Emotional Exhaustion Scale Research Articles

Emotions, Illness Symptoms, and Job Satisfaction among Kindergarten Teachers: The Mediating Role of Emotional Exhaustion

Kindergarten teachers’ emotions are an essential factor in their physical and psychological wellbeing. Previous studies mainly focused on the relationship between kindergarten teachers’ emotions and their students’ emotions while ignoring the important relationships between kindergarten teachers’ emotions and their own wellbeing (e.g., teachers’ health, job satisfaction, burnout). Therefore, this study explores teacher emotions as predictor variables, illness symptoms, and job satisfaction as criterion variables, and emotional exhaustion as a mediator. In total, 1997 kindergarten teachers completed the Teacher’s Emotion Scale, the Occupational Emotional Exhaustion Scale, the Illness Symptoms Scale, and the Job Satisfaction Scale. Results revealed that enjoyment negatively predicted illness symptoms and positively predicted job satisfaction via the mediating role of emotional exhaustion. The opposite relationships were found with anger, also confirming the mediating role of emotional exhaustion. Anxiety positively predicted illness symptoms, completely mediated by emotional exhaustion, but no relationship was found with job satisfaction. The function of emotions in teachers’ physical and mental health, implications for kindergartens’ research and practice, and suggestions for future research are discussed.

Особенности динамики психоэмоционального истощения у медицинского персонала COVID-госпиталя с различной интенсивностью трудовой нагрузки

In the beginning of 2020 there appeared an urgent need for substantial advancement of the medical and psychological support for medical personnel involved in medical care provided to patients with the new coronavirus infection (COVID-19) in hospital settings. This need originated from the necessity to diagnose the risks of doctors developing mental states that adversely affect their professional performance and, subsequently, lead to disorders. In addition, there are under-researched matters of dependence of the prevalence of destructive mental states on the intensity of workload experienced by doctors in the "red zones", where the risk of patient fatalities is high. This study aimed to investigate the workload-dependent dynamics of psycho-emotional exhaustion among the medical staff of a COVID hospital. We analyzed the psychological tests (MBI, Maslach Burnout Inventory) that 121 people completed during a four-week assignment in the "infectious" zone and two weeks in the observation department. Seventy-nine doctors comprised the heavy workload group and 42 were in the moderate workload group. The study showed that healthcare workers experiencing heavier workloads exhibit high values of the psycho-emotional exhaustion indicators more often. We registered significant differences (р ≤ 0.05) by the Emotional Exhaustion scale at the third and fifth weeks of the study. By the fifth week, i.e., when the assignment in the "infectious zone" was over, heavy workload group had the median of 25 (23.5; 27), while in the moderate workload group it was 14 (14; 15), which is 56% lower.

Validating a Novel Emotional Intelligence Instrument for Resident Physicians

To construct and validate a scale of emotional intelligence (EI) for the medical field, n = 80 resident physicians responded to a 69-item self-report measure during the pilot phase of development of the Scale of Emotional Functioning: Medicine (SEF:MED). Based on multiple-phase item and structural analyses, a final 36-item version was created based on data from n = 321 respondent residents. Initially exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) supported the expected three-factor solution as did additional CFA from a second sample of n = 113 participants. Internal consistency reliabilities obtained from the original n = 321 residents for the three SEF:MED subscales of Interpersonal Skills (IS), Emotional Awareness (EA), and Emotional Management (EM) were 0.81, 0.82, and 0.84, respectively. Alphas for the second CFA data set were 0.89, 0.87, and 0.88 for IS, EM, and EA, respectively. In addition, the SEF:MED was validated by comparing it to related measures (i.e., the Profile of Emotional Competence (PEC) and the Maslach Burnout Inventory-Human Services Survey for Medical Personnel [MBI-HSS (MP)]); Correlation coefficients between the Total EI composite on the SEF:MED and the PEC global scales ranged from r = 0.64 to 0.68. Finally, correlation coefficients from the Total EI composite on the SEF:MED significantly related to the MBI-HSS (MP) Emotional Exhaustion (EE), Depersonalization (DP), and Personal Accomplishment (PA) scales (r = -0.50, -0.44, and 0.52, respectively). The SEF:MED may provide useful data to physicians and other medical professionals as they consider their own well-being and how it may affect care of their patients.

Psychometric Properties of the Emotional Exhaustion Scale (ECE) in Chilean Higher Education Students.

The main objective of this study was to estimate the psychometric properties of the Emotional Fatigue Scale (ECE) in a sample of 1308 Chilean university students and confirm the unifactorial structure of the scale. Exploratory and confirmatory factor analyses were carried out. The ECE assessment had an internal consistency of 0.893 (Cronbach’s Alpha). An exploratory factor analysis with Varimax rotation and a confirmatory analysis were performed, obtaining the factor that explains 52.3% of the variance. The results indicated that the ECE has adequate psychometric properties for use with higher education students in Chile. The ECE scale has good psychometric properties to be applied in the Chilean university context. Its usage may be very relevant to contribute to higher education institutions to emphasize students’ mental health and prevent possible severe pathologies in future professionals. It is suggested to use the ECE scale together with the EES-Int, which is the only interpretation table for this instrument.

Perceived Stress, Emotional Exhaustion and Burnout among Medical and Dental Undergraduate Students

Objective: to explore the level of perceived stress, emotional exhaustion and burnout among students of private dental and medical colleges in Lahore Method: This analytical crossectional study was designed and conducted, and data was collected using Emotional exhaustion scale (10 items; Cronbach’s alpha=.78),21 Perceived Stress Scale (14 items, Cronbach’s alpha=.80),22 and Maslach Burnout Inventory (15 items; Cronbach’s alpha=.79).23 Total sample was 150 undergraduate students (75 from medical college 4th year and 75 from dental college 4th year). Results: The results of independent sample t test revealed a significant difference between the level of perceived stress (t=-24.02, P=.020), emotional exhaustion (t=-18.51, P=.001) and burnout (t=12.871, P=.010) among medical and dental undergraduate students Conclusion: Perceived stress, emotional exhaustion and burnout was found more among students of medical colleges as compared to the students of dental colleges Keywords: Perceived stress, Emotional exhaustion, Burnout, Medical Professionals

Within-person Variation In Emotional Exhaustion Among Caregivers For Older Adults

Caregiving is everyday life for family members of older adults. Care recipients’ care requirements, service usage, and caregivers’ physical and emotional conditions differ day by day. Little is known how the differences and variances relate to informal caregivers’ mental health. This study aimed to examine informal caregivers’ day-to-day fluctuation in emotional exhaustion and discuss the within-person effects on mental health among informal caregivers. We developed the Caregiving Visualization Project toolkit (Care VIP), a software program for tracking on daily basis components of care experiences such as care task of Activity of Daily Living (ADL) and Instrumental Activity of Daily Living, service usages, and caregiving burden, as well as eight items of caregivers’ emotional exhaustion. We recruited study participants between May 2018 to March 2019 who provided instrumental help to community-dwelling older adults. A total of 75 participants, who accessed the Care VIP every day by using tablets or computers and completed a one-month study, were analyzed in this study. Females comprised 80.0%, and the average age of caregivers was 52.7 years (SD=9.1). The majority were those who provided care to parents (69.3%), and those who provided to parents-in-law and spouses were 16.0% and 5.3%, respectively. The average score of the eight items on the emotional exhaustion scale, with a 4-point Likert scale, was 23.4 (SD=4.9); however, each question showed different variations. Within-person effects on mental health among informal caregivers will be discussed.

The Effect of Trait Mindfulness on Teachers' Emotional Exhaustion: The Chain Mediating Role of Psychological Capital and Job Engagement.

Emotional exhaustion has become an important occupational health problem faced by teachers, and it has seriously affected their mental health. It is necessary to pay attention to the factors that affect emotional exhaustion. In this study, 815 frontline university faculty were selected as subjects to explore the relationship between trait mindfulness and emotional exhaustion and the role of psychological capital and work engagement in this relation, using the trait mindfulness, psychological capital, work engagement, and emotional exhaustion scales. It was found that trait mindfulness and emotional exhaustion are negatively correlated; the mediating role of psychological capital between trait mindfulness and emotional exhaustion is not significant; the mediating role of work engagement between trait mindfulness and emotional exhaustion is significant; the chain mediation effect of psychological capital and work engagement between trait mindfulness and emotional exhaustion are significant.

Risk of burnout and stress in physicians working in a COVID team: A longitudinal survey.

Background and aimsThe COVID‐19 pandemic represents a source of stress and potential burnout for many physicians. This single‐site survey aimed at assessing perceived stress and risk to develop burnout syndrome among physicians operating in COVID wards.MethodsThis longitudinal survey evaluated stress and burnout in 51 physicians operating in the COVID team of Gemelli Hospital, Italy.Participants were asked to complete the Maslach Burnout Inventory (MBI) and the Perceived Stress Questionnaire on a short run (PSQs) (referring to the past 7 days) at baseline (T0) and then for four weeks (T1‐T4). Perceived Stress Questionnaire on a long run (PSQl) (referring to the past 2 years) was completed only at T0.ResultsCompared with physicians board‐certified in internal medicine, those board‐certified in other disciplines showed higher scores for the Emotional Exhaustion (EE) score of the MBI scale (P < .001). Depersonalisation (DP) score showed a reduction over time (P = .002). Attending physicians scored lower than the resident physicians on the DP scale (P = .048) and higher than resident physicians on the Personal Accomplishment (PA) scale (P = .04). PSQl predicted higher scores on the EE scale (P = .003), DP scale (P = .003) and lower scores on the PA scale (P < .001). PSQs showed a reduction over time (P = .03). Attending physicians had a lower PSQs score compared with the resident physicians (P = .04).ConclusionsMedical specialty and clinical position could represent risk factors for the development of burnout in a COVID team. In these preliminary results, physicians board‐certified in internal medicine showed lower risk of developing EE during the entire course of the study.

Within the Scope of Labor Relations: Relationships of Role Conflict and Ambiguity, Well-Being at Work, Emotional Exhaustion, Co-Worker and Supervisor Support, Reported Job Competence Variables

In this study, it was aimed to investigate the relationships between role conflict, role ambiguity, well-being at work, emotional exhaustion, co-worker support, supervisor support and reported job competence variables in the organizational literature. The scales used in the study include supervisor support and co-worker support scale of Paulin, Ferguson and Bergeron (2006), the Reported Job Competence Scale of Warr (1990), the emotional exhaustion scale taken from Lewin and Sager (2009) whose main source is Singh et al. (1994)'s study, the role conflict scale taken from Lewin and Sager (2009)whose main source is Rizzo et al. (1970)'s study, role ambiguity scale taken from Lewin and Sager (2009) whose main source is Rizzo et al. (1970)'s study, and well-being at work scale taken from the study of Daniels (2000). The study was carried out with randomly selected 400 healthcare professionals from 6 hospitals in 4 cities of Central Anatolia and Eastern Anatolia in 2018. Participants were reached using the "random sampling" method in proportion to the size of the hospitals with the "stratified sampling" method. As a result of the study, a positive relationship was found between co-worker support and supervisor support. Reported job competence showed a negative relationship with role ambiguity and role conflict, and a positive relationship with supervisor support and co-worker support. Well-being at work (positive effect) showed a positive relationship with supervisor support and co-worker support, a negative relationship with well-being at work (negative effect), and a negative relationship with emotional exhaustion.

Prevalencia y severidad del burnout académico en estudiantes universitarios durante la pandemia por la COVID-19

Background: Academic burnout (AB) is an insidious process characterized by the feeling of emotional exhaustion due to the demands of academic life. Despite its impact on people's health, its prevalence has not yet been reported in Peru. The objective was to estimate the prevalence of AB, based on the emotional exhaustion experienced by university students, and the differences according to the student's year of study and sex. Method: Participants were 341 college students (76% women) from several institutions who were enrolled between the second and fourth year-of-studies. The Emotional Exhaustion Scale was used to measure students' AB. Results: The prevalence of AB was described by percentages and the comparison between groups was performed with effect size measures. The results reveal BA levels at a high level (31.4%) and risk (11.7%). On the other hand, women score higher than men in BA, but no differences were found according to the year of study. The association with anxiety and depression was moderate. Conclusions: The prevalence of academic burnout was significant, and it is associated with anxiety and depression.

Prevalencia y severidad del burnout académico en estudiantes universitarios durante la pandemia por la COVID-19

Background: Academic burnout (AB) is an insidious process characterized by the feeling of emotional exhaustion due to the demands of academic life. Despite its impact on people's health, its prevalence has not yet been reported in Peru. The objective was to estimate the prevalence of AB, based on the emotional exhaustion experienced by university students, and the differences according to the student's year of study and sex. Method: Participants were 341 college students (76% women) from several institutions who were enrolled between the second and fourth year-of-studies. The Emotional Exhaustion Scale was used to measure students' AB. Results: The prevalence of AB was described by percentages and the comparison between groups was performed with effect size measures. The results reveal BA levels at a high level (31.4%) and risk (11.7%). On the other hand, women score higher than men in BA, but no differences were found according to the year of study. The association with anxiety and depression was moderate. Conclusions: The prevalence of academic burnout was significant, and it is associated with anxiety and depression.

Frustration With Technology and its Relation to Emotional Exhaustion Among Health Care Workers: Cross-sectional Observational Study.

BackgroundNew technology adoption is common in health care, but it may elicit frustration if end users are not sufficiently considered in their design or trained in their use. These frustrations may contribute to burnout.ObjectiveThis study aimed to evaluate and quantify health care workers’ frustration with technology and its relationship with emotional exhaustion, after controlling for measures of work-life integration that may indicate excessive job demands.MethodsThis was a cross-sectional, observational study of health care workers across 31 Michigan hospitals. We used the Safety, Communication, Operational Reliability, and Engagement (SCORE) survey to measure work-life integration and emotional exhaustion among the survey respondents. We used mixed-effects hierarchical linear regression to evaluate the relationship among frustration with technology, other components of work-life integration, and emotional exhaustion, with adjustment for unit and health care worker characteristics.ResultsOf 15,505 respondents, 5065 (32.7%) reported that they experienced frustration with technology on at least 3-5 days per week. Frustration with technology was associated with higher scores for the composite Emotional Exhaustion scale (r=0.35, P<.001) and each individual item on the Emotional Exhaustion scale (r=0.29-0.36, P<.001 for all). Each 10-point increase in the frustration with technology score was associated with a 1.2-point increase (95% CI 1.1-1.4) in emotional exhaustion (both measured on 100-point scales), after adjustment for other work-life integration items and unit and health care worker characteristics.ConclusionsThis study found that frustration with technology and several other markers of work-life integration are independently associated with emotional exhaustion among health care workers. Frustration with technology is common but not ubiquitous among health care workers, and it is one of several work-life integration factors associated with emotional exhaustion. Minimizing frustration with health care technology may be an effective approach in reducing burnout among health care workers.

Development and Validity of the Nurse Presenteeism Questionnaire.

This study aimed to develop and test the reliability and validity of a multi-item nurses’ presenteeism behaviour questionnaire. Study 1 administered the Nurse Presenteeism Questionnaire (NPQ) to 250 Chinese nurses. Study 2, surveyed 650 nurses with the NPQ, the Sickness Presenteeism Questionnaire, the Stanford Presenteeism Scale, the General Health Questionnaire, and the Emotional Exhaustion Scale using convenience sampling. After item analysis, the subjects were randomly divided into two groups to verify the questionnaire structure. Study 1 revealed the nurses’ core symptoms when they go to work with illness, and the NPQ with 11 items was developed. Study 2’s item analysis revealed that 11 NPQ items had good discrimination (t = 22.67∼36.11, p < 0.01) and high homogeneity. Besides, the scale had good reliability (Cronbach’s = 0.93) and external criterion validity (r = 0.24∼0.84, p < 0.01). Thus, the NPQ can be used to measure presenteeism behaviour in nursing.

Impact of COVID-19 pandemic on well-being and work-related burnout among healthcare workers at an academic center.

11019 Background: COVID-19 pandemic has not only caused an unprecedented distress in the community, but also significant physical and psychological exhaustion amongst healthcare workers (HCWs), that could lead to serious effects on our healthcare system. This study was conducted to assess burnout among oncologists and other healthcare professionals at a large academic center. Methods: An electronic 10-minute questionnaire was sent to actively employed physicians, APRNs and PAs at the University of Miami. Survey items evaluated various personal and professional characteristics including COVID related stress. Burnout was examined with Maslach Burnout Inventory (MBI), which evaluated severity across two domains: emotional exhaustion and depersonalization. The logistic regression model was used to estimate association between study variables and high burnout levels. Odds ratio (ORs) and corresponding 95% confidence interval (CI) were obtained. Continuous variables were tested using two-sample t-test by high burnout status. Results: The survey was sent to 739 HCWs, out of which 182 (24.6%) completed the entire survey; 63.7% were physicians, 8.6% fellows, and 27.4% APRN or PA. The pandemic led to rescheduling of professional activities (22.2%), increased workload (59.5%), job insecurity (28.6%), and decreased leadership opportunities (32.2%). 62.3% of respondents reported decreased exercise; 44.8% reported new sleep disorder; 56.1% reported increased home responsibilities; childcare arrangements were affected in 60.6%; 61.4% struggled to maintain work-life balance. 70 of 182 respondents were broadly from the fields of Oncology and Palliative Care. 9 out of these 70 respondents reported high depersonalization, 27 reported high emotional exhaustion, and 33 reported overall high burnout symptoms on either emotional exhaustion or depersonalization scales. Amongst physicians holding positions from PGY4 through licensed attendings with less than 5 years’ experience, 62.5% (95%CI=35.4-84.8) showed high burnout rate (10 of 16), which was not statistically different from older physicians (11 of 27=40.7% (95%CI=22.4-61.2)). No difference in burnout was seen for other study variables including gender, marital status, and race/ethnicity. Conclusions: COVID-19 pandemic has incited not only an unmatched level of practice changes, but also extraordinary psycho-social uncertainty, leading to a considerable impact on HCWs’ wellbeing. Long working hours, lack of sleep, fear of losing job, transition to tele-medicine, risk of getting infection and putting their family at risk, lack of childcare, pressure of home schooling- all seem to have caused an increased physical and psychological pressure among HCWs and warrants an examination of potential coping mechanisms. This study sets the stage for more elaborate research to illustrate and guide the development of wellness programs imperative to the well-being of HCWs.

Protective Factors against Emergency Stress and Burnout in Healthcare and Emergency Workers during Second Wave of COVID-19

Working as healthcare workers (HCWs) and emergency workers (EWs) during the first wave of COVID-19 has been associated with high levels of stress and burnout, while hardiness, coping strategies and resilience have emerged as protective factors. No studies have so far investigated these psychological factors during the second wave. We aimed to verify the trend of stress levels, burnout, coping strategies and resilience during the pandemic in Italian healthcare and emergency workers by comparing a first sample recruited from the first COVID-19 wave (N = 240) with a second sample relating to the second wave (N = 260). Through an online platform we administered questionnaires to measure stress, burnout, resilience, hardiness and coping strategies. The results showed that in the two waves the total stress levels of HCWs and EWs did not differ, while the physical stress and hardiness scores in the second wave were greater. No differences were found in the coping strategies used. An analysis of burnout levels in the second wave sample found that stress showed a high predictive power in the emotional exhaustion and depersonalization scales. Hardiness and resilience emerged as protective factors in reducing stress. The implications for the need to provide support and to improve hardiness for HCWs and EWs are discussed.

307 Sleep and occupational wellbeing in active duty U.S Army Soldiers

Abstract Introduction Insufficient sleep is ubiquitous among active duty service members in operational settings. Although insufficient sleep has been linked to poor cognitive, psychological, and physiological outcomes in military populations, little research has investigated the impact of insufficient sleep on Soldier occupational wellbeing. This study examined the longitudinal association between sleep quality and occupational functioning in a population of active duty U.S. Army Soldiers. Methods Sixty male Soldiers (age 25.41±3.74 years) participated. Sleep quality and occupational outcomes were assessed four weeks apart (before and after an annual training mission). Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Occupational outcome measures included the Emotional Exhaustion Scale, Walter Reed Functional Impairment Short Scale, Role Overload Scale, and Perceived Stress Scale. Linear regressions assessed the prediction of PSQI Global Score on occupational outcome scores. Student’s t-tests compared occupational outcomes between “good” and “poor” sleepers (PSQI Global Score &amp;gt; 5 = poor sleeper). Results Poorer sleep quality at baseline broadly predicted poor occupational outcomes post-training. Specifically, higher PSQI Global Scores predicted higher emotional exhaustion (B = 1.6, p &amp;lt; 0.001, R2 = 0.25), functional impairment (B = 0.29, p &amp;lt; 0.03, R2 = 0.14), role overload (B = 28, p &amp;lt; 0.008, R2 = 0.12), and perceived stress (B = 0.34, p &amp;lt; 0.004, R2 = 0.2). Furthermore, occupational outcome scores were significantly higher in poor sleepers than good sleepers: emotional exhaustion: (t(58) = -4.18, p &amp;lt; .001); functional impairment: (t(59) = -3.68, p = .001); role overload (t(58) = -3.20, p = .002); and perceived stress (t(58) = -2.43, p = .02). Conclusion This study identified a longitudinal relationship between sleep quality and occupational outcomes, suggesting that service members with poor sleep may be at risk for experiencing poor workplace wellbeing. Given the association between service member wellbeing and likelihood to re-enlist, insufficient sleep may negatively impact Soldier attrition. Future studies should aim to augment sleep quality and track occupational outcomes in this population. Support (if any) This work was funded by the Military Operational Medicine Research Program of the United States Army Medical Research and Development Command.

Wellbeing of Frontline Health Care Workers After the First SARS-CoV-2 Pandemic Surge at a Neuroscience Centre: A Cross-sectional Survey

Background:The coronavirus disease 2019 (COVID-19) pandemic has affected people of all ages, races, and socioeconomic groups, and placed extraordinary stress on health care workers (HCWs). We measured the prevalence of burnout and assessed wellbeing and quality of life (QoL) in HCWs at a single UK neuroscience center after the first pandemic surge.Methods:A 38-item electronic questionnaire was disseminated through local team email lists between May 22 and June 7, 2020, to HCWs in a university neurosciences center. Burnout was measured using the single-item Emotional Exhaustion and Depersonalization scales, and wellbeing and QoL assessed using the Linear Analogue Self-Assessment Scale and the EuroQol-5 Dimension instrument.Results:The response rate was 57.4% (n=234); 58.2% of respondents were nurses, 69.4% were women and 40.1% were aged 25 to 34 years. Overall, 21.4% of respondents reported burnout assessed by the Emotional Exhaustion scale; burnout was higher for nurses (23.5%) and allied health care professionals (22.5%) compared with doctors (16.4%). HCWs from ethnic minority groups reported a higher rate of burnout (24.5%) compared with white HCWs (15.0%). There were no differences in reported wellbeing or QoL between professional groups, or HCW age, sex, or race. Nurses (36.8%) and staff from ethnic minority groups (34.6%) were more fearful for their health than others.Conclusions:Our findings highlight the prevalence of HCW burnout after the first surge of the pandemic, with an increased risk of burnout among nurses and staff from ethnic minority groups. Both nursing and staff from ethnic minority groups were also more fearful for their health. With ongoing pandemic surges, the impact on HCW wellbeing should be continuously assessed to ensure that local strategies to support staff wellbeing are diverse and inclusive.

Sleep and occupational well-being in active duty special operations soldiers: A replication and expansion

ObjectiveTo assess the relationship between sleep quality and occupational well-being in active duty military Service Members. DesignLongitudinal prospective analysis. SettingAn annual military training event. ParticipantsUS Army special operations Soldiers (n = 60; 100% male; age 25.41 ± 3.74). InterventionNone. MeasurementsThe Pittsburgh Sleep Quality Index (PSQI) was administered prior to the training event, and the Emotional Exhaustion Scale, the Role Overload Scale, the Walter Reed Army Institute of Research Soldier-Specific Functional Impairment Scale, and the Perceived Stress Scale were administered after the event. Linear regression models were used to assess the relationship between sleep and occupational wellness measures, and the outcome measures of “good” and “poor” sleepers (per the PSQI scoring criteria) were compared with Student's t tests. ResultsHigher (poorer) PSQI Global Scores predicted poorer occupational wellness of all measures (emotional exhaustion: B = 1.60, P < .001, R2 = 0.25; functional impairment: B = 0.29, P = .03, R2 = 0.14; role overload: B = 0.28, P = .008, R2 = 0.12; and perceived stress: B = 0.34, P = .004, R2 = 0.20). There were additional relationships between specific PSQI component scores and occupational wellness measures, which is a replication of This team's previous work. Furthermore, emotional exhaustion (t(58) = −4.18, P < .001), functional impairment (t(59)= −3.68, P = .001), role overload (t(58) = −3.20, P = .002), and perceived stress (t(58) = −2.43, P = .02) were all higher in poor sleepers. ConclusionsThe findings of this study suggest that US Army special operations Soldiers who have poorer sleep quality may be at increased risk for having poorer occupational well-being.

The effective coping strategies against burnout: Perceptions of Pakistani medical students.

To explore effective coping strategies used by medical students against burnout. The mixed method study was conducted at the Al Mizan campus of Riphah International University, Rawalpindi, Pakistan, from March to August 2018, and comprised fourth and fifth year medical students of both genders. Data was collected using the Maslach burnout inventory, which was followed by focus group discussions. Data was analysed using inductive approach. Of the respondents, 34(23.4%) were males and 111(76.5%) were females. Overall, 84 out of 151 (56%) students scored high on emotional exhaustion scale, 35 (23%) scored moderate and 32 (21%) scored low. On the cynicism scale, 93 (63%) out of 147 scored high, 47 (32%) scored moderate and 7 (5%) scored low. On professional efficacy, 42 out of 149 (28%) students scored low,74(50%) moderate and 33(22%) scored high. Seeking emotional support for coping was very common. Parents played the main role in providing support to the students. Turning to religion, acceptance and venting were also common coping strategies. Emotional exhaustion and cynicism were found in majority of the sample comprising medical students, seeking emotional support was common as a coping strategy.

Burnout Among Postgraduate Medical Students in Tertiary Hospital

Medical education is highly stressful, stepping into a new environment, huge course syllabus which has to be mastered in a short period of time besides continuous assessments, examinations and other social and personal issues makes medical student prone to develop negative emotional symptoms. Burnout is a type of psychological stress. Occupational burnout or job burnout is characterized by exhaustion, lack of enthusiasm and motivation, feelings of ineffectiveness, and also may have the dimension of frustration or cynicism, and as a result reduced efficacy within the workplace. To assess the burnout of postgraduate medical students of tertiary level hospital. A cross sectional study was conducted on 198 medical students at Tribhuvan University Teaching Hospital (TUTH) in Kathmandu. Socio- Demographic Performa and Maslach Burnout Inventory were psychometric tools used. Statistical Package for Social Sciences (SPSS), Inc., and Chicago, IL, USA version 21 for windows was used. Among 198 postgraduate medical students, 52% (N= 112) had severe level of burnout present. Burnout was divided into respective sub- scale of personal accomplishment, depersonalization and emotional exhaustion, where 29% had severe level of depersonalization, 28% had severe level of emotional exhaustion and 25% of them had higher level of personal accomplishment. These measures were administered to 198 post graduate medical students (male=107, female=91) at Tribhuwan University Teaching hospital. Among the participants, more than half of them had been burnout.