Degree Of Emotional Exhaustion Research Articles

Hygienic assessment of the occurrence and development of emotional burnout syndrome among medical students and its prevention

Introduction and aim. Emotional burnout syndrome has become increasingly common in recent decades, regardless of the field of professional activity. The purpose of our study was to compare the prevalence of emotional burnout in medical students of Vinnytsia National Medical University before the beginning of the academic semester and during the passing of exams. Material and methods. An anonymous, voluntary survey before the start of study was taken by 300 students, among them 82.3% were women, 17.7% were men. Results. During the exams, 362 students took part, including 76.2% women and 24.1% men. According to the results of the study, the proportion of the “average” degree of exhaustion increased in second-year students by 15.6%; third-year students by 44.4%. The “high” degree of emotional exhaustion according to the results of the study before the start of training was found in male students of the third year – 44.4% and 36.4% of male students of the sixth year. During the exams, the rate of “high” emotional exhaustion was observed in first-year students, increasing from 12.5% to 18% and in sixth-year students from 36.4% to 50%. Conclusion. Thus, it was found that female students are the most adapted to the educational load, to passing exams, which affects the psychosomatic state of future doctors.

Older assistant workers in intermediate care facilities, and their influence on the physical and mental burden of elderly care staff

BackgroundAs there is a shortage of care staff in elderly care homes, seniors are expected to work as assistants to help the care staff. This study examined the influence of older assistant workers in intermediate elderly care facilities on care staff, specifically focusing on emotional exhaustion which is a sign of burnout. These facilities provide long-term nursing and supportive care to older residents.MethodsData from a mail survey of intermediate elderly care facilities with older assistant workers were analyzed. Care staff were asked about the advantages and disadvantages of introducing older assistant workers in elderly care work, and their degree of emotional exhaustion. We also assessed work self-evaluations of older assistant workers, including the benefits of the work, and physical and mental burdens.ResultsA significantly large number of care staff reported improvements in workload with the employment of older assistant workers. Intermediate elderly care facilities enrolling more older assistant workers showed lower mean emotional exhaustion among care staff, independent of possible covariates. While older assistant workers felt that their work contributed to helping both care users and staff, they also reported a mental burden.ConclusionsOur results suggest that older assistant workers can play a significant role in reducing the physical and mental burden of intermediate elderly care facility staff. Thus, employing older assistant workers can be an effective approach to addressing shortages of care staff in elderly care homes.

Post-Traumatic Stress Disorder and Burnout in Healthcare Professionals During the SARS-CoV-2 Pandemic: a Cross-Sectional Study.

IntroductionHealthcare professionals who are directly involved in the diagnosis, treatment, and general care of patients with SARS-CoV-2 are at risk of developing adverse psychological reactions. A cross-sectional study of healthcare professionals aimed to determine the impact of the SARS-CoV-2 pandemic on the mental health of healthcare professionals in two of the largest referral hospitals in Athens, Greece.MethodsThe study was conducted in the two largest SARS-CoV-2 referral hospitals in Athens, Greece. An assessment and the interrelationship of post-traumatic stress disorder, using the Impact of Event Scale-Revised [IES-R]) and burnout, using the Maslach Burnout Inventory [MBI]) was carried out.ResultsA total of 162 subjects were enrolled in the study. Fifty-six (35%) had an IES-R score > 33, suggesting post-traumatic stress disorder. Forty-nine (30%) had an MBI score > 27. Seventy-five (46%) had a personal accomplishment score of < 33 and 46 (28%) had a depersonalization score >10. Stepwise backward logistic regression revealed that the only independent variable that was retained regarding the presence of post-traumatic stress disorder was the emotional exhaustion score of the MBI (at a cut-off of 24 in this scale, the 95% CI of the odds ratio for the presence of post-traumatic stress disorder was 1.077-1.173).ConclusionsIn this sample of first-line Greek healthcare professionals against SARS-CoV-2, most of them were proven to be quite resilient to this challenge. One-third of them had post-traumatic stress disorder, which depended on their degree of emotional exhaustion. Healthcare professionals, as represented by this study, performed their duties without feeling helpless and developing adverse psychological reactions.

BURNOUT SYNDROME IN RELATION TO THE SENSITIVITY OF NURSES, TEACHERS AND SOCIAL WORKERS

Background and objectives: Burnout syndrome is considered as a serious public health problem that affects workers especially in the helping professions. For the effective prevention of this negative phenomenon, it is important to identify the preventive factors. One such factor to combat job burnout is the meaning of life. The primary goal of the paper is to examine the relationship between burnout syndrome and different dimensions of meaning of life among the selected helping professions (teaching, social work and nursing) in Slovakia. Methods: The research sample consisted of 212 assistants who participated in the survey and answered to the research tools aimed at identifying the meaning of life and burnout syndrome. Data were analyzed by inductive statistics including (ANOVA), correlation and regression analysis. Results: Statistically significant differences were found in the level of burnout syndrome and meaning of life in the professions under study. Furthermore, it was found that workers with higher level of affective component in their meaning of life experienced a lower degree of emotional exhaustion (β = -. 37, p &lt;.001) and higher personal performance (β = .35, p &lt;.001). Workers who have a higher meaning in life in the affective and motivational component suffered from a lower degree of depersonalization (β = -. 49, p &lt;.001; (β = .13, p &lt;.05). Conclusions: A higher degree of meaning in life result in lower rate of burnout syndrome, and this finding should be integrated into the intervention strategies aimed at the prevention and treatment of burnout syndrome. Regular reflections on the meaningfulness of work and life can be useful for the workers, especially during demanding and stressful periods. An existential approach seems to be very appropriate in this context.

Could the connectedness of primary health care workers involved in social networks affect their job burnout? A cross-sectional study in six counties, Central China

BackgroundThis study aimed to reveal the effects of the connectedness of primary health care (PHC) workers in social networks on their job burnout.MethodsCross-sectional survey data of rural PHC workers in China were analyzed. A total of 663 respondents were enrolled. Chi-square and cumulative logistic regression were used to determine the effects of the connectedness of PHC workers in social networks on their job burnout.ResultsPHC workers in rural China had high levels of emotional exhaustion (24.1%), depersonalization (15.7%), and lack of personal accomplishment (34.7%). More than half of the participants were in the middle connectedness level in terms of their advisory (70.4%) and friendship (70.3%) networks. The degree of emotional exhaustion seemed to increase when participants had a low connectedness in their friendship networks (β = 0.769, 95% CI = 0.080–1.458, P = 0.029). Respondents with the middle level of connectedness in advisory networks had higher levels of depersonalization (β = 0.739, 95% CI = 0.130–1.348, P = 0.017) and lack of personal accomplishment (β = 0.583, 95% CI = 0.111–1.055, P = 0.015) than those with the high degree of connectedness in advisory networks.ConclusionsThe connectedness of PHC workers in social networks influenced their job burnout. Thus, organizations should establish an informal communication platform and information feedback mechanism, promote and manage friendship networks, and help PHC workers overcome emotional exhaustion. Managers should also encourage individuals with a high level of connectedness in advisory networks play the role of “opinion leader” so that they can help others mitigate burnout.

Evaluation of Job Satisfaction and Burnout Levels of Social Workers Working in Different Social Services

Bu araştırma, farklı sosyal hizmet kurumlarında çalışan sosyal hizmet uzmanlarının iş doyumu ve tükenmişlik düzeylerini tespit etmek amacıyla gerçekleştirilmiştir.Tarama modelinde bir nicel araştırma olarak planlanan bu araştırmanın çalışma evrenini çalışmanın yapıldığı tarihlerde İstanbul ilinde görev yapmakta olan tüm sosyal hizmet uzmanları oluşturmaktadır. Verilerin elde edilmesinde araştırmacı tarafından hazırlanmış olan bir kişisel bilgi formu, Minnesota iş doyum Ölçeği ve Maslach tükenmişlik Ölçeği kullanılmıştır. Elde edilen bulgular, t testi ve Anavo analizi sonuçlarına dayalı olarak yorumlanmış, verilerin analizi aşamasında SPSS 21 programı kullanılmıştır. Çalışmanın bulgularına göre haftalık 20-30 saat müracaatçılarla birebir çalışanlarda dışsal doyum puanlarının yüksek, 5-10 yıl kıdeme sahip olan çalışanların içsel doyum puanlarının yüksek olduğu tespit edilmiştir. Mesleği isteyerek seçenler ile kendini mesleki olarak yeterli hissedenlerin içsel ve dışsal doyum puanlarının daha yüksek olduğu belirlenlmiştir. Sosyal hizmet uzmanlarının kendini yetersiz hissettikçe duygusal tükenmişlik ve düşük kişisel başarı puanı azalmakta, yeterli hissettikçe içsel ve dışsal doyum puanı yükselmektedir. Ayrıca iş arkadaşları ile iletişim kalitesi azaldıkça duygusal tükenmişlik puanları, yöneticileri ile iletişim kalitesi azaldıkça ise tükenmişlik boyutları puanları azalmaktadır.&#x0D; İş arkadaşları ve yönetici ile iletişim kalitesi arttıkça da içsel ve dışsal doyum puanı artmaktadır. Kurum içerisinde ise bağımsız karar verme süreci desteklenmedikçe duygusal tükenmişlik, duyarsızlaşma ve düşük kişisel başarı puanı desteklendikçe de içsel ve dışsal doyum puanı artmaktadır.Bu çalışmadan elde edilen araştırma bulgularının sosyal hizmet uzmanlarının iş doyumu ve tükenmişlik düzeylerini etkileyen değişkenlerin belirlenerek uzmanların işlerinde verimli ve başarılı olmalarına katkıda bulunması bakımından önem arz edeceği düşünülmektedir.

Factores relacionados al síndrome de Burnout en el personal de salud del Hospital Regional Huánuco

Introducción: El objetivo del presente estudio fue determinar la relación entre los factores con el síndrome de Burnout en el personal de salud del Hospital Regional Hermilio Valdizán, 2014. Métodos: Estudio observacional. Las variables fueron Síndrome de burnout, profesión, tiempo de labor en la institución y carga laboral semanal. No se obtuvo muestra. Se tomó a toda la población de médicos y enfermeras, conformada por 130, de los cuales 110 aceptaron participar. Para el diagnóstico del síndrome de Burnout se utilizó la encuesta de Maslach. Se empleó una encuesta validad por expertos. Se utilizó el programa Microsoft Excel, SPSS y Epidat. El análisis estadístico realizado fue descriptivo (frecuencias absolutas y relativas) e inferencial (prueba de chi cuadrado, test exacto de Fisher y U de Mann Whitney). Resultados: Se encontró que de los 110 encuestados, 3 (2,7%) presentaron síndrome de Burnout. El 7,3% presentó un alto grado de agotamiento emocional, el 20% un mediano grado de agotamiento emocional y el 72,7% un bajo grado de agotamiento emocional. El 20% evidencio un alto grado de despersonalización, el 29,1% un mediano grado de despersonalización y el 50,9% un bajo grado de despersonalización. El 29,1% mostró un bajo grado de realización personal, el 28,2% un mediano grado de realización personal y el 42,7% un alto grado de realización personal. El análisis bivariado ninguna variable estuvo asociada con el síndrome de Burnout. Para profesión (p=0,991), tiempo de labor en el hospital (p=0,550) y horas de trabajo semanal (p=0,912). Conclusiones: No se encontró relación de algún factor con el síndrome de Burnout. Se encuentra evidencia importante en una o dos dimensiones alteradas para el síndrome, lo cual indicaría que estos estarían en riesgo de desarrollarla en un futuro.

Burnout and coping strategies among residents of a private medical college in South India: A cross-sectional study.

Background:Burnout is evident in various professions increasingly so in the health-care field, where doctors are involved with direct interactions with dependent patients. Burnout is evident even in residents due to working in demanding and testing conditions which has a negative influence not only on their profession, but also patient care.Aims:(1) To measure the levels of burnout among the residents and (2) to assess the relationship between severity of burnout and coping strategies.Settings and Design:It is cross-sectional observational study set in a private medical college with residency program.Materials and Methods:Online self-administered questionnaire was sent to all residents, out of these, 100 residents consented and completely filled the questionnaires and were included in the analysis with a response rate of 55.6%. The questionnaire consisted of sociodemographic variables, Maslach Burnout Inventory, and Brief COPE.Results:Residents who reported burnout as high in two dimensions of emotional exhaustion and depersonalization are 31.82%. The 2nd year residents scored high on burnout measures when compared to 1st and 3rd year residents. It was observed that as the degree of emotional exhaustion and depersonalization increased from low to high, the frequency of the maladaptive coping strategies also increased.Conclusion:Based on these findings it can be concluded that burnout is frequent in residents. Further research is essential to identify the factors that contribute to burnout in residents.

Sindrom 'sagorevanja' kod lekara koji su zaposleni u Urgentnom centru Kliničkog centra Srbije

Introduction: Burnout is often used to describe the state or mental process similar to a firearm after shooting or extinguishing spent candles. Aim: The objective of the present research was to value the relation between the socio-demographic data with the presence of the burnout-syndrome in the investigated subjects. Methods: The research was done as cross-sectional study, during May-June 2017 and February-March 2018 at the Emergency Center of Clinical Centre of Serbia. Medical doctors with full work-time who accepted kindly the anonymous pull were evaluated. To precede the measure of subjective perception of health, the Serbian version of Maslach Burnout Inventory-Human Services Survey (MBI-HSS) was used. Results: At the evaluation of the level of burnout (MBI-HSS) in Serbian language, 76 investigated doctors of the Emergency Center completed the inquiry. 35-44 years old category was the most representative with 40.8% respondents. Respondents most often live in community were 52.6% of all and 48.7% have children. 75% respondents showed a low level of depersonalization. There was a significant negative correlation between the years of service and level of depersonalization. Both genders (50.0% respondents) showed a high degree of lack of personal achievements, female 55.3% slightly higher than male respondents 44.7%. High emotional exhaustion was present in 85.5% and showed no significant difference in the degree of emotional exhaustion in relation to gender. A significant difference was observed by respondents who do not have children, they are subjected to higher emotional exhaustion. Conclusion: Burnout should be studded by a team composed of experts (psychiatry, occupational medicine and epidemiology) in order to determine the degree to which burnout is related to work and how to prevent and mitigate it. Respondents with lower years of service have a higher degree of depersonalization and respondents without children are subjected to higher emotional exhaustion.

Prevalencia de Síndrome de Burnout en un Centro de Cirugía Académico-Asistencial Público en Chile

Aim: To assess the degree of emotional exhaustion, personal accomplishment and depersonalization in the work of physicians of the Hospital Hernan Henriquez Aravena surgery service and department of surgery of the Universidad de La Frontera, Temuco, Chile. Material and Method: Cross-sectional study. 19 medical interns, 11 surgical residents and 15 surgeons of Hernan Henriquez Aravena Hospital and surgery department of Universidad de La Frontera were included. Applied instrument: MBI questionnaire in its adaptation of the Spanish population. Calculation of measures of central tendency and percentage, as well as comparison of variables through t Student and values of Cronbach’s alpha coefficients were performed. Results: Regarding the MBI scale, the overall prevalence of the syndrome was 64.4%, whereas, by dimensions, emotional exhaustion showed a prevalence of 76%; Low personal accomplishment at work, 55%, and depersonalization 62%. Statistically significant differences were found in emotional exhaustion and depersonalization according to socio-demographic variables: men and women, single and married, subjects without children and with children, whether or not they take emergency room shifts, obtaining higher levels in women, unmarried, subjects without children and those who take emergency shifts. Conclusions: It is accepted that the central triggering factor is the high emotional exhaustion that gradually leads to a state of emotional and cognitive distancing in their daily activities, with the consequent inability to respond to demands of the service. In this distancing occurs depersonalization, indifference and cynical attitudes toward responsibilities or towards people. Therefore, measures should be taken to try to reduce the prevalence of this syndrome in our medical interns and residents, mainly.

Factors influencing consultation length in general/family practice.

The length of consultations is an important factor affecting the quality of care in general practice. It is however difficult to study as many factors are simultaneously involved. Much that is known is about patient factors as so far, doctor factors have been neglected. To investigate multiple factors affecting consultation length, how they interact and the association between consultation length and patient-centredness. Previously collected observational data from 38 National Health Service NHS GPs in England stratified according to doctor's gender, experience and degree of emotional exhaustion were used. Multiple regression analyses were applied to 822 audio-recorded and timed consultations. Each consultation was analysed for the doctor's gender, patient's gender, experience, level of emotional exhaustion and patient-centredness. We previously reported that 261/564 (46%) of GPs in Essex England were emotionally exhausted. Here, we found that male and female doctors respond differently to both experience and emotional exhaustion, which are associated with differences in their consultation length. The effect of experience on consultation length is only observed in male doctors: the more experienced, the shorter their consultation. Emotional exhaustion affected consultation length in opposite ways for females and male GPs: exhausted female GPs had shorter consultations, while exhausted male doctors had longer ones. Longer consultations were significantly more patient-centred and were associated with female patients. We found five factors affecting consultation length significantly. Moreover, these factors can predict the consultation length.

The influence of burnout on skills retention of junior doctors at Red Cross War Memorial Children’s Hospital: A case study

This study used the Maslach Burnout Inventory to evaluate the degree of burnout among junior doctors at Red Cross War Memorial Children's Hospital (RXH), Cape Town, and the influence thereof on the retention of valuable skills in the hospital. It further considered measures that could be taken to mitigate the causes of burnout, by means of qualitative methods. The research explores the significance of burnout and the role it plays in the retention of junior doctors at RXH. There has been an increase in the migration of medical doctors worldwide, with an exodus of doctors from South Africa. Along with the effects of HIV/AIDS, this places extra strain on those who remain. A two-part, mixed quantitative and qualitative study consisting of a validated measure, the Maslach Burnout Inventory, was sent to 39 junior doctors at RXH. Responses were received from 23 doctors (one of which was invalid), constituting a 60% response rate. The second part consisted of four semistructured interviews. Of the 22 respondents, 100% experienced a high degree of burnout on one of the three scales of burnout, namely emotional exhaustion, depersonalisation and reduced accomplishment. Of those surveyed, 95% expressed an intention to leave RXH. The degree of emotional exhaustion and depersonalisation experienced by the junior doctors at RXH was significantly higher than that in a normative sample of 1 104 doctors. Recruitment, improved management and planning, increased support, mentorship and a more empathetic administration were some of the factors suggested to mitigate the burnout experienced by the junior doctors.

The relations among empathy, occupational commitment, and emotional exhaustion of nurses

The objective of this study was to determine whether empathy and occupational commitment significantly contribute to the emotional exhaustion of nurses. The sample group was 158 nurses from two regional Lithuanian hospitals, who completed self-report measures. A questionnaire consisted of 10 items reflecting empathy appearing on Davis (1983) Individual Reactivity Index, 4 occupational commitment items from Miller et al. (1988), and 7 emotional exhaustion items from the Maslach Burnout Inventory (Maslach, Jackson, 1981). Correlation analyses and structural equation modeling were employed to interpret the results. The results showed that nurses' occupational commitment plays an important role in the degree of emotional exhaustion they experience. Nurses having more empathy are more likely to develop higher occupational commitment. In addition, it was found that higher levels of empathy and occupational commitment of nurses are associated with lower emotional exhaustion. Nurses who stayed in the profession longer developed stronger occupational commitment. Therefore, the conclusion was made that differences in emotional exhaustion among nurses may be explained directly by occupational commitment and indirectly by empathy and nursing experience.

Career Versus Motherhood? A Case Study Describing a Cognitive-existential Approach to the Dilemma

AbstractThe present paper reports a case study concerning a professional woman in her 30s, who presented to the Occupational Health department of a metropolitan hospital with work stress stemming from accelerating work demands and marital problems related to the decision about whether to start a family or continue her career. No clinical diagnosis was warranted; however, Maslach Burnout Inventory Scores indicated a high degree of emotional exhaustion and moderate levels of depersonalisation, offset by a high sense of personal accomplishment in her work role. The client also demonstrated severe stress and moderate depression on the Depression-Anxiety-Stress Scale (DASS-21). The case was conceptualised from a combined cognitive-existential perspective. The woman's cognitions about her work, relationship, and prospective motherhood roles were identified, as well as underlying existential issues such as finding a meaning in life and a fear of being alone and unloved. Eight sessions of therapy incorporated components of cognitive and existential therapies, aimed at managing stress and improving marital adjustment. Posttreatment results showed substantial reductions in all the measures of distress, while personal accomplishment remained high. The woman and her husband decided to defer starting a family until other issues had been addressed.

Combined somatic and psychiatric care--effects on personnel treating drug addicts with infectious diseases.

Infectious disease care, psychiatric care of drug addicts, and social care were combined in a ward for drug addicts with infectious diseases. The aim of this study was to evaluate the effects on the personnel (n = 22). One ward with infectious disease care of HIV and AIDS patients (n = 24) and another with nonsomatic care of drug addicts (n = 18) were selected to make comparisons possible. The questionnaire concerned psychosocial work environment and health. The personnel at the new ward also participated in a semistructured interview. The personnel at the special ward experienced a significantly higher degree of emotional exhaustion and lack of ability to concentrate than the comparison groups. They also reported a higher degree of lack of clarity, more job strain, and more difficulties due to demands from patients. The combined care is probably associated with heavier psychological burdens than other forms of care. In spite of this, the personnel experienced their work as meaningful and mentally stimulating.