Professional burnout among Dutch dentists.

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.

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]

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.

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.

Burnout is a state of emotional, physical, and psychological exhaustion that occurs as a result of chronic stress at work. In the production sphere, it manifests itself especially acutely due to monotony, physical exertion and the influence of harmful factors. The theoretical foundations of professional burnout are: – Emotional exhaustion – a feeling of fatigue, emptiness. – Depersonalization – cynicism, indifference to colleagues and work. – Decreased personal achievements – loss of confidence, motivation. The stages of development of professional burnout are as follows: 1. Enthusiasm → 2. Fatigue → 3. Exhaustion → 4. Depersonalization → 5. Decrease in achievements. Main symptoms: – Emotional – apathy, irritability, anxiety. – Physical – fatigue, headaches, insomnia. – Cognitive – decreased concentration. – Behavioral – procrastination, isolation. Factors contributing to burnout: – Individual – perfectionism, low self-esteem, lack of work-life balance. – Organizational – excessive workload, unfair remuneration, poor communication. – Social – isolation, pressure from society to succeed. Burnout in the production sector has the following negative consequences: exhaustion, loss of interest, health problems. For the enterprise, this means staff turnover, a decrease in product quality and an increase in injuries, financial losses. The most relevant methods for diagnosing burnout are as follows: individual interviews; observation of employee behavior; analysis of productivity and frequency of sick leave. Of particular note is the Maslach questionnaire (MBI): (Diagnosis of professional burnout. Maslach Burnout Inventory (MBI) is one of the most recognized and widely used methods for measuring burnout syndrome in employees of various professional groups and industries. This technique was developed by K. Maslach and S. Jackson in 1981 and tested by a large number of studies confirming its reliability and validity). Professional burnout is a serious threat to the well-being of employees and production efficiency. A systematic approach is needed: diagnosis, prevention, support and a culture of mutual respect. Despite a significant amount of research on professional burnout, there are still a number of issues that require further study, including: – study of the long-term consequences of professional burnout for the physical and mental health of workers; – development and testing of new, more effective prevention and intervention programs adapted to the specifics of different industries; – studying the impact of new technologies and automation on the level of professional burnout of workers; – research on the role of leadership and corporate culture in preventing and overcoming burnout at work.

PD49-10 PREVALENCE OF AND FACTORS ASSOCIATED WITH BURNOUT IN PRACTICING PEDIATRIC UROLOGISTS

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.

Introduction. The article discusses the problem of testing a mobile version of the mindfulness-based program “OsNOVA” for reducing professional burnout among teaching staff. Materials and methods. 60 educators with various backgrounds and specializations participated in this study. The following instruments were used: the MBI, the Ways of Coping Questionnaire, the BDI, the PSS-10 Perceived Stress Scale, the SF-12 questionnaire, the FFMQ, and the MAAS Mindfulness Questionnaires. The Student’s t-test was employed in the processing. Results. It has been confirmed that the average score of students in the discipline taught by a teacher with high level of burnout is significantly lower than the average score of students in the subject taught by a teacher with low level of burnout. It has been established that when implementing a program to reduce the level of professional burnout among teaching staff, presented in a mobile format, there is a significant reduction in burnout in those subjects whose burnout was initially high. This is accompanied by an increase in awareness (primarily such components as Non-Evaluation, Observation and Awareness of Actions), productive coping strategies. Teaching staff with a relatively low level of burnout experienced an improvement in a number of indicators reflecting the level of the latter, as well as an increase in the quality of life. The effect achieved from the program persisted for at least one month after the end of active use of the OsNOVA mobile application. Conclusion. The mobile application with the online version of the OsNOVA program can be used to prevent professional burnout among teaching staff. Additional work is planned to improve it.

Aim: This study aimed to evaluate the levels of job satisfaction and professional burnout among healthcare workers (HCWs) providing home health care services (HHSs). Materials and Methods: A cross-sectional, descriptive design was employed. Data were collected through an online questionnaire administered to HCWs assigned to HHS units of public hospitals in Samsun Province, Türkiye. The first six items of the questionnaire assessed participants’ sociodemographic characteristics and duration of service, followed by the Maslach Burnout Inventory and the Minnesota Satisfaction Questionnaire. Results: Eighty five participants completed the survey, with a mean age of 35.71 ± 8.74 years. Gender, age, professional category, and duration of service—both overall and within HHS—had statistically significant effects on burnout levels. Age was positively correlated with emotional exhaustion and personal accomplishment scores (p = 0.027 and p = 0.002, respectively). Internal satisfaction scores of the Minnesota Satisfaction Questionnaire also showed a positive correlation with age (p = 0.035). Emotional exhaustion and depersonalization subscales of the Maslach Burnout Inventory were negatively correlated with all Minnesota Satisfaction Questionnaire subscales (p < 0.001), whereas the personal accomplishment subscale demonstrated a positive correlation with Minnesota Satisfaction Questionnaire scores (all p < 0.001). Conclusion: Higher job satisfaction among HCWs was associated with lower levels of emotional exhaustion and depersonalization and with greater perceived personal accomplishment. Enhancing job satisfaction through organizational and psychosocial support interventions may help reduce burnout and improve overall well-being among professionals working in home health care services.

During the COVID-19 pandemic, healthcare workers had a high workload and were exposed to multiple psychosocial stressors. However, a knowledge gap exists about the levels of burnout among Bangladeshi frontline doctors during this COVID-19 pandemic. The study investigated burnout syndrome (BOS) among frontline doctors in two public secondary and tertiary care hospitals in Chattogram, Bangladesh. This cross-sectional study involved frontline doctors working at two hospitals treating COVID-19 and non-COVID patients from June to August 2020. A self-administered questionnaire that included Maslach Burnout Inventory for Human Services Survey (MBI-HSS) was used to capture demographic and workplace environment information. ANOVA and t-test were used to determine the statistical differences in the mean values of the three dimensions of MBI-HSS. Scores for three domains of burnout: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA) were calculated. Post-hoc analysis was done to identify the significant pair-wise differences when the ANOVA test result was significant. Multiple logistic regression was performed to determine the influence of factors associated with BOS. A total of 185 frontline doctors were invited to participate by convenience sampling, and 168 responded. The response rate was 90.81%. The overall prevalence of BOS was 55.4% (93/168) (95% CI: 47.5% to 63.0%). Moderate to high levels of EE was found in 95.8% of the participants. High DP and reduced PA were observed in 98.2% and 97% of participants. Younger age (25-29 years), being female, and working as a medical officer were independently associated with high levels of burnout in all three domains. EE was significantly higher in females (P = 0.011). DP was significantly higher in medical officers, those at earlier job periods, and those working more than 8 hours per day. During the COVID-19 outbreak, BOS was common among Bangladeshi frontline doctors. Females, medical officers, and younger doctors tended to be more susceptible to BOS. Less BOS was experienced when working in the non-COVID ward than in the mixed ward.

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.

Prevalence, Risk Factors, and Coping Strategies for Burnout Among Pediatric Urologists.

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.

Background and objectives: Excessive and prolonged work-related stress has always been a cause for burnout among healthcare professionals. This has led to emotional, mental, and physical exhaustion. This survey was conducted to assess the burnout among medical practitioners using the abbreviated Maslach Burnout Inventory (aMBI) scale. Materials and methods: A cross-sectional study was conducted as in 1018 (836 female, 180 male, 2 did not specify) nursing professionals across India. A standardized and widely accepted 12-item aMBI scale with three domains of emotional exhaustion, depersonalization, and personal accomplishment was used to assess the burnout in nursing professionals. The distribution of responses for each variable was examined using frequencies and percentages among the sub-groups to find out the burnout levels of various components of the scales. Results: Professional burnout was observed in at least one domain of the aMBI scale in 62.7 % (638) nursing professionals. The burnout was observed in the three domains of aMBI i. e. , emotional exhaustion, depersonalization, and personal accomplishment in 9.1 % (93), 9.2 % (94), and 31.5 % (321) nursing professionals respectively. A total of 16 (1.6 %) nurses had burnout in all the three domains of aMBI. There was significantly greater burnout observed in nurses in academics (p<0.0001) and those with longer duration (>5 years) of work experience (p, 0.031). However, there was greater but non-significant burnout observed in females (p, 0.163) and younger (<30 years of age) nurses (p, 0.278). Conclusion: The results suggest high level of burnout in nursing professionals and warrant immediate actions to address this issue.