Maslach Burnout Inventory-Human Services Survey Research Articles

Burnout and its correlation with workplace bullying in Portuguese nurses

ABSTRACT The present work aims at describing the psychometric characteristics of the assessment instruments MBI-HSS (Maslach Burnout Inventory—Human Services Survey) and NAQ-R (Negative Act Questionnaire—Revised). In addition, it seeks to evaluate burnout prevalence, and its correlation with bullying, among nurses working in Portuguese health institutions. The study presents a descriptive, correlational and cross-sectional nature. A questionnaire elaborated in digital format, was employed as data collection instrument. It included the social-demographic and professional components, both assessed using the MBI-HSS and NAQ-R scales. The total sample comprised 2015 nurses. It was found that 2.68% of the nurses were already experiencing burnout, while 23.37% were in high risk, and 42.68% were in medium risk, of developing burnout. Furthermore, those who had suffered workplace bullying reported having greater emotional exhaustion and depersonalization. The chosen evaluation instruments exhibited good reliability and validity index. Nurses who suffered workplace bullying presented an enhanced risk of developing burnout. In this scope, it is fundamental the nurse managers’ involvement in the prevention of harmful behaviors at work, as well as in the promotion of interpersonal relationships based on respect and cooperation. Workplace bullying is considered a harmful phenomenon, responsible for numerous consequences that affect workers and organizations alike. Burnout is one of the reported adversities. This phenomenon has negative effects on the nurses mental and physical health and deterioration of patient care. Prevention increase the number of healthy nurses and the quality of patient care.

Prevalence and Associated Factors of Burnout Among Saudi Resident Doctors: A Multicenter Cross-Sectional Study

Burnout is a prevalent psychological state among resident doctors. This study aimed at assessing the prevalence and associated factors of burnout among resident medical doctors in Medina, Saudi Arabia. This cross-sectional study was conducted among 426 resident doctors in Medina city, Saudi Arabia. We used the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) to measure this phenomenon. Of the participants, 81.22% scored high on at least one subscale of burnout and 18.31% scored high on all the subscales of burnout. Burnout was related to lack of physical exercise (P < .001), level of training (P < .001), number of on-call shifts per month (P = .020), number of weekends on-call per month (P < .050), number of patients seen per day (P = .002), number of clinics per week (P < .001), satisfaction with work-life balance (P < .001), and sources of stress in the workplace (P < .050). Burnout is present among resident doctors at a relatively high rate. Numerous factors associated with burnout were evident, particularly work-related factors and sources of stress in the workplace. Therefore, the Saudi Commission for Health Specialties and the residency program directors should act to improve working conditions and work-life balance, and minimize the impact of stressors in the workplace, to minimize the consequences of burnout among resident doctors. Provisions could be enacted to implement early comprehensive assessments of burnout syndrome among medical residents for early detection to curb the burnout phenomenon within healthcare systems.

Self-Efficacy dan Burnout pada Perawat Rumah Sakit Umum Daerah (RSUD) Kanjeng Raden Mas Tumenggung (KRMT) Wongsonegoro Semarang di Masa Pandemi Covid-19

During the Covid-19 pandemic, nurses felt an increase in their perceived workload. Often the nurses feel exhaustion after doing work. The purpose of this study was to determine the relationship between self-efficacy and burnout in nurses at RSUD K.R.M.T. Wongsonegoro Semarang during the Covid-19 pandemic. Participants in this study were female or male nurses at RSUD K.R.M.T. Wongsonegoro Semarang who became the implementing nurse in the isolation room during the Covid-19 pandemic, totaling 34 participants. Sampling uses a saturation sampling technique, which is a sampling technique where all members of the population are used as samples, this is done if the population is relatively small, less than 30, or the research wants to make generalizations with very small errors (Sugiyono, 2017). Research variables were measured using two scales, namely the General Self-Efficacy scale compiled by Schwarzer and Jerusalem (1995) used to measure self-efficacy, and the burnout scale used was the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) Scale which measures burnout by adjusting the target subjects involved with human services such as nurses compiled by Malsach &amp; Jackson (in Ibtissam, 2012). The scale is distributed using googleform. Based on the results of the study, the correlation coefficient (r) = -0.677 with a sig value of 0.000 (p &lt;0.05) means that there is a negative relationship between self-efficacy and burnout in nurses at K.R.M.T Hospital. Wongsonegoro Semarang. It means that the higher of burnout experienced then the lower of self-efficacy, otherwise the lower of burnout experienced by nurses at the hospital so they have the higher of self-efficacy.

The Prevalence and the Associated Sociodemographic-Occupational Factors of Professional Burnout Among Health Professionals During COVID-19 Pandemic in Malang, Indonesia: A Cross-Sectional Study.

BackgroundSince 2020, Indonesian health professionals have been affected by burnout as the physiological impact due to the COVID-19 pandemic. Malang has contributed to a substantial number of new daily cases and death rates in East Java, an epicenter of COVID-19 in Indonesia. However, a study about how burnout affected Malang health professionals was never conducted.ObjectivesThis research aimed to assess the prevalence and factors associated with burnout among health professionals during the COVID-19 pandemic in Malang, Indonesia.Materials and MethodsA cross-sectional study was carried out with an online survey conducted in 5 major hospitals in Malang. We conducted a study about the prevalence rate of burnout in Malang and the association between sociodemographic factors, occupational hazards, and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). The associations were presented as odds ratio (OR) and 95% confidence interval (CI).ResultsWe analyzed 1,077 health professionals in Malang. Our result showed that the prevalence of burnout among health professionals in Malang is 22.0%. Respondents under the age of 30 tend to experience a higher level of burnout by 3.4-fold (OR = 3.43, p-value < 0.001), compared with those over the age of 40 years. Our data showed that respondents working longer than 100 h/week tend to experience burnout by 3.8-fold (OR = 3.83, p-value < 0.001).ConclusionApproximately one-fifth of the health professionals in Malang suffered from burnout during the COVID-19 pandemic, and MBI-HSS subscales are strongly associated with age and work hours.

The Effect of Ramadan and COVID-19 on the Relationship between Physical Activity and Burnout among Teachers.

The objective of this study was to explore the effect of COVID-19 and Ramadan on physical activity (PA) and burnout in teachers and the relationship between them. A total of 57 secondary school teachers from public education centers participated in the present study. They were aged between 29 and 52 years. To determine the effect of Ramadan and COVID-19 on PA and burnout, participants completed the online questionnaires before COVID-19, one week before Ramadan and during the second week of Ramadan. The International Physical Activity Questionnaire-BREF and the Maslach Burnout Inventory-Human Services Survey were used to assess PA intensities and burnout, respectively. The data revealed that total PA (p < 0.001, p < 0.05, respectively) vigorous metabolic equivalent of task (MET) (p < 0.001, p < 0.05, respectively), moderate MET (p < 0.001, p < 0.01, respectively) were higher before COVID-19 and before Ramadan than during Ramadan. Regarding burnout subscales, emotional exhaustion (p < 0.001, p < 0.01, respectively) was higher before Ramadan than before COVID-19 and during Ramadan. A lower personal accomplishment was reported before Ramadan than before COVID-19 and during Ramadan (both p < 0.05). In addition, low to high correlations were observed between PA intensities and burnout subscales, except for the correlation between depersonalization and all PA intensities. In conclusion, Ramadan intermittent fasting along with PA was highly recommended for teachers and the general population to improve positive emotions and general health.

Perceived stress, coping style and burnout of Chinese nursing students in late-stage clinical practice: A cross-sectional study

AimThe aim of this study was to examine the levels of stress, coping style and burnout among Chinese nursing students in late-stage clinical practice and to identify their relationships. BackgroundHigh stress, passive coping and burnout among nursing students in late-stage clinical practice may contribute to severe psychological consequences. DesignA descriptive and cross-sectional study was conducted in November and December 2020. MethodsParticipants completed the Perceived Stress Scale, Simplified Coping Style Questionnaire and Maslach Burnout Inventory–Human Service Survey to examine their stress levels, coping style and burnout. Intention to leave the profession was also assessed. ResultsApproximately 36.1 % of nursing students experienced emotional exhaustion and 85.3 % of nursing students perceived themselves to have moderate to high stress levels. A positive coping style can protect nursing students from depersonalization and reduced personal accomplishment. High stress and passive coping style predicted emotional exhaustion. Passive coping style and high stress were significant factors leading to intention to quit nursing education before graduation. ConclusionsLowering the level of stress and using positive coping behaviors may help students during late internship to mitigate burnout and avoid leaving nursing education. Therefore, nurse educators and clinical nursing mentors need to consider developing strategies and interventions to reduce the decline in nursing students entering nursing education and prevent burnout.

Prevalence and Predictors of Burnout Among Occupational Therapy Practitioners in the United States.

Identifying the extent and predictors of burnout among occupational therapy practitioners is important so strategies can be developed to reduce burnout and mitigate associated consequences within the profession. To investigate the prevalence and determinants of burnout reported by U.S. occupational therapy practitioners. Cross-sectional survey. Occupational therapy practitioners working in a wide range of clinical settings who spent at least 50% of their time in direct patient care and who had been employed continuously for more than 6 mo. The outcome of interest was burnout, which was measured using the Emotional Exhaustion, Depersonalization, and Personal Accomplishment subscales of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). Predictor variables included sociodemographic and workplace characteristics. The relationship between MBI-HSS subscale scores and predictor variables was jointly estimated using a multivariate multivariable linear regression analysis. One hundred seventy-eight occupational therapy practitioners completed the survey. Higher perceived level of supervisor support, satisfaction with income, and educational attainment were associated with lower MBI-HSS subscale scores (ps = .001, .002, and .005, respectively). Burnout among occupational therapy practitioners can be conceptualized as an issue of workplace health and safety. Various stakeholder groups can consider potential systematic interventions involving measures to promote positive supervisor support in the workplace and salary negotiation skills for early-stage clinicians. Future research should explore broad interventions to reduce burnout among clinicians. What This Article Adds: We estimated the extent and predictors of burnout among U.S. occupational therapy practitioners. Future research, advocacy, and policy should address structural-level interventions to promote workplace cultures and conditions that can protect the occupational therapy workforce from burnout.

Estimation of Factors Affecting Burnout in Greek Dentists before and during the COVID-19 Pandemic.

This study is a comprehensive, cross-sectional survey in occupational burnout, career satisfaction, and quality of life conducted in March 2021 among dentists in the vast area of metropolitan Athens, Greece. Data were collected using a self-reported questionnaire based on the Copenhagen Questionnaire (CQ) for assessing work stress and the Maslach Burnout Inventory-Human Service Survey (MBI-HSS) for evaluating occupational burnout. Using the independent t-test, ANOVA, Pearson’s correlation, and multiple linear regression, 804 valid questionnaires were analyzed. During the pandemic, personal exhaustion was affected by gender (b = 1.862, p = 0.0001), age (b = −0.598, p = 0.0001), number of children (b = −0.886, p = 0.020) and higher degree (b = −0.450, p = 0.012). Exhaustion due to working with patients was affected by gender (b = 0.662 p = 0.0001), age (b = −0.513, p = 0.0001), number of children (b = −0.701, p = 0.0001), higher degree (b = −0.207, p = 0.028) and years in practice (b = 0.408 p = 0.0001). Males were more prone to unhappiness, dissatisfaction, and professional physical and emotional exhaustion, but personal resources through higher education, beliefs, values, and hobbies can offer a preventive shield to all dental professionals. Economic management issues can also enhance dentists’ satisfaction and feeling of safety in a rapidly changing environment.

Psychological Safety and Affective Commitment Among Chinese Hospital Staff: The Mediating Roles of Job Satisfaction and Job Burnout.

PurposeThe affective commitment of hospital staff is important for human resources management and the sustainable development of hospitals. Psychological safety is an important factor that contributes to an emotional connection to an organization among staff, yet its functional mechanism remains unclear. This study explored how psychological safety influenced affective commitment through the mediating roles of job satisfaction and job burnout.MethodsA battery of surveys were administered to all medical staff (n = 267) in a local second-grade comprehensive hospital. The surveys included the Psychological Safety Scale, Affective Commitment Scale, Minnesota Satisfaction Questionnaire, Maslach Burnout Inventory–Human Service Survey, and Perceived Organizational Support Scale.ResultsJob satisfaction and job burnout fully mediated the relationship between psychological safety and affective commitment among hospital staff. In addition, perceived organizational support moderated the mediating path via job burnout, and the indirect effect of job burnout decreased when perceived organizational support increased.ConclusionPsychological safety may enhance the affective commitment of hospital staff through improving job satisfaction or reducing job burnout. Perceived organizational support may counteract the deleterious effect of job burnout on affective commitment. Effective strategies to improve affective commitment among hospital staff may require consideration of job burnout and job satisfaction.

Factors affecting the uptake of national practice guidelines by physicians treating common CVDS in out-patient settings

Aim To study factors that influence the consistency of real prescriptions with applicable national guidelines for outpatient physicians in the management of patients with common cardiovascular diseases (CVDs).Material and methods This was a cross-sectional study based on 16 randomly selected municipal polyclinics, where internists filled in validated questionnaires, including the Maslach Burnout Inventory - Human Services Survey (MBI-HSS), Hospital Anxiety and Depression Scale (HADS), Visual Analogue Scale (VAS), WHO Quality of Life - BREF (WHOQOL-BREF), and the Personal Decision-Making Factors (PDF-25). Participating physicians provided outpatient case reports of sequentially arriving patients with a high risk of CVD or confirmed CVDs during 2-3 working days, corresponding to the questionnaire period of ±1 week. The consistency of the prescriptions recorded in these case reports with the Russian Society of Cardiology (RSC) Guidelines was assessed.Results This study included 108 physicians (mean age, 44.0±13.1 years, 87.0 % women) who provided case reports of 341 patients (mean age, 64.4±13.2 years, 59.5 % women) with most common diagnoses of arterial hypertension (92.1 %), ischemic heart disease (60.7 %), and chronic heart failure (32.8 %). According to results of multivariate regression analysis, the following factors increased the likelihood of the prescription inconsistency with the guidelines: the fact that the physician had the highest attestation category (OR 2.56; 95% CI 1.39-4.7; p&lt;0.002), attended professional events less than 2 times in 5 years (OR 2.23; 95% CI 1.18-4.22; p=0.013), had an additional, part-time job (OR 15.58; 95% CI 1.51-160.5; p=0.021), was prone to prescribe familiar trade names (OR 2.04, 95% CI 1.08-3.85; p = 0.028), perceived drug supply problems as an important factor influencing the decision making (OR 5.13, 95% CI 2.69-9.75; p&lt;0.001), and a total score on the emotional exhaustion scale (OR 1.03, 95 % CI 1.01-1.06; р=0.031). Also, this likelihood was increased by older age of the patient (OR 3.29; 95 % CI 1.65-6.55; р&lt;0.001) and excessive alcohol consumption by the patient (OR 1.79, 95 % CI 1.31-2.43; р&lt;0.001). The likelihood of non-compliance with the guidelines was reduced by a high assessment of own health status according to the WHOQOL-BREF questionnaire (OR 0.19; 95% CI 0.05-0.72; p = 0.014), a high assessment of own working conditions (OR 0.76; 95% CI 0.64-0.9; p=0.002), and postgraduate education within the last 5 years (OR 0.14; 95% CI 0.06-0.36; p&lt;0.001).Conclusion The study identified the factors that influence the likelihood of the consistency of prescriptions made by outpatient physicians for patients with CVD with applicable national clinical guidelines. Among these factors, the most important ones were access to educational events, additional, external part-time job, indicators of inertia of previous practice, problems with drug provision, satisfaction with own health status and working conditions, and emotional exhaustion (a component of professional burnout), older age of patients and their excessive alcohol consumption.

Sick leave and occupational burnout among nurses caring for patients with multiple sclerosis

BackgroundSick leave is a common problem among healthcare professionals. Nurses play a critical role in the multidisciplinary management of multiple sclerosis (MS). However, limited information is available on the phenomenon of sick leave among MS nurses. ObjectiveThe aim of this study was to assess the presence of sick leave among nurses caring for patients with MS and to identify associated factors. MethodsWe conducted a multicenter, non-interventional, cross-sectional, web-based study. Nurses involved in MS care from across Spain answered a survey composed of demographic characteristics, professional background, questions about their standard practice, and a behavioral battery including the Maslach Burnout Inventory - Human Services Survey (MBI-HSS). A multivariable logistic regression analysis was conducted to determine the association between nurses’ characteristics and sick leave. ResultsNinety-six nurses were included in the study. Mean age (SD) was 44.6 (9.8) years, and 91.7% were female. Participants had a median of 6 (IQR 3.0, 11.0) years of expertise in MS managing a median of 15 (5.0, 35.0) patients per week. Sixteen participants (16.7%) had been on sick leave in the last 6 months, with a median absence of 14.5 days (7.0, 30.0). Sixteen nurses (16.7%) reported severe burnout. Participants on sick leave had higher levels of emotional exhaustion (mean MBI-HSS scores of 22.3 and 16.0, p=0.01) and inadequate interactions with their colleagues (mean Practice Environment Scale - Nursing Work Index scores of 11.8 and 13.1, p=0.01) than their counterparts. Burnout was associated with higher risk of sick leave in the multivariable analysis (OR=1.06 [95% CI 1.00, 1.13], p=0.04) after adjustment for confounders. ConclusionsOccupational burnout is associated with increased risk of sick leave among nurses managing patients with MS. Identifying burnout may be critical for implementing specific intervention strategies to maintain an adequate functioning of MS care units.

Emotional Intelligence and Burnout Among Otorhinolaryngology-Head and Neck Surgery Residents.

BackgroundBurnout syndrome is common among surgical residents, negatively affecting their mental health, physical wellbeing, and work performance. We investigated the relationship between emotional intelligence (EI) and burnout among Otorhinolaryngology–Head and Neck surgery residents.MethodsThis cross-sectional study examined 51 residents across different Otorhinolaryngology-Head and Neck surgery programs at various hospitals in Saudi Arabia using a survey conducted between January 2021 and March 2021. The questionnaire had different validated measurements of burnout and included the Trait EI Questionnaire–Short Form, Maslach Burnout Inventory–Human Services survey, and questions regarding demographics and job satisfaction.ResultsOf all the residents, 17.6% had a high risk of burnout, 39.2% had emotional exhaustion (EE), 29.4% had depersonalization (DP), and 43.1% had a low sense of personal accomplishment (PA). A statistically significant negative association was observed between the total EI score and EE (r = −0.577, p < 0.001) and DP (r = −0.765, p < 0.001), indicating that higher total EI scores were associated with lower EE levels.ConclusionsPositive associations existed between high levels of EI, PA, and satisfaction with both surgical skills and specialty choice. Therefore, residency programs should use EI modifiers as tools to reduce the risk of burnout.

MO921: Pandemic Experiences, Perceptions and Burnout Among Haemodialysis Units Personnel in the COVID-19 Era

BACKGROUND AND AIMSThe coronavirus disease 2019 (COVID-19) pandemic is one of the greatest challenges facing healthcare systems worldwide in recent years. Burnout was found to be an important factor in the professional landscape of nephrology already prior to the COVID-19 outbreak and is expected to worsen during the pandemic due to increased workload and changes in the work environment. As a life-saving procedure, haemodialysis (HD) delivery could not undergo profound organizational adjustments, what was the case of out-patient settings, which largely turned towards telemedicine services. Poor COVID-19 outcomes of maintenance HD patients with mortality rate exceeding 20% may be also considered among personnel's aggravating factors. The aim of our study was to assess pandemic experiences, perceptions and burnout among Polish dialysis unit professionals in the COVID-19 era.METHODA web-based survey was distributed via e-mail to Polish dialysis units and was shared via social media channels gathering nephrology professionals, the survey was open between the 1 September 2021 and the 31 December 2021. The study survey consisted of two validated questionnaires––Pandemic Experiences and Perceptions Survey and Maslach Burnout Inventory––Human Services Survey for Medical Personnel, as well as self-created questions about experiences with SARS-CoV-2 infection. The study group comprised 215 nurses (208 F, 5 M, median age 50 years, IQR 10), 148 physicians (77 F, 70 M, mean age) and 16 respondents of other medical professions. 35.3% of the study group confirmed that they suffered from SARS-CoV-2 infection.RESULTSAccording to 40% of nurses and 43.9% of physicians, the pandemic largely affected the work of dialysis units, 19% of nurses and 12% of physicians stated that it completely dominated the work. A total of 54.8% of nurses and 52.7% of physicians agreed that personal protective equipment was completely or mostly adequate. Information about safety procedures received from the dialysis unit management staff was evaluated as adequate by 53.5% of nurses and 59.5% of physicians. A total of 8.8% and 54.4% of nurses perceived life-threatening and serious risk at work during the pandemic, respectively; similar risk ratios were reported by physicians (9.45% and 55.4%, respectively). Importantly, 58.6% of nurses and 54.4% of physicians stated that their work is associated with at least serious risk for their family members. A total of 44.2% of nurses and 49.2% of physicians confirmed that they feel burned out. Out of these, 85.7% of nurses and 76.2% of physicians stated that the feeling of burnout was aggravated during the pandemic. Emotional exhaustion did not differ between nurses and physicians, while depersonalization was significantly lower (P = 0.0001) and the feeling of personal accomplishments was significantly higher (P = 0.035) among nurses than physicians. The level of burnout in three dimensions perceived by dialysis nurses and physicians during the COVID-19 is provided in Table 1. Burnout was lower among those who assessed their personal protection equipment as adequate. Also, participants who felt that the training, equipment and support provided them with a good control over their contact with the virus were found to be less burned out.CONCLUSIONThe COVID-19 pandemic has largely affected work in dialysis units, contributing to an increased risk of work-related psychological distress and burnout in this vulnerable population of healthcare professionals. Providing proper training, equipment and support during these unprecedented times of the COVID-19 outbreak may decrease burnout among dialysis nurses and physicians.Table 1.Prevalence of high, moderate and low levels of burnout in particular dimensions and of the overall burnout among dialysis nurses and physicians in the COVID-19 era

Burnout Syndrome and Related Factors in Mexican Police Workforces.

Burnout (BO) is a response to prolonged exposure to work-related stressors characterized by emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (PA). The police working environment includes continued critical life-threatening situations, violence, and injuries, among other related factors putting them at high risk of distress. The objective of this study was to evaluate the association between Burnout Syndrome and sociodemographic, occupational, and health factors in Mexican police officers. We applied the Maslach Burnout Inventory Human Services Survey (MBI-HSS) to 351 active members of the Mexican police workforce. In addition, a specific questionnaire identified the presence of chronic degenerative diseases, hypertension, diabetes, digestive diseases, self-perception of food quality, and hours of sleep. Furthermore, 23.36% of police workforces presented high levels of burnout; 44.16% of police were highly emotionally exhausted, 49.29% had lost empathy with people, and 41.03% presented low personal achievement. Moreover, the worst levels of the syndrome were present in people with a poor self-perceived health status, poor perception of diet quality, without regular mealtimes, bad sleep habits, and elevated Body Mass Index. Data suggest that in Mexican police officers, BO is dimensionally different from all other groups previously studied (DP > EE > PA).

Pharmacist Burnout: Recognition and Action Are Needed

Pharmacist Burnout: Recognition and Action Are Needed

Schwartz Rounds for Staff in an Australian Tertiary Hospital: Protocol for a Pilot Uncontrolled Trial.

BackgroundSchwartz Rounds are a unique, organization-wide interdisciplinary intervention aimed at enhancing staff well-being, compassionate care, teamwork, and organizational culture in health care settings. They provide a safe space wherein both clinical and nonclinical health staff can connect and share their experiences about the social and emotional aspects of health care.ObjectiveAlthough Schwartz Rounds have been assessed and widely implemented in the United States and United Kingdom, they are yet to be formally evaluated in Australian health care settings. The purpose of this study is to evaluate the feasibility and impact of Schwartz Rounds on staff well-being, compassionate care, and organizational culture, in a tertiary metropolitan hospital in Brisbane, Australia.MethodsThis mixed methods repeated measures pilot study will recruit 24 participants in 2 groups from 2 departments, the intensive care unit and the gastroenterology department. Participants from each group will take part in 3 unit-based Schwartz Rounds. Primary outcomes will include the study and intervention feasibility measures, while secondary outcomes will include scores on the Maslach Burnout Inventory–Human Services Survey, the Schwartz Centre Compassionate Care Scale, and the Culture of Care Barometer. Primary and secondary outcomes will be collected at baseline, after the Rounds, and 3-month follow-up. Two focus groups will be held approximately 2 months after completion of the Schwartz Rounds. Descriptive statistics, paired t tests, chi-square tests, and analysis of variance will be used to compare quantitative data across time points and groups. Qualitative data from focus groups and free-text survey questions will be analyzed using an inductive thematic analysis approach.ResultsThe study was approved by the Mater Hospital Human Research Ethics Committee (reference number: HREC/MML/71868) and recruitment commenced in July 2021; study completion is anticipated by May 2022.ConclusionsThe study will contribute to the assessment of feasibility and preliminary efficacy of the Schwartz Rounds in a tertiary Australian hospital during the COVID-19 pandemic.Trial RegistrationAustralian New Zealand Clinical Trials Registry ACTRN12621001473853; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=382769&isReview=trueInternational Registered Report Identifier (IRRID)DERR1-10.2196/35083

Occupational Burnout and Productivity Loss: A Cross-Sectional Study Among Academic University Staff.

BackgroundBurnout has been endorsed with serious negative health- and work-related outcomes. This study is aimed to assess the prevalence of burnout and its association with work productivity among academic staff.MethodsThis cross-sectional study involved 240 academic staff working at a public university in Egypt. Participants were invited to complete a web-based questionnaire involving basic personal, health, and work-related characteristics. Besides, Maslach Burnout Inventory-Human Services Survey (MBI-HSS) was used to assess occupational burnout dimensions (i.e., emotional exhaustion “EE,” depersonalization “DP,” and personal accomplishment “PA”), while work productivity was assessed with the Health and Work Performance Questionnaire (HPQ).ResultsIn total, 28% of respondents scored high in EE [95% confidence interval (CI): 22.5–33.8%], 18.3% high in DP (95% CI: 13.8–3.6%), and 88.3% scored low in PA (95% CI: 83.8–91.9%). Seventy percent of respondents scored high in only one burnout dimension, 21.7% scored high in two dimensions, while 7.1% scored high in all three dimensions. Multivariable analysis showed that EE was the only burnout dimension that showed a statistically significant association between absenteeism and presenteeism rates. The absenteeism rates among respondents with moderate and high EE were 2.1 and 3.3 times the rates among those with low EE, respectively. Likewise, the presenteeism rates among respondents with moderate and high EE were 2.4 and 4.7 times the rates among those with low EE, respectively.ConclusionsAcademic staff showed a high prevalence of at least one burnout dimension. Moderate and high EE scores were significantly associated with increased productivity loss when compared to low EE.

Levels of Burnout and Its Determinant Factors Among Nurses in Private Hospitals of Addis Ababa, Ethiopia, Ethiopia, 2020. A Multi Central Institutional Based Cross Sectional Study.

BackgroundBurnout among nurses is a significant problem in healthcare establishments and has negative implications on clinical outcomes. International studies have shown the prevalence of burnout ranged from 10 to 70%. However, this is unknown among nurses in private hospitals in Addis Ababa. The study was intended to assess the levels of burnout and the associated factors among nurses working in private hospitals in Addis Ababa, Ethiopia, 2020.MethodsAn institution-based cross-sectional study was used. A probability sampling, specifically, a simple random sampling technique was employed to collect data, and the Maslach burnout inventory human services survey (MBI-HSS) instrument was adapted to measure the levels of burnout. The data obtained was edited manually and entered into EPI-data version 4.6 and then exported to SPSS version 25 for analysis. Logistic regression was used to identify the association between the dependent and independent variables and variables with p < 0.25 on bivariate analysis were taken into multivariate logistic regression, and then variables with p < 0.05 were considered statistically significant.ResultA total of 385 questionnaires were distributed to participants, but only 368 (96%) of them were collected and included in this study. The majority 56% and 69.8% of them were females and belonged to the age group of 20–29 years, respectively. Two hundred seven (56.5%) of them reported suffering from a high level of burnout. In the multivariate logistic regression analysis, night duty shift [AOR = 2.699; 95% CI: (1.043–6.987)], excessive workload [AOR = 6.013; 95% CI: (3.016–11.989)], staff shortage [AOR = 6.198; 95% CI: (3.162–12.147)], persistent interpersonal conflict [AOR = 2.465; 95% CI: (1.225–4.961)], and nurses' poor health status [AOR = 3.4878; 95% CI: (1.815–8.282)] demonstrated a statistical significant association with the professional burnout.Conclusions and RecommendationsNurses' burnout in private hospitals of Addis Ababa was highly prevalent. Therefore, ensuring adequate staffing and minimizing the workload of nurse professionals are mandatory to prevent it.

The Relationships Between Grit, Burnout, and Demographic Characteristics in Medical Students.

Grit, a positive psychological trait comprised of perseverance and passion, has been correlated with physician burnout but has not been extensively studied among medical students. Identification of the relationship between grit and burnout as well as between burnout and other demographics could help to identify students at risk of burnout, while informing educational strategies to increase grit in the medical occupation. For this cross-sectional study, an online, email-based survey including demographic questions, the Maslach Burnout Inventory-Human Services (Medical Personnel) Survey, and the Short Grit Scale was distributed to an entire student body of allopathic medical students via a schoolwide listserv in 2019. The response rate was 39.6% (177/444). Negative correlations were displayed between grit and emotional exhaustion, depersonalization, and overall burnout. Positive correlation was demonstrated between grit and personal accomplishment. Male participants had higher depersonalization than female participants and fourth year medical students had higher depersonalization than other years of training. Fourth year medical students had higher personal accomplishment than other years of training and married students had higher personal accomplishment than those who had never been married. These findings are important not only for potential identification of students at risk of burnout, but also for development of strategies to bolster grit and mitigate distressing experiences in the medical occupation. Future studies are necessary to gauge how this relationship may evolve throughout a medical career.

The COVID-19 Pandemic and Posttraumatic Stress Disorder: Emotional Impact on Healthcare Professions.

The COVID-19 pandemic, which began in March 2020, has resulted in the deaths of hundreds of thousands of people around the world in just a few months, putting at great risk the commitment of healthcare workers unprepared to manage a worldwide phenomenon at great risk. In the early stages especially, medical staff had to deal with the pandemic at the expense of their physical and mental health, putting them particularly at risk for experiencing posttraumatic stress disorder (PTSD). The study aims to analyze the psychopathological aspects associated with PTSD, focusing on the emotional impact caused by the COVID-19 pandemic on healthcare professionals compared with a control group. The sample analyzed over 2 months, from March to May 2021, included 214 participants into two groups, i.e., healthcare professionals (N = 107) and a control group (N = 107). The online assessment instrument used consisted of an anonymous questionnaire, assembled ad hoc with demographic information and different standardized assessment scales (e.g., Fear of COVID-19 scale, Profile of Mood States, and Maslach Burnout Inventory-Human Services Survey), while a further section of the survey used the DSM-5 criteria to investigate Posttraumatic stress disorder (e.g., COVID-19—PTSD). The results reported that healthcare professionals had a consistent perception of stress (mean = 26.18, SD = 14.60), but not at a level significantly higher than other categories of workers (mean = 25.75, SD = 14.65; t = 0.20, p = 0.84). However, they showed less emotional disturbance than the control sample, better anxiety management skills, and lower levels of depressive disorder and mental confusion. Specifically, the healthcare professionals showed a condition of emotional exhaustion (T = 0.64, D = 0.74, A = 0.62, S = 0.75, C = 0.64) and depersonalization (T = 0.41, D = 0.52, A = 0.49, S = 0.60, C = 0.40), which is common in the burnout syndrome. In conclusion, the results obtained are useful in understanding the determinants of the emotional involvement of healthcare professions and the risk of burnout syndrome and, therefore, for planning activities and support paths for these workers who are particularly at risk during prolonged and pervasive crises, such as the pandemic.