Maslach Burnout Inventory-Human Services Survey Research Articles

The relation between humor styles and nurse burnout: a cross-sectional study in China

BackgroundNurse burnout is a prevalent issue in healthcare, impacting both nurses’ well-being and patient care quality. This cross-sectional study examined the association between humor styles and nurse burnout.MethodsA total of 244 nurses in China completed an online self-report measure to assess their humor styles and burnout levels using the Humor Styles Questionnaire (HSQ) and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). Spearman correlation analysis and stepwise regression analysis were conducted.ResultsThe results showed that affiliative and self-enhancing humor were moderately used, while aggressive and self-defeating humor were rated low among the nurses. Emotional exhaustion was moderate, depersonalization was severe, and personal accomplishment was low. Correlation analyses uncovered significant relationships between humor styles and burnout dimensions. Self-enhancing humor exhibited negative correlations with emotional exhaustion and depersonalization, while aggressive and self-defeating humor styles displayed positive correlations with these burnout factors. Affiliative humor was also negatively correlated with depersonalization. Additionally, self-enhancing humor was positively correlated with personal accomplishment, whereas aggressive humor showed negative correlations with this dimension of burnout. Stepwise regression analysis revealed that self-defeating humor positively predicted emotional exhaustion while self-enhancing humor negatively predicted it. Aggressive humor positively predicted depersonalization, and affiliative and self-enhancing humor also positively predicted this dimension of burnout. Self-enhancing humor positively predicted personal accomplishment, while aggressive and self-defeating humor negatively predicted this dimension.ConclusionThe findings highlighted the importance of considering different types of humor in understanding the various dimensions of nurse burnout. The use of self-defeating and aggressive humor appears detrimental, while the use of self-enhancing humor may be beneficial in mitigating burnout among nurses.

Burnout crisis in Chinese radiology: will artificial intelligence help?

To assess the correlation between the use of artificial intelligence (AI) software and burnout in the radiology departments of hospitals in China. This study employed a cross-sectional research design. From February to July 2024, an online survey was conducted among radiologists and technicians at 68 public hospitals in China. The survey utilized general information questionnaires, the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) scale, and a custom-designed AI usage questionnaire. This study analyzed the correlation between AI software usage and occupational burnout, and general information was included as a control variable in a multiple linear regression analysis. The analysis of survey data from 522 radiology staff revealed that 389 (74.5%) had used AI and that 252 (48.3%) had used it for more than 12 months. Only 133 (25.5%) had not yet adopted AI. Among the respondents, radiologists had a higher AI usage rate (82.0%) than technicians (only 59.9%). Furthermore, 344 (65.9%) of the respondents exhibited signs of burnout. The duration of AI software usage was significantly negatively correlated with overall burnout, yielding a Pearson correlation coefficient of -0.112 (p < 0.05). Multiple stepwise regression analysis revealed that salary satisfaction, night shifts, duration of AI usage, weekly working hours, having children, and professional rank were the main factors influencing occupational burnout (all p < 0.05). AI has the potential to significantly help mitigate occupational burnout among radiology staff. This study reveals the key role that AI plays in assisting radiology staff in their work. Questions Although we are aware that radiology staff burnout is intensifying, there is no quantitative research assessing whether artificial intelligence software can mitigate this occupational burnout. Findings The longer staff use deep learning-based artificial intelligence imaging software, the less severe their occupational burnout tends to be. This result is particularly evident among radiologists. Clinical relevance In China, radiologists and technicians experience high burnout rates. Even if there is an artificial intelligence usage controversy, encouraging the use of artificial intelligence software in radiology helps prevent and alleviate this occupational burnout.

Relationship between sexual dysfunction and burnout among physicians in primary hospital: a cross-sectional study.

The relationship between sexual dysfunction and burnout among physicians remains unclear. To investigate the frequency of sexual dysfunction among physicians in primary hospital and explore the association between sexual dysfunction and burnout. This study was a cross-sectional survey conducted through a questionnaire. We used the Arizona Sexual Experience Scale and the Chinese version of the Maslach Burnout Inventory-Human Service Survey to assess sexual function and burnout among physicians in primary hospital. Considering the working environment of physicians, we also evaluated the doctor-patient relationship and sleep quality. Over one-third of physicians experience sexual dysfunction. Burnout is a significant factor to sexual dysfunction among medical professionals. A total of 382 doctors participated in this survey, and the prevalence of sexual dysfunction was 33.51%. Sexual arousal and orgasm were the main sexual dysfunctions faced by male and female doctors, respectively. The prevalence of burnout among physicians was 43.72%. The prevalence of sexual dysfunction among physicians experiencing burnout (45.51%) was higher than that observed in physicians without burnout (24.19%). Physicians with burnout exhibited significantly higher total and individual scores on the Arizona Sexual Experience Scale as compared with physicians without burnout (all P values <.05). There was a significant positive correlation between depersonalization and sexual drive (r = 0.508, P < .001), sexual arousal (r = 0.521, P < .001), lubrication (r = 0.432, P < .001), orgasm/erection (r = 0.420, P < .001), and sexual satisfaction (r = 0.434, P < .001). Logistic regression analysis confirmed that-in addition to burnout-older age, dissatisfaction with income, a poor doctor-patient relationship, and poor sleep were significant contributors to sexual dysfunction among physicians in primary hospitals. Sexual health is an integral aspect of well-being. Prioritizing the sexual health of medical professionals can significantly contribute to improving their productivity. First, our sample size was small, and the impact of different specialties on sexual functioning was somewhat overlooked. Second, we lacked laboratory data (eg, testosterone and prolactin levels) that could provide substantial support to sexual identification. Finally, although we used logistic regression to establish causality, the relationship between sexual dysfunction and certain factors may be bidirectional. The issue of sexual dysfunction among doctors needs more attention. We should make targeted efforts to improve the quality of physicians' sexual lives.

A Preliminary Study: Neurological, Immunological, and Endocrine Aspects of Healthcare Workers without Burnout Syndrome

Summary: Healthcare workers are vulnerable to stress and burnout, which can affect the Hypothalamus-Hypophysis Axis (HHA) pathway. This pathway can involve psychological, neurological, immunological, and endocrine aspects. These can be evaluated using the Maslach Burnout Inventory Human Services Survey (MBI-HSS), a heart rate variability tool, laboratory tests using salivary immunoglobulin-A (sIg-A), T-cell regulator (TC), endorphins, and salivary cortisol (SC) levels. Purpose: This study aimed to describe the neurological, immunological, and endocrine aspects of healthcare workers without burnout syndrome Methods: A quantitative descriptive study was conducted to describe the psychological, neurological, immunological, and endocrine aspects of healthcare workers. Purposive sampling was used. Findings: Sixty-two participants took the MBI-HSS, and 30 participants without burnout were selected. There were 28 nurses, with an average age of 28 years old. About 93,3% of the participants were female, 80% worked at the emergency department, and 60% had over three years of working experience. From HRV test results, 14 participants were within the normal range (50-100 ms). The average -endorphine serum level is 481,93 pg/ml. Around 60% of participants showed normal SC levels, and 40% showed low SC levels (mean 5,72 ng/ml). Around 90% showed normal sIg-A and 10% high sIg-A levels (mean 501,6 g/ml). The average TC was 23% CD4, with 8,1% CD25 and 6,4% CD127. Conclusion: This study found that average healthcare workers showed normal HRV, endorphins, SC, sIg-A, and T cell regulators, representing neurological, immunological, and endocrine aspects. Therefore, further study is needed to determine the impact of burnout syndrome on these aspects.

STOPTHEBURN: A Randomized Controlled Trial of Death Cafés for Burnout Prevention in Intensive Care Unit Employees.

Rationale: Effective interventions to prevent burnout among intensive care unit (ICU) clinicians are urgently needed. Death cafés, group discussions about death, build a sense of community and create a space for reflection on distressing events. Objective: To assess whether participation in regular death cafés can prevent burnout in ICU clinicians (physicians, nurses, pharmacists, therapists). Methods: A randomized clinical trial was conducted from July 2020 to December 2022 in 10 ICUs in Louisiana. Subjects were randomized to attend four psychotherapist-facilitated virtual death cafés or to a control arm. The primary outcome was burnout defined by the Maslach Burnout Inventory-Human Services Survey at 6 months. Depression and anxiety scores were measured, as were qualitative data on stressors, coping, and death café experience. Results: Among 340 clinicians who were screened and gave consent (171 physicians, 169 nonphysicians), 251 participated (mean age, 31.0 ± 6.8 years; 63% female; 72% White; 37% nurses, 27% residents, 25% interns, 11% other). Burnout prevalence was 19% at baseline. Of 136 participants who completed the 6-month follow-up, no significant differences were found between intervention and control for the primary outcome (18% vs. 25%; unadjusted odds ratio, 0.64; 95% confidence interval, 0.26-1.57; P = 0.33). There were no differences in anxiety or depression. Notably, the study was limited by an inability to achieve target enrollment and a high attrition rate (46%). Conclusions: Virtual death cafés were unable to reduce burnout, although the study was underpowered to detect differences between groups. Clinical trial registered with clinicaltrials.gov (NCT04347811).

Burnout among emergency and surgery residents: An exploration of contributing factors and implications.

To assess the prevalence of burnout among emergency and surgical residents and explore the associated factors. This study was carried out at King Faisal University, Al Hofuf, Saudi Arabia, through the period from January to march 2024. A cross-sectional survey design was employed, utilizing the Maslach burnout inventory-human services survey and the resilience scale-14 to measure burnout and resilience. The survey included demographic information, health-related questions, and specific burnout-related items. Descriptive statistics, frequency distributions, and inferential analyses were carried out to explore the relationships between burnout, demographic factors, and resilience. The study revealed a diverse representation across demographic factors, with variations in burnout prevalence. Approximately 63% of participants reported experiencing burnout, with high levels of emotional exhaustion (55%) and depersonalization (28%). Resilience levels varied across different demographic characteristics. Significant associations were found between burnout and factors such as gender, marital status, having children, specialty, length of experience, and enrollment in postgraduate programs. The findings underscore the urgent need for targeted interventions to address burnout in healthcare professionals. The nuanced relationships between burnout, resilience, and demographic factors highlight the importance of tailored strategies to mitigate burnout effectively. Addressing burnout is crucial not only for the well-being of healthcare professionals but also for maintaining high-quality patient care.

Leisure education and parks programming to address stress, burnout, and coping in law enforcement officers: an exploratory study

ABSTRACT Law enforcement officers (LEOs) frequently experience occupational stress, which may lead to burnout. Without positive coping strategies, LEOs are at risk of a myriad of negative health-related issues. This exploratory study evaluated the impact of a leisure education and parks programme offered in the workplace on stress, burnout, and coping in LEOs. Ten LEOs enrolled in the six-week programme that offered group leisure education sessions supplemented by individual time spent in parks. Scores on the Operational Police Stress Questionnaire (PSQ-Op) and Maslach Burnout Inventory-Human Services Survey (MBI-HSS) revealed lower stress and burnout scores for participants following the program, but the changes were not statistically significant. One subscale of the COPE Inventory, suppression of competing activities, revealed significantly higher scores post-programme (p =.04). The majority (77.78%) of the participants reported that they valued and were satisfied with the program. Findings provide initial support for leisure education and parks programming provided to LEOs in an effort to address their occupational health needs including stress, burnout, and coping.

Resident physician burnout and association with working conditions, psychiatric determinants, and medical errors: A cross-sectional study.

Burnout has become a significant occupational concern for resident physicians, primarily attributed to chronic workplace stressors, inadequate work-life balance, high expectation from attending staffs, steep learning curve, and limited patient care experience. The study aimed to investigate the prevalence and associated factors of burnout in medical residents. This cross-sectional study was conducted online questionnaire of all specialists in a university hospital from September to October 2022. Burnout was assessed using the Maslach Burnout Inventory-Human Services Survey for Medical Personnel. The data collection encompassed information on socio-demographics, working conditions, psychiatric issues, and medical errors as potential predictive variables. To analyze the association between these factors and burnout, a confounder summary score model was employed in four separate models utilizing multivariable logistic regression. A total of 238 participants, the average age of participants was 28.1 years (SD 2.7), and 56.2% of them were female. Weekly working hours averaged 75 (SD 21.8). Burnout prevalence was 46.3%. This prevalence was characterized by high levels of emotional exhaustion (57.1%) and depersonalization (36.1%), along with low levels of personal accomplishment (52.4%). Summary of association in each domain with burnout were as follow: demographic determinants, (adjusted odds ratio (aOR) 2.80, 95% CI 1.68-4.64), working conditions (aOR 2.97, 95% CI 1.54-5.71), psychiatric determinants (aOR 2.47, 95% CI 1.77-3.45) medical errors (aOR 2.14, 95% CI 1.05-4.34). Medical residency training programs should provide a supportive system that actively monitors and addresses depressive symptoms. Implementing preventive measures, such as increasing pay rates, can play a role in mitigating burnout.

Prevalence of burnout syndrome among anesthesiologists, anesthesia technicians, and intensive care unit nurses in Palestinian hospitals: a cross-sectional study

BackgroundBurnout syndrome is marked by three primary domains: emotional exhaustion, depersonalization, and low personal accomplishment. This study assessed the prevalence of burnout syndrome among anesthesiologists, anesthesia technicians, and intensive care unit (ICU) nurses in Palestinian hospitals. In addition, this study also sought to assess associations and identify the factors that can predict higher burnout among anesthesiologists, anesthesia technicians, and ICU nurses.MethodsThis study was conducted in a cross-sectional design using a questionnaire between October 2023 and December 2023. The questionnaire collected the demographic variables of the healthcare providers, their living conditions, lifestyle, working conditions, job satisfaction, and intention to change the profession. The healthcare providers were included from 12 different hospitals. Burnout syndrome was assessed using the Maslach Burnout Inventory-Human Services Survey for Medical Personnel (MBI-HSS-MP).ResultsA total of 250 healthcare providers were invited to participate in this study, of those, 212 completed the questionnaire, giving a response rate of 84.8%. Of the healthcare providers, 72 (34.0%) were anesthesiologists, 41 (19.3%) were anesthesia technicians, and 99 (46.7%) were ICU nurses. Of all healthcare providers, 151 (71.2%) reported emotional exhaustion, 125 (59%) reported depersonalization and 145 (68.4%) reported a lack of personal achievement based on the MBI-HSS-MP criteria for burnout. Multiple linear regression showed that higher emotional exhaustion scores could be predicted by the number of working hours per day (p-value = 0.039) and higher depersonalization scores could be predicted by having children (p-value = 0.001). On the other hand, lower personal achievement scores could be predicted by having children (p-value = 0.006), not owning a car (p-value = 0.036), and having more night shifts (p-value = 0.049).ConclusionsThe findings of this study indicated that burnout syndrome was prevalent among anesthesiologists, anesthesia technicians, and ICU nurses in Palestinian hospitals. Healthcare authorities and professional bodies should consider designing interventions to reduce burnout and improve the psychological well-being of anesthesiologists, anesthesia technicians, and ICU nurses. Further studies are required to identify the most effective interventions for reducing burnout among anesthesiologists, anesthesia technicians, and ICU nurses in Palestine.

The interplay among burnout, and symptoms of depression, anxiety, and stress in Chinese clinical therapists

Burnout, depression, anxiety, and stress negatively impact the well-being and retention of healthcare professionals. The interplay of these symptoms is understudied. Utilizing network analysis, this study examined the interrelationships among these symptom clusters in clinical therapists in China. An anonymous survey was conducted among clinical therapists from 41 tertiary psychiatric hospitals in China. Burnout was assessed using the Maslach Burnout Inventory-Human Service Survey (MBI-HSS), while symptoms of depression, anxiety, and stress were assessed via the Depression, Anxiety, and Stress Scale-21 (DASS-21). Analyses were performed to identify central symptoms and bridge symptoms of this network. A total of 419 participants were included in this survey. The prevalence rate for burnout, depression, anxiety, and stress was 19.8%, 22.2%, 17.9%, and 8.6%, respectively. Network analysis indicated that stress symptoms had the highest expected influence values, closely followed by emotional exhaustion from MBI-HSS. Notably, emotional exhaustion emerged as the strongest bridge of expected influence. The stability of the expected influence and bridge expected influence was robust, with coefficients at 0.75. The study’s findings underscore the importance of recognizing the central symptoms and bridge symptoms, which could lead to more effective early detection and intervention for burnout, depression, anxiety, and stress among clinical therapists.

Unique and cumulative effects of different subtypes of sleep problems on burnout among Chinese nurses.

To investigate the unique and cumulative associations of different sleep problem subtypes with burnout among Chinese nurses. A survey was conducted in Quanzhou, China, and a total of 744 nurses were included. Burnout was measured by Maslach Burnout Inventory-Human Services Survey across three dimensions: emotional exhaustion (EE), depersonalization (DP) and low personal accomplishment (PA). Pittsburgh Sleep Quality Index was used to measure 15 types of sleep problems. Binary logistic regression was employed to explore the association between sleep problems and burnout. Prevalence of sleep problems, high EE, high DP and low PA were 43.3, 6.9, 23.4, and 63.2%, respectively. Experience of sleep problems significantly increased risk for EE (OR = 1.31, 95%CI: 1.185-1.436), DP (OR = 1.08, 95%CI: 1.023-1.142) and PA (OR = 1.09, 95%CI: 1.036-1.146). Of the 15 sleep problem subtypes, "feel too cold" and "have pain" were significant predictors of high EE (OR = 3.89, 95%CI: 1.629-9.302; OR = 3.00, 95%CI: 1.314-6.827, respectively), and "daytime dysfunction" significantly predicted low PA (OR = 1.68, 95%CI: 1.135-2.491). Around 40.9% of nurses had reported more than three subtypes of sleep problems. Experiencing more than three subtypes of sleep problems were significantly associated with an increased risk of DP and PA (ORs range from 2.07 to 2.71). These findings suggested that sleep problems was associated with an increased risk of burnout in nurses, with both unique and cumulative risks. Interventions should focus on the prevention and management of the effects of sleep problems among nurses.

NAMAH—An Innovative Tele-ECHO Mentoring Program to Foster Well-being Among Physicians

Background: The current study aimed to develop and implement the National Assistance in Mental Health for Health Care Providers (NAMAH) module, which focused on wellness and building resilience for a cohort of physicians. Methods: The NAMAH module is a 12-week tele-mentoring program leveraging videoconference technology that uses the ECHO (Extension of Community Healthcare Outcome) HUB and SPOKE and consists of real-life case discussions and a brief didactic. The module’s content was developed after iterative feedback from experts and incorporated suggestions from healthcare providers (HCPs) following a needs assessment. A pre and post-design was used to assess the impact of the module on psychological distress using the self-reported Kessler Psychological Distress Scale (K10) and burnout using the Maslach Burnout—Inventory-Human Services Survey (MBI-HSS) among the 32 physicians who participated. Results: There was a significant decrease in the mean scores before (19.5 ± 6.27) and after (17.38 ± 6.23) the NAMAH module ( p &lt; .05) in the psychological distress as measured by K 10 with a Cohen’s d of 0.41 (95% CI: 0.05–0.77). There was also a significant decrease in the mean scores after the intervention in the emotional exhaustion and depersonalization domain of the MBI-HSS with a medium effect size (Cohen’s d of 0.65) and large effect size (Cohen’s d of 0.94), respectively. Conclusion: The findings from this pilot study lay a foundational framework, encouraging further exploration, research, and scaling-up of such interventions to enhance mental health among physicians and HCPs.

Association between personal characteristics and anxiety and burnout in orthopedic residents: a cross-sectional cross-sectional study

ObjectiveBurnout is becoming a major problem in medicine, and some articles have pointed to the link between burnout and anxiety. Several factors can contribute to burnout and anxiety, and recognizing each can improve medical education environments. The purpose of this study is to determine the relationship between personal characteristics, anxiety and burnout of orthopedic residents.MethodIn this cross-sectional study, the anxiety rate, depression, and burnout were evaluated in 94 orthopedic residents above the second year and orthopedic fellowships in three hospitals. Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory (BAI), and Maslach Burnout Inventory—Human Services Survey (MBI-HSS) were used to measure the levels of depression, anxiety, and burnout, respectively. Multivariate logistic regression analysis was used to evaluate predictor variables for burnout.ResultsSevere anxiety and depression were reported in 17% and 12.77% of residents, respectively. The rate of burnout for Emotional Exhaustion (EE), Depersonalization (DP), and low sense of Personal Accomplishment (PA) subscales was 18.09%, 28.72%, and 43.62% of people with high levels of burnout, respectively. Multivariate analysis of logistic regression showed that Works > 60 h per week, Anxiety score > 28, Time spent in the hospital > 9 h per Day, Academic year and Experience being abused by the upstream, Balance between work and life, Feeling the need for support from nurses in the hospital were significantly associated with burnout.Conclusionstress and anxiety can be considered a severe factor in burnout; this issue can provide a clear perspective of the psychological cycle that ultimately leads to a decrease in the efficiency of the medical system and related services.

The aftermath of COVID-19: generalized anxiety disorder and burnout among radiology practitioners and interns in Saudi Arabia.

The coronavirus disease (COVID-19) pandemic has presented unprecedented stressors and difficulties for healthcare professionals. This study explored the prevalence of generalized anxiety disorders and burnout among radiology practitioners and interns in various hospitals in Saudi Arabia after the end of the COVID-19 global public health emergency. A cross-sectional survey of 230 radiology practitioners and interns was conducted between October and November 2023. This study utilized the Generalized Anxiety Disorder 7-item (GAD-7) scale and Maslach Burnout Inventory-Human Services Survey for Medical Personnel (MBI-HSS-MP) 22-item questionnaire, employing a non-probability convenience sampling method. The average scores of the individual components constituting the GAD-7 scale and each burnout scale were calculated, and statistical analyses were conducted using the Mann-Whitney U and Kruskal-Wallis H nonparametric tests. Of 382 radiology practitioners and interns, 230 (60.2%) responded to the survey. Notably, 42.6% of the participants reported experiencing GAD. Regarding burnout, 82.3% were at moderate-to-high risk for emotional exhaustion, 93.5% for depersonalization, and 52.1% for personal achievement. The 31-40 years age group showed significantly higher burnout rates (p = 0.001) compared with the other age groups. Those with more than three years of experience had notably higher emotional exhaustion scores (p = 0.002) and a nearly significant increase in depersonalization scores (p = 0.051) than those with less experience. Our study revealed that 42.6% of radiology practitioners and interns experienced GAD, with the majority facing significant burnout. Furthermore, our research indicates a decline in GAD levels among radiology practitioners and interns compared with the peak COVID-19 pandemic period. It also showed a significant increase in both the incidence and severity of burnout, surpassing pre-pandemic levels in a comparable cohort. These findings emphasize the pressing challenges of GAD and burnout among healthcare workers, especially radiology professionals.

Burnout among veterinary anaesthesia specialists: time to ‘rock the boat’ (part 1)

ObjectiveTo determine the prevalence of burnout among veterinary anaesthesia specialists and explore correlations with sociodemographic variables. Study designCross-sectional, online, anonymous, voluntary survey. PopulationA total of 530 worldwide veterinary anaesthesia specialists affiliated to American (ACVAA) and/or European (ECVAA) Veterinary Anaesthesia and Analgesia Colleges. MethodsAn electronic questionnaire, incorporating the Maslach Burnout Inventory-Human Services Survey for Medical Personnel [MBI-HSS (MP)] and a sociodemographic questionnaire, was used.The MBI-HSS (MP) assessed the three burnout dimensions: emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA) using 22 questions, each with a 7-point Likert-type scale answer option, to compute a total score for each dimension. Thresholds for high levels of EE ≥ 27, DP ≥ 10 and for low level of PA ≤ 33. Responders were categorized as high risk for burnout with EE ≥ 27 and DP ≥ 10, and as having burnout syndrome with EE ≥ 27, DP ≥ 10 and PA ≤ 33. Data were investigated with descriptive statistical and regression analysis; p-value < 0.05. ResultsParticipation rate was 54% (286/530 Diplomates); 65% were identified as women; mean age was 44 years; 59% were married/civil partnership; 52% were ACVAA affiliated; 50% were working in North America; and 51% in academia. The prevalence of high risk for burnout was 42.6% (122/286), and for burnout syndrome was 24.5% (70/286). Number of hours worked per week positively correlated with EE (p < 0.0001) and DP (p = 0.02). Out-of-hours duty positively correlated with EE (p = 0.01) and DP (p = 0.04) and negatively correlated with low PA (p = 0.04). Higher burnout prevalence was identified among younger Diplomates, those working ≥ 40 hours per week, in academia/research, and in North America. Conclusions and clinical relevanceConcerted effort is required to address the unacceptably high risk of developing burnout and burnout syndrome observed among ACVAA/ECVAA Diplomates.

New Nurse Turnover Intention and Related Factors in Japan and China: Focusing on Nursing Practice Environment and Burnout.

With rapidly declining birth rates and aging populations worldwide, the demand for nursing care has increased in recent years. High turnover, an important cause of nurse staffing shortages, directly affects the quality of nursing care. However, no comparison studies on turnover intention in East Asia have been published. The purpose of this study was to clarify the relationships among turnover intention, the work environment, and related factors among new nurses in Japan and China. A self-administered questionnaire survey was used to collect data from nurses employed for < 2 years. This questionnaire included participant characteristics, assessment of desire to become a nurse at the start of employment, current turnover intention, the Practice Environment Scale of the Nursing Work Index, and the Maslach Burnout Inventory-Human Services Survey. The relationship between current turnover intention and, respectively, number of hospital beds, strength of desire to become a nurse at the start of employment, level of participation in hospital affairs, emotional exhaustion (EE), personal achievement, and demographic variables was assessed. The number of nurses who intended to leave the hospital was higher in Japan (74.1%) than in China (42.4%). However, of those expressing intention to leave, 46.6% of the nurses in China and only 5.0% of those in Japan indicated intention to quit the nursing profession altogether. In Japan, collegial nurse-physician relations and EE were related to turnover intention, whereas in China, number of hospital beds, strength of desire to become a nurse at the start of employment, participation in hospital affairs, EE, and personal achievement were all related to turnover intention. To enhance retention and reduce turnover intention among nurses, the strength of desire to become a nurse in China and the nurse-physician relationship and EE in Japan should be taken into particular consideration when designing retention strategies and nurse education programs.

A custom tailored, evidence-based, theory-informed intervention for healthcare professionals to prevent burnout (LAGOM): study protocol for a pragmatic randomized controlled trial

BackgroundHealthcare professionals in hospitals are exposed to a high level of professional stress, time pressure, workload, and often times poor organizational support. This makes them especially susceptible to burnout. In this pragmatic randomized controlled trial, we test the hypothesis that participation in a 9-week program (LAGOM) that was designed in close collaboration with healthcare professionals, incorporating both individual and organizational aspects reduces emotional exhaustion in healthcare professionals (primary outcome).MethodsEighty four nurses and physicians working at the Charité – Universitätsmedizin Berlin and the Immanuel Hospital Berlin are automatically randomized to the LAGOM program (n = 42) or to usual care (n = 42) in a one-to-one allocation rate. The primary outcome emotional exhaustion is measured by the Maslach Burnout Inventory—Human Services Survey at baseline, post-intervention, and 1-month follow-up via an online survey. Secondary outcomes include depersonalization, personal accomplishment, subjective stress, mental well-being, self-care, self-efficacy, working conditions, mindfulness, and adverse events. Electrophysiological measures for heart rate variation analysis are captured. The PRECIS-2 tool is used to characterize the degree of pragmatism in our trial. Data analysis and primary intention-to-treat analysis using repeated measures analysis of variance are performed blind to intervention allocation. Per-protocol, subgroup, and secondary outcome analyses are conducted exploratively. An advisory board consisting of various stakeholders accompanies the study process.DiscussionIf LAGOM proves to be effective in reducing symptoms of burnout, the program could make an important contribution to tackling the problem of the very high burnout rates among healthcare professionals and become an integral part of preventive services offered by hospitals.Trial registrationGerman Clinical Trials Register, DRKS00034060. Registered 31 May 2024.

Perceptions of Burnout Among Black Pastors of Small Churches: A Phenomenological Study

The purpose of this study was to explore the roles and responsibilities of Black pastors and how they might contribute to burnout. Five participants (four men, one woman) were selected from a sample of 25 Black pastors who completed the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) and agreed to be interviewed. Transcendental phenomenology, a qualitative analysis, was used to understand the essence of meaning of burnout among the five interview participants. Four themes were identified from the data, which allowed the essence of meaning of burnout to be constructed: (1) Burnout is Emotionally Tiring; (2) Ministerial Demands and Rewards; (3) Cultural Aspects; and (4) Personal Before Professional. Findings suggest that Black pastors are subject to experiencing emotional, physical, and spiritual fatigue; that denomination-specific tasks and cultural factors (i.e., age, race, and gender) add to the uniqueness and challenges of their pastoral identity; and that the choice to prioritize personal life over professional life ensures the stability in their personal relationships with God and their families.

The Mediation Impact of Compassion Competence on the Link Between Mindfulness and Job Burnout in Nurses: A Cross-Sectional Study.

This study explores the link between mindfulness, compassion competence and job burnout among nurses, and analyses the mediating role that compassion competence plays in this relationship. Understanding nurses' mindfulness, compassion competence and job burnout is important, which could help devise interventions to relieve burnout in clinical nurses. This study adopts convenience sampling method and descriptive design quantitative research. A cross-sectional study of 513 nurses was conducted from June to October 2023 in mainland China. The Socio-demographic Questionnaire, Mindful Attention Awareness Scale, Maslach Burnout Inventory-Human Service Survey and Compassion Competence Scale for the Nurses were utilised to gather basic demographic information on nurses and to evaluate their level of mindfulness, compassion competence and job burnout. Descriptive statistics, Spearman's correlation analyses and structural equation model were used to analyse the data. Five hundred and thirteen valid questionnaires were gathered. Spearman's correlation analysis revealed a strong negative link between mindfulness and job burnout, and between compassion competence and burnout, and a significant positive correlation between mindfulness and compassion competence. The results of the mediation analysis revealed that the relationship between mindfulness and job burnout was partially mediated by compassion competence, and the mediating effect accounted for 18.6% of the total effect. Compassion competence performed as a partial mediator between mindfulness and job burnout among nurses. Nursing managers could enhance nurses' mindfulness level and compassion competence through Mindfulness interventions and Compassion training to reduce their burnout. This study offers a fresh viewpoint on enhancing clinical nurses' compassion competence and reducing job burnout. Healthcare organisations and medical institutions can mitigate nurses' job burnout by improving their mindfulness levels and compassion competence. The study used the STROBE checklist for reporting. All participants were nurses who completed an electronic questionnaire related to this study.

The Prevalence of Burnout in Limb Lengthening and Reconstruction Surgeons.

To evaluate the level of burnout among international limb reconstruction surgeons. Burnout describes chronic workplace stress that has not been successfully managed. Limb reconstruction surgeons may be particularly at risk for burnout. The development of necessary skills and expertise has a steep learning curve and the patients are among the most complex in orthopaedics, with multiple failed surgeries and high complication rates. An internet-based REDCap survey consisted of demographic questions, four open-ended questions, and two valid, reliable measures: (1) Patient Health Questionnaire 4 (PHQ-4)-a screening tool for anxiety and depression, and (2) The Maslach Burnout Inventory-Human Services Survey for Medical Personnel (MBI-HSS-MP) which measures levels of depersonalization, emotional exhaustion, and low personal achievement. The surveys were distributed to international limb reconstruction surgeons. Statistical analysis consisted of descriptive and non-parametric analysis: Chi-square and Kruskal-Wallis tests. There were 103 surgeon responses from at least one country of each of the six populated continents. Eighty-three percent of the respondents were male. The career level distribution was early (1-10 years' experience) = 51%, mid (11-20 years' experience) = 30%, and late (>20 years' experience) = 20%. Twenty-four percent stated they were currently being treated or had been treated in the past for mood or anxiety or both with medication or counselling. Based on the MBI-HSS-MP scores, 38% of limb reconstruction surgeons displayed burnout symptoms, and 16% exhibited severe burnout. The mid-career had the highest levels of overall burnout; there was no statistical significance between the groups. The PHQ-4 scores were within normal limits. In this study sample, 38% displayed burnout symptoms and 16% exhibited severe burnout. The mid-career group had the highest level of burnout. Unmanaged burnout can lead to major depression or suicidal ideation, or both. Support systems for limb reconstruction surgeons need to be developed and maintained. Iobst C, Tulchin-Francis K, Richard HM. The Prevalence of Burnout in Limb Lengthening and Reconstruction Surgeons. Strategies Trauma Limb Reconstr 2024;19(2):67-72.