Mean Emotional Exhaustion Research Articles

Tıp Fakültelerinde Çalışan Öğretim Üyeleri ve Araştırma Görevlilerinde Tükenmişlik Düzeylerinin Değerlendirilmesi

Aim: It was aimed to evaluate the burnout levels of the academicians and research assistants employed at Medical Faculty of Selcuk University and Necmettin Erbakan University, and to investigate the factors affecting the level of burnout. Methods: This study included total 894 subjects; 564 faculty members and research assistants working at Necmettin Erbakan University and 330 faculty members and research staff employed at Faculty of Medicine, Selçuk University. A questionnaire consisting of 50 questions containing sociodemographic characteristics of the participants, and the Maslach Burnout Inventory (MBI) were filled with face-to-face interviews. Results: Of the participants, 63.1% were working at the University of Necmettin Erbakan, and 36.9% at Selçuk University. While the mean emotional exhaustion (EE) (p<0.001) and depersonalization (DP) (p<0.001) scores of the physicians who work in basic medical sciences, the staff titled Prof. Dr. and Assoc. Prof. Dr., the physicians with administrative duties, the staff at/over 40 years old and the married physicians were statistically significantly lower than those of the staff employed in the other medical and surgical sciences, the staff with other titles, the physicians without administrative duties, the staff under 40 years old and the single staff respectively; personal success (PS) mean scores were statistically significantly higher (p<0.001). Conclusion: In particular, the supports reducing burnout and motivating should be provided and maintained to the physicians who are employed at such places especially as Faculties of Medicine which aims both to provide the highest level of health care in the region and to raise the physicians of the future.

Factors Influencing Work-Life Balance in Physicians and Advance Practice Clinicians and the Effect of Heartfulness Meditation Conference on Burnout.

BackgroundBurnout levels have risen in recent years and satisfaction with work–life balance has decreased. Individual and organizational factors may affect burnout in physicians and advance practice clinicians (APCs). Meditation is a tool to mitigate stress and enhance well-being. In this study, we assessed the factors affecting work–life balance in physicians and APCs. We also measured the impact of Heartfulness meditation conference on burnout.MethodsPhysicians and APCs were surveyed through an abbreviated Maslach burnout inventory (aMBI) to assess the burnout levels and a question to assess the factors influencing work–life balance. Wellness initiatives included either attending a Heartfulness meditation conference or reading a book about burnout and wellness (approximated at a 3-h read). A repeat aMBI survey was sent 8 weeks after the conference. Pre- and postburnout scores were assessed.ResultsOf the 1393 physicians and APCs, 537 responded to the aMBI, and there were 414 comments (663 factors) for the question on work–life balance. Among the respondents, 60.5% and 32% had symptoms of moderate to severe emotional exhaustion (EE) and depersonalization, respectively. Twenty-eight percent of the respondents had symptoms of moderate to low personal accomplishment. The major factors impacting work–life balance included work load, work flow, and scheduling. A follow-up aMBI survey was completed by 79 from the conference group and 264 from the nonconference group. In the age-group between 30 and 50 for the conference group (n = 40), mean EE decreased from 9.8 to 8.6 with statistical significance (P = .014). There was no statistically significant change in the nonconference group in any age-group.ConclusionWorkload, workflow, and scheduling issues were the major factors affecting work–life balance. There is a significant level of burnout in physicians and APCs. Heartfulness meditation conference was associated with a significant decrease in EE in those aged 30 to 50 years. There was no significant change seen in the nonconference/book reading group.

Dealing with the loss of a resident: An analysis of burnout rates in a reduced complement training program.

Residents in all fields of medicine experience high levels of burnout and less job-related satisfaction due to the stress experienced during training. Reduced complement residency classes often experience increased workloads due to the need to compensate for the fewer number of classmates. The goal of this study was to examine whether residency classes of reduced size experience higher levels of burnout. The Maslach Burnout Inventory Survey was distributed to all orthopaedic residents at our institution for four consecutive years. Emotional exhaustion≥27 and depersonalization≥10 correlate with high levels of burnout. At our institution, two residents were lost during their second year of training. Group 1 (n = 56) consisted of residents with reduced-size classes, while group 2 (n = 60) consisted of residents with full complement classes. Mean emotional exhaustion (29 vs. 30) and depersonalization (17 vs. 17) scores were comparable between reduced and full complement classes. The Maslach data from our study showed no statistical difference in burnout levels between classes of full complement and reduced complement. When compared to a previous study on burnout conducted in large orthopaedic residency programs, our entire residency program did demonstrate similar levels of emotional exhaustion and depersonalization.

THE PREVALENCE AND ASSOCIATES OF STRESS AND BURNOUT IN STAFF CARING FOR PEOPLE WITH DEMENTIA IN LONG-TERM CARE: A SYSTEMATIC REVIEW AND META-ANALYSIS

High vacancy and high turnover rates amongst care staff in care homes are associated with poorer quality of care and may be related to stress and burnout. We conducted a systematic review and the first meta-analysis to determine the level of stress and burnout and report its associated factors in staff caring for people living with dementia in 24-hour care settings. We electronically searched MEDLINE, PsycINFO and Web of Science databases from 2009 up to August 2017. Two raters independently graded the validity of studies using standardised criteria. We conducted a meta-analysis using a random effects model to determine the weighted mean burnout scores across comparable studies. We identified 2417 studies of which 17 met our inclusion criteria. Nine studies reported mean burnout scores in care staff working in either nursing or residential care home facilities in eight different countries. Meta-analysis of the four studies of 598 care staff that used the complete 22-item Maslach Burnout Inventory (MBI) found low mean emotional exhaustion levels; mean 15.0 (95% CI 14.5-15.5), moderate depersonalisation; mean 8.3 (95% CI 7.9-8.7) and low personal accomplishment; mean 22.0 (95% CI 21.6-22.4). Care worker factors reported to be associated with higher burnout and stress included: younger age, higher qualifications, not speaking English as a first language, feeling unsupported and rating leadership within the home as poor; there was also an association with caring for residents who exhibited aggressive behaviour. Current evidence suggests that most long-term care staff for people living with dementia do not experience high levels of burnout, but there is a lack of good quality longitudinal evidence with analysis of non-respondents. Further large prospective studies of burnout and stress levels in care staff are required to understand more about potentially modifiable institutional and staff risk factors for burnout and their correlation with staff turnover.

A cross-sectional survey of burnout amongst doctors in a cohort of public sector emergency centres in Gauteng, South Africa.

IntroductionWorking in emergency care is commonly regarded as highly stressful. This is also true in the African setting characterised by high patient loads and limited resources. As in other similarly demanding occupations, burnout can be anticipated. The aim of this study was to examine the level of burnout amongst doctors in a cohort of public sector emergency centres in Gauteng, South Africa.MethodsAn observational, cross-sectional design was employed, using the Maslach Burnout Inventory-Human Services Survey (which has been tested and validated in similar settings elsewhere). The study included a cohort of doctors working in the emergency centres of public sector hospitals in Gauteng, South Africa.ResultsOne hundred participants completed the questionnaire out of a possible 124 doctors working at the five centres. Ninety-three met the inclusion criteria and was further analysed. Seven respondents were specialist emergency physicians (7.5%), 36 were emergency medicine registrars (38.7%) and 50 were medical officers (53.8%). Fifty one respondents were female (55.0%). Analysis of burnout component scores showed a mean emotional exhaustion score of 31.69 (standard deviation, SD = 10.32), with 62 respondents (66.7%) in the high-risk group – from 86 (92.5%) at moderate to high risk. The mean de-personalisation score was 13.39 (SD = 6.21), with 50 respondents (53.8%) in the high-risk group – from 75 (80.7%) at moderate to high risk of burnout. The mean personal accomplishment score was 34.87 (SD = 6.54), with 21 respondents (22.6%) in the high-risk group – from 65 (69.9%) at moderate to high risk of burnout.DiscussionThe results indicate that a large proportion of the doctors who work in these emergency centres are at moderate to high risk of burnout. Based on our findings we recommend that interventions be introduced at the work place to reduce burnout in doctors and improve their mental well-being. This will ensure better service delivery to patients with emergencies. Further research into the causes of occupational burnout should be explored.

P111: Burnout among emergency physicians working at a large tertiary center in London, Ontario

Introduction: Emergency medicine (EM) is known to be a high-stress specialty. Work related stress and burnout have been reported to negatively impact physician-patient interactions, collaboration and ultimately overall physician mental and physical health. We sought to assess the rates of burnout among emergency physicians working at a single large Canadian tertiary care center and to identify higher risk groups. We hypothesized burnout rates to be uniformly high. Methods: We conducted a local cross-sectional study to assess burnout among adult and pediatric emergency physicians, fellows and residents at London Health Sciences Centre (LHSC). A total of 118 participants were invited to complete an anonymous online survey encompassing demographics, the validated MBI tool (Maslach Burnout Inventory) with additional questions aimed at identifying determinants of emergency physician burnout at LHSC. Each respondents three MBI scale scores for Emotional Exhaustion, Depersonalization and Personal Accomplishment were recorded with a possible range of 0-6. Descriptive statistics were calculated and relationships between risk factors (age, gender, years of practice, marital status, and credentials) and burnout scores were examined using t-tests, one-way ANOVAs, and/or regression analyses where appropriate. Results: To date the survey had a 50% (59/118) response rate. Of the 59 respondents 24 (40%) were female, the mean (SD) age was 40.6 years (10.5) and years of practice ranged from 1 to 35, with a mean of 13. Survey results indicated a high degree of burnout among LHSC EM physicians with a mean (SD) Emotional Exhaustion Score of 2.9 (1.3) and Depersonalization score of 2.4 (1.3), indicating that physicians felt burnt out from work between once a day to once a week. Inversely, the protective variable of Personal Accomplishment, with a score of 4.7 (0.9), indicated daily to weekly feelings of accomplishment. Female physicians (independent samples t-test, p=0.003) and those having fewer years of practice (linear regression, R2=0.188, p=0.04) were identified to have higher burnout. We did not identify any factors associated with Personal Accomplishment. Conclusion: Consistent with previous literature, LHSC emergency physicians were shown to be at risk for moderate to severe burnout. High risk groups identified included gender (female) and fewer years of practice. We did not identify any factors to be protective. Despite this, LHSC emergency physicians showed a high degree of personal accomplishment. While all physicians experience burnout, targeted interventions to newer female staff could have the highest benefit.

Levels of burnout and their associated factors among physicians working in Northeast Anatolia.

The concept of burnout is a condition seen in occupational groups working face-to-face with people and resulting in emotional exhaustion, depersonalization, and low professional productivity. The purpose of this study was to determine burnout levels and associated factors in physicians practicing in Erzurum, Northeast Anatolia, Turkey. This research was designed as a cross-sectional descriptive study. The research sample size was calculated at 663 participants with a 99% confidence interval and a 3% margin of error using Epi Info software. A 10% incomplete or nonresponse rate was added, for a target cohort of 730 individuals. Seven hundred and eleven physicians agreeing to take part were enrolled. A questionnaire consisting of questions concerning sociodemographic characteristics and the Maslach Burnout Inventory (MBI) was used as the data collection tool. The questionnaires were distributed by the authors and completed by the physicians in person. Descriptive data were expressed as percentage, mean, median, and standard deviation. Data were analyzed using the Kruskal-Wallis and Mann-Whitney U tests and binary logistic regression analysis. P < 0.05 was regarded as statistically significant. Statistical analyses were performed on SPSS 15.00 software. The mean age of the physicians in the study was 34.4 ± 7.7 years. Mean MBI subdimension scores were 15.6 ± 7.0 for emotional exhaustion, 5.7 ± 3.9 for depersonalization, and 21.0 ± 4.4 for personal accomplishment. Mean emotional exhaustion and depersonalization scores were significantly higher and personal accomplishment scores significantly lower in physicians aged under 25, not taking vacations, working in public hospitals, who were working as research assistants. Burnout levels among the participants were low (emotional exhaustion in 75%, depersonalization in 76.2%, and low personal accomplishment in 69.6%).

Burnout prevalence in Tunisian anesthesia and intensive care units

Introductionl'épuisement professionnel serait particulièrement préoccupant en milieu d'anesthésie réanimation. En plus de ses répercussions socio-économiques, il altère la qualité des soins prodigués et le pronostic des malades. Notre but est d'évaluer sa prévalence chez le personnel d'anesthésie-réanimation dans le centre tunisien.Méthodesil s'agit d'une enquête multicentrique transversale réalisée au sein des services d'anesthésie-réanimation dans les sept centres hospitalo-universitaires du centre tunisien et portant sur tout le personnel médical et paramédical consentant. L'instrument de mesure utilisé est le Maslach burnout Inventory.Résultatsdeux cent quatre-vingt-trois personnes ont participé à l'étude (72,19%). L'âge moyen était de 40,2 ± 9,38 ans avec une prédominance féminine. L'analyse de l'échelle de Maslach a révélé que 94,71% des participants étaient concernés par le burnout. Les scores moyens d'épuisement émotionnel, de dépersonnalisation et d'accomplissement professionnel étaient respectivement de 28,65 ± 11,92; 8,62 ± 6.65 et 34,58 ± 8,07. Un niveau élevé à modéré de burnout a été trouvé respectivement dans 13,3% et 26,2% des cas. Un niveau bas a été trouvé dans 55,21% des cas. Les répercussions du burnout sont dominées par les conduites additives (52,65%) et les idées suicidaires (4,59%).Conclusionle burnout apparaît de plus en plus comme une réalité palpable chez le personnel d'anesthésie réanimation. Ses conséquences sont graves aussi bien sur le plan individuel que social.

The relationship between sluggish cognitive tempo and burnout symptoms in psychiatrists with different therapeutic approaches

Burnout is a serious problem for psychiatrists that has implications for clinical practice and personal health. While burnout is known to affect cognitive functions, no studies have examined the relationship between sluggish cognitive tempo (SCT) and burnout. This study aimed to examine this relationship and related factors as socio-demographic, occupational environment in psychiatrists. Participants(n=201, aged between 25 and 52 years,57.7% female) completed socio-demographic information form, Maslach Burnout Inventory and SCT Scale. According to our results, we have shown that total burnout scores and emotional exhaustion (EE) scores were significantly higher in psychiatrists with SCT. SCT scores were positively correlated with mean total burnout, EE, and depersonalization scores. We did not find any differences between subgroups according to departments, therapeutic approaches and gender. In conclusion, we want to highlight that psychiatrists with SCT were more proneness to general burnout symptoms and were more emotionally exhausted regardless of their therapeutic approach or their profession as adult or child/adolescent psychiatrists.

Burnout Among Otolaryngology Residents in Saudi Arabia: A Multicenter Study

Determine the prevalence of, and associated risk factors for, burnout among otolaryngologist residents in Saudi Arabia. A cross-section study of multicenter hospitals in Saudi Arabia conducted in March 2013. Registered residents in Saudi Otolaryngology Board Program. The Maslach Burnout Inventory was used to measure burnout status. Questions supplementary to the Maslach Burnout Inventory were also included to identify associated potential risk factors such as demographic data, resident satisfaction, and work conditions. Of the initial 123 questionnaires that were distributed, 85 yielded responses, a rate of 69%. The mean age (standard deviation [SD]) of respondents was 29 (2.3) years. Of those, 67% (57/85) were men and 66% (55/85) were married. Resident levels were delineated: level 2, 19%; level 3, 33%; level 4, 29%; and level 5, 19%. The mean number of on-call days/month (SD) was 7 (2), clinics/week (SD) was 3 (1), sleep hours/day (SD) was 6 (1), and operations/week (SD) was 2 (1). The mean emotional exhaustion (EE) and depersonalization scores were high at 29.5 (SD = 9.6) and 10.7 (SD = 6), respectively. The mean personal accomplishment was low at 32.33 (SD = 6). The mean of all subscales did not differ by sex (EE p = 0.5; depersonalization p = 0.09; personal accomplishment p = 0.4). Mean EE differed by marital status, which was 31.2, 31.3, and 25.6 for married, divorced, and single, respectively, analysis of variance test p = 0.045. Burnout prevalence was found to be high among otolaryngologist residents in Saudi Arabia. The associated variables examined in this study should be addressed to decrease this level of burnout and provide residents with a less stressful work environment.

484 Rates of self-reported burnout amongst urologists in Ireland and the United Kingdom – a comparative cohort study

INTRODUCTION & OBJECTIVES: Burnout was first coined (1947) to describe the declining levels of performance exhibited by professionals who had expended themselves on their occupation. Burnout has been shown to affect the personal lives of doctors, and is associated with a reduced quality of life, broken relationships, substance abuse, increased levels of myocardial infarction, anxiety and suicidal ideation, as well as an Increase in medical error and litigation, decreased empathy, job withdrawal, decreased productivity and increased absenteeism. Whilst many surgeons may believe that they are less susceptible to the effects of burnout compared with other specialities, the traits that define some of their success such as commitment, drive and self-sacrifice place them in a vulnerable position. RESULTS: A total of 575 urologists responded out of a total of 1437 invites (40% response rate). All respondents were below 75 years of age (Median age: 45), with males representing 87.5% of respondents. 75% respondents worked in England, followed by the Republic of Ireland (9%), Scotland (8%), Northern Ireland (4%) and Wales (3%). 79% respondents were consultants, with 13% representing training posts. 40% respondents held a professorship/clinical lead position. Overall, the mean emotional exhaustion score was 23.5 and the mean depersonalisation score was 8.2, representing moderate levels of each. The mean personal achievement score was 17.1, which is considered high. 15% (n=86) reported self-medication with nonprescription drugs or alcohol to combat signs and symptoms of burnout. 8% (n=46) sought professional help for symptoms of burnout. 80% respondents (n=460) felt that burnout should be evaluated amongst members of BAUS/ISU, and 60% (n=345) would avail of counselling. There were significant differences in causes of burnout between non-consultant hospital doctors and consultants, however the overall most commonly given reasons were an excessive administrative workload, a high volume of work, a lack of institutional resources, a poor worklife balance, and inadequate support/communication with institutional management. CONCLUSIONS: This is the first study to address the issue of burnout across two separate health systems. This study has demonstrated high levels of burnout, with significant levels of self-medication amongst a male-predominant cohort. Burnout was attributed to administrative/institutional factors, with the majority of respondents reporting support for evaluation and the provision of counseling services. This study lends itself to the creation of risk stratification for urologists, and an opportunity to provide educational resources, and collegial and administrative support pathways. Further study is needed within to assess the link between burnout and patient safety and surgical

Risk of burnout among emergency physicians at a tertiary care centre in Saudi Arabia

Background: Emergency Medicine physicians are shown to be at increased risk of burnout. In this study, we aimed to assess the risk of burnout among emergency physicians working at one of the largest Emergency Departments in Saudi Arabia. Methods: This is an observational, cross-sectional study based on a structured questionnaire Maslach Burnout Inventory- Human Services Survey (MBI-HSS), which has been previously tested and validated extensively. The study targeted all physicians in the Emergency Department (ED) at a tertiary medical center in Riyadh. A total of 72 emergency physicians were included in the study. Results: Overall, 53 (74%) out of 72 subjects filled the questionnaire. Out of the 53 respondents, 45 (85%) were males and eight (15%) females. The years of practice experience ranged from six months to 24 years, with a median of seven years. Burnout Inventory-Human Services Survey subscale results: Emotional Exhaustion (EE): The mean EE score was 2.72 (SD 1.28), with 21 participants (40%) in the high-risk zone. Depersonalization (DP): The mean DP score was 1.86 (SD 1.31), with 21 participants (40%) in the high-risk zone. Personal Accomplishment (PA): The mean PA score was 4.5 (SD 0.9), with 17 participants (32%) in the high-risk zone. Conclusion: Our results are consistent with previous literature in showing that emergency physicians are at a moderate to high risk of burnout. Decision makers should take serious steps to address the threat, in order to minimize the risk of burnout and its impact on physicians as well as the patient they care for.

Community pharmacists’ burnout levels and related factors: an example from Turkey

To determine community pharmacists' burnout levels and prevalences as well as factors associated with burnout. Study was conducted in Ankara, the capital of Turkey. In this cross-sectional study, 251 pharmacists were randomly selected from 1,504 community pharmacists registered in Ankara Chamber of Pharmacists. A questionnaire including questions related to pharmacists' individual and professional characteristics and Maslach Burnout Inventory was administered. The data was collected between February 27 and May 25, 2007. Three Maslach Burnout Inventory subscales (emotional exhaustion-EE, depersonalization-D, and personal accomplishment-PA) scores. Pharmacists' mean emotional exhaustion score was found to be 16.84 (SD: 6.25), depersonalization score was 4 (Range: 0-14), and personal accomplishment score was 22 (Range: 9-32). Of the pharmacists, 1.2% had high level of EE, .8% had high level of D, and 71.3% had high level of inefficacy. Age, marital status, work experience, work contentment, workload, time pressure, stress, and satisfaction with customers were found to be related with pharmacists' burnout levels. It can be useful to monitor pharmacists' burnout levels and prevalences periodically. Interventions on individual and organizational basis were needed to cope with burnout, respond to job demands, minimize the level of chronic stress, and increase work contentment and satisfaction.

Level of Burnout Among Nurses Working in Oncology in an Italian Region

To estimate the level of burnout among nurses working on oncology wards and to identify the risk factors of burnout and the strategies used to prevent and deal with stress. Descriptive study. Oncology wards in public hospitals in a northeastern Italian region. 100 nurses working on oncology wards. Head nurses of the oncology wards were personally informed about the aims of the study and were asked to distribute a questionnaire among the staff nurses and collect them after completion. The questionnaire had 58 items divided into three parts: sociodemographic and job characteristics of the population, the Maslach Burnout Inventory modified for Italian healthcare workers, and the respondents' perceptions about coping mechanisms and strategies adopted by the organization to help the nurses cope with stress. Levels of burnout according to the Maslach Burnout Inventory. The global response rate was 71% (100 of 140); 35% of the nurses had a high level of emotional exhaustion, 17% had a high level of depersonalization, and 11% had a high level of personal achievement. Significantly high levels of emotional exhaustion were found in nurses older than 40 with a working seniority of more than 15 years, those who had chosen to work on an oncology ward, and those who wanted another work assignment. The mean emotional exhaustion in subjects who identified lack of coordination (disorganization) as an important cause of stress was 24.5 (SD = 10.6), whereas the mean score in the nurses who did not cite disorganization as a cause of stress was 18.3 (SD = 12.0). An important cause of stress reported by nurses is poor organization; therefore, hospitals should focus attention on specific organizational aspects. Knowledge of the mechanisms of burnout and strategies to prevent and deal with them are important for nurses' psychophysical health and constitute a fundamental requirement in a policy that aims to improve quality in health services.

Pattern of Physical Therapist Studentsʼ Burnout Within an Academic Semester

This study was presented at the 12th International Congress of the World Confederation for Physical Therapy, Washington, DC, June 25-30, 1995. ABSTRACT: Although the incidence of physical therapists 'burnout is well-recognized in the literature, there are no data on physical therapist students 'levels and sources of stress during their professional education. The purpose of this prospective study was monitor physical therapist students' emotional exhaustion (EE), depersonalization (DP), and personal achievement (PA) traits at different times during an academic semester Twenty-one junior physical therapist students (mean age [+/-SD/=24.3. years) completed the student version of the Maslach Burnout Inventory (MBI) at the beginning of the semester, at mid-semester, and at the end of the semester The respondents rated each of the 22-items on the MBI on a seven-point Likert scale ranging from 0 (never) 6 (every day). Subsequently, the EE, DP and PA scores were computed for each subject. The students ' EE scores increased by 41% at midsemester and by 47% at the end of the semester, their DP scores increased by 20% at midsemester and by 27% at the end of the semester, and their PA scores declined by 9% at midsemester and by 5% at the end of the semester For the three time frames, the mean (iSD) EE, DP and PA scores were 30+/-11.8, 8. 77.9, and 31.4 7.5, respectively. The EE score at the end of the semester was significantly (P semester. On the contrary, the DP and PA scores at the three time frames were not significantly (P>.05) different. The EE and DP scores for the students were higher than the norms reported for most human service professionals. Clearly, the findings suggest the need for reorganization of the educational milieu address the stressors responsible for the high emotional exhaustion scores found in this cohort of physical therapist students. INTRODUCTION Burnout is characterized by increased emotional exhaustion, depersonalization, and reduced personal accomplishment, primarily occurring in those individuals intensely dealing with other people. ] Burnout occurs when a person has reached a state of mental and physical exhaustion coupled with a sense of frustration and personal failure.2 Burnout is prevalent among human service professionals, where client interaction revolves around a provider-receiver relationship.2.3 Stress is a constant phenomenon faced by all in modern society; particularly in the work setting. In the current managed care environment, new physical therapist graduates face potential role stressors and often lack the critical skills needed practice in the acute care setting in which time management, prioritizing, flexibility, and interpersonal skills are needed.4 Curtis and Martin4 identified three primary stressors prevalent in acute care clinical environment: 1) patient issues (medical complications and cooperation), 2) organizational problems (staffing shortages and large caseloads), and 3) health care system constraints (difficulty changing orders and limited time with clients). The relationship between stress and burnout is currently poorly understood. Stressful situations, in an educational environment, in which too many demands are imposed too quickly lead emotional strain and consequently emotional detachment.2.3 In an attempt decrease the emotional burden, students may become withdrawn or frustrated and may develop negative tendencies about their studies and the education program. Unabated academic-related stress can cause illness and disease, including neurological and emotional complaints such as anxiety, nervousness, headaches, or difficulty concentrating.5.6 Previous studies56 have investigated the sources of academic stress in physical therapy education. Frazer and Echternach5 found that physical therapist students are stressed to a relatively high degree by their academic work. …

Relationship of anxiety and burnout with extrasystoles in critical care nurses in Turkey.

Objective:To determine the relationship between levels of anxiety and burnout and prevalence of atrial extrasystoles (AESs) and ventricular extrasystoles (VESs) among critical care nurses.Methods:The sample of study included 51 nurses who worked in the intensive care units of a university hospital located in western Turkey. Beck’s Anxiety Inventory and the Maslach Burnout Inventory were used in the study.Results:The mean emotional exhaustion score of the nurses was 14.68±6.10, the mean personal accomplishment score was 19.19±7.08, the mean depersonalization score was 5.31±3.84 and the mean anxiety score was 12.37±11.12. The rates of VESs and AESs detected in the critical care nurses were 21.6% and 35.3%, respectively. No relationship was found between levels of anxiety and burnout and the prevalence of AESs and VESs among the critical care nurses. A positive correlation was found between personal accomplishment scores and numbers of VESs (r= 0.693, p=0.001) and AESs (r= 0.700, p= 0.001).Conclusion:In the present study, there were low mean scores of burnout and anxiety among nurses working in intensive care units. No relationship was found between levels of anxiety and burnout and the prevalence of AESs and VESs among nurses who work in intensive care units. It was found that the people feeling more personal accomplishment have more VES or AES. The prevalence of AESs and VESs among the critical care nurses suffering from burnout and anxiety may be studied in the future studies.