Signs Of Burnout Research Articles

Predictive modelling of burnout among Kazakhstani English teacher candidates

Introduction. In Kazakhstan, 55% of English pre-service teacher candidates do not plan to work in public schools after graduation. The current quantitative study, using statistical analysis, sought to determine the causes of this phenomenon.The aim of the present research was to determine the probability of early career burnout among future English teachers using predictive modeling.Methodology and research methods. To create a predictive model, the authors used the following statistical data analysis tools: factor analysis, ordinal regression, and the Сhi-square test. The selection of the above tools provides to predict the probability of work intention in a Kazakhstani public school for more than five years. This period acts as a proxy variable for predicting future teachers’ burnout rates. The study involved 160 pre-service teachers, who received State scholarships for free tuition, with an obligation to work in public schools after graduation.Results and scientific novelty. The data indicated that some respondents would only work for a period of less than five years, due to a sense of despair about their profession. The results demonstrate that pre-service teachers require better training. Furthermore, the authors found a correlation in teaching career expectations and the gender gap, where mature female participants were more likely to carry an intention to work for more than five years.Practical significance. The present study makes a contribution to further research aimed at preventing the shortage and turnover of teaching staff in the workplace by detecting early warning signs of burnout among prospective teachers. The authors identified the indicators of the risk group of novice teachers, who are more prone to burnout due to emotional exhaustion, low self-efficacy, low expectations, and prospects from a teaching career. The authors believe that effective career guidance provides an adequate selection of the most motivated applicants with high occupational expectations.

Well-being in Residency: Impact of an Online Physician Well-being Course on Resiliency and Burnout in Incoming Residents.

Wellness in residency has come to the forefront of national graduate medical education initiatives. Exponential growth in knowledge and skill development occurs under immense pressures, with physical, mental, and emotional stressors putting residents at burnout risk. The Accreditation Council for Graduate Medical Education requires programs to attend to resident wellness, providing the structure, environment, and resources to address burnout. This study's purpose was to evaluate the Andrew Weil Center for Integrative Medicine online Physician Well-being Course (PWC) with incoming postgraduate year-1 (PGY-1) residents in multiple residencies across a single health care system. The PWC teaches the learner strategies for building resilience, managing stress, identifying signs of burnout, and mindfulness practices including a self-selected daily 10-minute resiliency activity (meditation, gratitude journaling, and finding meaning journaling) for 14 days. Incoming PGY-1 residents were enrolled in PWC 1 month prior to 2018 orientation. Validated measures of resiliency, burnout and gratitude were completed pre- and postcourse. We assessed pre/postcourse changes with paired t tests. We asked participants whether they incorporated any wellness behavior changes postcourse. Almost two-thirds of the incoming trainees completed the course (n=53/87, 61%). We found significant improvements (P<.05) for resiliency and burnout (emotional exhaustion, depersonalization). Gratitude did not change. The personal accomplishment burnout scale declined. The most frequently reported wellness behaviors were in the area of sleep, exercise, and diet. Resiliency, emotional exhaustion, and depersonalization improved, personal accomplishment declined, while gratitude remained the same. This project demonstrates an accessible and scalable approach to teaching well-being to incoming residents.

Recognising And Dealing With Staff Burnout

Healthcare workers across the globe are experiencing high levels of stress due to the challenges brought by the pandemic. Kathy Oxtoby outlines some of the signs of burnout and the steps practice managers can take to improve their wellbeing

Interest, Burnout, and Drop-Out Intentions Among Finnish and Danish Humanities and Social Sciences PhD. Students

Aim/Purpose: This study focused on advancing understanding of individual variations in doctoral students’ interest in their doctoral studies and how they related to experiences of burnout and drop-out intentions in Denmark and Finland. Background: Ph.D. students’ experiences of interest, burnout, and dropout intentions among Finnish and Danish Ph.D. students have not been researched before. Research with a person-centred approach exploring individual variations in students undertaking doctoral studies in two comparable but distinct socio-cultural contexts is limited. Methodology: This study uses exploratory factor analysis, K-means cluster analyses in combination with Pairwise comparisons, ANOVA, and Chi-square test. A total of 365 doctoral students in social sciences and humanities disciplines in Finland and Denmark responded to a Cross-Cultural Doctoral Experience Survey. Contribution: This study contributes understanding on individual variation in doctoral students’ interest across two socio-cultural contexts by identifying four personal interest profiles. The profiles were invariant across the contexts. The study also shed further light on the interrelation between the interest in research and the risk for suffering from burnout and entertaining dropout intentions. Findings: The interest profiles identified among the Ph.D. students were the High interest profile, the Moderate interest profile, the Developmental, research and impact interest profile, and the Development and impact interest profile. All interest profiles exhibited high levels of the developmental interest, however they varied especially in the weight given to instrumental and research interests. Ph.D. students in the Moderate interest profile showed signs of burnout, and they were prone to consider dropping out. Also, individuals in the Development and impact interest profile considered more frequently dropping out of their studies. Recommendations for Practitioners: Investing in the identification and support of interest among Ph.D. students is worthwhile, as interest is not a permanent characteristic of the individual, and the combination of research, development, and impact interest indicates a lower risk for burnout and drop-out intentions. Recommendation for Researchers: It is possible that interest profiles are the same across the two national contexts investigated in this study, but their underpinnings and premises are different. It is likely that a qualitative approach would shed more light on these foci. Impact on Society: The results imply that personal interest was not determined by the socio-cultural differences between the countries, indicating that cultivating doctoral students’ personal interest, particularly a combination of research, development, and impact, provides a potential buffer for doctoral students’ burnout and drop-out, which has been raised as global concerns among policy makers, researchers, and doctoral education developers and administrators during the past decade. The study has impact on doctoral studies in international communities. Future Research: The results in this study reflect specific characteristics of social sciences and their applied nature. It remains for future research to investigate the extent to which the identified four profiles of interest in relation to burnout and drop-out intentions emerge in the natural sciences.

How do coaches work with clients showing signs of burnout?

How do coaches work with clients showing signs of burnout?

The phenomenon of imams’ emotional burnout

The article presents the results of an assessment that considers the prevalence and severity of emotional burnout among imams. The study involved 30 imams attending Advanced training courses at Russian Islamic Institute. All the participants were of a masculine gender between the ages of 32 and 55 and who have been imams for 10 up to 28 years. To identify and assess the level of a burnout syndrome in the study, we used the following questionnaires and methodologies: «Rapid assessment of burnout» by V. Capponi, T. Novak, MBI questionnaire by K. Maslach, S. Jackson in the adaptation of N.E. Vodopyanova, a methodology by V.V. Boyko for diagnosing the level of emotional burnout. Analysis of the study results revealed that the majority of imams examined revealed the signs of burnout, although not severe, closer to emotional exhaustion and depersonalization syndrome. This fact displays the need of conducting corrective and preventive measures for preventing the further development of the syndrome.

Association of Occupational Burnout and Nursing Errors With Patient Safety

During the daily nursing practice, dangerous situations might appear that, if not recognized and treated early, can lead to fatigue and professional burnout, causing detrimental consequences for the patient's safety and the adequacy of the healthcare quality of the provider. This article aims to synthesize existing research investigating the association between burnout in healthcare professionals with the safety of patient care in the last decade. The authors herein examined specific nurse surveys that involve burnout assessment and association with clinical errors throughout nurse provided care. Results from this search indicate that patient safety culture must be cultivated towards nursing errors and burnout reduction. The prompt recognition of burnout signs is the critical parameter for nursing errors prevention and patient safety, in the long term. Nursing error management is oriented towards investigation of the burnout symptoms and exists as an integral and essential issue for nursing administration to ensure excellent and qualitative patient care.

Burnout and Resiliency Trends in Pediatric Emergency Medicine Fellows.

Burnout is a problem among physicians. Debriefing may be a tool to decrease burnout and increase resiliency in pediatric emergency medicine (PEM) providers. The objective of this study was to determine rates of burnout and resiliency in PEM fellows and their experience with debriefing. A validated survey was administered to PEM fellows during their first and then third years of fellowship. The survey included the abbreviated Maslach Burnout Index (MBI), the Brief Resilience Scale (BRS), and debriefing experience. The percent of respondents with moderate to high burnout was determined by their scores in each of 3 MBI categories. Their resilience was determined by the BRS score. The effect of debriefing on resiliency scores was analyzed. There were 47 first-year respondents (of 148 first-year PEM fellows) and 34 third-year respondents (of 118 third-year PEM fellows). There were burnout scores in at least 1 MBI category in 80.9% of first years and 65% of third years. In first years, 42.6% showed burnout in personal accomplishment, 38.3% in depersonalization, and 55.3% in emotional exhaustion. By third year, they were 35.3%, 29.4%, and 52.9%, respectively. About 59% of first and third years had low resiliency scores. Fifty-five percent of first year respondents felt comfortable with debriefing compared with 67.6% of third years. The fellows' comfort and experience with debriefing did not significantly affect their BRS score. This study shows that many first-year PEM fellows already have signs of burnout and low resiliency. However, by third year, there was improvement in burnout scores. Additional tools provided in fellowship may help prevent burnout in PEM fellows.

Practical Strategies for Identifying and Managing Burnout in Plastic Surgeons.

Physician burnout is a well-known problem and widespread issue in the field of medicine. Recently, more attention has been given to the significance of burnout among plastic surgeons. The cause of burnout is multifactorial, with emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment all playing a role. The objective of this article is to provide practical measures to help plastic surgeons in identifying the signs of burnout, thereby mitigating its consequences. A literature review was performed to determine the comprehensive findings of previous research conducted on burnout among plastic surgeons. Particular interest was given to successful tactics used in managing work-related stress. Wellness strategies and resources from both academic and private medical settings were also obtained to further review methods for burnout management. There is a wide range of causes and risk factors for burnout among plastic surgeons. The majority of cases correlate with increased workload, loss of physician autonomy, and, in the context of trainees, lack of mentorship. Managing burnout can be supported by identification through survey tools. Establishing a wellness committee is also useful to develop institution-specific interventions. Equally as important, individuals must take steps to manage and minimize their burnout. This article provides practical strategies for institutions to identify and manage burnout among plastic surgeons. It is obvious that causes of burnout vary in different settings such as academic and community hospitals; therefore, it is critical for institutions to individualize their approach to burnout.

SOME ASPECTS OF THE EMOTIONAL AND PSYCHOLOGICAL STATUS OF STATE AND MUNICIPAL EMPLOYEES

Research shows that not only material motivation is important for employees, but also intangible motivation. Great importance in the labor economy is attached to socio-psychological factors that affect labor productivity and increase labor potential. Psychological factors of working conditions directly affect the employee’s desire to perform their duties as effectively as possible.
 The article deals with some psychological factors of working conditions and prevention of stress factors. The author presents the results of a study of the features of the emotional and psychological state («emotional burnout») identified in state and municipal servants. The number of stress factors in these groups of employees is large. Based on the conducted interview, the causes that provoke emotional burnout were identified. More than half of respodents have signs of burnout and exhaustion. The most clearly formed symptoms are «inadequate emotional selective response» and «reduction of professional responsibilities». The article offers recommendations aimed at preventing and correcting symptoms of emotional burnout. Recommendations can be used in HR technologies when working with personnel.
 The article presents the results of the conducted research into the peculiarities of emotional burnout of state and municipal officials, and develops recommendations aimed at preventing and correcting the symptoms of emotional burnout. Recommendations can be used in HR technologies when working with employees of the organization.

Gastroenterology Providers Spend an Additional 45–50 Minutes on Electronic Health Records Per Hour of Scheduled Time

Nearly 50% of US physicians exhibit signs of burnout,1 a condition associated with dissatisfaction with work-life balance, substance abuse, reduced quality of care, and decreased productivity.2 Burnout and its consequences are also prevalent among physician assistants and nurse practitioners, collectively referred to as nonphysician providers.3.

THE DENTAL STATUS OF DENTISTS WITH BURNOUT SYNDROME

The aim of the present study was to identify the dependence of the frequency and quality of hygiene habits on signs of burnout. The survey was conducted on the Maslach Burnout Inventory questionnaire. Own questionnaire was also used to identify the dependence of the frequency and quality of hygiene habits on signs of burnout. The survey results were confirmed by data on the prevalence, intensity of caries and the hygienic condition of the oral cavity. The study included 112 dentists; Dentists filled out questionnaires, as a result of which it became clear whether they had burnout, whether their motivation to maintain oral hygiene changed. Oral hygiene, caries prevalence and caries intensity level were also evaluated. 96 dentists showed signs of burnout. The study revealed an association between the motivation for the oral hygienic course and the severity of burnout syndrome among dental professionals. Oral care worsened significantly - 47% of those who had signs of the syndrome used a toothbrush only once a day or less often. The number of dentists using dental floss decreased (only 27% of all respondents) and tongue scraper (only 15%). Mouth rinsers used only 2% of all tested. With an increase in the severity of burnout OHI-S increased by 62% and the incidence of caries increased by 51,6%. Decrease in dentists' motivation for hygienic oral care has been associated with signs of burnout. With increasing severity of burnout dentists had less motivation for individual oral hygiene. Revealed burning mouth syndrome in dentists had a psychogenic origin and was associated with burnout syndrome.

Burnout amongst members of the French-speaking Society of Pediatric and Adolescent Urology (SFUPA). Are there specific risk factors?

Burnout, which includes emotional fatigue, cynicism and low personal accomplishment is linked to poor job satisfaction, decreased empathy, job withdrawal, increased absenteeism and increased medical errors, and is present among pediatric urologists. We aimed to determine the incidence of burnout among the members of the French-speaking Society of Pediatric and Adolescent Urology (SFUPA) and determine which external factors, such as marital or familial status, gender, age, type of practice or religious belief, impacted burnout rates. We sent all members of the French-speaking Society for Pediatric and Adolescent Urology (SFUPA) an anonymous online questionnaire containing the validated French version of the 22-item Maslach Burnout Inventory - Human Services Survey (MBIHSS). The questionnaire comprised further questions on age, gender, marital status, presence of children at home, type of practice, professional status (trainee, consultant, or academic position), spirituality and whether responders believed they presented signs of burnout. 70 out of 94 members of the SFUPA answered the questionnaire (response rate 74%). The number of responders who presented high scores in one, two or the three domains of the questionnaire were respectively 48.6% (IC 95%: 36-61%), 21.4% (IC 95%: 12.5-33%) and 8.6% (IC 95%: 3-18%). 34.6% of responders who believed they presented no signs of burnout actually did have a high burnout score in at least one domain. There was no significant association between age, gender, having children or being a trainee and the presence of burnout. However, marital status and workplace were significantly associated with presence of signs of burnout. Burnout is a distinct type of work-related stress - a state of physical or emotional exhaustion that also involves a sense of reduced accomplishment and loss of personal identity. In our study the most significant factor was working in Academic hospitals which can be associated with administrative workload, long hours and a lack of institutional resources. Being in a couple was also associated with less burnout, thus showing the importance of healthy relationships and sharing on burnout rate. Age, however was not associated significantly with burnout nor was gender, which is in coherence with previous findings. Amongst members of the French-speaking Society of Pediatric and Adolescent Urology, nearly half presented signs of burnout, especially those working in academic hospitals. Marital status also influenced burnout rates. Scientific societies should work on developing tools to identify and accompany affected individuals.

The Exacerbation of Burnout During COVID-19: A Major Concern for Nurse Safety

The Exacerbation of Burnout During COVID-19: A Major Concern for Nurse Safety

Quality and Safety in Healthcare, Part LXVII: Counseling, Mental Health Services, and Wellness Curricula for Medical Students.

There are many approaches to improving the well-being of medical students such as having a wellness curriculum including emphasizing the importance of keeping a balance in life between work and other activities, encouraging mindfulness and other stress reduction techniques, getting adequate sleep and exercise, and learning about the signs of burnout and depression. It is also important to have mentoring services and discussion groups available and to offer counseling for monetary management. Mental health services must be made available, and the students should be advised that seeking treatment will not adversely affect their ability to get a license or a good residency. The students should be counseled that being employed while in medical school is associated with a greater chance of burnout.

Physician Burnout Quality of Life/ Wellness Resource Pilot Program

Burnout is a syndrome of emotional exhaustion, depersonalization, and a sense of low personal accomplishment that leads to decreased effectiveness at work (American Journal of Medicine, 2003). Despite the efforts to combat burnout, the number of U.S. physicians who experience burnout rose from 45 percent to over 50 percent between 2011 and 2014 (National Center for Biotechnology Information, 2015).
 The purpose of this quality improvement evidence-based capstone project was to determine whether a physician wellness pilot program can reduce and or eliminate burnout and stress for practicing physicians at an acute care healthcare institution in the Chicago metropolitan area. The capstone project consisted of a pre-intervention survey, an intervention and a post intervention survey. The participants targeted for this evidence-based project were practicing physicians in Illinois that span across all specialty groups. 
 The physician burnout wellness pilot program was implemented during a two-week period of time during which participants were provided with resources to reduce and or eliminate symptoms of burnout. The implementation of the physician wellness pilot program capstone project showed the physicians at this organization were less stressed and more satisfied with their job at (0.555) percent compared to pre intervention survey results that faired (0.77) and that of the national average of (0.80). Additionally, the post intervention survey results showed the physicians at this organization are experiencing a lower level of burnout (0.44) percent compared to pre intervention survey results that faired (0.53), but a higher level of burnout compared to the national average (0.29).
 Physician burnout is an epidemic that requires immediate attention because it not only effects the physicians, but it effects the healthcare system. As such, regardless of the specialty and demographics of the physicians, organizations and physicians alike must do their part in assessing if burnout exists. The findings showed the importance of physicians being able to recognize the warning signs of burnout, encourage them to seek help when they are stressed, and take active steps towards ridding or reducing burnout. The findings were compatible with evidence-based research that supports building physician resilience by way of the development of a wellness program.

VIRTUAL EXPOSURE AS AN INSTRUMENT TO OVERCOME STUDENTS’ FEAR OF PUBLIC SPEAKING AND SOCIAL INTERACTIONS

The article provides an overview of research on social anxiety and fear of public speaking among students. It focuses on the possibility of psychological assistance with the methods using virtual reality. The anxiety of public speaking, communication, or other public activities can be described as early signs of some anxiety and affective disorders, in particular, a social anxiety disorder. Anxiety of social interactions, which manifests as significant discomfort and can be qualified as a mental health disorder, is characteristic for 7-13% of population. People who are afraid of public actions face challenges in achieving career goals and can be described as less ambitious and purposeful. Based on the worked-out materials, the article author indicates that discomfort felt by students because of their social anxiety causes their financial losses, low economic stability, and the avoidance of possible career prospects. According to the current scientific resources, the main problems associated with fear of public speaking are based on negative perceptions of themselves and ineffective strategies, which people use to resolve social situations. The searches for the best plan to feel “in safety” and fixed attention on minor discomforts during joint activities leads to student’s increased criticism concerning their own results and dissatisfaction with their achievements. It provokes problems with learning, their frequent absence at lessons, and social deprivation, which usually manifested by signs of burnout or depression. Therefore, creating and implementation of appropriate, effective, and empirical evidence-based psychological support is an essential area of research and practice for mental health professionals. The author notes that the recommended psychological therapy for specific and social phobias based on the cognitive-behavioural therapy can be supplemented by the virtual environment, which allows systematic and step-by-step overcoming and desensibilization of negative (traumatic) experiences of situations that anxious students try to avoid. The materials discussed in the article points to the achievement of psycho-emotional stability and the reduction of social anxiety during virtual exposure. The results of virtual exposure techniques used with students indicate decrease of their anxiety, reduction of negative automatic thoughts and improvement of their self-esteem, which contributes to restoring of their psychosocial functioning. &nbsp

Mental health of disabled children: a preventive aspect

The aimis to identify the priority directions for preventing mental disorders in disabled children following a comprehensive analysis of clinical, social, psychological, ethnic and cultural characteristics over 2009– 2017.Materials and methods. 2,204 people were included in the study: disabled children, students of remedial schools aged 7–18 years old (n = 834); parents of disabled children (n = 772); teachers working in various educational facilities (n = 217); respondents of the survey identifying people’s attitude towards children with disabilities (schoolchildren, students, adults, n = 381). Clinical, psychological and statistical methods were used in the study. To identify depression and anxiety in children, Children’s Depression Inventory (CDI), Childhood Myositis Assessment Scale (CMAS), PedsQL inventory, survey on coping strategies (E. Heim) and adapted questionnaires for suicidal risk and alexithymia were used. For adult participants, the Quality of Life Scale, Hamilton Anxiety Rating Scale, Hospital Anxiety and Depression Scale (HADS), and a questionnaire identifying the attitude towards children with disabilities were applied.Results. A high prevalence of mental disorders in children with disabilities (62.7–95.2%) was identified, and the levels of anxiety, suicidal risk, alexithymia were determined. Children’s families were characterized by impaired structure (50%), parenting styles resulting in pathologies (71.5%), low income level (60%), low qualifications of parents and unemployment (13%), alcohol abuse (17.6%), victimized attitudes and low satisfaction with the psychological criteria of quality of life, combined with low level of anxiety. For teachers, the levels of anxiety and depression and signs of burnout were revealed, and the features of their interaction with disabled children in the educational process were described. The attitude of different social groups to children with disabilities was studied. The methodological conditions for carrying out research and organizing medical and psychological care were formulated.Conclusion. Prevention of mental disorders in disabled children includes identification of early signs of anxiety, depression, suicidal risk and assessment of the quality of life and work. This is ensured by a reasonable choice of research methods, psychosocial rehabilitation with involvement of beloved people, and increase in the tolerance level towards children with disabilities in the society.

Burnout Syndrome Amongst Medicine Students in Lithuania and Germany.

Summary. Background.The research provides comparative analysis of the burnout syndrome among medical students in Lithuania and Germany and determines relations between burnout and lifestyle, health complaints and seeking for psychological help. Materials and methods.The research was conducted in April 2019 using an anonymous self-administered e-based questionnaire. The sample size was 261 medical students (age mean 20,5 ± 1,8, 46 males, 215 females): 131 from Vilnius University (VU), 67 from Lithuanian University of Health Science (LSMU) and 63 from Heidelberg University (HU), Germany. The 15 items MBI-SS scale was used to identify burnout syndrome among students (Cronbach α =0,74). Emotional exhaustion (>14), cynicism (>6), and professional efficacy (<23) scores were calculated for academic burnout. The participants were also asked additional questions related to lifestyle and well-being. Descriptive statistics were analysed using MS Office Excel, SPSS and R Commander, results were statistically significant when p<0,05.Results.51 (38,9%) VU, 25 (37,3%) LSMU and 10 (15,9%) HU students were ascertained as burnt-out (p=0,004). 76 (90,6%) respondents complained of feeling study induced mental stress (p=0,0002). Furthermore, 67 (77,9%) respondents indicated having a bad mood (p=0,043), 54 (62,7%) general weakness (p=0,024), 44 (51,1%) digestive problems (p=0,003). Sleep duration was strongly associated with burnout (p=0,002) with over half (n=51, 59,3%) of the burnout respondents sleeping <7 hours a day. 87 (33,3%) students considered consulting a psychologist, but only 24 (9,2%) reached out for help.Conclusions.More than 1/3 of medical students in the research group had signs of burnout. The highest prevalence of burnout was among VU and lowest among HU students. Burnt-out respondents complained of mental stress, weakness, bad mood, digestive problems. The university studies and the duration of sleep can impact the occurrence of burnout syndrome. Only every forth student, willing to consult a psychologist, sought assistance.

Þróun starfsumhverfis á Landspítala: Kulnun í starfi, starfsánægja og gæði þjónustu

Undanfarið hefur umræða um heilbrigðismál hér á landi beinst að aðstæðum og álagi innan Landspítala háskólasjúkrahússins en fræðilegar rannsóknir um vandann eru fáar. Hjúkrunarfræðingar eru stærsta starfsstétt heilbrigðisþjónustunnar og erlendar rannsóknir varpa ljósi á mikilvægi þeirra varðandi gæði þjónustu, öryggi sjúklinga og dánartíðni. Einnig sýna rannsóknir að vinnuálag hjúkrunarfræðinga er að aukast og einkenni kulnunar í starfi að verða algengari. Viðfangsefni rannsóknarinnar var að kanna hvernig hjúkrunarfræðingar og ljósmæður á Landspítala meta starfsumhverfi sitt, starfsánægju og einkenni kulnunar í starfi og gæði þjónustu á Landspítala. Gerð var rafræn viðhorfskönnun meðal allra starfandi hjúkrunarfræðinga og ljósmæðra á Landspitala í nóvember 2015. Gögnin voru borin saman við gagnasafn fyrri rannsóknar frá árinu 2002 með sama mælitæki, á sama stað, með sömu aðferð við öflun þátttakenda og við greiningu gagna. Helstu niðurstöður sýna að einkenni kulnunar eru orðin algengari og alvarlegri, hjúkrunarfræðingar og ljósmæður telja mönnun vera ábótavant, tvöfalt fleiri ætla nú að hætta í núverandi starfi á næstu 12 mánuðum en mat á gæðum þjónustu hefur lítið breyst milli rannsókna. Sömu áhrifaþættir kulnunar í starfsumhverfi komu í ljós í báðum rannsóknum, þ.e. mönnun, stjórnun á deild og samskipti. Rannsóknin er mikilvægt framlag til umræðu um þróun heilbrigðiskerfisins og veitir starfsmönnum, stjórnendum og stjórnvöldum innsýn í starfsumhverfi á Landspítala og leiðir til úrbóta.