Severe Burnout Research Articles

Experiences and attitudes of psychiatric nurses in caring for patients with repeated non-suicidal self-injury in China: a qualitative study

BackgroundThe incidence of non-suicidal self-injury (NSSI) is high and often occurs repeatedly. Psychiatric nurses play a vital role in the care and treatment of NSSI patients, as they have the most frequent contact with patients. The experiences and attitudes of nurses has a direct affect on the quality of care they provide to patients. Negative care experiences and attitudes of patient aversion on behalf of nurses may delay the observation and treatment of changes in the patient’s condition, leading to irreversible risks. Although cross-sectional studies have investigated the attitudes of medical staff toward NSSI patients, quantitative research results cannot comprehensively reflect the emotional experiences and complex psychological changes of the study subjects. A few studies have focused on the psychiatric nurses’ care experiences and attitudes toward patients with repeated NSSI.ObjectiveThis study aimed to explore psychiatric nurses’ care experiences and attitudes toward patients during repeated NSSI.MethodsA thematic analysis qualitative study was used. Using purposive sampling, 18 psychiatric nurses were recruited from a mental health center in Chengdu, China. Semi-structured interviews were conducted and audio-recorded. Audio-recordings were transcribed verbatim and analyzed using six-phase thematic analysis.ResultsFour themes emerged from the analysis: psychiatric nurses’ care experiences, perceptions, care attitudes and coping style toward repeated NSSI patients. Psychiatric nurses have experienced negative care experiences and severe career burnout during the patient’s repeated NSSI. Nurses’ attitudes toward NSSI patients changed during repeated NSSI, from understanding to indifference to anger and resentment. At the same time, it was found that nurses’ coping style with NSSI patients could be divided into three stages, namely, active coping, neglect and perfunctory, and criticism and punishment.ConclusionsThe findings have implications for health care systems regarding interventions to improve nurses’ care experiences and attitudes toward repeated NSSI patients. These findings suggest that enhancing nurses’ understanding of NSSI, establishing standardized emergency response and intervention programs, guiding positive professional values and responsibility, and improving nurses’ caring attitudes can promote the early detection and timely intervention of NSSI.

Positive vaccine beliefs linked to reduced mental stress in healthcare professionals during COVID-19: a retrospective study.

The COVID-19 pandemic has led to a significant adverse effect on the mental health of healthcare professionals. This study aims to assess the effects of the prolonged pandemic on burnout and mood disorders and to evaluate the influence of positive vaccination beliefs on these factors at a medical center during the extended COVID-19 pandemic. This retrospective study analyzed the results of an online questionnaire survey including burnout status and mood disorders from 2020 to 2022. The factors related to mood moderate/severe disorders and the impact of the positive vaccine belief were also explored. The initial analysis revealed that healthcare professionals continued to experience significant levels of personal and work-related burnout, along with mood disorders. However, the scores and the percentage of moderate to severe burnout gradually decreased. Notably, the percentage of individuals with moderate to severe mood disorders also gradually declined (2020: 13.4%, 2021: 12.3%, 2022: 11.1%). The number of participants who need professional interventions decreased from 56.2% in 2020 to 45.9% in 2021, and 46% in 2022. Multivariate analysis revealed a positive vaccine belief was associated with a lower risk of moderate/severe mood disorders, with odd ratios (OR) and 95% confidence intervals (95% CI) of 0.38 (0.28 - 0.52) and 0.41 (0.30 - 0.52) in the 2021 and 2022 cohorts, respectively. Further investigation revealed that age over 50 was linked to a positive vaccine belief in 2021 and 2022. Within the 2022 cohort, working as nurses was identified as the independent factor associated with a less positive belief, with the OR and 95% CI of 0.49 (0.27 - 0.90). The findings of the present study suggest burnout and mood disorders are still significant during the pandemic. A positive vaccine belief may mitigate pandemic-related mental distress. Further interventions to enhance the belief combined with other supporting measures are important in a long fight against the pandemic.

Causes and Countermeasure of Job Burnout of Funeral Workers from the Perspective of Public Management in Anhui Province, China

Background and Aim: The purposes of this study were 1) to study the causes of job burnout of funeral workers from the perspective of public management in Anhui Province.2) to study the countermeasures of job burnout of funeral workers from the perspective of public management in Anhui Province and 3) to study the recommendations of job burnout of funeral workers from the perspective of public management in Anhui Province. In this study, semi-structured in-depth interviews were conducted with 8 funeral practitioners from 4 funeral institutions in Anhui province (taking 4 funeral institutions in Hefei, Anhui Province as examples). Materials and Methods: Through interviews with key informants who represented a range of roles within the funeral industry and a focus on four funeral agencies, the study carefully investigated the funeral industry in Anhui Province. Eight people—funeral directors, cremators, embalming surgeons, funeral attendants, and people who handle remains—provided insights between 2023 and 2023, offering a thorough picture of the dynamics and practices of the industry in the area. Results: (1) The causes of job burnout of funeral workers from the perspective of public management in Anhui Province on the whole are under great pressure. The social prejudice against the funeral profession and the oppressive working environment. (2) In terms of personal characteristics, funeral workers have significant differences in their work stress responses due to differences in gender, age, working hours, and specific work content; In terms of education level, marital status, and position, there is no significant difference in work stress response of funeral workers. (3) From the analysis of various dimensions of work stress sources for funeral workers, the five dimensions of workload, colleague relationship, work environment, family relationship, and social 2influence have significant predictive effects on the overall work stress response. Conclusion: Funeral workers in Anhui Province experience severe job burnout as a result of social prejudice, oppressive working conditions, and a variety of personal issues. Workload, colleague relationships, the work environment, family dynamics, and social influence all have a significant impact on work stress, and reactions vary by gender, age, and job type.

The Prevalence of Burnout in Limb Lengthening and Reconstruction Surgeons.

To evaluate the level of burnout among international limb reconstruction surgeons. Burnout describes chronic workplace stress that has not been successfully managed. Limb reconstruction surgeons may be particularly at risk for burnout. The development of necessary skills and expertise has a steep learning curve and the patients are among the most complex in orthopaedics, with multiple failed surgeries and high complication rates. An internet-based REDCap survey consisted of demographic questions, four open-ended questions, and two valid, reliable measures: (1) Patient Health Questionnaire 4 (PHQ-4)-a screening tool for anxiety and depression, and (2) The Maslach Burnout Inventory-Human Services Survey for Medical Personnel (MBI-HSS-MP) which measures levels of depersonalization, emotional exhaustion, and low personal achievement. The surveys were distributed to international limb reconstruction surgeons. Statistical analysis consisted of descriptive and non-parametric analysis: Chi-square and Kruskal-Wallis tests. There were 103 surgeon responses from at least one country of each of the six populated continents. Eighty-three percent of the respondents were male. The career level distribution was early (1-10 years' experience) = 51%, mid (11-20 years' experience) = 30%, and late (>20 years' experience) = 20%. Twenty-four percent stated they were currently being treated or had been treated in the past for mood or anxiety or both with medication or counselling. Based on the MBI-HSS-MP scores, 38% of limb reconstruction surgeons displayed burnout symptoms, and 16% exhibited severe burnout. The mid-career had the highest levels of overall burnout; there was no statistical significance between the groups. The PHQ-4 scores were within normal limits. In this study sample, 38% displayed burnout symptoms and 16% exhibited severe burnout. The mid-career group had the highest level of burnout. Unmanaged burnout can lead to major depression or suicidal ideation, or both. Support systems for limb reconstruction surgeons need to be developed and maintained. Iobst C, Tulchin-Francis K, Richard HM. The Prevalence of Burnout in Limb Lengthening and Reconstruction Surgeons. Strategies Trauma Limb Reconstr 2024;19(2):67-72.

Implementation of Coaching to Address Burnout in Emergency Clinicians

BackgroundFactors including sleep disturbances, shift work, secondary traumatization, and workplace violence make emergency nurses uniquely susceptible to burnout. A recent study cited nearly half of emergency registered nurses (49.3%) experienced moderate to severe burnout. There is an urgent need for evidence-based solutions to address burnout and turnover in emergency nurses. The objective of this quality improvement project was to determine the effectiveness of a wellness coaching program for reducing burnout and turnover in emergency nurses and advanced practice providers. MethodsBaseline assessments of burnout and turnover intention were measured at the beginning of the coaching program and measured again upon completion of the coaching program. InterventionEight registered nurses and 2 advanced practice providers from an emergency department in a west coast community hospital completed 6 to 8 weeks of wellness coaching led by a board-certified nurse coach. The wellness coaching program was an evidence-based, modular curriculum in which participants chose the number and length of sessions. ResultsAn average of 6 hours of individualized, 1-on-1 wellness coaching was completed over 7.5 weeks. The project resulted in a large reduction in emotional exhaustion and turnover intention, no effect on depersonalization, and a small reduction in lack of personal achievement (Cohen’s d = 0.79, 1.53, −0.18, and −0.35). Ninety percent of clinicians agreed or strongly agreed that coaching helped improve their burnout and said they would consider it again in the future. ConclusionThis quality improvement project demonstrates wellness coaching was an evidence-based solution for improving burnout and turnover in emergency nurses. More investigation is needed to determine duration of reduction of these outcomes.

Influence of Risky Internet Use on Physical Activity and Academic Burnout among Undergraduate Students

Objectives: In this study, we investigate the correlations between Internet use risk, physical activity, and academic burnout among undergraduate students. Methods: We conducted a cross-sectional survey with 620 participants using tools like the Problematic and Risky Internet Usage Scale, the Copenhagen Burnout Inventory Student version, and the Baecke tool. Results: Over two-thirds of participants had high risky Internet use, while about half had severe academic burnout. Most students had low physical activity levels, and males had a greater predisposition to the risk resulting from Internet addiction. There was a significant difference in academic burnout according to gender, with more academic burnout among males. Whereas both males and females had low physical activity levels, there was a statistically significant difference between their levels of physical activity. Conclusion: We recommend university decision-makers organize regular physical activities to prevent academic burnout and conduct workshops and lectures to highlight the value of physical activity.

Investigation of occupational burnout status and influencing factors among emergency department healthcare workers using the MBI-GS Scale.

The incidence of occupational burnout among emergency department healthcare workers is high, and their occupational health deserves attention. Establishing a comprehensive occupational health system in medical institutions is crucial. This study aims to understand the current status of occupational burnout among emergency department healthcare workers, analyze its influencing factors, and provide references for preventing burnout in this population. A cross-sectional survey was conducted using convenience sampling through the Questionnaire Star platform from December 2022 to January 2023 among emergency department healthcare workers. The Maslach Burnout Inventory-General Survey (MBI-GS) scale was used to assess the level of occupational burnout, and univariate analysis and binary Logistic regression analysis were employed to explore the influencing factors of burnout. A total of 1 173 valid questionnaires were collected, with 946 (80.65%) respondents experiencing occupational burnout. The proportions of mild-to-moderate and severe burnout were 73.57% and 7.08%, respectively. The scores for the three dimensions of burnout among emergency department healthcare workers were as follows: emotional exhaustion (EE) 2.33±0.31; depersonalization (DP) 1.88±0.28; low personal accomplishment (LPA) 3.20±0.39. The overall score was 2.46±0.22. Factors associated with occupational burnout included being an only child (OR=1.362, 95% CI -0.707 to -0.058), the average number of night shifts per month (OR=1.167, 95% CI 0.091 to 0.272), and personal experience of workplace violence (OR=1.094, 95% CI 0.027 to 0.195) (all P<0.05). The incidence of occupational burnout is high among emergency department healthcare workers. Effective measures should be taken by management to promptly intervene, reduce burnout, and ensure the smooth functioning of emergency medical services.

Burnout Among Nurses Working in Critical Care Units During the COVID-19 Pandemic

Burnout is a state of emotional and physical depletion. Its occurrence among critical care nurses (CCNs) is a concept that has gained traction yet remains an issue with global consequences. Nurses are especially vulnerable to burnout due to the persistent stressors they are exposed to, which include the general work environment, biological factors, and emerging changes caused by COVID-19. This study aims to assess the severity of burnout among CCNs during the COVID-19 pandemic and its associated factors. A descriptive cross-sectional questionnaire was used in this study to measure the estimated burnout rate among CCNs in Palestine and establish associations with potential factors. Maslach Burnout Inventory questionnaire was used for the task. The results showed out of the 173 participants, more than 35% reported severe overall burnout. Per burnout domains, it was found that around 70% of participants suffered from low personal accomplishment, while 59.5% had severe levels of depersonalization, and finally, more than 65% of critical nurses had severe emotional exhaustion. Out of the various variables tested, gender, age, type of hospital, PPE, and fear of transmission were found to be associated with overall burnout. CCNs in Palestine were found to be severely burned out and should be dealt with before getting out of hand. The research found variables related to burnout contributed to burnout. Recommendations for further studies and prioritization should be made.

A Correlational Study Measuring Burnout and Resilience Among Nurse Educators.

Burnout, one possible cause of the nurse faculty shortage, may be mitigated by resilience. This study found that faculty who scored unusually low in resilience were likely to feel emotionally exhausted and depersonalized; however, even those with average scores in resilience were likely to feel emotionally exhausted, if not depersonalized. These findings suggest that interventions that increase resilience may reduce the frequency of the most severe burnout profiles among nurse educators. Only a change in the structure of the job will reduce the more prevalent problem of emotional exhaustion.

Cross-sectional study of the association between burnout and work overload and work-life imbalance among medical personnel in Liaoning, China: role of specialty

ObjectivesBurnout is common among medical personnel in China and may be related to excessive and persistent work-related stressors by different specialties. The aims of this study were to assess the...

Casting a Wider Net: On the Utilitarian Nature of Burnout Assessment in the Workplace.

Some consider the burnout label to be controversial, even calling for the abandonment of the term in its entirety. In this communication, we argue for the pragmatic utility of the burnout paradigm from a utilitarian perspective, which advocates the greatest good for the most significant number of employees in organisations. We first distinguish between mild work-related burnout complaints and more severe burnout that can be identified in some contexts. We address the classification of burnout as an 'occupational phenomenon' by the World Health Organization and its ambiguous status in the ICD-11, highlighting the challenge of universally diagnosing burnout as a condition. We argue that a purely clinical approach might be too reactive as it normally only identifies employees with a diagnosable condition. We posit that early detection of burnout through valid assessment can identify struggling employees who do not yet have a diagnosable condition. This proactive approach can help prevent escalation into mental health crises and is more sensible for organisations in terms of effectiveness and employee retention.

The consequences of housewives' gender perceptions in Turkey: Self-alienation and Burnout

In this study, it is aimed to determine the levels of self-alienation and burnout among housewives in the context of gender perceptions. In this context, the study was carried out with descriptive, cross-sectional and relational design. The study was conducted with 368 housewives living in Turkey. Personal information form, gender perception scale (GPS), self-alienation scale (SAS) and housewives burnout scale (CUBAC) were used to data collection. In the analysis of the data, SPSS package program was used and descriptive statistics were made with Linear Regression. In line with the analyzes, it was determined that the mean age of the women was 40.53±10.14, the mean number of children was 2.25±1.62, and the mean private time allotted to herself in a day was 2.08±2.01. In addtion, it was found that 65% of women got married in traditional way, 32% of women was only responsibile person in home for housework, 34% of women need psychological support, and 33% of women define theirselves as responsible. According to the findings, the mean score of GPS was 95.61±16.12, CUBAC was 54.68±14.28, and SAS was 69.19±10.65. It has been determined that the gender perceptions of housewives are directly related to their burnout and self-alienation levels. It was determined that these women experienced severe burnout and self-alienation especially as a result of their gender perceptions due to the expectations in the society they lived in.

Investigating the Job Burnout Levels and Related Factors in Medical Interns of Guilan University of Medical Sciences

Introduction: Job burnout is a state of mental fatigue resulting from a person's professional life and consists of three dimensions: emotional exhaustion, depersonalization, and decreased personal accomplishment. This study was conducted with the aim of determining the levels of job burnout and its related factors in medical internship students of Guilan University of Medical Sciences. Methods: This cross-sectional analytical study involved 71 medical interns of Guilan University of Medical Sciences participating by census in 2022. The Maslach Burnout Inventory and a socio-economic status questionnaire were completed by the students. The data were analyzed using descriptive statistical tests (percentage, frequency, mean, and standard deviation) and inferential statistics tests (Chi-square and Fisher's exact test) through SPSS (version 25). The P-value &lt; 0.05 was regarded as statistically significant. Results: Out of 71 medical interns, 47.9% of medical students were female, while 52.1% were male. The findings showed that 44.1% of female (15 individuals) and 51.4% of male (19 individuals) experienced severe burnout, and 55.9% of female (19 people) and 48.6% of male (18 people) had moderate burnout. Participants earned high scores in emotional exhaustion (76.1%), depersonalization (67.6%), and decreased personal accomplishment (26.8%). There was a significant relationship between the internship level (P=0.00), the medical school GPA (P=0.011), the pre-internship test score (P=0.003), and the father's education rate (P=0.023) and the emotional exhaustion score. There was also a significant relationship between the depersonalization score and the internship level (P=0.003). Results indicated a significant statistical relationship between variables of maternal education (P=0.026), economic status (as assessed by the student or family regarding housing prices) (P=0.047), and medical school GPA (P=0.004) and the decreased personal accomplishment dimension score. ConclusionThe results of this study showed a high level of burnout among interns, with students scoring high in emotional exhaustion and depersonalization components. Therefore, according to the results of the present study, further research on preventive interventions and strategies to mitigate exposure to burnout factors would be beneficial.

Job stress and burnout among Finnish municipal employees without depression or anxiety.

Job burnout is associated with job stress but also with mental health symptoms, depression and anxiety. This study aims to evaluate the effect of job stress on burnout without the effect of depression and anxiety. A cross-sectional study was conducted in 2015 among 673 employees (88% female) from four public service sectors in Pori, Finland. Job burnout was assessed with the Bergen Burnout Indicator (BBI-15). Job stress was assessed by combining psychological risk factors (demand control, effort rewards and mental workload). Respondents who reported symptoms of depression and anxiety were excluded from the analyses. Of the eligible study subjects (n = 617), 10% reported symptoms of at least mild burnout but only 1% severe burnout. The burnout symptoms varied from 6% to 21% by sector of public service. Job burnout was cumulatively associated with job stress factors. One job stress factor increased the risk of burnout 2-fold (relative risk [RR] 2.13; confidence interval [CI] 0.97-4.68), two factors 6-fold (RR 6.56; 2.92-14.8Or), and three factors even more (RR 23.5; CI 8.67-63.8). Similar trends were observed in the analysis of job burnout components (exhaustion, cynicism and professional inadequacy). Our results indicate that job burnout is also strongly associated with job stress in employees who do not have depressive or anxiety symptoms. As job burnout may precede clinical depression or reduce productivity and well-being at work, it is essential to perform surveys to monitor burnout symptoms among the workforce, and design interventions to prevent remarkable job strain.

Comparative study of job burnout in Shanghai-based nurses against Maslach norm and Hangzhou norm.

This study aimed to analyze the trend in job burnout among nurses in Shanghai, China. The nursing profession globally faces a significant challenge due to aging populations, causing a human resources crisis. Job burnout notably impacts nurses' enthusiasm for work and their overall well-being. Understanding the trends in job burnout among nurses is crucial for addressing this issue. A cross-sectional study involving 799 nurses from a tertiary-care hospital and 11 community health service centers in Pudong New Area South, Shanghai, was conducted using convenience sampling. Data were collected through a general information questionnaire and the Maslach Burnout Inventory scale, to assess job burnout levels. These data were compared with the established Maslach and Hangzhou norms in China. 74.6% of the participants experienced job burnout. The emotional exhaustion dimension had an average score of 27.27±13.93, indicating high levels of burnout; the depersonalization dimension had an average score of 7.83±6.68, showing moderate levels of fatigue; and the personal achievement dimension had an average score of 26.75±10.26, also indicating moderate fatigue. Notably, nurses aged 32-33 years with 11-12 years of professional experience were the most affected. The findings suggest that job burnout is a significant issue in Pudong New Area South, Shanghai, with a notable increase in severe burnout cases over the past decade. Nurses, particularly during the COVID-19 pandemic, face high rates of burnout, with emotional exhaustion being particularly prevalent. To support and retain the nursing workforce, hospital administrators must implement external reward mechanisms and develop policies that encourage personal growth, career development, and a humanistic approach to care. From our review of the literature, we identified instances where burnout standards are either not assessed or lack uniformity in their application. Therefore, it is imperative to adopt a standardized occupational burnout scale for a nationwide survey, encompassing nurse populations across various levels, including province, region, city, and institution. This approach will facilitate the establishment of a practical norm for occupational burnout within China. This norm would enable conducting regular assessments and comparisons to understand the evolving trends of job burnout among nurses, which could pave the way for the creation of targeted support interventions for the nursing profession.

Burnout in ENT France: Update and risk factors; a STROBE analysis

BackgroundBurnout can significantly impact practitioners and their co-workers, and hence patients. There are no data for the prevalence of burnout in French ENT specialists, or for associated risk factors. Material and methodsA French national cross-sectional online survey was performed on the initiative of the ENT National Professional Council (CNPORL), contacting all ENT specialists whose e-mail address was known to the French Society of ENT, the National Professional Council or the National ENT Union. The 22-question Maslach Burnout Inventory (MBI) was sent out, along with 16 extra questions on possible risk factors. ObjectivesThe study sought to assess the prevalence and severity of burnout, using the MBI, and to analyze risk factors. ResultsAmong the 1936 physicians, 406 contacted responded to the questionnaire (21%). Mean age was 47±14 years (range, 25–77 years); 53% male, 47% female. 196 (48%) reported burnout, including 20 (5%) severe burnout. Independent risk factors for burnout of whatever severity, comprised social interaction issues, history of identified burnout, and medicolegal pressures. Social interaction issues were independently associated with specifically severe burnout. ConclusionsBurnout affected almost half of respondents. There are identifiable risk factors, for which improvements could be implemented.

Prevalence and factors associated with burnout syndrome in Peruvian health professionals before the COVID-19 pandemic: A systematic review

IntroductionBurnout syndrome (BS) is a prevalent occupational health problem in health professionals. To describe the prevalence and factors associated with BS in Peruvian health professionals. MethodA systematic review and meta-analysis were performed. The key terms “burnout” and “professional exhaustion” were used with words related to Peru. The databases consulted were LILACS/Virtual Health Library, Medline/PubMed, Science Direct, EBSCO, Scopus, SciELO, and RENATI-SUNEDU; articles published between January 2000 to December 2020 were considered for inclusion. Methodological quality was evaluated using the Newcastle–Ottawa scale. ResultsThirty studies were identified (8 scientific articles and 22 graduate theses). The median sample size was 78, with an interquartile range of 50–110. A meta-analysis was performed to calculate a dichotomic prevalence of burnout syndrome in health professionals of 25 % (95%CI: 9 %–45 %; I2 = 97.14 %; 5 studies). Also, our meta-analysis estimated the overall prevalence of mild burnout (27 %; 95%CI: 16%–41 %; I2 = 96.50 %), moderate burnout (48 %; 95%CI: 32%–65 %; I2 = 97.54 %), and severe burnout (17 %; 95%CI: 10%–24 %; I2 = 92.13 %; 18 studies). We present meta-analyses by region, profession, hospital area, and by dimension of the Maslach Burnout Inventory. Overall, the studies presented adequate levels of quality in 96.7 % of the included studies (n = 29). In addition, our narrative review of factors associated with BS and its three dimensions identified that different studies find associations with labor, socio-demographic, individual, and out-of-work factors. ConclusionsThere is a higher prevalence of moderate BS in Peruvian health professionals at MINSA and EsSalud hospitals in Peru, with severity differing by region of Peru, type of profession, work area, and dimensions of BS.

Prevalence and Risk Factors of Burnout Among Medical Residents in Tunisia: A Cross-Sectional Study

IntroductionThe burnout syndrome is a blend of physical exhaustion and emotional fatigue that impairs an individual’s performance at work. In Tunisia, factors like working hours, the frequency of monthly shifts, and the physical and emotional abuse that physicians face from patients have collectively led to a significant incidence of burnout among medical professionals.ObjectivesTo evaluate the prevalence of burnout syndrome among medical residents working in healthcare facilities in Tunisia and to pinpoint the contributing factors.MethodsThis study is a descriptive cross-sectional survey conducted among medical residents completing their training in various healthcare facilities in Tunisia. The study employed an online self-administered questionnaire and assessed burnout across three dimensions: personal burnout, professional burnout, and relational burnout, using the Copenhagen Burnout Inventory (CBI).ResultsA total of 50 physicians took part in the survey. Among them, 72% were female, 80% were single, and the average age at the time of the study was 27.72 years. Concerning their professional status, 84% worked in university hospitals, 16% specialized in surgery, 40% specialized in medicine, and 44% were family physicians. The majority were students from the Faculty of Medicine in Sfax (56%), with 30% in Monastir, 8% in Tunis, and 6% in Sousse. Regarding their work hours, more than 40 hours per week were reported by 32% of participants. According to the CBI scale, 12% of participants had scores indicating severe personal burnout, while 20% had scores indicating moderate personal burnout. Additionally,16% reported severe professional burnout, and 12% had scores suggesting severe relational burnout. In contrast, only 8% had scores indicating moderate relational burnout. The sociodemographic and professional factors that were studied, such as weekly working hours, monthly shifts, specialty, and workplace, did not show a significant correlation with the presence of burnout syndrome.ConclusionsBurnout syndrome among medical resident physicians not only impacts their physical and mental well-being but also reduces their effectiveness and motivation at work. It is essential to introduce stress management strategies within hospitals to foster a healthier work-life balance.Disclosure of InterestNone Declared

Burnout at a tertiary eye care center significantly higher after the start of COVID-19

ObjectiveTo better understand the burnout rates among ophthalmologists before and after the start of COVID-19 in the United States. DesignRetrospective observational study integrating cross-sectional data from annual faculty surveys conducted in 2018, 2021, and 2022, plus a separate, single-item burnout survey administered prospectively in 2022 and repeated six months later to faculty members, trainees, and staff members. SubjectsUniversity of Michigan faculty, trainees, and staff at a tertiary eye care center (Kellogg Eye Center), and Women in Ophthalmology (WIO) members. MethodsA validated, single-item burnout assessment on a 5-point scale was electronically distributed to WIO and Kellogg physicians and staff in late 2022. Links to wellness resources were provided at submission. The survey was redistributed after six months, with an added question on resource utilization. Responses were compared to Kellogg's Annual Faculty Survey in 2018, 2021, and 2022, which included the same single-item burnout measure. All responses to the single-item scale were dichotomized based on presence of burnout. Self-reported wellness resource utilization was also assessed. OutcomesSelf-reported measures of burnout. ResultsA total of 73, 91, and 81 ophthalmologists on faculty completed the Annual Faculty Survey in 2018, 2021 and 2022, representing a response rate of 64 %, 79 %, and 69 %. The response rate for the single-item survey sent to Kellogg among ophthalmologists in 2022 was 43 %. The Kellogg ophthalmologist burnout rate in 2018 was 39.7 % and was significantly higher in 2021 at 70.3 % (p = 0.0001), and in 2022 at 70.4 %. Burnout rates amongst WIO members and Kellogg ophthalmologists were similar. While no respondents to the single-item survey in 2018 reported the most severe burnout score, in 2021, responses shifted to include the most severe answers. Some respondents reported utilizing wellness resources, follow-up results did not demonstrate significantly decreased burnout in any group. ConclusionsIn 2018, ophthalmologists’ burnout rates at this academic eye center were in line with national averages. However, a significant increase in burnout was seen in 2021 onwards, with a shift towards more severe burnout responses. Though numerous factors may account for these changes, COVID-19 may be a significant contributor. Future work may focus on specific contributors to increased rates of burnout amongst ophthalmologists.

The connection between professional burnout of medical workers and the self-help methods during the COVID-19 pandemic

IntroductionMany medical workers suffered from severe professional burnout while working in the conditions of the COVID-19 pandemic, but few of them had the opportunity to find psychological help.ObjectivesThe aim of the research was to study the relationship between emotional burnout and self-help strategies in medical professionals during the pandemic.MethodsThe Maslach Burnout Inventory (MBI) was used to measure the level of professional burnout. It was filled out by medical workers from January 2021 to November 2022.The sample consisted of 314 medical workers (57 men and 255 women), whose average age was 36.97±11.93. According to the level of education, the sample included specialists with secondary general education (4.14%), with secondary special education (19.4%), with incomplete higher education (11.46%), with higher education (59.87%) and PhD (5.1%). 35 people (11%) of the surveyed medical workers worked in the red zone.ResultsWhen medical workers experience severe Emotional Exhaustion and Depersonalization, they often try to help themselves by drinking alcohol (r=0.156; p=0.005; r=0.184; p=0.001), eating (r=0.227; p=0.000; r=0.151; p=0.007), taking medications (r=0.204; p=0.000; r=0.212; p=0.005), solitude (r=0.204; p=0.000; r=0.133; p=0.019), watching TV series (r=0.173; p=0.002; r=0.146; p=0.01). With an increase in the Reduction of professional skills, medical workers also eat more (r=-0.148; p=0.009) and try to learn something new, engage in self-development (r=-0.137; p=0.015). It is important to note that the desire to seek psychological help is associated only with Emotional Exhaustion (r=0.121, p=0.032), that is, he/she may be aware at an early stage of professional burnout, when the symptoms of depersonalization and reduction of professional skills have not yet occurred.ConclusionsThus, all the considered self-help methods are already used with pronounced symptoms of professional burnout, but do not lead to its pronounced decrease. It is important to note that seeking psychological help is possible with awareness of emotional exhaustion, but not with depersonalization and reduction of professional skills.Disclosure: Research is supported by the Russian Science Foundation, project No. 21-18-00624.Disclosure of InterestNone Declared