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Shang Y, Su Q, Ma R, Chen M, Zhao Z, Yao C, Han L, Yao Z, Hu B. Functional Connectome Hierarchy Distortions in Female Nurses With Occupational Burnout and Its Gene Expression Signatures. J Magn Reson Imaging 2024; 59:2124-2136. [PMID: 37728385 DOI: 10.1002/jmri.28985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Revised: 08/13/2023] [Accepted: 08/14/2023] [Indexed: 09/21/2023] Open
Abstract
BACKGROUND Burnout has become a serious public health issue worldwide, particularly during the COVID-19 pandemic. Functional connectome impairments associated with occupational burnout were widely distributed, involving both low-level sensorimotor cortices and high-level association cortices. PURPOSE To investigate whether there are hierarchical perturbations in the functional connectomes and if these perturbations are potentially influenced by genetic factors in nurses who feel "burned out." STUDY TYPE Prospective, case control. POPULATION Thirty-three female nurses with occupational burnout (aged 27-40, 32.42 ± 3.37) and 32 matched nurses who were not feeling burned out (aged 27-42, 32.50 ± 4.21). FIELD STRENGTH/SEQUENCE 3.0 T, gradient-echo echo-planar imaging sequence (GE-EPI). ASSESSMENT Gradient-based techniques were used to depict the perturbations in the multi-dimensional hierarchical structure of the macroscale connectome. Gene expression data were acquired from the Allen Human Brain Atlas. STATISTICAL TESTS Cortex-wide multivariate analyses were used for between-group differences in gradients as well as association analyses between the hierarchy distortions and the MBI score (FDR corrected). Partial least squares, spin test and bootstrapping were utilized together to select the gene sets (FDR corrected). Gene enrichment analyses (GO, KEGG and cell-type) were further performed. Significance level: P < 0.05. RESULTS There were significant gradient distortions, with strong between-group effects in the somatosensory network and moderate effects in the higher-order default-mode network, which were significantly correlated with the gene expression profiles (r = 0.3171). The most related genes were broadly involved in the cellular response to minerals, neuronal plasticity, and the circadian rhythm pathway (q value < 0.01). Significant enrichments were found in excitatory (r = 0.2588), inhibitory neurons (r = 0.2610), and astrocytes cells (r = 0.2633). Regions affected by burnout severity were mainly distributed in the association and visual cortices. DATA CONCLUSION By connecting in vivo imaging to genes, cell classes, and clinical data, this study provides a framework to understand functional impairments in occupational burnout and how the microscopic genetic architecture drive macroscopic distortions. EVIDENCE LEVEL 1 TECHNICAL EFFICACY: Stage 2.
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Affiliation(s)
- Yingying Shang
- Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, Lanzhou, Gansu Province, China
| | - Qian Su
- Department of Nursing, Gansu Provincial Hospital, Lanzhou, Gansu Province, China
- The First Clinical Medical School, Lanzhou University, Lanzhou, Gansu Province, China
| | - Rong Ma
- Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, Lanzhou, Gansu Province, China
| | - Miao Chen
- Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, Lanzhou, Gansu Province, China
| | - Ziyang Zhao
- Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, Lanzhou, Gansu Province, China
| | - Chaofan Yao
- Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, Lanzhou, Gansu Province, China
| | - Lin Han
- Department of Nursing, Gansu Provincial Hospital, Lanzhou, Gansu Province, China
- The First Clinical Medical School, Lanzhou University, Lanzhou, Gansu Province, China
- School of Nursing, Lanzhou University, Lanzhou, Gansu Province, China
| | - Zhijun Yao
- Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, Lanzhou, Gansu Province, China
| | - Bin Hu
- Gansu Provincial Key Laboratory of Wearable Computing, School of Information Science and Engineering, Lanzhou University, Lanzhou, Gansu Province, China
- Joint Research Center for Cognitive Neurosensor Technology of Lanzhou University & Institute of Semiconductors, Chinese Academy of Sciences, Lanzhou, Gansu Province, China
- Engineering Research Center of Open Source Software and Real-Time System (Lanzhou University), Ministry of Education, Lanzhou, Gansu Province, China
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Liu M, Liu L, Lv Z, Ma F, Mao Y, Liu Y. Effects of burnout and work engagement in the relationship between self-efficacy and safety behaviours-A chained mediation modelling analysis. J Adv Nurs 2024; 80:1473-1483. [PMID: 37904573 DOI: 10.1111/jan.15925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Revised: 10/05/2023] [Accepted: 10/18/2023] [Indexed: 11/01/2023]
Abstract
AIMS To explore the current situation, influencing factors and pathways of safety behaviour of nurses in tumour specialized hospitals, in order to provide a theoretical basis for managers to manage and train nurses, improve their safety behaviour level and ensure medical safety. DESIGN An anonymous cross-sectional survey. METHOD A total of 2147 nurses from Grade A cancer hospitals in 15 provinces of China were selected by a convenient sampling method. Questionnaires were collected through the Questionnaire Star platform. Nurses' safety behaviour was measured using the nurse Safety Behaviour Scale, Self-efficacy by the General Self-efficacy Scale, and nurses' occupational burnout was measured by the occupational Burnout Scale, and work engagement through the the Work Engagement Scale. Structural equation modelling was used to test the relationship among nurses' safety behaviour, general self-efficacy, occupational burnout and work engagement. SPSS25.0 software was used to test the relationship among the safety behaviour of nurses, general self-efficacy, occupational burnout and work engagement. RESULTS The total score of safety behaviour of nurses was 55.45 ± 6.879, the total score of general self-efficacy was 31.39 ± 5.729, the total score of occupational burnout was 44.99 ± 26.587, and the total score of work engagement was 38.48 ± 13.433; the scores of the Nurse Safety Behaviour Scale, Self-Efficacy Scale, and Work Engagement Scale were positively correlated (all p < .001); the occupational burnout scale was negatively correlated with the scores of self-efficacy scale, work engagement scale and nurse safety behaviour scale (all p < .001); Structural equation model analysis shows that self-efficacy and work engagement have a direct positive impact on nurse safety behaviour(β = .103, β = .096, all p < .001); Occupational burnout has a direct negative impact on self-efficacy, work engagement and nurse safety behaviour(β = -.371, β = -.413, β = -.328 all p < .001). Bootstrap analysis showed that occupational burnout and job involvement had a significant chain mediating effect between self-efficacy and the safety behaviour of nurses (95% CI: 0.148-0.21). The total effect of self-efficacy on the safety behaviour of nurses was 0.283 (p < .001, 95% CI: 0.225-0.301), the direct effect was 0.096 (p < .001, 95% CI: 0.042-0.15), and the indirect effect was 0.179 (p < .001, 95% CI: 0.085-0.215), The mediating effect accounted for 63.3% of the total effect size. CONCLUSION Occupational burnout and work engagement play a partial mediating role between self-efficacy and nurse safety behaviour. It is necessary to strengthen training on nurse safety culture awareness, improve the nurse self-efficacy and work engagement, reduce nurse occupational burnout, and thereby improve the level of nurses' safety behaviour.
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Affiliation(s)
- Man Liu
- Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer (NCRCC), Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Lu Liu
- Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer (NCRCC), Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Zhuoheng Lv
- Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer (NCRCC), Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Fengyan Ma
- Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer (NCRCC), Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Yousheng Mao
- Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer (NCRCC), Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Yan Liu
- Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer (NCRCC), Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
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Alshurtan KS, Aldhaifi SY, Alshammari KA, Alodayli OM, Alqahtani KF, Aldhaifi SY. Burnout Syndrome Among Critical Care Health Providers in Saudi Arabia. J Multidiscip Healthc 2024; 17:843-854. [PMID: 38434482 PMCID: PMC10908335 DOI: 10.2147/jmdh.s452294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Accepted: 02/20/2024] [Indexed: 03/05/2024] Open
Abstract
Background Burnout Syndrome constitutes a critical concern in healthcare, particularly among practitioners operating in high-stress, critical care settings. Understanding the multifaceted factors contributing to burnout in this context is pivotal for devising effective interventions and promoting the well-being of critical care professionals. Objective To investigate the prevalence, contributing factors, and potential interventions related to Burnout Syndrome among critical care health providers in Saudi Arabia. Methods A cross-sectional research design was employed, gathering data from a sample of critical care health providers, including medical practitioners. A self-administered structured electronic questionnaire was used, incorporating the Maslach Burnout Inventory (MBI) with its three subscales: emotional exhaustion, depersonalization, and personal accomplishment. The target population was male and female critical care health providers over 18 years age, most participants lies between 25 years to 34 years. Results Statistical analysis shows significant disparities in response distribution (p<0.05), highlighting the importance of understanding encounters with emotional exhaustion, personal accomplishment, and depersonalization. The Durbin-Watson statistic indicated limited autocorrelation, and collinearity tolerance values suggested nominal intercorrelations among predictors. A significant positive correlation was found between the "Depersonalization Loss of Empathy MBI" factor and the outcome variables, indicating complex relationships between emotional exhaustion, personal accomplishment, and depersonalization. Conclusion The study highlights the multifaceted nature of burnout, revealing intricate relationships between emotional exhaustion, personal accomplishment, and depersonalization. These findings collectively form an important foundation for future guidelines and interventions to enhance the well-being of healthcare professionals.
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Affiliation(s)
- Kareemah Salem Alshurtan
- Department of Internal Medicine and Adult Critical Care, College of Medicine, University of Ha’il, Ha’il, Saudi Arabia
| | - Saad Yousef Aldhaifi
- Department of Internal Medicine and Adult Critical Care, College of Medicine, University of Ha’il, Ha’il, Saudi Arabia
| | - Khalid Abdulkarim Alshammari
- Department of Internal Medicine and Adult Critical Care, College of Medicine, University of Ha’il, Ha’il, Saudi Arabia
| | - Othman Mohammed Alodayli
- Department of Internal Medicine and Adult Critical Care, College of Medicine, University of Ha’il, Ha’il, Saudi Arabia
| | - Khalid Falah Alqahtani
- Department of Internal Medicine and Adult Critical Care, College of Medicine, University of Ha’il, Ha’il, Saudi Arabia
| | - Sarah Yousef Aldhaifi
- Department of Internal Medicine and Adult Critical Care, College of Medicine, University of Ha’il, Ha’il, Saudi Arabia
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Rodríguez-Nogueira Ó, Leirós-Rodríguez R, Pinto-Carral A, Álvarez-Álvarez MJ, Morera-Balaguer J, Moreno-Poyato AR. Relationship between competency for evidence-based practice and level of burnout of physical therapists with the establishment of the therapeutic relationship. Physiother Theory Pract 2024; 40:357-365. [PMID: 35972934 DOI: 10.1080/09593985.2022.2112638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Accepted: 08/06/2022] [Indexed: 10/15/2022]
Abstract
BACKGROUND Evidence-based practice (EBP) interventions and effective therapeutic alliance (TA) are associated with greater treatment success. Furthermore, burnout syndrome could be detrimental to the development of such TA. OBJECTIVE To examine the association between EBP competencies and burnout level with the quality of TA among Spanish physiotherapists. METHODS Cross-sectional research with an electronic survey including the EBP Questionnaire-19, Maslach Burnout Inventory and Working Alliance Inventory-Short (WAI-S) and administered to 471 physiotherapists. RESULTS Regarding the EBP Questionnaire-19, physiotherapists scored highest on attitude and lowest on knowledge. For WAIS which achieved appropriate results of internal consistency and validity in the sample analyzed, bond scored the highest and goals the lowest. Years of experience was significantly associated with the task (r = 0.5; p = .003) and bond (r = 0.7; p = .002) and the WAIS total score (r = 0.8; p < .001), and all burnout subscales (-0.7 < r > 0.7; p < .001 for all). CONCLUSION Lower levels of burnout and improved EBP competencies are associated with a TA of greater quality. The association between attitudes toward EBP, a higher level of self-confidence and a lower perception of depersonalization appear to be determinant factors for improving TA.
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Affiliation(s)
- Óscar Rodríguez-Nogueira
- SALBIS Research Group, Department of Nursing and Physiotherapy, Faculty of Health Sciences, Universidad de León, Leon, Spain
| | - Raquel Leirós-Rodríguez
- SALBIS Research Group, Department of Nursing and Physiotherapy, Faculty of Health Sciences, Universidad de León, Leon, Spain
| | - Arrate Pinto-Carral
- SALBIS Research Group, Department of Nursing and Physiotherapy, Faculty of Health Sciences, Universidad de León, Leon, Spain
| | - María José Álvarez-Álvarez
- SALBIS Research Group, Department of Nursing and Physiotherapy, Faculty of Health Sciences, Universidad de León, Leon, Spain
| | - Jaume Morera-Balaguer
- Physical Therapy Department, CEU Universities, Universidad Cardenal Herrera-CEU, Elche, Spain
| | - Antonio R Moreno-Poyato
- Department of Public Health, Mental Health and Maternal and Child Health Nursing, Faculty of Medicine and Health Sciences, Universitat de Barcelona, Feixa Llarga, Hospitalet del Llobregat, Spain
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Saintila J, Soriano-Moreno AN, Ramos-Vera C, Oblitas-Guerrero SM, Calizaya-Milla YE. Association between sleep duration and burnout in healthcare professionals: a cross-sectional survey. Front Public Health 2024; 11:1268164. [PMID: 38269387 PMCID: PMC10806404 DOI: 10.3389/fpubh.2023.1268164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Accepted: 12/18/2023] [Indexed: 01/26/2024] Open
Abstract
Background Short sleep duration in healthcare professionals is a recurring concern among researchers. On the other hand, the prevalence of burnout in this population group is experiencing exponential growth. Therefore, this study aimed to explore the association between sleep duration and burnout in healthcare professionals. Methods This is a cross-sectional study. Data were collected by applying a non-probabilistic convenience sampling, considering a sample of 300 healthcare professionals from the public sector in Peru. The association between variables was explored using multivariate logistic regression. Values of p < 0.05 were considered statistically significant. Results The results of the analysis in the crude models revealed that both men and women who slept < 7 h during workdays and days off were 8.33 (95% CI = 2.68-13.99, p = 0.004) and 17.18 (95% CI = 10.50-23.87, p < 0.001) times more likely to have burnout compared to those who reported ≥7 h, respectively. After adjusting for confounding variables, the association remained statistically significant. Conclusion The findings of this study underscore the critical importance of sleep duration in the incidence of burnout among healthcare professionals. In the context of the global challenges to the mental and physical health of these professionals, our results highlight the urgent need to implement strategies at the organizational and individual level. This includes promoting a better work-life balance, and effective stress management and improved sleep quality.
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Wang B, Bai Y, Wu S, Lin W, Guo J. Association between occupational burnout and psychological symptoms among Chinese medical staff: moderating role of social support. PSYCHOL HEALTH MED 2024:1-16. [PMID: 38166576 DOI: 10.1080/13548506.2023.2299666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/25/2023] [Accepted: 12/18/2023] [Indexed: 01/04/2024]
Abstract
This study aimed to examine the association between occupational burnout and psychological symptoms among Chinese medical staff, assuming social support to play a moderating role in the aforementioned relationship. The survey was conducted online from May 1 to June 28, 2022, and the questionnaires were distributed and retrieved through a web-based platform. The final sample was comprised of 1461 Chinese medical staff in this cross-sectional study. Several multiple linear regressions were performed to analyze the data. After controlling for potential confounding factors, all three dimensions of occupational burnout were associated with poorer psychological symptoms. Emotional exhaustion (β = 0.33; 95% confidence interval [CI], 1.018, 1.479) had the strongest association with psychological symptoms, followed by depersonalization and diminished personal accomplishment. Moreover, medical staff with higher levels of friend support (β = -0.11; 95% CI, -4.063, -0.573) and significant other support (β = -0.10; 95% CI, -3.965, -0.168) were less likely to suffer from psychological symptoms when faced with occupational burnout. The results suggested that interventions aimed at lessening occupational burnout and boosting social support can be an effective way to promote the psychological health of medical staff.
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Affiliation(s)
- Bingqian Wang
- Department of Health Policy and Manage, School of Public Health, Peking University, Beijing, China
| | - Yashuang Bai
- National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 17 Panjiayuan Nanli, Chaoyang District, Beijing, China
| | - Songmei Wu
- Nursing Department, Luoyang Orthopedic Hospital of Henan Province, Zhengzhou, China
| | - Wei Lin
- Department of Neurosurgery, Joint Logistics Support Unit No. 904 Hospital, School of Medicine, Anhui Medical University, Wuxi, China
| | - Jing Guo
- Department of Health Policy and Manage, School of Public Health, Peking University, Beijing, China
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Zhou C, Chen F, Wang J, Jin N, Li J, Zheng B, Ye M. Association between occupational stress, occupational burnout, and depressive symptoms among medical staff during COVID-19: A cross-sectional study in Chongqing, China. Work 2024:WOR230343. [PMID: 38189727 DOI: 10.3233/wor-230343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2024] Open
Abstract
BACKGROUND Studies have extensively examined the factors contributing to the onset of occupational stress, burnout, and depression. However, the relationship between these variables is limited. OBJECTIVE This study aimed to explore the association between occupational stress, burnout, and depressive symptoms and to investigate the mediating effect of burnout between occupational stress and depressive symptoms in medical staff. METHODS A cross-sectional survey was conducted among medical staff in Chongqing, China. The Core Occupational Stress Scale (COSS), Maslach Burnout Inventory: General Survey (MBI-GS), and Patient Health Questionnaire-9 (PHQ-9) were used to assess the status of occupational stress, burnout, and depressive symptoms, respectively. The bootstrapping analyses using SPSS PROCESS macros version 3 were conducted to examine mediating effects. RESULTS The study conducted on medical staff in Chongqing revealed that the detection rates of occupational stress, occupational burnout, and depressive symptoms were 31.8%, 23.3%, and 30.3%, respectively. Hierarchical regression analysis revealed that occupational stress and burnout accounted for 19.3% (p < 0.001) and 18.8% (p < 0.001) of the variance in depressive symptoms, respectively. Mediation analysis showed that occupational stress indirectly affected depressive symptoms through the mediating effect of occupational burnout, with a mediation effect value of 0.13 (bootstrap 95% CI: 0.116-0.144) and the mediation effect accounting for 44.8% of the total effect. CONCLUSION Our results indicated that occupational stress and burnout were predictors of depressive symptoms. Occupational stress had a significant indirect effect on depressive symptoms via burnout. These results suggest that reducing occupational stress and burnout could be effective strategies for preventing depression among medical staff.
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Affiliation(s)
- Chunmin Zhou
- College of Public Health, Chongqing Medical University, Chongqing, China
| | - Fengqiong Chen
- Chongqing Center for Disease Control and Prevention, Chongqing, China
| | - Jin Wang
- National Institute for Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Nan Jin
- Chongqing Center for Disease Control and Prevention, Chongqing, China
| | - Jinshan Li
- College of Public Health, Chongqing Medical University, Chongqing, China
| | - Bailiang Zheng
- College of Public Health, Chongqing Medical University, Chongqing, China
| | - Mengliang Ye
- College of Public Health, Chongqing Medical University, Chongqing, China
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Haridass S, Kalva S, Yadav B, Keshava SN. A Survey on Factors Influencing the Work-Family-Health Balance of an Interventional Radiologist. Indian J Radiol Imaging 2024; 34:60-68. [PMID: 38106873 PMCID: PMC10723968 DOI: 10.1055/s-0043-1772694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2023] Open
Abstract
Aim: Burnout and stress-related health disorders are on the rise among physicians. The aim of this study is to report the results of a survey on factors affecting the work-life balance of interventional radiologists (IR). Material: The survey consisted of 30 questions focusing on work, family, and personal health. The questionnaire addressed knowledge, attitude, and practice. This online survey was sent to IRs across the globe and the responses were analyzed by three IRs (SH, SNK, SK). Results: On univariate analysis, the major risk factors for burnout were presence of weekend duties ( n = 91, 98.9%, p = 0.02), absence of support group at workplace ( n = 36, 39.1%, p = 0.005), having tough time with administration ( n = 61, 66.3%, p = 0.001), not able to spend quality time on family ( n = 30, 32.6%, p = 0.035), and inability to find time to do things that one enjoys ( n = 53, 57.6%, p = 0.0002). However, multivariate analysis revealed that those having tough time with administration (odds ratio = 2.77 [95% confidence interval [CI]: 1.12-6.48], p = 0.02) and those who could not find time to do things one enjoys (odds ratio = 4.79 [95% CI: 1.42-16.1], p = 0.01) were only statistically significant. Conclusion: Burnout is common among IRs and is considered a significant issue that needs to be addressed. Teamwork, a support structure for major events, healthy lifestyle, and dedicated time for family may combat the burnout.
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Affiliation(s)
- Shoban Haridass
- Division of Clinical Radiology, Department of Interventional Radiology, Christian Medical College, Vellore, Tamil Nadu, India
| | - Sanjeeva Kalva
- Division of Interventional Radiology, Department of Radiology, Massachusetts General Hospital, Massachusetts, United States
| | - Bijesh Yadav
- Department of Biostatistics, Christian Medical College, Vellore, Tamil Nadu, India
| | - Shyamkumar Nidugala Keshava
- Division of Clinical Radiology, Department of Interventional Radiology, Christian Medical College, Vellore, Tamil Nadu, India
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Shoman Y, Hostettler R, Canu IG. Psychometric validity of the Shirom-Melamed Burnout Measure and the Burnout Assessment Tool: a systematic review. Arh Hig Rada Toksikol 2023; 74:238-245. [PMID: 38146759 PMCID: PMC10750325 DOI: 10.2478/aiht-2023-74-3769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Revised: 10/01/2023] [Accepted: 11/01/2023] [Indexed: 12/27/2023] Open
Abstract
In the absence of internationally recognised standardised criteria, several patient-reported outcome measures (PROMs) have been developed to measure occupational burnout. The aim of this study was to extend our 2021 review of the psychometric validity of five PROMs to the Shirom-Melamed Burnout Measure (SMBM) and the Burnout Assessment Tool (BAT). To do that we ran a systematic literature search in the MEDLINE, PsycINFO, and Embase databases following our previous methodological framework and the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN). We assessed the level of evidence using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) guideline. We identified 694 publications on SMBM and 421 on BAT, but the final review includes eight papers on SMBM and three on BAT. Of the seven psychometric properties assessed for SMBM, content, structural, and criterion validity were rated as insufficient, whereas the quality of evidence for construct and internal consistency was high and moderate, respectively. Of the nine psychometric properties assessed for BAT, content, structural, criterion, and construct validity was moderate and internal consistency was high. One limitation of this study is that we did not assess cross-cultural validity, because the number of studies reviewed is too small and content validity can only be assessed based on the original PROM version rather than translation. To conclude, BAT is superior to SMBM in terms of psychometric validity, but the quality of evidence for some properties is low or very low, suggesting a need for additional validation studies.
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Affiliation(s)
- Yara Shoman
- University of Lausanne Centre of Primary Care and Public Health (Unisanté), Lausanne, Switzerland
| | - Roy Hostettler
- University of Lausanne Centre of Primary Care and Public Health (Unisanté), Lausanne, Switzerland
| | - Irina Guseva Canu
- University of Lausanne Centre of Primary Care and Public Health (Unisanté), Lausanne, Switzerland
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Malinowska-Lipień I, Gabryś T, Kózka M, Gniadek A, Brzostek T. Nurses' intention to leave their jobs in relation to work environment factors in Polish hospitals: Cross-sectional study. Med Pr 2023; 74:377-387. [PMID: 38104338 DOI: 10.13075/mp.5893.01426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2023] Open
Abstract
BACKGROUND The lack of nursing staff is a current problem not only in Poland, but also in the world. The decision of nurses to leave the workplace, apart from the financial aspect, often results from unfavourable working conditions related to the work environment. MATERIAL AND METHODS The study was multicentre, cross-sectional. The study was conducted among a group of 1509 nurses employed in surgical and internal medicine wards in 21 hospitals in Poland. The key variables of the study were: the intention of the nurses to leave their jobs, the nurses' working environment, the level of satisfaction, the level of occupational burnout and the number of patients cared for on the last shift, the number of nurses on the last shift. The Practice Environment Scale of the Nursing Work Index (PES-NWI) and the Maslach Burnout Inventory (MBI) questionnaire were used in the research. RESULTS Almost half of the surveyed nurses (48.84%) declared their willingness to leave their current workplace. The statistical analysis showed that nurses declaring their willingness to quit their job in the hospital where they were employed were significantly younger (42.88 vs. 45.04, p = 0.000), had shorter total length of service overall (19.96 vs. 23.20), and also in the hospital where they were employed (15.86 vs. 18.50, p = 0.000). The increase in the number of patients by one was significantly associated with a 1% increase in the risk of leaving work (OR = 1.01, 95% CI 1.00-1.02). An increase in emotional exhaustion significantly increased the risk of leaving work by 2% (OR = 1.02, 95% CI 0.99-1.03). CONCLUSIONS Younger age of nurses, greater workload resulting from more patients and occupational burnout - emotional exhaustion is correlated with the risk of leaving work in the hospital. A lower risk of leaving the job is associated with a higher level of job satisfaction in the hospital, salary and promotion opportunities. Med Pr Work Health Saf. 2023;74(5):377-87.
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Affiliation(s)
- Iwona Malinowska-Lipień
- Jagiellonian University Medical College, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery)
| | - Teresa Gabryś
- Jagiellonian University Medical College, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery)
| | - Maria Kózka
- Jagiellonian University Medical College, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery)
| | - Agnieszka Gniadek
- Jagiellonian University Medical College, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery)
| | - Tomasz Brzostek
- Jagiellonian University Medical College, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery)
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11
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Jandhyala R. Development, validation and implementation of the medical affairs pharmaceutical physician work-related quality of life instrument. Curr Med Res Opin 2023; 39:1567-1574. [PMID: 36719367 DOI: 10.1080/03007995.2023.2174747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Accepted: 01/27/2023] [Indexed: 02/01/2023]
Abstract
BACKGROUND Medical affairs pharmaceutical physicians (MAPPs) are at risk for low work-related quality of life (WRQoL). The aim of this study was to develop, validate and implement the first WRQoL instrument for this population. METHODS A prospective observational cohort clinical study, the Medical Affairs Pharmaceutical Physician Work-related Quality of Life (MAPPWrQoL) Instrument Development and Patient Registry (MAPPWrQoLReg), was registered in November 2021 (NCT05123846). Thirteen MAPPs and 12 non-MAPPs participated in development and validation between December 2021 and January 2022. Development used the Jandhyala method for observing proportional group awareness and consensus. Discriminant validity analysis used the WRQoL Scale as a reference standard and assessed whether the instrument could differentiate between the groups. Twelve MAPPs and 12 non-MAPPs self-reported their WRQoL in the registry each month from February 2022. Recruitment and data collection are ongoing; 6-month data between February 2022 and August 2022 are reported here. RESULTS Two participants were excluded from the registry. Chi-squared analysis showed a significant difference between the MAPPWRQoL instrument and WRQoL Scale (p = 1.029e-08) with acceptable sensitivity (89.19%) and specificity (75.00%). There were significant between-group differences for total scores at each follow-up (p = .003; n = 6 questions). Chi-squared analysis showed a significant difference between MAPPs' and non-MAPPs' ability to answer MAPPWRQoL instrument items (p = .002629), with acceptable sensitivity (91.9%) and near-acceptable specificity (66.7%). MAPPs' WRQoL did not change significantly over 6 months. CONCLUSION Discriminant validity of the 39-item MAPPWRQoL instrument was confirmed. The Jandhyala method successfully developed and validated a specific WRQoL instrument and may be applied to similar populations, such as junior doctors and UK general practitioners.
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Affiliation(s)
- Ravi Jandhyala
- Medialis Ltd, Wolverton Mill, Milton Keynes, England, UK
- Centre for Pharmaceutical Medicine Research, King's College University, London, UK
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12
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Mamorobela HV, Marincowitz GJO, Marincowitz C. Occupational burnout among doctors at Mankweng and Pietersburg hospitals, Limpopo province. S Afr Fam Pract (2004) 2023; 65:e1-e5. [PMID: 37916697 PMCID: PMC10546242 DOI: 10.4102/safp.v65i1.5745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 08/24/2023] [Accepted: 08/25/2023] [Indexed: 11/03/2023] Open
Abstract
BACKGROUND The purpose of this study was to assess the presence of occupational burnout among full-time employed doctors of all ranks at the Mankweng and Pietersburg tertiary academic hospitals in South Africa's Limpopo province. METHODS A quantitative, observational study was conducted firstly to determine whether burnout was present among medical doctors at these institutions and, secondly, to quantify the amount of burnout in those affected. Data collection was done using structured questionnaires. All ranks of medical doctors from various departments participated in the study, resulting in a total sample size of 150. RESULTS The study revealed that occupational burnout was present at these institutions, with an overall prevalence of 36%. When compared to other studies conducted at public sector hospitals in South Africa, this figure appears to fall within the middle range. However, different studies have used different criteria to measure burnout. CONCLUSION Currently, there is too much variation in the criteria of burnout among different studies, making comparisons difficult. More studies are needed to standardise the measurement of burnout.Contribution: The main contribution of the research is to understand the extent of burnout at the tertiary hospital in Limpopo province.
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Affiliation(s)
- Hlayisani V Mamorobela
- Department of Family Medicine, Faculty of Health Sciences, University of Limpopo, Mankweng, South Africa; and, Limpopo Health, Mankweng Hospital, Mankweng.
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Wontorczyk A, Izydorczyk B, Makara-Studzińska M. Burnout and stress in group of psychiatrists: workload and non-professional-social predictors. Int J Occup Med Environ Health 2023; 36:379-395. [PMID: 37681426 PMCID: PMC10664003 DOI: 10.13075/ijomeh.1896.02147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Accepted: 06/21/2023] [Indexed: 09/09/2023] Open
Abstract
OBJECTIVES The aim of this research is to present the search for psychosocial predictors explaining the strength of perceived stress in psychiatrists and the search for associations between stress and occupational burnout in psychiatrists. The authors also searched for associations between organizational, workload, family and non-professional - social factors and the intensity of occupational stress. MATERIAL AND METHODS The group of 131 doctors - specialists in psychiatry, aged 27-86 years - took part in the study. The participants completed 3 questionnaires, i.e., the Sociodemographic Questionnaire, the Link Burnout Questionnaire (LBQ) and the Perceived Stress Scale (PSS-10). RESULTS The results indicated that significant predictors of the development of occupational stress for psychiatrists were psychophysical exhaustion and lack of a sense of professional efficacy. Taking holidays (several times a year, pursuing the passions and interests), and having a stable family relationship (marriage or civil partnership) were also prominent among the predictors of stress. CONCLUSIONS Occupational stress and burnout in the work of the surveyed psychiatrists appeared to be a high intensity phenomenon. These results indicate the need to spread preventive health care also in the work of psychiatrists. Mainly in terms of maintaining the right balance between work and rest, which can help to reduce stress levels and protect against further development of burnout syndrome. Family resources such as a stable marriage or partnership may also be a protective factor against the build-up of stress and burnout in psychiatrists (mainly female). In addition, professional resources (work experience measured by number of years of work) is also important in explaining stress levels in psychiatrists. Int J Occup Med Environ Health. 2023;36(3):379-95.
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Affiliation(s)
- Antoni Wontorczyk
- Jagiellonian University, Institute of Applied Psychology, Faculty of Management and Social Communication, Kraków, Poland
| | - Bernadetta Izydorczyk
- Jagiellonian University, Faculty of Philosophy, Institute of Psychology, Kraków, Poland
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14
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Barría-González J, Postigo Á, Pérez-Luco R, Henríquez-Mesa P, García-Cueto E. Co-Active Coping Inventory: Development and Validation for the Chilean Population. Span J Psychol 2023; 26:e22. [PMID: 37605884 DOI: 10.1017/sjp.2023.24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/23/2023]
Abstract
Co-active coping is a fundamental construct in organizational and work environments as it allows for the exploration of individual and group behaviors within organizations. The aim of this study was to develop a new scale called the Co-Active Coping Inventory in the Chilean context. The sample was comprised of 1,442 workers with an average age of 30.48 years (SD = 11.13). 55% were public-sector workers, 34.5% were workers in private commercial organizations, and 10.5% belonged to non-profit private organizations. Different exploratory factor analyses were performed, and the best exploratory model was verified with a confirmatory factor analysis. In addition, multiple linear regressions were used to analyze which dimensions of co-active coping helped predict workers' burnout (emotional exhaustion, affective hardening, and personal fulfillment) and symptomatology (psychological and somatic). Based on the exploratory and confirmatory approach, the Co-Active Coping Inventory showed a good fit to a structure of five correlated factors (Reflective Action, Rash Action, Search for Spiritual Support, Search for Affective Support and Evasion), demonstrating measurement invariance in terms of sex and type of organization. The different domains of co-active coping explain between 20% (emotional exhaustion) and 41% (affective hardening) of occupational burnout and around 3-5% of workers' symptomatology, with reflective action being the most important variable. These results indicate that the new scale has suitable psychometric properties; it can assess coping strategies in the Chilean organizational context in a reliable and valid way. These coping strategies have demonstrated certain importance in relation to organizational and clinical variables.
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Sousa VTDS, Dias HG, de Sousa FP, Oliveira RM, Costa EC, de Vasconcelos PF. Professional burnout and patient safety culture in Primary Health Care. Rev Bras Enferm 2023; 76:e20220311. [PMID: 37556689 PMCID: PMC10405387 DOI: 10.1590/0034-7167-2022-0311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Accepted: 01/30/2023] [Indexed: 08/11/2023] Open
Abstract
OBJECTIVES to analyze the association between the risk of occupational exhaustion (burnout) and safety culture in Primary Health Care. METHODS ross-sectional study conducted in 18 Primary Health Care Units in the Northeast of Brazil. Three questionnaires were used: sociodemographic, Maslach Burnout Inventory, and the Medical Office Survey on Patient Safety Culture. The study was approved by the Research Ethics Committee. RESULTS seventy-eight healthcare workers participated, of which 64.1% presented a reduced risk of burnout; and 11.5%, a high risk (p=0.000). The following were identified as weakened dimensions of safety culture: Work pressure and pace; Owner, managing partners, leadership support; Overall ratings on quality; and Overall rating on patient safety. CONCLUSIONS an association was found between low risk of developing burnout syndrome and positive evaluation of safety culture.
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Affiliation(s)
| | - Hirlana Girão Dias
- Universidade da Integração Internacional da Lusofonia Afro-Brazileira. Redenção, Ceará, Brazil
| | | | | | - Edmara Chaves Costa
- Universidade da Integração Internacional da Lusofonia Afro-Brazileira. Redenção, Ceará, Brazil
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Sheng H, Tian D, Sun L, Hou Y, Liu X. Nurse practice environment, perceived organizational support, general well-being, occupational burnout and turnover intention: A moderated multi-mediation model. Nurs Open 2023; 10:3828-3839. [PMID: 36916419 PMCID: PMC10170924 DOI: 10.1002/nop2.1641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2022] [Revised: 11/24/2022] [Accepted: 02/04/2023] [Indexed: 03/15/2023] Open
Abstract
AIMS To test the relationship between practice environment and turnover intention, considering the moderation of perceived organizational support (POS) and the mediation of general well-being (GWB) and occupational burnout (OB) among the nurse population. DESIGN A cross-sectional survey design. METHODS Based on a sample of 474 nurses from two hospitals between May 2020 and September 2021, a moderated multi-mediation model was tested in which GWB and OB served as two mediators between practice environments and nurses' turnover intention, and POS was regarded as a moderator between practice environments and GWB. RESULTS This current study supported a moderated multi-mediation model where the relationship between practice environment and turnover intention (B = 0.33, p < 0.001) was mediated by GWB (B = 0.17, p < 0.001) and OB (B = 0.18, p < 0.001), and POS moderated the effect of practice environment and GWB (B = 0.19, p < 0.001). PUBLIC CONTRIBUTION The findings of this study can inform the design of effective organizational support and meet nurse emotional needs programmes to reduce the turnover intention among nurses.
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Affiliation(s)
- Huiyang Sheng
- Department of Oral and Maxillofacial Surgery, Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, China
| | - Dan Tian
- Obstetrics and Gynecology Department, Zhujiang Hospital of Southern Medical University, Guangzhou, China
| | - Liying Sun
- Department of Oral and Maxillofacial Surgery, Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, China
| | - Yarong Hou
- Department of Oral and Maxillofacial Surgery, Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, China
| | - Xueli Liu
- Department of Oral and Maxillofacial Surgery, Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, China
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Sierpińska LE, Ptasińska E. Evaluation of work conditions of nurses employed in a shift system in hospital wards during the COVID-19 pandemic. Work 2023:WOR220275. [PMID: 36641728 DOI: 10.3233/wor-220275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
Abstract
BACKGROUND Nurses work in a shift system that determines the provision of round-the-clock care of a patient in hospital conditions; however, it entails health consequences. OBJECTIVE The aim of the study was the evaluation of work conditions of nurses engaged in shift work in hospital wards during the COVID-19 pandemic. METHODS The study was conducted in 2020, and included 108 nurses working in a shift system in hospital wards. The research method was a diagnostic survey, using an author-constructed questionnaire. RESULTS 88.9% nurses reported a negative effect of shift work on their physical health: 'musculoskeletal pain', 'elevated arterial blood pressure', and 'hormonal disorders' - 54.5% of respondents used pharmacological treatment. The causes of physical disorders were: 'microclimate', 'physical effort', 'noise', and 'forced body position'. Shift work exerted a negative effect on psychological health of the majority of respondents (75.0%): 'deconcentration', 'sleep disorders', 'feeling of occupational burnout' - treatment in 38.9% of respondents. Psychological health disorders were caused by: 'circadian rhythms disturbance by shift work', 'chronic stresses, and 'conflicts at work'. 69.7% of respondents reported that their shift work was disturbed by organizational factors, including: a 'badly planned work schedule', 'enhanced pace of work due to staff shortage', 'ambiguous division of duties, rights, responsibilities', 'shortages of equipment at the workplace'. CONCLUSION The examined nurses experienced a negative effect of shift work on their physical and psychological health which, for some of them, was the cause of pharmacological treatment. Many organizational factors hindered the work of nurses in a shift system in hospital wards.
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Affiliation(s)
- Lidia Elżbieta Sierpińska
- Military Clinical Hospital No. 1 With Polyclinic, Independent Public Health Care Unit, Lublin, Poland
| | - Edyta Ptasińska
- Students' Scientific Circle, University of Economics and Innovation, Lublin,Poland
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18
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Grala K. Relationships between perceived stress at work, occupational burnout and ego-resiliency in a group of public administration employees: testing the assumption about the moderating role of ego-resiliency (replication study in Poland). Int J Occup Saf Ergon 2023:1-9. [PMID: 36508291 DOI: 10.1080/10803548.2022.2156095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Objectives. The job demands-resources (JD-R) theory assumes that job demands can be balanced by resources, which ultimately leads to the development of engagement and prevent burnout. Research shows that human resources weaken the relationship between job demands/stress and employee health. However, some reports do not confirm this. The overriding goal of the research was to empirically verify the theory of the buffering role of personal resources in the JD-R model with a sample of public administration employees in Poland. Methods. The participants were 144 administrative employees. The study was carried out in a correlation scheme. Correlations between the variables of perceived stress at work, burnout and ego-resiliency were established. It was also checked whether ego-resiliency moderates the relationship between perceived stress at work and burnout. Results. As expected, burnout significantly correlated with perceived stress at work (positively) and ego-resiliency (negatively). However, there was no statistically significant relationship between ego-resiliency and perceived stress at work. Ego-resiliency did not moderate the relationship between stress and burnout. Conclusion. More research is required to test the role of different personal resources in the relationships between job demands and burnout, as well as between organizational resources and work engagement.
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Affiliation(s)
- Krzysztof Grala
- Department of Developmental and Educational Psychology, The Maria Grzegorzewska University in Warsaw, Poland
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19
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Tomaszewska K, Majchrowicz B, Snarska K, Guzak B. Psychosocial Burden and Quality of Life of Surveyed Nurses during the SARS-CoV-2 Pandemic. Int J Environ Res Public Health 2023; 20:994. [PMID: 36673750 PMCID: PMC9859002 DOI: 10.3390/ijerph20020994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Revised: 12/27/2022] [Accepted: 01/03/2023] [Indexed: 06/17/2023]
Abstract
This study analyzes the impact of occupational burnout on the quality of life (QOL) of nurses surveyed during the SARS-CoV-2 pandemic. A total of 668 active nurses employed in public hospitals in Podkarpackie voivodeship (Poland) were surveyed. Throughout the pandemic, all wards where responders worked had a division into so-called "clean" and "dirty" zones, as well as balanced working hours. The research used the authors' survey questionnaire Maslach Burnout Inventory (MBI) and the Polish version of the World Health Organization Quality of Life Instrument Short Form (WHOQOL-BREF). Descriptive statistics were used in the analysis of the collected material, while correlations between ordinal or quantitative variables were made using Spearman's-rho coefficient. According to 94.0% of respondents, stress is an integral part of the nursing profession. The mean of the respondents' MBI burnout was 50.83 +/- 9.05 pts. The respondents' overall quality of life also averaged 65.74 +/- 13.12 pts. There were negative statistically significant correlations between the MBI and BREF domains, most of which were characterized by clear strengths of association. Higher exhaustion in various occupational aspects is associated with poorer quality of life in individual domains.
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Affiliation(s)
- Katarzyna Tomaszewska
- Department of Nursing, Institute of Health Protection, The Bronisław Markiewicz State Higher School of Technology and Economics, 37-500 Jarosław, Poland
| | - Bożena Majchrowicz
- Department of Nursing, Institute of Health Protection, State Academy of Applied Sciences, 37-700 Przemyśl, Poland
| | - Katarzyna Snarska
- Department of Clinical Medicine, Medical University of Bialystok, 15-089 Białystok, Poland
| | - Beata Guzak
- Center for Postgraduate Education of Nurses and Midwives, Warsaw Medical University, 02-106 Warsaw, Poland
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Jing F, Cheng M, Li J, He C, Ren H, Zhou J, Zhou H, Xu Z, Chen W, Cheng W. Social, lifestyle, and health status characteristics as a proxy for occupational burnout identification: A network approach analysis. Front Psychiatry 2023; 14:1119421. [PMID: 37124263 PMCID: PMC10140400 DOI: 10.3389/fpsyt.2023.1119421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Accepted: 03/13/2023] [Indexed: 05/02/2023] Open
Abstract
Background Occupational burnout is a type of psychological syndrome. It can lead to serious mental and physical disorders if not treated in time. However, individuals tend to conceal their genuine feelings of occupational burnout because such disclosures may elicit bias from superiors. This study aims to explore a novel method for estimating occupational burnout by elucidating its links with social, lifestyle, and health status factors. Methods In this study 5,794 participants were included. Associations between occupational burnout and a set of features from a survey was analyzed using Chi-squared test and Wilcoxon rank sum test. Variables that are significantly related to occupational burnout were grouped into four categories: demographic, work-related, health status, and lifestyle. Then, from a network science perspective, we inferred the colleague's social network of all participants based on these variables. In this inferred social network, an exponential random graph model (ERGM) was used to analyze how occupational burnout may affect the edge in the network. Results For demographic variables, age (p < 0.01) and educational background (p < 0.01) were significantly associated with occupational burnout. For work-related variables, type of position (p < 0.01) was a significant factor as well. For health and chronic diseases variables, self-rated health status, hospitalization history in the last 3 years, arthritis, cardiovascular diseases, high blood lipid, breast diseases, and other chronic diseases were all associated with occupational burnout significantly (p < 0.01). Breakfast frequency, dairy consumption, salt-limiting tool usage, oil-limiting tool usage, vegetable consumption, pedometer (step counter) usage, consuming various types of food (in the previous year), fresh fruit and vegetable consumption (in the previous year), physical exercise participation (in the previous year), limit salt consumption, limit oil consumption, and maintain weight were also significant factors (p < 0.01). Based on the inferred social network among all airport workers, ERGM showed that if two employees were both in the same occupational burnout status, they were more likely to share an edge (p < 0.0001). Limitation The major limitation of this work is that the social network for occupational burnout ERGM analysis was inferred based on associated factors, such as demographics, work-related conditions, health and chronic diseases, and behaviors. Though these factors have been proven to be associated with occupational burnout, the results inferred by this social network cannot be warranted for accuracy. Conclusion This work demonstrated the feasibility of identifying people at risk of occupational burnout through an inferred colleague's social network. Encouraging staff with lower occupational burnout status to communicate with others may reduce the risk of burnout for other staff in the network.
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Affiliation(s)
- Fengshi Jing
- Institute for Healthcare Artificial Intelligence Application, Guangdong Second Provincial General Hospital, Guangzhou, China
- UNC Project-China, UNC Global, School of Medicine, The University of North Carolina, Chapel Hill, NC, United States
| | - Mengyuan Cheng
- Institute for Healthcare Artificial Intelligence Application, Guangdong Second Provincial General Hospital, Guangzhou, China
- UNC Project-China, UNC Global, School of Medicine, The University of North Carolina, Chapel Hill, NC, United States
| | - Jing Li
- Guangzhou Baiyun International Airport Co., Ltd, Guangzhou, China
| | - Chaocheng He
- School of Information Management, Wuhan University, Wuhan, China
| | - Hao Ren
- Institute for Healthcare Artificial Intelligence Application, Guangdong Second Provincial General Hospital, Guangzhou, China
| | - Jiandong Zhou
- Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom
| | - Hanchu Zhou
- School of Traffic and Transportation Engineering, Central South University, Changsha, China
- School of Data Science, City University of Hong Kong, Kowloon, Hong Kong SAR, China
| | - Zhongzhi Xu
- School of Public Health, Sun Yat-Sen University, Guangzhou, China
| | - Weiming Chen
- Health Medicine Department, Guangdong Second Provincial General Hospital, Guangzhou, China
| | - Weibin Cheng
- Institute for Healthcare Artificial Intelligence Application, Guangdong Second Provincial General Hospital, Guangzhou, China
- School of Data Science, City University of Hong Kong, Kowloon, Hong Kong SAR, China
- *Correspondence: Weibin Cheng,
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Alibudbud R. Addressing the Burnout and Shortage of Nurses in the Philippines. SAGE Open Nurs 2023; 9:23779608231195737. [PMID: 37584034 PMCID: PMC10424539 DOI: 10.1177/23779608231195737] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Revised: 07/28/2023] [Accepted: 08/02/2023] [Indexed: 08/17/2023] Open
Abstract
Burnout among Filipino nurses poses a significant threat to an understaffed Philippine healthcare system, leading to resignations, change of profession, and migration to other countries, thereby exacerbating the shortage in the local nursing sector. While workplace mental health programs and interventions can help alleviate burnout, it is crucial to address the structural factors contributing to burnout among Filipino nurses, such as low salaries, delayed benefits, understaffing, overwork, and job insecurity. Therefore, mobilizing existing resources and improving policies are critical steps that need to be taken to effectively address burnout among nurses. Measures such as increasing salaries, timely provision of benefits, and filling vacant government regular positions can contribute to improving the working conditions for nurses in the Philippines. Moreover, by undertaking these measures, the Philippines can advance just working and living conditions for nurses, while also mitigating the challenges posed by the shortage of nurses within its healthcare system.
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Affiliation(s)
- Rowalt Alibudbud
- Department of Sociology and Behavioral Sciences, College of Liberal Arts, De La Salle University, Manila City, Philippines
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Ślusarz R, Cwiekala-Lewis K, Wysokiński M, Filipska-Blejder K, Fidecki W, Biercewicz M. Characteristics of Occupational Burnout among Nurses of Various Specialties and in the Time of the COVID-19 Pandemic-Review. Int J Environ Res Public Health 2022; 19:13775. [PMID: 36360655 PMCID: PMC9657093 DOI: 10.3390/ijerph192113775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Revised: 10/19/2022] [Accepted: 10/21/2022] [Indexed: 06/16/2023]
Abstract
Occupational burnout is particularly common among nurses due to their work being associated with stress, showing understanding, compassion, and commitment, along with the simultaneous need to maintain the necessary emotional distance. The aim of this review was to assess the occurrence and characterization of burnout among nurses working within neurology, geriatric care, intensive care units and with patients infected with the novel COVID-19 virus. PRISMA guidelines were used to conduct the review. The search for literature was limited to articles meeting the inclusion criteria and published from 2017 to 2022 in PubMed, Scopus, Science Direct, Google Scholar, and Wiley. A total of 768 articles from this category have been found. Ultimately, after in-depth analysis, 20 articles were included in the study. The group of respondents ranged from 49 to 3100 participants. According to the data, the percentages of nurses suffering from burnout in the presented research ranged from 14.3% to 84.7%, with the highest value of burnout among nurses who worked in the ICU during the COVID-19 pandemic. There are certain factors among nurses that significantly affect the occurrence of burnout. These include, among others, working time, age, exposure to infection and contact with infected patients, lack of training on COVID-19 prevention, providing care to an increased number of COVID-19 patients per shift, lack of personal protective equipment, lack of support of administration, lack of pay satisfaction, intrinsic motivation and turnover intention.
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Affiliation(s)
- Robert Ślusarz
- Neurological and Neurosurgical Nursing Department, Faculty of Health Science, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-821 Bydgoszcz, Poland
| | - Klaudia Cwiekala-Lewis
- School of Nursing & Health Professions, York College of Pennsylvania, York, PA 17403-3651, USA
| | - Mariusz Wysokiński
- Department of Basic Nursing, Chair of Development in Nursing, Faculty of Health Sciences, Medical University, 20-081 Lublin, Poland
| | - Karolina Filipska-Blejder
- Neurological and Neurosurgical Nursing Department, Faculty of Health Science, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-821 Bydgoszcz, Poland
| | - Wiesław Fidecki
- Department of Basic Nursing, Chair of Development in Nursing, Faculty of Health Sciences, Medical University, 20-081 Lublin, Poland
| | - Monika Biercewicz
- Clinic of Geriatrics, Faculty of Health Science, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, 85-094 Bydgoszcz, Poland
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Tomaszewska K, Majchrowicz B, Snarska K, Telega D. Stress and Occupational Burnout of Nurses Working with COVID-19 Patients. Int J Environ Res Public Health 2022; 19:ijerph191912688. [PMID: 36231988 PMCID: PMC9566059 DOI: 10.3390/ijerph191912688] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Revised: 09/30/2022] [Accepted: 10/01/2022] [Indexed: 05/24/2023]
Abstract
COVID-19 pandemic brings many challenges to the daily work of nurses. While carrying out professional tasks for patients infected with the SARS-CoV-2 virus, nurses experience tremendous psychological pressure due to their workload in a high-risk environment. This causes severe stress and leads to occupational burnout. The purpose of this study was to assess the level of stress and occupational burnout among surveyed nurses working with patients with COVID-19. A total of 118 nurses working with patients infected with SARS-CoV-2 virus participated in the study. Among the respondents, there were 94.9% women and 5.1% men. The average age of the respondents was 38.1 +/- 2.1. The survey was conducted between April and May 2022. The research tool was a survey questionnaire, consisting of three parts: sociodemographic data and self-administered survey questionnaire containing questions about the specifics of working with COVID-19 patients. The third part was a standardized tool: the MBI Burnout Questionnaire by Christina Maslach. Participation in the study was anonymous and voluntary. Statistical analysis for independence of variables used the Chi-square test. On the other hand, coefficients based on the Phi test and Kramer's V test, as well as non-parametric Mann-Whitney U-test (for 2 samples) and Kruskal-Wallis test (for more than 2 samples) were used to determine the strength of the relationship. During these analyses, in addition to standard statistical significance, the corresponding "p" values were calculated using the Monte Carlo method. The results obtained allow us to conclude that surveyed nurses working with COVID-19 patients are exposed to various stressors leading to occupational burnout. The vast majority of respondents, i.e., 90.7%, believe that stress is an integral part of the nursing profession and the average of MBI burnout among respondents was 55.67 +/- 9.77 pts., emotional exhaustion 24.74 +/- 6.11, depersonalization 12.42 +/- 2.99 and a sense of personal achievement 18.52 +/- 4.50 which means that only slightly more than half of the nurses surveyed noticed symptoms of occupational burnout themselves. The research has revealed that working with a patient who is positive for COVID-19 is a cause of stress and is related to experiencing symptoms of burnout in the group of surveyed nurses.
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Affiliation(s)
- Katarzyna Tomaszewska
- Department of Nursing, Institute of Health Protection, The Bronisław Markiewicz State Higher School of Technology and Economics, 37-500 Jarosław, Poland
| | - Bożena Majchrowicz
- Department of Nursing, Institute of Social and Health Sciences, East European State Higher School in Przemyśl, 37-700 Przemyśl, Poland
| | - Katarzyna Snarska
- Department of Clinical Medicine, Medical University of Bialystok, 15-089 Białystok, Poland
| | - Donata Telega
- Institute of Health Protection, The Bronisław Markiewicz State Higher School of Technology and Economics, 37-500 Jarosław, Poland
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24
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Załuski M, Makara-Studzińska M. Latent Occupational Burnout Profiles of Working Women. Int J Environ Res Public Health 2022; 19:6525. [PMID: 35682109 DOI: 10.3390/ijerph19116525] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Revised: 05/23/2022] [Accepted: 05/25/2022] [Indexed: 11/22/2022]
Abstract
According to scientific research, emergency call-takers and dispatchers (ECD) are particularly vulnerable to burnout syndrome. It can be observed that this occupation is predominantly performed by women. Moreover, the studies on occupational burnout indicate its different causes depending on employees’ gender. The aim of this research was to apply a Person-Oriented approach in order to examine the relationships between particular risk factors, the level of burnout, and its health consequences in a group of women. A cross-sectional survey study was conducted on 296 women (call-takers and dispatchers) from public-safety answering points in Poland. The Link Burnout Questionnaire and a sociodemographic questionnaire were used to gather information. The method of latent profile analysis (LPA) was employed in the study. The study revealed burnout patterns without full symptoms as well as four different burnout profiles. The findings partially confirmed initial assumptions about correlations between the length of service as ECD, marital status, motherhood, burnout symptoms, and body mass index (BMI). Sociodemographic variables differentiated the examined women in terms of their emotional exhaustion and BMI. Three groups of women at risk of burnout and overweight were identified: those with the shortest job experience, those with the longest job experience, and an intermediate group. In each of these groups, symptoms indicating a possible risk of burnout-related health issues could be observed. The application of a Person-Oriented approach allowed for assessing possible correlations between burnout risk factors, its symptoms, and health consequences.
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25
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Hsieh H, Huang Y, Ma S, Wang Y. Occupational burnout and stress of nurses in Taiwan regarding COVID-19: An intervention with gong medication. J Nurs Manag 2022; 30:3909-3917. [PMID: 35484921 PMCID: PMC9115189 DOI: 10.1111/jonm.13653] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Revised: 04/17/2022] [Accepted: 04/25/2022] [Indexed: 12/30/2022]
Abstract
AIMS This study aimed to explore the effectiveness of gong meditation on nurses' perceived stress and occupational burnout during the COVID-19 pandemic. BACKGROUND Nurses play an important role in hospitals, and they currently encounter additional stress due to the COVID-19 pandemic. DESIGN AND METHODS In this experimental study, participants were provided intervention with seven sections of gong meditation, and each session lasted for approximately 50-60 min. Data were collected from July 2020 to February 2021. Eighty nurses were randomly assigned to the experimental or control group, and 79 completed all the processes of our protocol. Generalized estimating equations (GEE) were used in data analysis. RESULTS Compared with the control group, the experimental group experienced significant improvements in stress and occupational burnout. CONCLUSIONS Gong meditation can effectively alleviate stress and occupational burnout among nurses during the COVID-19 pandemic. IMPLICATIONS FOR NURSING MANAGEMENT Gong meditation can be provided by hospital managers to all nurses to reduce their stress, occupational burnout and subsequent mental health problems. Additionally, we suggest that gong meditation can be used as an effective intervention for individuals in other occupational fields, as it is accessible and inexpensive intervention.
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Affiliation(s)
- Hsiu‐Fen Hsieh
- School of NursingKaohsiung Medical UniversityKaohsiung CityTaiwan,Department of Nursing, Kaohsiung Medical University HospitalKaohsiung Medical UniversityKaohsiung CityTaiwan,Department of Medical Research, Kaohsiung Medical University HospitalKaohsiung Medical UniversityKaohsiung CityTaiwan
| | - Yu‐Tung Huang
- Center for Big Data Analytics and StatisticsChang Gung Memorial Hospital LinkouTaoyuan CityTaiwan
| | - Shu‐Ching Ma
- Department of Senior ServicesSouthern Taiwan University of Science and TechnologyTainanTaiwan,Nursing DepartmentChi Mei Medical CenterTainanTaiwan
| | - Yi‐Wen Wang
- Department of Nursing, Kaohsiung Medical University HospitalKaohsiung Medical UniversityKaohsiung CityTaiwan
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26
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Karcz E, Zdun-Ryżewska A, Zimmermann A. Loneliness, Complaining and Professional Burnout of Medical Personnel of Psychiatric Wards during COVID-19 Pandemic-Cross-Sectional Study. Healthcare (Basel) 2022; 10:healthcare10010145. [PMID: 35052308 PMCID: PMC8776202 DOI: 10.3390/healthcare10010145] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Accepted: 01/11/2022] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Professional burnout in the medical community has been present for a long time, also among mental health professionals. The aim of the study was to examine the links between loneliness, complaining and professional burnout among medical personnel in psychiatric care during a pandemic. Loneliness and complaining of the medical staff are not documented in the literature well enough. METHODS Oldenburg Burnout Questionnaire, the Loneliness Scale, the Complaint Questionnaire and author's questionnaire. The respondents: 265 medical employees-doctors (19.2%), nurses (69.8%), paramedics (4.9%), medical caregivers (5.7%). RESULTS Loneliness and complaining are significant predictors of exhaustion. The model explains 18% of exhaustion variance. Loneliness, complaining and job seniority are also predictors of disengagement; the model allows to predict 10% of the variance of disengagement. Women are more prone to complain. Complaining significantly correlates with direct support from management. A high rate of loneliness correlates, in a statistically significant way, with worse work organization, less management support, worse atmosphere in the team and with more irresponsible attitudes of colleagues. CONCLUSIONS Loneliness and complaining can be used to predict occupational burnout. Women and people without management support complain more often. Loneliness is connected with bad work organization and bad cooperation in a team.
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Affiliation(s)
- Edyta Karcz
- Division of Neurological and Psychiatric Nursing, Faculty of Health Sciences Medical University of Gdańsk, 80-210 Gdańsk, Poland
- Correspondence: ; Tel.: +48-764-1980
| | - Agata Zdun-Ryżewska
- Department of Quality of Life Research, Faculty of Health Sciences, Medical University of Gdańsk, 80-210 Gdańsk, Poland;
| | - Agnieszka Zimmermann
- Department of Medical and Pharmaceutical Law, Faculty of Health Sciences, Medical University of Gdańsk, 80-210 Gdańsk, Poland;
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27
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Alsalhe TA, Chalghaf N, Guelmami N, Azaiez F, Bragazzi NL. Occupational Burnout Prevalence and Its Determinants Among Physical Education Teachers: A Systematic Review and Meta-Analysis. Front Hum Neurosci 2021; 15:553230. [PMID: 34955783 PMCID: PMC8695498 DOI: 10.3389/fnhum.2021.553230] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Accepted: 05/26/2021] [Indexed: 11/23/2022] Open
Abstract
Burnout can be defined as an occupational syndrome resulting from poorly managed chronic workplace stress. It is characterized by three dimensions: feelings of energy depletion or exhaustion; increased mental distance from one's job, or feelings of negativism or cynicism related to one's job; and reduced professional efficacy. Teachers are among the human service professionals particularly vulnerable to occupational burnout. Teaching is a highly demanding and challenging task, in that requires constant confrontation with different stakeholders (students and their parents, administrators). Among teachers, physical education teachers have been particularly understudied even though a recently published systematic review has found that they are exposed to high levels of stress. To better explore burnout syndrome among physical education teachers, the present systematic review was undertaken, searching up to six languages. Fifty-six studies were included in the present review. The reported rate of high emotional exhaustion ranged from 11.52 to 60.6%, according to the single study. Pooling together 12 studies and totaling 2,153 physical education teachers, the prevalence rate of high emotional exhaustion was computed to be 28.6 [95% CI 21.9–35.8]. The reported rate of high depersonalization ranged from 3.6 to 45.2%, according to the single study. Pooling together 11 studies and totaling 2,113 physical education teachers, the prevalence rate of high depersonalization was computed to be 14.5% [95% CI 8.0–22.4]. The reported rate of low personal accomplishment ranged from 13.63 to 55.6%, according to the single study. Pooling together 12 studies and totaling 2,153 physical education teachers, the prevalence rate of low personal accomplishment was computed to be 29.5% [95% CI 23.8–35.4]. The reported rate of overall burnout ranged from 10.0 to 51.6%, according to the single study. Pooling together 7 studies and totaling 1,101 physical education teachers, the prevalence rate of overall burnout was computed to be 23.9% [95% CI 13.6–36.0]. No evidence of publication bias could be found, both visually inspecting the funnel plot and conducting the Egger's linear regression test. Burnout imposes a significant burden among physical education teachers. Based on the information contained in the present systematic review and meta-analysis, tailored interventions could be designed to mitigate such a burden. However, due to the limitations of the studies included in the present systematic review and meta-analysis, further research in the field is urgently warranted. Systematic Review Registration:https://osf.io/69ryu/, identifier: 10.17605/OSF.IO/69RYU.
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Affiliation(s)
- Tariq A Alsalhe
- College of Sport Sciences and Physical Activity, King Saud University, Riyadh, Saudi Arabia
| | - Nasr Chalghaf
- Group for the Study of Development and Social Environment (GEDES), Faculty of Human and Social Science of Sfax, Sfax, Tunisia.,Higher Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Noomen Guelmami
- Group for the Study of Development and Social Environment (GEDES), Faculty of Human and Social Science of Sfax, Sfax, Tunisia.,Higher Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Fairouz Azaiez
- Group for the Study of Development and Social Environment (GEDES), Faculty of Human and Social Science of Sfax, Sfax, Tunisia.,Higher Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax, Tunisia
| | - Nicola Luigi Bragazzi
- Dipartimento di Neuroscienze, Riabilitazione, Oftalmologia, Genetica e Scienze Materno-Infantili (DINOGMI), Genoa University, Genoa, Italy.,Laboratory for Industrial and Applied Mathematics (LIAM), Department of Mathematics, York University, Toronto, ON, Canada
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28
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Ben-David R, Savin Z, Herzberg H, Shulman Y, Bar-Yakkov N, Haham A, Yossepowitch O, Sofer M. Resident physicians physical activity during on-call shifts: smartphone-based assessment. Occup Med (Lond) 2021; 72:105-109. [PMID: 34865160 DOI: 10.1093/occmed/kqab159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Physical activity of resident physicians (RPs) during on-call shifts is difficult to objectively evaluate. The integration of smartphones in our daily routines may allow quantitative assessment, employing pedometric assessment. AIMS To evaluate the number of steps that RPs walk during on-call shifts as a marker of physical activity by using smartphone-based pedometers. METHODS Step counts were collected from 100 RPs' smartphones who volunteered to participate in the study between January 2018 and May 2019. The conversion rate was 1400 steps = 1 km (application's default). A shift was defined as regular morning work followed by an in-house on-call stay, totalling 26 hours. Statistical analyses included univariate and multivariate linear mixed models, and Fisher exact test. A P-value < 0.05 was considered statistically significant. RESULTS The average walking distance was 12 118 steps (8.6 km/RP/shift). Paediatric intensive care unit and neurosurgery residents recorded the longest walking distances 16 347 and 15 630 steps (11.67 and 11.16 km/shift), respectively. Radiology residents walked the shortest distances 4718 steps (3.37 km/shift). Physically active RPs walked significantly longer distances during their shifts than non-physically active RPs: 12 527 steps versus 11 384 steps (8.95 versus 8.13 km/shift, P < 0.05), respectively. Distances covered during weekday shifts were longer than weekend shifts: 12 092 steps versus 11 570 steps (8.63 versus 8.26 km/shift, P < 0.05), respectively. CONCLUSIONS Smartphone-based pedometers can aid in analysing physical activity and workload during on-call shifts; such information can be valuable for human resource department, occupational health authorities and medical students with impaired physical mobility when choosing a speciality.
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Affiliation(s)
- R Ben-David
- Department of Urology, Tel Aviv Sourasky Medical Center, affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Z Savin
- Department of Urology, Tel Aviv Sourasky Medical Center, affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - H Herzberg
- Department of Urology, Tel Aviv Sourasky Medical Center, affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Y Shulman
- Department of Gynecology and Obstetrics, Tel Aviv Sourasky Medical Center, affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - N Bar-Yakkov
- Department of Urology, Tel Aviv Sourasky Medical Center, affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - A Haham
- Department of Neonatology Dana Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - O Yossepowitch
- Department of Urology, Tel Aviv Sourasky Medical Center, affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - M Sofer
- Department of Urology, Tel Aviv Sourasky Medical Center, affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
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29
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Larysz A, Prokopowicz A, Zakliczyński M, Uchmanowicz I. Occurrence of Professional Burnout and Severity of Depressive Symptoms among Cardiac Nurses: A Cross-Sectional Study. Int J Environ Res Public Health 2021; 18:12038. [PMID: 34831790 DOI: 10.3390/ijerph182212038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Revised: 11/05/2021] [Accepted: 11/07/2021] [Indexed: 11/16/2022]
Abstract
Nurses with depression are not only likely to suffer themselves, but it may have an impact on their coworkers and potentially the quality of care they provide. This study aimed to determine the prevalence of depression and its association with burnout in cardiac nurses. A group of 400 cardiac nurses (361 women and 39 men) was enrolled. The standardized tools such as Maslach Burnout Inventory (MBI), Beck Depression Inventory (BDI), and Patient Health Questionaire-9 (PHQ-9) were used. A high level of professional burnout regarding emotional exhaustion was observed in 53.3% of nurses, high depersonalization in 52.5%, and low personal accomplishment in 72.8%. PHQ-9 and BDI were shown to correlate significantly and positively with all three MBI subscales (p < 0.05). High depressive symptoms and occupational burnout were correlated with depression (p < 0.05). In conclusion, nurses were found to have high levels of depression and professional burnout, which may have resulted in a negative impact on the quality of patient care. Identification of burnout in cardiac nurses is necessary to consider interventions to prevent stress and depression.
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30
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Zborowska A, Gurowiec PJ, Młynarska A, Uchmanowicz I. Factors Affecting Occupational Burnout Among Nurses Including Job Satisfaction, Life Satisfaction, and Life Orientation: A Cross-Sectional Study. Psychol Res Behav Manag 2021; 14:1761-1777. [PMID: 34744464 PMCID: PMC8566003 DOI: 10.2147/prbm.s325325] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Accepted: 10/06/2021] [Indexed: 01/02/2023] Open
Abstract
Purpose Everyday nursing practice under demanding conditions, high mental and physical strain may result in occupational burnout. There is still a need for studies on the comprehensive identification of burnout among nursing staff. This study aimed to evaluate factors affecting occupational burnout among nurses, including job satisfaction, life satisfaction, and dispositional optimism. Methods The study involved 625 survey participants with a mean age of 49.47 years and was conducted between January and December 2018. The inclusion criteria were job experience >1 year, current nurse work activity, and written informed consent to participate in the study. The study used standardized research tools such as Maslach Burnout Inventory (MBI), Life Orientation Test-Revised version (LOT-R), Satisfaction with Life Scale (SWLS), and Satisfaction with Job Scale (SWJS). Also, sociodemographic data were collected using a self-developed questionnaire. The STROBE guidelines were followed. Results Emotional exhaustion (EE) was significantly greater in respondents with medium life satisfaction (SWLS). Also, EE was significantly greater in pessimists and those with a neutral orientation than in optimists (LOT-R). Housing conditions and family-related problems were significant factors differentiating depersonalization (DEP). Reduced personal accomplishment (PA) was more significant in respondents with a bachelor’s degree than in those with a master’s degree. Also, decreased PA was significantly greater in respondents with low life satisfaction than those with medium life satisfaction. Life satisfaction and life orientation were significant factors differentiating job dissatisfaction among the health-related and psychological variables. Conclusion Burnout was found to be related to individual, interpersonal and organizational feelings. There was an interrelationship between personality traits, where a higher level of occupational burnout was found among nurses with a pessimist attitude. Health programs should be implemented to identify and eliminate burnout through mental health support, improved communication skills, optimized teamwork, and evidence-based interventions.
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Affiliation(s)
| | | | - Agnieszka Młynarska
- Department of Gerontology and Geriatric Nursing, Medical University of Silesia, Katowice, Poland.,Department of Electrocardiology, Upper Silesian Heart Centre, Katowice, Poland
| | - Izabella Uchmanowicz
- Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, Poland.,Centre for Heart Diseases, Wroclaw Medical University, Wroclaw, Poland
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31
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Fu Z, Yuan Y, Jiang M. Occupational burnout among clinical research associates in China. Occup Med (Lond) 2021; 71:336-342. [PMID: 34415348 DOI: 10.1093/occmed/kqab111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Clinical research associates (CRAs) play an important role in pharmaceutical research and development. Despite growing concern about occupational burnout among CRAs in China, little is known about this topic. AIMS We evaluated the factors associated with occupational burnout among CRAs in China and assessed the extent and nature of this syndrome in order to develop effective countermeasures. METHODS In October 2020, we collected data from a convenience sample of 438 CRAs from 26 major cities across China using a custom-designed questionnaire. We evaluated their psychopathological status and degree of occupational burnout based on the Maslach Burnout Inventory. Factors associated with burnout were identified using the Wilcoxon rank test, Kruskal-Wallis test, Spearman's rank correlation and multivariable ordinal logistic regression. RESULTS Of the 438 CRAs analyzed, 82% showed signs of occupational burnout, with a large proportion experiencing moderate burnout (50%). Burnout in Chinese CRAs manifested as emotional exhaustion (77%), depersonalization (66%) and low sense of accomplishment (15%). The severity of burnout was significantly affected by mode of working (odds ratio [OR] 1.56, 95% confidence interval [CI] 1.04-2.34), average number of working hours per week (OR 1.68, 95% CI 1.14-2.46), support provided by the hospital (OR 3.13, 95% CI 1.40-6.99) and likelihood of receiving a promotion (OR 4.05, 95% CI 1.34-12.22) (all P < 0.05). CONCLUSIONS The incidence of occupational burnout among CRAs in China is high. Companies and hospitals must take effective measures to establish support systems for CRAs in order to alleviate this situation and thereby ensure the quality of clinical trials.
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Affiliation(s)
- Z Fu
- Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education, Beijing), National Drug Clinical Trial Center, Peking University Cancer Hospital & Institute, Beijing, China
| | - Y Yuan
- Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education, Beijing), National Drug Clinical Trial Center, Peking University Cancer Hospital & Institute, Beijing, China
| | - M Jiang
- Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education, Beijing), National Drug Clinical Trial Center, Peking University Cancer Hospital & Institute, Beijing, China
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32
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Makara-Studzińska M, Załuski M, Adamczyk K. Polish Emergency Dispatchers During a COVID-19 Pandemic - Burnout Syndrome, Perceived Stress, and Self-Efficacy. Effects of Multidimensional Path Analysis. Front Psychol 2021; 12:729772. [PMID: 34690886 PMCID: PMC8531723 DOI: 10.3389/fpsyg.2021.729772] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Accepted: 09/16/2021] [Indexed: 11/28/2022] Open
Abstract
International research has demonstrated that emergency call operators face unique risks to their mental health, in particular job stress, and occupational burnout syndrome. There is already wide knowledge about the relationship between stress, burnout and employee personal resources, which has practical application in preventing mental health. However, more research into the subtle relationships between variables is needed. The aim of the study was to check the moderation effect of differences in the intensity of latent variables on the relationship between perceived stress, self-efficacy and professional burnout. The participants were 546 call-takers and dispatchers from 14 public-safety answering point in Poland aged between 19 and 65 years. The Link Burnout Questionnaire, the 10-item Perceived Stress Scale, the Generalized Self-Efficacy Scale, and an independent questionnaire were used to gather information. The method of path analysis was used. The study confirmed the existence of negative relationships between perceived stress (assessment of the current situation) and self-efficacy (a personal trait). Taking into account the moderating effect of latent variable: psychological comfort revealed a hidden relationship between stress and burnout. The stress-burnout relationship occurred only among participants with low level of psychological comfort, so it was not a proportional relationship. In the case of participants with a high level of second latent variable: power-to-affect, the hypothesis that a high level of this variable should weaken the relationship between stress and burnout was not confirmed. The level of latent variables did not affect the self-efficacy relationship with occupational burnout. Taking into account the differences in the intensity of latent variables showed their moderating effect, which often turned out to be different from the assumed one and obtained in the research of other authors. This allowed to discover the relationships that might otherwise have been overlooked and not included in burnout prevention. The results showed a high level of occupational burnout in the ECD’s group during the COVID-19 pandemic: 32% of the responders reported emotional exhaustion, 53% loss of professional effectiveness.
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Affiliation(s)
- Marta Makara-Studzińska
- Department Health Science, Institute of Nursing and Midwifery, Jagiellonian University Medical College, Kraków, Poland
| | - Maciej Załuski
- Department Health Science, Institute of Nursing and Midwifery, Jagiellonian University Medical College, Kraków, Poland
| | - Katarzyna Adamczyk
- Department Health Science, Institute of Nursing and Midwifery, Jagiellonian University Medical College, Kraków, Poland
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33
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Makara-Studzińska M, Załuski M, Adamczyk K. Burnout and Perceived Stress of Polish Emergency Call Takers and Dispatchers. Int J Environ Res Public Health 2021; 18:ijerph181910206. [PMID: 34639502 PMCID: PMC8508079 DOI: 10.3390/ijerph181910206] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/20/2021] [Revised: 09/16/2021] [Accepted: 09/25/2021] [Indexed: 11/22/2022]
Abstract
A scientific research has demonstrated that emergency call operators face unique risks to job stress and burnout. It was hypothesized that perceived stress (demonstrated as resourcefulness–helplessness dimension) may mediate relationships between work environments and burnout taking into account the buffering effect of self-efficacy. The participants of the study were 546 emergency dispatchers and call-takers from 14 Polish public-safety answering points. The Link Burnout Questionnaire, the Perceived Stress Scale and the Generalized Self-Efficacy Scale were employed. The method of path analysis was used and direct and indirect interactions between the variables were identified. Shorter work experience (fewer years on this specific job position) was associated with a higher level of burnout. The greater number of shifts per month was associated with a higher level of perceived stress (higher level of helplessness). Self-efficacy was combined with perceived stress by antagonistic relationships, but the assumed buffering effect on burnout was not confirmed. It was observed that engaging the resource of one’s own self-efficacy in professional work may lead to the loss of other personal resources, manifesting itself in the form of greater disappointment with the work performed.
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34
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Larysz A, Uchmanowicz I. Sociodemographic Factors and Depressive Symptoms Among Cardiac Nurses: A Cross-Sectional Study. Front Psychol 2021; 12:723035. [PMID: 34489827 PMCID: PMC8416982 DOI: 10.3389/fpsyg.2021.723035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Accepted: 07/26/2021] [Indexed: 11/18/2022] Open
Abstract
Background: The nursing profession is predisposed toward depressed mood and depressive symptoms. The multidirectionality and intensity of stressors in the nurses' occupational environment are of great significance in this respect. The study aimed to evaluate the impact of selected sociodemographic factors on depressive symptoms among cardiac nurses. Methods: This cross-sectional study included 336 cardiac nurses (302 women and 34 men) and was conducted between December 2019 and September 2020 in four hospital cardiac units in Wroclaw, Poland. Sociodemographic data were collected using a self-developed survey. The following standardized instruments were used for the study outcomes: Patient Health Questionnaire-9 (PHQ-9) and Beck Depression Inventory (BDI). Results: The study among cardiac nurses showed mild depression in 11.61%, moderate depression in 5.06%, and severe depression in 2.68%. Linear regression models showed that significant (p < 0.05) predictors of the PHQ-9 score included (1) higher occupational education (bachelor's degree), graduation “only” from medical high school or “other” education; (2) work experience of 16–20 years; (3) living in a relationship; (4) living in a rural area. Linear regression models showed that significant (p < 0.05) predictors of the BDI score included (1) higher occupational education (bachelor's degree); (2) graduation “only” from medical high school or “other” education; (3) living in a relationship. Conclusions: Depressive symptoms are a significant problem among Polish cardiac nurses. The prevalence of depressive symptoms is affected by the education level, employment form, marital status, and place of residence.
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Affiliation(s)
- Anna Larysz
- Clinic of Cardiac Transplantation and Mechanical Circulatory Support, Department of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland
| | - Izabella Uchmanowicz
- Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland.,Centre for Heart Diseases, Wroclaw Medical University, Wroclaw, Poland
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Mróz B, Zmaczyńska-Witek B, Rachwał A. [Selected personality dimensions and occupational burnout in the group of professional and volunteer firefighters]. Med Pr 2021; 72:509-519. [PMID: 34491244 DOI: 10.13075/mp.5893.01080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Abstract
BACKGROUND The purpose of this research was to examine the relationships between selected personality dimensions and occupational burnout among professional and volunteer firefighters. Difficult conditions are the cause of loss of not only health but also life. Such working conditions may cause occupational burnout consisting of employee's exhaustion. MATERIAL AND METHODS The group under examination consisted of 164 firefighters, including 76 volunteers aged 19-61 years (M = 32.49, SD = 9.21) and 88 professional firefighters aged 20-49 years (M = 33.85, SD = 10.05). This research employed the Maslach Burnout Inventory and Gough and Heilburn's Adjective Check List along with the Personality and Axiological Model (MOA) (competences, relations, autonomy). RESULTS The results of the conducted research indicate differences between the examined groups of firefighters in personality dimensions (Ord: t = -2.739, p = 0.006; Mls: t = -2.159, p = 0.032; competences t = -2.390, p = 0.017). The research also enabled assessing the correlations with occupational burnout. The greatest relationship with occupational burnout in the group of volunteer firefighters concerns succorance (Suc) and total occupational burnout, and the greatest relationship with occupational burnout in the group of professional firefighters pertains to the competence dimension from the MOA model. CONCLUSIONS The results of the conducted research should be related to the cognitive aspect (the application of the new MOA model in this professional group) and attention should be paid to the personality differences between the groups of volunteer and professional firefighters. The application value for more effective work of psychologists with this professional group is also important in terms of the results obtained. Med Pr. 2021;72(5).
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Affiliation(s)
- Barbara Mróz
- Uniwersytet Opolski / University of Opole, Opole, Poland (Instytut Psychologii, Zakład Psychologii Osobowości i Badań nad Rodziną / Institute of Psychology, Department of Personality Psychology and Family Research)
| | - Barbara Zmaczyńska-Witek
- Uniwersytet Opolski / University of Opole, Opole, Poland (Instytut Psychologii, Zakład Psychologii Osobowości i Badań nad Rodziną / Institute of Psychology, Department of Personality Psychology and Family Research)
| | - Andrea Rachwał
- Uniwersytet Opolski / University of Opole, Opole, Poland (Instytut Psychologii, Zakład Psychologii Osobowości i Badań nad Rodziną / Institute of Psychology, Department of Personality Psychology and Family Research)
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Nodoushan RJ, Madadizadeh F, Anoosheh VS, Boghri F, Chenani KT. Mental workload and occupational burnout among the faculty members and administrative staff of Yazd Public Health School. J Educ Health Promot 2021; 10:293. [PMID: 34667793 PMCID: PMC8459838 DOI: 10.4103/jehp.jehp_1076_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/23/2020] [Accepted: 01/07/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Administrative staff may be exposed to a great deal of the mental workload (MWL) due to the long working hours and the responsibility of responding to large numbers of clients. Occupational burnout (OB) is one of the issues that can be affected by MWL. The aim of the present study was to investigate the relationship between mental MWL and OB, as well as the internal interactions between OB dimensions. MATERIALS AND METHODS This cross-sectional and descriptive (correlation) study was conducted among faculty members and administrative staff of public health school of Yazd province. Samples were collected through the simple random sampling. NASA task load index and Maslach questionnaire were used for the assessment of MWL and OB, respectively. Frequency and percentage were used for the descriptive analysis. Spearman, Mann-Whitney U, and Kruskal-Wallis H tests were used for inferential statistics. RESULTS Ultimately, 29 individuals from faculty members and 82 individuals from administrative staff participated in this study. Most of the participants (73.9%) had experienced many MWL instances in performing their jobs duties. No significant relationship between MWL with OB and MWL with any of the demographic characteristics was found, as well (P > 0.05). In case of OB, a significant relationship was discovered between depersonalization with gender and personal accomplishment with work section (P < 0.05). CONCLUSIONS MWL cannot be considered as a contributing factor of OB of the administrative staff because no significant relationship has been noted between them. Reducing working hours, selection of suitable staff, and allowing a few minutes to rest on a daily basis represent the suggested solutions for reducing the MWL of staff.
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Affiliation(s)
- Reza Jafari Nodoushan
- Department of Occupational Health Engineering, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Farzan Madadizadeh
- Department of Biostatistics and Epidemiology, Research Center of Prevention and Epidemiology of Non-Communicable Disease, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Vida Sadat Anoosheh
- PhD Student of Ergonomics, Department of Occupational Health and Ergonomics, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Fahima Boghri
- Occupational Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Khalil Taherzadeh Chenani
- Occupational Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
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Rodríguez-Nogueira Ó, Leirós-Rodríguez R, Pinto-Carral A, Álvarez-Álvarez MJ, Morera-Balaguer J, Moreno-Poyato AR. Examining the Association between Evidence-Based Practice and Burnout among Spanish Physical Therapists: A Cross-Sectional Study. J Pers Med 2021; 11:jpm11080805. [PMID: 34442449 PMCID: PMC8400199 DOI: 10.3390/jpm11080805] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Revised: 08/13/2021] [Accepted: 08/16/2021] [Indexed: 11/16/2022] Open
Abstract
The aim of this study was to quantify the level of burnout and competence for evidence-based practice among Spanish physical therapists and to determine if there is a relationship between these and other socio-professional factors. A cross-sectional study with 472 Spanish Physiotherapists. An electronic survey was conducted that included the Maslach Burnout Inventory, Evidence-Based Practice Questionnaire and sociodemographic data. The three subscales of the Burnout correlated with attitude and total Evidence-Based Practice Questionnaire. Attitude and practice for evidence-based practice, educational level and experience were the variables that showed the greatest influence on burnout. Burnout and the degree of evidence-based practice were identified as being discretely related. Specifically, it seems that the evidence-based practice could improve the lack of personal accomplishment, meaning that through interventions perceived as more effective and advantageous, a sense of mastery and self-efficacy is experienced.
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Affiliation(s)
- Óscar Rodríguez-Nogueira
- SALBIS Research Group, Nursing and Physical Therapy Department, Universidad de León, Astorga Ave. 15, 24401 Ponferrada, Spain; (Ó.R.-N.); (A.P.-C.); (M.J.Á.-Á.)
| | - Raquel Leirós-Rodríguez
- SALBIS Research Group, Nursing and Physical Therapy Department, Universidad de León, Astorga Ave. 15, 24401 Ponferrada, Spain; (Ó.R.-N.); (A.P.-C.); (M.J.Á.-Á.)
- Correspondence:
| | - Arrate Pinto-Carral
- SALBIS Research Group, Nursing and Physical Therapy Department, Universidad de León, Astorga Ave. 15, 24401 Ponferrada, Spain; (Ó.R.-N.); (A.P.-C.); (M.J.Á.-Á.)
| | - Mª José Álvarez-Álvarez
- SALBIS Research Group, Nursing and Physical Therapy Department, Universidad de León, Astorga Ave. 15, 24401 Ponferrada, Spain; (Ó.R.-N.); (A.P.-C.); (M.J.Á.-Á.)
| | - Jaume Morera-Balaguer
- Nursing and Physical Therapy Department, Universidad Cardenal Herrera-CEU, Plaça Reis Catòlics 19, 03204 Elche, Spain;
| | - Antonio R. Moreno-Poyato
- Department of Public Health, Mental Health and Maternal and Child Health Nursing, Universitat de Barcelona, 08907 L’Hospitalet de Llobregat, Spain;
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Chan MF, Al Balushi AA, Al-Adawi S, Alameddine M, Al Saadoon M, Bou-Karroum K. Workplace bullying, occupational burnout, work-life imbalance and perceived medical errors among nurses in Oman: A cluster analysis. J Nurs Manag 2021; 30:1530-1539. [PMID: 34327784 DOI: 10.1111/jonm.13432] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 06/30/2021] [Accepted: 07/27/2021] [Indexed: 11/29/2022]
Abstract
AIM To explore whether different profiles exist in a cohort of nurses regarding demographic and occupational outcomes. BACKGROUND Nurses will face many occupational problems, including workplace bullying, work-life imbalance, burnout and medical errors. METHODS A cross-sectional study included 232 nurses working in a hospital in Oman. Data were collected from December 2018 to April 2019 using convenience sampling. Instruments included work-life balance questions, the Negative Acts questionnaire-revised questionnaire, Oldenburg Burnout Inventory and Stanford Professional Fulfillment Index. Cluster analysis, t test, chi-squared and Fisher's exact tests were used for data analysis. RESULTS Cluster 1 (n = 108) was characterized as 'low-risk on medical error, burnout and workplace bullying but high-risk in work-life imbalance' group. Cluster 2 (n = 124) was labelled as 'high-risk on medical error, work-life imbalance, burnout and workplace buying' group. CONCLUSIONS Two groups of nurses in Oman are facing occupational problems differently. Nurses in Cluster 1 need attention to work-life imbalance. However, nurses in Cluster 2 need attention on all occupational problems. IMPLICATIONS FOR NURSING MANAGEMENT Findings call on the nursing stakeholders in Oman to identify factors related to occupational problems, to provide consultation services to reduce inter-personnel conflicts, and to review nurses' working hours to avoid burnout and resume a balanced work-life.
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Affiliation(s)
- Moon Fai Chan
- Department of Family Medicine & Public Health, Sultan Qaboos University, Muscat, Oman
| | | | - Samir Al-Adawi
- Department of Behavioral Medicine, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman
| | - Mohamad Alameddine
- College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, UAE.,College of Health Sciences, University of Sharjah, University City, Sharjah, UAE
| | - Muna Al Saadoon
- Department of Child Health, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman
| | - Karen Bou-Karroum
- Faculty of Health Sciences, Department of Health Management and Policy, American University of Beirut, Beirut, Lebanon
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Hsieh HF, Liu Y, Hsu HT, Ma SC, Wang HH, Ko CH. Relations between Stress and Depressive Symptoms in Psychiatric Nurses: The Mediating Effects of Sleep Quality and Occupational Burnout. Int J Environ Res Public Health 2021; 18:ijerph18147327. [PMID: 34299778 PMCID: PMC8303432 DOI: 10.3390/ijerph18147327] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Revised: 06/30/2021] [Accepted: 07/06/2021] [Indexed: 02/03/2023]
Abstract
This study examines the parallel multiple mediators of quality of sleep and occupational burnout between perceived stress and depressive symptoms in psychiatric nurses. Nurses are more likely to experience depression, anxiety, decreased job satisfaction, and reduced organizational loyalty as a result of the stressful work environment and heavy workload. A total of 248 psychiatric ward (PW) nurses participated in this cross-sectional survey study. Structural equation modelling was used for data analysis. In the model of parallel multiple mediators for depressive symptoms, quality of sleep and occupational burnout played mediating roles, and these two mediators strengthened the effect of stress on depressive symptoms, with the final model showing a good fit. Stress, occupational burnout, and quality of sleep explained 46.0% of the variance in psychiatric nurses’ depressive symptoms. Stress had no significantly direct effect on psychiatric nurses’ depressive symptoms, but it had a completed mediation effect on their depressive symptoms through occupational burnout and quality of sleep. This study showed that reduction of occupational burnout and improvement of quality of sleep play important roles against depressive symptoms among PW nurses. Healthcare managers should provide PW nurses with a better environment for improving quality of sleep and reducing occupational burnout.
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Affiliation(s)
- Hsiu-Fen Hsieh
- School of Nursing, College of Nursing, Kaohsiung Medical University, No.100, Shih-Chuan 1st Road, Kaohsiung 807, Taiwan; (H.-F.H.); (Y.L.); (H.-T.H.)
- Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan
| | - Yi Liu
- School of Nursing, College of Nursing, Kaohsiung Medical University, No.100, Shih-Chuan 1st Road, Kaohsiung 807, Taiwan; (H.-F.H.); (Y.L.); (H.-T.H.)
- Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan
| | - Hsin-Tien Hsu
- School of Nursing, College of Nursing, Kaohsiung Medical University, No.100, Shih-Chuan 1st Road, Kaohsiung 807, Taiwan; (H.-F.H.); (Y.L.); (H.-T.H.)
- Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan
| | - Shu-Ching Ma
- Nursing Department, Chi-Mei Medical Center, Tainan 71004, Taiwan;
- College of Humanities and Social Science, Southern Taiwan University of Science and Technology, Tainan 71005, Taiwan
| | - Hsiu-Hung Wang
- School of Nursing, College of Nursing, Kaohsiung Medical University, No.100, Shih-Chuan 1st Road, Kaohsiung 807, Taiwan; (H.-F.H.); (Y.L.); (H.-T.H.)
- Correspondence: ; Tel.: +886-7-312-1101 (ext. 2624)
| | - Chih-Hung Ko
- Department of Psychiatry, Kaohsiung Medical University Hospital, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan;
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Fteropoulli T, Kalavana TV, Yiallourou A, Karaiskakis M, Koliou Mazeri M, Vryonides S, Hadjioannou A, Nikolopoulos GK. Beyond the physical risk: Psychosocial impact and coping in healthcare professionals during the COVID-19 pandemic. J Clin Nurs 2021:10.1111/jocn.15938. [PMID: 34231263 PMCID: PMC8447326 DOI: 10.1111/jocn.15938] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Revised: 05/12/2021] [Accepted: 06/22/2021] [Indexed: 12/29/2022]
Abstract
AIMS AND OBJECTIVES This study aimed to examine the psychosocial impact and identify risk factors for poor psychosocial outcomes in healthcare professionals during the Coronavirus disease 2019 (COVID-19) pandemic in Cyprus. BACKGROUND Healthcare professionals are in the forefront of the COVID-19 pandemic facing an unprecedented global health crisis, which can have consequences on their psychosocial health. There is a need to identify risk factors for poor psychosocial outcomes to inform the design of tailored psychological interventions. DESIGN Cross-sectional online study. METHODS A total of 1071 healthcare professionals completed self-report questionnaires. Measures included sociodemographic information, COVID-19-related characteristics, quality of life (Brief World Health Organization Quality of Life; WHOQOL-Bref), anxiety (Generalized Anxiety Disorder-7; GAD-7), depression (Patient Health Questionnaire-8; PHQ-8), occupational burnout (Copenhagen Burnout Inventory; CBI), and coping (Brief Coping Orientation to Problems Experienced; Brief COPE). This article follows the STROBE reporting guidelines. RESULTS The prevalence of moderate to severe anxiety and clinically significant depression was 27.6% and 26.8%, respectively. Significant risk factors for poor psychological outcomes included being female, being a nurse or doctor (vs non-medical professional), working in frontline units (inpatient, intensive care), perceptions of inadequate workplace preparation to deal with the pandemic, and using avoidance coping. Depression and occupational burnout were significant risk factors for poor quality of life. CONCLUSION The findings suggest several individual, psychosocial, and organisational risk factors for the adverse psychological outcomes observed in healthcare professionals during the COVID-19 pandemic. RELEVANCE TO CLINICAL PRACTICE This study highlights the urgent need for screening for anxiety and depression and psychological interventions to combat an imminent mental health crisis in healthcare professionals during the COVID-19 pandemic. Pandemic response protocols and public health initiatives aiming to improve and prevent mental health problems in healthcare professionals during the current and future health crises, need to account for the various factors at play.
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Affiliation(s)
- Theodora Fteropoulli
- Medical SchoolUniversity of CyprusNicosiaCyprus
- Health Services Research, CityUniversity of LondonLondonUnited Kingdom
| | | | - Anneza Yiallourou
- Medical SchoolUniversity of CyprusNicosiaCyprus
- Breast UnitNicosia General HospitalNicosiaCyprus
| | - Marios Karaiskakis
- University of Nicosia Medical SchoolNicosiaCyprus
- General SurgeryYgia PolyclinicLimassolCyprus
| | - Maria Koliou Mazeri
- Medical SchoolUniversity of CyprusNicosiaCyprus
- Pediatric DepartmentArchbishop Makarios HospitalNicosiaCyprus
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Liu Y, Aungsuroch Y, Gunawan J, Zeng D. Job Stress, Psychological Capital, Perceived Social Support, and Occupational Burnout Among Hospital Nurses. J Nurs Scholarsh 2021; 53:511-518. [PMID: 33646610 DOI: 10.1111/jnu.12642] [Citation(s) in RCA: 31] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/30/2020] [Indexed: 01/10/2023]
Abstract
PURPOSE To determine the structural relationships among nurses' occupational burnout, job stress, psychological capital, and perceived support from society. DESIGN A cross-sectional design was performed to collect data from 766 registered nurses in three general tertiary Class A hospitals from March to August 2018. METHODS Structural equation modeling was performed to examine the proposed model. FINDINGS The research data supported the proposed model. Psychological capital, job stress, and perceived social support significantly influenced occupational burnout. Job stress indirectly influenced burnout through perceived social support and psychological capital. The influencing factors accounted for 49% of the variance in explaining burnout. CONCLUSIONS The findings identified structural relationships among the four studied variables. This study provides new information regarding the preventive role of perceived social support and psychological capital, which perform the mediating role between job stress and occupational burnout. CLINICAL RELEVANCE Nursing administrators should provide a healthy work environment, effective psychological capital training, and assistance to reduce nurses' occupational burnout.
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Affiliation(s)
- Ying Liu
- Phi Omega at Large, Assistant professor, School of Nursing, Dalian Medical University, Dalian, China, and Post-doctor, Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand
| | - Yupin Aungsuroch
- Phi Omega at Large, Associate Professor and Director of PhD in Nursing Science Program, Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand
| | - Joko Gunawan
- Post-doctor, Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand
| | - Dejian Zeng
- PhD candidate, Nethersole School of Nursing, The Chinese University of Hongkong, Hongkong, China
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Kanios A, Bocheńska-Brandt A. Occupational burnout among workers in the long-term care sector in relation to their personality traits. Int J Occup Med Environ Health 2020; 34:491-504. [PMID: 33410427 DOI: 10.13075/ijomeh.1896.01636] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
OBJECTIVES This paper investigates the sense of occupational burnout among people working with older persons in the long-term care sector in relation to their personality traits. The study objective is to examine the correlation between the sense of burnout and personality traits of persons working in the helping professions, the so-called human services. According to researchers, these professionals are susceptible to occupational burnout due to the involvement of their personal emotions in the helping process. MATERIAL AND METHODS The study encompassed 238 workers employed at care institutions for older people. The authors used a diagnostic survey as the research method, and the following research instruments: the Maslach Burnout Inventory by C. Maslach (to assess an individual's sense of burnout) and the NEO Five-Factor Inventory by P.T. Costa and R.R. McCrae (to assess personality traits). RESULTS The survey indicates that workers are at risk of occupational burnout, and statistically significant differences have been observed in their sense of burnout depending on their personality traits in all the inventories analyzed: emotional exhaustion, depersonalization, and personal accomplishment. CONCLUSIONS Since the survey results confirm the differences in the sense of occupational burnout among the respondents with different personality traits, measures should be taken for the prevention and early detection of burnout in workers. For the intervention methods to be effective, workers' personality traits should be taken into account. Int J Occup Med Environ Health. 2021;34(4):491-504.
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Affiliation(s)
- Anna Kanios
- Maria Curie-Skłodowska University, Lublin, Poland (Faculty of Pedagogy and Psychology, Department of Social Pedagogy)
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Xie C, Li X, Zeng Y, Hu X. Mindfulness, emotional intelligence and occupational burnout in intensive care nurses: A mediating effect model. J Nurs Manag 2020; 29:535-542. [PMID: 33103273 DOI: 10.1111/jonm.13193] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2020] [Revised: 10/01/2020] [Accepted: 10/12/2020] [Indexed: 02/06/2023]
Abstract
AIM(S) To construct structural equation models to test the mediating role of emotional intelligence in the relationship between mindfulness and occupational burnout. BACKGROUND Reports assessing the relationships among mindfulness, emotional intelligence and burnout, specifically in ICU nurses, are scarce. METHODS This was a descriptive, correlational, cross-sectional research design with 883 ICU nurses enrolled by convenience sampling from 29 ICUs in seven tertiary hospitals in urban areas of Chengdu, China. Mediation analysis was performed by structural equation modelling. Indirect effects were evaluated through bootstrapping. RESULTS The associations among mindfulness, emotional intelligence, emotional exhaustion, depersonalization and personal accomplishment were all significant (p < .001). In the mediation models, emotional intelligence partially mediates the relationships between mindfulness and emotional exhaustion (indirect effect 0.118, p = .006; direct effect -0.374, p = .010; total effect -0.492, p = .011) and between mindfulness and depersonalization (indirect effect -0.182, p = .006; direct effect -0.452, p = .015; total effect -0.633, p = .018). Emotional intelligence plays a total mediating role between mindfulness and personal accomplishment (indirect effect 0.293, p = .004; direct effect 0.119, p = .053). CONCLUSIONS The results suggest that nursing manager could implement mindfulness training to improve occupational burnout in ICU nurses. IMPLICATIONS FOR NURSING MANAGEMENT Nursing managers could help create a more favourable working environment by providing mindfulness training. Such mindfulness training could help improve nursing quality, reduce errors and ensure patient safety, possibly improving patient prognosis and probably satisfaction.
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Affiliation(s)
- Caixia Xie
- Department of Nursing, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
| | - Xinyu Li
- Department of Nursing, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
| | - Yanli Zeng
- School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Xiuying Hu
- Innovation Center of Nursing Research, School of Medicine/West China Hospital, Sichuan University, Chengdu, China
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Ma H, Qiao H, Qu H, Wang H, Huang Y, Cheng H, Teng C, Diao K, Zhang X, Zhang N. Role stress, social support and occupational burnout among physicians in China: a path analysis approach. Int Health 2020; 12:157-163. [PMID: 31343067 DOI: 10.1093/inthealth/ihz054] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2019] [Revised: 03/06/2019] [Accepted: 05/30/2019] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Occupational burnout in physicians is prevalent and can have many negative effects. The purposes of this study were to explore the prevalence of occupational burnout and to analyze the effects of social support and role stress on occupational burnout among Chinese physicians. METHODS Using multistage-stratified cluster random sampling, physicians were selected to participate in the study and completed three questionnaires: the Chinese Maslach Burnout Inventory; the Cross-Cultural Role Conflict, Ambiguity and Overload Scale; and the Social Support Rating Scale. A path analysis was run to test the effects of role stress and social support on occupational burnout. RESULTS Of 2530 physicians, 864 (34.2%) were experiencing moderate occupational burnout and 140 (5.5%) were experiencing severe occupational burnout. The path analysis results indicated that role conflict had direct positive effects on emotional exhaustion (EE) and depersonalization (DP), and role ambiguity had direct positive effects on DP and decreased personal accomplishment (DPA). Coworker support had direct negative effects on EE and positive effects on DP, family support had direct negative effects on DP and DPA. Coworker support mediated the effects of role ambiguity on EE and DP, and family support mediated the effects of role ambiguity on DP and DPA. CONCLUSIONS These findings suggest that occupational burnout is common in Chinese physicians, and that role stress and social support play important roles in occupational burnout. Interventions that aim to reduce role stress and increase social support can be effective approaches to prevent occupational burnout among physicians.
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Affiliation(s)
- Hui Ma
- Department of Medical Psychology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - HuiFen Qiao
- Department of Medical Psychology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - HaiTao Qu
- Educational and Counseling Department of Mental Health, Nanjing University of Posts and Telecommunications, Nanjing, China
| | - Hui Wang
- Department of Neurology, Lianyungang Hospital of Traditional Chinese Medicine, Lianyungang, China
| | - Yun Huang
- Medical Insurance Audit Department, Hangzhou Medical Insurance Management and Service Bureau, Hangzhou, China
| | - Hao Cheng
- Educational and Counseling Department of Mental Health, Nanjing University of Posts and Telecommunications, Nanjing, China
| | - ChangJun Teng
- Department of Medical Psychology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - KaiLi Diao
- Psychology Department, Nanjing Normal University, Nanjing, China
| | - XiangRong Zhang
- Department of Medical Psychology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - Ning Zhang
- Department of Medical Psychology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
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Panse N, Panse S, Ravi S, Mankar H, Karanjkar A, Sahasrabudhe P. Burnout among Plastic Surgery Residents in India: An Observational Study. Indian J Plast Surg 2020; 53:387-393. [PMID: 33402769 PMCID: PMC7775248 DOI: 10.1055/s-0040-1719238] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Abstract
Introduction Burnout syndrome can be defined as emotional exhaustion, depersonalization, and perceived lack of personal accomplishment, all of which lead to decreased effectiveness at work. The Medscape burnout and depression report of 2018 suggests that the burnout range across various specialties ranges from 23 to 48%. There are no studies to assess the burnout among plastic surgery residents in India. This study is an attempt to assess the same. Materials and Methods An online survey was conducted in March and April 2019 for plastic surgery residents across India. Various parameters including those related to gender, year of the curriculum, hobbies, exercise, and marital status were assessed. There were multiple sections in the survey, which included the demographic details, stress-related variables, and the abbreviated Maslach Burnout Inventory. The abbreviated Maslach Burnout Inventory is a validated scale that has been used to assess the burnout among plastic surgery residents in India. The three subscales, emotional exhaustion, depersonalization, and personal accomplishment were measured on a Likert scale. Univariable and multivariable analysis of factors associated with burnout was performed. Results Of the 185 respondents, 48.4% experienced moderate-to-high burnout. Of these, 25% ( n = 46) were above the 75th centile of the overall burnout score, indicating severe burnout. Insufficient faculty involvement, insufficient time allotted for formalized teaching, conflict with colleagues, and lack of adequate support staff correlated with resident burnout on multivariate analysis. Residents who pursued their hobbies or performed physical activities for exercise had significantly lesser burnout. Conclusion The incidence of burnout in plastic surgery residents surveyed in our study was 48.4%. The faculty of the departments and the residents themselves, as well as the governing bodies, all have a role to play to address the issue of burnout among residents. Dedicated and persistent efforts toward improving physical and psychological well-being of plastic surgery residents will positively impact not only the well-being of the residents but also the quality of patient care.
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Affiliation(s)
- Nikhil Panse
- Department of Plastic Surgery, B. J. Government Medical College & Sassoon Hospital, Pune, India
| | - Smita Panse
- Department of Psychiatry, PCMC's Post Graduate Institute & YCM Hospital, Pimpri, Pune, India
| | - Swaminathan Ravi
- Department of Plastic Surgery, B. J. Government Medical College & Sassoon Hospital, Pune, India
| | - Hemant Mankar
- Department of Plastic Surgery, B. J. Government Medical College & Sassoon Hospital, Pune, India
| | - Ankur Karanjkar
- Department of Plastic Surgery, B. J. Government Medical College & Sassoon Hospital, Pune, India
| | - Parag Sahasrabudhe
- Department of Plastic Surgery, B. J. Government Medical College & Sassoon Hospital, Pune, India
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Dolzhenkova YV, Kamneva EV, Safonov AL, Zappala S. [MANAGEMENT ASPECTS OF PROFESSIONAL SAFETY OF MEDICAL PERSONNEL IN BUDGETARY HEALTH OF RUSSIA]. Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med 2020; 28:736-740. [PMID: 32856817 DOI: 10.32687/0869-866x-2020-28-s1-736-740] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Accepted: 06/24/2020] [Indexed: 11/06/2022]
Abstract
The study examines the issues of assessing the impact on occupational safety of public health workers of psycho-emotional factors associated with the provision of medical services and the socio-economic and industrial conditions of their work. As the analysis conducted by the authors on the basis of foreign sources showed, this problem is characteristic not only for Russia, but also for most medical institutions in other countries. It should be noted that these problems were especially aggravated during the coronavirus pandemic, when it was necessary to work in conditions of increased risk of infection, in excess of the established time norm, etc. Moreover, the tools to overcome professional burnout and improve occupational safety are providing medical institutions with the required personnel in sufficient quantities to solve the tasks, providing diagnostic and medical equipment, as well as protective equipment. It is very important that evidence-based labor standards are implemented, as they have not been reviewed in most cases since Soviet times. At the same time, ensuring decent work indicators, especially wages, is very important.
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Affiliation(s)
- Yu V Dolzhenkova
- Financial University under the Government of the Russian Federation, Department of Personnel Management and Psychology, 125993, Moscow, Russia,
| | - E V Kamneva
- Financial University under the Government of the Russian Federation, Department of Personnel Management and Psychology, 125993, Moscow, Russia
| | - A L Safonov
- Financial University under the Government of the Russian Federation, Department of Personnel Management and Psychology, 125993, Moscow, Russia
| | - S Zappala
- University of Bologna, Bologna, Italy
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Chohan L, Dewa CS, El-Badrawy W, Nainar SMH. Occupational burnout and depression among paediatric dentists in the United States. Int J Paediatr Dent 2020; 30:570-577. [PMID: 32096577 DOI: 10.1111/ipd.12634] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2019] [Revised: 02/13/2020] [Accepted: 02/21/2020] [Indexed: 11/26/2022]
Abstract
BACKGROUND Paediatric dentists in the United States may be at greater risk for occupational burnout and/or depression because of chronic stress associated with provision of paediatric dental care and increasing prevalence of females in the workforce. AIMS To determine the prevalence of occupational burnout and/or depression among US paediatric dentists. DESIGN A self-administered online anonymous survey was sent to members of the American Academy of Pediatric Dentistry (n = 4735). The questionnaire consisted of seven demographic items, 22 items of Maslach Burnout Inventory (Three subscales: Emotional exhaustion, Depersonalization, and Personal accomplishment), and eight items of Patient Health Questionnaire-8. RESULTS The survey had a response rate of 11.4% (females = 53%). Twenty-three per cent of respondents had high emotional exhaustion while fewer respondents had high depersonalization (12%) or low personal accomplishment (10%). Nine per cent fulfilled the study's definition of occupational burnout (high emotional exhaustion + high depersonalization). Seven per cent of respondents had moderate-to-severe depression and showed significant correlations (P < .05) with high emotional exhaustion, high depersonalization and low personal accomplishment. Two out of five respondents with occupational burnout also had moderate-to-severe depression. There were no gender differences in prevalence of burnout or depression. CONCLUSIONS Few paediatric dentists had occupational burnout and/or depression.
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Affiliation(s)
| | - Carolyn S Dewa
- Department of Psychiatry and Behavioral Sciences, University of California, Davis, Davis, California
| | - Wafa El-Badrawy
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
| | - S M Hashim Nainar
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
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Campos A, Ernest EV, Cash RE, Rivard MK, Panchal AR, Clemency BM, Swor RA, Crowe RP. The Association of Death Notification and Related Training with Burnout among Emergency Medical Services Professionals. PREHOSP EMERG CARE 2020; 25:539-548. [PMID: 32584686 DOI: 10.1080/10903127.2020.1785599] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
INTRODUCTION Death notification is a difficult task commonly encountered during prehospital care and may lead to burnout among EMS professionals. Lack of training could potentiate the relationship between death notification and burnout. The first objective of this study was to describe EMS professionals' experience with death notification and related training. The secondary objective was to assess the associations between death notification delivery, training, and burnout. Methods: We administered an electronic questionnaire to a random sample of nationally-certified EMS professionals. Work-related burnout was measured using the validated Copenhagen Burnout Inventory. Analysis was stratified by certification level to basic life support (BLS) and advanced life support (ALS). The association between the number of adult (≥18 years) patient death notifications delivered in the prior 12 months and burnout was assessed using multivariable logistic regression to adjust for confounding variables. Multivariable logistic regression modeling was used to assess the adjusted association between training and burnout among those who reported delivering at least one death notification in the prior 12 months. Adjusted odds ratios (aOR) and 95% confidence intervals are reported (95% CI). Results: We received 2,333/19,330 (12%) responses and 1,514 were included in the analysis. Most ALS respondents (77%) and one-third of BLS respondents (33%) reported at least one adult death notification in the past year. Approximately half of respondents reported receiving death notification training as part of their initial EMS education program (51% BLS; 52% ALS) and fewer reported receiving continuing education (30% BLS; 44% ALS). Delivering a greater number of death notifications was associated with increased odds of burnout. Among those who delivered at least one death notification, continuing education was associated with reduced odds of burnout. Conclusion: Many EMS professionals reported delivering at least one death notification within the past year. Yet, fewer than half reported training related to death notification during initial EMS education and even fewer reported receiving continuing education. More of those who delivered death notifications experienced burnout, while continuing education was associated with reduced odds of burnout. Future work is needed to develop and evaluate death notification training specifically for EMS professionals.
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Affiliation(s)
- Abraham Campos
- Received May 7, 2020 from Department of Emergency Medicine, University of Nebraska Medical Center, Omaha, Nebraska (AC, EVE); Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts (REC); South Shore Health, EMS Division, Weymouth, Massachusetts (MKR); National Registry of Emergency Medical Technicians, Columbus, Ohio (ARP); Wexner Medical Center, Department of Emergency Medicine, The Ohio State University, Columbus, Ohio (ARP); Department of Emergency Medicine, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York (BMC); Department of Emergency Medicine, William Beaumont Hospital, Royal Oak, Michigan (RAS); ESO, Austin, Texas (RPC)
| | - Eric V Ernest
- Received May 7, 2020 from Department of Emergency Medicine, University of Nebraska Medical Center, Omaha, Nebraska (AC, EVE); Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts (REC); South Shore Health, EMS Division, Weymouth, Massachusetts (MKR); National Registry of Emergency Medical Technicians, Columbus, Ohio (ARP); Wexner Medical Center, Department of Emergency Medicine, The Ohio State University, Columbus, Ohio (ARP); Department of Emergency Medicine, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York (BMC); Department of Emergency Medicine, William Beaumont Hospital, Royal Oak, Michigan (RAS); ESO, Austin, Texas (RPC)
| | - Rebecca E Cash
- Received May 7, 2020 from Department of Emergency Medicine, University of Nebraska Medical Center, Omaha, Nebraska (AC, EVE); Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts (REC); South Shore Health, EMS Division, Weymouth, Massachusetts (MKR); National Registry of Emergency Medical Technicians, Columbus, Ohio (ARP); Wexner Medical Center, Department of Emergency Medicine, The Ohio State University, Columbus, Ohio (ARP); Department of Emergency Medicine, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York (BMC); Department of Emergency Medicine, William Beaumont Hospital, Royal Oak, Michigan (RAS); ESO, Austin, Texas (RPC)
| | - Madison K Rivard
- Received May 7, 2020 from Department of Emergency Medicine, University of Nebraska Medical Center, Omaha, Nebraska (AC, EVE); Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts (REC); South Shore Health, EMS Division, Weymouth, Massachusetts (MKR); National Registry of Emergency Medical Technicians, Columbus, Ohio (ARP); Wexner Medical Center, Department of Emergency Medicine, The Ohio State University, Columbus, Ohio (ARP); Department of Emergency Medicine, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York (BMC); Department of Emergency Medicine, William Beaumont Hospital, Royal Oak, Michigan (RAS); ESO, Austin, Texas (RPC)
| | - Ashish R Panchal
- Received May 7, 2020 from Department of Emergency Medicine, University of Nebraska Medical Center, Omaha, Nebraska (AC, EVE); Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts (REC); South Shore Health, EMS Division, Weymouth, Massachusetts (MKR); National Registry of Emergency Medical Technicians, Columbus, Ohio (ARP); Wexner Medical Center, Department of Emergency Medicine, The Ohio State University, Columbus, Ohio (ARP); Department of Emergency Medicine, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York (BMC); Department of Emergency Medicine, William Beaumont Hospital, Royal Oak, Michigan (RAS); ESO, Austin, Texas (RPC)
| | - Brian M Clemency
- Received May 7, 2020 from Department of Emergency Medicine, University of Nebraska Medical Center, Omaha, Nebraska (AC, EVE); Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts (REC); South Shore Health, EMS Division, Weymouth, Massachusetts (MKR); National Registry of Emergency Medical Technicians, Columbus, Ohio (ARP); Wexner Medical Center, Department of Emergency Medicine, The Ohio State University, Columbus, Ohio (ARP); Department of Emergency Medicine, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York (BMC); Department of Emergency Medicine, William Beaumont Hospital, Royal Oak, Michigan (RAS); ESO, Austin, Texas (RPC)
| | - Robert A Swor
- Received May 7, 2020 from Department of Emergency Medicine, University of Nebraska Medical Center, Omaha, Nebraska (AC, EVE); Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts (REC); South Shore Health, EMS Division, Weymouth, Massachusetts (MKR); National Registry of Emergency Medical Technicians, Columbus, Ohio (ARP); Wexner Medical Center, Department of Emergency Medicine, The Ohio State University, Columbus, Ohio (ARP); Department of Emergency Medicine, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York (BMC); Department of Emergency Medicine, William Beaumont Hospital, Royal Oak, Michigan (RAS); ESO, Austin, Texas (RPC)
| | - Remle P Crowe
- Received May 7, 2020 from Department of Emergency Medicine, University of Nebraska Medical Center, Omaha, Nebraska (AC, EVE); Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts (REC); South Shore Health, EMS Division, Weymouth, Massachusetts (MKR); National Registry of Emergency Medical Technicians, Columbus, Ohio (ARP); Wexner Medical Center, Department of Emergency Medicine, The Ohio State University, Columbus, Ohio (ARP); Department of Emergency Medicine, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York (BMC); Department of Emergency Medicine, William Beaumont Hospital, Royal Oak, Michigan (RAS); ESO, Austin, Texas (RPC)
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Bartosiewicz A, Łuszczki E, Dereń K. Personalized Nursing: How Life Satisfaction and Occupational Burnout Influence New Competences of Polish Nurses. J Pers Med 2020; 10:E48. [PMID: 32521688 DOI: 10.3390/jpm10020048] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 05/27/2020] [Accepted: 06/06/2020] [Indexed: 12/04/2022] Open
Abstract
Nursing around the world is developing very dynamically and nurses are undertaking increasingly complex tasks. The extension of entitlements for nurses in Poland in the area of writing prescriptions and referrals for diagnostic tests seems to be a response to the development and changes occurring in this profession. This will improve the standards of patient care, increase access to medical services and improve the professional status of this group. The aim of this study was to analyze the opinions of nurses regarding their preparedness for administering prescriptions and referrals for diagnostic tests depending on their sense of life satisfaction and the level of occupational burnout. The study was conducted among primary care nurses using a survey technique, using a standardized scale of life satisfaction and a scale to measure burnout. In addition, this study used a proprietary survey questionnaire containing questions regarding the self-assessment of preparedness for new competences. The results showed that nurses do not feel well prepared for new tasks. The levels of life satisfaction and burnout of the nurses surveyed significantly influenced confidence regarding their preparedness for writing prescriptions and referrals for diagnostic tests. Polish nurses have a very cautious attitude towards new competences. However, this is a breakthrough and the first step towards approving the role of an advanced practice nurse in our country.
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50
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Zaręba K, Banasiewicz J, Rozenek H, Ciebiera M, Jakiel G. Emotional Complications in Midwives Participating in Pregnancy Termination Procedures-Polish Experience. Int J Environ Res Public Health 2020; 17:ijerph17082776. [PMID: 32316548 PMCID: PMC7216072 DOI: 10.3390/ijerph17082776] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Revised: 04/11/2020] [Accepted: 04/16/2020] [Indexed: 01/12/2023]
Abstract
Background: Ethically controversial medical procedures, such as the termination of pregnancy, are frequently associated with a discrepancy between personal attitude and values versus requirements related to a professional situation. The study aimed to assess emotional complications in midwives participating in pregnancy termination procedures. Methods: The study included 181 midwives working in state-governed healthcare facilities in central and eastern Poland. The Oldenburg Burnout Inventory (OLBI) and the present authors’ own questionnaire were used in the study. The results indicating the level of occupational burnout were presented in two scales: the exhaustion scale and the disengagement scale. Results: The study revealed that 48% of midwives had never participated in pregnancy termination procedures due to fetal defects. The level of occupational burnout described with the exhaustion factor (t = 2.06; p < 0.041) and disengagement factor (t = 2.96; p < 0.003) was significantly higher in the group of midwives participating in pregnancy termination procedures due to fetal defects than in the group of midwives who did not participate in pregnancy terminations. The most common factors contributing to burnout reported by midwives who participated in pregnancy terminations were: moral dilemmas (68%), seeing the aborted fetus (65%), anticipating the child’s death in case it was born with signs of life (59%) and the lack of professional psychological support for medical personnel (56%). Conclusions: Importantly, pregnancy termination should be performed by persons who find such procedures acceptable from the viewpoint of their value system. It is a protective factor in regards to work with women who undergo terminations. Moreover, developing a system of informational and psychological support for midwives participating in pregnancy termination procedures is also a significant aspect.
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Affiliation(s)
- Kornelia Zaręba
- First Department of Obstetrics and Gynecology, Center of Postgraduate Medical Education, 01-004 Warsaw, Poland;
- Correspondence: ; Tel.: +48-662-051-602
| | - Jolanta Banasiewicz
- Department of Medical Psychology and Medical Communication, Medical University of Warsaw, 00-575 Warsaw, Poland; (J.B.); (H.R.)
| | - Hanna Rozenek
- Department of Medical Psychology and Medical Communication, Medical University of Warsaw, 00-575 Warsaw, Poland; (J.B.); (H.R.)
| | - Michał Ciebiera
- Second Department of Obstetrics and Gynecology, Center of Postgraduate Medical Education, 01-809 Warsaw, Poland;
| | - Grzegorz Jakiel
- First Department of Obstetrics and Gynecology, Center of Postgraduate Medical Education, 01-004 Warsaw, Poland;
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