Risk Of Burnout Research Articles

Early years pharmacist retention – a listening exercise

Abstract Introduction Pressures on pharmacy workforces are increasing, with 88% of hospital pharmacists reporting high risk of burnout and 62% considering leaving their role due to the impact of work on wellbeing.1 Early years pharmacist (EYP) recruitment is increasingly challenging. Traditional pharmacist career pathways are in competition with increasingly preferred portfolio-based careers. Many trusts are introducing band 6 to 7 progressive schemes to improve retention, including at University Hospital Southampton (UHS). However, anecdotal departmental feedback suggests that EYPs feel this scheme is being applied unequally across different sections and there is discontent with differing workload and development opportunities. Aim To develop an understanding of concerns and expectations of Early Years Pharmacists at UHS. Methods All pharmacists in Agenda for Change band 7, and 6 to 7 progression posts, were invited to participate in an in-person forum. Attendance was voluntary but supported by the senior pharmacy management team. The group facilitator, a senior pharmacist known to participants, introduced the session topics, explained the rationale, then asked participants to provide written comments anonymously on a range of topics. Comments were gathered at the end of the session and thematically analysed with review from an experienced qualitative researcher. Whilst deemed a service evaluation, not requiring ethics approval, data was recorded and managed in accordance with best ethical practices. Results Twenty-Eight EYP attendees provided 102 separate comments. Themes identified related to departmental progressive post variations in; on-call expectations, mentoring, opportunities for formal credentialling, and feedback from line managers. The variations were perceived to be unjust. Commonly, points raised related to professional development. Issues included protected study time both for those undertaking post-graduate courses and those not, workload demands meaning that time for development was limited, and inequalities of access. Discussion/Conclusion As anticipated, there was discontent within the group particularly regarding perceived variations in workload, role opportunities and progression across the department. Additionally, there was some antipathy regarding whether things could be improved. However, the forum feedback suggested the opportunity to participate was well received, having provided participants an opportunity to raise their concerns in a confidential, collaborative, manner. Following initial headline feedback of EYP feeling unappreciated, all senior leaders were reminded of the importance of positive feedback and anecdotally the Trust systems for this have been used more frequently since this reminder. There are limitations with this evaluation, the group was too large to truly be considered a focus group and as such the facilitator was unable to interact with all members and probe for further information which may have been helpful. Furthermore, the facilitator was line manager for a small number of the participants, and they may have felt less able to make negative comments despite the anonymous comment collection. Several of the points raised have led to further questions and we now intend to conduct a formal qualitive study using semi-structured interviews with volunteers across the department to obtain more detailed insight into the challenges of this staff group. Meanwhile work will continue to make the EYP process and experience more equitable. Reference 1. Royal Pharmaceutical Society (2023). ‘Workforce and Wellbeing Survey 2023’. Available online. [Accessed 7th May 2024].

Therapy for Therapists: Design Opportunities to Support the Psychological Well-being of Mental Health Workers

On-demand mental health services-including counseling, crisis hotlines, and peer support programs-are vital to the healthcare system, providing acute and ongoing support through telephone, online chats, and text messaging. Although such services have proven effective at reducing hopelessness, psychological pain, and suicidality, they put the providers of these services at high risk of burnout, secondary traumatic stress, and compassion fatigue. Our interviews with professionals from four mental health organizations revealed that while these workers have a strong motivation to help clients with mental health care needs, they face various challenges themselves, particularly regarding heavy caseloads, difficult crisis clients, and coping with repeated exposure to abuse and harassment. To overcome challenges, participants identify the need to be self-reliant and engage in self-care practices ranging from socializing with coworkers to yoga and meditation. Although organizations spend significant time training workers prior to their involvement with clients, the training typically lacks components on self-compassion and self-care. Designers might see technology as an opportunity to promote such practices; however, while technology is an integral part of their work routine, participants, irrespective of age, had misapprehensions regarding technology use in the mental health care space, including for managing their psychological well-being. We recommend design guidelines for HCI researchers, including developing contextualized just-in-time adaptive interventions to promote self-compassion and educating workers regarding the use of various technologies to manage their well-being.

Burnout: a comprehensive review

AbstractBurnout has been the focus of extensive scientific research. The World Health Organization officially recognized burnout as an occupational phenomenon, defined as a syndrome resulting from chronic workplace stress that remains unmanaged and characterized by three dimensions: exhaustion, cynicism, and inefficacy. Existing literature highlights limitations in current measurement instruments for diagnostic purposes. These tools often yield scores that overlap with other conditions such as fatigue, anxiety, and depression. Chronic exposure to high job demands and low job resources emerges as the primary trigger for burnout. While individual characteristics (such as neuroticism) may increase susceptibility, specific personality traits associated with higher risk remain unclear. Burnout has adverse effects on both individuals and organizations. Typical interventions focus on stress relief and coping strategies to manage high job demands, but their effectiveness diminishes over time. Evidence from organizational interventions suggests that improving employees’ working conditions can reduce burnout risk. Combined interventions offer promise by creating a healthy work environment while empowering employees to handle occasional stress. Social partners should advocate for support in researching burnout, aiming for a clear diagnosis, effective treatment, and preventive measures to mitigate psychosocial risks in the workplace.Practical Relevance: The findings of this article highlight the importance of addressing both job demands and job resources to mitigate burnout in organizational settings. Implementing interventions that improve working conditions and provide adequate support can significantly reduce burnout risk and enhance employee well-being. Organizations should prioritize creating a healthy work environment and empowering employees with the necessary resources to manage workload effectively.

Risk of burnout among veterinary anaesthesia specialists: a call for action

Risk of burnout among veterinary anaesthesia specialists: a call for action

Building Resilience in Medical Students: "Strengthening You to Strengthen Them".

Medical students, like many health professional students, are at risk for burnout and other negative well-being outcomes. Research suggests that building resilience may help to mitigate these risks. A multi-disciplinary team developed, delivered, and evaluated a training on building resilience for medical students entitled, "Resilience for Health Providers - Strengthening You to Strengthen Them." The training program provided parallel learning intended to teach medical students how to apply protective factors to both themselves and their patients. The research team proposed that training medical students to understand mechanisms that support resilience such as motivation and self-efficacy may increase the development of resilience as part of their medical training. Through parallel learning, students can also learn how to apply these mechanisms to their patients. The evaluation of the training's effectiveness consisted of pre- and post-tests. Medical students' resilience was measured using the Connor-Davidson Resilience Scale (CD-RISC-10), a tested and validated scale. Findings indicated that post-test scores increased in each domain from pre-test. Participants reported enhanced skill building for both their own resilience and that of patients after the training. Results from the CD-RISC-10 scale showed that the medical students rated slightly lower than the mean identified by the CD-RISC-10 creators. The results from this initial study to strengthen health professionals' self-reported resilience showed that the training improved medical students' self-reported resilience and their confidence in assisting houseless participants to improve their understanding of building their own self-resilience.

Picturing Empathy in the Intensive Care Unit: Patient Photographs at an Urban Community Teaching Hospital.

Intensive care unit (ICU) clinicians are at risk for burnout, which can be driven by depersonalization. Photographs of patients in their baseline state of health before ICU admission may enhance the connection between clinicians and patients. The use of patient photographs has not been evaluated in an urban community teaching hospital. To evaluate whether an interprofessional group of clinicians perceive that patient photographs in the ICU help them connect with patients and enhance empathy. A prospective observational quality improvement study was performed in the medical ICU of an urban community teaching hospital. Patients' families could display patients' photographs in the unit. Registered nurses, physicians, respiratory therapists, and patient care associates completed anonymous surveys. Families of 21 patients provided photographs; 82 clinicians (47 physicians, 25 nurses, 5 respiratory therapists, and 5 patient care associates) completed surveys. Most clinicians (83%) agreed that the patient's personality and character were emphasized by photographs, 77% agreed that photographs facilitated communication with the patient and/or family, 89% agreed that patient photographs helped them relate to the patient as an individual, and 76% were not upset by comparing the photograph with the patient. Responses did not significantly differ by clinician type. Survey comments highlighted themes of humanization, fulfillment, and hope. Patient photographs may enhance connections between clinicians and patients in the ICU, potentially reducing depersonalization and burnout.

Making the state care: the role of political willingness and brokerage in Bogota’s new feminist care policy

This article examines the crucial role of political willingness and brokerage in the implementation of Bogotá's new feminist care policy, the ‘System of Care', which aims to address gender and class inequalities and alleviate care burdens on women. Through a combination of ethnographic data and stakeholder interviews, we analyze the intricate political and social processes that underpin the policy's effectiveness. Drawing on academic literature about care work, policy implementation in weak states, and brokerage, we provide a comprehensive understanding of the policy's development and operation, from the inception of the System of Care to its day-to-day functionality within the local Care Blocks. Our findings underscore the significance of political willingness and brokerage at the macro level, along with the importance of debureaucratization and trust-building at the micro level, as key factors contributing to the policy’s success. Yet, the policy innovation also faces several challenges, primarily political uncertainties and the risk of burnout among local Care Block coordinators.

Perfectionism and Adolescent Athletes’ Burnout: The Serial Mediation of Motivation and Coping Style

Preventing and reducing adolescent athletes’ risk of burnout can help promote long-term sports participation, improve performance, and maintain psychological well-being. The present study examined the associations between perfectionism and burnout among Chinese adolescent athletes and the mediating role of motivation and coping styles. A total of 243 Chinese adolescent athletes (78% boys; Mage = 17.8; SD = 2.62) completed the Sport Multidimensional Perfectionism Scale for China, the Situational Motivation Scale22, the Coping Scale for Chinese Athletes, and the Athlete Burnout Questionnaire to assess perfectionism (strivings and concerns), coping styles (problem-focused and emotion-focused), motivation (intrinsic and amotivation), and burnout. Path analyses indicated that intrinsic motivation and coping styles (problem-focused and emotion-focused) serially mediated the relationship between perfectionistic strivings and burnout. Problem-focused coping mediated the relationship between perfectionistic concerns and burnout. These findings contribute to a model of the effect of perfectionism on adolescent athletes’ burnout, provide support for the self-determination theory, and suggest a feasible approach for mitigating burnout in this group.

Associations between job demand-control-support and high burnout risk among physicians in Sweden: a cross-sectional study

BackgroundThe knowledge about job demands, control, and support, and their potential associations with burnout risk among physicians in Sweden, is limited. This study aimed to explore (i) factors of the JobDemand-Control-Support (J-DCS) model across different groups of physicians in Sweden, (ii) their association with high burnout risk, and (iii) the potential buffering impact of job control and support.MethodsCross-sectional data from the Swedish Longitudinal Occupational Health in Healthcare Survey (LOHHCS) study cohort was used. In 2021, a total of 2032 respondents submitted questionnaire data comprising J-DCS measures (i.e., job demands, workplace control and task-level control, and social support from peers and managers). Burnout risk was measured using the Burnout Assessment Tool. Binary logistic regression models were used to investigate the associations between the J-DCS variables and high burnout risk. Interaction analysis was performed to explore any moderation of the associations.ResultsJob demands were significantly associated with increased odds of high burnout risk (odds ratio (OR) 2.71, 95% confidence interval (CI) 1.91–3.84. Workplace control (OR 0.50, 95% CI 0.35–0.71) and peer support (OR 0.61, 95% CI 0.48–0.77) were significantly associated with reduced odds of high burnout risk. The interaction analysis showed no significant moderation of the association between job demands and high burnout risk by either peer support or workplace control, and no buffering impact was found.ConclusionJob demands were associated with high burnout risk among physicians in Sweden. Although workplace control and peer support had inverse associations with high burnout risk, no moderation or buffering impact on the association between job demands and high burnout risk was found. Longitudinal studies are needed to confirm these associations.

Burnout in neurosurgery in the post-pandemic era

ObjectiveBurnout syndrome impacts one of two neurosurgeons and negatively impacts both the individual and institution. The impact of burnout on neurosurgeons may have increased due to the SARS-COV-2 pandemic. Characteristics of burnout may differ among neurosurgeons and non-neurosurgeon physicians, and this may better target wellness initiatives designed to alleviate burnout. MethodsValidated burnout inventories (Maslach Burnout Inventory; MBI) were provided to physicians, including neurosurgeons, at a single, large academic institution. Rates of burnout and specific characteristics of burnout were compared. Free-response answers describing specific characteristics of burnout were also collected for neurosurgeons. ResultsA total of 294 physicians responded to the survey, including 40 neurosurgeons. The rate of burnout between neurosurgeons and non-neurosurgeons did not differ (39% vs 34%; p=0.631), but there were notable differences in the characteristics of burnout. Neurosurgery respondents were more likely to report depersonalization (p<0.001), and an additional 42.5% of neurosurgeon respondents reported a “period of hardship,” which may lead to subsequent burnout. Neurosurgeons also more frequently reported higher feelings of personal accomplishment (p<0.001). Targeted wellness interventions specific to neurosurgeons may alleviate and prevent burnout. ConclusionsWe show that although the rate of burnout does not differ for neurosurgeons, the characteristics of burnout may. This may represent the key to providing specialty-specific targeted interventions to alleviate burnout. Further, there is a significant proportion of neurosurgeons at risk for subsequent burnout for which additional importance must be placed to prevent progression to burnout.

Mental Illnesses and Stigma among Medical Undergraduates in India.

The current Medical Education system of India, with its enormous workload and academic demands tend to cause the medical students stress. There is evidence showing medical students at a higher risk of depression, anxiety and burnout compared to other Indian students. Despite, the huge reported numbers, the proportion of students and doctors who seek help for their problems is alarmingly low. One of the reasons provided for the same is stigma towards mental health and an apprehension regarding labels and treatment history on the careers of the students. Increased awareness and with a National Health Programme catered towards mental health, there has been a boost in the utilization and provision of mental health services but it rarely translates into better mental health facilities for the healthcare providers. The special set of challenges faced by a medical students are gradually being recognized and efforts are being made to address them. Curriculum guidelines, teaching methods, student welfare centres and helplines have been the areas of intervention. There should also be changes in approaches towards the students who face problems and providing a safe environment for them to discuss their problems, including encouraging peer support. Thus, a fine balance needs to be present between ensuring the protection of the mental health of a medical student and ensuring a quality medical education for them. Further exploration to address stigma and building empathy among the students and evaluation of the intervention methods devised to address the same becomes very necessary to ensure fruitful interventions. It is the need of the hour to help Indian Medical students overcome their struggles with mental health.

A review of burnout among doctors in South Africa: Pre-, during and post-COVID-19 pandemic.

Burnout is defined as a syndrome resulting from chronic workplace stress, which has been unsuccessfully managed. By increasing the occupational challenges faced by doctors, the COVID-19 pandemic potentiated their risk for burnout. This review aimed to determine the prevalence and determinants of burnout among doctors working in South African health facilities pre-, during and post-COVID-19 pandemic. A narrative literature review was conducted. PubMed, SCOPUS and EBSCO databases were searched for English publications until April 2024. A total of 22 cross-sectional studies were included. The prevalence of burnout among doctors working in South African health facilities ranged from 4% to 84% pre-pandemic and 58.9% to 78.0% during and post pandemic, respectively. The lower value of the burnout prevalence range was higher during the pandemic. This review confirmed that individual factors (gender, age, marital status, junior status, practice setting) as well as occupational factors (workload, job control, moral distress, health system issues, job satisfaction, support at work and resilience) were associated with burnout in doctors. There was no significant association between burnout and factors related to COVID-19. While considerable variability exists in the prevalence of burnout among doctors working in South African health facilities, pre-, during and post-COVID-19 pandemic, the pandemic resulted in greater burnout rates. Factors associated with burnout include both individual and organisational factors, which need to be addressed to mitigate burnout.Contribution:Mitigation of burnout in South African health facilities should focus on individual-based and context-related interventional measures at an organisational level.

The health and wellbeing of cardiology trainees in the united kingdom

Abstract Background Cardiology is a rewarding medical speciality. However, the intense workload can burden cardiologists with physical and psychological demands, and risks contributing to ill health. Cardiologists suffering poor health may increase absenteeism, stretching a workforce, and potentially reduce quality of patient care. Purpose We sought to describe the prevalence of physical and mental health conditions of cardiology trainees within the United Kingdom. We also aimed to identify factors associated with risk of burnout and negative drivers of psychological wellbeing. Methods The British Junior Cardiologists Association (BJCA) is a professional body which represents cardiology trainees in the UK. The BJCA conducts an annual survey of trainees, covering various aspects of working lives and all UK cardiology trainees are eligible to participate. For the 2023 survey, in addition to demographics and training questions, we asked questions on ill health, burnout, support for wellbeing, and invited responders to complete validated screening questionnaires for anxiety (GAD-7) and depression (PHQ-9). Responders were eligible for inclusion if they consented to take part in the health and wellbeing questions, and if they had completed four demographic questions. Anxiety and depression were deemed significant if scoring in the moderate or severe range (PHQ-9≥10; GAD7≥10). Significant burnout was defined as responders indicating being "somewhat" or "very" close to burnout. Logistic regression was used to determine odds ratios (OR) between univariate predictors of burnout, anxiety, and depression. Results Of the 398 responders, 212 fulfilled inclusion criteria (66% male, age 34±4 years, 42% had dependents). A physical health condition was reported by 11% of trainees, and 9% a reported a mental health condition. Significant burnout was reported by 76% of trainees. Those with dependents reported lower rates of burnout compared to those without (OR 0.35, 95% CI 0.18-0.67, p&amp;lt;0.01). Significant depression scores were reported by 25%, significant anxiety scores in 18%, and significant scores of either depression or anxiety in 29% (Fig 1). Scores from 17% of trainees were consistent with significant depression or anxiety and yet not known to have a mental health condition. Less Than Full Time trainees reported higher rates of anxiety (OR 4.38, 95% CI 1.37-14.10, p=0.01) and depression (OR 10.31, 95% CI 2.98-35.71, p&amp;lt;0.01). Training was reported to have a negative impact on physical health by 43% of trainees, and 47% reported a negative impact on mental health. Principal drivers of negative wellbeing included the amount of service provision; curriculum requirements, and lack of training opportunities (Fig 2). Conclusions The prevalence of anxiety, depression and burnout is high amongst cardiology trainees. Urgent action is needed by training bodies and employers to ensure training programmes consider the physical and mental wellbeing of trainees.Depression and Anxiety ScreeningNegative Drivers of Wellbeing

Improving joy at work and reducing burnout in health care workers in Victoria, Australia using the Institute for Healthcare Improvement joy in work framework: A mixed-methods study.

Burnout in health care workers (HCWs) has serious ramifications for individual well-being, patients, organizations, and health systems. Global evidence demonstrates the COVID-19 pandemic has amplified the risk of burnout. Scalable interventions to address burnout are critical to protect HCW well-being. Underpinned by the Conservation of Resources theory, this study examines the impacts of a statewide improvement initiative (the Initiative), using the Institute for Healthcare Improvement Joy in Work (JiW) Framework, to reduce burnout and increase joy at work across participating health care organizations in Victoria, Australia. An impact evaluation was undertaken utilizing a mixed-methods design. Quantitative outcomes included burnout and joy at work measured using an adapted Mini Z tool. In-depth interviews with implementation teams sought insights into the effectiveness of interventions. Overall, 20 teams from 17 organizations across diverse health care settings and geographical locations participated. At a statewide level, outcomes in burnout and joy at work were inconclusive due to limited data. However, five out of eight teams reporting sufficient data achieved measurable improvements in one or more outcomes. Qualitative data revealed the Initiative increased workplace resources and supports such as providing "permission" for HCWs to prioritize well-being at work, improved communications between management and HCWs, and increased HCWs' teamwork and camaraderie, resulting in safer and more positive workplaces. The JiW Framework, implemented across diverse settings, provided organizations with a structured process to develop multifaceted improvements that resulted in enhanced resources that appeared to improve HCW well-being. Compared to individual well-being support, this approach offers organization-level change and scalability potential.

Unveiling the Layers of Faculty Burnout in Canadian Private Universities during the post-COVID Pandemic Period

The COVID-19 pandemic significantly altered the employment landscape, including educational institutions, creating long-term effects for college and university employees. One of the major implications of the pandemic is the systemic transformations in employment and organisational dynamics, that resulted in effects on working conditions and workplace responsibilities. Emotional, physical, and mental exhaustion accompanying these changes have heightened the risk of faculty burnout. This qualitative research, reports on the multifaceted phenomenon of faculty burnout within Canadian private universities amidst the post pandemic. A phenomenological approach was used to conduct indepth interviews with participants, resulting in narrative responses regarding experiential aspects of participants&amp;rsquo; workplaces, daily routines, social interactions, and perceptions of organisational support. Notable findings included burnout in eleven distinct categories: technology and tools, career development, intrinsic motivation, psychological factors, social worth, unmet individual expectations, mental and physical health, time constraints, task management, workload, and&amp;nbsp;professional role. The findings were categorized into three overall themes, including organisational factors, individual factors, and work-specific factors. A comprehensive conceptual model was developed to provide a snapshot of the value alignment of these factors to the overall concept of faculty burnout. The results highlight the significance of the intricate interplay of various elements contributing to burnout and offer significant insights into the lived experiences of faculty members within the context of burnout among Canadian private universities during and after the pandemic. The study informs academic researchers and institutional policymakers of the need for adaptable and responsive interventions to support the faculty, especially in the post-Covid context.

Fostering Nurses’ Support in the Workplace: Addressing Job Burnout Among Malaysian Medical Doctors Working in Public Hospitals

Job burnout in employees is caused by individual factors, including demographic characteristics and nurses’ support. This study analyzed the relationship between nurses’ support and job burnout among medical doctors in Malaysian public hospitals. This research was a correlational study with a cross-sectional design. The research sample was 471 employees, using the non-probability sampling method with the purposive and quota sampling techniques. Data collection used the Abbreviated Maslach Burnout Inventory (aMBI) and nurses’ support items. The data in this study were analyzed using the Statistical Package Social Science (SPSS) and Partial Least Squares Structural Equation Modelling (PLS-SEM) software. Findings suggest that 77 medical doctors who participated in the study were from Hospital Pulau Pinang, from the Emergency Department, mostly female, ranging from 24-56 years old, single, and have an MBBS education level. The study assessed the measurement model’s loading, average variance extracted (AVE), and composite reliability (CR) where the loadings were above 0.60. AVEs were greater than 0.50 and CRs were greater than 0.708. Additionally, the bootstrap BCI LL (-0.079) and UL (-0.002) for nurses’ support and job burnout were not straddled a 0 in between. Job burnout had a negative association with nurses’ support. In particular, nurses’ support towards medical doctors lowers their risk of job burnout, which has a substantial impact on medical doctors’ overall well-being. The findings indicated that medical doctors who had complete support from their nurses performed their jobs more efficiently, displayed good task performance, and experienced less job burnout.

Unique and cumulative effects of different subtypes of sleep problems on burnout among Chinese nurses

ObjectiveTo investigate the unique and cumulative associations of different sleep problem subtypes with burnout among Chinese nurses.MethodsA survey was conducted in Quanzhou, China, and a total of 744 nurses were included. Burnout was measured by Maslach Burnout Inventory-Human Services Survey across three dimensions: emotional exhaustion (EE), depersonalization (DP) and low personal accomplishment (PA). Pittsburgh Sleep Quality Index was used to measure 15 types of sleep problems. Binary logistic regression was employed to explore the association between sleep problems and burnout.ResultsPrevalence of sleep problems, high EE, high DP and low PA were 43.3, 6.9, 23.4, and 63.2%, respectively. Experience of sleep problems significantly increased risk for EE (OR = 1.31, 95%CI: 1.185–1.436), DP (OR = 1.08, 95%CI: 1.023–1.142) and PA (OR = 1.09, 95%CI: 1.036–1.146). Of the 15 sleep problem subtypes, “feel too cold” and “have pain” were significant predictors of high EE (OR = 3.89, 95%CI: 1.629–9.302; OR = 3.00, 95%CI: 1.314–6.827, respectively), and “daytime dysfunction” significantly predicted low PA (OR = 1.68, 95%CI: 1.135–2.491). Around 40.9% of nurses had reported more than three subtypes of sleep problems. Experiencing more than three subtypes of sleep problems were significantly associated with an increased risk of DP and PA (ORs range from 2.07 to 2.71).ConclusionThese findings suggested that sleep problems was associated with an increased risk of burnout in nurses, with both unique and cumulative risks. Interventions should focus on the prevention and management of the effects of sleep problems among nurses.

The price of pressure: nationwide survey on lifestyle disturbances, occupational burnout and compromised perceived-competency among radiology residents in China.

The competency of radiology directly affects the quality and equity of medical services. Due to their different occupational characteristics compared to other specialists, this study aims to evaluate the impacts of lifestyles on competency and burnout in radiology residents in China. A nationwide, cross-sectional survey was conducted from December 1, 2020 to April 30, 2021. A total of 12,208 radiology residents during their standardized residency training in China were invited. Multivariate linear regression and logistic regression were conducted to identify perceived competency and burnout associated with lifestyles. Of the 3,666 participants, 58.02% were female, 82.24% were aged <30 years, 40.53% were from the Eastern region, and 92.06% obtained a bachelor's degree. The radiology residents with high-level lifestyles had higher competency (β = 0.16, 95% CI = [0.01, 0.32]), particularly in the realms of sleep, physical activity, and alcohol consumption. The correlation was stronger in residents with longer work hours and more night shifts. Residents with insomnia (OR = 7.69, 95% CI = [4.23, 14.67]) and less exercise (OR = 6.24, 95% CI = [1.33, 29.37]) had higher burnout risk, while residents who smoked had a lower risk (OR = 0.60, 95% CI = [0.40, 0.89]). And lifestyle factors had a slightly different impact on emotional exhaustion and depersonalization. Radiology residents' lifestyles can be emphasized, as it may reflect their pressure and wellbeing and influence their concentration, competency, burnout and performance. Policymakers and hospital administrators should incorporate practical and modifiable strategies into work routines to improve the lifestyle quality of residents.

Burnout and turnover risks for healthcare workers in the United States: downstream effects from moral injury exposure

Moral injury has emerged as a construct of interest in healthcare workers’ (HCW) occupational stress and health. We conducted one of the first multidisciplinary, longitudinal studies evaluating the relationship between exposure to potentially morally injurious events (PMIEs), burnout, and turnover intentions. HCWs (N = 473) completed surveys in May of 2020 (T1) and again in May of 2021 (T2). Generalized Linear Models (robust Poisson regression) were used to test relative risk of turnover intentions, and burnout at T2 associated with PMIE exposure, controlling for T1 covariates. At T1, 17.67% reported they had participated in a PMIE, 41.44% reported they witnessed a PMIE and 76.61% reported feeling betrayed by healthcare or a public health organization. In models including all T1 PMIE exposures and covariates, T2 turnover intentions were increased for those who witnessed a PMIE at T1 (Relative Risk [RR] = 1.66, 95% Confidence Interval [CI] 1.17–2.34) but not those that participated or felt betrayed. T2 burnout was increased for those who participated in PMIE at T1 (RR = 1.38, 95%CI 1.03–1.85) but not those that witnessed or felt betrayed. PMIE exposure is highly prevalent among HCWs, with specific PMIEs associated with turnover intentions and burnout. Organizational interventions to reduce and facilitate recovery from moral injury should account for differences in the type of PMIE exposures that occur in healthcare work environments.

Systematic Literature Review: Nurses' Work Hours and Workload Impact on Patient Safety Incidents

Patient safety is a key indicator in assessing the quality of healthcare services in hospitals, and nurses play a crucial role in maintaining that safety. However, long working hours and high workloads can affect nurses' performance, increasing the risk of fatigue, stress, and burnout, ultimately contributing to medical errors and decreased quality of care. This study aims to conduct a systematic literature review on the effect of nurses' working hours and workload on hospital patient safety incidents. Patient safety is a key indicator in assessing healthcare quality, and nurses play an essential role in maintaining patient safety during daily care. However, long working hours and high workloads can affect nurses' performance, increasing the risk of fatigue, stress, and burnout, ultimately contributing to medical errors and decreased quality of care. Through the analysis of various relevant studies, this review suggests that more flexible working hour arrangements and balanced workload management can reduce the risk of patient safety incidents and improve the quality of care provided. This study also recommends that hospital human resource management to create a healthier and safer working environment for nurses and patients.