Signs Of Burnout Research Articles

Workplace Factors, Burnout Signs, and Clinical Mental Health Symptoms among Mental Health Workers in Lombardy and Quebec during the First Wave of COVID-19.

Several research contributions have depicted the impact of the pandemic environment on healthcare and social care personnel. Even though the high prevalence of burnout depression and anxiety in healthcare settings before COVID-19 has been well documented in the research, the recent increase in psychological distress and mental health issues in healthcare and mental health workers should be attributed to the effect of the COVID-19 pandemic. The aim of the present study is to develop, evaluate, and compare a model of COVID-19 workplace stressors between two different territories, the Italian region of Lombardy and the Canadian province of Quebec. Within this model, burnout is depicted as the strongest determinant of mental health symptoms for mental health workers. In turn, the main workplace determinants of burnout are the perception of a lack of support from the organization and the fear of contracting COVID-19 at work. Findings also provide insights for designing interventions to promote and protect mental health workers in the context of the pandemic. In conclusion, it is necessary to monitor burnout and carefully analyze elements of organizational culture, in addition to offering clinical and psychological care for those in need.

Psychological distress and burnout among healthcare worker during COVID-19 pandemic in India-A cross-sectional study.

COVID-19 has inundated the entire world disrupting the lives of millions of people. The pandemic has stressed the healthcare system of India impacting the psychological status and functioning of health care workers. The aim of this study is to determine the burnout levels and factors associated with the risk of psychological distress among healthcare workers (HCW) engaged in the management of COVID 19 in India. A cross-sectional study was conducted from 1 September 2020 to 30 November 2020 by telephonic interviews using a web-based Google form. Health facilities and community centres from 12 cities located in 10 states were selected for data collection. Data on socio-demographic and occupation-related variables like age, sex, type of family, income, type of occupation, hours of work and income were obtained was obtained from 967 participants, including doctors, nurses, ambulance drivers, emergency response teams, lab personnel, and others directly involved in COVID 19 patient care. Levels of psychological distress was assessed by the General health Questionnaire -GHQ-5 and levels of burnout was assessed using the ICMR-NIOH Burnout questionnaire. Multivariable logistic regression analysis was performed to identify factors associated with the risk of psychological distress. The third quartile values of the three subscales of burnout viz EE, DP and PA were used to identify burnout profiles of the healthcare workers. Overall, 52.9% of the participants had the risk of psychological distress that needed further evaluation. Risk of psychological distress was significantly associated with longer hours of work (≥ 8 hours a day) (AOR = 2.38, 95% CI(1.66-3.41), income≥20000(AOR = 1.74, 95% CI, (1.16-2.6); screening of COVID-19 patients (AOR = 1.63 95% CI (1.09-2.46), contact tracing (AOR = 2.05, 95% CI (1.1-3.81), High Emotional exhaustion score (EE ≥16) (AOR = 4.41 95% CI (3.14-6.28) and High Depersonalisation score (DP≥7) (AOR = 1.79, 95% CI (1.28-2.51)). About 4.7% of the HCWs were overextended (EE>18); 6.5% were disengaged (DP>8) and 9.7% HCWs were showing signs of burnout (high on all three dimensions). The study has identified key factors that could have been likely triggers for psychological distress among healthcare workers who were engaged in management of COVID cases in India. The study also demonstrates the use of GHQ-5 and ICMR-NIOH Burnout questionnaire as important tools to identify persons at risk of psychological distress and occurrence of burnout symptoms respectively. The findings provide useful guide to planning interventions to mitigate mental health problems among HCW in future epidemic/pandemic scenarios in the country.

DEVELOPMENT OF THE QUESTIONNAIRE AND ESTIMATION OF THE PARTICULARITIES OF OWN EXHAUSTION IN MEDICAL WORKERS UNDER COVID-19 PANDEMIC CONDITIONS. PILOT STUDY

Burnout syndrome is defined in the ICD-11. stated in section "273 – Problems related to the difficulty of organizing their own way of life", is a real scourge of the XXI century, especially for people who work within a communication-related field. This problem has gained particular importance under the influence of the coronavirus pandemic. However, the issues on development and specific manifestations of occupational stress among doctors of different specialties have not been systematically studied yet. Specialty scientific papers on the indicators that reflect the stress and burnout were consulted for the elaboration of the working tool (IPSSHM questionnaire - for diagnosing the professional stress syndrome in the healthcare workers) and selecting the testing methodology. A pilot study was conducted to assess the burnout syndrome as a complex systemic state of the professional activity of various medical specialists in the Republic of Moldova, depending on their psychophysiological characteristics. A questionnaire, which includes two parts (general and special), was developed. The general part of the questionnaire (with ten items) allowed to collect personal social, professional, and married data about the respondent, regarding age, biological gender, family situation, living environment, activity environment, medical specialty, place/work institution, work experience, and information about a part-time job. The unique part of the questionnaire represents a set of 131 items, which characterize the respondent through the prism of six distinctive structural blocks: emotional-sentimental, behavioral block, cognitive block, communicative block, individual-semantic block, and neurophysiological block. 38.3% of themedical workers tested (n=73) did not suffer from burnout, while 61.6% of them presented various signs of burnout. The specific characteristics of the professional exhaustion among healthcare workers were revealed depending on their specialty and work experience, as well as on their psychophysiological peculiarities. The most susceptible to stress factors were the healthcare workers with <10 years of working experience (77.1%). The constituent mental health blocks showed changes among different medical specialties under the influence of occupational exhaustion.The obtained results demonstrate the validity of the questionnaire and the possibility of its application identifying healthcare workers' burnout. A relationship between physician burnout, their behavioral type and level of emotional stability has been demonstrated.

Evaluation of Anxiety, Burnout and Psychological Resilience Levels of Healthcare Workers in the COVID-19 Pandemic

Purpose: The COVID-19 pandemic affects mental health as well as physical health. Many studies have shown that the pandemic has negative effects on the mental health of individuals. Determining the factors that play a role in the psychological resilience and burnout levels of healthcare workers, who are at the forefront of the pandemic, will play an important role in preventive and therapeutic planning in pandemic management. Our aim is to evaluate the anxiety-burnout levels and psychological resilience levels in healthcare workers and the factors affecting them. Method:Sociodemographic data form, State-Trait Anxiety Scale (STAI), Connor-Davidson Psychological Resilience Scale (CD-RISC) and Maslach Burnout Inventory, were created in Google Documents and applied to the Healthcare workers via mail and message groups and social media groups. A total of 257 people were included in the study. Results: In our study, high trait anxiety scores and increased working were associated with increased levels of burnout. Doctors and nurses showed more signs of burnout than auxiliary assistant staff. The emotional exhaustion and personal accomplishment were higher in females. Psychological resilience could predict personal accomplishment sub-dimension and total scores of MBI. Conclusions: Healthcare workers are at risk for burnout. Working conditions should be regulated and psychosocial support programs should be established for healthcare workers who are at the forefront in pandemic.

Burnout of Nurses in Nursing Homes: To What Extent Age, Education, Length of Service and Length of Work Experience at the Current Workplace Affect the Level of Professional Burnout

We are witnessing very demanding and stressful times in which we live, and an occupation that is particularly exposed to stress and different working conditions is the job of a nurse. Exposing themselves to everyday challenges and stressful situations, nurses reach a stage of great emotional and physical exhaustion, lethargy, dissatisfaction, and poorer work achievements, which we know as burnout. The aim of this paper was to determine whether there is and to what extent professional burnout is present in nurses and technicians working in nursing homes across Slovenia and Croatia. The paper is answering the questions of the extent of the burnout influenced by individual characteristics (age, education, years of service and work experience at the current workplace). The study involved a validated questionnaire “The Oldenburg Burnout Inventory (OLBI)” to measure professional burnout. Surveying of the nurses was conducted online at their home institutions. The results show that all respondents have a medium or high level of professional burnout, while no one has a low level or shows no signs of burnout. In terms of age, the group from 55-65 years of age had the highest relative level of burnout in the age group category. With regard to education, the highest burnout was measured in registered nurses.

Predictors of worklife burnout among mental health certified peer specialists.

Certified peer specialists (CPSs) are a growing workforce that uses their lived experience of a behavioral health disorders plus skills learned in formal training to deliver support services. Despite their important role in the mental health care system and research on their working conditions, experiences of burnout have not been widely studied among CPSs. This study uses survey data from CPSs who were currently employed in any type of job, providing peer support services or not. Using the Maslach Burnout Inventory (MBI) and Areas of Worklife Survey (AWS), along with other measures of personal and job characteristics, relationships of predictors variables to burnout measures were described in unadjusted and adjusted linear regression models. Scores on each of the averaged burnout measures differed significantly between those employed in peer services jobs and those in other job types, with those in peer services jobs reporting lower exhaustion, cynicism, and higher professional efficacy. Better workload and fairness were associated with significantly lower exhaustion, and better reward and community were both associated with significantly lower cynicism. Those employed in peer services jobs had fewer signs of burnout than those in other occupations, in keeping with prior research. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Burnout Among Healthcare Professionals in Bosnia and Herzegovina

Burnout, a state of stress-induced emotional, physical, and mental exhaustion, continues to be a topic of interest across a broad array of sciences. It is because burnout not only causes psychosomatic problems, but also has an effect on job performance, which is vital in high-stake professions. Therefore, exploring the level of healthcare professionals’ burnout, and understanding which work-place factors are correlated with it, is of outmost importance. For this purpose, the present correlational study explored this issue in a convenience sample of 209 MDs and nurses from primary healthcare institutions in Bosnia and Herzegovina, including, for the first time, a comprehensive number of psychosocial factors at work. Interestingly, the majority of healthcare professionals scored low on burnout measures of MBI. Nevertheless, one fifth of participants had potential early warning signs of burnout. Compared to their colleagues in other European countries, Bosnian-Herzegovinian doctors experience lower yet comparable levels of emotional exhaustion, lower depersonalization, and higher sense of personal achievement. Furthermore, nurses show an even more beneficial trend on all three burnout dimensions. In addition, the study established some significant positive predictors of burnout dimensions pertaining to the work environment. More precisely, quantitative workload and decision-making demands were found to be positive predictors of emotional exhaustion, while the strongest predictors of depersonalization were work-place support (from colleagues and superiors) and self-esteem. Significant predictors of personal accomplishment were perception of mastery and work centrality. This suggests that burnout among healthcare professionals arises both from the immediate workplace factors and individual ones, therefore implicating institutions in its prevention and reduction.

It Takes a Village: A Multimodal Approach to Addressing Radiologist Burnout

Burnout is a significant issue confronting the medical profession, to which radiology is no exception. Addressing burnout demands a full-spectrum response, in keeping with its complexity, prevalence, and significance. This manuscript brings together key techniques at the individual, peer, and institutional levels to offer a multifaceted approach to ameliorating radiologist burnout. Such an approach would begin by equipping physicians with the skillset necessary to identify signs of burnout in themselves and others. Institutions can work to validate the radiologists they employ and work toward mitigating the impact of occupational stressors. Lastly, engaging in conversations about burnout throughout the course of one's medical career can affect a sea change in the way burnout is envisioned, and treated.

Older assistant workers in intermediate care facilities, and their influence on the physical and mental burden of elderly care staff

BackgroundAs there is a shortage of care staff in elderly care homes, seniors are expected to work as assistants to help the care staff. This study examined the influence of older assistant workers in intermediate elderly care facilities on care staff, specifically focusing on emotional exhaustion which is a sign of burnout. These facilities provide long-term nursing and supportive care to older residents.MethodsData from a mail survey of intermediate elderly care facilities with older assistant workers were analyzed. Care staff were asked about the advantages and disadvantages of introducing older assistant workers in elderly care work, and their degree of emotional exhaustion. We also assessed work self-evaluations of older assistant workers, including the benefits of the work, and physical and mental burdens.ResultsA significantly large number of care staff reported improvements in workload with the employment of older assistant workers. Intermediate elderly care facilities enrolling more older assistant workers showed lower mean emotional exhaustion among care staff, independent of possible covariates. While older assistant workers felt that their work contributed to helping both care users and staff, they also reported a mental burden.ConclusionsOur results suggest that older assistant workers can play a significant role in reducing the physical and mental burden of intermediate elderly care facility staff. Thus, employing older assistant workers can be an effective approach to addressing shortages of care staff in elderly care homes.

Emotional Intelligence and Burnout of Teachers of Higher Education Institutions

Emotional intelligence is an important resource for overcoming professional stress in members of socionomic professions. The research objective is to determine the role of its components in the development of emotional burnout. A natural experiment was conducted, which determined the manifestations of emotional burnout of 56 university teachers at the end of the academic year. The author used the questionnaire. Two experimental groups were identified in the general sample: teachers with burnout and those resistant to burnout (16 and 30 people, respectively). At the end of the academic year, signs of burnout were detected in one-third of university teachers. The leading symptoms are emotional exhaustion and depersonalisation, with no reduction in professional achievement. The dynamics of emotional life during the annual professional cycle are shown. The integrated indicator of emotional intelligence (EI) remains at the same level, but there are structural changes in the components of intrapersonal intelligence. At the end of the year, teachers' attention to their emotional states, work roles, and communication increase significantly. At the same time, there is a decrease in the ability to manage their own emotions. Resistance to burnout is accompanied by a high ability to realise and control their own emotions with a relatively vague focus on the emotional states of others. It was concluded that individual components of EI (intrapersonal and interpersonal, understanding and management) have different effects on burnout symptoms.

Psychological wellness and self-care: an ethical and professional imperative

ABSTRACT Psychologists, as well as other mental health professionals, face unique demands in the workplace that create increased risk for burnout. This article discusses burnout prevalence and detection, including issues of complexity regarding diagnosis and assessment. An ethical lens is utilized to explore problems that may arise due to burnout, and the ethical responsibility of practicing self-care. Recommendations for graduate clinical training programs as well as practicing professionals are suggested, including strategies for monitoring self and others for warning signs of burnout and implementing self-care.

Associated Determinants Between Evidence of Burnout, Physical Activity, and Health Behaviors of University Students.

Risk behaviors and signs of burnout are associated with substantial health losses and university dropouts. Physical activity can be an effective approach to reduce these factors. The objective of this study was to analyze aspects related to health behaviors, physical activity, and signs of burnout in university students and their association with physical activity. The probabilistic cluster sample consisted of 3,578 regularly enrolled undergraduate students from UFPR in Curitiba, based on a population sample of 24,032 university students. The students completed the MBI-SS and NCHA II instruments. Descriptive statistics were used to identify demographic indicators and characteristics of the university environment. For the proportion of subjects with respective confidence intervals (CI = 95%), contingency tables involving the chi-square test (χ2) were used. The prevalence of signs of burnout was estimated in punctual proportions accompanied by the respective confidence intervals (CI = 95%). To analyze the associations between the independent variables and signs of burnout, the Hierarchical Logistic Regression was used through an analysis adjusted by the other independent variables involved in the models (CI = 95%). Results showed that the prevalence of individuals who showed signs of burnout was 40.4%. The hierarchical multiple regression model pointed to: female sex (OR = 1.30; 1.11–1.51); age between 20–24 years (OR = 1.51; 1.25–1.83); and 25–29 years (OR = 1.69; 1.27–2.24); being single (OR = 2.67; 1.01–7.10); presenting regular/poor health perception (OR = 1.59; 1.13–2.22), belonging to Human Sciences courses (OR = 1.37; 1.14–1.64); attending 2nd or 3rd year (OR = 1.34; 1.12–1.61); poor academic performance (OR = 5.35; 4.11–6.96); mean (OR = 2.08; 1.78–2.43). We conclude that academics showed a high prevalence of health risk behaviors and correlate and diagnose emotional problems and signs of burnout. Signs of burnout were significantly associated with the practice of physical activity in its three dimensions; however, in the adjusted analysis for demographic indicators, the characteristics of the university environment, and health behaviors, physical activity was not significant for the model.

BURNOUT DURING COVID-19 PANDEMIC AMONG HEALTH CARE WORKERS OF A TERTIARY CARE CENTRE IN NORTHERN INDIA: A CROSS SECTIONAL STUDY.

Background: COVID-19 pandemic is a novel viral illness due to which an uncertainty has developed among the general public as well as the health care workers (HCWs) regarding the future of mankind. This has resulted in burnout among the HCWs which has been reported by researchers from different parts of the world. Method: A cross sectional study was done among health care workers (faculty members, residents, nurses and interns) working in different specialties of a tertiary care health centre of Northern India. A self-designed performa containing sociodemographic details along with “Burnout Self-Test” scale was used to obtain the prevalence of burnout among HCWs. Result: Among 192 participants, the signs of burnout were found in 148 participants (77.1%) and most had mild burnout 90 (46.88). Conclusion: Burnout amongst health care workers is high particularly in unmarried and female HCWs.

Early Warning Signs of Burnout and Functional Impairment in Healthcare Workers During the COVID-19 Pandemic

High rates of depression, anxiety, and traumatic stress symptoms and diagnoses have been documented in healthcare personnel who care for patients with

SP-0455 Mental health prevention - Tips to stay healthy, recognise the signs of burnout

SP-0455 Mental health prevention - Tips to stay healthy, recognise the signs of burnout

The introduction of regular group reflective practice sessions for junior doctors in a critical care setting during the second wave of COVID-19 pandemic – a Pilot

AimsReflective practice is a core component of undergraduate as well as post graduate training. Reflective practice provides an opportunity for individuals to learn through their experience as well as gaining insight into themselves and their practice. If completed effectively, it has been shown to reduce stress and improve mental well-being. Our aim therefore was to provide regular group reflective practice sessions with the aim of supporting junior doctor's mental wellbeing during the second wave of the COVID-19 pandemic.MethodJunior doctors within a critical care setting were offered two-weekly group reflective practice sessions focusing on ‘difficult or challenging cases and encounters.’ The sessions were offered to all junior and middle grade doctors within a critical care department in a small district general hospital. Consultants were also able to attend. The groups were facilitated by a consultant liaison psychiatrist and an accredited balint group leader. Critical care doctors were provided a feedback questionnaire assessing the impact of the sessions and the levels of stress and burnout. The themes emerging from the sessions were also explored.ResultA total of six reflective practice sessions were offered during a three-month period. A total of four reflective practice sessions were completed; two sessions were cancelled due to high workload on the department. Each session lasted approximately 50mins. On average a total of 3-4 junior doctors attended each session. The sessions were conducted face to face in a socially distanced manner and with all participants wearing face masks. The sessions were predominately attended by foundation doctors and SHOs. There was occasional attendance by middle grades and a consultant.The predominant themes that emerged included: guilt, prolonged suffering, desensitisation, support and exhaustion. Despite the challenges associated with the pandemic and lockdown, many of the doctors also acknowledged the benefit of being at work during both waves of the pandemic. There was a sense of collectiveness and group belonging. The group found it beneficial to be able to share their experiences and challenges faced; this was most striking amongst the very junior members of the team.Questionnaires were also provided to gain additional insight into the wellbeing of the critical care doctors. Worryingly the results highlighted a significant proportion of doctors were experiencing signs of burnout including fatigue (77%), lack of energy (54%), cynicism (31%), frustration and irritability (45%) and detachment (38%). Many of the issues highlighted were in response to the demand created by the pandemic and a lack of medical staffing wth 69% of doctors requesting regular feedback on staffing issues.ConclusionBurnout and low morale were already highlighted in a significant number of junior doctors prior to the pandemic. COVID-19 has identified a clear need for NHS employers and medical leaders to provide emotional and psychological support to staff. It is vital that we create an open environment where individuals can express their feelings openly without fear that they will be judged. Group reflective practice provides an avenue to build on collectiveness created during both waves of the COVID-19 pandemic. This pilot has demonstrated that if introduced as part of a wellbeing support package, junior doctors within a critical care setting are able to utilise the sessions in an effective and productive manner.

Assessing wellbeing in foundation doctors during the COVID-19 pandemic

AimsThe COVID-19 pandemic has had a drastic effect on the mental health of the global population that is likely to be felt for years to come. One group particuarly likely to be affected by this in the immediate future are the healthcare professionals working on the frontline of the NHS pandemic response. As members of a foundation cohort of these junior doctors we aimed to create a way to quanitfy the wellbeing of ourselves and our colleagues at this challeging time. We aimed to use a combination of numerous tools to monitor foundation doctors in Blackburn during this crisis. This would inform which measures would be best suited to be put in place to protect this cohort from early burnout and poor mental health in the future.MethodWe designed a survey of 25 questions which we invited our foundation colleagues to fill in anonymously during the first and second waves of the pandemic in response to times when foundation doctors were redeployed to aid the frontline. The survey has been based on the PHQ9, GAD7, Epworth Sleepiness scale, Physician wellbeing index, Medical students wellbeing index, Maslach burnout inventory BMA burnout questionnaire and the QOL scale.ResultFrom a cohort of around 140 foundation doctors we had 46 participants in our trial of this tool; 46% had been redeployed and 54% not redeployed. Over 50% of survey respondents reported high stress, poor motivation and depersonalisation over the two weeks at the peak of the pandemic, key early signs of burnout. Lack of interest in their work, poor sleep and anhedonia were increased across both groups (redeployed and non redeployed). The interventions after the first wave data which repondents found beneficial included; financial reassurances during redeployments, protected non clinical areas for rest, a named individual senior staff member for wellbeing support.ConclusionKey issues the survey raised were fed back to foundation programme leads in monthly meetings. This allowed us with our foundation leads to make targeted changes in order to support foundation doctors at this time. Without the data from this tool which we tailored to the foundation experience we believe these rapidly worsening issues during the pandemic would not have been addressed so swiftly. We then resurveyed the foundation cohort to assess which of these interventions have been most widely used and appreciated.

Clinician burnout during the COVID-19 pandemic before vaccine administration

BackgroundCoronavirus disease 2019 (COVID-19) has disrupted pharmacy practice. Little research has been done to assess how COVID-19 has affected pharmacists’ employment, workload, and feelings of burnout. ObjectivesThe objectives of this study were to characterize the impact of COVID-19 on pharmacists’ employment status, workload, and feelings of burnout, as well as to examine emotional health concerns related to COVID-19. MethodsWisconsin pharmacists were surveyed using an online instrument between August 25, 2020, and September 22, 2020. The data analysis, performed in December 2020, examined employment status, 3 common burnout risk factors (workload, rewards, and social depersonalization), and emotional health concerns related to COVID-19. ResultsOf the 1300 pharmacists, 439 completed the survey (33.8%). The study analysis included pharmacists in community (n = 127) and hospital or health system (n = 107) settings. With regard to employment changes and workload, hospital pharmacists (36%) were more likely to have their hours reduced than community pharmacists (13%) (P < 0.01), and, conversely, community pharmacists (19%) were more likely to have their hours increased than hospital pharmacists (8%) (P = 0.01). For the burnout domain of workload, 45% of the pharmacists reported increased feelings of physical exhaustion at work, and 53% reported increased feelings of emotional exhaustion at work, with no difference between settings. Regarding the burnout domain of rewards, 6% of the hospital pharmacists and 1% of the community pharmacists experienced a reduction in hourly wages or salaries as a result of COVID-19. For the burnout domain of depersonalization, 25% of the pharmacists reported that their ability to connect with colleagues and patients decreased during the COVID-19 pandemic. Additional emotional health concerns reported by the pharmacists included 40% experiencing more anxiety and 25% experiencing more sadness or depression during the COVID-19 pandemic, with no difference between settings. ConclusionThis study found that the burnout domains related to workload, rewards, and depersonalization were negatively affected by COVID-19. Pharmacy managers need to proactively combat burnout as well as be reactive when employees show signs of burnout to maintain their workforce and meet the COVID-19–associated challenges.

SUMMARY REPORT OF THE 12TH GENEVA CONFERENCE ON PERSON CENTERED MEDICINE

The Board of the ICPCM suggested Prof. Robert Cloninger from St. Louis, USA&#x0D; to become the Program Director for this event and he graciously accepted. The&#x0D; theme was chosen as “Promoting well-being and overcoming burn out.” This&#x0D; came as a natural follow-up of previous conferences where well-being has been a&#x0D; prominent issue. Furthermore, it has been evident in recent years that burnout&#x0D; among health professionals has become a real threat, not only to those that are&#x0D; being inflicted by the situation but also to those who rely on service provided by&#x0D; these professionals. This is not a new phenomenon but has been increasing in&#x0D; prevalence throughout the world in recent years and is therefore gaining increased&#x0D; attention. Health authorities have recognized these problems and are concerned&#x0D; but the solutions they generally propose to solve the problem seem not be very&#x0D; efficient. A great emphasis is on increasing resilience of health professionals and&#x0D; to adopt methods to help those already having signs of burnout or that have even&#x0D; entered into the full blown situation. A reflection of the cause of burnout and&#x0D; thereby the root to the solution is found in the preamble of the Declaration adopted&#x0D; by the Board of ICPCM following the event (see in more detail later): “Burnout is&#x0D; caused by a variety of dehumanizing processes in which there is a gap between&#x0D; who a person is and what they are required to do.” Furthermore, this is stated at&#x0D; the end of the preamble: “Effective improvement in the well-being cannot succeed&#x0D; without recognizing that the foundation for well-being in healthcare is respect for&#x0D; the intrinsic dignity of every person. Medical institutions initially tried to minimize&#x0D; or ignore the toxicity of organizational environments in which medical students&#x0D; and practitioners must operate. Hospitals and medical schools tried to improve&#x0D; the resilience of healthcare providers to stress, rather than admitting the need to&#x0D; change toxic organizational conditions. Unfortunately, there has been little&#x0D; benefit from such efforts because the fundamental problem was not addressed.&#x0D; Specifically, person-centered healthcare and people-centered healthcare systems&#x0D; are essential for promoting well-being and overcoming burnout.”

The interaction between the perception of danger from coronavirus and the severity of burnout syndrome in medical workers during the COVID-19 pandemic in Russia

IntroductionThe COVID-19 pandemic has become a major challenge for both the overall health system and the individual ability for health professionals to stress coping.ObjectivesTo find the link between the perception of danger from coronavirus and the severity of burnout syndrome in medical workers during the COVID-19 pandemic in Russia.MethodsWe used a socio-demographic questionnaire (20 questions), a Stress Perception Questionnaire (Linville, 1987; Ababkov et al., 2016), a Modified Pandemic Perception Questionnaire (Broadbent et al.,2006;Yaltonsky et al., 2017), and Maslach Burnout Inventory (Maslach et al., 1996; Lozinskaya et a. 2007). 249 medical workers (58 men and 191 women) took part in the online survey between April 27 and October 26 in Russia.ResultsThe severity of stress is positively correlated with the perception of pandemic as threatening (r=0.532, p=0.000) and unknown disease (r=0.297, p=0.000). Stress severity also correlates with all burnout parameters: exhaustion (r=0.737, p=0.000), depersonalization (r=0.342, p=0.000), and belief in personal achievement (r=-0.417, p=0.000). The perception of pandemics as threatening events is significantly associated with exhaustionm (r=0.458, p=0.000), depersonalization (r=0.133, p= 0.036), and belief in personal achievement (r=-0.152, p=0.016).The feeling of uncertainty from the pandemic is statistically significantly associated with exhaustion (r=0.242, p=0.000), while the feeling of control over the pandemic is positively associated with belief in personal achievements (r=0.129, p=0.042) and negatively associated with exhaustion (r=-0.161, p=0.011) and depersonalization (r=-0.125, p=0.049).ConclusionsUncertainty and a sense of threat from the coronavirus and the pandemic are significant factors of stress and emotional burnout for health workers. To determine the interaction between parameters such as signs of burnout, perception of the COVID-19 pandemic and the severity of stress, further construction of a structural model is required.