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Briles B, Kahl A, Anaissie J, Brettmann L, Pathak U, Staggers KA, Popat S, Agrawal A, Rose S, Taylor J. Levels and drivers of burnout during the COVID-19 pandemic among a diverse group of resident physicians. Postgrad Med 2024; 136:44-51. [PMID: 38193442 DOI: 10.1080/00325481.2024.2303974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Accepted: 01/04/2024] [Indexed: 01/10/2024]
Abstract
OBJECTIVES Evidence has shown significant impacts of the COVID-19 pandemic on physicians. We hypothesized that these effects would impact surgical and non-surgical resident education differently, with non-surgical specialties being more heavily impacted by frontline work and surgical specialties losing elective cases. METHODS We examined well-being and burnout among resident physicians in surgical and non-surgical specialties during the peak of the COVID-19 pandemic using the Mayo Physician Well-Being Index (WBI). RESULTS Completed surveys were received from 110 residents, 55% of whom were in a surgical training program. 35% of respondents were identified as 'at risk' for burnout. Increased demands from work (adj. OR 3.79, 95% CI 1.50, 9.59, p = 0.005) was associated with an increased likelihood for being 'at risk' compared to those without increased demands. Odds of having increased stress level were higher amongst residents with fear/anxiety of the unknown (adj. OR 4.21, 95% CI 1.63, 10.90, p = 0.003) and more demands outside work (adj. OR 10.54, 95% CI 2.63, 42.16, p = 0.001) but lower amongst residents with more time for studying (OR 0.23, 95% CI 0.09, 0.64, p = 0.005). Risk for burnout was not significantly different between surgical and non-surgical specialties when adjusting for increased demands from work (adj. OR 1.43, 95% CI 0.60, 3.37, p = 0.0.418). CONCLUSION Perceived effects of the COVID-19 pandemic upon residents' educational experience was mixed: reduced clinical volume had a negative impact, while increased time for study was perceived favorably. These findings suggest potential strategies and targets to mitigate the stress and burnout of a future crisis, whether large or small, among surgical and non-surgical trainees.
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Affiliation(s)
- Brenna Briles
- Department of Medicine, Baylor College of Medicine, Houston, TX, USA
| | - Alyssa Kahl
- Department of Medicine, Baylor College of Medicine, Houston, TX, USA
| | - James Anaissie
- Department of Medicine, Baylor College of Medicine, Houston, TX, USA
| | - Lindsay Brettmann
- Department of Medicine, Baylor College of Medicine, Houston, TX, USA
| | - Ujval Pathak
- Department of Medicine, Baylor College of Medicine, Houston, TX, USA
| | | | - Shreeya Popat
- Department of Medicine, Baylor College of Medicine, Houston, TX, USA
| | - Anoop Agrawal
- Department of Medicine, Baylor College of Medicine, Houston, TX, USA
| | - Stacey Rose
- Department of Medicine, Baylor College of Medicine, Houston, TX, USA
| | - Jennifer Taylor
- Department of Medicine, Baylor College of Medicine, Houston, TX, USA
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Macovei CM, Bumbuc Ș, Martinescu-Bădălan F. Personality traits, role ambiguity, and relational competence as predictors for teacher subjective wellbeing. Front Psychol 2023; 13:1106892. [PMID: 36687815 PMCID: PMC9849882 DOI: 10.3389/fpsyg.2022.1106892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Accepted: 12/12/2022] [Indexed: 01/07/2023] Open
Abstract
The coronavirus pandemic has significantly reshaped the way teaching activities are carried out, thus intensifying the stress felt by teachers. The teacher-student relationship has also changed under the influence of social constraints. Together, these have affected teachers' work efficiency and redefined their connection with the school. The present study aims to examine the extent to which personality traits, role ambiguity, and relational competence predict teacher subjective wellbeing. The study sample consisted of 105 university teachers. Three hierarchical multiple regression analyses were conducted separately for each of the three criterion variables used in this research: teaching efficacy, school connectedness, and teacher subjective wellbeing. The results indicated that the personality traits emotionality, extraversion, and conscientiousness are significant predictors for all three variables, while honesty-humility, agreeableness, and openness to experience are not predictors for any of the variables. However, in the third step of the regression analysis, conscientiousness was found to lose its predictive quality for the variables school connectedness and teacher subjective wellbeing, its place being taken by emotionality. Both role ambiguity and relational competence are significant predictors for teaching efficacy, for school connectedness, and for teacher subjective wellbeing. Based on these results, universities can design some measures to reduce role ambiguity of teachers and can identify areas of training needed to increase their relational competence, while simultaneously reducing the costs associated with wellbeing and productivity problems. Several training modules and courses are proposed to be designed and included in the curriculum of initial and in-service teacher training programs, in order to contribute to increasing teachers' performance.
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Affiliation(s)
- Crenguța Mihaela Macovei
- Department of Applied Social Sciences and Humanities, “Nicolae Bălcescu” Land Forces Academy, Sibiu, Romania
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Asfahani AM. The impact of role conflict on turnover intention among faculty members: A moderated mediation model of emotional exhaustion and workplace relational conflict. Front Psychol 2022; 13:1087947. [PMID: 36619069 PMCID: PMC9811317 DOI: 10.3389/fpsyg.2022.1087947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Accepted: 12/02/2022] [Indexed: 12/24/2022] Open
Abstract
This study examines the impact of emotional exhaustion on faculty role conflict as a source of stress that leads to turnover intention, which is considered to be an undesirable organizational behavior. Drawing on conservation of resources and job-demand theories, the study investigates the moderating effect of workplace relational conflict on the relationships between role conflict among faculty members and both emotional exhaustion and turnover intention. Cross-sectional survey data were collected from 321 faculty members employed in 58 Saudi universities and institutions of higher education. Structural equation modeling revealed that emotional exhaustion mediates the significant positive relationship between faculty members' role conflict and their turnover intention and that these mediating effects are enhanced by the moderating effect of workplace relational conflict on the significant positive relationship between emotional exhaustion and turnover intention. Unexpectedly, the moderating effect of workplace relational conflict on the relationship between role conflict and emotional exhaustion was not supported by the results. The study concludes by highlighting several theoretical and practical implications and providing suggestions for future research.
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Li N, Zhu P, Li H, Chen X, Chen L, Chen M. Association Between Role Overload and Sleep Quality Among Chinese First-Line Nurses During the COVID-19 Outbreak: The Moderating Effect of Mindfulness. J Nurs Res 2022; 30:e242. [PMID: 36445315 DOI: 10.1097/jnr.0000000000000531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Nurses working during the coronavirus disease 2019 (COVID-19) pandemic have experienced a high incidence of insomnia because of exposure to life-threatening occupational risks. Good sleep is essential for nurses to maintain their ability to care for patients with infectious diseases. PURPOSE The aim of this study was to assess the influence of role overload on sleep quality and the moderating role of mindfulness. METHODS A cross-sectional survey design was used in this study, which was conducted between March 20 and April 5, 2020. The survey was completed by 357 nurses who had relocated from Fujian Province to the epicenter of the outbreak in China to treat patients with COVID-19. Role overload, sleep quality, and mindfulness in these nurses were evaluated using the Role Overload Scale, Pittsburgh Sleep Quality Index, and Five-Facet Mindfulness Questionnaire, respectively. RESULTS Hierarchical regression and other statistical methods were used to analyze the data. Role overload was shown to be positively related to poor sleep quality, and mindfulness was found to be effective in alleviating sleep disorders associated with role overload. CONCLUSIONS The high risk of sleep disturbance among frontline nurses may be alleviated by reducing their perceived role overload. The identification of mindfulness as a moderating mechanism in the relationship between role overload and sleep quality provides new insights to improve sleep quality in nurses.
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Affiliation(s)
- Na Li
- MSN, RN, Head Nurse, Department of Nursing, Fujian Provincial Hospital, Nursing School of Fujian Medical University, People's Republic of China
| | - Pengli Zhu
- MD, Professor, Department of Geriatric Medicine, Fujian Provincial Hospital, Fujian Key Laboratory of Geriatrics, Fujian Provincial Center for Geriatrics, Fujian Medical University, Fuzhou, People's Republic of China
| | - Hong Li
- PhD, RN, Professor, Department of Nursing, Fujian Provincial Hospital, Fujian Medical University Affiliated Clinical Provincial Medical Institute, Nursing School of Fujian Medical University, Fuzhou, People's Republic of China
| | - Xiaohuan Chen
- MSN, RN, Director, Department of Nursing, Fujian Provincial Hospital, People's Republic of China
| | - Lili Chen
- MSN, RN, Director, Department of Nursing, Fujian Provincial Hospital, People's Republic of China
| | - Meirong Chen
- MSN, RN, Head Nurse, Department of Nursing, Fujian Provincial Hospital, Nursing School of Fujian Medical University, People's Republic of China
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Salama W, Abdou AH, Mohamed SAK, Shehata HS. Impact of Work Stress and Job Burnout on Turnover Intentions among Hotel Employees. Int J Environ Res Public Health 2022; 19:ijerph19159724. [PMID: 35955081 PMCID: PMC9368148 DOI: 10.3390/ijerph19159724] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Revised: 08/01/2022] [Accepted: 08/04/2022] [Indexed: 05/07/2023]
Abstract
This research aims primarily to shed light on the impact of work stress and job burnout on employees’ turnover intention in the hotel industry. Furthermore, it aims to identify the effect of work stress on job burnout besides examining the potential mediating role of job burnout in the relationship between work stress and employees’ turnover intentions in Egyptian hotels. For achieving this aim, the questionnaire was designed for Egyptian hotel employees and structured to cover four key parts: (1) demographic characteristics of employees of hotels, (2) work stress items, (3) job burnout items, and (4) turnover intentions. Structural equation modeling (SEM) results were obtained using AMOS software, IBM, version 24. The results indicate that job burnout partially mediates the relationship between work stress and turnover intentions. To be more specific, work stress has a significant positive effect on the turnover intention (β = +0.40, p < 0.01), and a significant positive effect on job burnout (β = +0.43 p < 0.01). Thus, there exists a strong positive association between work stress and turnover intentions as well as a positive association between job burnout and work stress. The findings of this study would help policymakers, hotel managers as well as practitioners to formulate policies for lessening the work stress, job burnout, and turnover intentions among hotel employees.
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Affiliation(s)
- Wagih Salama
- Department of Social Studies, College of Arts, King Faisal University, P.O. Box 380, Al Ahsa 31982, Saudi Arabia
- Department of Hotel Studies, High Institute of Tourism and Hotels, Ismailia 41511, Egypt
- Correspondence:
| | - Ahmed Hassan Abdou
- Department of Social Studies, College of Arts, King Faisal University, P.O. Box 380, Al Ahsa 31982, Saudi Arabia
- Faculty of Tourism and Hotels, Mansoura University, Mansoura 35516, Egypt
| | - Shaimaa Abo Khanger Mohamed
- Department of Social Studies, College of Arts, King Faisal University, P.O. Box 380, Al Ahsa 31982, Saudi Arabia
- Faculty of Tourism and Hotels, Mansoura University, Mansoura 35516, Egypt
| | - Hossam Said Shehata
- Department of Social Studies, College of Arts, King Faisal University, P.O. Box 380, Al Ahsa 31982, Saudi Arabia
- Faculty of Tourism and Hotels, Alexandria University, Alexandria 21526, Egypt
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Fong TCT, Ho RTH, Fong JCY. Temporal relationships among role stress, staff burnout, and residents’ behavioral problems: A 2-year longitudinal study in child care homes in Hong Kong. PLoS One 2022; 17:e0270464. [PMID: 35867660 PMCID: PMC9307186 DOI: 10.1371/journal.pone.0270464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Accepted: 06/10/2022] [Indexed: 11/18/2022] Open
Abstract
Young residents in care homes experience psychological distress arising from their complex family backgrounds. Residential care workers face job demands and are prone to burnout due to the role stress of balancing enormous workloads with residents’ emotional needs. This 2-year study examined the changes in role stress, burnout, and residents’ behavioral problems, and their temporal relationships in a sample of 381 young residents and 76 workers from residential care homes in Hong Kong. The workers completed the Role Questionnaire and Copenhagen Burnout Inventory and evaluated the residents’ behavioral problems using the Child Behavior Checklist every 3 months. Latent growth modeling was used to analyze the temporal changes, and multilevel regression analysis was used to evaluate the associations between role stress and residents’ behavioral problems. The workers displayed stable trends in role stress and burnout with significant inter-individual variations in temporal changes. The residents’ total behavioral problems displayed piecewise decreasing trajectories with significant declines over the first 9 months. Controlling for baseline levels, changes in role stress showed significant and positive associations with changes in work burnout and total behavioral problems over the first 9 months. The findings provide support for the temporal relationships among role stress, work burnout, and residents’ behavioral problems in a residential care setting.
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Affiliation(s)
- Ted C. T. Fong
- Centre on Behavioral Health, The University of Hong Kong, Hong Kong, Hong Kong
| | - Rainbow T. H. Ho
- Centre on Behavioral Health, The University of Hong Kong, Hong Kong, Hong Kong
- Dept of Social Work & Social Administration, The University of Hong Kong, Hong Kong, Hong Kong
- * E-mail:
| | - Joyce C. Y. Fong
- Centre on Behavioral Health, The University of Hong Kong, Hong Kong, Hong Kong
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Mijakoski D, Cheptea D, Marca SC, Shoman Y, Caglayan C, Bugge MD, Gnesi M, Godderis L, Kiran S, McElvenny DM, Mediouni Z, Mesot O, Minov J, Nena E, Otelea M, Pranjic N, Mehlum IS, van der Molen HF, Canu IG. Determinants of Burnout among Teachers: A Systematic Review of Longitudinal Studies. Int J Environ Res Public Health 2022; 19:ijerph19095776. [PMID: 35565168 PMCID: PMC9104901 DOI: 10.3390/ijerph19095776] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/03/2022] [Revised: 05/02/2022] [Accepted: 05/04/2022] [Indexed: 12/03/2022]
Abstract
We aimed to review the determinants of burnout onset in teachers. The study was conducted according to the PROSPERO protocol CRD42018105901, with a focus on teachers. We performed a literature search from 1990 to 2021 in three databases: MEDLINE, PsycINFO, and Embase. We included longitudinal studies assessing burnout as a dependent variable, with a sample of at least 50 teachers. We summarized studies by the types of determinant and used the MEVORECH tool for a risk of bias assessment (RBA). The quantitative synthesis focused on emotional exhaustion. We standardized the reported regression coefficients and their standard errors and plotted them using R software to distinguish between detrimental and protective determinants. A qualitative analysis of the included studies (n = 33) identified 61 burnout determinants. The RBA showed that most studies had external and internal validity issues. Most studies implemented two waves (W) of data collection with 6–12 months between W1 and W2. Four types of determinants were summarized quantitatively, namely support, conflict, organizational context, and individual characteristics, based on six studies. This systematic review identified detrimental determinants of teacher exhaustion, including job satisfaction, work climate or pressure, teacher self-efficacy, neuroticism, perceived collective exhaustion, and classroom disruption. We recommend that authors consider using harmonized methods and protocols such as those developed in OMEGA-NET and other research consortia.
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Affiliation(s)
- Dragan Mijakoski
- Institute of Occupational Health of RNM, WHO Collaborating Center, 1000 Skopje, North Macedonia;
- Faculty of Medicine, Ss. Cyril and Methodius, University in Skopje, 1000 Skopje, North Macedonia
- Correspondence:
| | - Dumitru Cheptea
- Faculty of Medicine and Pharmacy, Nicolae Testemitanu State University of Medicine and Pharmacy, 2004 Chisinau, Moldova;
| | - Sandy Carla Marca
- Center of Primary Care and Public Health (Unisanté), University of Lausanne, 1066 Epalinges-Lausanne, Switzerland; (S.C.M.); (Y.S.); (Z.M.); (O.M.); (I.G.C.)
| | - Yara Shoman
- Center of Primary Care and Public Health (Unisanté), University of Lausanne, 1066 Epalinges-Lausanne, Switzerland; (S.C.M.); (Y.S.); (Z.M.); (O.M.); (I.G.C.)
| | - Cigdem Caglayan
- Department of Public Health, Faculty of Medicine, Kocaeli University, İzmit 41001, Turkey;
| | - Merete Drevvatne Bugge
- National Institute of Occupational Health (STAMI), 0363 Oslo, Norway; (M.D.B.); (I.S.M.)
| | - Marco Gnesi
- Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, Italy;
| | - Lode Godderis
- Department of Primary Care and Public Health, University of Leuven, 3000 Leuven, Belgium;
| | - Sibel Kiran
- Department of Occupational Health and Safety, Institute of Public Health, Hacettepe University, Ankara 06100, Turkey;
| | - Damien M. McElvenny
- Research Group, Institute of Occupational Medicine, Edinburgh EH14 4AP, UK;
- Centre for Occupational and Environmental Health, University of Manchester, Manchester M13 9PL, UK
| | - Zakia Mediouni
- Center of Primary Care and Public Health (Unisanté), University of Lausanne, 1066 Epalinges-Lausanne, Switzerland; (S.C.M.); (Y.S.); (Z.M.); (O.M.); (I.G.C.)
| | - Olivia Mesot
- Center of Primary Care and Public Health (Unisanté), University of Lausanne, 1066 Epalinges-Lausanne, Switzerland; (S.C.M.); (Y.S.); (Z.M.); (O.M.); (I.G.C.)
| | - Jordan Minov
- Institute of Occupational Health of RNM, WHO Collaborating Center, 1000 Skopje, North Macedonia;
- Faculty of Medicine, Ss. Cyril and Methodius, University in Skopje, 1000 Skopje, North Macedonia
| | - Evangelia Nena
- Medical School, Democritus University of Thrace, 68100 Alexandroupolis, Greece;
| | - Marina Otelea
- Clinical Department 5, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania;
| | - Nurka Pranjic
- Department of Occupational Medicine, School of Medicine, University of Tuzla, 75000 Tuzla, Bosnia and Herzegovina;
- Clinic of Occupational Pathology and Toxicology, University Institute of Primary Health, 75000 Tuzla, Bosnia and Herzegovina
| | - Ingrid Sivesind Mehlum
- National Institute of Occupational Health (STAMI), 0363 Oslo, Norway; (M.D.B.); (I.S.M.)
- Institute of Health and Society, University of Oslo, 0373 Oslo, Norway
| | - Henk F. van der Molen
- Amsterdam UMC Location University of Amsterdam, Public and Occupational Health, Netherlands Center for Occupational Diseases, Meibergdreef 9, 1100 DD Amsterdam, The Netherlands;
- Amsterdam Public Health Research Institute, Societal Participation & Health, 1105 BP Amsterdam, The Netherlands
| | - Irina Guseva Canu
- Center of Primary Care and Public Health (Unisanté), University of Lausanne, 1066 Epalinges-Lausanne, Switzerland; (S.C.M.); (Y.S.); (Z.M.); (O.M.); (I.G.C.)
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Álvarez- Cabrera PL, López-Reyes KV, Chacón Fuertes F, Sánchez-Moreno E. Factor Validity of Measurement for Burnout in Chilean Prison Officers. Rev colomb psicol 2022. [DOI: 10.15446/rcp.v31n1.82590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
The objective of this research was to perform the factorial validity of the Maslach Burnout Inventory Human Services (MBI-HSS) in prison officers in Chile through a first-order factor analysis and a confirmatory analysis. The sample was constituted by all the prison officers in the Region of Arica and Parinacota (N=334). Of these, 44 did not participate in the study, since they were in a medical leave, vacation or special permit, transfer in progress, or similar situation. Therefore, the final number of participants was 290 subjects. The Burnout Syndrome (BS) was estimated through the adaptation to Spanish (Gil-Monte, 2005) of the Maslach Burnout Inventory, in its version for human services professionals (MBI-HSS) (Maslach & Jackson, 1986), validated in Chile (Olivares, 2009). By way of conclusion, the present investigation found similarities in the MBI-HSS in terms of dimensionality and reliability analysis, and despite the international observations of the instrument, an adjusted proposal (standardization and validation) of the MBI-HSS is provided for contexts Prisoners with 18 items, since in Chile there is no validation of the MBI-HSS in prison officers.
How to Cite this Article: Álvarez-Cabrera, P., López-Reyes, K., Chacón, F. y Sánchez, E. (2022). Factor validity of measurement for burnout in Chilean Prison Officers Revista Colombiana de Psicología, 31 (1), 23-34. https://doi.org/10.15446/rcp.v31n1.82590
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Blazin LJ, Terao MA, Spraker-Perlman H, Baker JN, McLaughlin Crabtree V, Mandrell BN, Gattuso J, Sellers J, Dunn TJ, Lu Z, Hoffman JM, Burlison JD. Never Enough Time: Mixed Methods Study Identifies Drivers of Temporal Demand That Contribute to Burnout Among Physicians Who Care for Pediatric Hematology-Oncology Patients. JCO Oncol Pract 2021; 17:e958-e971. [PMID: 33720755 PMCID: PMC8462670 DOI: 10.1200/op.20.00754] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Revised: 11/12/2020] [Accepted: 01/27/2021] [Indexed: 11/20/2022] Open
Abstract
PURPOSE Burnout is a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment because of chronic occupational stress. Approximately one third of pediatric hematology-oncology physicians experience burnout. The goal of this mixed methods study was to determine the prevalence and drivers of burnout among physicians caring for pediatric hematology-oncology patients at our institution. MATERIALS AND METHODS This mixed methods, cross-sectional study was conducted at a large academic cancer center. Validated survey instruments were used to measure burnout, job demands, experience with patient safety events, and workplace culture. Quantitative data informed development of a semistructured interview guide, and physicians were randomly selected to participate in individual interviews. Interviews were transcribed and analyzed via content analysis based on a priori codes. RESULTS The survey was distributed to 132 physicians, and 53 complete responses were received (response rate 40%). Of the 53 respondents, 15 (28%) met criteria for burnout. Experiencing burnout was associated with increased temporal demand. Twenty-six interviews were conducted. Qualitative themes revealed that frequent meetings, insufficient support staff, and workflow interruptions were key drivers of temporal demand and that temporal demand contributed to burnout through emotional exhaustion and reduced personal accomplishment. CONCLUSION Nearly one-third of participating physicians met criteria for burnout, and burnout was associated with increased temporal demand. Qualitative interviews identified specific drivers of temporal demand and burnout, which can be targeted for intervention. This methodology can be easily adapted for broad use and may represent an effective strategy for identifying and mitigating institution-specific drivers of burnout.
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Affiliation(s)
- Lindsay J. Blazin
- Department of Oncology, St Jude Children's Research Hospital, Memphis, TN
- Department of Pediatrics, Division of Pediatric Hematology Oncology, Indiana University, Indianapolis, IN
| | - Michael A. Terao
- Department of Oncology, St Jude Children's Research Hospital, Memphis, TN
- Department of Pediatrics, Division of Pediatric Adolescent and Young Adult Hematology and Oncology, Medstar Georgetown University Hospital, Washington, DC
| | - Holly Spraker-Perlman
- Department of Oncology, Division of Quality of Life and Palliative Care, St Jude Children's Research Hospital, Memphis, TN
| | - Justin N. Baker
- Department of Oncology, Division of Quality of Life and Palliative Care, St Jude Children's Research Hospital, Memphis, TN
| | | | - Belinda N. Mandrell
- Department of Pediatric Medicine, Division of Nursing Research, St Jude Children's Research Hospital, Memphis, TN
| | - Jami Gattuso
- Department of Pediatric Medicine, Division of Nursing Research, St Jude Children's Research Hospital, Memphis, TN
| | - Janet Sellers
- Department of Psychosocial Services, St Jude Children's Research Hospital, Memphis, TN
| | - Tyler J. Dunn
- Department of Pharmaceutical Sciences, St Jude Children's Research Hospital, Memphis, TN
- Department of Pharmacy Administration, University of Mississippi, Oxford, MS
| | - Zhaohua Lu
- Department of Biostatistics, St Jude Children's Research Hospital, Memphis, TN
| | - James M. Hoffman
- Department of Pharmaceutical Sciences, St Jude Children's Research Hospital, Memphis, TN
- Office of Quality and Patient Care, St Jude Children's Research Hospital, Memphis, TN
| | - Jonathan D. Burlison
- Office of Quality and Patient Care, St Jude Children's Research Hospital, Memphis, TN
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Akkoç İ, Okun O, Türe A. The effect of role-related stressors on nurses' burnout syndrome: The mediating role of work-related stress. Perspect Psychiatr Care 2021; 57:583-596. [PMID: 32686153 DOI: 10.1111/ppc.12581] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2020] [Revised: 07/01/2020] [Accepted: 07/05/2020] [Indexed: 11/29/2022] Open
Abstract
PURPOSE This study sought to investigate the effects of role conflict, role ambiguity, and workload on burnout syndrome among clinical nurses working in university hospitals and the mediating role of work-related stress in these effects. DESIGN AND METHODS Cross-sectional questionnaire-based survey was conducted. Data from 386 nurses were evaluated. The research variables were analyzed using statistical methods such as factor analysis, correlation analysis, regression analysis, Sobel tests, and bootstrapping method. FINDINGS It was determined that role conflict, role ambiguity, workload, and work-related stress affect nurses' burnout significantly and work-related stress has a mediator role between burnout and the independent variables. PRACTICE IMPLICATIONS Nurses' burnout syndrome can be prevented if managerial practices to reduce the sources of role-related stressors and work-related stress are implemented by managers.
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Affiliation(s)
| | | | - Aysun Türe
- Department of Nursing Management, Faculty of Health Sciences, Eskisehir Osmangazi University, Eskisehir, Turkey
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Abstract
Resumo Médicos residentes estão expostos aos estressores relacionados ao ensino e ao exercício profissional. Nesta pesquisa, objetivamos identificar a prevalência da síndrome de burnout entre os médicos residentes do Hospital das Clínicas da Universidade Federal de Minas Gerais (HC-UFMG) e explorar sua relação com aspectos sociodemográficos e ocupacionais. Dos médicos residentes, 273 responderam uma ficha sociodemográfica e ocupacional e o Inventário de Burnout de Maslach (MBI), desses, entrevistamos 13. Submetemos as respostas dos questionários à análise estatística e das entrevistas à análise de conteúdo. Encontramos alta exaustão emocional (68,1%), moderado ou alto cinismo (41,7%) e moderada ou alta ineficácia profissional (40,6%). Identificamos a presença de síndrome de burnout em 25,64% dos médicos residentes, além disso, encontramos relações de baixo poder explicativo com as variáveis sociodemográficas e ocupacionais. Os resultados fortaleceram a necessidade de questionarmos as condições de trabalho dos médicos residentes, o papel das variáveis sociodemográficas e ocupacionais, da religiosidade e do processo de socialização organizacional no desenvolvimento da síndrome de burnout.
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García-Arroyo J, Cárdenas Moncayo I, Gómez García AR, Osca Segovia A. Understanding the Relationship between Situational Strength and Burnout: A Multi-Sample Analysis. Int J Environ Res Public Health 2020; 18:ijerph18010162. [PMID: 33379342 PMCID: PMC7795980 DOI: 10.3390/ijerph18010162] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Revised: 12/09/2020] [Accepted: 12/10/2020] [Indexed: 11/16/2022]
Abstract
Many studies have examined the effect of situational strength (clarity, consistency, constraints, and consequences) on organisational behaviour, but little has been investigated about its health effects. This study aimed to analyse the relationship between situational strength and burnout. Specifically, we examined whether situational strength characteristics may be associated with burnout, whether these characteristics are risk (or protective) factors for burnout, and whether a strong situation is related to higher levels of burnout. Examining three samples from different occupations, it was found that clarity and consistency are negatively associated with burnout, being protective factors, while constraints are positively associated with burnout, being risk factors. These results are consistent across the samples. In addition to the direct effects, interaction effects between clarity and consistency in the office employee's sample (two-way interaction), between constraints and consequences in the samples of office employees and teachers (two-way interaction), and among clarity, consistency, and constraints in the salespeople's sample (three-way interaction) were also significant, explaining from 20% to 33% of the variance of burnout. We concluded that situational strength is associated not only with behaviour but also with health. The theoretical and practical implications of these findings are discussed.
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Affiliation(s)
- José García-Arroyo
- Faculty of Psychology, National Distance Education University (UNED), 28015 Madrid, Spain; (I.C.M.); (A.O.S.)
- Correspondence:
| | - Isabel Cárdenas Moncayo
- Faculty of Psychology, National Distance Education University (UNED), 28015 Madrid, Spain; (I.C.M.); (A.O.S.)
| | | | - Amparo Osca Segovia
- Faculty of Psychology, National Distance Education University (UNED), 28015 Madrid, Spain; (I.C.M.); (A.O.S.)
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Ma H, Qiao H, Qu H, Wang H, Huang Y, Cheng H, Teng C, Diao K, Zhang X, Zhang N. Role stress, social support and occupational burnout among physicians in China: a path analysis approach. Int Health 2020; 12:157-163. [PMID: 31343067 DOI: 10.1093/inthealth/ihz054] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2019] [Revised: 03/06/2019] [Accepted: 05/30/2019] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Occupational burnout in physicians is prevalent and can have many negative effects. The purposes of this study were to explore the prevalence of occupational burnout and to analyze the effects of social support and role stress on occupational burnout among Chinese physicians. METHODS Using multistage-stratified cluster random sampling, physicians were selected to participate in the study and completed three questionnaires: the Chinese Maslach Burnout Inventory; the Cross-Cultural Role Conflict, Ambiguity and Overload Scale; and the Social Support Rating Scale. A path analysis was run to test the effects of role stress and social support on occupational burnout. RESULTS Of 2530 physicians, 864 (34.2%) were experiencing moderate occupational burnout and 140 (5.5%) were experiencing severe occupational burnout. The path analysis results indicated that role conflict had direct positive effects on emotional exhaustion (EE) and depersonalization (DP), and role ambiguity had direct positive effects on DP and decreased personal accomplishment (DPA). Coworker support had direct negative effects on EE and positive effects on DP, family support had direct negative effects on DP and DPA. Coworker support mediated the effects of role ambiguity on EE and DP, and family support mediated the effects of role ambiguity on DP and DPA. CONCLUSIONS These findings suggest that occupational burnout is common in Chinese physicians, and that role stress and social support play important roles in occupational burnout. Interventions that aim to reduce role stress and increase social support can be effective approaches to prevent occupational burnout among physicians.
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Affiliation(s)
- Hui Ma
- Department of Medical Psychology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - HuiFen Qiao
- Department of Medical Psychology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - HaiTao Qu
- Educational and Counseling Department of Mental Health, Nanjing University of Posts and Telecommunications, Nanjing, China
| | - Hui Wang
- Department of Neurology, Lianyungang Hospital of Traditional Chinese Medicine, Lianyungang, China
| | - Yun Huang
- Medical Insurance Audit Department, Hangzhou Medical Insurance Management and Service Bureau, Hangzhou, China
| | - Hao Cheng
- Educational and Counseling Department of Mental Health, Nanjing University of Posts and Telecommunications, Nanjing, China
| | - ChangJun Teng
- Department of Medical Psychology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - KaiLi Diao
- Psychology Department, Nanjing Normal University, Nanjing, China
| | - XiangRong Zhang
- Department of Medical Psychology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - Ning Zhang
- Department of Medical Psychology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
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Héliot Y, Gleibs IH, Coyle A, Rousseau DM, Rojon C. Religious identity in the workplace: A systematic review, research agenda, and practical implications. Hum Resour Manage 2019. [DOI: 10.1002/hrm.21983] [Citation(s) in RCA: 36] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
| | - Ilka H. Gleibs
- Department of Psychological and Behavioural ScienceLondon School of Economics London UK
| | - Adrian Coyle
- Department of PsychologySchool of Law, Social & Behavioural Sciences, Kingston University London London UK
| | - Denise M. Rousseau
- Heinz College and Tepper School of BusinessCarnegie Mellon University Pittsburgh Pennsylvania USA
| | - Céline Rojon
- University of Edinburgh, Business School Edinburgh UK
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Abstract
Orientation: Today’s competitive work environment requires organisations and employees to successfully cope with challenges to maintain healthy levels of well-being. It is, therefore, imperative to investigate which organisational and psychological factors contribute to well-being in employees.Research purpose: This study served to analyse whether psychological capital (PsyCap) mediates the relationship between perceived organisational support (POS) and well-being.Motivation for the study: In light of the positive psychology movement, this study aimed to investigate how positive constructs actively contribute to employee well-being. Knowledge of organisational and psychological factors that enhance well-being in employees will be of great benefit to organisations that aim to create positivity in the workplace in order to avoid the negative consequences of work-related stress and a toxic work environment.Research approach/design and method: A cross-sectional, non-experimental design, applying convenience and snowball sampling, was used to recruit 159 South African employees who completed an online survey that assessed the constructs under investigation.Main findings: It was found that POS, PsyCap and well-being are positively correlated to one another. Moreover, hierarchical regression analyses revealed that PsyCap fully mediates the relationship between POS and well-being.Practical/managerial implications: These findings imply that organisations should be committed to target their employees’ PsyCap to enhance well-being in their workforce.Contribution/value-add: The findings show that it is not sufficient just to provide organisational support to enhance well-being. Organisations also need to acknowledge the important role of their employees’ PsyCap to ensure that they are well equipped to deal with challenges in the workplace while maintaining healthy levels of well-being.
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Abstract
Purpose: Burnout has become an occupational health concern. However, little is known about the experiences of individuals identified as being at risk of burnout. This study aimed to address this gap by exploring employees’ experiences of well-being who were identified as burnout risks. Method: Interviews were conducted with 26 employees who agreed to participate in the study. A phenomenological approach was taken, with a case study design as the research strategy. Results: Three major themes were identified: job demands, life demands, and health concerns. It was evident that participants were experiencing demanding conditions in both their work and personal lives, indicating burnout to be a multi-domain phenomenon. Conclusions: Professionals and managers should take note of these results to assist and support employees who are identified as being at risk of burnout.
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Affiliation(s)
- Cecile Gauche
- a WorkWell Research Unit , North-West University , Potchefstroom , South Africa
| | - Leon T de Beer
- a WorkWell Research Unit , North-West University , Potchefstroom , South Africa
| | - Lizelle Brink
- a WorkWell Research Unit , North-West University , Potchefstroom , South Africa
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Affiliation(s)
- Adrian Abellanoza
- Department of Psychology; The University of Texas at Arlington; Arlington TX USA
| | | | - Robert J. Gatchel
- Department of Psychology; The University of Texas at Arlington; Arlington TX USA
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Gauche C, De Beer LT, Brink L. Managing employee well-being: A qualitative study exploring job and personal resources of at-risk employees. SA j hum resour manag 2017. [DOI: 10.4102/sajhrm.v15i0.957] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
Orientation: Job and personal resources influence the well-being of employees. Currently, limited information exists in literature surrounding the experience of these resources in employees identified as at-risk of burnout.Research purpose: To investigate the experience of job and personal resources from the perspectives of employees identified as at-risk of burnout.Motivation for the study: Empirical evidence on the integrative role and influence of job and personal resources on the well-being of employees in the South African context is currently limited. Attaining a better understanding of the manner in which at-risk employees experience resources can empower organisations to actively work towards creating an environment that allows for optimal employee well-being.Research design, approach and method: A phenomenological approach was taken to conduct the study in a South African-based financial services organisation. A combination of purposive and convenience sampling was used, and 26 employees agreed to participate. Semi-structured interviews were used to collect data, and data analysis was performed through the use of thematic analysis.Main findings: Employees identified as at-risk of burnout acknowledged both job and personal resources as factors influencing their well-being. Participants in this study elaborated on received job resources as well as lacking job resources. Information was also shared by participants on personal resources through describing used personal resources as well as lacking personal resources.Practical/managerial implications: Knowledge gained from the study will contribute to empower organisations to better understand the impact of resources on the well-being of employees, and allow organisations to adapt workplace resources to ensure adequate and appropriate resources to facilitate optimal employee well-being.Contribution: This study contributes to the limited research available in the South African context regarding the experience of job and personal resources from the perspective of at-risk employees. The study may also enable organisations to create a workplace that is more supportive and empowering with appropriate resources to deliver on expected demands.
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Abstract
Resumo Objetivo: Investigar na literatura o conhecimento disponível sobre a interdependência dos agentes desencadeantes do absenteísmo da enfermagem hospitalar para inferir, a partir de uma perspectiva multicausal, possíveis ações de gestão e controle. Métodos: Revisão sistemática compreendendo o recorte temporal de 2013 à 2017, utilizando descritores operacionalizados em bases de dados indexadas do portal da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). A busca seguiu a metodologia Statement Preferred Reporting items For Systematic Reviews And Meta-Analyses (PRISMA) auxiliada pelo software EndNote®. Resultados: Finalizado o processo de depuração dos 269 artigos recuperados, 39 atenderam aos critérios de inclusão estabelecidos e, deles, 23,08% atribuiu a origem do absenteísmo a causas diversas não específicas. A organização do trabalho foi identificada como causa em 20,51% do material analisado, os adoecimentos musculoesqueléticos 15,38% e, os transtornos mentais e comportamentais totalizaram 10,26%. A síndrome de Burnout, 7,69% dos artigos, a satisfação no trabalho e os aspectos psicossociais 5,13% cada, relacionamento com demais membros das equipes, assédio e resiliência, ambiente laboral, fadiga e conflitos com o paciente, cada um, com 2,56% dos artigos analisados na revisão sistemática. Conclusão: Pelos resultados obtidos, concluiu-se que o absenteísmo deve ser tratado a partir de uma perspectiva múltipla, holística, epidemiológica e prospectiva através de variáveis organizacionais, físicas e cognitivas compatíveis com as análises multicausais.
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Portoghese I, Galletta M, Burdorf A, Cocco P, D’aloja E, Campagna M. Role Stress and Emotional Exhaustion Among Health Care Workers: The Buffering Effect of Supportive Coworker Climate in a Multilevel Perspective. J Occup Environ Med 2017; 59:e187-93. [DOI: 10.1097/jom.0000000000001122] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Pereira SDS, Teixeira CAB, Reisdorfer E, Gherardi-Donato ECDS, Juruena MF, Cardoso L. Burnout in nursing professionals: Associations with early stress. ACTA ACUST UNITED AC 2015. [DOI: 10.12968/bjmh.2015.4.6.267] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | | | | | | | | | - Lucilene Cardoso
- Professor, Ribeirão Preto College of Nursing, University of São Paulo, Brazil
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