Levels Of Personal Accomplishment Research Articles

Depressive symptoms, burnout and the impact of events in non-professional volunteer counselors in Durban, South Africa.

Depressive symptoms, burnout and the impact of events in non-professional volunteer counselors in Durban, South Africa.

Behaviour and burnout in medical students

BackgroundBurnout is prevalent in doctors and can impact on job dissatisfaction and patient care. In medical students, burnout is associated with poorer self-rated health; however, it is unclear what factors influence its development. This study investigated whether health behaviours predict burnout in medical students.MethodsMedical students (n=356) at the Universities of St Andrews and Manchester completed an online questionnaire assessing: emotional exhaustion (EE), depersonalisation (DP), personal accomplishment (PA), alcohol use, physical activity, diet, and smoking.ResultsApproximately 55% (54.8%) of students reported high levels of EE, 34% reported high levels of DP, and 46.6% reported low levels of PA. Linear regression analysis revealed that year of study, physical activity, and smoking status significantly predicted EE whilst gender, year of study, and institution significantly predicted DP. PA was significantly predicted by alcohol binge score, year of study, gender, and physical activity.ConclusionsBurnout is present in undergraduate medical students in the United Kingdom, and health behaviours, particularly physical activity, predict components of burnout. Gender, year of study, and institution also appear to influence the prevalence of burnout. Encouraging medical students to make healthier lifestyle choices early in their medical training may reduce the likelihood of the development of burnout.

Estrés laboral en pacientes migrañosos: diferencias según la frecuencia de las crisis

IntroductionMigraine is a common and prevalent disease that contributes to health expenditure and interferes with quality of life. Our goal was to analyse the level of stress at work in a sample of migraine and its possible association with the chronicity of the process Material and methodsWe applied the Maslach Burnout Inventory, consisting of 22 items grouped into blocks that assess emotional exhaustion (EE), personal accomplishment (PA), depersonalisation at work (DP)] and positive influence (PI), to 94 consecutive subjects recruited in the outpatient clinic. Differences were compared between clinical groups (chronic migraine [CM]: > 15 days/month with headache over a 3-month period vs episodic migraine [EM]: < 15 days/month with headache) using the general linear model adjusted for age and MIDAS score ResultsThe mean age was higher in the CM group. Mean MIDAS scores were 51 ± 4.1 in CM, and 17.7 ± 15 in EM (P=.001). Adjusted means for EE were 24.6 ± 2.6 in CM patients, 16.2 ± 2.6 in EM patients, and 13.4 ± 2.3 (P=.03) in the healthy group. MIDAS scale scores were inversely correlated to PA (P<.05) DiscussionOur results suggest that the level of EE at work is higher in EM than in CM patients, while PA levels decrease as impact on the MIDAS scale increases. The Maslach scale is a potentially useful tool for studying migraine impact. Surprisingly, EE is higher in patients with fewer episodes; this tendency could be related to stress adaptation mechanisms present in patients with chronic illness.

Prevalence of Burnout Among Doctors of Chiropractic in the Northeastern United States

ObjectiveThe purpose of this study was to measure the prevalence of burnout among doctors of chiropractic (DCs) in the New York, New Jersey, and Pennsylvania geographical region and compare these results with burnout data from other health care professions. MethodsThis exploratory study applied cross-sectional data collection methods. Using nonprobability convenience sampling, a New York–New Jersey–Pennsylvania chiropractic governance body provided contact information of a randomized sample of licensed DCs from their membership directory. Participants included any DC licensed to practice chiropractic whose primary occupation encompassed the chiropractic profession. The Maslach Burnout Inventory–Human Services Survey (MBI-HSS) and a demographic questionnaire were e-mailed to a randomized sample of licensed DCs. ResultsOf the 772 surveys deployed, 90 returned the survey with usable data. Nearly 40% of the DCs reported a moderate (24%) or high (18%) level of emotional exhaustion, whereas the majority of respondents scored a high (72%) level of personal accomplishment. In total, only 2 participants (2%) met the criteria for high burnout, whereas 42 participants (47%) were low. Statistically significant relationships (P < .001) were found between burnout subscales and the effect of time dedicated to administrative duties, the type of practice setting, the varying chiropractic philosophical perspectives, the public’s opinion of chiropractic, and the effect of suffering from a work-related injury. When compared with data from previously published studies using the MBI-HSS for other health professions (ie, medical, nursing, physical therapy, occupational therapy, and dentistry), the values for DCs were significantly lower. ConclusionsThe sample of DCs in this study fared more favorably on all 3 dimensions of burnout. They reported lower emotional exhaustion and depersonalization scores and higher personal accomplishment scores than their medical, nursing, physical therapy, occupational therapy, and dentistry colleagues who have been evaluated using the MBI-HSS. However, the levels of emotional exhaustion remain a concern for this professional group.

The Emotional Wellness of Radiology Trainees: Prevalence and Predictors of Burnout

Burnout is a complex phenomenon characterized by emotional exhaustion, social detachment, and feelings of low personal achievement. In this study, we aim to establish the prevalence of burnout among radiology trainees and to explore the factors influencing its development. Survey data were collected from 266 trainee members of the Association of University Radiologists to assess financial status, attitudes toward money and compensation, and burnout symptomology. Descriptive and inferential statistics were used to analyze these data. Most radiology residents reported high levels of personal achievement but routine symptoms of emotional exhaustion and depersonalization. Although increasing levels of household debt were correlated with symptoms of depersonalization and lower reported quality of life, we found that the subjective financial experience was a more reliable indicator of emotional well-being. Specifically, higher subjective self-assessments of financial strain were the best predictors of symptoms of depersonalization (P < .0001), emotional exhaustion (P < .0001), and lower self-reported quality of life (P < .0001). Additionally, residents with recent moonlighting activity reported higher levels of personal achievement (P < .05), lower levels of emotional exhaustion (P < .05), and greater quality of life (P < .05) when compared to non-moonlighters. The unique nature of radiology training could mean that traditional assumptions regarding the development of trainee burnout do not necessarily apply. Finances may be an underappreciated influence on resident burnout, and subjective feelings of financial scarcity could outweigh the impact of objective indebtedness. Further study is needed to ensure that the emotional well-being of radiology trainees is optimally supported.

A cross-sectional observation of burnout in a sample of Irish junior doctors

Stress and burnout are common among doctors. Excess levels of stress have been shown to have detrimental personal and professional effects as well as a negative influence on patient care. The aim of our pilot study was to assess the levels of burnout among a cohort of interns. A voluntary written self-assessment of burnout levels was distributed to interns in two teaching hospitals. The Maslach Burnout inventory is a 22-question survey assessing the three components of the burnout syndrome-emotional exhaustion (EE), depersonalisation (DP) and personal achievement (PA). Twenty-seven surveys were distributed to interns in two hospitals with a 96.3 % (n = 26) response rate. The mean age was 25.1 years (range 24-31 years). 14 were medical interns, 12 were surgical interns at the time of completion. Overall, the mean EE score was 23.4 (range 11-29), representing moderate levels of EE. The mean DP score was 9.4 (range 4-14), representing moderate levels of DP. The mean PA score was 18.9 (range 12-29), representing high levels of PA. There were no significant differences noted between levels of EE, DP or PA among male or female interns, medical or surgical interns or those who worked in a peripheral or university hospital. Burnout is reported among interns in our pilot study. Measures need to be taken to heighten awareness of burnout among doctors and to educate physicians regarding self-awareness and personal health.

Burnout and coping strategies of polytrauma team members caring for Veterans with traumatic brain injury

Objective: The aims of this national study were to (1) examine the extent of job burnout among VA Polytrauma team members engaged in the diagnosis and treatment of traumatic brain injury (TBI); and (2) identify their coping strategies for dealing with job-related stress.Design: A cross-sectional sample of 233 VA Polytrauma team members completed the Maslach Burnout Inventory (MBI) and identified strategies for coping with work stress as part of an online survey.Results: VA Polytrauma team members experience moderate levels of emotional exhaustion, but low levels of depersonalization and high levels of personal accomplishment. Moreover, 24% of participants reported high levels of emotional exhaustion, which may be a precursor to job burnout. Participants who reported caring for Veterans with TBI ≥50% of their time experienced higher levels of emotional exhaustion than those who spent <50% of their time (p ≤ 0.001). Five major thematic categories related to coping strategies emerged from the data: (1) connecting with others, (2) promoting a healthy lifestyle, (3) pursuing outside interests, (4) managing work environment and (5) maintaining positive thinking.Conclusion: Polytrauma team members caring for Veterans with TBI may be at risk for job burnout.

The calm before the storm? Burnout and compassion fatigue among undergraduate nursing students

Studies have consistently highlighted the deleterious impact of burnout and compassion fatigue on professional nurses' well-being and willingness to remain in the profession. Yet, as to what extent these noxious conditions are suffered among nursing students is still unclear. In this study 436 undergraduate nursing students completed surveys assessing their experiences of emotional exhaustion, depersonalization, lack of personal accomplishment, burnout, secondary traumatic stress, and compassion satisfaction (factors of burnout and compassion fatigue). There were no significant differences found between 3rd and 4th year students' reports of detrimental conditions and those of the 1st or 2nd year students. Furthermore, 4th year students reported significantly higher levels of personal accomplishment compared to 1st and 2nd year students. Semi-structured in-depth interviews with 3rd and 4th year students revealed that their clinical exposure during these years (especially during the 4th year) may enhance their other-orientation as well as promote role actualization, which may serve as protective features. Students did, however, express concern regarding an inevitable onset of burnout at some point during their professional careers. It is suggested that a key to understanding the onset and experience of burnout and compassion fatigue among nurses is to continue to examine the transition from student to professional nurse and the cultural atmosphere of nursing education compared to professional practice.

Nationwide Survey of Work Environment, Work-Life Balance and Burnout among Psychiatrists in Japan

BackgroundPsychiatry has been consistently shown to be a profession characterised by ‘high-burnout’; however, no nationwide surveys on this topic have been conducted in Japan.AimsThe objective of this study was to estimate the prevalence of burnout and to ascertain the relationship between work environment satisfaction, work-life balance satisfaction and burnout among psychiatrists working in medical schools in Japan.MethodWe mailed anonymous questionnaires to all 80 psychiatry departments in medical schools throughout Japan. Work-life satisfaction, work-environment satisfaction and social support assessments, as well as the Maslach Burnout Inventory (MBI), were used.ResultsSixty psychiatric departments (75.0%) responded, and 704 psychiatrists provided answers to the assessments and MBI. Half of the respondents (n = 311, 46.0%) experienced difficulty with their work-life balance. Based on the responses to the MBI, 21.0% of the respondents had a high level of emotional exhaustion, 12.0% had a high level of depersonalisation, and 72.0% had a low level of personal accomplishment. Receiving little support, experiencing difficulty with work-life balance, and having less work-environment satisfaction were significantly associated with higher emotional exhaustion. A higher number of nights worked per month was significantly associated with higher depersonalisation.ConclusionsA low level of personal accomplishment was quite prevalent among Japanese psychiatrists compared with the results of previous studies. Poor work-life balance was related to burnout, and social support was noted to mitigate the impact of burnout.

Burnout in healthcare professionals working with patients with disorders of consciousness

Healthcare and social professionals working with patients with chronic diseases such as disorders of consciousness (DOCs) are at risk for developing burnout, a stress-induced occupational syndrome. The aim of this study was to evaluate burnout among professionals working with patients with DOCs in post-acute and long-term care institutions. Healthcare and social professionals were enrolled in 78 Italian institutions and completed the 22-item Maslach Burnout Inventory (MBI), which investigates emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). 1149 questionnaires were returned. Respondents showed statistically lower level of burnout in EE, DP and PA compared to normative data of Italian healthcare practitioners (p< 0.001) and 41.7% showed high scores in at least one subscale. Working hours per week correlated positively with EE (r=0.150, p<0.001) and negatively with PA (r= -0.111, p=0.005). Mann-Whitney U and the Kruskal-Wallis tests were used to assess differences between groups. Nurses reported statistically significant higher levels of DP and lower levels of PA compared to other professionals. Professionals working with patients with DOCs complained moderate to low levels of burnout. A better understanding of the components of occupational stress may allow the development of a targeted strategy to prevent negative outcomes, enhance well-being of professionals who suffered burnout and, in turn, improve quality of life of patients.

Maintaining professionalism in the face of burnout

‘We found that, regardless of their experiences of depersonalisation, doctors were able to maintain a sufficient level of professionalism so that their patients (and the external observers) were unable to detect any effects on their consulting skills.’ 1 This recent study by Orton et al found that 46% of UK GPs reported emotional exhaustion, 42% reported depersonalisation, and 34% reported low levels of personal accomplishment.1 This debate and analysis will focus on what professionalism means with regard to wellbeing and burnout. Some suggestions will be made about how this issue could be tackled within the GP profession. Becoming a full member of a profession is a hard-won achievement, bringing high expectations from everyone including the person themselves. Being professional implies high-quality work and an impeccable ethical standard. It implies calm expertise where the professional person is in control of both the situation and their own emotions. It implies that the client, patient, or customer can trust that these high standards will be met at all times, and won’t usually see the personal experience of the professional person. Does it also imply that the professional person: Professionalism can mean a form of institutionalised perfectionism. Professional codes of conduct state the highest aims and standards, and strive for excellence in all respects. No one would expect anything less. For individuals, however, a perfectionist outlook can be linked to depression and burnout, and ironically, can be instrumental in leading to lower productivity and poorer performance.2 The three elements of …

Comparison and Literature Review of Occupational Stress in a Palliative Radiotherapy Clinic's Interprofessional Team, the Radiation Therapists, and the Nurses at an Academic Cancer Centre

PurposeThe purpose of this study was to assess the predisposing factors for occupational stress within the Rapid Response Radiotherapy Program (RRRP), radiation therapists (RTs), and registered nurses (RNs) at the Odette Cancer Centre (OCC). Materials and MethodsAll RRRP team members (n = 15, including radiation oncologists, residents, and students), RTs (n = 130), and ambulatory care nurses (n = 80) at the OCC were asked to complete a demographics form on professional background and three validated surveys designed to evaluate stress. The Maslach Burnout Inventory (MBI) was used to assess burnout in the workplace through assessment of personal accomplishment, emotional exhaustion, and depersonalization; the General Health Questionnaire (GHQ-12) assessed psychological morbidity; and the Professional Quality of Life Scale (ProQOL) assessed compassion satisfaction, compassion fatigue, and burnout. Univariate general linear regression was used to determine significant demographic predictors for occupational stress, and one-way analysis of variance was used to compare stress among the three groups. ResultsThe overall response rate was 28%: 80% for RRRP, 20% for RTs, and 31% for RNs. Females were more likely to report greater personal accomplishment (P = .0393). Being younger (P = .0041), male (P = .0056), having less professional experience (P = .008), and being in the RRRP (P = .0019) was associated with greater depersonalization. Greater self-reported spirituality was predictive of higher compassion satisfaction (P = .0064); those reporting no or lower spirituality experienced higher levels of burnout (P = .0053). Higher GHQ-12 scores (greater stress) were reported by participants that spend more of their work time with palliative patients, and lower GHQ-12 scores (less stress) was reported in participants that participated in stress-relieving activities. A significant difference between groups was only seen in the MBI scale assessing depersonalization (P = .0077), with the RRRP experiencing greater depersonalization. For burnout subscales, 59.0% (RNs), 40.0% (RRRP), and 58.3% (RTs) reported low levels of personal accomplishment; 50% (RNs), 20% (RRRP), and 25% (RTs) reported high levels of emotional exhaustion; and 86.3% (RNs), 53.3% (RRRP), and 66.7% (RTs) reported low levels of depersonalization. ConclusionGreater psychological stress was seen in respondents that worked primarily with palliative patients. Individuals that identified themselves as being spiritual had higher professional satisfaction with work, whereas a detached response to professional practice was associated with being younger, male, having less work experience, and being a member of the RRRP team. Future initiatives should place emphasis on promoting stress-relieving activities, the necessity for stress management courses, and the overall importance of increasing awareness of the potential signs and causes of occupational stress.

Internal and external factors in professional burnout of substance abuse counsellors in Croatia

In this study, burnout and its internal and external factors were investigated among substance abuse counsellors (no. = 68) who worked in Centres for Prevention and Substance Abuse Treatment (no. = 18) in Croatia. Maslach Burnout Inventory was used which measured three burnout dimensions: emotional exhaustion, depersonalization and personal accomplishment; and questionnaire of internal and external burnout factors. The higher levels of emotional exhaustion and depersonalization, and the higher level of personal accomplishment were determined. Factors such as work conditions, emotions about us and work, work organization and certain personality traits showed significant relationship with three burnout dimensions. Overall, findings implicated a certain specificity of professional burnout in substance abuse counsellors, and the need for specific design of mental health care for them.

Depersonalised doctors: a cross-sectional study of 564 doctors, 760 consultations and 1876 patient reports in UK general practice

ObjectivesThe objectives of this study were to assess burnout in a sample of general practitioners (GPs), to determine factors associated with depersonalisation and to investigate its impact on doctors' consultations...

Professional Self Representation and Risk of Burnout in School Teachers

The study aims to explore the impact of Professional Self, Pupils, and Co-workers representation on the dimensions of burnout in 106 teachers serving in junior and secondary high schools of Catania. MBI and Semantic Differentials referred to Professional Self, Pupils, and Co-workers were used. Results showed that teachers with a more positive representation of Professional Self presented low levels of emotional exhaustion and high levels of personal accomplishment; teachers with a more positive representation of Pupils and Co-workers expressed low levels, respectively, in emotional exhaustion and depersonalization. In addition, the representation of Professional Self affected on personal realization and that of Pupils on emotional exhaustion.

Risks of being an anaesthesiologist

Risks of being an anaesthesiologist

Work related characteristics, work-home and home-work interference and burnout among primary healthcare physicians: A gender perspective in a Serbian context

BackgroundLittle information exists on work and stress related health of medical doctors in non-EU countries. Filling this knowledge gap is needed to uncover the needs of this target population and to provide information on comparability of health related phenomena such as burnout across countries. This study examined work related characteristics, work-home and home-work interference and burnout among Serbian primary healthcare physicians (PHPs) and compared burnout levels with other medical doctors in EU countries.MethodsData were collected via surveys which contained Maslach Burnout Inventory and other validated instruments measuring work and home related characteristics. The sample consisted of 373 PHPs working in 12 primary healthcare centres. Data were analysed using t-tests and Chi square tests.ResultsNo gender differences were detected on mean scores of variables among Serbian physicians, who experience high levels of personal accomplishment, workload, job control and social support, medium to high levels of emotional exhaustion, medium levels of depersonalisation and work-home interference, and low levels of home-work interference. There were more women than men who experienced low job control and high depersonalisation. Serbian physicians experienced significantly higher emotional exhaustion and lower depersonalisation than physicians in some other European countries.ConclusionsTo diminish excessive workload, the number of physicians working in primary healthcare centres in Serbia should be increased. Considering that differences between countries were detected on all burnout subcomponents, work-related interventions for employees should be country specific. The role of gender needs to be closely examined in future studies as well.

Studying the relationship between employees occupational burnout levels and satisfaction of life: A research in private banks

This study was carried out to determine whether bank employees’ burnout levels and satisfaction of life differentiate significantly according to certain variables and to reveal the relationship between them. Bank employees’ satisfaction of life was measured by using Satisfaction of Life Scale and their burnout levels by Maslach Burnout Inventory. The main scope of research comprised of bank employees working in cities of Sivas and Tunceli. A total of 264 bank employees participated in this research. As a result of this research, it appeared that participants’ satisfaction of life levels were generally high. When the mean scores obtained by them from burnout scale were scrutinized, it was observed that sample’s emotional burnout and depersonalization levels were high and the personal accomplishment levels were medium. It was concluded in the research that there was a poor relationship between burnout and satisfaction of life. In addition, certain differences were discovered in each of the three sub dimensions of burnout levels of bank employees, in terms of variables such as gender, age, marital status, education and length of service. Key words: Burnout syndrome, life satisfaction, emotional exhaustion, depersonalization, personal accomplishment.

Burnout Among Surgeons

Archives of Otolaryngology–Head and Neck Surgery Professional Burnout Among Microvascular and Reconstructive Free-Flap Head and Neck Surgeons in the United States Stephanie P. Contag, BA; Justin S. Golub, MD; Theodoros N. Teknos, MD; Brian Nussenbaum, MD; Brendan C. Stack Jr, MD; David J. Arnold, MD; Michael M. Johns III, MD Objectives: To determine the prevalence of professional burnout among microvascular free-flap (MVFF) head and neck surgeons and to identify modifiable risk factors with the intent to reduce MVFF surgeon burnout. Design: A cross-sectional, observational study. Setting: A questionnaire mailed to MVFF surgeons in the United States. Participants: A total of 60 MVFF surgeons. Main Outcomes Measures: Professional burnout was quantified using the Maslach Burnout Inventory–Human Services Study questionnaire, which defines burnout as the triad of high emotional exhaustion (EE), high depersonalization (DP), and low personal accomplishment. Additional data included demographic information and subjective assessment of professional stressors, satisfaction, self-efficacy, and support systems using Likert score scales. Potential risk factors for burnout were determined via significant association ( P Results: Of the 141 mailed surveys, 72 were returned, for a response rate of 51%, and 60 of the respondents were practicing MVFF surgeons. Two percent of the responding MVFF surgeons experienced high burnout (n = 1); 73%, moderate burnout (n = 44); and 25%, low burnout (n = 15). Compared with other otolaryngology academic faculty and department chairs, MVFF surgeons had similar or lower levels of burnout. On average, MVFF surgeons had low to moderate EE and DP scores. High EE was associated with excess workload, inadequate administration time, work invading family life, inability to care for personal health, poor perception of control over professional life, and frequency of irritable behavior toward loved ones ( P Conclusions: Most MVFF surgeons experience moderate professional burnout secondary to moderate EE and DP. This may be a problem of proper balance between professional obligations and personal life goals. Most MVFF surgeons, nonetheless, experience a high level of personal accomplishment in their profession.

Les urologues en formation ont-ils un syndrome d’épuisement professionnel ? Évaluation par le Maslach Burn-out Inventory (MBI)

To assess the burn-out syndrome in the population of urologists in training. A trans-sectional study was carried out among the French urologists in training association (AFUF) members. A questionnaire including the Maslach Burnout Inventory and questions on the age, gender, professional and familial status, working time and hobbies was emailed. The response rate was 65.5 %. Mean burn-out, emotional exhaustion and depersonalization scores were 15.57 ± 8.55 (low burn-out), 8.56 ± 5.52 (moderate burn-out) and 37.19 ± 6.21 (moderate burn-out), respectively. Forty-five (24 %) had a severe burn-out syndrome, 11 an emotional exhaustion and 41 a depersonalization. Urologists in couple had a significant lower emotional exhaustion level than single. Depersonalization and low personal accomplishment scores were related to the age and working time. Having at least one hobby prevented emotional exhaustion and improved personal accomplishment levels. Gender had no impact on burn-out syndrome. Quarter of French urologists in training had a burn-out syndrome. Factors preventing it were working time reduction, being in couple and having at least one hobby. burn-out syndrome severity decreased with age and senior status.