Perceptions Of Burnout Research Articles

Health care providers' perceptions of burnout and moral distress during the COVID-19 pandemic: A qualitative study from Saskatchewan, Canada.

This study sought to describe feelings and perceptions of burnout and moral distress experienced by health care providers in the Canadian province of Saskatchewan during the COVID-19 pandemic. This study was part of a larger mixed methods project, and we here report on the qualitative results relating to burnout and moral distress experienced by medical doctors, registered nurses and respiratory therapists. We used an exploratory, qualitative descriptive design involving one-one-one interviews with 24 health care providers. Interview data were analysed using a reflexive thematic analysis approach. We identified three overarching themes each for health care provider burnout and moral distress. Interviews revealed that providers experienced burnout through (i) increased expectations and (ii) unfavourable work environments, which led most of them to recognise (iii) a need to step back. Regarding moral distress, key themes were: (i) a sense of compromised care, (ii) feelings of bumping heads with authorities and patient families, and (iii) seeing patients make difficult decisions. Our study found that medical doctors, registered nurses and respiratory therapists working during the COVID-19 pandemic experienced and continue to experience significant burnout and moral distress. This was often driven by both institution- and system-level factors. There is a need for sustained investment to build and support a motivated health care workforce to prepare for future pandemics and health emergencies.

A pilot study on individual and contextual factors influencing teachers’ digitalisation process

The process of school digitalisation has been on the rise in recent years, but the relationship between technology and teachers has had a strong acceleration during the global pandemic due to the coronavirus disease 2019. 198 teachers from primary to high school fill a questionnaire about demographic variables (age, gender, education level, school level in which they teach and years of seniority at work), perceptions of using some digital tools and specific platforms before and during the pandemic (after the first lockdown), self-esteem, self-efficacy, cognitive flexibility, and burnout perceptions. A non-parametric analysis was first conducted with the application of the Wilcoxon test for paired measures. Subsequently, a MANOVA was applied to verify any differences between teachers belonging to different school levels and having different levels of seniority. According to literature we found that self-efficacy, self-esteem, cognitive flexibility, burnout and service seniority are influential factors for teachers’ perceived digitalisation level.

Determining the Care Burden and Burnout Levels of Family Members Providing Care for Cancer Patients

Objectives: Caregivers’ care burden and burnout levels are projected to increase as the physical independence of their patients decreases. This study aimed to determine the care burden and burnout perception of caregivers of cancer patients. Methods: The study was conducted with 143 patient relatives who were providing primary care for patients treated between March 1 and June 1, 2017, in the clinics of the Institute of Oncology of Istanbul University. The data were collected using the “ Personal information form “, “Zarit Caregiver Burden Scale” and “Maslach Burnout Inventory”. Data were analyzed using the SPSS statistical program. Descriptive statistics (frequency, percentage, mean, minimum, maximum, standard deviation) student t-test, one-way ANOVA, and Pearson correlation coefficient were used for data analysis. Results: The mean score from the burden interview was found 27.38±17.04. In the burnout inventory results, the mean of emotional exhaustion is 19.61±9.08, the mean of depersonalization is 8.78±5.38, and the mean of decrease in personal accomplishment is 29.66±5.91. Individuals’ perceptions of emotional exhaustion and depersonalization increase as their perception of care burden increases (p<.001). There was, however, no relationship between care burden and personal accomplishment (p>.05). The study demonstrated that caregivers’ care burden and burnout perceptions increased as cancer patients’ self-care ability worsened (p=.001). Conclusion: It has been found that the perceived care burden level is low and burnout level is middle among the caregivers of cancer patients. The patients’ level of dependency increases perceptions of caregiver burden and burnout increases too.

Exploring the moderating role of health-promoting behaviours and self-compassion on the relationship between clinical decision-making and nurses' well-being.

Clinical decision-making is an essential part of the nursing role and has implications for both patient care and nurses' well-being. This study aimed to explore the relationship between nurses' perceptions of clinical decision-making ability and moral distress across a nursing population, and the potential link to self-compassion and health-promoting behaviours. A self-report questionnaire was distributed to a sample of nurses (N = 152) from April to September 2022. The survey explored nurses' perceptions of clinical decision-making ability, moral distress, physical activity, grazing, stress-eating, burnout and self-compassion. Perceived clinical decision-making ability was associated with moral distress experience, and both self-compassion and grazing moderated this relationship, independently. Findings highlight the link between nurses' perceptions of clinical decision-making ability and moral distress experience. Both eating behaviours and self-compassion influence the relationship between these two factors and identify potential areas that may support (and hinder) nurses' well-being through clinical decision-making. These findings reinforce the importance of healthy eating habits and being self-compassionate to prevent moral distress arising as a result of clinical decision-making.

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.

Relationship Between Perceived Moral Injury & Burnout Among OTs & PTs Working Full Time in the United States

Abstract Date Presented 03/23/24 This poster will explore the relationship between OTs’ and PTs’ perceptions of moral injury and burnout in practice. Proposed prevention for addressing moral injury and burnout will be discussed to advance the profession. Primary Author and Speaker: Elizabeth Seifert Contributing Authors: Zoie Breckheimer, Hannah Brown, Nyawal Deng, Hayley Schaefbauer, Janeene Sibla

Social media use for work during non-work hours and turnover intention: the mediating role of burnout and the moderating role of resilience.

This study uses survey data from 504 Chinese teachers to investigate the relationship between social media use for work during non-work hours (SMUNW) and turnover intention, focusing on the mediating role of burnout and the moderating role of resilience in this relationship. In November 2023, online survey links were sent to 529 teachers from Shandong Province, China, asking them to report their perceptions of SMUNW, burnout, resilience, and turnover intention. A sample of 504 valid responses was obtained. The analysis was performed using SPSS 26.0 and Hayes' PROCESS MACRO for SPSS for testing the hypotheses. The results revealed that burnout acts as a mediator in the relationship between SMUNW and turnover intention. In addition, resilience moderated the relationship between SMUNW and burnout such that when resilience was higher, the relationship between SMUNW and burnout was alleviated. Moreover, resilience moderated the indirect relationship between SMUNW and turnover intention through burnout such that when resilience was higher, the indirect relationship was alleviated. The results of this study indicate that SMUNW is related to turnover intention through the mediating role of burnout. Furthermore, resilience moderates the influence of SMUNW on burnout and thus weakens the influence of SMUNW on turnover intention through burnout. This study expands our knowledge of the nuanced influence mechanisms of social media use in the context of increasing technostress among public employees. Practically, it suggests that managers should pay due attention to the impairments brought about by social media use, especially from the perspectives of preventing burnout and fostering resilience.

Perception of Virtual Education Learning among Dental Residents and Faculty during the COVID-19 Pandemic: A Cross-Sectional Study.

The coronavirus disease 2019 (COVID-19) pandemic prompted a rapid shift from in-person to virtual learning in dental education. This study aims to assess the perceptions of virtual education learning among dental residents and faculty and employ regulatory focus theory (RFT) to understand the impact of motivational orientations on virtual learning during the COVID-19 pandemic. In total, 46 dental residents and 10 faculty members in a dental institution participated in the study (June-August 2021). Questionnaires were used to obtain data on demographics, perceptions of virtual learning, burnout, and RFT types (promotion and prevention focus). Multiple regression analyses were used to examine factors associated with perceptions of virtual learning and burnout. Overall, 70% of residents and 44% of faculty found virtual learning effective. Younger residents with less experience preferred virtual learning more than their older, experienced peers. Residents trained outside the U.S. and Canada favored in-person learning more than those trained within. Furthermore, residents with a higher promotion focus score found virtual learning more interactive for didactic courses. Additionally, 52% of residents experienced burnout, with a higher incidence among females (p = 0.044). Virtual learning is well received by dental residents and faculty, with potential for continued use post-pandemic. Future efforts should focus on creating an inclusive and supportive educational environment that meets the motivational and well-being needs of dental residents and faculty.

Enhancing wellbeing and resilience in coaches: The impact of a mindfulnessbased intervention

Mindfulness training, characterised by the cultivation of present-moment awareness and non-judgmental attention, has emerged as a potent tool for enhancing mental wellbeing and resilience in the face of life’s challenges. In the realm of sports, its effectiveness in fortifying the mental resilience and performance of athletes and coaches has garnered significant attention. This study sought to investigate the impact of an online mindfulness-based intervention on the perceptions of stress, emotion regulation, and burnout among full-time coaches. Sixteen full-time coaches (nine females and seven males) engaged in a six-week online mindfulness-based intervention program, an adaptation of the Mindfulness Training for Coaches program, within the context of swimming as a sport. Participants completed a series of online questionnaires assessing their levels of mindfulness, emotion regulation, burnout, and stress. Data collection occurred before the intervention, at weeks three and five during the program, and post-intervention. Baseline data indicated that full-time coaches reported significant levels of burnout. The study’s results unveiled notable improvements, with coaches experiencing (a) a significant reduction in difficulties associated with regulating emotions (p = .02) and stress (p < .001), (b) a noteworthy trend towards increased mindfulness scores (p = .08), and (c) a promising trend towards decreased burnout (p = .08). This investigation underscores the relevance of mindfulness participation in bolstering the wellbeing of full-time coaches, demonstrating its potential to enhance their mental fortitude and reduce the detrimental effects of stress and burnout. The implications extend beyond coaching, offering insights into the broader application of mindfulness interventions for improved mental wellbeing and performance within the sports arena.

The toll of the scroll: A path toward burnout

Athletes report using social networking sites, including Instagram, to manage their self-presentations. While on Instagram, they may browse content and interact with others, enabling them to socially compare themselves to other athletes. Less favorable comparisons may contribute to higher burnout perceptions. The purpose of the current study was to (a) examine if the use of Instagram contributed to burnout perceptions and (b) if type of use and social comparison mediated these relationships. Male and female collegiate athletes (N = 162) completed measures of Instagram usage, social comparison, and burnout during their sport season. Latent path analysis using robust maximum likelihood estimation was used to examine the model. Daily time spent on Instagram was directly associated with exhaustion (β = −0.32) and reduced accomplishment (β = −0.21). Browsing was directly associated with exhaustion (β = 0.39), reduced accomplishment (β = 0.38), and sport devaluation (β = 0.27). Interacting was directly associated with devaluation (β = −0.23). Social comparison while using Instagram was directly associated with reduced accomplishment (β = −0.35) and devaluation (β = −0.34). Browsing mediated the relationship between time spent on Instagram and exhaustion (β = 0.13) and reduced accomplishment (β = 0.13). Social comparison was not a mediator. Results suggest that scrolling through posts on Instagram explains why time spent on the platform contributes to burnout perceptions. Comparing oneself favorably to others while using Instagram, independent of time spent on Instagram as well as type of use, may reduce burnout while comparing oneself unfavorably may enhance burnout perceptions.

Healthcare Workers’ Perceptions of Work-Related Stress and Burnout: Strategies and Barriers for Self-Care

Healthcare Workers’ Perceptions of Work-Related Stress and Burnout: Strategies and Barriers for Self-Care

Path Analysis of Factors Related to Burnout for Campus-Based Victim Advocates

Abstract Campus-based victim advocates provide support and assistance to victims of interpersonal violence in the college context. In this study of professional campus-based victim advocates, structural equation modeling (SEM) was used to assess the direct and indirect effects of factors related to burnout. A total of 208 full-time victim advocates employed at four-year college campuses across the United States participated in an online survey in the summer of 2021. SEM analysis found that secondary traumatic stress and organizational support had significant direct effects on the level of burnout in this population. Also, organizational support served as a mediating factor between perceptions of leadership and burnout, and secondary traumatic stress served as a mediating factor between organizational support and burnout. Higher education institutions can make changes at the organizational level to address burnout of victim advocates through manageable work hours, control over workload, fair compensation, and increased sense of community investment in interpersonal violence response.

Perceptions of burnout among public sector physicians in Sierra Leone: A qualitative study.

In Sierra Leone, physicians face a high risk of burnout due to systemic challenges, with studies suggesting a gap in recognizing and addressing this condition. We explored public-sector physicians' experiences and perceptions of the organizational structures and characteristics needed to help them thrive in a resource-limited practice setting. We conducted in-depth, semi-structured interviews with 24 public sector physicians across Western Area Urban (Freetown), Bo, Kono, and Kambia districts in Sierra Leone. Thematic content analysis was carried out using both deductive and inductive techniques to generate codes and identify key themes. Physicians in Sierra Leone face multifaceted challenges that significantly impact both healthcare delivery and personal well-being. Our findings reveal that overwhelming workload and stringent schedules contribute to burnout, directly compromising patient care quality. The emotional burden of caring for patients with economic constraints in accessing treatment further exacerbates physician stress. Limited resources, such as insufficient medical supplies and personnel, foster a sense of helplessness among clinicians, leading to detachment and cynicism towards their ability to effect change. In the absence of formal institutional support, physicians often rely on peer support to manage burnout. These challenges collectively undermine physicians' ability to provide optimal care, as the emotional and physical toll affects their decision-making and engagement with patients. Within Sierra Leone's resource-constrained healthcare context, systemic reforms are necessary to address the root causes of physician burnout, and to improve patient care. Our findings suggest that implementing formal support structures, including counselling services and mentorship programs, is crucial. Improving working conditions through better resource allocation and infrastructure development is essential. Developing strategies to address the emotional burden of care, including robust training programs, could enhance physician well-being, reduce burnout, and consequently improve the overall quality of patient care in Sierra Leone's public health sector.

"Anxiety, COVID, Burnout and Now Depression": a Qualitative Study of Primary Care Clinicians' Perceptions of Burnout.

Clinician burnout has become a major issue in the USA, contributing to increased mental health challenges and problems with quality of care, productivity, and retention. The objective of this study was to understand primary care clinicians' perspectives on burnout during the COVID-19 pandemic as well as their perspectives on the causes of burnout and strategies to improve clinician well-being. This qualitative research involved in-depth interviews with 27 primary care clinicians practicing in a range of settings across the USA. Semi-structured interviews lasted between 60 and 90 min and were conducted using Zoom video conferencing software between July 2021 and February 2023. Transcripts were analyzed in NVivo software using multiple cycles of coding. Clinicians shared their experiences with burnout and mental health challenges during the COVID-19 pandemic. Contributors to burnout included high levels of documentation, inefficiencies of electronic health record (EHR) systems, high patient volume, staffing shortages, and expectations for responding to patient emails and telephone calls. The majority of participants described the need to work after clinic hours to complete documentation. Many clinicians also discussed the need for health system leaders to make sincere efforts to enhance work-life balance and create a culture of health and well-being for health professionals. Suggested strategies to address these issues included supportive leadership, accessible mental health services, and additional administrative time to complete documentation. The results of this study provide an in-depth view of participating primary care clinicians' experiences and perceptions of burnout and other mental health challenges. These viewpoints can improve awareness of the issues and strategies to improve the health and well-being of our clinician workforce. Strategies include aligning payment models with the best approaches for delivering quality patient care, reducing administrative burden related to documentation, and redesigning EHR systems with a human factors approach.

Robotics in Nursing: Protocol for a Scoping Review.

Globally, health care systems are challenged with the shortage of health care professionals, particularly nurses. The decline in the nursing workforce is primarily attributed to an aging population, increased demand for health care services, and a shortage of qualified nurses. Stressful working conditions have also increased the physical and emotional demands and perceptions of burnout, leading to attrition among nurses. Robotics has the potential to alleviate some of the workforce challenges by augmenting and supporting nurses in their roles; however, the impact of robotics on nurses is an understudied topic, and limited literature exists. We aim to understand the extent and type of evidence in relation to robotics integration in nursing practice. The Joanna Briggs Institute methodology and the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) checklist will guide the scoping review. The MEDLINE (Ovid), Embase (Ovid), CINAHL Plus with Full Text (EBSCOhost), Scopus, Cochrane Library, and IEEE Xplore electronic bibliographic databases will be searched to retrieve papers. In addition, gray literature sources, including Google Scholar, dissertations, theses, registries, blogs, and relevant organizational websites will be searched. Furthermore, the reference lists of included studies retrieved from the databases and the gray literature will be hand-searched to ensure relevant papers are not missed. In total, 2 reviewers will independently screen retrieve papers at each stage of the screening process and independently extract data from the included studies. A third reviewer will be consulted to help decision-making if conflicts arise. Data analysis will be completed using both descriptive statistics and content analysis. The results will be presented using tabular and narrative formats. The review is expected to describe the current evidence on the integration and impact of robots and robotics into nursing clinical practice, provide insights into the current state and knowledge gaps, identify a direction for future research, and inform policy and practice. The authors expect to begin the data searches in late January 2024. The robotics industry is evolving rapidly, providing different solutions that promise to revamp health care delivery with possible improvements to nursing practice. This review protocol outlines the steps proposed to systematically investigate this topic and provides an opportunity for more insights from scholars and researchers working in the field. PRR1-10.2196/50626.

The influence of hospital leadership support on burnout, psychological safety, and safety climate for US infection preventionists during the coronavirus disease 2019 (COVID-19) pandemic.

To explore infection preventionists' perceptions of hospital leadership support for infection prevention and control programs during the coronavirus disease 2019 (COVID-19) pandemic and relationships with individual perceptions of burnout, psychological safety, and safety climate. Cross-sectional survey, administered April through December 2021. Random sample of non-federal acute-care hospitals in the United States. Lead infection preventionists. We received responses from 415 of 881 infection preventionists, representing a response rate of 47%. Among respondents, 64% reported very good to excellent hospital leadership support for their infection prevention and control program. However, 49% reported feeling burned out from their work. Also, ∼30% responded positively for all 7 psychological safety questions and were deemed to have "high psychological safety," and 76% responded positively to the 2 safety climate questions and were deemed to have a "high safety climate." Our results indicate an association between strong hospital leadership support and lower burnout (IRR, 0.61; 95% CI, 0.50-0.74), higher perceptions of psychological safety (IRR, 3.20; 95% CI, 2.00-5.10), and a corresponding 1.2 increase in safety climate on an ascending Likert scale from 1 to 10 (β, 1.21; 95% CI, 0.93-1.49). Our national survey provides evidence that hospital leadership support may have helped infection preventionists avoid burnout and increase perceptions of psychological safety and safety climate during the COVID-19 pandemic. These findings aid in identifying factors that promote the well-being of infection preventionists and enhance the quality and safety of patient care.

Examining the Burnout Syndrome Experienced by School Stakeholders in the Pandemic Process According to Teacher Opinions

Burnout can be defined as an emotional state that reduces the enjoyment of the individual's relations with his environment and his/her work, gives a feeling of physical, mental and emotional fatigue and hopelessness which is frequently encountered in occupational groups with intense interpersonal interaction. In this context, nearly all school stakeholders are likely to experience burnout due to intense human relations among school stakeholders. In this study, it was aimed to evaluate the burnout levels of school stakeholders in the context of teachers' perspectives in a phenomenology pattern by using the maximum diversity sampling method. The study group was formed with 30 teachers working in schools in Sivas. Research data were collected through a semi-structured interview form developed by the researchers. Content analysis method was used in the evaluation of the data. As a result of the research, teachers' perceptions of burnout and their thoughts on the state of burnout related to the teaching profession were determined. According to teachers’ opinions, it has been observed that the burnout levels of school stakeholders are high and their expectations from parents, students, school management and the Ministry of National Education are high in order to cope with the feeling of burnout.

Students' Perceptions of Self-Compassion and School Burnout

This study aims to examine students' perceptions of self-compassion and school burnout. The relationshipal survey method, which is among quantitative research methods, was used in the study. The study sample consisted of 231 8th grade students studying in central secondary schools in Bolu, Turkey, during the first semester of the academic year 2022-2023. The results show that students' self-compassion is "often" and their perception of school burnout is "partially agreeable." It was found that there are positive and negative significant relationships between the sub-dimensions of self-compassion and school burnout, and that self-compassion significantly predicts school burnout. Suggestions such as including activities in schools that will increase students' perceptions of self-sensitivity and reduce their perceptions of school burnout were included.

Only my group will do: Evidence that social support protects athletes from burnout when they identify with those who provide it

Perceived availability of social support can reduce symptoms of burnout in athletes. As such, it is important to understand the circumstances under which perceived social support is most effective. Social influences such as strength of social identification with a particular group or identity are believed to play an important role in the provision and effectiveness of social support. Across two studies, we investigate whether social identification in a sport can strengthen the protective association between perceived social support and burnout. In Study 1, athletes completed questionnaires assessing perceptions of social support availability, social identification, and burnout. In Study 2, participants completed the same measures at systematic time points across a six-month timespan. In both studies, participants’ levels of social identification moderated the association between perceived social support and burnout, whereby there was a stronger negative relationship between social support and burnout when participants reported higher levels of social identification in their sport. These results indicate that social identity may play an integral role in improving the efficacy of social support on burnout.

Under fire: Meta‐dehumanization and burnout among first responders

AbstractA study of 211 first responders was conducted to examine the correlation between first responders’ perceptions of dehumanization (i.e., meta‐dehumanization and organizational meta‐dehumanization) and burnout. Results of the hierarchical regression analysis showed a significant, positive relationship with large effect size between meta‐dehumanization and burnout when controlling for time in the profession. These findings indicate that first responders may need assistance coping with normal stressors of the job as well as the harm that can result from public perceptions. Implications at the professional and systemic levels are shared.