Rates Of Emotional Exhaustion Research Articles

Polish infection control nurses’ burnout in the context of cooperation of different hospital professionals during COVID-19 pandemic

BackgroundsInfection control nurses’ job are crucial for patient and healthcare workers safety. However, effective infections prevention is based on the interdisciplinary team work, involving almost all hospital employees professionals. Difficulties in cooperation in such a team, especially prolonged ones, as well as crisis situations, may cause burnout. The aim of the study was to determine burnout among infection control nurses working during the COVID-19 pandemic in the context of difficulties in cooperation with different professionals working in hospitals.MethodsThe observational study was conducted between May and September 2021, using an online survey questionnaire consisting of two parts: describing difficulties in ICNs cooperation with different hospital professionals and Maslach Inventory Burnout scale, describing emotional exhaustion (EE), depersonalization (DP) and personal accomplishment rates (PA). Correctly completed online surveys were obtained from 177 participants.ResultsMost of the respondents (176 of 177) were women, working in public hospitals (81.48%). All respondents had considerable experience in work as nurses - the median was 30 years. However, the median experience in the ICNs position was 12 years. Median age of respondents was 51 years. The median level of EE was 31.0, w ith the range 23.0 to 39.0. For DP it was 5.0, with the range 3.0 and 11.5, while for PA – 24.0 (19.0–29.0). The highest values of EE were observed in the context of high level of difficulties with cooperation with management – the median was 36.0. DP was lowest among nurses declaring the lowest difficulties in cooperation with doctors. For PA the lowest level was observed in the group declaring high difficulties in the cooperation with doctors – median 22.0, with range 14.0–29.0.ConclusionsThe surveyed ICNs had higher rates of EE and PA than nurses working with patients, both before and during the pandemic. The level of burnout found in the ICN study group reached a level correlating in other studies with the intention to quit the job. The obtained results indicate the need to include effective training in the skills of working in multidisciplinary teams and the art of communication and achieving goals by ICNs.

A systemic look at professional burnout and well-being within an urban cancer center as a roadmap to recovery.

11017 Background: As the U.S. health care system’s vulnerabilities have been laid bare by an unremitting pandemic, it behooves us to build in resiliency as we look towards recovery. The “burnout epidemic” facing oncology clinicians has been well documented prior to the pandemic. From a systemic perspective, however, data across the cancer service line is scant. In an effort to identify the stress points and strengths of an oncology service line, we present cross-sectional data from 2018 examining burnout, physical and emotional well-being, and self-care needs across all primary cancer center roles within a major urban cancer center in NYC. Methods: An anonymous online survey was completed by 310 of 646 (48%) cancer service providers comprised of physicians, nurses, clinical support staff, managers, and clerical staff. The abbreviated Maslach Burnout Inventory (MBI-9), the Mental Health Inventory (MHI), and the brief COPE were included. Results: Respondents ranged from nurses (15%) to clinical support staff (29%), with 79% identifying as female. In a snapshot view, 25% of the sample endorsed feeling burned out from work. Rates of emotional exhaustion were highest among nurses (41%) and lowest among physicians (14%), p < 0.06. Depersonalization rates ranged from 1% for physicians to 11% for nurses and clerical staff (p < 0.003). A breakdown of those who would not choose the same career over again: clerical (36%), management (28%), nurses/clinical support staff (23%) and physicians (11%), p < 0.053). Clinical levels of distress ranged from 20% (clerical staff) to 30% (nurses). Self-reported health (1-5) was lower among clerical staff and nurses (3.1) compared to physicians (3.9), p < 0.001. The majority of staff utilized adaptive coping strategies including positive reframing and planning, with religion and humor often endorsed. Interest in counseling and communication skills training ranged from 56%/57% among physicians to 84%/88% among clerical staff, respectively. Conclusions: This panoramic view of one cancer service line just prior to the pandemic points to particular systemic stresses in areas of emotional exhaustion, career choice questioning, and psychological and physical health. While levels of burnout fall within and below rates reported in the literature, it also points to fault lines affecting key service line positions, particularly nurses and clerical staff. At the same time, it highlights an underlying resiliency in coping and receptivity to self-care and development. In response to this internal needs assessment, our cancer center is working towards building a stronger foundation in which staff will not only survive the expected and unexpected stresses of working in health care but find meaning and joy in work. While we cannot predict the future, we can learn from the past. In this vein, a Well-Being Committee that includes representatives across the cancer service line was launched in 2022.

An Interprofessional Group Intervention to Promote Faculty Well-Being: A Randomized Clinical Trial.

To evaluate the effect on engagement, relational connection, and burnout of an intervention involving clinical faculty meeting in interprofessional self-facilitated groups and to determine whether a written discussion guide is necessary to achieve benefit. This is a randomized controlled trial, conducted at a large US academic medical center from May to August 2018. Subjects included 25 clinical physicians, nurse practitioners, and certified nurse midwives. The intervention involved three monthly self-facilitated groups for faculty. Groups were randomized to have no discussion guide, or to receive a one-page guide. Outcomes of burnout, engagement, and empowerment in work, and stress from uncertainty were assessed using validated metrics. Rates of emotional exhaustion and depersonalization decreased significantly over the course of the 3-month study (56%-36%; P < .001; and 20%-15%; P = .006) and overall burnout decreased from 56% to 41% of faculty (P = .002). The percentage of faculty who felt engaged in their work increased from 80% to 96% (P = .03). No statistically significant differences in empowerment at work or in reaction to uncertainty were seen. The groups without a discussion guide had equivalent outcomes and benefits. Cost per participant was under $100. A three-month, low-cost, self-facilitated series of dinner meetings for interprofessional clinical faculty decreased burnout and improved engagement, sense of connection to colleagues, and sense of departmental commitment to well-being. Structured discussion guides were not necessary to achieve benefit. This study broadens the possibilities for cost-effective opportunities to transform institutional culture and effectively enhance faculty well-being.

Determinants of emotional exhaustion among nursing workforce in urban Ghana: a cross-sectional study

BackgroundThe subject of emotional exhaustion organisations has become important because of the emerging trends in employment and its associated challenges. Unhealthy practice environment is a major threat in the incidence of emotional exhaustion among nurses; and any organisational culture that do not support its personnel has huge burnout costs. The study aimed at assessing rate of emotional exhaustion; determining factors that accounts for it and also ascertaining the coping strategies used by nurses to overcome it in the Ghanaian health care setting.MethodsA cross-sectional study with a proportionate stratified sampling was used to draw a sample from five health facilities. A standardized questionnaire of Professional Practice Environment Scale of Nursing Work Index, Maslach Burnout Inventory and Coping Scale were used to assess variables under study. The STROBE guidelines were followed in reporting this study.ResultsOut of the 232 registered nurses studied, 91.1% of them reported experiencing moderate to high rate of emotional exhaustion. The practice environment of the nurses explained 39.6% of the variance in emotional exhaustion. Emotion-focused and problem-focused approaches were identified to be used by registered nurses to cope with emotional exhaustion.ConclusionWhen appropriate and effective intervention are employed, emotional exhaustion will be reduce and this will enrich the effectiveness of quality care delivery to patients.

The Relationship between Work Shift and Burnout in Golestan Hospital in Ahvaz

Background: The occupational burnout affects the individuals' physical and mental health and is observed in many occupations as a final outcome among nurses. The aim of this study was to investigate the relationship between nurses' work shift and burnout in Golestan Hospital in Ahvaz City.&#x0D; Methods: This descriptive- analytical study was conducted over all personnel (280 persons) of Golestan Hospital in Ahvaz. The study participants were selected from personnel with at least one year of continuous shift work experience in both shifts as well as day shift groups in 2019.&#x0D; Results: The prevalence of occupational burnout was 14.3% (40 persons) in the morning shifts and 85.7% (240 persons) in the group who worked in both shifts. Regarding the occupational burnout components, the prevalence rates of emotional exhaustion, depersonalization, and personal accomplishment were 60.7% (n = 170), 78.6% (n =220), and 46.4% (n = 130), respectively. Shift work had a significant with emotional exhaustion (P &lt;0.01) and depersonalization (P &lt;0.01).&#x0D; Conclusion: Considering different levels of occupational burnout in nurses, managers of the health system are suggested to analyze the nurses' needs in order to increase the facilities, study the supply and distribution of human resources in the medical departments, and provide the minimum job security for personnel and nurses.

OCCUPATIONAL BURNOUT OF NURSES OF THE PSYCHIATRIC WARD OF THE SPECIALISED HOSPITAL IN CZESTOCHOWA

This article touches on the problem of burnout, which is caused by stress in every job, and is manifested in physical and mental exhaustion, a tendency to irritation and boredom. Occurrence of burnout in a working person will be associated with individual personality traits and functioning in the workplace. The purpose of the work is to determine to what extent the studied group was affected by occupational burnout. The study was conducted on 23 female nurses working in the Psychiatric Department of the Specialist Hospital in Częstochowa. Christina Maslach's occupational burnout questionnaire was used for the purpose of the study. The questionnaire consists of 22 closed questions and two yes or no answers. Subjects completed the anonymous survey questionnaire. The entire group of respondents was examined in three aspects of burnout: emotional burnout, depersonalization and job satisfaction. The rate of emotional exhaustion was 80%, depersonalization 64%, professional satisfaction 68%. The index of occupational burnout syndrome among nurses of the Psychiatric Ward of the Specialist Hospital in Częstochowa is high. It is difficult to assess how much it threatens the functioning of individuals. There is no doubt that remedial and preventive measures should be taken as soon as possible, not only by the individual but also by the employer. Burnout can affect anyone who over-exploits their strength at work for the benefit of others, without caring for their own mental health.

Burnout Phenomenon and Its Predictors in Radiology Residents

The purpose of this study is to evaluate the prevalence of burnout and its associated risk factors in radiology residents in Saudi Arabia. This cross-sectional study was conducted in February 2019, and all radiology residents in Riyadh, Saudi Arabia, were invited to complete a survey that contained a validated measure of burnout (Maslach Burnout Inventory-Human Services Survey) alongside possible predictors of burnout. A total of 108 responses were received, for a response rate of 49.7%. High overall burnout was reported by 24.1% of respondents, high emotional exhaustion (EE) by 56.5%, high depersonalization by 31.5%, and low sense of personal accomplishment (PA) by 64.8%. The significant predictors of burnout included satisfaction with work/life balance (OR = 0.35, 95% CI = 0.03 to 0.43, p = 0.002) and exercising (OR = 0.31, 95% CI = 0.1 to 1, p = 0.07). Married residents were more prone to have a low sense of PA in addition to dissatisfied residents with hospital staff appreciation (OR = 4.8, 95% CI = 1.48 to 15.5, p = 0.01) and (OR = 0.59, 95% CI = 0.37 to 0.94, p = 0.03), respectively. One-fourth of the radiology residents studied showed high rates of burnout, and more than half the residents reported high rates of EE. The residents scored very poorly in the sense of PA. The radiology residents who were satisfied with their work/life balance had lower burnout rates, in addition to lower EE and a higher sense of PA.

Emotional Exhaustion in Housewives and Alzheimer Patients' Caregivers: Its Effects on Chronic Diseases, Somatic Symptoms and Social Dysfunction.

Background: Emotional exhaustion causes adverse effects in those who suffer from it. Housewives are not excluded. Domestic and care chores, which are considered to be sources of stress, increase when taking on the role of caregiver for a family member with Alzheimer’s disease. Objective: To analyse the influence of emotional exhaustion, somatic symptoms and social dysfunction, based on the activity they carry out. Methodology: Cross-sectional survey. 193 women participated, of which: housewives (HWs) (n = 97), and Alzheimer’s patient caregiver-housewives (CHWs) (n = 96). The evaluation tools were: sociodemographic/working data questionnaire (ad hoc), Maslach Burnout Inventory (MBI) and Goldberg General Health Questionnaire (GHQ-28). Results: High rates of emotional exhaustion are observed, as well as an existing positive link between chronic diseases, somatic symptoms and social dysfunction. The structural model indicates that emotional exhaustion predicts the amount and extent of diseases, somatic symptoms and social dysfunction. The influence is higher in CHWs. Limitations: Sample procedure implemented at convenience; the variable of the grade of dependence of the Alzheimer’s patient caregiver was not included in the study. Conclusions: The domestic and care chores that HWs and CHWs carry out affect their health. Hence the need to develop psychoeducative programmes that are adapted to the particular needs of these women and focused on the different areas of their everyday lives.

Burnout in French physicians: A systematic review and meta-analysis.

Burnout syndrome is the consequence of chronic work-related stress exposure and is 2-3 times higher than in physicians than in other professions. Many studies exploring burnout in French physicians have been published with inconsistent data regarding its prevalence and associated factors. To assess the prevalence of burnout and associated factors in French physicians in a systematic review and meta-analysis. Studies assessing the prevalence of French physician's burnout and its three dimensions emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA) were selected in the following databases from 2000 to April 2017: MEDLINE, BIOSIS WEB OF SCIENCE, PASCAL ET FRANCIS, SCIENCES DIRECT, PSYCHinfo, and BDSP. Burnout was defined by one abnormal score in one or more of the 3 dimensions of the MBI scale (EE, DP or PA). Severe burnout was defined by the association of high scores of EE and DP, and low score of PA. High EE was defined by an EE score ≥27. High DP was defined by a score ≥10. Low PA was defined by a score ≤33. A total of 37 studies and 15,183 French physicians were included in the present meta-analysis. The random effects pooled prevalence estimate was 49% (95% CI 45%-53%, P < 0.001, I2 = 93.1%) for burnout, 5% (95% CI 4-7, P < 0.001, I2 = 92.7%) for severe burnout, 21% (95% CI 19-24, P < 0.001, I2 = 94.7%) for high EE, 29% (95% CI 25-33, P < 0.001, I2 = 96.7%) for high DP, and 29% (95% CI 24-34, P < 0.001, I2 = 97.7%) for low PA. Emergency physicians were found to have a trend to higher rates of burnout (P = 0.051), and significantly more severe burnout compared to other physicians (b = 0.05, se[b] = 0.02, P = 0.019). Junior residents were found to have higher rates of DP; junior residents, sample size, and monthly number of night shifts were associated with lower PA; and anesthesiologists were found to have lower rates of high EE and high DP. Burnout is highly prevalent in French physicians. Some recommendations may be suggested to reduce this rate, including reducing the number or duration of night shifts to increase personal accomplishment and targeting emergency physicians and junior residents in priority. Other specialties should be explored in future studies.

Resident Preferences for Program Director Role in Wellness Management.

Burnout and depression are prevalent among resident physicians, though the supportive role of the program director (PD) is not well defined. To understand the residents' view of the residency program director's role in assessing and promoting resident wellness. A single institution survey of all house staff was conducted in 2017. Rates of burnout and depression were identified via the 2-item Maslach Burnout Inventory (MBI) and the Patient Health Questionaire-2 (PHQ-2), respectively. Residents then qualified their preferences for various assistance services and for the role of their program directors in assisting them. One-hundred sixty-one of 202 (79.7%) residents completed the survey. The rate of depression was 28%. Rates of emotional exhaustion and depersonalization (2-item MBI) were 44 and 62%, respectively. Only 4% of respondents had used the Employee Assistance Program (EAP) in the prior 12months. Eighty-two percent of residents were in favor of PDs inquiring about wellness regardless of their job performance and only 1% of residents stated the PD should not inquire about wellness at all. Thirty-three percent of residents reported that they would be likely to contact EAP on their own if they felt unwell. Significantly more residents (62%) reported being more likely to contact EAP if recommended by their PD (33 vs 62%, p < 0.001%). Important perceived barriers to seeking assistance were lack of time (65%), lack of knowledge of how to contact EAP (41%), and concerns about appearing weak (35%). Despite a high prevalence of burnout and depression, residents are unlikely to seek help on their own. Program directors have an important role in assessing and promoting the wellness of their residents. The majority of residents wants their PD to inquire about wellness and may be more likely to seek and receive help if recommended and facilitated by their PD.

Psychological help in oncology practice

Background The psychological effects of cancer and its treatment on the patients, their families and health care workers point the need to develop psychological measures in oncology practice. Methods The study conducted at the Kyiv City Clinical Cancer Center during 2014-2016 years. In research participated 422 cancer patients: 80 patients on the stage of diagnostic, 187 – primary treatment and 155 – secondary treatment caused by cancer progression, 218 family members: 79 on primary (Gp), 68 – secondary stage of treatment in their relatives (Gs) and 71 in situation of palliative care (Gpal), and 50 oncologists. We used such psychodiagnostic tools as HARD, 5PFQ, SVF120, questionnaire “Type reaction on the disease”, questionnaire of Mezzich. Results Cancer caused significant influence on the mental state of the patients displayed at the personal, behavioral and psychosocial functioning levels. HADS showed the prevalence of anxious versus depressive symptoms (p&lt;0,05), but the structure of symptomatic was similar. In patients on diagnostic stage were higher levels depression and anxiety, p&lt;0,05. Destructive personal patterns found in 12,7% of patients, ineffective coping strategies in 24,6% respondents. In 62,8% cancer patients found maladjusted types of reactions on the disease, in compare with interpsychic disadaptation intrapsychic ones was dominant (p&lt;0,05). The main types of reactions on the disease were anosognostic (13,0±3,4%), anxious-sensitive (11,4±3,2%), ergopathic-anxious (10,4±3,1%), sensitive (7,8±2,7%), anxious (7,6±2,6%) and hypochondriac (6,4±2,4%). Relatives of cancer patients experienced high levels of stress due to diagnosing cancer pathology in a loved one. The high levels of distress recognized in 92,4±2,6% relatives in Gp, 86,8±3,4% in Gs and 91,5±2,8% in Gpal. The rates of emotional exhaustion in oncologists was 16,1±9,1 points, depersonalisation – 6,0±4,5 points, professional achievements – 35,4±7,5 points. In 34% oncologist were present from 1 to 3 components of burnout. Conclusion According to the results psychological help, as important component of cancer management, must be provided not only to the patients, but to the relatives (caregivers) and oncologists because of high levels of distress and emotional burnout. The result of this study could become a basis for creating a new complex program of psychological interventions for these individuals.

Influence of Teamwork on Wellbeing And Emotional Exhaustion of Staff in German Rehabilitation Clinics

In the context of high prevalence rates of mental and psychosomatic disorders in the medical staff, emotional exhaustion and wellbeing are often considered as important indicators. Teamwork can have a positive influence on wellbeing of staff members. In the sector of rehabilitation, however, this is not sufficiently investigated. The aim of this study was to investigate aspects of teamwork as predictors of wellbeing and emotional exhaustion in staff at rehabilitation clinics in Germany. Data was collected in 10 rehabilitation clinics, 9 of them could be included in the data analysis (n=306, 70% female, 68% age 40-59). Data was analyzed with multiple linear regression analyses. Staff reported moderate rates of emotional exhaustion and good rates of overall wellbeing. Results of the regression analysis show that cohesion (β=0.27, p<0,001), team organization (β=0.19, p<0,01) and age (β=0.13, p<0,05) could predict wellbeing (F[3, 244]=19.38, p<0,05). Emotional exhaustion was predicted by cohesion (β=- 0.37, p<0,001, F[1, 244]=39.19). Consequences of interpersonal andstructural aspects of teamwork are discussed as well as the potential relevance of interventions to improve teamwork, in order to enhance wellbeing and counteract emotional exhaustion of staff members.

Burnout among osteopathic otolaryngology residents: identification during formative training years.

Studies of burnout among allopathic physicians have shown many deleterious effects for both physicians and patients. To our knowledge, no studies have quantified burnout among osteopathic physicians. To determine the prevalence of burnout, mentoring, and resident training satisfaction among US osteopathic otolaryngology residents compared with previously published data for allopathic otolaryngology residents. A cross-sectional, questionnaire-based, electronic survey of US osteopathic otolaryngology residents was conducted. Residents were surveyed about demographic information, personal and professional life satisfaction, professional stressors, burnout (assessed with the Maslach Burnout Inventory-Human Services Survey), and mentor-resident interactions. Burnout was measured based on levels of emotional exhaustion (EE), depersonalization (DP), and low personal accomplishment (PA). Results were compared with previously published data for allopathic otolaryngology residents. Of the 102 osteopathic residents contacted, 48 (47%) responded and 47 provided complete responses in some categories. Burnout rates were low in 11 respondents (23%), moderate in 31 (66%), and high in 5 (11%), compared with published rates of 14%, 76%, and 10%, respectively, for allopathic residents (P=.18). The rates of EE and DP did not differ significantly from published data, but levels of PA were higher in osteopathic residents (P=.03). Sleep hours per night were significantly higher in osteopathic than in allopathic residents (mean, 6.6 vs 6.2; P=.04), and work hours per week were significantly lower (mean, 62 vs 71; P<.001). Increased EE scores were negatively associated with hours of sleep (ρ=-0.42, P=.003). Increased influence from a mentor was associated with decreased levels of burnout for all 3 components (EE: ρ=-0.54, P=.002; DP: ρ=-0.59, P<.001; PA: ρ=0.44, P=.02). To our knowledge, the current study is the first to quantify burnout among osteopathic residents, and our findings suggest that osteopathic residents have lower rates of burnout than allopathic residents. Osteopathic residents reported lower rates of low PA, increased hours of sleep, and decreased overall work hours. Further study of the relationship between mentoring and decreased burnout is needed.

Prevalence of Burnout among Professionals Who Care for Elderly and Chronically Ill Patients

This study aims to evaluate the prevalence of Burnout Syndrome among professionals who care for elderly and chronically ill patients and the relationship between the appearance of Burnout and sociodemographic and job related variables. The sample consisted of 265 employees who worked directly with the elderly and chronically ill. It was composed mostly of women, 94.3%. The average age was 43 (SD = 10.2). We made use of the following instruments: a sociodemographic questionnaire and the Maslach Burnout Inventory—HSS (Semedo, 2009). The results show that 19.6% of participants have high rates of emotional exhaustion, 4.9% present high depersonalization, and 2.6% experience low personal accomplishment. Disease severity and support services influence personal accomplishment. Age proved to be a predictor of the emotional exhaustion variable, while the length of service at an institution variable not only proved to be a predictor of emotional exhaustion, but also of personal accomplishment. The prevention of Burnout Syndrome constitutes one of the major challenges for occupational health care providers to the elderly and chronically ill.

Palliative care training and burnout in oncology fellows

9540 Background: Burnout among physicians is associated with fatigue, exhaustion, and depression, and can result in increased medical errors and sub-standard patient care. We sought to determine rates and predictors of burnout in oncology fellows. Methods: As part of a larger study on fellows' attitudes, education, and experiences in palliative care, we administered the 22 item Maslach Burnout Inventory (MBI) to second year U.S. oncology fellows. The 104 item instrument, modified from a survey of medical students, was revised after field testing and a pilot survey. The MBI measures three domains: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA); higher EE and DP scores and lower PA scores indicate burnout. Bivariate and multivariate analyses were used to find associations between burnout and fellow demographics, attitudes, and educational experiences. To accommodate for multiple testing, p&lt;0.01 was considered statistically significant. Results: The response rate was 63.2% (254 of 402 eligible fellows). Gender, race, and location of medical school (U.S. vs. other) did not differ between respondents and non-respondents. Among respondents, 28.1% reported high EE, 30.0% reported high DP, and 26.8% reported low PA. Over half reported burnout in at least one domain (32.9% in one, 16.5% in two, and 5.5% in all three domains). The following associations were found on multivariate analyses. Fellows who identified as white had higher rates of EE (p=0.0006) while EE was lower in those who: 1) rated their program's overall teaching ‘very good‘ or ‘excellent‘ (p=0.005), 2) felt prepared to address spiritual issues around end-of-life care (p=0.002), and 3) felt prepared to manage their own feelings about illness and dying (p=0.008). Fellows who identified as white (p=0.008) or reported dreading encounters with emotionally distressed family members (p=0.0002) had higher DP. The only factor associated with higher PA scores was agreement that doctors have a responsibility to help patients prepare for death (p&lt;0.0001). Conclusions: Over half of oncology fellows experience at least one domain of burnout. Higher quality teaching within their fellowship program and higher levels of self-assessed preparation to care for patients at the end of life are associated with lower levels of burnout. No significant financial relationships to disclose.

Burnout in Hospital Social Workers Who Work with AIDS Patients

Fears of a future shortage of experienced social workers in the acquired immune deficiency syndrome (AIDS) field because of burnout prompted this study of 128 hospital social workers who work with AIDS patients. Results show that hospital AIDS social workers had slightly higher rates of emotional exhaustion and depersonalization on the Maslach Burnout Inventory but also felt a substantially higher level of personal accomplishment. Age, autonomy, and belonging to a support group explained 19 percent of the variance in burnout. Hospital administrators are urged to examine their administrative policies concerning these factors and to explore ways to preserve and enhance the most satisfying aspects of the work. Further research is encouraged to explore the relationship between young age and burnout and to better understand the factors that make AIDS work satisfying.