Burnout Screening Research Articles

Screening for burn-out in Australian medical students undertaking a rural clinical placement

ObjectiveTo investigate Australian medical student burn-out during rural clinical placement. Second, to examine the association between perceived burn-out and rural career intent at the time of finishing their rural placement.Design,...

Sense of Coherence, Resilience and Coping as Correlates of Burnout of Parents of Children with Disabilities: The New Burnout Screening Instrument

Niepełnosprawność » 2019 » Nr 36 (2019) » Sense of Coherence, Resilience and Coping as Correlates of Burnout of Parents of Children with Disabilities: The New Burnout Screening Instrument A A A

Screening for Burnout in Emergency Medicine Residents: Now What?

Screening for Burnout in Emergency Medicine Residents: Now What?

Multicenter, open-label, exploratory clinical trial with <em>Rhodiola rosea</em> extract in patients suffering from burnout symptoms

PurposeThis study is the first clinical trial aiming to explore the clinical outcomes in burnout patients treated with Rhodiola rosea. The reported capacity of R. rosea to strengthen the organism against stress and its good tolerability offer a promising approach in the treatment of stress-related burnout. The aim of the treatment was to increase stress resistance, thus addressing the source rather than the symptoms of the syndrome and preventing subsequent diseases associated with a history of burnout. The objective of the trial was to provide the exploratory data required for planning future randomized trials in burnout patients in order to investigate the clinical outcomes of treatment with R. rosea dry extract in this target group.MethodsThe study was planned as an exploratory, open-label, multicenter, single-arm trial. A wide range of rating scales were assessed and evaluated in an exploratory data analysis to generate hypotheses regarding clinical courses and to provide a basis for the planning of subsequent studies. A total of 118 outpatients were enrolled. A daily dose of 400 mg R. rosea extract (WS® 1375, Rosalin) was administered over 12 weeks. Clinical outcomes were assessed by the German version of the Maslach Burnout Inventory, Burnout Screening Scales I and II, Sheehan Disability Scale, Perceived Stress Questionnaire, Number Connection Test, Multidimensional Mood State Questionnaire, Numerical Analogue Scales for different stress symptoms and impairment of sexual life, Patient Sexual Function Questionnaire, and the Clinical Global Impression Scales.ResultsThe majority of the outcome measures showed clear improvement over time. Several parameters had already improved after 1 week of treatment and continued to improve further up to the end of the study. The incidence of adverse events was low with 0.015 events per observation day.DiscussionThe trial reported here was the first to investigate clinical outcomes in patients suffering from burnout symptoms when treated with R. rosea. During administration of the study drug over the course of 12 weeks, a wide range of outcome measures associated with the syndrome clearly improved.ConclusionThe results presented provide an encouraging basis for clinical trials further investigating the clinical outcomes of R. rosea extract in patients with the burnout syndrome.

Risk factors for mental disorders develop early in German students of dentistry

PurposeWe investigated mental risk factors such as symptoms of burnout and sense of coherence in students of dental medicine at the University of Erlangen in the context of a learning type survey. Our aim was to assess the presence of analogies to the results we had previously determined for students of human medicine. MethodsWe surveyed a total of 163 dentistry students during the first 2.5 years, up to the first state examination. To ensure comparability, the data were collected from all students at the beginning of each semester. Standardized, validated questionnaires on burnout symptoms (Burnout Screening Scales; BOSS-II), sense of coherence (Sense of Coherence Scale; SOC-L9) and learning type according to Kolb were used in the survey. ResultsA total of about 90% of the students provided responses to the voluntary survey. The extent and manifest dynamics of the stress levels observed can be characterized as dramatic. Having started out at cognitive and emotional stress levels typical of the normal populace, a massive deterioration of these parameters was observed in the students by the time they were facing their first state examination in the 5th semester. At the same time, their sense of coherence also suffered a pronounced drop-off. No significant learning type-correlated differences were determined in a mean comparison of the measured parameters. ConclusionBased on the results obtained, we see a need for preventive course offerings to students of dentistry to reduce the prevalence of mental disorders in this group. We discern additional potential for enhancement of mental health with courses more specifically geared to the different learning styles among the students.

Stressed out or subjective acquisition of competence--how do veterinary students see their curative work placement?

Veterinary studies in Germany are regulated by the Veterinary Certification Act (TAppV). The practical part of the education consists of 1,170 hours, whereby up to 850 hours can be spent on the curative work placement. A curative work placement can result in physical and psychological stress in the sense of a professional overload. It is the aim of this study to find out in what areas and to what extent competence is acquired and psychological stress exists in students during their work placement. Veterinary students (n=142) from all German education institutes participated in a voluntary online-study based on Burnout Screening Scales (BOSS) as well as a questionnaire regarding the acquisition of competence and excessive stress during the work placement (FKÜP). The distribution of values for work placement related stress show that such work placement related stress is generally slightly increased (T=60) and lies above that of occupational stresses within the normal population. Work placement related physical complaints also show a significant slight increase (T=61). A value (T=42) within the normal range was determined for the resource values. Few of the students questioned considered themselves to be excessively stressed in favour of a high subjective acquisition of competences. The largest increase regarding the acquisition of competence was noted for the areas of animal handling/restraint and application and injection techniques. In the sense of a perceived excessive demand regarding practical capabilities the areas of emergency management, surgery and medication dispensation were mentioned. With regard to the load structure and the acquisition of competence by veterinary students during their work placement, more support of the individual and a balancing of teaching/learning goals would be desirable and represents a promising approach.

Professional Burnout Among Plastic Surgery Residents: Can it be Prevented? Outcomes of a National Survey.

Plastic surgery residencies require significant investments of time and psychological resources. We herein determine the prevalence of burnout syndrome among plastic surgery residents and identify potentially protective factors. A national cross-sectional study was conducted among French plastic surgery residents in March 2013. We distributed a validated measure of burnout (Maslach Burnout Inventory) in addition to a general questionnaire collecting sociodemographic and professional information. Fifty-two residents (61%) responded; their mean age was 29 years. A total of 25% and 13.5% of residents scored highly on the depersonalization and high-level emotional exhaustion burnout subscales, respectively, and 48.1% indicated perceived low-level personal accomplishment. The occurrence of a weekly ward round by a senior surgeon (reported by 67.3% of respondents) appears to protect against burnout (P = 0.007); regular staff meetings in the unit (75% of respondents) were also protective because they limited depersonalization (P = 0.048) and promoted personal accomplishment (P = 0.031). The number of hours worked/week was not significantly associated with burnout. Despite these data, 69.2% reported satisfaction with their careers. Almost one third of plastic surgery residents exhibited a high degree of burnout; the risks were increased by being in the early years of training, feeling dissatisfied with career plans, and working in units in which senior surgeons did not make weekly ward rounds and in which regular staff meetings, which offer the opportunity to discuss cases or problems with other professionals, were not scheduled. Burnout increases the risk of medical errors and suicide among residents. Therefore, we suggest that screening for burnout is essential.

12-Phasen-Burnout-Screening: Entwicklung, Implementierung und erste testtheoretische Analysen eines Burnout-Screenings basierend auf dem 12-Phasen-Modell von Herbert Freudenberger und Gail North

12-Phasen-Burnout-Screening: Entwicklung, Implementierung und erste testtheoretische Analysen eines Burnout-Screenings basierend auf dem 12-Phasen-Modell von Herbert Freudenberger und Gail North

Stress and Burnout Risk in Nursery School Teachers: Results from a Survey

This article presents results from a study of 834 nursery school teachers in Germany, investigating working conditions, stress, and stress-related health problems. In order to evaluate the extent of mental and psychosomatic troubles, as well as the risk of burnout, we used the standardised questionnaire "Burnout Screening Scales" (BOSS I). Data analysis yielded a high percentage of nursery school teachers who reported a remarkably high stress level; nearly 20% can be considered as a high-risk group for burnout. Poor staff conditions in many nurseries turned out to be the crucial stress source, along with large groups, insufficient teacher-child ratio, time pressure and multitasking. In the concluding discussion of the study results, we consider possible measures to reduce stress and to improve working conditions for nursery school teachers.

The medical perspective on burnout

The aim of this study was to review recent medical findings related to burnout, its diagnosis, treatment, characteristic pathophysiological features, and preventive measures. A systematic review of the scientific literature in PubMed/Medline was performed. The most recent and important findings were reported. Burnout was found to be a risk factor for myocardial infarction and coronary heart disease. It was also related to reduced fibrinolytic capacity, decreased capacity to cope with stress and hypothalamic-pituitary-adrenal (HPA) axis hypoactivity. Severe burnout symptoms are associated with a lower level or smaller increase of the cortisol awakening response (CAR), higher dehydroepiandrosterone-sulphate (DHEAS) levels, lower cortisol/DHEAS ratios and stronger suppression as measured by the dexamethasone suppression test (DST). More and more literature works suggest that the evaluation of the HPA axis should be brought to the attention of primary care physicians. There is no universal agreement on specific treatment and diagnostic measures to evaluate the wide range of HPA axis disorders. The cost-effective evaluation of adrenal hormones via saliva samples by a primary care physician may significantly alter the course of therapy in numerous chronic disease patients. Psychiatric disorders may have similar symptoms, but they have distinctive hormonal profiles. Having burnout recognized as a medical condition would help in differentiating burnout from similar clinical syndromes, such as depression or anxiety, and provide appropriate treatment to burnout patients. Proper treatment is essential for a fast and full recovery. Chronic stress-related disorders often fall outside the category of a "true" disease and are often treated as depression or not treated at all. The evaluation of adrenal hormones via saliva samples helps to predict burnout. Burnout screening techniques, dietary and nutritional guidelines and lifestyle changes for supporting the HPA function need to be developed. The presented material includes hormonal, dietary, and pharmaceutical perspectives.

Are Australian oncology health professionals burning out? A view from the trenches

ObjectiveTo determine the prevalence and predictors of burnout and psychiatric morbidity in the Australian oncology workforce. MethodA cross-sectional nationwide survey was conducted with 740 (56%) members of the Clinical Oncological Society of Australia. ResultsHigh levels of [emotional] exhaustion were present in 32.8% of participants with direct patient contact (DPC), and 26.7% of those with no direct patient contact (NDPC). The main predictors of burnout were dissatisfaction with leave arrangements for the purpose of preventing or recovering from burnout, increased hours of patient contact, and perceived need for communication skill training. ConclusionsAustralian cancer care workers experience considerable occupational distress whilst possessing high levels of personal accomplishment. Regular screening for burnout is recommended with particular focus on those at-risk staff who have a substantial amount of patient contact, neglect to take adequate leave, or who have not attended communication skills training.