Управление риском низкой удовлетворенности работой и профессионального выгорания врачей общей практики

Analyzing the relationship between occupational burnout and marital satisfaction levels of school administrators. As a social being the performance and the efficiency of a school administrator cannot be thought separately from his personal life. A descriptive correlational model was applied in this study. The basic goal of the research is to investigate the relationship between occupational burnout and marital satisfaction of school administrators in various study characteristics related to the amount of satisfaction obtained from family life. 50 married primary school administrators who live in Tokat and its districts constitute the survey population of this research. 206 married primary school administrators with whom contacts could be established were the sample of the research. In this research, “Maslach Burnout Inventory” (Maslach and Jackson, 1981) and “Marital Adjustment Scale” (Locke and Wallace, 1959) were used to measure school administrators’ occupational burnout levels and their marital satisfaction levels. There was also an Information Sheet to collect demographic and social traits of participant. Results showed that there was a strong negative relationship between school administrators’ occupational burnout levels and marital satisfaction levels (r= .-321 p<.05). Besides this, the findings related to the differences on the school administrators’ occupational burnout levels and marital satisfaction levels according to some independent variables are provided.

Medical oncology job satisfaction: Results of a global survey

Healthcare professionals deal with the greatest prevalence of burnout syndrome (BS). The object of this paper is to study the effect of psychological climate and working conditions on risks of burnout in a team of healthcare professionals. Working conditions of 136 healthcare workers from the Saratov region who underwent little training were examined according to Regulation 2.2006–05. The level of burnout was estimated in accordance with the method of V. V. Boyko, and the psychological climate in a team was analyzed using A. F. Fiedler’s questionnaire. The results were processed with the help of Microsoft Еxcel 10 for Windows. Based on the research results, the BS signs were recorded in 52.3% of healthcare workers. Physical and emotional symptoms were predominant BS signs. Factors predisposing to BS in healthcare workers have been determined. It is established that there is a dependence between a harmful factor of working conditions and probable BS. The dependence acquires significance at 3.2 level of working conditions. It is determined that the risk of BS was 74.3% in the most unfavorable psychological climate, and didn’t reach 21% if the climate was favorable.

Background: Occupational burnout and fatigue are critical issues affecting the health and performance of healthcare workers (HCWs) globally. These outcomes are often driven by complex and overlapping work-related stressors, which remain insufficiently understood in combination. Objective: To investigate the associations of multiple work-related stressors with occupational burnout and fatigue, and to identify distinct stress patterns and critical stressors among HCWs. Method: A cross-sectional survey was conducted using a self-administered electronic questionnaire among 2695 HCWs in Shanghai, China. Validated questionnaire scales were used to assess work-related stress (self-developed occupational stress scale for medical staff, CSSM), occupational burnout (Maslach Burnout Inventory-General Survey, MBI-GS), and fatigue (Fatigue Scale-14, FS-14). Latent profile analysis (LPA) was employed to identify distinct work-related stress patterns. Generalized linear models (GLMs) were used to explore the associations between individual stressors, stress patterns, and occupational burnout and fatigue. Additionally, weighted quantile sum (WQS) models were utilized to evaluate the combined effects of multiple stressors and identify the main contributors. Results: In this study, 77.0% and 71.2% of participants were classified as experiencing occupational burnout and fatigue, respectively. A strained doctor-patient relationship was the highest-rated work-related stressor. All work-related stressors, including career development, interpersonal relationships, work-life imbalance, physical environment, doctor-patient relationship, social environment, and workload, were significantly associated with burnout (β: 0.444~0.956, p < 0.001) and fatigue (β: 1.384~3.404, p < 0.001). WQS assigned higher weights to career development and workload for burnout, and to workload and work-life imbalance for fatigue. LPA identified two distinct occupational stress patterns. HCWs characterized by higher stress levels in physical environment, career development, workload, and interpersonal relationships exhibited significantly higher burnout scores (β = 0.325, 95% CI: 0.122, 0.528), particularly in the reduced personal accomplishment (PA) dimension (β = 1.003, 95% CI: 0.746, 1.259). Conclusions: This study highlighted the high prevalence of occupational burnout and fatigue among HCWs in Shanghai, China. Occupational stressors were associated with both burnout and fatigue, with higher workload, work-life imbalance, and poorer career development showing particularly significant contributions. These findings emphasized the urgent need for targeted interventions, including workload management, career development programs, and mental health support, to reduce occupational stress and mitigate its adverse effects on HCWs.

Symptoms of anxiety and depression are very common among healthcare workers (HCWs) and could impact the quality of care. This study aimed to evaluate the prevalence of these disorders in a public health company and their association with work ability and work-related stress. A cross-sectional study involved 80 HCWs being treated for mental disorders (MD), 55 HCWs who said they suffered from MD but were not being treated, and 824 healthy colleagues. All workers completed the Work Ability Index (WAI), the Siegrist's Effort/Reward Imbalance questionnaire (ERI), the Goldberg's scales of anxiety and depression (GADS), and the Warr's scale of job satisfaction. Three-quarters of workers with MD suffered from anxiety and/or depression. Workers who declared at the periodic medical examination in the workplace that they were being treated for MD had significantly lower levels of work ability than those of their colleagues who declared good mental health. They also reported greater work stress (high effort, low rewards, high overcommitment) and lower job satisfaction than their healthy colleagues. Symptomatic but untreated workers reported significantly lower work ability, lower satisfaction, and greater occupational stress than their healthy colleagues. In the entire sample, there were many workers with symptoms of anxiety or depression who did not declare these disorders during the examination. Overall, there were 328 suspected cases of anxiety (34.2%) and 334 cases of depression (34.8%). Anxious workers [OR = 8.11, 95% confidence interval (CI) = 3.74-17.58] and depressed workers (OR = 4.49, 95% CI = 2.22-9.10) had an increased risk of being classified as having "poor work ability". The negative association between psychological symptoms and work ability even in undiagnosed/untreated workers demonstrates the usefulness of screening for these symptoms in work environments.

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.

Studies on occupational burnout among health workers, especially in Nigeria have been at best isolated. No adequate inter-occupational comparative study on burnout among health workers, police personnel, and teachers has been conducted. This study, therefore, investigated the extent to which health workers were different from police personnel, and teachers in the manifestations of emotional exhaustion, depersonalization, reduced personal accomplishment, and overall occupational burnout. Participants were 455 employees (203 males; 252 females) sampled from 3 service occupations (police = 139; health = 159; teaching = 157), whose ages averaged 35.94 years (SD = 7.93). Health workers reported higher levels of emotional exhaustion, depersonalization, and overall occupational burnout than either police personnel or teachers. Although health workers reported a higher level of reduced personal accomplishment than police personnel, results indicated that teachers felt as underachieving as health workers. The findings were discussed in terms of the perceived imbalance in the job demands-rewards ratio in the job situations.

BackgroundGeneral Practitioners (GPs) are increasingly affected by stress-related complaints and burnout. Although many studies have addressed this issue, little is known about the stress burden and burnout rates of postgraduate trainees specialising in General Practice (GP). This cross-sectional study was performed to explore the prevalence and risk of depression, stress and burnout in a large cohort of GP trainees.MethodsAll GP trainees enrolled in the postgraduate training programme KWBW Verbundweiterbildungplus© in southwest Germany were invited to participate. A paper-based survey for the purpose of psychosocial screening was used: Prevalence of depression, perceived stress and burnout were measured with the depression module of the Patient Health Questionnaire (PHQ-9), Perceived Stress Questionnaire (PSQ-20) and Maslach Burnout Inventory (MBI). Additionally, linear regression models were used to analyse the association between sociodemographic characteristics and mental health scales.ResultsN = 211 GP trainees participated in this study (response rate 95%). 75.3% (n = 159) of the participants were female and median age was 34 (IQR 32; 39). GP trainees had a mean PHQ-9 sum score of 5.4 (SD 3.4). Almost 11% (n = 23) reported symptoms of a moderate or moderately severe depression. PSQ-20 revealed moderate level of distress, whereas 20.8% (n = 42) showed a high level of perceived stress with a sum-score higher than .59. GP trainees showed moderate rates of burnout and only 2.5% (n = 5) scored high in all three dimensions of the MBI score. GP trainees showed increased levels of depression, perceived stress and burnout when compared with age-matched general population. Being a woman led to a higher PHQ-9 sum score (p < .05). Higher age was associated with less depersonalisation in the MBI (p < .05).ConclusionsThe results of our study suggest that GP trainees considerably suffer from stress. Some GP trainees were even affected by depression or burnout. To detect and support colleagues at risk, trainees should be supported by early preventive measures such as anti-stress or resilience trainings and mentoring during their training. Prospective longitudinal studies are needed to understand the character and the course of the stress burden among GP trainees.

Australia has seen a constriction of the scope of practice and of professional prerogatives for GPs in the 1990s, which is said to have led to lower job satisfaction, particularly for rural GPs. The aim of this study was to determine levels of job satisfaction and mental health in a rural and an urban sample of GPs, and to correlate population and practice characteristics with lower job satisfaction and morale. A postal survey of GP members of two urban and four rural Divisions of General Practice in New South Wales was carried out using the Wall-Cook-Warr scale and the 12-item General Health Questionnaire (GHQ-12). The overall response rate was 74%. Both urban and rural Australian GPs were generally satisfied with their jobs; however, rural GPs had significantly higher job satisfaction scores. The highest levels of satisfaction were recorded for factors denoting autonomy. The lowest ranked factors were hours of work, income and government policy in general practice. GPs without psychological disturbance were significantly more satisfied with their work than those who were disturbed. Lower job satisfaction was significantly associated with urban GPs, GPs who worked full-time and those who used a language other than English during consultations. Poor mental health and working in an urban area were predictive of lower job satisfaction in men, and bulk-billing all patients (i.e. not charging patients a co-payment, but making a consolidated claim to the government funder Medicare) and working full-time were predictive of lower job satisfaction in women. Both urban and rural GPs derive a large measure of satisfaction from their job. In particular, rural GPs are satisfied, especially so with their autonomy. Poor mental health was the strongest predictor of lower job satisfaction. The high percentage of GPs with psychological disturbances raises the problem of their access to appropriate mental health services, in particular in rural areas.

This study aimed to examine the relationship between work stress and depression; and investigate the mediating effect of occupational burnout among nurses in paediatric intensive care units. The relationships among work stress, occupational burnout and depression level have been explored, neither regarding occupational burnout as the mediating role that causes work stress to induce depression nor considering the paediatric intensive care unit context. A cross-sectional correlational design was conducted. One hundred and forty-four female paediatric intensive care unit nurses from seven teaching hospitals in southern Taiwan were recruited as the participants. Data were collected by structured questionnaires including individual demographics, the Nurse Stress Checklist, the Occupational Burnout Inventory and the Taiwan Depression Questionnaire. The results indicated that after controlling for individual demographic variables, the correlations of work stress with occupational burnout, as well as work stress and occupational burnout with depression level were all positive. Furthermore, occupational burnout may exert a partial mediating effect on the relationship between work stress and depression level. This study provides information about work stress, occupational burnout and depression level, and their correlations, as well as the mediating role of occupational burnout among paediatric intensive care unit nurses. It suggests government departments and hospital administrators when formulating interventions to prevent work stress and occupational burnout. These interventions can subsequently prevent episodes of depression in paediatric intensive care unit nurses, thereby providing patients with a safe and high-quality nursing environment.

Background: Burnout syndrome and work-related stress are on the rise among healthcare workers, affecting their mental health and job performance. Objective: To determine the level of work-related stress and burnout syndrome among primary care physicians and nurses. Materials and methods: Descriptive cross-sectional study. The study included healthcare workers from the General Hospital of Zone with Family Medicine No. 2, from January to June 2024, who agreed to participate. The Work Stress Test and the Maslach Burnout Inventory (MBI) for Burnout Syndrome were used. Descriptive statistics and Chi2 were used to determine associations between categorical variables with a p value &lt;0.05. Results: A total of 90 workers were studied, with a mean age of 39.3±6 years, 17 (18.9%) family physicians, 22 (24.4%) non-family physicians, 5 (5.6%) general practitioners and 46 (51.1%) nurses. Work-related stress was present in 49 (54.4%): mild 30 (33.3%), medium 15 (16.7%) and high 4 (4.4%). Burnout was present in 54 (60.0%) health workers, low personal fulfillment 29 (32.2%), high emotional exhaustion 61 (67.8%) and high depersonalization 39 (43.3%). Female workers, those with married marital status, nursing staff, morning shift staff, those with 1 to 5 years of seniority and those from hospital areas were the most affected. Conclusion: There is a high prevalence of work-related stress and burnout among healthcare workers, with the emotional exhaustion domain being most frequently affected. Therefore, mental health care is considered essential to providing improved quality medical care.

All types of healthcare professionals can develop burnout syndrome (BOS), while those who serve in critical care and emergency units are more susceptible to it. The emergence of BOS is linked to an imbalance between a team member's personal traits and problems at work or with other organisational elements. BOS is linked to a number of negative effects, including as higher rates of employee turnover, lower patient satisfaction, and lower levels of care quality. BOS also has a direct impact on the mental and physical health of the many physicians and other healthcare workers that work in emergency and critical care settings around the world. Critical care medical professionals and other psychological illnesses went mostly undetected until recently. The current paper examines the burnout prevalence among doctors in critical care (CC) unit and emergency unit physicians, the risk factors (RF) of burnout and their consequences, prevention and treatment measures of BOS and intensive and non-ICU healthcare workers' burnout prevalence comparison were also studied. It finally concludes from the study that the physicians from the Critical Care Unit and emergency department unit are more stressed and prone to high burnout levels than others.

Introduction: Globally, burnout on healthcare workers leads to negative impact on the individual and organizational levels, which ultimately affects patient care. This study aims to identify the prevalence, contributing factors, and mitigation of burnout among healthcare workers during the Covid-19 pandemic. Method: This is a web-based cross-sectional study conducted among 177 healthcare workers during Covid-19 pandemic in Dhulikhel Hospital, Kathmandu University Hospital, Nepal, from June to December 2021. The participants were selected using a convenience sampling technique. The Copenhagen Burnout Inventory scale (&gt;50) was used to assess the level of burnout among healthcare workers during this crisis, along with contributing factors and mitigation strategies to overcome the Covid-19 pandemic. The descriptive statistics, bivariate analysis and post-hoc test were utilized Result: The prevalence of burnout for healthcare workers was 125 (70.6%). Nurses and healthcare workers, who have previously worked in covid-19 management were having significantly higher level of personal burnout (H= 13.34, p= 0.004) and work related burnout (H=9.78, p=0.02) score. The main concerns were fear of infecting the family members (80.79%), followed by a lack of resources such as oxygen, personal protective equipment (64.97%). The major mitigation strategies were the provision of incentives (77.97%), good hospital management (74.01%), and training for healthcare professionals (67.8%). Conclusion: Healthcare workers have higher burnout scores in covid -19 pandemic. The study indicated the necessity of employing effective strategies at the individual and institutional level to overcome Covid-19 crises.

EPA-0792 – Burnout syndrome and depression in czech medical doctors – national study

Introduction:Job satisfaction is a main factor to increase efficiency, productivity, and individual satisfaction in the organization. The purpose of this study is to determine the forensic expertise amount of job satisfaction and to compare them with other specialists in different.Materials and Methods:In this cross-sectional study, 150 individuals were included in three groups of specialists including forensic, internal medicine, and pediatric. Data were collected by Brayfield and Rothe Job Satisfaction Questionnaire. SPSS software version 23 was used for statistical analysis.Results:High levels of job satisfaction among forensic professionals were higher than low job satisfaction, but the same was true for the other two groups. In this study, job satisfaction status in the three groups of specialists was not significantly correlated with their type of expertise (P = 0.19). There was no significant relationship between job satisfaction and gender (P = 0.19). In addition, the mean age of the specialists with low and high job satisfaction was not significantly different (P = 0.99). In this study, although the mean of work experience in professionals with high job satisfaction was higher than those with low job satisfaction, this difference was not significant (P = 0.23).Conclusion:The results of this study showed that job satisfaction was high among forensic medical professionals and was not significantly different from other specialist groups including pediatric and internal medicine. In addition, job satisfaction was not significantly different in terms of age, gender, and work experience.