Burnout

Distribution by Scientific Domains
Distribution within Medical Sciences

Kinds of Burnout

  • job burnout
  • professional burnout

  • Terms modified by Burnout

  • burnout inventory
  • burnout level
  • burnout symptom

  • Selected Abstracts


    Burnout and stress amongst old age psychiatrists

    INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 8 2002
    Susan M. Benbow
    Abstract Objective To investigate the relationship between work patterns, burnout and stress in consultant old age psychiatrists. Methods We sent a postal survey to all old age psychiatrists on the Faculty of Old Age Psychiatry, Royal College of Psychiatrists, list. Participants completed a workload questionnaire, the Stress Checklist and the Maslach Burnout Inventory during a specified week. Results Burnout scores were unaffected by gender and team working, but old age psychiatrists scoring within the high burnout range were younger, scored highly on stress, spent less time on research, study and audit, and more time travelling. The whole group scored highly on emotional exhaustion. Conclusions Job plans should encourage research/study and audit, and cut down travelling. The finding related to age is not fully understood, but suggests consideration of support groups for new consultants and review of whether current training programmes adequately prepare people for work as a consultant. Copyright © 2002 John Wiley & Sons, Ltd. [source]


    Aggressive behaviour and burnout among staff of homes for the elderly

    INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, Issue 1 2002
    Will Evers
    ABSTRACT: This study examines relationships between experienced aggressive behaviour and burnout of staff caring for residents living in homes for the elderly (n = 551). Burnout was conceptualized as a three-dimensional syndrome consisting of emotional exhaustion, depersonalization and reduced personal accomplishment. From the results of the hierarchical regression analyses it appeared that physical and psychological aggression and the number of weekly working hours had a significant relationship with emotional exhaustion of staff. Psychological aggression was found to have a significant relationship with depersonalization. Neither sex nor age had a relationship with any of the burnout dimensions. Implications for research and suggestions for work and training of staff caring for the elderly are discussed. [source]


    Burnout, psychosomatic symptoms and job satisfaction among Dutch nurse anaesthetists: a survey

    ACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 5 2010
    V. MEEUSEN
    Background: To meet the increasing demand for healthcare providers, it is crucial to recruit and retain more nurse anaesthetists (NAs). The majority of NAs in the Netherlands are >45 years old, and retaining them in their jobs is very important. This study investigates the relationships among burnout, physical health and job satisfaction among Dutch NAs. Methods: Two thousand NAs working in Dutch hospitals were invited to participate in this online questionnaire. We tested the relationships among burnout, psychosomatic symptoms, sickness absence, perceived general health and job satisfaction. Results: Nine hundred and twenty-three questionnaires were completed and analysed (46% response rate). Burnout and psychosomatic symptoms were negatively associated with job satisfaction, and predicted 27% of job satisfaction. Perceived general health was positively and sickness absence was negatively related to job satisfaction. Older NAs had a higher incidence of burnout than their younger counterparts. Conclusions: The results confirmed the importance of a healthy psychosocial work environment for promoting job satisfaction. To prevent burnout, further research is necessary to determine the factors causing stress. These findings may also apply to anaesthesiologists who share many tasks and work in close cooperation with NAs. [source]


    Relationship between assertiveness and burnout among nurse managers

    JAPAN JOURNAL OF NURSING SCIENCE, Issue 2 2009
    Eiko SUZUKI
    Abstract Aim:, We aimed to clarify the relationship between assertiveness and burnout among nurse managers at university hospitals. Methods:, The directors at three university hospitals agreed to cooperate with our study. During a one-month period from May to June 2007, a self-administered questionnaire was distributed to 203 nurse managers (head and sub-head nurses). The Japanese version of the Rathus Assertiveness Schedule (J-RAS) and the Japanese version of the Maslach Burnout Inventory (MBI) were used as scales. Burnout was operationally defined as a total MBI score in the highest tertile. Results:, Valid responses were obtained from 172 nurse managers. The mean J-RAS score of the burnout group (,14.3) was significantly lower than that of the non-burnout group (,3.3). Responses about work experience and age showed no significant group difference. Total MBI score was inversely correlated with J-RAS score (R = ,0.30, P < 0.01). Multiple logistic regression analyses indicated a decrease in the risk of burnout by 26% (0.74 times) for every 10 point increase in the J-RAS score, and by 60% (0.40 times) for greater satisfaction with own care provision. Conclusions:, The results suggest that increasing assertiveness and satisfaction with own care provision contributes to preventing burnout among Japanese nurse managers. [source]


    Burnout as a developmental process among Japanese nurses: Investigation of Leiter's model

    JAPAN JOURNAL OF NURSING SCIENCE, Issue 1 2005
    Kazuyo KITAOKA-HIGASHIGUCHI
    Abstract Aim:, The first object of the present study was to compare Leiter and Maslach's original model (1988) and the revised model (proposed by Leiter in 1991). The second object was to ascertain whether the process model of burnout proposed by Leiter in 1993 is applicable to Japanese nurses. Workload demand, role conflict, and interpersonal conflict were selected as organizational demands, and supervisor support, coworker support, and occupational decision authority as resources. Methods:, The subjects were Japanese clinical nurses (n = 238) working at a municipal general hospital. One hundred and eighty-three effective data was obtained. The hypotheses were tested using structural equation analysis. Results:, The results supported the revised model which maintained the sequential link from exhaustion to cynicism, but recast the relationship of professional efficacy with another two components of burnout. The hypothesized model was revised based on findings and re-analysed. The organizational demands exhibited a significant positive correlation to exhaustion. Cynicism exhibited a negative correlation to supervisor support. The job decision authority exhibited a positive correlation to professional efficacy. However, the hypothesis that supervisor support exhibits a positive correlation to professional efficacy was not supported. Conclusions:, Leiter's process model of burnout is conceptualized based on the conservation of resources (COR) theory. The results of the present study were reasonably in line with the COR theory. It was suggested that Leiter's model should be applicable to Japanese nurses. [source]


    Burnout and physical and mental health among Swedish healthcare workers

    JOURNAL OF ADVANCED NURSING, Issue 1 2008
    Ulla Peterson
    Abstract Title.,Burnout and physical and mental health among Swedish healthcare workers Aim., This paper is a report of a study to investigate how burnout relates to self-reported physical and mental health, sleep disturbance, memory and lifestyle factors. Background., Previous research on the possible relationship between lifestyle factors and burnout has yielded somewhat inconsistent results. Most of the previous research on possible health implications of burnout has focused on its negative impact on mental health. Exhaustion appears to be the most obvious manifestation of burnout, which also correlates positively with workload and with other stress-related outcomes. Method., A cross-sectional study was conducted, using questionnaires sent to all employees in a Swedish County Council (N = 6118) in 2002. The overall response rate was 65% (n = 3719). A linear discriminant analysis was used to look for different patterns of health indicators and lifestyle factors in four burnout groups (non-burnout, disengaged, exhausted and burnout). Results., Self-reported depression, anxiety, sleep disturbance, memory impairment and neck- and back pain most clearly discriminated burnout and exhausted groups from disengaged and non-burnout groups. Self-reported physical exercise and alcohol consumption played a minor role in discriminating between burnout and non-burnout groups, while physical exercise discriminated the exhausted from the disengaged group. Conclusion., Employees with burnout had most symptoms, compared with those who experienced only exhaustion, disengagement from work or no burnout, and the result underlines the importance of actions taken to prevent and combat burnout. [source]


    Burnout and its correlates among nursing staff: questionnaire survey

    JOURNAL OF ADVANCED NURSING, Issue 1 2008
    Mustafa N., lhan
    Abstract Title.,Burnout and its correlates among nursing staff: questionnaire survey Aim., This paper is a report of a study to determine the burnout level and its correlates in nurses. Background., Healthcare providers and especially nurses are generally considered a high risk group regarding work stress and burnout and this syndrome has been a major concern in the field of occupational health. Method., The study was carried out at a university hospital in Turkey during May,June 2005. A total of 418 nurses from the 474 working at the hospital at the time (88·2%) answered a self-administered questionnaire including the Maslach Burnout Inventory. Findings., All the nurses were female, with a mean age of 30·6 (5·4) and a median age of 29 years. The mean score was 17·99(6·35) for the Emotional Exhaustion subscale, 5·72 (3·87) for the Depersonalization subscale and 19·83 (4·66) for the Personal Accomplishment subscale. Emotional Exhaustion decreased with increasing age (P < 0·05). Total time in the job, weekly working hours, shift-working and the unit where employed influenced burnout scores (P < 0·05). Not being happy with relations with superiors, not finding the job suitable, feeling anxious about the future, perceived poor health, problems with personal life and financial difficulties were also factors influencing burnout scale scores (P < 0·05). Conclusion., It is necessary to consider nurses having the characteristics shown as the correlates of burnout in this study as a target group, to screen periodically the burnout status and improve their working conditions, especially relationships with colleagues. [source]


    Burnout contagion among intensive care nurses

    JOURNAL OF ADVANCED NURSING, Issue 3 2005
    Arnold B. Bakker PhD
    Aim., This paper reports a study investigating whether burnout is contagious. Background., Burnout has been recognized as a problem in intensive care units for a long time. Previous research has focused primarily on its organizational antecedents, such as excessive workload or high patient care demands, time pressure and intensive use of sophisticated technology. The present study took a totally different perspective by hypothesizing that , in intensive care units , burnout is communicated from one nurse to another. Methods., A questionnaire on work and well-being was completed by 1849 intensive care unit nurses working in one of 80 intensive care units in 12 different European countries in 1994. The results are being reported now because they formed part of a larger study that was only finally analysed recently. The questionnaire was translated from English to the language of each of these countries, and then back-translated to English. Respondents indicated the prevalence of burnout among their colleagues, and completed scales to assess working conditions and job burnout. Results., Analysis of variance indicated that the between-unit variance on a measure of perceived burnout complaints among colleagues was statistically significant and substantially larger than the within-unit variance. This implies that there is considerable agreement (consensus) within intensive care units regarding the prevalence of burnout. In addition, the results of multilevel analyses showed that burnout complaints among colleagues in intensive care units made a statistically significant and unique contribution to explaining variance in individual nurses' and whole units' experiences of burnout, i.e. emotional exhaustion, depersonalization and reduced personal accomplishment. Moreover, for both emotional exhaustion and depersonalization, perceived burnout complaints among colleagues was the most important predictor of burnout at the individual and unit levels, even after controlling for the impact of well-known organizational stressors as conceptualized in the demand-control model. Conclusion., Burnout is contagious: it may cross over from one nurse to another. [source]


    The Importance and Place of Neuroticism in Predicting Burnout in Employment Service Case Managers

    JOURNAL OF APPLIED SOCIAL PSYCHOLOGY, Issue 2 2004
    Richard Goddard
    This study investigated the ability of neuroticism to explain variance in burnout scores obtained from a sample of Australian case managers who work with individuals experiencing unemployment. Using a longitudinal survey methodology, 70 case managers completed the Maslach Burnout Inventory (MBI; Maslach, Jackson, & Leiter, 1996) on 2 occasions. Case managers also completed the Work Environment Scale (Moos, 1994) and the short form of the revised Eysenck Personality Questionnaire (Eysenck & Eysenck, 1991) on the first occasion. In a series of hierarchical regression analyses, neuroticism added significantly to the explanation of variance in all 3 MBI subscales after summary scores describing work stress and work relationships had been entered at an earlier step. An investigation of whether emotional exhaustion mediated the influence of neuroticism on depersonalization found that emotional exhaustion satisfied the criteria for complete mediation. [source]


    Burnout among volunteers in the social services: The impact of gender and employment status

    JOURNAL OF COMMUNITY PSYCHOLOGY, Issue 5 2006
    Liat KulikArticle first published online: 7 AUG 200
    This study examines whether gender and employment status affect burnout, motives for volunteering, and difficulties associated with volunteer activity in social and community services in Israel. The sample included 375 men and women aged 16 through 80. Participants were divided into four groups by employment status: high school students, employed persons, retirees, and unemployed persons. The findings revealed that employment status had a more significant impact on the research variables than did gender. Burnout correlated positively with difficulty in relations with beneficiaries among men, and with difficulty in relations with the provider organization among women. Female students and unemployed men were found to be particularly vulnerable to burnout. © 2006 Wiley Periodicals, Inc. [source]


    Burnout among nursing staff in two Finnish hospitals

    JOURNAL OF NURSING MANAGEMENT, Issue 3 2000
    Koivula RN, MNSC
    Aim To describe burnout and factors affecting it in nursing staff. Background Burnout is a common phenomenon in nursing staff. We need knowledge of phenomena related to burnout in order to be able to properly direct measures decreasing burnout. Methods A questionnaire measuring burnout was answered by 723 nurses. The data were analysed by means of descriptive statistics and anova. Results Half of the staff had scores which indicated they were frustrated or burnt out. Personal resource variables having an influence on staff burnout were age, vocational education and years of practice. Burnout increases with age, and staff with short work experience in nursing practice experience lower levels of burnout. Staff with a secondary level education working on psychiatric wards experience especially high levels of burnout. Continuous professional education is related to lower levels of burnout if it lasts for more than 10 days over a period of 2 years. Conclusions The results of the study can be generalized only to these two Finnish hospitals. The results indicate that education, both vocational basic education and professional further education, are key factors in preventing burnout among nursing staff. [source]


    Stress and Burnout of Nursing Staff Working With Geriatric Clients in Long-Term Care

    JOURNAL OF NURSING SCHOLARSHIP, Issue 4 2005
    Bernice Roberts Kennedy
    [source]


    On the Role of Passion for Work in Burnout: A Process Model

    JOURNAL OF PERSONALITY, Issue 1 2010
    Robert J. Vallerand
    ABSTRACT The purpose of the present research was to test a model on the role of passion for work in professional burnout. This model posits that obsessive passion produces conflict between work and other life activities because the person cannot let go of the work activity. Conversely, harmonious passion is expected to prevent conflict while positively contributing to work satisfaction. Finally, conflict is expected to contribute to burnout, whereas work satisfaction should prevent its occurrence. This model was tested in 2 studies with nurses in 2 cultures. Using a cross-sectional design, Study 1 (n=97) provided support for the model with nurses from France. In Study 2 (n=258), a prospective design was used to further test the model with nurses from the Province of Quebec over a 6-month period. Results provided support for the model. Specifically, harmonious passion predicted an increase in work satisfaction and a decrease in conflict. Conversely, obsessive passion predicted an increase of conflict. In turn, work satisfaction and conflict predicted decreases and increases in burnout changes that took place over time. The results have important implications for theory and research on passion as well as burnout. [source]


    Self-image and burnout in psychiatric staff

    JOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 5 2000
    M. Jeanneau phd
    Burnout was tested for in 754 mental health workers and related to self-image as assessed with Structural Analysis of Social Behavior (SASB, Benjamin 1974). A positive relation was found between burnout and negative self-image, and between the experience of personal accomplishment and positive self-image. Compared to self-image, gender, age and work setting did not explain any variance in burnout. Highly burned-out persons had a significantly more negative self-image than staff who had rated themselves as low burnout. Finally, the relation between self-image and burnout was studied in 210 subjects who had completed their self-image ratings one year before burnout was measured, with the same results: a negative self-image was related to higher burnout one year later. One general conclusion is that a tendency in staff to treat themselves in negative ways may function as a negative filter for coping with difficulties at work and thus be a risk factor for burnout. [source]


    Role of Length Scale on Pressure Increase and Yield of Poly(vinyl butyral),Barium Titanate,Platinum Multilayer Ceramic Capacitors during Binder Burnout

    JOURNAL OF THE AMERICAN CERAMIC SOCIETY, Issue 11 2000
    Leo C.-K.
    The binder-burnout kinetics of poly(vinyl) butyral from BaTiO3 multilayer ceramic capacitors with platinum metal electrodes were analyzed by combining thermogravimetric analysis with infrared spectroscopy. The rate of weight loss was accelerated when both BaTiO3 and platinum metal were present, and the presence of both metal and ceramic enhanced the production of CO2. The activation energy and pre-exponential factor were determined by analysis of the weight-loss data with a first-order kinetics model. Then, the decomposition kinetics were incorporated into a coupled heat- and mass-transport model to predict pressure increases as a function of the heating cycle. The heating cycles determined in this manner then were used to evaluate the yield of capacitors 1.3,3.8 cm long and 0.3,1.3 cm high. The optimum yield was realized at an aspect ratio (height:length) of 1:3. [source]


    Burnout and job satisfaction comparing healthcare staff of a dermatological hospital and a general hospital

    JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY & VENEREOLOGY, Issue 2 2005
    C Renzi
    Abstract Background Psychological distress among healthcare professionals can have negative effects on the well-being of the professionals and also on the quality of care they provide to patients. Objectives To evaluate burnout and job satisfaction of dermatologists and nurses working with dermatological patients compared with physicians and nurses of other specialties. Methods, A self-completed anonymous questionnaire was distributed to the personnel of two hospitals in Rome, Italy: a dermatological hospital (IDI) and a general hospital (GH), belonging to the same non-profit organization. Standardized instruments were used to assess burnout (Maslach Burnout Inventory) and job satisfaction. Multiple logistic regression was used to examine the association between burnout and working in dermatology vs. other specialties, job satisfaction, years of employment and respondents' sex and age. Results We distributed 929 questionnaires to clinical and non-clinical staff of IDI and 494 questionnaires to the GH staff (response rates: 53% at IDI and 50% at the GH). Among respondents there were 67 physicians and 59 nurses at IDI and 70 physicians and 148 nurses at the GH. Subsequent analyses refer only to this clinical subsample. Factor analysis showed that among physicians and nurses the two main factors explaining job satisfaction were respondents',satisfaction with the management of their unit' and ,opportunities for personal growth'. Among nurses the likelihood of burnout decreased significantly with higher levels of job satisfaction [odds ratio (OR) = 0.78; 95% confidence interval (95% CI) 0.7,0.9] and working in dermatology compared with other specialties (OR = 0.46; 95% CI 0.2,0.9). Among physicians a lower likelihood of burnout was associated with job satisfaction (OR = 0.66; 95% CI 0.5,0.8) and older age (OR = 0.28; 95% CI 0.1,0.8). Conclusions Among both physicians and nurses, job satisfaction was associated with a lower likelihood of burnout, independently of clinical specialty and other factors. Burnout was similar for dermatologists and other specialists. Nurses of the GH compared with those working in dermatology had a higher probability of burnout and were significantly less satisfied with the management of their units and with opportunities for personal growth. [source]


    Burnout versus depression and sense of coherence: Study of Greek nursing staff

    NURSING & HEALTH SCIENCES, Issue 2 2001
    Athanassios Tselebis RN, MSc(psych)
    Abstract We assessed the relationships between burn out, depression and sense of coherence (SOC) using the Maslach Burnout Inventory, Beck's depression inventory and Antonovsky's SOC questionnaire in a large sample of 17 male and 62 female Greek nurses. Analysis showed that SOC in nursing staff was correlated with burnout (BO) and depression, while the latter was correlated to a lesser degree with BO. The relationship of BO with depression seems to be the result of the relationship between depression and SOC. Thus, we could hypothesize that the degree of SOC renders persons either vulnerable or resistant to both depression and BO, though further studies are warranted. In the hospital setting, the intervention by specialized personnel in order to assist nursing staff with BO may be an appealing option. Further, prevention programs aimed at helping individuals prone to BO could also be envisaged. [source]


    Relations Among Social Support, Burnout, and Experiences of Anger: An Investigation Among Emergency Nurses

    NURSING FORUM, Issue 3 2009
    Müge Ersoy-Kart PhD
    BACKGROUND., The aim of the present study was to determine whether social support, burnout, and anger expression are related with each other among emergency nurses working in private- or public-sector hospitals. DESIGN AND SAMPLE., The sample consisted of 100 emergency nurses working in the private or public sector in Ankara, Turkey. The Maslach Burnout Inventory, The Multidimensional Scale of Perceived Social Support, and The Trait-Anger and Anger Expression Scale were used. RESULTS AND CONCLUSIONS., The results demonstrated that social support did not differentiate among the nurses working in the private sector or in the public sector according to the burnout subscales' scores. However, nurses in the private sector find it more difficult to express their anger. The state-trait anger levels of the nurses differ according to the burnout levels and also according to the sector that they are working in. The congruence between this study's findings and the literature is discussed. [source]


    Burnout, psychiatric morbidity, and work-related sources of stress in paediatric oncology staff: a review of the literature

    PSYCHO-ONCOLOGY, Issue 10 2009
    Suzanne Mukherjee
    Abstract Objective: A growing body of research suggests that staff working in adult oncology services are at risk of burnout and psychiatric morbidity, but whether or not these findings can be generalised to staff working in paediatric oncology is questionable. This paper reports the findings of a comprehensive review of the literature on burnout, psychiatric morbidity, and sources of work-related stress in paediatric oncology staff. Methods: Electronic searches of MEDLINE and PSYCHINFO. This was followed by a screening process, during which papers where checked against inclusion and exclusion criteria, and the quality of study reporting was assessed. Information about the study design and methods was then extracted from each paper so that the methodological quality could be critiqued. Results: Ten studies meeting the review inclusion criteria were identified. No studies were identified which compared paediatric and adult oncology staff. Research on paediatric oncology staff has failed to use the well-established standardised measures of burnout and psychiatric morbidity employed in studies of adult oncology staff. There is some qualitative evidence to suggest paediatric oncology nurses experience a unique, additional set of stressors not encountered by colleagues in adult oncology services. Conclusion: The evidence on stress and burnout in paediatric oncology staff is extremely limited. In order to devise appropriate and effective interventions to support staff, we need to have a much better understanding of the level of burnout and psychiatric morbidity experienced by all members of the paediatric oncology multi-disciplinary team, as well as the factors that contribute to these experiences. Copyright © 2009 John Wiley & Sons, Ltd. [source]


    Burnout and psychiatric morbidity among physicians engaged in end-of-life care for cancer patients: a cross-sectional nationwide survey in Japan

    PSYCHO-ONCOLOGY, Issue 5 2007
    Mariko Asai
    Abstract Purpose: To determine the prevalence of burnout and psychiatric morbidity among physicians engaged in end-of-life care for cancer patients in Japan and to explore associated factors related to end-of-life care. Methods: Questionnaires were mailed to 1436 Japanese clinical oncologists and palliative care physicians with a request to complete the Maslach Burnout Inventory (MBI), the General Health Questionnaire (GHQ-12), and to report on individual factors, including confidence in patient care. High levels of burnout and psychiatric morbidity were identified using cut-off scores of the MBI and GHQ-12. Results: A total of 697 physicians returned the questionnaires (response rate, 49.6%). Twenty-two percent of the respondents had a high level of emotional exhaustion, 11% had a high level of depersonalization, 62% had a low level of personal accomplishment, and 20% had psychiatric morbidity. Clinical oncologists showed a significantly higher psychiatric morbidity than palliative care physicians. Confidence in having sufficient time to communicate with patients was significantly associated with all the burnout subscales. Conclusions: A low level of personal accomplishment was relatively high among Japanese physicians compared with previous studies. Insufficient confidence in the psychological care of patients was associated with physician burnout rather than involvement in end-of-life care. Copyright © 2006 John Wiley & Sons, Ltd. [source]


    A Preliminary Examination of the Relationship between Organisational Structure and Emotional Burnout among Correctional Staff

    THE HOWARD JOURNAL OF CRIMINAL JUSTICE, Issue 2 2010
    ERIC G. LAMBERT
    Abstract: In any nation, correctional staff are the greatest asset of any correctional facility. In an era where rising costs, shrinking budgets, and personnel shortages are common, it is increasingly important to provide a positive work environment to ensure worker stability. The research indicates that job burnout is a negative response that is influenced by the work environment. This study examined the effects of organisational structure on emotional burnout among correctional staff at a state-run prison. Promotional opportunity, integration, formalisation, instrumental communication, and input into decision making are the major forms of organisational structure. In addition to the above forms of organisational structure, the amount of daily contact and the personal characteristics of tenure, position, educational level, race, age, gender, and supervisory status were included as independent variables. In a multivariate analysis, supervisory status, degree of inmate contact, promotional opportunity, formalisation, instrumental communication, and input into decision making all had statistically significant associations with emotional burnout. The results support the postulation that organisational structure influences the emotional burnout of correctional staff. [source]


    Monitoring stress levels in postgraduate medical training

    THE LARYNGOSCOPE, Issue 1 2009
    Justin D. Hill MD
    Abstract Objectives: The Accreditation Council for Graduate Medical Education (ACGME) mandates that residency Program Directors (PD) monitor resident well-being, including stress. Burnout, as a measure of work-related stress, is defined by a high degree of emotional exhaustion and depersonalization, and a low degree of personal accomplishment using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). The purpose of this study is to describe the use of the MBI-HSS as a method of monitoring stress levels in an academic otolaryngology residency training program and introduce this survey as a tool for wider use in meeting ACGME requirements. Methods: The MBI-HSS was administered to residents in an academic otolaryngology residency training program on three separate occasions: at the beginning, middle, and end of different academic years. In addition, at the time of the third administration, the MBI-HSS was completed by faculty and staff in the same department. Surveys were completed and collected anonymously. Responses were scored against normative data from the MBI-HSS overall sample and the medicine subscale. Low, average, and high levels of burnout were identified for the individual categories of emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA); average levels for each category were calculated. Results: Twenty-two residents completed the first survey, taken near the end of an academic year; 19 completed the second administration in the middle of the following academic year; and 24 completed the third survey at the beginning of the subsequent academic year. Thirteen faculty and 23 staff also completed the third survey. We found that three, one, and one residents reported high levels of burnout on the first, second, and third surveys, respectively. These figures compare to one faculty member and no staff members in the same department reporting high levels of burnout. Conclusions: The MBI-HSS is an established and validated tool for identifying burnout in resident physicians. Residency PDs may find the MBI-HSS useful as an aid in monitoring resident well-being and stress. In our own department, we found levels of burnout comparable to those previously reported for residents and faculty in this specialty. Laryngoscope, 119:75,78, 2009 [source]


    Burnout in Australasian Younger Fellows

    ANZ JOURNAL OF SURGERY, Issue 9 2009
    Sarah Benson
    Abstract Background:, Burnout is the state of prolonged physical, emotional and psychological exhaustion characteristic of individuals working in human service occupations. This study examines the prevalence of burnout among Younger Fellows of the Royal Australasian College of Surgeons and its relationship to demographic variables. Methods:, In March 2008, a survey was sent via email to 1287 Younger Fellows. This included demographic questions, a measure of burnout (Copenhagen Burnout Inventory), and an estimate of social desirability (Marlowe,Crowne Social Desirability Scale , Form C). Results:, Females exhibited higher levels of personal burnout (P < 0.001) and work-related burnout (P < 0.025), but no significant difference in patient-related burnout. Younger Fellows in hospitals with less than 50 beds reported significantly higher patient-related burnout levels (mean burnout 37.0 versus 22.1 in the rest, P= 0.004). An equal work division between public and private practice resulted in higher work-related burnout than concentration of work in one sector (P < 0.05). Younger Fellows working more than 60 hours per week reported significantly higher personal burnout than those who worked less than this (P < 0.05). There was no significant correlation between age, country of practice, surgical specialty and any of the burnout subscales. Conclusion:, Female surgeons, surgeons that work in smaller hospitals, those that work more than 60 h per week, and those with practice division between the private and public sectors, are at a particularly high risk of burnout. Further enquiry into potentially remediable causes for the increased burnout in these groups is indicated. [source]


    Work Hours and Caseload as Predictors of Physician Burnout: The Mediating Effects by Perceived Workload and by Autonomy

    APPLIED PSYCHOLOGY, Issue 4 2010
    Arie Shirom
    We tested a model in which perceived workload and autonomy were hypothesised to mediate the effects of work hours and caseload on physician burnout. The study was based on data provided by 890 specialists representing six medical specialties. We used structural equation modeling to test our hypotheses. Controlling for the effects of gender, seniority, and the specialists' academic affiliation, we found that the study data fit the hypothesised model,reflecting these hypotheses,quite well. As expected, workload predicted higher levels of global burnout and physical fatigue, while autonomy predicted lower levels of global burnout. Work hours and caseload predicted global burnout only indirectly, via their effects on either perceived workload or autonomy. These findings suggest that public policies, designed to reduce physician work hours in order to reduce burnout and improve patients' safety, should take into account physician perceived workload and autonomy. Nous avons mis à l'épreuve un modèle centré sur l'hypothèse selon laquelle la charge de travail perçue et l'autonomie régulaient l'impact de la durée du travail médical et administratif sur le burnout des médecins. La recherche a exploité des données fournies par 890 spécialistes relevant de six spécialités médicales. On a fait appel à une modélisation en équations structurales pour valider nos hypothèses. En contrôlant l'action du genre, de l'âge et du type de spécialité, il est apparu que les données correspondaient parfaitement au modèle hypothétique. Comme prévu, la charge de travail prédisait des niveaux plus élevés de burnout global et de fatigue physique, alors que l'autonomie débouchait sur des niveaux plus faibles de burnout global. La durée du travail ne prédisait qu'indirectement le burnout global, par l'entremise des retombées sur la charge de travail perçue et l'autonomie. Ces résultats montrent que la réglementation publique qui envisage de réduire le temps de travail des médecins dans le souci d'atténuer le burnout et d'améliorer la sécurité des malades devrait prendre en considération la charge de travail perçue et l'autonomie des médecins. [source]


    Hypersensitivity to Social Rejection and Perceived Stress as Mediators between Attachment Anxiety and Future Burnout: A Prospective Analysis

    APPLIED PSYCHOLOGY, Issue 3 2010
    Sigalit Ronen
    Drawing on Sociometer Theory, the current study examined whether the tendency to focus on and worry about social rejection at the workplace can predict stress and burnout. Data were collected at two time points from 231 hotel employees. Prospective-longitudinal design, structural equation modeling analyses revealed that participants' hypersensitivity to social rejection at the workplace predicted an increase in stress and in burnout across the 1 month of participation. Furthermore, the findings revealed that hypersensitivity to social rejection fully mediated the link between attachment anxiety and future stress and that hypersensitivity to social rejection and stress fully mediated the link between attachment anxiety and future burnout. Approximately 64 per cent of the variance in future burnout was explained by these variables. The results demonstrate the significant role social evaluative stressors play in the development of stress responses at the workplace. S'appuyant sur la sociometer theory, la présente étude examine si la tendance à se préoccuper et s'inquiéter du rejet social sur le lieu de travail peut prédire le stress et l'épuisement. Les données ont été collectées par deux fois auprès de 231 employés d'hôtellerie. Le traitement des études longitudinales par des analyses de modélisation par équations structurelles révèle que l'hypersensibilité des sujets au rejet sur le lieu de travail contribue à une augmentation du stress et de l'épuisement au cours du mois de participation. Les conclusions soulignent que l'hypersensibilité au rejet social est totalement influencée par le lien entre anxiété, attachement et stress futur et que l'hypersensibilité au rejet social et au stress est totalement influencée par le lien entre anxiété, attachement et épuisement à venir. Approximativement 64% de la variance de l'épuisement à venir est expliqué par ces variables. Les résultats montrent le rôle significatif joué par des sources de stress liées au jugement social d'autrui dans le développement des réponses de stress sur le lieu de travail. [source]


    Burnout and duration of service among Chinese voluntary workers

    ASIAN JOURNAL OF SOCIAL PSYCHOLOGY, Issue 2 2001
    Chun Yiu
    A survey study conducted among 226 Chinese voluntary workers in Hong Kong showed that satisfaction with voluntary work, integration into the voluntary institution, and burnout syndromes contributed to volunteers' expected duration of service. Regression analyses also showed that different sets of variables predicted different spans of expected duration of service. Work satisfaction was the most salient predictor for expected duration of service from six months to ten years. Lack of personal accomplishment predicted expected duration of service for six to twelve months, whereas emotional exhaustion and depersonalization influenced volunteers' expectation to continue in the service for five to ten years. [source]


    Burnout in Dutch postgraduate trainees in psychiatry

    ASIA-PACIFIC PSYCHIATRY, Issue 3 2009
    Ken Tanaka MD
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    Increased prevalence of burnout symptoms in parents of chronically ill children

    ACTA PAEDIATRICA, Issue 3 2010
    C Lindström
    Abstract Aim:, To examine the prevalence of burnout symptoms in the context of parenting a chronically ill child. Methods:, A total of 252 parents of children with Type 1 Diabetes Mellitus and 38 parents of children with Inflammatory Bowel Diseases participated in a population-based study. A control group consisted of 124 randomly selected parents of healthy children. We used self-report questionnaires to assess symptoms of burnout. Results:, The main finding was that significantly more parents of children with chronic diseases (36%) scored for clinical burnout, compared with parents of healthy children (20%). Burnout symptoms were most prominent among mothers of children with diabetes, although fathers of children with diabetes and mothers and fathers of children with inflammatory bowel diseases also reported higher levels of various burnout symptoms. Conclusion:, Burnout may be a useful model for understanding long-term parental responses and should be acknowledged among the different types of psychological consequences of the multi-faceted experience of parenting a child with chronic illness. Gender seems to influence the risk of burnout symptoms. Continued research about other background factors, and how the parents' situation changes over time are warranted. In the clinic, we need to draw attention to the group of parents who may suffer from burnout. [source]


    Peer Crowd Affiliation and Internalizing Distress in Childhood and Adolescence: A Longitudinal Follow-Back Study

    JOURNAL OF RESEARCH ON ADOLESCENCE, Issue 3 2002
    Mitchell J. Prinstein
    Concurrent and longitudinal associations between peer crowd affiliation and internalized distress were examined in a sample of 246 youth (148 girls, 98 boys). Children completed measures of depression, social anxiety, loneliness, and self-esteem when they were in grades 4 to 6 (Time 1), and again 6 years later during adolescence (grades 10 , 12; Time 2). At Time 2, adolescents also reported their self-concept and their identification with reputation-based peer crowds, including Populars, Jocks, Brains, Burnouts, Non-Conformists, and None/Average crowds. Results indicated that adolescents' report of peer crowd affiliation was concurrently associated with self-concept and levels of internalizing distress. Follow-back analyses of internalizing trajectories revealed that Populars/Jocks had experienced significant declines in internalizing distress across development, whereas Brains exhibited some increases in internalizing distress between childhood and adolescence. [source]


    Depression and the metabolic syndrome: gender-dependent associations

    DEPRESSION AND ANXIETY, Issue 8 2008
    Sharon Toker Ph.D.
    Abstract This study was designed to test the extent to which depressive symptoms are associated with the presence of the metabolic syndrome (MS) and each of its components, and whether these relationships are gender dependent. Participants were apparently healthy employed men (N=2,355) and women (N=1,525) who underwent a routine health check between the years 2003 and 2005. We used logistic regression analysis, predicting the MS by depressive symptoms, as assessed by the Patient Health Questionnaire, and the following control variables: age, education, smoking status, physical exercise, anxiety, and burnout. As hypothesized, we found that depression among women, but not men, was associated with a 1.94-fold risk of having the MS, and with an elevated risk of having two of its five components: elevated waist circumference (odds ratio, OR=2.23) and elevated glucose levels (OR=2.44). In addition, a positive trend was observed toward an association with the other three components: low high-density lipoprotein, hypertension, and elevated triglycerides. Among men depression was associated with elevated waist circumference only (OR=1.77). These findings suggest that especially among women, the association between depression and cardiovascular diseases might be linked to metabolic processes. If replicated in longitudinal studies, these findings may have important health-care policy implications with regard to depression management interventions. Depression and Anxiety 0:1,9, 2007. © 2007 Wiley-Liss, Inc. [source]