ОЦЕНКА ЭФФЕКТИВНОСТИ ИСПОЛЬЗОВАНИЯ МОБИЛЬНОГО ПРИЛОЖЕНИЯ ДЛЯ СНИЖЕНИЯ УРОВНЯ ПРОФЕССИОНАЛЬНОГО ВЫГОРАНИЯ ПЕДАГОГИЧЕСКИХ РАБОТНИКОВ

Professional burnout is usually defined as a syndrome of emotional exhaustion, depersonalization and personal derealization, which can manifest itself in many professions, but primarily in helping ones. Persons providing medical care to patients are most at risk of professional burnout. Recent studies have found high rates of burnout and a high prevalence among employees working with patients with novel coronavirus infection during the COVID‑19 pandemic. The purpose of the study is to assess and analyze the levels of components of the burnout syndrome among medical professionals. Material and methods. To assess and analyze the levels of components of professional burnout syndrome, a survey using the «Maslach Burnout» method was conducted among medical workers (MW) of COVID hospitals (n=201); outpatient MW (n=186); MW of multidisciplinary hospitals (n=195), as well as a control group (n=190). Results. A qualitative analysis using the Maslach Burnout Inventory (MBI) method found that 5.5% (11 people) of COVID hospital MRs have an extremely high level of professional burnout. The frequency of occurrence of a high level of burnout is significantly higher in HCWs of COVID hospitals compared to medical workers in multidisciplinary hospitals (pa‑b=0.014). The frequency of occurrence of the average level of burnout is significantly higher in MRs of COVID hospitals compared to medical workers in multidisciplinary hospitals (pa‑b=0.004). It was found that the incidence of low burnout was significantly lower in MRs of COVID hospitals compared to medical workers in multidisciplinary hospitals (pa‑b=0.017). Among medical workers, COVID-hospitals, not a single person with an extremely low level of burnout was recorded. Conclusions. The most susceptible to occupational burnout syndrome were MW of COVID hospitals. 22.4% of MW in COVID hospitals have «high» and «extremely high» levels of burnout, 41.3% have an «average» level and only 36.3% of MW have a low level of burnout. 12.3% of outpatient MW have «high» and «extremely high» levels of burnout, 33.9% have «average» levels and 53.8% of MW have «low» and «extremely low» levels of burnout. 8.2% of MW in multidisciplinary hospitals have a «high» level of burnout, 27.2% have an «average» level and 64.6% of MW have «low» and «extremely low» levels of burnout.

Background: Recently there have been several studies on the relation between coping strategies and the Burnout outcomes, in medical students. However, there is a lack of Portuguese studies in this area. The objectives of our study were to describe the levels of burnout in a sample of Portuguese medical students, and understand their relation with different study methods and coping strategies Methods: A cross-sectional study was carried-out among a convenience sample of 658 medical students. The data collection was done using a socio-demographic questionnaire, the Maslach Burnout Inventory - Students Survey, and the Ways of Coping Questionnaire.
\nResults: Regarding burnout, gender differences were found in the dimensions of ‘emotional exhaustion’ (t=-3.07, p<0.00) and ‘professional efficacy’ (t=2.08, p<0.04). The burnout syndrome was prevalent in students that have ‘difficulty in achieving goals’, or with a ‘significant problem’. High levels of burnout were associated to escapeavoidance coping, and were more common in the female sample. Low levels of burnout were related to ‘plan resolution strategies’, ‘positive reappraisal’ and ‘seeking for social support’.
\nConclusions: Higher levels of burnout were reported by students with inadequate coping strategies. These results highlight the importance of developing programs to promote psychological well-being through the use of adequate coping strategies and resilient responses to academic and psychological stressors.

The relevant literature suggests that all branches of the nursing profession are subject to high levels of stress and burnout. Forensic psychiatric nursing has been considered as an area of high risk, despite a paucity of literature in this area, particularly in Australia. This paper presents the findings of a research study undertaken with forensic nurses (n = 51) and designed to measure their level of stress and burnout. The Maslach Burnout Inventory (MBI) and the Nursing Stress Scale (NSS) were the instruments used. The findings indicated that relatively few forensic nurses suffered from ‘high’ levels of burnout with considerably more forensic nurses recording ‘low’ levels of burnout. On the personal accomplishment subscale, only 17 per cent recorded a ‘high’ score. Interestingly the least reported stressor was lack of staff support for nursing activities which suggests that the amount of support received may account for lower than expected levels of stress. Copyright © 2003 John Wiley & Sons, Ltd.

Professional burnout, a long-term consequence of occupational stress, is considered to be a factor that explains a substantial proportion of incapacity for work. Burnout is defined as emotional exhaustion, depersonalization, and diminished personal accomplishment. To investigate levels of burnout among Dutch practising dentists, to compare dentists' scores with norm scores, and to determine the percentage of dentists "at risk". The instrument used was the Dutch version of the Maslach Burnout Inventory (MBI-NL), a 20-item modified version of the original MBI. A highly representative group of Dutch dentists participated (n = 709, 75% response rate). Mean levels (and standard deviations) of burnout were: emotional exhaustion 13.7 (8.6); depersonalization 5.9 (3.9); personal accomplishment 30.8 (5.9). Dentists had more favourable means compared with standard scores, although in the 95th percentile dentists showed more emotional exhaustion than standards indicate. While no overall sex differences were found, male middle-aged dentists tended to show more burnout. Of the working Dutch dentists, 21% had a certain risk, 13% had high overall levels of burnout, and 2.5% were highly burned out. It is concluded that Dutch dentists have relatively favourable mean levels of burnout, but those who are exhausted are extremely exhausted. The male dentist in his forties appears to be most vulnerable to burnout.

To examine the relationships among nurse and work characteristics, job satisfaction, stress, burnout and the work environment of haemodialysis nurses. Haemodialysis nursing is characterised by frequent and intense contact with patients in a complex and intense environment. A cross-sectional online survey of 417 haemodialysis nurses that included nurse and work characteristics, the Brisbane Practice Environment Measure, Index of Work Satisfaction, Nursing Stress Scale and the Maslach Burnout Inventory. Haemodialysis nurses reported an acceptable level of job satisfaction and perceived their work environment positively, although high levels of burnout were found. Nurses who were older and had worked in haemodialysis the longest had higher satisfaction levels, experienced less stress and lower levels of burnout than younger nurses. The in-centre type of haemodialysis unit had greater levels of stress and burnout than home training units. Greater satisfaction with the work environment was strongly correlated with job satisfaction, lower job stress and emotional exhaustion. Haemodialysis nurses experienced high levels of burnout even though their work environment was favourable and they had acceptable levels of job satisfaction. Targeted strategies are required to retain and avoid burnout in younger and less experienced nurses in this highly specialised field of nursing.

ABSTRACTAimTo assess the level of burnout among Australian hospital pharmacists.MethodIn May 2005 questionnaires were mailed to a sample of 528 Australian hospital pharmacists. The questionnaire gathered demographic data, and used the validated Maslach Burnout Inventory (3 subscales: emotional exhaustion, depersonalisation, personal accomplishment) to assess burnout.Results266 hospital pharmacists responded to the survey. There were high levels of burnout based on emotional exhaustion (39%) and personal accomplishment (49%), while the majority of pharmacists felt low levels of burnout based on depersonalisation (60%). There were no significant associations between burnout and demographic data (e.g. age, sex, practice type). Recent graduates demonstrated a low level of personal accomplishment (p = 0.011), indicating greater burnout within this subscale. Pharmacists involved with the introduction of the Pharmaceutical Benefits Scheme to hospitals had a significantly high level of personal accomplishment (p = 0.011) indicating a low level of burnout within this subscale. Around 1 in 20 pharmacists displayed a high level of burnout in all 3 subscales of the Maslach Burnout Inventory.ConclusionSevere burnout in hospital pharmacists was evident in this study. Young hospital pharmacists appear to be vulnerable to burnout. Strategies that decrease burnout must be instituted and there should be specific consideration to support young pharmacists within the workforce.

Nurses working in palliative care are at risk of burnout. The Copenhagen Burnout Inventory was used to determine burnout levels of nurses working in the Portuguese national network of palliative care. We evaluated the contribution of personal, work, and COVID-19 variables in three burnout subclasses: personal, work, and patient-related. A cross-sectional, exploratory, and quantitative design was employed and participants were sampled using convenience and snowball technique. An online survey was conducted and 153 nurses participated in our study. Socio-demographic characterization was conducted, levels of burnout and determinants were explored through multiple linear regression models for its three dimensions. High levels of personal, working, and patient burnout were present in 71 (46%), 68 (44%), and 33 nurses (22%), respectively. Most of them agreed that COVID-19 had an impact on their activities. Significant personal and work related burnout factors found were specialization in palliative care, self-perceived health status, unit type, weekly hours of work, and allocation to COVID-19 units. Gender was found to be a significant factor in patient-related burnout. There is a high level of burnout among nurses working in the Portuguese national network of palliative care. Measures for identification and mitigation of burnout are necessary to protect health care professionals.

A Hybrid Heart Failure VAD Coordinator Model Decreases Burnout and Improves Work Quality of Life

The level of medical care to patients and the success of the implementation of the national project "Health" depend on the health status and doctor's professionalism. Modern healthcare reform is being implemented by optimizing costs, merging medical organizations, closing ineffective hospitals, expanding the use of high-tech care and informatization of the doctor's activities. All this makes it necessary to assess the health of doctors. Scientists have studied the quality of life and identified the professional (emotional) burnout of doctors in children's clinics in different age groups. Primary care pediatricians have a higher quality of life score when compared to the standard [1]. However, all groups have a high level of professional burnout. The pre-retirement group of doctors has more unfavorable profile. They are highly professional specialists but may experience emotional discomfort because the pension system has been reformed. This situation requires the introduction of preventive work with doctors of this age as a group with great potential and capable of professional longevity.

This was a questionnaire study designed to address the problem of professional burnout among elementary, junior high, and high school teachers in a large metropolitan public school system. Subjects were 939 teachers in the San Diego Unified School District who responded to a new questionnaire that assessed various aspects of teachers and their jobs including demographic variables, teaching climate, job stress, and dissatisfaction, psychological effects of burnout, and related physical symptoms. The questionnaires were distributed and collected by the San Diego Teachers Association. Results indicated that there is wide variation in the degree of burnout teachers experience. No differences were found in susceptibility to burnout due to demographic variables such as age, sex, grade level, subject taught, or years of experience. Certain characteristics of teaching climate associated with high and low levels of burnout were identified. Those specific stressors that most affected teachers and those that were most highly associated with burnout were delineated. Additional analyses clarified the psychological and physical effects of burnout for the sample of teachers studied. Burnout as a useful construct for studying individuals in large organizations was discussed and suggestions were offered for future research possibilities.

In the Turkish health care system and hospitals it is very common to witness role conflict and ambiguity among health care personnel. Often this is due to a lack of clarity as to what is expected and required of them. The unfortunate and unavoidable result is a high level of burnout caused by uncertain working conditions in Turkish hospitals. The objectives of this study were to determine the level of role conflict, role ambiguity, and burnout of physicians and nurses working in hospitals, to see the relationship between role conflict, ambiguity and burnout level, to reveal the effects of organisational and indvidual characteristics on the burnout level of physicians and nurses. The study was conducted in three hospitals attached to the Ministry of Health (MoH) of Turkey. 149 nurses and 83 physicians were included in the sample of this study although several efforts of reminders and additional visits to the hospitals to increase the response rate. Structural Equational Modelling (SEM) was chosen to estimate the effects of certain selected individual and organisational variables that were determined by a set of correlation and biovariate analyses on role conflict and ambiguity as well as the burnout level. The SEM results showed that working in surgical units, having less working experience and choosing the profession unwillingly had significant and negative direct effects on the burnout level of the physicians and nurses in the sample of this study. Decreasing the level of role conflict and ambiguity would serve to decrease the level of burnout. In order to decrease the level of role conflict, ambiguity, and burn out level for nurses and physicans, serious efforts must be made to clarify role definitions, increase resources, and employ conflict management methods.

The diagnosis of autism spectrum disorder (ASD) in a child affects family processes, increases parenting stress and marital conflicts, and may lead to parental psychopathology. It may also affect the prognosis for their children. The aim of this study is to determine depression and burnout levels as well as their predictors among parents of children with ASD compared with those of healthy children. We also sought to evaluate rate of complementary and alternative medicine (CAM) interventions among parents and explore the associations of this phenomenon in an exploratory fashion. 145 children with ASD and 127 control children were enrolled along with their mothers and fathers. Beck Depression Inventory and Maslach Burnout Inventory were used to evaluate parents' depression symptoms and burnout levels. Symptoms of children with ASDs were evaluated according to the Childhood Autism Rating Scale by the clinicians. Family, child and CAM variables were screened by means of a sociodemographic data form. Descriptive, bivariate and correlation analyses were used in statistical evaluations. Predictors of burnout were evaluated with multiple regression analysis. Burnout and depression levels among parents of children with ASD were significantly elevated compared to controls. Burnout levels of mothers were significantly elevated compared to fathers while depression scores of fathers were significantly elevated compared to mothers. Maternal burnout was significantly predicted by presence of functional speech in child while paternal burnout was significantly predicted by paternal vocation. Maternal depression was associated with paternal depression, lack of speech in child and attendance of child to special education services. Paternal depression was associated with autistic symptom severity and maternal depression. More than half the parents sought CAM interventions. Education level did not affect search for CAM interventions while both maternal and paternal psychopathology and presence of epilepsy among children increased use of CAM methods. Psychological support should be provided to both mothers and fathers of a child receiving a diagnosis of ASD. Addressing parents' burnout and stress levels and facilitating their negotiation of knowledge on etiology and treatments for ASD may be beneficial for the family unit as a whole.

BackgroundCritical shortages of health human resources (HHR), associated with high turnover rates, have been a concern in many countries around the globe. Of particular interest is the effect of such a trend on the primary healthcare (PHC) sector; considered a cornerstone in any effective healthcare system. This study is a rare attempt to investigate PHC HHR work characteristics, level of burnout and likelihood to quit as well as the factors significantly associated with staff retention at PHC centers in Lebanon.MethodsA cross-sectional design was utilized to survey all health providers at 81 PHC centers dispersed in all districts of Lebanon. The questionnaire consisted of four sections: socio-demographic/ professional background, organizational/institutional characteristics, likelihood to quit and level of professional burnout (using the Maslach-Burnout Inventory). A total of 755 providers completed the questionnaire (60.5% response rate). Bivariate analyses and multinomial logistic regression were used to determine factors associated with likelihood to quit.ResultsTwo out of five respondents indicated likelihood to quit their jobs within the next 1–3 years and an additional 13.4% were not sure about quitting. The top three reasons behind likelihood to quit were poor salary (54.4%), better job opportunities outside the country (35.1%) and lack of professional development (33.7%). A U-shaped relationship was observed between age and likelihood to quit. Regression analysis revealed that high levels of burnout, lower level of education and low tenure were all associated with increased likelihood to quit.ConclusionsThe study findings reflect an unstable workforce and are not conducive to supporting an expanded role for PHC in the Lebanese healthcare system. While strategies aiming at improving staff retention would be important to develop and implement for all PHC HHR; targeted retention initiatives should focus on the young-new recruits and allied health professionals. Particular attention should be dedicated to enhancing providers’ role satisfaction and sense of job security. Such initiatives are of pivotal importance to stabilize the workforce and ensure its longevity.

e19601 Background: Several European studies suggest that healthcare professionals working in oncology display higher levels of professional burnout than their colleagues from non-oncology units. We aimed to identify the level of burnout of professionals working in cancer care at a single institution in Dublin, Ireland. Methods: 143 oncology staff members were emailed a 3 section questionaire. We employed the Maslach Burnout Inventory, a validated, burnout-specific instrument, incorporating a three-dimensional assessment of the syndrome through its subscales: emotional exhaustion (EE), depersonalization (DP) and personal achievment (PA). Sociodemographic, protective and predisposing variables were identified in tandem, while the final section afforded respondents an opportunity to speculate on workplace stressors and their potential remediation. The primary endpoint was overall high burnout. Secondary endpoints were mean scores for each individual category. Wilcoxon rank sum and Kruskal-Wallis tests were performed on SPSS version 18. Results: The overall response rate was 41.3% (59/143) (see table). Three respondents (5.1%) reported high levels of burnout in all 3 categories. In subcategory analysis, men had significantly higher mean DP scores [9, SD: 6.03] than women [5.3,SD: 4.46](p < .05) and residents had significantly higher DP scores [8.11,SD: 4.46] than attendings [4.14,SD: 3.2]( p < .05). Regression analysis, found that being male was a significant predictor for high levels of depersonalization but found no predictor for EE or PA. Conclusions: We identified low levels of burnout among Irish cancer care professional. Protective factors such as age <35yrs (66%), religion (68%), hobbies (86%),working <50 hours (66%) and being in a relationship (74%) were at high levels, which may have biased our results. A national expansion and comparison with international figures is planned and will be presented at ASCO. [Table: see text]

Interactive effects of nurse-experienced time pressure and burnout on patient safety: A cross-sectional survey