and biochemical mechanisms. In fact, it promotes psychological detachment from work and increases self-efficacy by inhibiting neurotransmitters and neuromodulators, increasing endorphin levels, enhancing mitochondrial function, and attenuating the hypothalamic pituitary-adrenal axis response to stress. OBJECTIVE Our objective was to conduct a systematic review of the evidence on the association between physical activity and burnout among HCWs. METHODS We considered HCWs, physical activity, and burnout, framing them as population, exposure, and outcome, respectively. We searched APA PsycArticles, MEDLINE, and Scopus until July 2022. We extracted relevant data on study design, methods to measure exposure and outcome, and statistical approaches. RESULTS Our analysis encompassed 21 independent studies. Although 10% (2/21) of the studies explicitly focused on physical activity, the remaining investigations were exploratory in nature and examined various predictors, including physical activity. The most commonly used questionnaire was the Maslach Burnout Inventory. Owing to the heterogeneity in definitions and cutoffs used, the reported prevalence of burnout varied widely, ranging from 7% to 83%. Heterogeneity was also observed in the measurement tools used to assess physical activity, with objective measures rarely used. In total, 14% (3/21) of the studies used structured questionnaires to assess different types of exercise, whereas most studies (18/21, 86%) only recorded the attainment of a benchmark or reported the frequency, intensity, or duration of exercise. The reported prevalence of physically active HCWs ranged from 44% to 87%. The analyses, through a variety of inferential approaches, indicated that physical activity is often associated with a reduced risk of burnout, particularly in the domains of emotional exhaustion and depersonalization. Furthermore, we compiled and classified a list of factors associated with burnout. CONCLUSIONS Our comprehensive overview of studies investigating the association between physical activity and burnout in HCWs revealed significant heterogeneity in definitions, measurements, and analyses adopted in the literature. To address this issue, it is crucial to adopt a clear definition of physical activity and make thoughtful choices regarding measurement tools and methodologies for data analysis. Our considerations regarding the measurement of burnout and the comprehensive list of associated factors have the potential to improve future studies aimed at informing decision-makers, thus laying the foundation for more effective management measures to address burnout.
Collapse
Affiliation(s)
- Pierpaolo Mincarone
- Research Unit of Brindisi, Institute for Research on Population and Social Policies, National Research Council, Brindisi, Italy
- MOVE-Mentis s.r.l, Cesena, Italy
| | - Antonella Bodini
- Institute for Applied Mathematics and Information Technologies "Enrico Magenes", National Research Council, Milan, Italy
| | - Maria Rosaria Tumolo
- Biological and Environmental Sciences and Technology Department, University of Salento, Lecce, Italy
| | - Saverio Sabina
- MOVE-Mentis s.r.l, Cesena, Italy
- Institute of Clinical Physiology, National Research Council, Lecce, Italy
| | - Riccardo Colella
- Institute of Clinical Physiology, National Research Council, Lecce, Italy
- Innovation Engineering Department, University of Salento, Lecce, Italy
| | - Linda Mannini
- Institute of Clinical Physiology, National Research Council, Lecce, Italy
| | - Eugenio Sabato
- Research Unit of Brindisi, Institute for Research on Population and Social Policies, National Research Council, Brindisi, Italy
- Respiratory Diseases Unit, "Antonio Perrino" P.O., Local Health Unit "ASL Brindisi", Brindisi, Italy
| | - Carlo Giacomo Leo
- MOVE-Mentis s.r.l, Cesena, Italy
- Institute of Clinical Physiology, National Research Council, Lecce, Italy
| |
Collapse
|
2
|
Wang S, Luo G, Ding X, Ma X, Yang F, Zhang M, Sun G, Wang F, Zhu L, Wang S, Li Z. Factors associated with burnout among frontline nurses in the post-COVID-19 epidemic era: a multicenter cross-sectional study. BMC Public Health 2024; 24:688. [PMID: 38438971 PMCID: PMC10913257 DOI: 10.1186/s12889-024-18223-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Accepted: 02/28/2024] [Indexed: 03/06/2024] Open
Abstract
BACKGROUND The COVID-19 pandemic has significantly increased the risk of burnout among frontline nurses. However, the prevalence of burnout and its associated factors in the post-pandemic era remain unclear. This research aims to investigate burnout prevalence among frontline nurses in the post-pandemic period and pinpoint associated determinants in China. METHODS From April to July 2023, a cross-sectional study was carried out across multiple centers, focusing on frontline nurses who had been actively involved in the COVID-19 pandemic. The data collection was done via an online platform. The Maslach Burnout Inventory-Human Services Survey was utilized to evaluate symptoms of burnout. A multivariable logistic regression analysis was used to pinpoint factors associated with burnout. RESULTS Of the 2210 frontline nurses who participated, 75.38% scored over the cut-off for burnout. Multivariable logistic regression revealed that factors like being female [odds ratio (OR) = 0.41, 95%CI = 0.29-0.58] and exercising 1-2 times weekly[OR = 0.53, 95%CI = 0.42-0.67] were protective factors against burnout. Conversely, having 10 or more night shifts per month[OR = 1.99, 95%CI = 1.39-2.84], holding a master's degree or higher[OR = 2.86, 95% CI = 1.59-5.15], poor health status[OR = 2.43, 95% CI = 1.93-3.08] and [OR = 2.82, 95%CI = 1.80-4.43], under virus infection[OR = 7.12, 95%CI = 2.10-24.17], and elevated work-related stress[OR = 1.53, 95% CI = 1.17-2.00] were all associated with an elevated risk of burnout. CONCLUSION Our findings indicate that post-pandemic burnout among frontline nurses is influenced by several factors, including gender, monthly night shift frequency, academic qualifications, weekly exercise frequency, health condition, and viral infection history. These insights can inform interventions aimed at safeguarding the mental well-being of frontline nurses in the post-pandemic period.
Collapse
Affiliation(s)
- Shitao Wang
- Department of Neurology, Affiliated Fuyang People's Hospital of Anhui Medical University, Fuyang, China.
| | - Guoshuai Luo
- Laboratory of Biological Psychiatry, Institute of Mental Health, Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, China
| | - XiangQian Ding
- Department of Neurosurgery, Qilu Hospital of Shandong University, Jinan, China
| | - Xuelu Ma
- Department of Neurology, Affiliated Fuyang People's Hospital of Anhui Medical University, Fuyang, China
| | - Fei Yang
- Department of Neurology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China
| | - Mengen Zhang
- Department of Neurology, Affiliated Fuyang People's Hospital of Anhui Medical University, Fuyang, China
| | - Guangxin Sun
- Department of Neurology, Affiliated Fuyang People's Hospital of Anhui Medical University, Fuyang, China
| | - Fei Wang
- Department of Neurology, Affiliated Fuyang People's Hospital of Anhui Medical University, Fuyang, China
| | - Liping Zhu
- Ya'an People's Hospital, Sichuan University, Yaan, China
| | - Shuo Wang
- Laboratory of Biological Psychiatry, Institute of Mental Health, Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, China
| | - Zongyou Li
- Department of Neurology, Affiliated Fuyang People's Hospital of Anhui Medical University, Fuyang, China
| |
Collapse
|
3
|
Somboonviboon D, Wittayawisawasakul Y, Wacharasint P. Prevalence and Risk Factors of Burnout Syndrome during COVID-19 Pandemic among Healthcare Providers in Thailand. JOURNAL OF ENVIRONMENTAL AND PUBLIC HEALTH 2023; 2023:5719241. [PMID: 37288116 PMCID: PMC10243951 DOI: 10.1155/2023/5719241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Revised: 01/03/2023] [Accepted: 02/24/2023] [Indexed: 06/09/2023]
Abstract
Objective To study prevalence, risk factors, and consequences of the COVID-19 pandemic related to Burnout syndrome (BOS) among Thai healthcare providers (HCPs) during the COVID-19 pandemic. Methods We performed a cross-sectional study among HCPs, involved in caring for patients during the pandemic in two periods (1st period, May-Jun 2021, and 2nd period, Sep-Oct 2021). Data were distributed using electronic questionnaires. BOS was defined if respondents exhibited a high level of at least one domain in the Maslach Burnout Inventory criteria. The primary outcome was prevalence of BOS. Results Altogether, 2,027 and 1,146 respondents were enrolled in the 1st and 2nd periods, respectively. Most respondents were female (73.3, 68.2%). The top three job positions were physicians (49.2, 58.9%), nurses (41.2, 30.6%), and nursing assistants (4.8, 6.5%), respectively. No difference was found in overall prevalence of Burnout syndrome during the 1st and 2nd periods (73 vs. 73.5%, p=0.80). Using multivariate analysis, significant risk factors for Burnout syndrome in both periods were (1) living with family (odds ratio (OR) 1.3 and 1.5), (2) tertiary care hospital (OR 1.92 and 2.13), (3) nurse (OR 1.38 and 2.29), (4) nursing assistant (OR 0.92 and 4.81), (5) salary ≤40,000 THB (OR 1.53 and 1.53), (6) >20 patients per shift (OR 1.55 and 1.88), (7) >6 shifts after hours monthly (OR 1.26 and 1.49), and (8) ≤1 rest day weekly (OR 1.3 and 1.4). Conclusion We found a high prevalence of Burnout syndrome among Thai HCPs during the pandemic. Knowing those risk factors may provide a strategy to BOS during the pandemic.
Collapse
Affiliation(s)
- Dujrath Somboonviboon
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Phramongkutklao Hospital, Bangkok, Thailand
| | - Yingvitch Wittayawisawasakul
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Phramongkutklao Hospital, Bangkok, Thailand
| | - Petch Wacharasint
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Phramongkutklao Hospital, Bangkok, Thailand
| |
Collapse
|
4
|
Ho NT, Santoro F, Palacios Jimenez C, Pelligand L. Cross-sectional survey of sleep, fatigue and mental health in veterinary anaesthesia personnel. Vet Anaesth Analg 2023:S1467-2987(23)00051-X. [PMID: 37142463 DOI: 10.1016/j.vaa.2023.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Revised: 01/27/2023] [Accepted: 03/16/2023] [Indexed: 05/06/2023]
Abstract
OBJECTIVE To evaluate the sleep quality, prevalence of fatigue and depressive symptoms in veterinary anaesthesia personnel. STUDY DESIGN Anonymous online voluntary survey. METHODS Sleep quality, fatigue, depressive symptoms and self-perceived burnout were scored using the Pittsburgh Sleep Quality Index (PSQI), Fatigue Severity Scale (FSS), Patient Health Questionnaire-9 (PHQ-9) and single-item burnout measure, respectively. Demographic data and questions about work-related fatigue, out-of-hours duty, transport and rest periods were included. PSQI, FSS and PHQ-9 scores were compared using Spearman rank correlation tests. RESULTS Responses from 393 participants were obtained from an estimated population of 1374 including diplomates of the American and European Colleges of Veterinary An(a)esthesia and Analgesia (43.9%), residency-trained veterinarians (15.6%), residents-in-training (13.8%) and veterinary technicians and nurses (12.0%), from 32 countries. Most were employed in clinical university teaching hospitals (54.2%) or clinical private practice (41.5%). PSQI scores > 5 were reported by 71.2% of respondents, with 52.4% reporting insufficient sleep to meet their job demands. Many showed high or borderline fatigue (56.4%), and 74.7% reported mistakes due to work-related fatigue. Major depressive symptoms (PHQ-9 score ≥ 10) were found in 42.7%, with 19.2% reporting they had thought about suicide or self-harm in the previous 2 weeks. Over half (54.8%) met the criteria for burnout and more veterinary nurses and technicians suffered from burnout than other roles, with 79.6% of this group affected (p < 0.001). Scores for PSQI and FSS [r (388) = 0.40, p < 0.001]; PSQI and PHQ-9 [r (389) = 0.23, p < 0.001]; and FSS and PHQ-9 [r (387) = 0.24, p < 0.001] were all positively correlated. CONCLUSIONS AND CLINICAL RELEVANCE This survey demonstrates a high prevalence of poor sleep, fatigue, depressive symptoms and burnout in veterinary anaesthesia personnel, and more should be done to improve the health of those in the profession.
Collapse
Affiliation(s)
- Nicola Tz Ho
- Department of Clinical Sciences and Services, Royal Veterinary College, University of London, Hatfield, UK.
| | - Francesco Santoro
- Department of Clinical Sciences and Services, Royal Veterinary College, University of London, Hatfield, UK
| | - Carolina Palacios Jimenez
- Department of Clinical Sciences and Services, Royal Veterinary College, University of London, Hatfield, UK
| | - Ludovic Pelligand
- Department of Clinical Sciences and Services, Royal Veterinary College, University of London, Hatfield, UK; Department of Comparative Biomedical Sciences, Royal Veterinary College, University of London, Hatfield, UK
| |
Collapse
|
5
|
Kovács M, Muity G, Szapáry Á, Nemeskéri Z, Váradi I, Kapus K, Tibold A, Zalayné NM, Horvath L, Fehér G. The prevalence and risk factors of burnout and its association with mental issues and quality of life among hungarian postal workers: a cross-sectional study. BMC Public Health 2023; 23:75. [PMID: 36627594 PMCID: PMC9832666 DOI: 10.1186/s12889-023-15002-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2022] [Accepted: 01/05/2023] [Indexed: 01/12/2023] Open
Abstract
BACKGROUND Burnout is one of the most extensively studied phenomena of the twenty-first century; which has been extensively studied among helping professions, although it can be broadened to several other types of occupation. Based on our knowledge and literature search, no similar studies have been carried out among postal workes to date. METHODS This cross-sectional questionnaire-based epidemiological study was carried out between May 2021 and January 2022 in five counties in Hungary with the recruitment of postal delivery workers focusing on (1) the prevalence of burnout among postal delivery workers; (2) including the role of demographic parameters, duration of employment as well as the presence of secondary employment; (3) and also analyzed the role of several risk factors and medical conditions; (4) and we also examined the possible association between depression, insomnia and quality of life and burnout. RESULTS Overall 1300 questionnaires were successfully delivered and 1034 responses received (response rate of 79.5%). Three hundred sixty-eight males (35.6%) and six hundred sixty-six females (64.4%) participated in our study. The prevalence of burnout was 50.8% (525/1034) in this study population (mean score 2.74 ± 0.33). Logistic regression analysis showed that female gender [OR = 2.380, 95% CI: 1.731 to 2.554], first workplace [OR = 1.891, 95% CI: 1.582 to 2.162] and working more than 30 years [OR = 1.901, 95% CI: 1.608 to 2.326] have significantly increased the likelyhood of burnout as well as the history of muscoskeletal pain [OR = 1.156, 95% CI: 1.009 to1.342], current quality of life [OR = 1.602, 95% CI: 1.473 to 1.669] and the presence of sleep disturbance [OR = 1.289, 95% CI: 1.066 to 1.716]. CONCLUSION This is the first study in Hungary to investigate the prevalence of burnout among postal workers and to explore the relationship between burnout and mental health problems. Our study underlines the clinical importance of burnout and draws attention to the need for appropriate prevention and treatment strategies.
Collapse
Affiliation(s)
- Miklós Kovács
- grid.9679.10000 0001 0663 9479Centre for Occupational Medicine, Medical School, University of Pécs, 7624 Pecs, Hungary
| | - György Muity
- Harkany Spa and Thermal Center, Harkány, 7815 Hungary
| | - Ádám Szapáry
- grid.9679.10000 0001 0663 9479Centre for Occupational Medicine, Medical School, University of Pécs, 7624 Pecs, Hungary
| | - Zsolt Nemeskéri
- grid.9679.10000 0001 0663 9479Faculty of Cultural Sciences, Education and Regional Development, University of Pécs, 7633 Pecs, Hungary
| | - Imre Váradi
- grid.9679.10000 0001 0663 9479Centre for Occupational Medicine, Medical School, University of Pécs, 7624 Pecs, Hungary
| | - Krisztián Kapus
- grid.9679.10000 0001 0663 9479Centre for Occupational Medicine, Medical School, University of Pécs, 7624 Pecs, Hungary
| | - Antal Tibold
- grid.9679.10000 0001 0663 9479Centre for Occupational Medicine, Medical School, University of Pécs, 7624 Pecs, Hungary
| | - Nikoletta Magyar Zalayné
- grid.9679.10000 0001 0663 9479Centre for Occupational Medicine, Medical School, University of Pécs, 7624 Pecs, Hungary
| | - Lilla Horvath
- grid.9679.10000 0001 0663 9479Centre for Occupational Medicine, Medical School, University of Pécs, 7624 Pecs, Hungary
| | - Gergely Fehér
- grid.9679.10000 0001 0663 9479Centre for Occupational Medicine, Medical School, University of Pécs, 7624 Pecs, Hungary ,grid.9679.10000 0001 0663 9479Department of Primary Health Care, University of Pécs, 7623 Pecs, Hungary
| |
Collapse
|
6
|
Crudden G, Margiotta F, Doherty AM. Physician burnout and symptom of anxiety and depression: Burnout in Consultant Doctors in Ireland Study (BICDIS). PLoS One 2023; 18:e0276027. [PMID: 36943827 PMCID: PMC10030015 DOI: 10.1371/journal.pone.0276027] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Accepted: 02/08/2023] [Indexed: 03/23/2023] Open
Abstract
BACKGROUND Burnout is a work related syndrome comprising three major dimensions: emotional exhaustion, depersonalisation and reduced professional efficacy. It is recognised that burnout may be associated with psychopathological sequelae, such as symptoms of anxiety and depression. AIMS This study aimed to examine the relationship between burnout and symptoms of depression and anxiety in senior doctors in Ireland. We examined personality traits as a mediating factor on burnout, in relation to work related stress among the participants. METHODS This study was a national cross sectional survey of consultants. Data included basic demographic data, work-related data, burnout as measured by the Maslach Burnout Inventory, personality traits, and symptoms of depression and anxiety from the Depressive Anxiety Stress Scale [DASS]. RESULTS Results were obtained from 477 consultants, yielding a response rate 21.9%. Nearly half (42%) reported high burnout levels. Over one-quarter (25.8%) screened positive for depression and 13.8% for anxiety. After controlling for gender and age, depressive symptoms were associated with high levels of emotional exhaustion (p<0.001) and a higher clinical workload, and stress with cynicism and reduced professional efficacy (p<0.001). CONCLUSIONS The this study reported a high level of work-related burnout, associated with symptoms of depression and anxiety in senior doctors. This is concerning, and strategies are required that consider the relationship between symptoms of depression/anxiety and burnout. Further research to evaluate strategies to ensure physician wellbeing and optimal delivery of patient care are required to address this serious problem.
Collapse
Affiliation(s)
- Genevieve Crudden
- Department of Liaison Psychiatry, Mater Misericordiae University Hospital, Dublin, Ireland
- Department of Psychiatry, University College Dublin, Dublin, Ireland
| | - Fabio Margiotta
- Department of Psychiatry, Townsville University Hospital, Queensland, Australia
| | - Anne M Doherty
- Department of Liaison Psychiatry, Mater Misericordiae University Hospital, Dublin, Ireland
- Department of Psychiatry, University College Dublin, Dublin, Ireland
| |
Collapse
|
7
|
Santana AIC, das Merces MC, de Souza MC, de Carvalho Lima BG, Galdino MJQ, de Carvalho Félix ND, Magalhães LBNC, Coelho JMF, Barbosa PJB, Dias Gomes ÉV, Pimentel RFW, de Sousa AR, de Oliveira MAF, de Queiroz AM, Florencio RMS, Cavalcante Neto JL, Gomes AMT, Souza Santos TB, Vieira SL, de Sousa DG, da Silva Thiengo de Andrade PC, de Negreiros Nogueira Maduro IP, Fernandes SL, Damasceno KSM, da Silva DAR, D'Oliveira Júnior A. Interaction between Work and Metabolic Syndrome: A Population-Based Cross-Sectional Study. Healthcare (Basel) 2022; 10:544. [PMID: 35327022 PMCID: PMC8953470 DOI: 10.3390/healthcare10030544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Revised: 02/22/2022] [Accepted: 03/11/2022] [Indexed: 11/16/2022] Open
Abstract
Metabolic syndrome (MS) is a clinical condition and a relevant risk factor in the development of cardiovascular diseases; it occurs as a result of lifestyle factors, e.g., work. The aim of this research was to estimate the interaction between work and MS among primary health care (PHC) nursing professionals in the state of Bahia, Brazil. A sectional multicentered study carried out in 43 municipalities in Bahia, whose study population consisted of nursing professionals. The exposure variables were occupation, professional exhaustion, and working time, and the outcome variable was MS. Interaction measures based on the additivity criteria were verified by calculating the excess risks due to the interactions and according to the proportion of cases attributed to the interactions and the synergy index. The global MS prevalence is 24.4%. There was a greater magnitude in the exposure group regarding the three investigated factors (average level occupation, professional exhaustion, and working time in PHC for more than 5 years), reaching an occurrence of 44.9% when compared to the prevalence of 13.1% in the non-exposure group (academic education, without professional burnout, and working time in PHC for up to 5 years). The study's findings showed a synergistic interaction of work aspects for MS occurrence among PHC nursing professionals.
Collapse
Affiliation(s)
- Amália Ivine Costa Santana
- Health Sciences Postgraduate Program, School of Medicine, Federal University of Bahia (UFBA), Salvador 40026-010, Bahia, Brazil
| | - Magno Conceição das Merces
- Health Sciences Postgraduate Program, School of Medicine, Federal University of Bahia (UFBA), Salvador 40026-010, Bahia, Brazil
- Department of Life Sciences, State University of Bahia (UNEB), Salvador 41150-000, Bahia, Brazil
- FTC University Center (UniFTC), Federal University of Bahia (UFBA), Salvador 41741-590, Bahia, Brazil
| | - Marcio Costa de Souza
- Department of Life Sciences, State University of Bahia (UNEB), Salvador 41150-000, Bahia, Brazil
| | - Bruno Gil de Carvalho Lima
- FTC University Center (UniFTC), Federal University of Bahia (UFBA), Salvador 41741-590, Bahia, Brazil
- Department of Pathology and Forensic Medicine, School of Medicine, Federal University of Bahia (UFBA), Salvador 40026-010, Bahia, Brazil
| | - Maria José Quina Galdino
- Department of Nursing, State University of Northern Paraná (UENP), Bandeirantes 86360-000, Paraná, Brazil
| | - Nuno Damácio de Carvalho Félix
- Health Sciences Center, Federal University of Recôncavo of Bahia (UFRB), Santo Antônio de Jesus 44574-490, Bahia, Brazil
| | - Lucelia Batista Neves Cunha Magalhães
- FTC University Center (UniFTC), Federal University of Bahia (UFBA), Salvador 41741-590, Bahia, Brazil
- Department of Family Health, School of Medicine, Federal University of Bahia (UFBA), Salvador 40026-010, Bahia, Brazil
| | | | | | - Érica Velasco Dias Gomes
- Department of Life Sciences, State University of Bahia (UNEB), Salvador 41150-000, Bahia, Brazil
| | - Rodrigo Fernandes Weyll Pimentel
- Health Sciences Postgraduate Program, School of Medicine, Federal University of Bahia (UFBA), Salvador 40026-010, Bahia, Brazil
- Department of Life Sciences, State University of Bahia (UNEB), Salvador 41150-000, Bahia, Brazil
- Brazilian Association of Nutrition (ABRAN), Catanduva 15801-150, São Paulo, Brazil
| | - Anderson Reis de Sousa
- School of Nursing, Federal University of Bahia (UFBA), Salvador 40231-300, Bahia, Brazil
| | | | | | | | | | - Antonio Marcos Tosoli Gomes
- School of Nursing, State University of Rio de Janeiro (UERJ), Rio de Janeiro 20551-030, Rio de Janeiro, Brazil
| | | | - Silvana Lima Vieira
- Department of Life Sciences, State University of Bahia (UNEB), Salvador 41150-000, Bahia, Brazil
| | | | | | - Isolda Prado de Negreiros Nogueira Maduro
- Brazilian Association of Nutrition (ABRAN), Catanduva 15801-150, São Paulo, Brazil
- Department of Clinical Nutrition, State University of Amazonas (UEA), Manaus 69850-000, Amazonas, Brazil
| | | | - Kairo Silvestre Meneses Damasceno
- Health Sciences Postgraduate Program, School of Medicine, Federal University of Bahia (UFBA), Salvador 40026-010, Bahia, Brazil
- Department of Life Sciences, State University of Bahia (UNEB), Salvador 41150-000, Bahia, Brazil
| | | | - Argemiro D'Oliveira Júnior
- Health Sciences Postgraduate Program, School of Medicine, Federal University of Bahia (UFBA), Salvador 40026-010, Bahia, Brazil
| |
Collapse
|
8
|
Zhou AY, Hann M, Panagioti M, Patel M, Agius R, Van Tongeren M, Esmail A, Bower P. Cross-sectional study exploring the association between stressors and burnout in junior doctors during the COVID-19 pandemic in the United Kingdom. J Occup Health 2022; 64:e12311. [PMID: 35025106 PMCID: PMC8757574 DOI: 10.1002/1348-9585.12311] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Revised: 11/26/2021] [Accepted: 12/19/2021] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVES This study aims to develop a comprehensive list of stressors relevant to junior doctors and will also report findings exploring the associations between burnout and stressors, which include work and non-work-related stressors as well as pandemic-related stressors. METHODS An anonymous online questionnaire was sent to 1000 randomly selected junior doctors in the North-West of England. The questionnaire included 37 questions on general and pandemic-specific stressors, and the Maslach Burnout Inventory Health Services Survey. The main outcomes of interest were junior doctor ratings of stressors and scores for burnout (emotional exhaustion [EE], depersonalisation [DP], and personal accomplishment [PA]). Stepwise regression analysis was undertaken to assess associations between stressors and burnout. RESULTS In total, 326 responses were collected (response rate = 33%). Of the top 10 stressors rated by junior doctors, 60% were related to the pandemic. Multiple stressors were found to be associated with the burnout dimensions. Fatigue (β = .43), pandemic-related workload increase (β = .33), and feeling isolated (β = .24) had the strongest associations with EE, whereas fatigue (β = .21), uncertainty around COVID-19 information (β = .22) and doing unproductive tasks (β = .17) had the strongest associations with DP. Working beyond normal scope due to COVID-19 (β = -.26), not confident in own ability (β = -.24) and not feeling valued (β = -.20) were found to have the strongest associations with PA. CONCLUSIONS Junior doctors experience a combination of general stressors and additional stressors emerging from the pandemic which significantly impact burnout. Monitoring these stressors and targeting them as part of interventions could help mitigating burnout in junior doctors.
Collapse
Affiliation(s)
- Anli Yue Zhou
- Division of Population Health, Health Services Research & Primary Care, National Institute for Health Research School for Primary Care Research, University of Manchester, Manchester, UK.,Division of Population Health, Health Services Research & Primary Care, Centre for Occupational and Environmental Health, University of Manchester, Manchester, UK
| | - Mark Hann
- Division of Population Health, Health Services Research & Primary Care, Centre for Biostatistics, University of Manchester, Manchester, UK
| | - Maria Panagioti
- Division of Population Health, Health Services Research & Primary Care, National Institute for Health Research School for Primary Care Research, University of Manchester, Manchester, UK
| | | | - Raymond Agius
- Division of Population Health, Health Services Research & Primary Care, Centre for Occupational and Environmental Health, University of Manchester, Manchester, UK
| | - Martie Van Tongeren
- Division of Population Health, Health Services Research & Primary Care, Centre for Occupational and Environmental Health, University of Manchester, Manchester, UK
| | - Aneez Esmail
- Division of Population Health, Health Services Research & Primary Care, National Institute for Health Research School for Primary Care Research, University of Manchester, Manchester, UK
| | - Peter Bower
- Division of Population Health, Health Services Research & Primary Care, National Institute for Health Research School for Primary Care Research, University of Manchester, Manchester, UK
| |
Collapse
|
9
|
Health-related attitudes, behaviors and burnout in intern medical officers and their effects on self-reported patient care in a developing country. Ir J Med Sci 2022; 191:2449-2455. [PMID: 34993835 PMCID: PMC8739003 DOI: 10.1007/s11845-021-02874-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Accepted: 11/29/2021] [Indexed: 11/17/2022]
Abstract
Background Intern Medical Officers (IMOs) in Sri Lanka face significant challenges due to heavy patient load and scarcity of resources. Aims To assess IMOs' level of burnout, associated factors and the effects on self-reported patient care in comparison to post-intern Relief House Officers (RHOs). Methods A descriptive cross-sectional study was conducted among IMOs and RHOs in two leading tertiary care hospitals in Sri Lanka. The level of burnout was assessed using Maslach Burnout Index. The self-reported health-related attitudes, practices, level of burnout, and their associations with patient care were compared between IMOs and RHOs. Results We studied 114 participants (70 (61.4%) IMOs and 44 (38.6%) RHOs). IMOs were not involved in regular exercises (χ2(1) = 19.8, p = 0.000), skipped meals frequently (χ2(1) = 29.3, p = 0.000), and had a poor sleep quality (χ2(1) = 35.7, p = 0.000) compared to RHOs. Overall, 46.5%, 95.5%, and 86.7% of the participants were having moderate-to-high emotional exhaustion, depersonalization, and sense of poor personal achievement. The exhaustion and depersonalization levels were significantly higher among IMOs. Emotional exhaustion was significantly associated with poor sleep (U = 923.0, p = 0.014). Self-reported patient care negatively correlated with exhaustion (rs(112) = − 0.263, p = 0.005) and depersonalization (rs(112) = − 0.491, p = 0.000), while having positive attitudes correlated with better patient care (rs(112) = 0.208, p = 0.027). Conclusions The prevalence of burnout in IMOs in Sri Lanka is high, which, in turn, negatively correlates with patient care. IMOs face significant challenges in self-care, while their poor sleep perturbs daytime activities and conceivably interferes with patient care. Therefore, we recommend introduction of preventive measures to mitigate burnout in early-career physicians, particularly IMOs, to improve both self and patient care. Supplementary information The online version contains supplementary material available at 10.1007/s11845-021-02874-y.
Collapse
|
10
|
Vinnikov D, Romanova Z, Ussatayeva G, Tulekov Z, Dushimova Z, Khussainova I, Dushpanova A. Occupational burnout in oncologists in Kazakhstan. Occup Med (Lond) 2021; 71:375-380. [PMID: 34458908 DOI: 10.1093/occmed/kqab121] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
BACKGROUND Although burnout levels in oncologists are likely high, its predictors remain poorly understood. AIMS This study was aimed to verify the prevalence of occupational burnout in oncology doctors and nurses in the major cancer centre in Kazakhstan and to elucidate its predictors to plan future prevention activities. METHODS In the leading tertiary-level cancer centre in Kazakhstan, we recruited 256 subjects (67% doctors and 33% nurses, 62% women, median age 37.5 [interquartile range 15] years) and offered them Maslach Burnout Inventory to quantify emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA). Demographics, fatigue, health-related quality of life with SF-8 and lifestyle were tested as predictors of burnout in multivariate logistic regression models. RESULTS Number of subjects with high EE was 121 (47%), high DP was 161 (63%) and high PA was 152 (59%). Fatigue, worse mental component score (MCS), being single and not exercising regularly predicted more burnout in EE. Fatigue, worse physical component score (PCS) and worse MCS predicted more burnout in DP. Finally, more burnout in PA was independently associated with fatigue, worse PCS, being married or divorced and having a university or academic degree. CONCLUSIONS The prevalence of occupational burnout in oncologists was high, necessitating early burnout prevention programmes, addressing, among other, fatigue reduction and regular exercise.
Collapse
Affiliation(s)
- D Vinnikov
- School of Public Health, al-Farabi Kazakh National University, Almaty, Kazakhstan.,Peoples' Friendship University of Russia (RUDN University), Moscow, Russian Federation
| | - Z Romanova
- School of Public Health, al-Farabi Kazakh National University, Almaty, Kazakhstan
| | - G Ussatayeva
- School of Public Health, al-Farabi Kazakh National University, Almaty, Kazakhstan
| | - Z Tulekov
- School of Public Health, al-Farabi Kazakh National University, Almaty, Kazakhstan
| | - Z Dushimova
- Kazakh Institute of Oncology and Radiology, Almaty, Kazakhstan
| | - I Khussainova
- Kazakh Institute of Oncology and Radiology, Almaty, Kazakhstan
| | - A Dushpanova
- School of Public Health, al-Farabi Kazakh National University, Almaty, Kazakhstan.,Scuola Superiore Sant'Anna, Pisa, Italy
| |
Collapse
|
11
|
Slabšinskienė E, Gorelik A, Kavaliauskienė A, Zaborskis A. Burnout, lifestyle and relaxation among dentists in Lithuania: a cross-sectional study. BMC Health Serv Res 2021; 21:1098. [PMID: 34654421 PMCID: PMC8520307 DOI: 10.1186/s12913-021-07074-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Accepted: 09/22/2021] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND The aim of this study was to estimate the association of burnout level with lifestyle and relaxation among dentists in Lithuania. A better understanding of this association could help in the development of targeted interventions to prevent burnout among these professionals. METHODS The survey was conducted among practising dentists (N = 380) using the Maslach Burnout Inventory (MBI) and an authors' proposed scale to measure lifestyle and relaxation. Poisson regression was applied to examine the association between variables. RESULTS Regular cigarette smoking among dentists in Lithuania was 16.8 % and alcohol consumption was 31.3 %. Some forms of active relaxation were also common: regular playing sports (57.9 %), and spending time in nature (61.4 %). Emotional exhaustion (EE) and depersonalization (DP) burnout dimensions were negatively related to the regular use of illegal substances, alcohol, medication and smoking, while personal achievement (PA) was negatively related to smoking only. Dentists who regularly exercised had significantly lower EE and DP sum scores, and better assessments of PA. There were also positive relationships of EE, DP and PA sum scores with the variables of relaxation (e.g., spending time with family or friends, visiting a theatre, engaging in art, listening to music). CONCLUSIONS It was concluded that the burnout dimensions are negatively associated with unhealthy lifestyle factors and positively associated with active relaxation among dentists in Lithuania. Therefore, burnout prevention should target specific lifestyle and relaxation improvement strategies.
Collapse
Affiliation(s)
- Eglė Slabšinskienė
- Medical Academy, Faculty of Odontology, Department of Oral Health and Pediatric Dentistry, Lithuanian University of Health Sciences, Kaunas, Lithuania.
- Academy of Medicine, Faculty of Odontology, Department of Oral Health and Pediatric Dentistry, Lithuanian University of Health Sciences, J.Luksos-Daumanto street, 6, LT-50106, Kaunas, Lithuania.
| | - Andrej Gorelik
- Medical Academy, Faculty of Odontology, Department of Oral Health and Pediatric Dentistry, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Aistė Kavaliauskienė
- Medical Academy, Faculty of Odontology, Department of Orthodontics, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Apolinaras Zaborskis
- Medical Academy, Faculty of Public Health, Department of Preventive Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania
| |
Collapse
|
12
|
Abstract
Background and aims The COVID‐19 pandemic represents a source of stress and potential burnout for many physicians. This single‐site survey aimed at assessing perceived stress and risk to develop burnout syndrome among physicians operating in COVID wards. Methods This longitudinal survey evaluated stress and burnout in 51 physicians operating in the COVID team of Gemelli Hospital, Italy. Participants were asked to complete the Maslach Burnout Inventory (MBI) and the Perceived Stress Questionnaire on a short run (PSQs) (referring to the past 7 days) at baseline (T0) and then for four weeks (T1‐T4). Perceived Stress Questionnaire on a long run (PSQl) (referring to the past 2 years) was completed only at T0. Results Compared with physicians board‐certified in internal medicine, those board‐certified in other disciplines showed higher scores for the Emotional Exhaustion (EE) score of the MBI scale (P < .001). Depersonalisation (DP) score showed a reduction over time (P = .002). Attending physicians scored lower than the resident physicians on the DP scale (P = .048) and higher than resident physicians on the Personal Accomplishment (PA) scale (P = .04). PSQl predicted higher scores on the EE scale (P = .003), DP scale (P = .003) and lower scores on the PA scale (P < .001). PSQs showed a reduction over time (P = .03). Attending physicians had a lower PSQs score compared with the resident physicians (P = .04). Conclusions Medical specialty and clinical position could represent risk factors for the development of burnout in a COVID team. In these preliminary results, physicians board‐certified in internal medicine showed lower risk of developing EE during the entire course of the study.
Collapse
|
13
|
Vafaeezadeh M, Behnam H, Hosseinsabet A, Gifani P. A deep learning approach for the automatic recognition of prosthetic mitral valve in echocardiographic images. Comput Biol Med 2021; 133:104388. [PMID: 33864972 DOI: 10.1016/j.compbiomed.2021.104388] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2021] [Revised: 04/06/2021] [Accepted: 04/06/2021] [Indexed: 10/21/2022]
Abstract
The first step in the automatic evaluation of the cardiac prosthetic valve is the recognition of such valves in echocardiographic images. This research surveyed whether a deep convolutional neural network (DCNN) could improve the recognition of prosthetic mitral valve in conventional 2D echocardiographic images. An efficient intervention to decrease the misreading rate of the prosthetic mitral valve is required for non-expert cardiologists. This intervention could serve as a section of a fully-automated analysis chain, alleviate the cardiologist's workload, and improve precision and time management, especially in an emergent situation. Additionally, it might be suitable for pre-labeling large databases of unclassified images. We, therefore, introduce a large publicly-available annotated dataset for the purpose of prosthetic mitral valve recognition. We utilized 2044 comprehensive non-stress transthoracic echocardiographic studies. Totally, 1597 patients had natural mitral valves and 447 patients had prosthetic valves. Each case contained 1 cycle of echocardiographic images from the apical 4-chamber (A4C) and the parasternal long-axis (PLA) views. Thirteen versions of the state-of-the-art models were independently trained, and the ensemble predictions were performed using those versions. For the recognition of prosthetic mitral valves from natural mitral valves, the area under the receiver-operating characteristic curve (AUC) made by the deep learning algorithm was similar to that made by cardiologists (0.99). In this research, EfficientNetB3 architecture in the A4C view and the EfficientNetB4 architecture in the PLA view were the best models among the other pre-trained DCNN models.
Collapse
Affiliation(s)
- Majid Vafaeezadeh
- Biomedical Engineering Department, Iran University of Science and Technology, Tehran, Iran
| | - Hamid Behnam
- Biomedical Engineering Department, Iran University of Science and Technology, Tehran, Iran.
| | - Ali Hosseinsabet
- Cardiology Department, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Parisa Gifani
- Medical Sciences and Technologies Department,Science and Research Branch, Islamic Azad University, Tehran, Iran
| |
Collapse
|
14
|
Sun X, Zhang L, Zhang C, Liu J, Ge H. The status of job burnout and its influence on the working ability of copper-nickel miners in Xinjiang, China. BMC Public Health 2020; 20:305. [PMID: 32156269 PMCID: PMC7065317 DOI: 10.1186/s12889-020-8245-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2019] [Accepted: 01/20/2020] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND Job burnout is increasingly common among occupational groups, and it is evolving into a new occupationally harmful phenomenon. The purpose of this study was to investigate the status of job burnout and its influence on the working ability of copper-nickel miners in Xinjiang, China, and to provide a theoretical basis for alleviating job burnout and improving the working ability of copper and nickel miners. METHODS A cross-sectional survey was carried out in June 2017 to September 2018 in Hami City, Xinjiang Autonomous Uygur Region, China. According to the main production process stratification of copper-nickel ore (mining unit, beneficiation unit, smelting unit), a self-administered questionnaire survey on the general situation of miners was conducted on the basis of the Chinese Maslach Burnout Inventory and Work Ability Index Questionnaire among 1400 miners registered in the human resources department of copper and nickel mines by stratified cluster sampling. RESULTS There were 1014 miners with different degrees of burnout, accounting for 80.86% of the total: 432 people reported mild burnout (34.45%), 516 reported moderate burnout (41.15%), and 66 reported high burnout (5.26%). There were significant differences in the degree of burnout according to sex, age, education level, monthly income, and work unit (p < 0.05). The level of male burnout was higher than that of females. Miners aged 35-40 years, with a high-school education, a monthly income of less than 2500 yuan, and who belonged to the smelting unit had the highest job burnout.There were significant differences in working ability among miners with different burnout level (p < 0.01). Partial correlation analysis showed that work ability was negatively correlated with emotional exhaustion, reduced sense of achievement, and total burnout score (p < 0.001). Multinomial logistic regression analyses showed that the education level, professional title,work units and job burnout level had a pronounced impact on the working ability of miners (p < 0.001); The reduced level of education, primary title, smelting unit, and the increase in job burnout are risk factors for the reduction of working ability. CONCLUSIONS Our results indicate that job burnout is common among copper and nickel miners. Furthermore, working ability decreases with an increase in job burnout, and reducing job burnout can improve the working ability of copper and nickel miners.
Collapse
Affiliation(s)
- Xuemei Sun
- Department of Public Health, Xinjiang Medical University, Urumqi, 830011, China
| | - Li Zhang
- Human Resource Department, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, 830011, China
| | - Chen Zhang
- Department of Public Health, Xinjiang Medical University, Urumqi, 830011, China
| | - Jiwen Liu
- Department of Public Health, Xinjiang Medical University, Urumqi, 830011, China.
| | - Hua Ge
- Department of Public Health, Xinjiang Medical University, Urumqi, 830011, China.
| |
Collapse
|
15
|
Xia L, Jiang F, Rakofsky J, Zhang Y, Zhang K, Liu T, Liu Y, Liu H, Tang YL. Cigarette Smoking, Health-Related Behaviors, and Burnout Among Mental Health Professionals in China: A Nationwide Survey. Front Psychiatry 2020; 11:706. [PMID: 32765329 PMCID: PMC7379885 DOI: 10.3389/fpsyt.2020.00706] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Accepted: 07/06/2020] [Indexed: 01/01/2023] Open
Abstract
OBJECTIVES Mental health professionals (MHPs) play an important role in treating patients with nicotine addiction. However, data on MHPs' cigarette smoking habits are scarce. This survey aimed to collect such data and to examine the correlates of smoking among MHPs working in China. METHODS A cross-sectional survey was conducted in all 41 provincial, tertiary psychiatric hospitals, and MHPs from these hospitals were targeted. An anonymous questionnaire was designed to collect socio-demographic and occupational factors, and the Maslach Burnout Inventory-Human Service Survey was used to assess burnout. Data about smoking and other health behaviors were also collected. RESULTS In total, 13,614 MHPs were included in the analysis. The overall rate of current smoking was 8.6% (31.3% in males, and 1.1% in females). A substantial proportion (28.0%) of life-time smokers had abstained for more than 3 months. Those who were male (OR=37.73), older (OR=1.02), divorced or widowed (OR=1.72), working in West (OR=1.45), and Northeast China (OR=1.65), were nurses (OR=1.44), had a high income (OR=1.31), experienced burnout (OR=1.29), frequent insomnia (OR=1.39), and used alcohol (OR=2.76) were significantly more likely to be smokers, while those who had a higher level of education (OR=0.67, 0.47, and 0.43 for college, master, and doctorate degrees, respectively), and exercised regularly (OR=0.73) were significantly less likely to be smokers. CONCLUSION Although lower than that of the general population in China, smoking is still relatively high among MPHs. Efforts to lower smoking rates among MHPs in China should continue and should incorporate strategies that target burnout, sleep, alcohol use, exercise and other factors associated with smoking.
Collapse
Affiliation(s)
- Lei Xia
- Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, China.,Department of Psychiatry, Anhui Psychiatric Center, Anhui Medical University, Hefei, China
| | - Feng Jiang
- Public Health School, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.,Research Center for Public Health, Tsinghua University, Beijing, China
| | - Jeffrey Rakofsky
- Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, United States
| | - Yulong Zhang
- Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, China.,Department of Psychiatry, Anhui Psychiatric Center, Anhui Medical University, Hefei, China
| | - Kai Zhang
- Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, China.,Department of Psychiatry, Anhui Psychiatric Center, Anhui Medical University, Hefei, China
| | - Tingfang Liu
- Institute for Hospital Management of Tsinghua University, Beijing, China
| | - Yuanli Liu
- Public Health School, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Huanzhong Liu
- Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, China.,Department of Psychiatry, Anhui Psychiatric Center, Anhui Medical University, Hefei, China
| | - Yi-Lang Tang
- Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, United States.,Atlanta Veterans Affairs Medical Center, Decatur, GA, United States
| |
Collapse
|
16
|
Lin YL, Chen CH, Chu WM, Hu SY, Liou YS, Yang YC, Tsan YT. Modifiable risk factors related to burnout levels in the medical workplace in Taiwan: cross-sectional study. BMJ Open 2019; 9:e032779. [PMID: 31740474 PMCID: PMC6887028 DOI: 10.1136/bmjopen-2019-032779] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Abstract
OBJECTIVES To detect the combined effects of lifestyle factors on work-related burnout (WB) and to analyse the impact of the number of weekend catch-up sleep hours on burnout risk in a medical workplace. DESIGN Cross-sectional study. SETTING Hospital-based survey in Taiwan. PARTICIPANTS In total, 2746 participants completed the hospital's Overload Health Control System questionnaire for the period from the first day of January 2016 to the end of December 2016, with a response rate of 70.5%. The voluntary participants included 358 physicians, 1406 nurses, 367 medical technicians and 615 administrative staff. PRIMARY AND SECONDARY OUTCOME MEASURES All factors that correlated significantly with WB were entered into a multinomial logistic regression after adjustment for other factors. The dose-response relationship of combined lifestyle factors and catch-up sleep hours associated with WB was explored by logistic regression. RESULTS Abnormal meal time (adjusted OR 2.41, 95% CI 1.85 to 3.15), frequently eating out (adjusted OR 1.49, 95% CI 1.12 to 1.97), lack of sleep (adjusted OR 5.13, 95% CI 3.94 to 6.69), no exercise (adjusted OR 1.41, 95% CI 1.10 to 1.81) and >40 work hours (adjusted OR 2.72, 95% CI 2.08-3.57) were independently associated with WB (for high level compared with low level). As the number of risk factors increased (1-5), so did the proportion of high severity of WB (adjusted OR 1.39, 95% CI 0.45 to 4.27, to adjusted OR 32.98, 95% CI 10.78 to 100.87). For those with more than 7 hours' sleep on workdays, weekend catch-up sleep (≤0/>0 and ≤2/>2 hours) was found to be related to an increase of burnout risk (adjusted OR 4.91, 95% CI 2.24 to 10.75/adjusted OR 4.94, 95% CI 2.54 to 9.63/adjusted OR 6.74, 95% CI 2.94 to 15.46). CONCLUSION WB in the medical workplace was affected by five unhealthy lifestyle factors, and combinations of these factors were associated with greater severity of WB. Weekend catch-up sleep was correlated with lower burnout risk in those with a short workday sleep duration (less than 7 hours). Clinicians should pay particular attention to medical staff with short sleep duration without weekend catch-up sleep.
Collapse
Affiliation(s)
- Yu-Li Lin
- Department of Family Medicine, Taichung Veterans General Hospital, Taichung, Taiwan
| | - Cing-Hua Chen
- Department of Nursing and Occupational Safety and Health Office, Taichung Veterans General Hospital, Taichung, Taiwan
| | - Wei-Min Chu
- Division of Occupational Medicine, Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan
- Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan
| | - Sung-Yuan Hu
- Division of Occupational Medicine, Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan
- Department of Nursing, College of Health, National Taichung University of Science and Technology, Taichung, Taiwan
| | - Yi-Sheng Liou
- Department of Family Medicine, Taichung Veterans General Hospital, Taichung, Taiwan
- School of Public Health, National Defense Medical Center, Taipei, Taiwan
| | - Yi-Chien Yang
- Department of Neurology, China Medical University Hospital, Taichung, Taiwan
| | - Yu-Tse Tsan
- Division of Occupational Medicine, Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan
- School of Medicine, Chung Shan Medical University, Taichung, Taiwan
| |
Collapse
|