Personal Accomplishment Scores Research Articles

Effect of individual and work characteristics of EMTs on vital sign changes during shiftwork

This study examines the effects of demographics, lifestyle, and work characteristics on burnout in EMTs, and then determines the interaction of various EMT risk factors on cardiovascular changes. In phase 1, EMTs voluntarily completed a demographic data sheet and the Masslach Burnout Inventory (MBI). The MBI results were broken down into subgroups of Emotional Exhaustion (EE), Depersonalization (DP), and Personal Achievement (PA); these were then compared to national averages. Subgroup analysis was performed on the basis of sex, race, marital status, years with the service, smoking, and caffeine drinking habits. In phase 2, EMTs carried logbooks for 1 month, during which they recorded preshift and postshift blood pressure and pulse. Other information recorded for each shift was the amount of caffeine and cigarettes used, the number of advanced life support (ALS) and total runs, and whether the shift worked was day or night. Per-shift average caffeine use, average number of ALS and total runs, and average cross-shift changes in MAP (ΔMAP) and P (ΔP) were calculated for each EMT. The ΔMAP and ΔP were compared for discrete variables (sex, race, training levels, smoker v nonsmoker, marital status, and shift worked) and continuous variable (age, years with the service, total runs, ALS runs, and MBI subscale scores). Continuous variables were split into two groups using the median as a separator. Differences were detected at P < .05 by confidence interval analysis. Sixty-nine EMTs enrolled in phase 1. The EMTs scored significantly lower on the PA scale than the national average (28.1 v 34.6). The low PA score was only seen in the subgroup of EMTs with the service longer than 3 years (26.1 v 30.0). Forty EMTs completed phase 2 of the study. There were no significant differences in ΔMAP detected in any subgroup. There was a significant difference in ΔP based on marital status (single, −4.5 v married, 2.6), and age (younger than 32, −4.5 v older than 32, 0.6). There were no other detected ΔP changes. In conclusion, these results showed that PA is lower in our EMTs than in the general population; EMTs with the service longer than 3 years had the lowest values. There were no significant preshift to postshift changes in blood pressure in any subgroup. There was a statistically significant preshift to postshift decrease in pulse in unmarried EMTs and in those younger than 32 years of age. These results indicate little variation in stress between EMTs and the general population and do not indicate a need for more intensive intervention programs for the management of heart rate or pulse.

TEST-RETEST RELIABILITY OF A PSYCHOMETRIC INSTRUMENT DESIGNED TO MEASURE PHYSICAL THERAPY STUDENTS' BURNOUT

The purpose of this study was to assess the reproducibility of scores on an instrument designed to measure physical therapy students' burnout. Physical therapy students (28 juniors and 28 seniors) completed an adapted educator's version of the Maslach Burnout Inventory on two occasions within a week interval. At each testing session, a separate score was obtained for each student for the three (emotional exhaustion, depersonalization, and personal accomplishment) subscales of the instrument. These scores, analyzed with a two-factor repeated-measures analysis of variance, indicated a significant difference in the personal accomplishment score between the junior and senior students during the two time frames. Scheffé post hoc tests showed that the junior students reported higher personal accomplishment affect at both testing sessions than the senior students. Both junior and senior students reported higher personal accomplishment at retest than at baseline testing. A test-retest reliability coefficient of .850 was obtained for the Depersonalization subscale; .907 and .715 were obtained for the Emotional Exhaustion and Personal Accomplishment subscales, respectively.

Test-Retest Reliability of a Psychometric Instrument Designed to Measure Physical Therapy Students’ Burnout

The purpose of this study was to assess the reproducibility of scores on an instrument designed to measure physical therapy students' burnout. Physical therapy students (28 juniors and 28 seniors) completed an adapted educator's version of the Maslach Burnout Inventory on two occasions within a week interval. At each testing session, a separate score was obtained for each student for the three (emotional exhaustion, depersonalization, and personal accomplishment) subscales of the instrument. These scores, analyzed with a two-factor repeated-measures analysis of variance, indicated a significant difference in the personal accomplishment score between the junior and senior students during the two time frames. Scheffé post hoc tests showed that the junior students reported higher personal accomplishment affect at both testing sessions than the senior students. Both junior and senior students reported higher personal accomplishment at retest than at baseline testing. A test-retest reliability coefficient of .850 was obtained for the Depersonalization subscale; .907 and .715 were obtained for the Emotional Exhaustion and Personal Accomplishment subscales, respectively.

From the Infectious Diseases Society of America. The Occurrence and Distribution of Burnout among Infectious Diseases Physicians

The occurrence and distribution of the three dimensions of the burnout syndrome (emotional exhaustion, depersonalization, and lowered feelings of personal accomplishment) were studied among infectious diseases physicians. A written survey was mailed to the entire identified US population of infectious diseases physicians (n = 4328); a 46.3% response rate provided 1840 usable surveys. Statistical analyses of the data demonstrated that 43.5% of the physician sample reported high scores on emotional exhaustion, and 40.3% scored high on depersonalization. Personal accomplishment scores remained high, despite burnout levels, with 91.8% reporting high personal accomplishment. The highest percentage of burnout occurred among physicians in private practice settings (55%), followed by government settings (39%), and academia (37%). The high percentage of infectious diseases physicians experiencing burnout suggests the need for further research to establish trends, to determine if other types of physicians experience similar levels of burnout, to identify casual factors, and to develop avenues to reduce stress and facilitate coping.

Burnout Among Teachers of Students with Moderate, Severe, or Profound Mental Retardation

This study examined the relationship between certain predictor variables and the degree of burnout experienced by teachers of students with moderate to profound mental retardation. The Maslach Burnout Inventory (MBI Form Ed) was used to measure the perceived burnout of 68 respondents. Demographic data and ratings of perceived burnout of 68 respondents. Demographic data and ratings of perceived organizational factors were also obtained from each participant. A maximum R2 regression analysis revealed significant predictor variables for each of the MBI Form Ed subscales. The age of the students and the teachers' perceived level of supervisory support were found to be significantly related to Emotional Exhaustion scores. For the Depersonalization dimension, the respondents' educational status and their perception of collegial support were found to be significantly related. Teachers' age and perception of financial support were significant predictor variables for Personal Accomplishment scores. The magnitude and direction of these relationships and their implications are discussed.

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.

The job satisfaction and burnout levels of primary care health workers in the province of Malatya in Turkey.

Objective:The objective was to determine the job satisfaction and burnout levels of primary care health workers in Malatya in Turkey.Methods:The sample of the study included 186 physicians, 126 midwives and 106 nurses working in primary health care. The Minnesota Job Satisfaction Scale and the Maslach Burnout Scale were used in the study.Results:The general, internal and external job satisfaction score medians of the study group were 3.35, 3.50 and 3.12 respectively, while the median of the Maslach Personal accomplishment score was 23.00, the Emotional Burnout score median was 15.00, and the Depersonalisation score median was found to be 3.00.Conclusions:The manner of their employment in the departments where they work, their perception of their economic circumstances and their satisfaction of the department where they work have an impact on the job satisfaction and burnout levels of workers.