High Prevalence Of Burnout Research Articles

Academic Physician and Trainee Occupational Well-Being by Sexual and Gender Minority Status.

Few studies have explored the association between sexual and gender minority (SGM) status and occupational well-being among health care workers. To assess the prevalence of burnout, professional fulfillment, intent to leave, anxiety, and depression by self-reported SGM status. This cross-sectional survey study collected data from October 2019 to July 2021, from 8 academic medical institutions participating in the Healthcare Professional Well-Being Academic Consortium. The survey, including questions on SGM status, was administered to attending physicians and trainees. Statistical analyses were performed from June 1, 2023, to February 29, 2024. SGM status was determined via self-reported sexual orientation and gender identity. Primary outcomes measured were the Professional Fulfillment Index (burnout and professional fulfillment), intent to leave, and self-reported anxiety and depression using the Patient-Reported Outcomes Measurement Information System short-form 4-item measure. Of 20 541 attendings and 6900 trainees, 8376 attendings and 2564 trainees responded and provided SGM status. Of these respondents, 386 attendings (4.6%) and 212 trainees (8.3%) identified as SGM. Compared with their non-SGM peers, SGM attendings had a lower prevalence of professional fulfillment (133 of 386 [34.5%] vs 3200 of 7922 [40.4%]) and a higher prevalence of burnout (181 of 382 [47.4%] vs 2791 of 7883 [35.4%]) and intent to leave (125 of 376 [33.2%] vs 2433 of 7873 [30.9%]) (all P < .001). Compared with their non-SGM peers, SGM trainees had a lower prevalence of professional fulfillment (63 of 211 [29.9%] vs 833 of 2333 [35.7%]) and a higher prevalence of burnout (108 of 211 [51.2%] vs 954 of 2332 [40.9%]) (both P < .001). After adjusting for age and race and ethnicity, SGM attendings had higher odds of burnout than their non-SGM peers (adjusted odds ratio, 1.57 [95% CI, 1.27-1.94]; P < .001). Results for burnout were similar among the SGM trainees compared with their non-SGM peers (adjusted odds ratio, 1.47 [1.10-1.96]; P = .01). In this cross-sectional survey study of academic physicians and trainees, SGM attendings and trainees had higher levels of burnout and lower levels of professional fulfillment. SGM attendings had greater intent to leave than their non-SGM peers, but trainees did not. These disparities represent an opportunity for further exploration to retain SGM health care workers.

Burnout among the non-government secondary school teachers in Bangladesh: Prevalence, causes and effects

Nowadays, psychological burnout is prevalent in all professions. The purpose of this study is to investigate the prevalence, causes, and consequences of burnout among non-government school teachers in Panchagarh. This study used an explanatory sequential mixed approach. A stratified random selection methodology was employed to pick 25 schools, and 242 teachers were chosen using a simple random sample procedure. Finally, a purposive sample technique was used to select 15 teachers. Data was acquired using a standardized questionnaire and in-depth interviews. The Maslach Burnout Inventory-Educator Survey (MBI-ES) was used to assess the prevalence of burnout. Data was analyzed by descriptive statistics and thematic analyses. The study found a high prevalence of burnout in non-government school teachers in Panchagarh, with 48.35% experiencing high emotional exhaustion, 51.24% high depersonalization, and 45.04% low personal accomplishment. Also, the study found that low salary are the most contributing factor to burnout. Furthermore, 78.6% of respondents agreed that teacher burnout has negative effects on student academic achievement. Finally, the presence of teacher burnout in education is a challenging issue, as it negatively affects every aspect of the learning and teaching process. This study has implications for policymakers to develop plans to reduce teacher burnout and enhance teachers’ overall well-being.

Prevalence and underdiagnosis of burn out syndrome in critical services in the context of the COVID-19 pandemic

Introduction: The importance of knowing the impact of work on people's health has increased after the COVID-19 pandemic. Burn Out (BO) syndrome arises from the tension emerging from the conflictive interaction between the worker and his or her employment. The objective was to describe the prevalence and frequency of diagnosis of BO in the health human resources of critical services of the Bahía Blanca Municipal Hospital in the context of the COVID-19 pandemic.Methods: Descriptive, cross-sectional study. The study population was the medical and nursing staff of the Intensive Care (IT), Emergency Medicine (SMU) and Clinic services who worked with COVID-19 during 2021. The Maslach Burnout Inventory (MBI) questionnaire was used and complementary closed questions to identify, among these cases, those that were diagnosed and treated by the institution.Results: Of the 219 workers, 55.3% (121/219) were nurses. In the SMU, 25% (24/96) of respondents had BO, followed by 20.4% (11/54) in Clinic and 8.7% (6/69) in IT (p value=0.004). Only 5.5% (12/219) of the total were diagnosed with BO by the institution and of this group, two people (0.9%) had previously consulted for characteristic symptoms.Discussion: A high prevalence of BO and a marked underdiagnosis were evident at the institutional level during the pandemic. Although the IT Service had the highest demand for attention, it was the one that presented the lowest BO values in relation to other services.

The Prevalence and Predictors of Burnout Among Resident Doctors in Enugu State, South East Nigeria: A Mixed Method Study.

Burnout in the health care industry is a potential hazard that has reached epidemic proportions mostly among doctors in practice and training. Burnout has enormous consequences on doctors, patients, and health care institutions. This study aimed to determine the prevalence and predictors of burnout among resident doctors in Enugu State, Nigeria. This was a mixed-method study of 420 resident doctors in tertiary hospitals in Enugu State, Nigeria. Data were collected using Oldenburg Burnout Inventory and in-depth interviews of chief resident doctors of selected departments. Data were analyzed using IBM statistical package 23.0 and Nvivo 11. Test of significance was set at 0.05. The mean age of participants was 34.11 ± 5.08 years. The prevalence of burnout groups among resident doctors was 84.3% in the burnout group, 4.8% in the disengagement group, 6.9% in the exhaustion group, and 4.0% in the non-burnout group. Gender (OR = 1.861, C.I = 1.079-3.212), duration of training (OR = 1.740, C.I = 1.008-3.005), and working hours (OR = 2.982, C.I = 1.621-5.487) were the predictors of burnout; only working hours (OR = 0.279, C.I = 0.091-0.0862) was the predictor of disengagement; and gender (OR = 0.248, C.I = 0.107-0.579) was the predictor of exhaustion. Heavy workloads, long working hours, migration, poor working environment, job insecurity, poor remuneration, and management style were identified factors of burnout. There was high prevalence of burnout among resident doctors, predicted by gender, duration of training, and working hours. Interventions are needed to reduce burnout, prevent the "brain drain", and improve resident doctors' overall well-being.

Prevalence and Predictors of Burnout among Pharmacists at King Abdullah University Hospital, Jordan: A Cross-Sectional Study

Objective: This study aims to determine the prevalence of burnout among hospital pharmacists and to identify the relationship between certain variables and burnout levels. Methods: This is a cross-sectional study where a survey was distributed among hospital pharmacists during a one-month period. A non-probability consecutive sampling method was used, and the total sample size was 42 participants. Descriptive data were presented in frequencies, and an ANOVA test was used to assess the association between demographic variables and burnout levels. Results: Our results showed high levels of burnout among the studied population. While age, gender, years of experience, and number of night shifts were not associated with burnout levels, the number of working hours per week, number of sleeping hours per day, marital status, number of children, and outcome satisfaction were associated with burnout. Conclusions: There is a high prevalence of burnout among pharmacists in Jordan. Factors associated with burnout can be modified to reduce its risk.

Impact of burnout on depression among nurses at a private hospital in Johannesburg, South Africa.

Burnout is a syndrome that is understood as emanating from chronic workplace stressors that have not been managed successfully. Little is known about the causes of burnout among nurses in South Africa. The study aimed to determine the prevalence of burnout and its impact on depression and assess the relationship between burnout and depression among nurses at a Johannesburg private hospital. Nurses at a private hospital in Johannesburg were asked about their exposure to depression and burnout using a closed-ended questionnaire as part of a quantitative, cross-sectional study design. Ap-value 0.05 was considered statistically significant. The respondents were selected using the simple-random sampling method. The collected data were analysed using IBM-SPSS version 28. The study involved 112 nurses, of whom 95 (84.8%) were females. Most of the nurses, that is, 56 (50.0%) were registered nurses. Emotional exhaustion (p= 0.001) and depersonalisation (p= 0.001) were significantly associated with depression. Work experience (p= 0.001) and depersonalisation (p= 0.002) had an impact on depression. The study revealed a high prevalence of burnout among nurses at a Johannesburg private hospital. The study found that depression was significantly associated with emotional exhaustion and depersonalisation. The study also found that work experience and depersonalisation have an impact on depression.Contribution:The study's recommendations can help mitigate burnout and improve the well-being of nurses, ultimately enhancing the quality of healthcare services provided at the hospital.

The mediating role of self-efficacy in the relationship between past professional training and burnout resilience in medical education: a multicentre cross-sectional study

BackgroundMeta-analyses indicate a high prevalence of burnout among medical students. Although studies have investigated different coping strategies and health interventions to prevent burnout, professional experience’s influence on burnout resilience as seldom been explored. Therefore, in our study we aimed to examine the self-efficacy’s mediating role in the relationship between past vocational training and burnout resilience. In the process, we also analysed the associations between study-related variables and burnout resilience.MethodsIn our cross-sectional study, we analysed the data of 2217 medical students at different stages of their university education (i.e. 1st, 3rd, 6th, 10th semester, and final year) at five medical faculties in Germany. The questionnaire included items addressing variables related to medical school, previous professional and academic qualifications, and validated instruments for measuring burnout and self-efficacy.ResultsThe overall prevalence of burnout was 19.7%, as defined by high scores for emotional exhaustion and notable values in at least one of the other two dimensions (cynicism or academic efficacy). Higher levels for self-efficacy (p < .001), having children (p = .004), and financing education with personal earnings (p = .03) were positively associated with burnout resilience, whereas having education financed by a partner or spouse (p = .04) had a negative association. In a mediation analysis, self-efficacy exerted a suppressor effect on the relationship between vocational training and burnout resilience (indirect effect = 0.11, 95% CI [0.04, 0.19]).ConclusionsSelf-efficacy’s suppressor effect suggests that the positive association between vocational training and burnout resilience identified in the mediation analysis disappears for students who have completed vocational training but do not feel efficacious. Those and other findings provide important insights into the psychological mechanisms underlying the development of burnout resilience in medical students and suggest the promotion of self-efficacy in medical education.

Prevalence of burnout among military personnel in the plateau region of China: a cross-sectional survey

ObjectivesThe geographical environment and military activities in the plateau area pose potential work-related stressors for military personnel, leading to burnout which is an external manifestation of internal energy exhaustion caused by stress. Without countermeasures, this can result in serious military problems. This study aims to examine the association between burnout and occupational stressors among military personnel stationed in the plateau area of China.Material and methodsA stratified randomized cluster sampling survey was conducted among 2026 military personnel from 6 different troops stationed in the plateau area of China. The Chinese Maslach Burnout Inventory-General Survey(MBI-GS in Chinese) was administered from March 2022 to December 2023, and data were analyzed using SPSS version 25.ResultsA total of 2026 military personnel participated in the survey. The mean overall burnout score was 3.37 ± 0.73, with emotional exhaustion at 2.69 ± 0.89, depersonalization at 3.58 ± 0.92, and professional achievement at 3.81 ± 0.85 levels respectively reported by participants on average scale scores ranging from zero to six. Severe level of burnout was reported by 43.2% of participants while medium level of burnout was reported by 54 .3%. Age, education level, length of military service, and household income were identified as important factors influencing burnout.ConclusionThis study highlights a relatively high prevalence of burnout among military personnel stationed in plateau areas necessitating attention towards their occupational health particularly focusing on working hours and economic aspects so as to formulate effective policies and implement intervention measures that strengthen career development for soldiers deployed in such regions.

Diversity engagement is associated with lower burnout among anesthesia providers

Study objectiveThe high prevalence of burnout among anesthesia providers is a well-established, multifactorial problem that deserves systematic attention and action. This study aimed to identify how perceptions of institutional diversity engagement are associated with burnout and perceived stress among anesthesia personnel. DesignSurvey-based prospective cross-sectional study. SettingAnesthesiology department that encompasses community and academic hospitals in a large healthcare system. ParticipantsOne-hundred and sixty anesthesiology department employees over 18 years of age (i.e. attending physicians, trainees, advanced practice providers and others). MeasurementsA web-based survey with 39 questions measured: demographics, diversity engagement, burnout, and perceived stress. The primary objective was to assess the association of burnout and diversity engagement and the mediating effect of perceived stress in this relationship. Our secondary objective was to measure the prevalence of burnout, diversity engagement, and perceived stress. Burnout, diversity engagement, and perceived stress were measured using a validated two-item survey developed from the Maslach Burnout Inventory-Human Services Survey, the 22-item Diversity Engagement Survey (DES), and the Perceived Stress Scale (PSS-4), respectively. Main resultsMean scores were 4.4 (SD 3.2) for burnout, 78.3 (SD 14.3) for DES, and 4.8 (SD 2.6) for perceived stress. Higher DES score predicted lower burnout (β = −0.11 [95% CI −0.14, −0.08], P < 0.001) and lower perceived stress (β = −0.05 [95% CI −0.08, −0.03], P < 0.001). Mediation analysis estimated the total effect of burnout (β = −0.10, P < 0.001), which comprised the direct effect of diversity engagement (β = −0.08, P < 0.001) and indirect effect of perceived stress (β = −0.02, P = 0.0048). ConclusionsThe perception of increased institutional diversity engagement is associated with reduced burnout among anesthesia providers, in part due to a reduction in perceived stress. Implementing interventions at the leadership level that improve diversity engagement may reduce the negative effects of perceived stress and burnout, potentially improving patient care.

Associations between effort-reward imbalance and risk of burnout among Swedish physicians.

The high prevalence of burnout among Swedish physicians may have several possible effects on individuals and society. However, further investigations of work-related factors associated with the risk of burnout among Swedish physicians are needed. We aimed to study the associations between psychosocial work factors, based on the effort-reward imbalance (ERI) model, and the risk of burnout among Swedish physicians. A representative sample of 7200 Swedish physicians was invited in 2021. Data were gathered through questionnaires, with a response rate of 41%. Logistic regression models were used to study the associations between exposure to ERI and the risk of burnout. Approximately 62% of Swedish physicians were exposed to a high ERI. Exposure to a high ERI was associated with 11 times increased risk (95% confidence interval 6.5-20.0) of burnout in adjusted models. Large variations in the prevalence of ERI and risk of burnout across sociodemographic and occupational factors were identified, particularly across different clinical specialties. A majority of Swedish physicians were exposed to high levels of work-related stress, strongly associated with an increased risk of burnout. This population-based cross-sectional study underlines the need to further study variations of work-related stress across clinical specialties and to monitor occupational health among physicians longitudinally.

Role of leadership behaviours in mitigating physician burnout in Pakistan.

Dear Sir / Madam. Respectable Editor, Physician burnout is the reality of the modern-day world that influence the quality of patient care, physician turnover, and long-term patient satisfaction. Several components become a part of this unfortunate phenomenon which includes emotional exhaustion and decreased level of productivity. These features lead to a sense of negativity and depersonalization from the reality which in turn results in the overall reduced sense of personal accomplishments and efficacy. For the most part these constituents effect the working environment in the hospital settings in way that leads to deleterious impact on work healthcare output.1 Worldwide physician burnout has reached global epidemic levels, with recent studies conducted in local hospital settings in Pakistan showing a prevalence of high burnout in 13.5% and moderate level of burnout in 62.2% among the physicians. An eye opening data of 33% doctors desired to quit their jobs.2 Current scenarios after the post-pandemic era and now the hazardous economic destabilization of Pakistan is playing a role of catalyst for the dissatisfaction, mental and physical anguish among the physicians hence leading to an increased burnout. In relation to this matter, the most important factor playing a significant role in amelioration of this grim situation is the role of leadership staff. A recent study has identified that the leadership behaviour ratings of physicians’ supervisors are negatively associated with burnout and are positively linked with a sense of professional fulfilment. In the same study, they have rightly pointed out that physicians are more likely to depart from a place where they are not acknowledged enough.3 Another similar study conducted by James et al. using the Full Range of Leadership Model (FRLM) has successfully reported that transformational leadership behaviours that include idealized influence, and individualized consideration cultivate a sense of higher-order values, purpose, and individualized development to achieve performance that is beyond expected from the usual scenarios.4 Keeping that in mind, the present distressing burnout situation calls for an emergent need to take immediate appropriate actions to mitigate the prevalent situation with involved and supportive leadership qualities like the provision of comprehensive support groups, a humane number of working hours, improved salary packages, de-stressing activities like sports on department level etc. to ameliorate the mental health of physicians and enhance their overall productivity.5 To conclude, physician burnout is reparable with minimum efforts in the form of improved supervision and management qualities of the leadership staff. ---Continue

Burnout Among Social Workers in Social Services: A Systematic Review and Meta-Analysis of Prevalence

This study aimed to conduct, for the first time, a systematic review and meta-analysis of the level of burnout among social workers in the social services sector and to identify factors associated with burnout among them. Using PRISMA guidelines, searches were carried out from January 1, 1990 through January 10, 2024. Exclusively primary studies implementing the Maslach Burnout Inventory (MBI) questionnaire for diagnosing burnout were included in the review. In total, data were extracted from 24 studies, including 16,962 social services workers from seven countries. The random-effects pooled prevalence estimate of burnout was 20% (95% confidence interval [CI] 13–27%). Pooled Emotional Exhaustion (EE), Depersonalization (DP), and lack of Personal Accomplishment (PA) were 50% (95% CI 38–62%), 45% (95% CI 34–64%), and 39% (95% CI 26–52%), respectively. Several variables emerged as significantly associated with higher prevalence of burnout, including older age, lower response rate, and studies conducted outside Europe. Overall, the current review demonstrated that approximately half of the social workers in the social services sector experienced burnout. A uniform diagnostic tool for the assessment of burnout is warranted, and further studies on burnout in lower- and middle-income countries are suggested.

High prevalence of burnout among physicians in Győr-Moson-Sopron County, Hungary

High prevalence of burnout among physicians in Győr-Moson-Sopron County, Hungary

Exploring work-life integration in vascular surgery and surgery

ObjectiveThere is a growing emphasis on achieving work-life balance, defined as the balance between work and personal life. However, this concept is gradually shifting towards work-life integration (WLI), which is relevant in the health care sector, particularly surgery. We performed a literature review to evaluate factors that contribute to WLI in the field of surgery, with a particular focus on vascular surgery. MethodsA literature review of WLI in surgery, specifically vascular surgery, was performed from inception to February 2024. PubMed was searched for papers written in the English and French languages using the MeSH terms “work-life balance” or “work-life integration” in “vascular surgery” or “surgery.” Findings were categorized in a tiered framework focused on faculty or staff, trainees (including medical students, residents, or fellows), and people identifying as underrepresented in medicine (URIM). ResultsTwenty-four articles were identified as relevant for this review. Previous reports have identified a high prevalence of burnout and suicide among the vascular surgery workforce. Collegial support and institutional culture were identified as pivotal in enhancing WLI. Inefficiencies in health care delivery, administrative burdens, and a lack of autonomy were recognized as barriers for WLI. Factors specific to gender and parenthood lead to unequal challenges in achieving WLI. Medical trainees’ WLI perceptions influenced their specialty choices and risk of burnout. Also, URIM trainees encountered additional obstacles like discrimination and attrition, though some reports indicated a resilience advantage among minority physicians. ConclusionsThis review has highlighted differences in challenges related to WLI across faculty and staff, trainees, and individuals identifying as URIM and emphasizes the need for systemic and cultural reforms, flexible work arrangements, and greater support for underrepresented groups to foster a healthier work-life ecosystem in health care.

Prevalence and Severity of Burnout Risk Among Musculoskeletal Allied Health Practitioners: A Systematic Literature Review and Meta-analysis

AbstractThis systematic literature review and meta-analysis aimed to determine the prevalence and severity of burnout among musculoskeletal allied health clinicians according to the three dimensions of burnout – emotional exhaustion, depersonalisation, and personal accomplishment. Search terms were used to identify original research articles investigating burnout among musculoskeletal allied health professionals (chiropractors, occupational therapists, physical therapists, and podiatrists) using three electronic databases. To ensure consistency across data analysis and interpretation, only studies which employed the gold standard Maslach Burnout Inventory to measure burnout risk were included. Meta-analyses were conducted to calculate the pooled prevalence of high burnout for each of the three domains of the Maslach Burnout Inventory (emotional exhaustion, depersonalisation, personal accomplishment). Subgroup analyses by health profession and continent were also conducted. The search identified 54 eligible studies for inclusion. The pooled prevalence of high burnout risk for each of the three domains of the Maslach Burnout Inventory were as follows: high emotional exhaustion, 0.40 (95% confidence interval: 0.29–0.51); high depersonalisation, 0.26 (95% confidence interval: 0.07–0.53); and low personal accomplishment, 0.25 (95% confidence interval: 0.05–0.53). Pooled mean total scores indicated moderate levels of burnout risk across all three domains. Subgroup analyses showed physical therapists had the greatest overall burnout risk, and chiropractors the lowest. Geographical differences were also observed. Musculoskeletal allied health professionals frequently experience increased burnout risk related to emotional exhaustion and depersonalisation. Differences in burnout risk prevalence and severity were also evident among professions and geographical locations, indicating that techniques for resolving burnout should be adapted to specific professions and cultural contexts.

Burnout and coping mechanisms among healthcare professionals in central Uganda.

The escalating global prevalence of burnout among healthcare professionals poses a serious health concern. Recent studies focus on prevalence and predictors of burnout among healthcare providers, emphasizing the need for well-being interventions. This study investigates burnout and coping mechanisms among healthcare professionals in central Uganda, addressing the dearth of knowledge about coping strategies specific to the region. An analytical facility cross-sectional study was conducted in five healthcare facilities in central Uganda between June to July 2023. Participants included physicians, nurses, and technicians actively engaged in direct patient care. Data were collected using socio-demographic surveys, the Professional Quality of Life (ProQOL-5), and the Brief-COPE tools. The study revealed a high prevalence of burnout, with 39.8% of participants experiencing significant levels. Active coping, positive reframing, and denial were negatively correlated with low burnout levels. Dysfunctional coping, specifically self-distraction and denial, showed positive correlations with average and high burnout levels. Emotion-focused coping mechanisms were not employed across burnout levels. The results emphasize the demanding nature of healthcare roles in the region and highlight the need for comprehensive, context-specific interventions to address burnout globally. While some healthcare professionals utilized adaptive strategies such as seeking social support, engaging in self-care activities, and utilizing problem-solving skills, others resorted to maladaptive coping mechanisms such as substance use and avoidance behaviors. This dichotomy highlights the need for targeted interventions to promote adaptive coping strategies and mitigate the negative impact of maladaptive behaviors on individual well-being and patient care.

Burn-out among practitioners managing abdominal surgical emergencies in Senegal

IntroductionSurgery represents a distinct medical specialization that necessitates direct interaction with patients and the ability to manage complications. Burn-out is defined as a syndrome arising from persistent workplace stress that has not been effectively addressed. The objective of this work was to assess the prevalence and factors associated with burn-out among practitioners managing abdominal surgical emergencies in Senegal. A descriptive and analytical cross-sectional study was conducted; the study included healthcare professionals (general practitioners, general surgeons, anesthesiologists, nurses) involved in the management of surgical emergencies across all hospitals in Senegal. A standardized assessment of perceived stress was conducted using the Maslach Burnout Inventory (MBI) in three domains: emotional exhaustion, depersonalization, and personal accomplishment. A multiple linear regression model was used to estimate the determinants of burn-out on the three subscales. A total of 186 observations were included in the study, for a response rate of 90.7%. The majority of participants were from the capital region of Dakar (44. 6%). There were 46 women (24. 7%) and 140 men (75. 3%). The mean age was 34 years 9 ±6.7 years, with a range of 24–59 years. The majority of participants were married (71%), followed by single individuals (26. 3%), divorced (2. 2%), and widowed (0. 5%). The majority of participants were physicians (80. 6%), followed by nurses (19. 4%). The most common medical specializations were general surgery (58.7%), anesthesia and resuscitation (22. 7%), and general medicine (18. 7%). Additionally, 46% of participants were in training (residency program). The predominant motivations included passion for the profession (75.3%), patient satisfaction (69. 9%), stimulating challenges (21%), and salary considerations (11. 8%). The overall prevalence of high burn-out (at least in one dimension) was 46.2%. A multiple linear regression model showed that the risk factors contributing to high burn-out were divorce status, being in training, and being motivated by stimulating challenges, salary considerations or passion for the profession. The protective factors were a positive perception of one's salary, a favorable physical work environment, and high-quality training. This study revealed an alarming prevalence of burn-out among surgical teams dealing with abdominal emergencies in Senegal. These findings call for immediate action to ensure the well-being of surgical teams and, by extension, the quality of healthcare delivery.

Prevalence of burnout among German radiologists: a call to action

ObjectivesIn the presence of escalating global concerns regarding physician burnout, this study aims to analyze the prevalence and associated factors of burnout among radiologists in Germany.MethodsA comprehensive online survey, inclusive of 73 targeted questions including a German-modified version of the Maslach Burnout Inventory, was distributed among all members of the German Radiological Society and the German Interventional Radiological Society between May and August 2023. The survey encompassed aspects of employment, workload, well-being, and coping mechanisms. Data from 172 completed surveys were analyzed, with correlations explored via crosstabs and the Pearson-chi-square test.ResultsIn total, 76.7% of participating radiologists were identified to be burnt out. The prevalence was significantly associated with increased workload, reduced sleep quality, suboptimal working conditions, reduced job satisfaction, and the negative interplay between work, family life, and health. Median work satisfaction was described as “satisfied” while median workload was assessed as “frequently overwhelming of work.” A total of 41.9% of respondents noted facing daily time pressure. Radiologists’ concerns about work interfering with private family life were voiced by approximately 70%, and 73.3% highlighted the perceived negative effects on their health.ConclusionThe pronounced prevalence of burnout among German radiologists demonstrates an urgent, unmet need for comprehensive interventions and systemic changes. Our findings act as a catalyst for initiating targeted, multifaceted strategies and dialogs, essential for fostering a resilient and effective healthcare ecosystem. Further large-scale systematic studies should follow to analyze the findings in broad.Clinical relevance statementConsistent with other countries, there is a high prevalence of burnout among radiologists in Germany. A call for further investigation is recommended to help mitigate adverse outcomes associated with physician burnout.Key Points• The prevalence of burnout has yet not been evaluated for German radiologists.• German radiologists have a high prevalence of burnout.• Steps must be implemented to engage this problem to prevent worsening.Graphical abstract

A mindful approach to physician self-care.

There has been an increasing awareness of the importance of physician mental health. Several South African studies show a high prevalence of burnout among doctors. Burnout is characterised by three components: exhaustion, depersonalisation, and a sense of a lack of efficacy. Burnout is a result of both external and internal pressures. While lifestyle modification is essential, mindfulness-informed programmes promote self-regulation and resilience. Mindfulness programmes comprise three components: present moment awareness, perspective-taking and wisdom, and compassion. Physician wellness begins with individuals recognising the need of self-care and giving themselves permission to prioritise this. Ongoing identification of self-care needs and acting compassionately to address these needs is essential.

High prevalence of burnout among midwives in Hungary: High job demands and low resources as potential persistent stressors, a focus on prevention

BackgroundMidwifery practice in Hungary is characterized by chronic stress, which may in turn lead to burnout and impaired perinatal care. However, little is known about the degree and potential stressors of burnout, which hinder the development of strategies to promote well-being among midwives in Hungary. AimTo assess the prevalence of burnout and identify persistent individual and occupational stressors among midwives in Hungary over the past decade to inform prevention. MethodsWe conducted two cross-sectional studies among midwives in 2014 and 2022. We used the Maslach Burnout Inventory to assess burnout (emotional exhaustion, depersonalization, and personal accomplishment) over time. We also collected data on individual and work characteristics. We performed a multivariate regression analysis to explore associations between burnout and respondents' characteristics. FindingsThe degree and prevalence of emotional exhaustion among midwives increased significantly between 2014 (N = 224) and 2022 (N = 152). High workload, not feeling valued at work, poorly perceived health status and work dissatisfaction emerged as a significant positive correlate of emotional exhaustion or depersonalization in both studies. Living alone showed both a positive and inverse association with burnout in 2014 and 2022, respectively. Work satisfaction was a positive correlate of personal accomplishment in both studies. ConclusionsOur results add to and confirm the growing body of evidence about the high prevalence of burnout among midwives in Hungary. We identified potential risk factors and outcomes of burnout, which remained unchanged over time. To prevent or reduce burnout among midwives, future interventions should focus on addressing these potential persistent risk factors. However, the time-varying role of factors influencing burnout makes it advisable to review preventive interventions from time to time.