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1

Amir, Z., and A. J. Reid. "Impact of traumatic perinatal events on burnout rates among midwives." Occupational Medicine 70, no. 8 (September 8, 2020): 602–5. http://dx.doi.org/10.1093/occmed/kqaa156.

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Abstract Background Little is known about the prevalence of burnout among Irish midwives and how traumatic perinatal events in work contributes to this. Aims To establish the prevalence of burnout among midwives in Ireland and whether exposure to traumatic perinatal events in work contributes to this. Methods A cross-sectional study utilizing a designed questionnaire was carried out in a tertiary-referral maternity hospital involving all clinical midwives (n = 248). Demographic details and frequency of perinatal events deemed traumatic were recorded. The extent of distress was documented on two visual analogues read in combination to reflect the impact of the distressing events. Burnout severity was assessed using the Copenhagen Burnout Inventory. Results The response rate was 55% (n = 137). Mean scores for personal, work-related and patient-related burnout were 56.0, 55.9 and 34.3, respectively. Over 90% of respondents experienced exposure to a traumatic event in work in the previous year, with 58% reporting a frequency of monthly or greater. No significant relationship was demonstrated between frequency of trauma and burnout; however, the extent of distress experienced was positively related to burnout in each domain (R2 = 0.18, 0.15 and 0.09, respectively, P < 0.01). A modest negative linear relationship exists between personal and work-related burnout and increasing age (ρ = −0.25 and −0.27, P < 0.01). A significant difference in work-related burnout score was evident between midwives with less experience and more experienced colleagues (P < 0.01). Conclusions Burnout is common among midwives. Exposure to discrete traumatic perinatal events experienced by women under their care contributes to this.
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Witczak-Błoszyk, Kinga, Karolina Krysińska, Karl Andriessen, Jacek Stańdo, and Adam Czabański. "Work-Related Suicide Exposure, Occupational Burnout, and Coping in Emergency Medical Services Personnel in Poland." International Journal of Environmental Research and Public Health 19, no. 3 (January 20, 2022): 1156. http://dx.doi.org/10.3390/ijerph19031156.

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Work-related suicide exposure may significantly contribute to the risk of burnout in first responders. This study assessed the exposure to suicide, burnout, and coping mechanisms in emergency medical services in Poland, including psychosocial determinants, such as age, gender, and access to psychological support. The level of burnout was assessed using the Link Burnout Questionnaire (LBQ), and coping was measured using the Coping Inventory for Stressful Situations (CISS). Data were analysed using a series of variance analyses and a partial least squares structural equation modelling. The study showed that 98% of emergency medical services personnel reported work-related suicide exposure. The LBQ score indicated symptoms of burnout, in particular relational deterioration, and the CISS showed low levels of emotion-oriented coping. Physicians reported higher levels of psycho-physical exhaustion than paramedics and nurses. Access to psychological support in the workplace was related to lower levels of burnout. Emergency medical services personnel are frequently exposed to suicide, which may be related to the risk of occupational burnout, and coping strategies used in this occupational group are often not optimal. Preventive measures, such as training emergency medical services personnel in regard to effective coping strategies, are needed, and personnel should be encouraged to access mental health services and supports.
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Karsavuran, Seda, and Sıdıka Kaya. "The relationship between burnout and mobbing among hospital managers." Nursing Ethics 24, no. 3 (September 8, 2015): 337–48. http://dx.doi.org/10.1177/0969733015602054.

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Background: Mobbing and burnout can cause serious consequences, especially for health workers and managers. Level of burnout and exposure to mobbing may trigger each other. There is a need to conduct additional and specific studies on the topic to develop some strategies. Research objectives: The purpose of this study is to determine the relationship between level of burnout and exposure to mobbing of the managers (head physician, assistant head physician, head nurse, assistant head nurse, administrator, assistant administrator) at the Ministry of Health hospitals. Research design: The “Leymann Inventory of Psychological Terrorization” scale was used to measure the level of exposure to mobbing and the “Maslach Burnout Inventory” scale was used to measure the level of burnout of hospital managers. The relationship between level of burnout and exposure to mobbing was analyzed by Pearson’s Correlation Analysis. Participants and research context: The population of this study included managers (454 managers) at the Ministry of Health hospitals in the metropolitan area of Ankara between September 2010 and May 2011. All the managers were tried to conduct, but some managers did not want to reply to the questionnaire and some managers were not found at their workplace. Consequently, using a convenience sampling, 54% of the managers replied to the questionnaire (244 managers). Ethical consideration: The approval of the study was granted by the Ministry of Health in Turkey. Furthermore, the study was evaluated and accepted by the Education, Planning and Coordination Council of one of the education and research hospitals in the study. Findings: Positive relationships were found among each subdimension of the mobbing and emotional exhaustion and depersonalization. A negative relationship was found between each subdimension of the mobbing and personal accomplishment. Discussion: In hospitals, by detecting mobbing actions, burnout may be prevented. Conclusion: Exposure to mobbing and burnout could be a serious problem for head nurses who are responsible for both the performance of the nurses and organization. Additionally, head nurses who are faced with mobbing and burnout are more likely to provide suboptimal services which could potentially result in negative outcomes. Therefore, this study draws attention to the importance of preventing these attitudes in the organization.
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Ko, Clara, Yona Lunsky, Jennifer Hensel, and Carolyn S. Dewa. "Burnout Among Summer Camp Staff Supporting People with Intellectual Disability and Aggression." Intellectual and Developmental Disabilities 50, no. 6 (December 1, 2012): 479–85. http://dx.doi.org/10.1352/1934-9556-50.06.479.

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Abstract Studies have shown that there is an association between exposure to people with intellectual disability who are aggressive and burnout in the staff who support them. Little is known, however, about the experience of summer camp staff who work with this population. This study examined the relationship between aggression and burnout in 169 staff members working at summer camps in Ontario, Canada. The questionnaire used included demographic information, exposure to aggression (frequency and severity), and the Maslach Burnout Inventory—Human Services Survey. Results showed that summer camp staff was exposed to frequent and relatively severe aggression. Severe exposure was associated with higher levels of emotional exhaustion and personal accomplishment. Given that summer camp staff is likely to be exposed to at least some aggression in their summer job, and that this aggression is associated with burnout, greater attention should be paid to training and supporting staff for when aggression occurs.
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Ferber, Megan Ferriby, Max Zubatsky, Christine K. Jacobs, and Peter F. Cronholm. "COVID-19 Exposure Risk, Burnout, and Shifts in Family Medicine Faculty’s Efforts: A National Survey." Family Medicine 54, no. 3 (March 1, 2022): 193–99. http://dx.doi.org/10.22454/fammed.2022.449601.

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Background and Objectives: In response to the COVID-19 pandemic, academic family physicians had to change their clinical, teaching, research, and administrative efforts, while simultaneously balancing their home environment demands. It is unclear how the changes in effort affected physicians’ personal well-being, particularly burnout. This study sought to identify changes in faculty’s clinical, teaching, research, and administrative efforts during the COVID-19 pandemic and how effort shifts were associated with burnout. We also examined associations with important demographics and burnout. Methods: We took data from the 2020 Council of Academic Family Medicine’s Educational Research Alliance survey of family medicine educators and practicing physicians during November 2020 through December 2020. We analyzed self-report measures of demographics, effort (clinical, teaching, research, and administrative) before and during the pandemic, COVID-19 exposure level, and rates of burnout (emotional exhaustion and depersonalization) using logistic regressions. Results: Most participants reported no change in efforts. If changes were reported, clinical (21.6%) and administrative (24.8%) efforts tended to increase from before to during the pandemic, while teaching tended to decrease (27.7%). Increases in teaching and clinical efforts were associated with higher rates of emotional exhaustion. Higher depersonalization was associated with increased clinical efforts. Being older and working in a rural setting was associated with lower burnout, while being female was associated with higher burnout. Conclusions: Shifts in effort across academic family physicians’ multiple roles were associated with emotional exhaustion and, to a lesser degree, depersonalization. The high rates of burnout demand additional attention from directors and administrators, especially among female physicians.
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Attenello, Frank J., Ian A. Buchanan, Timothy Wen, Daniel A. Donoho, Shirley McCartney, Steven Y. Cen, Alexander A. Khalessi, et al. "Factors associated with burnout among US neurosurgery residents: a nationwide survey." Journal of Neurosurgery 129, no. 5 (November 2018): 1349–63. http://dx.doi.org/10.3171/2017.9.jns17996.

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OBJECTIVEExcessive dissatisfaction and stress among physicians can precipitate burnout, which results in diminished productivity, quality of care, and patient satisfaction and treatment adherence. Given the multiplicity of its harms and detriments to workforce retention and in light of the growing physician shortage, burnout has garnered much attention in recent years. Using a national survey, the authors formally evaluated burnout among neurosurgery trainees.METHODSAn 86-item questionnaire was disseminated to residents in the American Association of Neurological Surgeons database between June and November 2015. Questions evaluated personal and workplace stressors, mentorship, career satisfaction, and burnout. Burnout was assessed using the previously validated Maslach Burnout Inventory. Factors associated with burnout were determined using univariate and multivariate logistic regression.RESULTSThe response rate with completed surveys was 21% (346/1643). The majority of residents were male (78%), 26–35 years old (92%), in a stable relationship (70%), and without children (73%). Respondents were equally distributed across all residency years. Eighty-one percent of residents were satisfied with their career choice, although 41% had at some point given serious thought to quitting. The overall burnout rate was 67%. In the multivariate analysis, notable factors associated with burnout included inadequate operating room exposure (OR 7.57, p = 0.011), hostile faculty (OR 4.07, p = 0.008), and social stressors outside of work (OR 4.52, p = 0.008). Meaningful mentorship was protective against burnout in the multivariate regression models (OR 0.338, p = 0.031).CONCLUSIONSRates of burnout and career satisfaction are paradoxically high among neurosurgery trainees. While several factors were predictive of burnout, including inadequate operative exposure and social stressors, meaningful mentorship proved to be protective against burnout. The documented negative effects of burnout on patient care and health care economics necessitate further studies for potential solutions to curb its rise.
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Tösten, Rasim, Yunus Emre Avcı, and Veysel Okçu. "The relation between the exposure to mobbing and burnout levels of secondary school teachers." International Journal of Learning and Teaching 10, no. 4 (October 30, 2018): 355–66. http://dx.doi.org/10.18844/ijlt.v10i4.3459.

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ABSTRACT This study was conducted to determine the relation between the level of burnout and the level of exposure to mobbing. The research is in relational survey model. The population of the research is composed of 1153 secondary school teachers working in Siirt city center in 2014-2015 academic year.As the number of teachers included in the research population is not high, sampling was not madeand 354 of the distributed scales were analysed. In the study, “Negative Acts Questionnaire” Scale developed by Einarsen and Raknes (1997) was used to measure the frequency of teachers’ exposure to mobbing behaviours. To determine the teachers’ burnout levels“Maslach Burnout Inventory” (MBI- Educators Survey) developed by Maslach and Jackson (1981) was used. The results showed that teachers are exposed to negative behavioursunder the sub-dimensions of “work related mobbing” and “mobbing directed at social relations” at "occasional" level. With regard to the burnout levels of the secondary school teachers, the highest value is observed in “emotional exhaustion” sub-dimension while the lowest is in “depersonalization"; and the personal accomplishment is at moderate level.Asa result of the research, basedon the perceptions of the teachers, a positive and medium levelof relation was determined between the “work related mobbing” and “mobbing directed at social relations” sub-dimensions of mobbing and “emotional exhaustion” and “depersonalization" sub-dimensions of burnout, while the relation with the personal accomplishment dimension was at a negative and medium level. As a result of the regression analysis, it was found out that both sub-dimensions of mobbing significantly predict all the dimensions of burnout subscales.
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Pai, Daiane Dal, Liana Lautert, Sônia Beatriz Cocaro de Souza, Maria Helena Palucci Marziale, and Juliana Petri Tavares. "Violence, Burnout and Minor Psychiatric Disorders in Hospital Work." Revista da Escola de Enfermagem da USP 49, no. 3 (June 2015): 457–64. http://dx.doi.org/10.1590/s0080-623420150000300014.

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OBJECTIVE Identifying the violence suffered by the health team workers and their association with Burnout and minor psychiatric disorders. METHODS Cross-sectional study with 269 health team professionals of a public hospital in southern Brazil. Data were collected through the use of the Survey Questionnaire: Workplace Violence in the Health Sector, Maslach Inventory Burnout and Self-Report Questionnaire. RESULTS Workplace violence struck 63.2% of workers, prevailing mostly in women (p = 0.001), among nursing auxiliaries/technicians (p=0.014) and was associated with minor psychiatric disorders (p<0.05), as exposure to different forms of violence increased the chances of these disorders by 60% (CI 95%: 1.2-2.1). The three Burnout dimensions were also associated to violence at work (p<0.05). CONCLUSION Health workers experience violence in the workplace and this exposure is associated with Burnout symptoms and minor psychiatric disorders.
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Ayoub, Azzouzi, Youssef Moutawakil, Abdelghafour Kondy, Najout Hamza, Boubekri Ayoub, Bouaiyda Ayoub, Belyamani Lahcen, and Meziane Mohamed. "Prevalence, Factors and Consequences of Burnout among a Group of Moroccan Personal Health during COVID-19 Pandemic." SAS Journal of Medicine 8, no. 2 (February 9, 2022): 70–78. http://dx.doi.org/10.36347/sasjm.2022.v08i02.004.

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The main objective of the study was to assess the prevalence of burnout in a group of health personnel during the COVID-19 epidemic in Morocco. The secondary objective was to identify risk factors associated with burnout in this population. In this survey, albeit limited, a questionnaire was sent by e- mail to all the people who form the team during the month of September 2020. The prevalence of burnout was assessed with the validated French version of the Maslach Burnout Inventair. The questionnaire also contained items on socio-demographic characteristics and professional situation. The prevalence of burnout was 46.7%. He had an association between burnout and exposure to the consequences of COVID-19. Hours worked per week and anxiety scores were significantly associated with burnout.
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Salanova, Marisa, and Wilmar B. Schaufeli. "Exposure to information technology and its relation to burnout." Behaviour & Information Technology 19, no. 5 (January 2000): 385–92. http://dx.doi.org/10.1080/014492900750000081.

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Husaeni, Alif Fajri, and Adi Wiratno. "Pengaruh Gaya Kepemimpinan Dan Motivasi Terhadap Burnout Pada PT. Indaco Warna Dunia (Regional Sales Purwokerto)." Media Ekonomi 20, no. 2 (September 17, 2021): 8. http://dx.doi.org/10.30595/medek.v20i2.11214.

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The purpose of this research is to find out whether leadership and motivation styles affect the burnout of employees. From the theoretical exposure then it can be formulated hypothesized that there is a leadership style influence against burnout, and there is a motivation influence against burnout in employees. The population in this study is all employees at PT. Indaco Warna Dunia (Regional Sales Purwokerto). Sampling techniques used are purposive sampling. Research data uses primary data in the form of questionnaires using 50 respondents. The results of this study showed that the leadership style influenced the desire of burnout. The better the leadership style of a company then the lower the employee will be against the burnout. Motivation also has a negative influence on burnout.
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Friganović, Adriano, and Polona Selič. "Where to Look for a Remedy? Burnout Syndrome and its Associations with Coping and Job Satisfaction in Critical Care Nurses—A Cross-Sectional Study." International Journal of Environmental Research and Public Health 18, no. 8 (April 20, 2021): 4390. http://dx.doi.org/10.3390/ijerph18084390.

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Background: Burnout is a psychological, work-related syndrome associated with long-term exposure to emotional and interpersonal stressors in the workplace. Burnout syndrome in nurses is often caused by an imbalance between work requirements and preparation and fitness for work, a lack of control, insufficient performance recognition and a prolonged exposure to stress. Aim: The aims of this study were to explore the associations between levels of burnout syndrome, coping mechanisms and job satisfaction in critical care nurses in multivariate modelling process. A specific aim was also to explore whether coping and job satisfaction in critical care nurses are gender related. Methods: A cross-sectional multicentre study was conducted in a convenience sample of 620 critical care nurses from five university hospitals in Croatia in 2017. The data were collected using the Maslach Burnout Inventory and the Ways of Coping and Job Satisfaction Scale together with the nurses’ demographic profiles and were analysed using a multivariable model. Results: The results showed no significant association between gender, coping mechanisms and job satisfaction. However, significant negative associations between burnout and job satisfaction (OR = 0.01, 95%CI = 0.00–0.02, p < 0.001) and positive association between burnout and passive coping (OR = 9.93, 95%CI = 4.01–24.61, p < 0.001) were found. Conclusion: The association between job satisfaction and burnout in nurses urges hospital management teams to consider actions focused on job satisfaction, probably modifications of the work environment. Given that passive coping may increase the incidence of burnout, it is recommendable for active coping to be implemented in nurses’ training programmes as an essential element of capacity building aimed at reducing the incidence of burnout in nurses.
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Šulc, Stanislav, Vít Šmilauer, and František Wald. "Thermal Model for Timber Fire Exposure with Moving Boundary." Materials 14, no. 3 (January 26, 2021): 574. http://dx.doi.org/10.3390/ma14030574.

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Fire exposure of timber leads to charring, surface cracking and timber burnout, shifting the external thermal load deeper into the timber domain. This phenomenon plays its role mainly in situations of longer fire exposure. The majority of current approaches and models assume initial geometry during the whole analysis, leading generally to the overestimation of the insulation effect of the charred layer and to a limited burnout. This paper presents a heat transport model which is supplemented with a moving boundary condition, a criterion for the finite element deactivation and the internal heat source. Comparison with experiments using a constant radiative load testifies that the moving boundary condition becomes important after approximately 10 min of fire exposure and rather leads to a constant charring rate observed in several experiments.
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Billings, Martha E., Michael E. Lazarus, Marjorie Wenrich, J. Randall Curtis, and Ruth A. Engelberg. "The Effect of the Hidden Curriculum on Resident Burnout and Cynicism." Journal of Graduate Medical Education 3, no. 4 (December 1, 2011): 503–10. http://dx.doi.org/10.4300/jgme-d-11-00044.1.

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Abstract Introduction Residents learn and participate in care within hospital cultures that may tolerate unprofessional conduct and cynical attitudes, labeled the “hidden curriculum.” We hypothesized that this hidden curriculum may have deleterious effects on residents' professional development and investigated whether witnessing unprofessional behavior during residency was associated with burnout and cynicism. Methods We surveyed internal medicine residents at 2 academic centers for 3 years (2008–2010). Hidden curriculum items assessed exposure to unprofessional conduct. We used regression analyses to examine if hidden curriculum scores were associated with cynicism and the Maslach Burnout Inventory depersonalization and emotional exhaustion domain scores. Results The response rate was 48% (337 of 708). In the 284 surveys analyzed, 45% of respondents met burnout criteria and had significantly higher hidden curriculum scores (26 versus 19, P &lt; .001) than those not meeting criteria. In cross-sectional analyses, the hidden curriculum score was significantly associated with residents' depersonalization, emotional exhaustion, and cynicism scores. Cynicism scores were also associated with burnout. Conclusions Exposure to unprofessional conduct was associated with higher burnout and cynicism scores among internal medicine residents. We also found that cynicism and burnout were significantly associated and may be measures of similar but not necessarily identical responses to the challenges posed by residency. Measuring the hidden curriculum and cynicism may provide direction for educators attempting to reform hospital culture and improve resident well-being.
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Richardson, Kyle S., and Meredith MacKenzie Greenle. "Impact of Exposure to Patient Death or Near Death on Compassion Fatigue in Pediatric Intensive Care Nurses." American Journal of Critical Care 29, no. 4 (July 1, 2020): 285–91. http://dx.doi.org/10.4037/ajcc2020222.

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Background Compassion fatigue affects up to 40% of health care professionals who work in intensive care settings. Frequent exposure to the death of patients, particularly children, may put nurses at risk for compassion fatigue, but the relation between these is unclear among those working in pediatric intensive care units. Objectives To examine the relationship between exposure to the death or near death of a pediatric patient and compassion fatigue, specifically the outcomes of compassion satisfaction, burnout, and secondary traumatic stress. Methods Pediatric and neonatal intensive care nurses were surveyed about their exposure to patient death and near-death experiences. They were asked to respond to the Professional Quality of Life Scale, which has 3 subscales that measure compassion satisfaction, burnout, and secondary traumatic stress. Bivariate and multivariate linear regression modeling was used to identify correlates of these outcomes. Results Of the 65 respondents, 94% were female, 41% were aged 31 to 45 years, and 71% had a bachelor’s degree. No significant relationship was found between nurses’ experiences of patient death or near death and their compassion satisfaction, burnout, or secondary traumatic stress. Significant correlates of compassion satisfaction and burnout included educational level and an age-experience interaction. Conclusions No relationship seems to exist between nurses’ experiences of patient death or near death and their compassion satisfaction, burnout, or secondary traumatic stress. Further research is needed to evaluate the impact of educational attainment on nurse outcomes and determine how best to support nurses who are at risk for compassion fatigue.
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Araújo, C., R. Gonçalves, J. M. V. D. Ferreira, S. Pedroso, C. Pinho, S. Silva, and M. J. Brito. "Burnout in pediatric oncology healthcare providers: Protection and vulnerability." European Psychiatry 33, S1 (March 2016): S389. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1402.

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IntroductionBurnout is a condition characterized by emotional exhaustion, depersonalization and reduced personal accomplishment, resulting from the inability to cope with chronic job stress. Healthcare providers at pediatric oncology units, who care for children with life-threatening illnesses, are exposure to high levels of stress, which increases the risk for developing burnout, with consequences in their personal health and quality of patient care.ObjectiveTo assess the prevalence and sources of burnout on a multidisciplinary team of a pediatric oncology unit.MethodsParticipants were a convenience sample of 16 pediatric oncology professionals, including medical, nursing, and related health staff from a Portuguese pediatric oncology center. Participants completed the Portuguese version of the Copenhagen Burnout Inventory.ResultsAll three subscales that compose this Inventory were found to have burnout below normal levels (cut-off ≥ 50 points). However, personal and work-related subscales showed mean values in the superior limit of normality (48 ± 14, 18 points and 49, 48 ± 12, 23 points, respectively). Nevertheless, when analyzed the patient-related subscale, we found low levels of burnout in the majority of responders. These findings are similar to the existing literature, which suggests that patient care and interactions with children are the least stressful aspect of working in this specialty.ConclusionDespite the high levels of stress exposure in pediatric oncology units, results suggest that the majority of professionals are not actually in burnout. However, the obtained values advice for the need of prevention and workplace approaches to staff's well-being and stress reduction, in order to avoid burnout development.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Belhadj, H., W. Krir, C. Bencheikh, H. Elkefi, and A. Oumaya. "The burnout's prevalence among Tunisian military consultants in psychiatry." European Psychiatry 41, S1 (April 2017): S406. http://dx.doi.org/10.1016/j.eurpsy.2017.01.332.

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IntroductionBurnout causes a considerable human cost. Army employees are, in fact, particularly exposed to this risk.ObjectiveTo determinate the prevalence of burnout syndrome among military consultants in psychiatry and to study its socio-familial repercussions.MethodA cross-sectional study was conducted in a military outpatient clinic in Tunis and included 30 military patients with a seniority of more than 15 years. Burnout and major depression were assessed with the instrument Burnout Measure Short version (BMS-10) and the Patient Health Questionnaire “PHQ-9”, respectively.ResultsEighty percent of participants (n = 24) had a very high degree of burnout exposure according to BMS-10. Twenty of these (83.3%) had a moderate to severe depression. All married patients (n = 22) having burnout syndrome reported a conjugopathy and a tendency to physical and verbal aggressiveness against their children.ConclusionMilitary employees are particularly vulnerable to burnout. Detecting burnout in time is therefore essential in order to prevent its undeniable socio-familial repercussions.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Di Giuseppe, Mariagrazia, Gianni Nepa, Tracy A. Prout, Fabrizio Albertini, Stefano Marcelli, Graziella Orrù, and Ciro Conversano. "Stress, Burnout, and Resilience among Healthcare Workers during the COVID-19 Emergency: The Role of Defense Mechanisms." International Journal of Environmental Research and Public Health 18, no. 10 (May 14, 2021): 5258. http://dx.doi.org/10.3390/ijerph18105258.

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The experience of working on the frontlines of the COVID-19 healthcare crisis has presented a cumulative traumatic experience that affects healthcare professionals’ well-being. Psychological resources such as resilience and adaptive defense mechanisms are essential in protecting individuals from severe stress and burnout. During September 2020, 233 healthcare workers responded to an online survey to test the impact of demographic variables, COVID-19 exposure, and psychological resources in determining stress and burnout during the COVID-19 emergency. Frontline workers reported higher scores for stress, emotional exhaustion, and depersonalization (p < 0.001) as compared to colleagues working in units not directly serving patients with COVID-19. Mature defensive functioning was associated with resilience and personal accomplishment (r = 0.320; p < 0.001), while neurotic and immature defenses were related to perceived stress and burnout. Stress and burnout were predicted by lower age, female gender, greater exposure to COVID-19, lower resilience, and immature defensive functioning among healthcare professionals (R2 = 463; p < 0.001). Working on the frontlines of the COVID-19 pandemic appears to provoke greater stress and burnout. On the other hand, resilience and adaptive defense mechanisms predicted better adjustment. Future reaction plans should promote effective programs offering support for healthcare workers who provide direct care to patients with COVID-19.
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Alexander, David A., and Susan Klein. "Ambulance personnel and critical incidents." British Journal of Psychiatry 178, no. 1 (January 2001): 76–81. http://dx.doi.org/10.1192/bjp.178.1.76.

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BackgroundThe association between mental health and occupational factors among ambulance personnel has not been thoroughly investigated in the UK.AimsTo identify the prevalence of psychopathology among ambulance personnel and its relationship to personality and exposure to critical incidents.MethodData were gathered from ambulance personnel by means of an anonymous questionnaire and standardised measures.ResultsApproximately a third of the sample reported high levels of general psychopathology, burnout and posttraumatic symptoms. Burnout was associated with less job satisfaction, longer time in service, less recovery time between incidents, and more frequent exposure to incidents. Burnout and GHQ–28 caseness were more likely in those who had experienced a particularly disturbing incident in the previous 6 months. Concerns about confidentiality and career prospects deter staff from seeking personal help.ConclusionsThe mental health and emotional well-being of ambulance personnel appear to be compromised by accident and emergency work.
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Volodymyr Rizun, Yurii Havrylets, Sergii Tukaiev, Maksym Khylko, and Anatolii Vasilchenko. "EMOTIONAL BURNOUT AS A MODERATOR OF TV NEWS IMPACT ON YOUNG ADULT AUDIENCE: EEG STUDY." World Science, no. 11(39) (November 30, 2018): 64–70. http://dx.doi.org/10.31435/rsglobal_ws/30112018/6237.

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The paper considers changes of the EEG parameters while viewing the emotionally accented TV messages depending the emotional burnout formation. We found that the character and degree of EEG changes during the perception of emotional stimuli significantly depend on the characteristics of a particular stimulus and the current level of emotional state of the viewers (emotional burnout, fatigue). The subjects with the phase of resistance of the emotional burnout syndrome at the stage of formation (“Burnout RP under development”) differ significantly from the groups with the unformed and formed Burnout Resistance Phase (“Burnout RP unformed”, “Burnout RP formed”) in the dynamics of changes of spectral power of the EEG subbands during the exposure to the emotional stimuli. The development of burnout is characterized by an increase in State Anxiety and fatigue, the desensitization to the emotionally accented information, an augmentation in social alienation and, eventually, manifests in changes in the brain response to emotional stimuli, which consist in the inhibition of high-frequency EEG components.
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Tung, Yu-Chi, Ying-Yi Chou, Yu-Hsuan Chang, and Kuo-Piao Chung. "Association of intrinsic and extrinsic motivating factors with physician burnout and job satisfaction: a nationwide cross-sectional survey in Taiwan." BMJ Open 10, no. 3 (March 2020): e035948. http://dx.doi.org/10.1136/bmjopen-2019-035948.

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ObjectiveThe aim of this study was to systematically and simultaneously examine the association of intrinsic and extrinsic motivating factors with physician burnout and job dissatisfaction.DesignA nationally representative survey was fielded from September to November 2017.SettingHospitals and clinics throughout Taiwan.ParticipantsA total of 6674 physicians.Main exposure measureThe main exposure measures were intrinsic motivators (sense of calling, personally rewarding hours per day and meaningful, long-term relationships with patients) and extrinsic motivators (income, work hours, autonomy, and pay-for-performance (P4P) and bundled payment initiatives).Main outcome measuresThe main outcome measures were physician burnout and job dissatisfaction.ResultsA total of 1152 physicians returned the surveys. More sense of calling and personally rewarding hours per day were associated with less physician burnout (OR 0.16, 95% CI 0.10 to 0.26 and OR 0.25, 95% CI 0.13 to 0.47, respectively) and job dissatisfaction (OR 0.35, 95% CI 0.21 to 0.57 and OR 0.46, 95% CI 0.26 to 0.83, respectively). Longer work hours were associated with more physician burnout (OR 2.67, 95% CI 1.54 to 4.63) and job dissatisfaction (OR 1.71, 95% CI 1.05 to 2.79). Not receiving P4P bonuses from their organisations was associated with more physician burnout (OR 1.56, 95% CI 1.02 to 2.38). Not sharing the losses from caring for patients included in the bundled payment system was associated with less physician burnout (OR 0.59, 95% CI 0.36 to 0.97).ConclusionsFostering a healthcare work environment that supports intrinsic motivation and improves work hours may reduce physician burnout and job dissatisfaction. Rewarding physicians fairly and equitably may prevent them from feeling burned out. Value-based care delivery and payment model innovations, such as bundled payments, may encourage healthcare professionals to coordinate care through the standardisation of care to decrease burnout.
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Miltojević, Vesna, Ivana Ilić-Krstić, and Anđelija Orlić. "Burnout in master's students: A case study." Safety Engineering 11, no. 2 (2021): 65–68. http://dx.doi.org/10.5937/se2102065m.

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Burnout is associated with long-term exposure to workplace stress and it comprises exhaustion, cynicism, and the feeling of inadequacy as its dimensions. University students are exposed to a variety of stress-inducing factors during their studies regardless of the fact that they are not employees. The aim of this study is to examine the relations between specific sociodemographic variables and burnout dimensions among students of master academic studies. School Burnout Inventory (SBI-U 9) is used as the research instrument. The obtained results indicate that there is a connection between students' gender and tuition fee status and burnout. Gender is associated with exhaustion and the feeling of inadequacy, while tuition fee status affects all three dimensions.
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Babenko-Mould, Yolanda, and Heather K. S. Laschinger. "Effects of Incivility in Clinical Practice Settings on Nursing Student Burnout." International Journal of Nursing Education Scholarship 11, no. 1 (January 1, 2014): 145–54. http://dx.doi.org/10.1515/ijnes-2014-0023.

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AbstractAims. To examine the relationship between nursing students’ exposure to various forms of incivility in acute care practice settings and their experience of burnout. Background. Given that staff nurses and new nurse graduates are experiencing incivility and burnout in the workplace, it is plausible that nursing students share similar experiences in professional practice settings. Design and sample. A cross-sectional survey design was used to assess Year 4 nursing students’ (n=126) perceptions of their experiences of incivility and burnout in the clinical learning environment. Methods. Students completed instruments to assess frequency of uncivil behaviors experienced during the past six months from nursing staff, clinical instructors, and other health professionals in the acute care practice setting and to measure student burnout. Results. Reported incidences of incivility in the practice setting were related to burnout. Higher rates of incivility, particularly from staff nurses, were associated with higher levels of both components of burnout (emotional exhaustion and cynicism).
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Vincent-Höper, Sylvie, Maie Stein, Albert Nienhaus, and Anja Schablon. "Workplace Aggression and Burnout in Nursing—The Moderating Role of Follow-Up Counseling." International Journal of Environmental Research and Public Health 17, no. 9 (May 1, 2020): 3152. http://dx.doi.org/10.3390/ijerph17093152.

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The aim of this study is to obtain a better understanding of the association between the frequency of nurses’ exposure to workplace aggression from patients and their levels of burnout. In particular, we seek to shed light on the role of the availability of follow-up counseling in organizations after critical incidents in mitigating the adverse relationships between physical and verbal aggression and nurses’ burnout. A total of 582 nurses reported how frequently they had experienced physical and verbal aggression from patients in the last 12 months and whether they had the opportunity to receive follow-up counseling in their organization. In addition, nurses rated the extent to which they experienced each of the three dimensions of burnout (i.e., emotional exhaustion, depersonalization, and personal accomplishment). The results showed that both physical and verbal aggression were substantially related to the burnout dimensions. Furthermore, we found that the availability of follow-up counseling in organizations attenuated the relationships between physical aggression and all three burnout dimensions. While we found that the availability of follow-up counseling moderated the relationship between verbal aggression depersonalization, the moderating effects were not significant for emotional exhaustion and personal accomplishment. The findings indicate that the availability of follow-up counseling might help minimize the adverse impact of exposure to aggression from patients on nurses’ mental health.
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Seo, Yae Eun, Hyun Chung Kim, So Young Yoo, Kang Uk Lee, Hae Woo Lee, and So Hee Lee. "Factors Associated with Burnout among Healthcare Workers during an Outbreak of MERS." Psychiatry Investigation 17, no. 7 (July 15, 2020): 674–80. http://dx.doi.org/10.30773/pi.2020.0056.

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Objective Although healthcare workers (HCWs) experienced significant stress during the 2015 outbreak of Middle East Respiratory Syndrome (MERS), the factors associated with this stress remain unknown. Thus, the present study assessed burnout among HCWs during the MERS outbreak to identify the influential factors involved in this process.Methods This study was a retrospective chart review of the psychological tests and questionnaires completed by 171 hospital employees from two general hospitals that treated MERS patients. The tests included the Oldenburg Burnout Inventory, Positive Resources Test, the questionnaires assessed exposure to the MERS outbreak event and perceptions about MERS.Results Of the 171 HCWs, 112 (65.5%) experienced disengagement and 136 (79.5%) suffered from exhaustion. Disengagement was associated with lower levels of purpose and hope, a higher perception of job risk, and exposure to the media. Exhaustion was associated with lower levels of purpose and hope, a higher perception of little control of the infection, a higher perception of job risk, prior experience related to infections, and being female.Conclusion Our results revealed the risk and protective factors associated with burnout among HCWs during an outbreak of MERS. These findings should be considered when determining interventional strategies aimed at ameliorating burnout among HCWs.
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Fansher, Ashley K., Sara B. Zedaker, and Patrick Q. Brady. "Burnout Among Forensic Interviewers, How They Cope, and What Agencies Can Do to Help." Child Maltreatment 25, no. 1 (May 5, 2019): 117–28. http://dx.doi.org/10.1177/1077559519843596.

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The current study used quantitative and qualitative responses from 250 forensic interviewers (FIs) in the United States to examine predictors of burnout and personal coping mechanisms. Findings indicated that burnout was primarily driven by work-related factors including frequently feeling overwhelmed with job-related duties, inadequate organizational support, and direct exposure to graphic materials involving children. Moreover, having a higher degree of compassion satisfaction and being non-White significantly mitigated symptoms of burnout. Qualitative findings indicated that FIs regularly experienced varied and personalized feelings of burnout and utilized a variety of coping methods to combat their stressors. FIs in this study also made individual suggestions regarding how their respective agencies can assist in the coping process. Policy implications are discussed.
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Anandya, Andrey Dwi, Abla Ghanie, and Ahmad Hifni. "Burnout Among ENT Residents During Covid-19 Pandemic: What Are The Contributing Factors?" Journal of Anesthesiology and Clinical Research 2, no. 2 (January 6, 2022): 258–68. http://dx.doi.org/10.37275/jacr.v2i2.165.

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Introduction. Resident doctors are susceptible to burnout syndrome, which are the combination of physical and psychological fatigue, that may affect their performance. Long-term pandemic of Covid-19 may also contribute to increase the severity of burnout among residents doctor, might be because the increasing of work time and effort to treat the patients during the time while maintaining prevention against the possible exposure that may harm themselves. This study was aimed to evaluate burnout prevalence among ENT (Ear-Nose-Throat) medical residents in Covid-19 pandemic, and its relation to certain factors of demographic and wellness. Methods. Thirty ENT medical residents of Medical Faculty of Sriwijaya University were enrolled as study population. Burnout was measured by Copenhagen Burnout Inventory (CBI) and divided by three parameters (personal,work-related, patient-related). Results. Among 30 ENT resident doctors at Rumah Sakit Moh. Hoesin, the mean level of personal burnout was 53.056 (SD 17.125), work-related burnout was 47.975 (SD 17.663), and patient-related burnout was 34.861 (SD 20.746). Conclusion. Marriage, female gender, and inadequacy of PPE may contribute to the development of burnout. The burnout among resident doctors is a serious matter regarding their role as a frontline doctor during the pandemic era, because it may affect not only their performance at work, but toward their life as well.
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Jonsdottir, Ingibjörg H., and Anna Sjörs Dahlman. "MECHANISMS IN ENDOCRINOLOGYEndocrine and immunological aspects of burnout: a narrative review." European Journal of Endocrinology 180, no. 3 (March 2019): R147—R158. http://dx.doi.org/10.1530/eje-18-0741.

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Burnout has several different definitions, and attempts have been made to discriminate between burnout as a psychological construct and burnout as a clinical entity. A large body of research has focused on elucidating the biological link between stress exposure and burnout and/or finding a clinically usable biomarker for burnout. The objective of this narrative review is to summarize the main endocrine and immune findings in relation to burnout. The literature has primarily focused on dysregulation of the hypothalamus-pituitary-adrenal (HPA) axis. However, albeit the large body of studies, it cannot be concluded that clear effects are seen on HPA axis function in people with burnout. The HPA axis and anabolic acute reactivity to stress might be affected in clinical burnout. Plausible, effects of chronic stress might rather be seen when measuring responses to acute stress rather than resting state hormonal levels. Studies on other hormones, including thyroid hormones, prolactin and growth hormone in burnout subjects are inconclusive. It is important to note that this field is faced with many methodological challenges, one being the diurnal and pulsatile nature of many of the hormones of interest, including cortisol, which is not always considered. Another challenge is the heterogeneity regarding definitions and measurements of stress and burnout. Existing studies on burnout and immune function are heterogeneous regarding the results and no firm conclusion can be made if clinically relevant immune changes are present in burnout subjects. An overall conclusion is that existing research cannot confirm any homogenous reliable endocrinological or immunological changes related to burnout.
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Glushkova, A. V., and N. V. Semenova. "Working conditions and their effect on the health level of psychiatric staff (literature review)." V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY, no. 1 (April 2, 2020): 3–7. http://dx.doi.org/10.31363/2313-7053-2020-1-3-7.

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The range of adverse environmental factors affecting the health of psychiatrists is quite wide. It includes biological and chemical substances, emotional exhaustion and professional burnout, permanent exposure to stress factors of an aggressive environment, forced working posture, tension of analyzer systems and many others. In addition, psychiatrists work under conditions of high emotional stress, which leads to rapid depletion of the nervous system, the development of a syndrome of professional burnout.
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Aydin, Kader Cesur, Oğuzhan Demirel, Gülay Altan Salli, and Mutlu Özcan. "Evaluation of Two Dental Digital Imaging Systems Based on Quality Scorings, Burn-Out Effects and Cervical Width Determination." Balkan Journal of Dental Medicine 24, no. 2 (July 1, 2020): 71–76. http://dx.doi.org/10.2478/bjdm-2020-0012.

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SummaryBackground/Aim: The aim of the present study is to evaluate diagnostic accuracy of two generic image receptors with CMOS and PSP sensors for image quality scoring (IQS), burnout incidences (BI) and cervical widths (CW) with regard to four different exposure times.Material and Methods: 43 incisor teeth within 15 paraffin block models were exposed at 4 different exposure times both for the CMOS and PSP groups, and a total number of 120 images were obtained. All images were evaluated by 3 dentomaxillofacial radiologists via 3 different criteria; IQS, BI, CW.Results: Diagnostic quality scorings between groups displayed statistically significant difference for 0,1; 0,125 and 0,16 sec exposure times. PSP group revealed higher IQS. For 0,125 and 0,16 seconds exposure times, PSP group showed higher percentages of BI. Average CW were lower in PSP group. Although no statistically significant difference was found between average CW vs. exposure times in the CMOS group; PSP group revealed significant differences among exposure times. We can state that, the PSP system displayed higher image quality so exposure times can be reduced, alas, the same conclusion is not possible with CMOS system used.Conclusions: Image quality perception is higher in PSP system we used, compared with CMOS system. PSP system display more burnout effects with increasing exposure times, while CMOS system is constant.
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Mihandoust, Sahar, Debajyoti Pati, Jaehoon Lee, and Jamie Roney. "Exploring the Relationship Between Perceived Visual Access to Nature and Nurse Burnout." HERD: Health Environments Research & Design Journal 14, no. 3 (March 8, 2021): 258–73. http://dx.doi.org/10.1177/1937586721996302.

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Objective: This study aims to investigate the relationship between perceived visual access to nature views in nurse work and break environments and scores for subscales of Maslach Burnout Inventory among nurses. Background: Burnout is a severe problem among nurses. Literature shows a relationship between stress and burnout and between nature exposure and stress. However, the possible consequent relationship between connection to nature and nurse burnout needs further study. Methods: This cross-sectional study explored the relationship between the subscales (Emotional Exhaustion, Depersonalization, and Personal Accomplishment [EE, DP, and PA]) of the Maslach Burnout Inventory as “outcome variables” and perception of view duration, frequency of exposure to views, view content and artwork content as “explanatory variables” in a subset regression model. The study model also included organizational stressors, environmental design factors, unit type, workload, and personal factors as control variables. Fifty-one nurses working in six units in a large tertiary care hospital participated in the study. Results: Percentage of perceived nature views and organizational stressors were the top two best predictors correlating with EE (37% of the EE variance; p < .05). Percentage of perceived nature views, organizational stressors, and environmental design were the top three predictors correlating with DP (43% of variance for DP; p < .05). No significant relationship was found between study variables and PA. Conclusions: The results of this study recommend perceiving nature views as an independent or integrated intervention to meditation and relaxation techniques. From a design standpoint, this study suggests that a unit and breakroom design with access to nature views could work as a consistent preventive intervention for burnout.
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Meseguer de Pedro, Mariano, María Magdalena Fernández-Valera, Mariano García-Izquierdo, and María Isabel Soler Sánchez. "Burnout, Psychological Capital and Health during COVID-19 Social Isolation: A Longitudinal Analysis." International Journal of Environmental Research and Public Health 18, no. 3 (January 25, 2021): 1064. http://dx.doi.org/10.3390/ijerph18031064.

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Background: Drawing on the impact of the COVID-19 global pandemic and its sanitary measures on coping strategies for preserving health, it is also necessary to add exposure to certain work stressors, such as burnout. The aim of the study was to assess the influence of the confinement situation caused by COVID-19 on the levels of self-perceived health and psychological capital in a sample of workers, as well as to analyze whether exposure to burnout before social isolation would help to explain the levels of health and psychological capital. Methods: Data were collected in a longitudinal design. Time 1 surveys (December 2019) were sent to a sample of 354 Spanish workers while in Time 2 (April 2020) the employees completed 235 questionnaires. Results: Our findings indicate a significant worsening of employees’ health perception (t = −4.13; p < 0.01) and psychological capital (4.10, p < 0.01) levels during mandatory confinement in Spain. Our results also revealed that emotional exhaustion is the only burnout dimension capable of explaining the variance of health while self-efficacy does regarding psychological capital. Conclusion: We conclude a significant reduction in self-perceived health and psychological capital during COVID-19 mandatory confinement, and that burnout acts as a predictor variable in both health and psychological capital variance.
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Fahrial Syam, Ari. "Indonesian Health Workers during COVID-19 Pandemic." Indonesian Journal of Community and Occupational Medicine 1, no. 2 (November 27, 2021): 41–3. http://dx.doi.org/10.53773/ijcom.v1i2.25.41-3.

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Burnout in health workers causes physical and emotional fatigue; it is a condition of a long-term affective state and is an outcome of cumulative and chronic exposure to stress, particularly work stress. Burnout was especially evident in hospitals with limited availability of medical staff. Mental burdens are higher because they face more patients infected by the coronavirus, followed by the trauma of witnessing deaths among patients. These conditions may weaken the immune system, increasing vulnerability to COVID-19 and higher risk of severe symptoms that can cause death. When talking out of context of the pandemic, burnout can also be associated with various other diseases, including IBS.4 Burnout was associated with a 2.41-fold elevated prevalence of IBS after adjusting for potential confounding variables, including job strain.
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Kim, Hyunju, Sheila Hegde, Christine LaFiura, Madhunika Raghavan, Eric Luong, Susan Cheng, Casey M. Rebholz, and Sara B. Seidelmann. "COVID-19 illness in relation to sleep and burnout." BMJ Nutrition, Prevention & Health 4, no. 1 (March 22, 2021): 132–39. http://dx.doi.org/10.1136/bmjnph-2021-000228.

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BackgroundSleep habits and burnout have been shown to be associated with increase in infectious diseases, but it is unknown if these factors are associated with risk of COVID-19. We assessed whether sleep and self-reported burnout may be risk factors for COVID-19 among high-risk healthcare workers (HCWs).MethodsFrom 17 July to 25 September 2020, a web-based survey was administered to HCWs in six countries (France, Germany, Italy, Spain, UK, USA) with a high frequency of workplace exposure. Participants provided information on demographics, sleep (number of sleep hours at night, daytime napping hours, sleep problems), burnout from work and COVID-19 exposures. We used multivariable linear and logistic regression models to evaluate the associations between sleep, burnout and COVID-19.ResultsAmong 2884 exposed HCWs, there were 568 COVID-19 cases and 2316 controls. After adjusting for confounders, 1-hour longer sleep duration at night was associated with 12% lower odds of COVID-19 (p=0.003). Daytime napping hours was associated with 6% higher odds, but the association varied by countries, with a non-significant inverse association in Spain. Compared with having no sleep problems, having three sleep problems was associated with 88% greater odds of COVID-19. Reporting burnout ‘every day’ was associated with greater odds of COVID-19 (OR: 2.60, 95% CI 1.57 to 4.31, p trend across categories=0.001), longer duration (OR: 2.98, 95% CI 1.10 to 8.05, p trend=0.02) and severity (OR: 3.26, 95% CI 1.25 to 8.48, p trend=0.02) compared with reporting no burnout. These associations remained significant after adjusting for frequency of COVID-19 exposures.ConclusionsIn six countries, longer sleep duration was associated with lower odds of COVID-19, but the association with daytime nap may not be consistent across countries. Greater sleep problems and high level of burnout were robustly associated with greater odds of COVID-19. Sleep and burnout may be risk factors for COVID-19 in high-risk HCWs.
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Kannampallil, Thomas G., Charles W. Goss, Bradley A. Evanoff, Jaime R. Strickland, Rebecca P. McAlister, and Jennifer Duncan. "Exposure to COVID-19 patients increases physician trainee stress and burnout." PLOS ONE 15, no. 8 (August 6, 2020): e0237301. http://dx.doi.org/10.1371/journal.pone.0237301.

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Volpe, U. "Workplace Stress Among Non-doctor Trainees in Psychiatric Rehabilitation." European Psychiatry 41, S1 (April 2017): S63. http://dx.doi.org/10.1016/j.eurpsy.2017.01.058.

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Mental health care settings have long been associated to a specific and long-standing emotional involvement, eventually determining professional stress and burnout in psychiatrists. However, recent evidence demonstrated that also non-doctor mental health workers may be at high risk of developing job dissatisfaction. Previous studies also suggested that the longer exposure to psychiatric settings the higher the levels of burnout. We report here data from a survey conducted among first-year students of rehabilitation courses in psychiatry (n = 44) and logopedics (n = 39), before and after the first exposure to an health care environment over a 6-month term. We investigated their psychological wellbeing and risk of psychiatric morbidity (by means of GHQ-12), levels of burnout (with the Maslach Burnout Inventory) and knowledge about mental health (by means of the MAKS schedule). The two groups were comparable as for the main socio-demographic characteristics as well as for their knowledge about mental health before training. We found a significant difference between students in mental and general health care, with significantly higher emotional exhaustion and depersonalization and lower personal accomplishment levels in the former group, after 6-month training. Such changes were significantly correlated to variations in knowledge about mental health issues and risk of psychiatric morbidity. The implementation of a specific peer support group was perceived as extremely useful by the majority of the students (96%) and had a positive impact on their burnout levels and psychological wellbeing.Disclosure of interestThe author has not supplied his declaration of competing interest.
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Ferguson, Craig, Gavin Low, and Gillian Shiau. "Resident physician burnout: insights from a Canadian multispecialty survey." Postgraduate Medical Journal 96, no. 1136 (March 2, 2020): 331–38. http://dx.doi.org/10.1136/postgradmedj-2019-137314.

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BackgroundBurnout results from chronic exposure to stress: comprising emotional exhaustion (EE), depersonalisation (DP) and a reduced sense of personal achievement (PA). Only a few studies have examined burnout in Canadian residents, and no multispecialty studies using the Maslach Burnout Inventory-Health Sciences Survey (MBI-HSS) exist. The purpose of our study is to identify burnout prevalence, contributory factors and solutions.MethodsA prospective 62-item survey, including the 22-item MBI-HSS, was sent to all Alberta residents, with a resident population of 1745. The association between burnout, EE, DP and PA with items in the survey was performed. Continuous data were evaluated using Student’s t-test or analysis of variance. Ordinal data were evaluated using Spearman’s correlation coefficient and Mann-Whitney U test. Nominal data were evaluated using χ2 test.ResultsResponse rate was 41.1% (n=718), with burnout prevalence of 69.4%. 61.6% of residents demonstrated high EE, 47.8% high DP and 29.0% low PA. More hours worked, poor work–life balance, poor service-education balance, poor mental health support, experiencing intimidation/harassment and being unhappy with programme and with career choice were associated with higher burnout (p<0.001). 53.5% of residents experienced intimidation/harassment. Solutions to burnout included improved teaching, improved call/working hours, more wellness days and a change in medicine culture.ConclusionHigh prevalence of burnout in Canadian residents with contributory factors and solutions identified. We hope programmes across the world can use this information to improve the burden of burnout among residents.
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Allah, Eman S. Abd, Samia S. Hassan Hussein, Hanaa K. Farag, and Mervat E. Ibrahim. "Stress and Burnout among Preretirement Employee in Hospital at 10th of Ramadan City." Communication, Society and Media 2, no. 1 (February 22, 2019): 41. http://dx.doi.org/10.22158/csm.v2n1p41.

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<em>Employees are at high risk for stress and burnout. The aim of this study was to assess job stressors and burnout among employees in hospital at Tenth of Ramadan city. Design: cross-sectional descriptive design. Setting: the National Health Insurance Hospital at 10<sup>th</sup> of Ramadan city. Samples: convenience sample consisted of 100 employees. Tools: a self-administered questionnaire including scales for job stress and strain, burnout, and coping strategies, in addition to socio-demographic data was used in data collection. Results: the majority of the nurses were younger than 30 years (78%), with diploma degree (93%), and insufficient income (69%). More nurses had high exposure to stressors (49%), than strains (19%), and 20% had high burnout. Conclusion: the coping strategy most commonly used was effective behavioral confrontation. Nurses’ stress, strain, and burnout are strongly correlated and are influenced by personal factors such as age, qualification, experience, and residence, as well as job factors such as work hours, income, and the use of ineffective coping. Recommendations: the hospital administration should deal with and periodic assess the job factors underlying nurses’ stress and burnout. Further research is proposed to investigate the effectiveness of changing work environment factors and nursing care system on nurses’ burnout.</em>
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Kushnir, Talma, and Samuel Melamed. "The Gulf War and its impact on burnout and well-being of working civilians." Psychological Medicine 22, no. 4 (November 1992): 987–95. http://dx.doi.org/10.1017/s0033291700038551.

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SynopsisBurnout signifies the chronic depletion of coping resources following prolonged exposure to emotionally charged demands. It is manifested by symptoms of emotional, physical and cognitive exhaustion, and is usually studied in relation to occupational stressors. We hypothesized that the major life crisis engendered by missile attacks would give rise to burnout or exacerbate preexisting burnout symptoms. We also hypothesized that individuals suffering from prewar burnout would appraise the war as being more threatening and would be more vulnerable to upper respiratory infections (URI). Wartime and pre-war (baseline) levels of burnout and related symptomatology (cognitive weariness, listlessness, tension and somatic complaints) were compared among 162 Israeli civilians who carried on with their employment duties throughout the Gulf War. We found that the war impacted primarily on younger individuals (age < 45). All the pre-war levels of the above measures increased significantly (except for a marginal increase in tension). The impact of the war was mediated by threat appraisal, as indicated by worry and apprehension. Worry was positively associated with pre-war burnout, and negatively with age and education. Pre-war burnout was associated positively with wartime URIs. It was concluded that the war accelerated the depletion of coping resources and that burnout may be affected by factors other than occupational stress.
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Ali, Nur Faizah, Nor Jannah Nasution Raduan, Zaliha Ismail, and Salmi Razali. "Coping Skills and Burnout among Medical Officers in a Malaysian Tertiary Hospital." Asian Journal of Environment-Behaviour Studies 5, no. 15 (March 7, 2020): 1–15. http://dx.doi.org/10.21834/aje-bs.v5i15.357.

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Burnout among doctors is hazardous, leading to stress which results in poor decision making and exposure to medical errors. This study aims to improve the knowledge gap of the issues of burnout and coping skills among medical officers. This study is a cross-sectional study involving 250 medical officers using universal sampling. Of the total 250 participants, 63 (25.2%) were burnout. The presence of burnout was significantly associated with dysfunctional coping skills (t=-4.96; p <0.001). Burnout is prevalent among medical officers. It is vital to take actions that can promote good mental health in the form of coping skills and resilience training.Keywords: burnout; coping skills; doctors; medicaleISSN 2514-751X © 2020 The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open-access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer-review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.DOI: https://doi.org/10.21834/aje-bs.v5i15.357
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Ali, Nur Faizah, Nor Jannah Nasution Raduan, Zaliha Ismail, and Salmi Razali. "Burnout and Coping Skills amongst Medical Officers: A study in a tertiary hospital in Malaysia." Environment-Behaviour Proceedings Journal 4, no. 12 (December 31, 2019): 141. http://dx.doi.org/10.21834/e-bpj.v4i12.1940.

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Burnout among doctors is hazardous, leading to stress which results in poor decision making and exposure to medical errors. This study aims to improve the knowledge gap of the issues of burnout and coping skills among medical officers. This study is a cross-sectional study involving 250 medical officers, using universal sampling. Of the total 250 participants, 63 (25.2%) were burnout. The presence of burnout was significantly associated with dysfunctional coping skills (t=-4.96; p <0.001). Burnout is prevalent among medical officers. It is vital to take actions that can promote good mental health in the form of coping skills and resilience training.Keywords: burnout; coping skills; doctors; medicaleISSN: 2398-4287 © 2019. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open-access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.DOI: https://doi.org/10.21834/e-bpj.v4i12.1940
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Kotti, N., M. Hajjaji, A. Kchaou, I. Sellami, M. L. Masmoudi, J. Masmoudi, and K. Hammami Jmal. "Burnout and occupational accident." European Psychiatry 41, S1 (April 2017): S324—S325. http://dx.doi.org/10.1016/j.eurpsy.2017.02.253.

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IntroductionBurn out mainly occurs among healthcare employees. This professional category is exposed to a large load of emotional disturbance.ObjectivesThe aim of this work was to study the levels of burnout syndrome in caregivers who were victims to occupational accident.MethodsThis cross-sectional study was conducted during 2014-2015 in the occupational medicine department. The target population consisted of the healthcare employees who reported their exposure to occupational accident. A semi-structured self-reported questionnaire including the Maslach questionnaire was used to collect information. Data were analyzed using SPSS-20.ResultsOne hundred and sixty health professionals returned the questionnaire (58% women, mean age 31.9 years old). Occupational accidents occurred mostly in the morning (62.5%). Among the healthcare providers, 112 health professionals (70%) had had sharp injuries. Burn out was found among 23.1% of the studied population. It was defined by its three domains: a high emotional exhaustion (46.9%), high depersonalization with low personal accomplishment (36.3%) and high depersonalization without low personal accomplishment (34.4%). Professionals with less years in the function (P = 0.031) and technicians (P = 0.028) were more affected by Burnout. A significant relationship was found between traumatic accidents (P = 0.012), needle stick injuries (P = 0.009) and burnout.ConclusionThe prevalence of burnout is high among health professionals which can increase the risk of occupational accidents and its subsequent risks. It seems that holding workshops and increasing healthcare givers’ awareness and skills to face these risks can be effective in mitigating them.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Baird, Stephanie, and Sharon Rae Jenkins. "Vicarious Traumatization, Secondary Traumatic Stress, and Burnout in Sexual Assault and Domestic Violence Agency Staff." Violence and Victims 18, no. 1 (February 2003): 71–86. http://dx.doi.org/10.1891/vivi.2003.18.1.71.

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This study investigated three occupational hazards of therapy with trauma victims: vicarious trauma and secondary traumatic stress (or “compassion fatigue”), which describe therapists’ adverse reactions to clients’ traumatic material, and burnout, a stress response experienced in many emotionally demanding “people work” jobs. Among 101 trauma counselors, client exposure workload and being paid as a staff member (vs. volunteer) were related to burnout sub-scales, but not as expected to overall burnout or vicarious trauma, secondary traumatic stress, or general distress. More educated counselors and those seeing more clients reported less vicarious trauma. Younger counselors and those with more trauma counseling experience reported more emotional exhaustion. Findings have implications for training, treatment, and agency support systems.
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Santi, Maya Weka, Nurhasmadiar Nandini, and Gamasiano Alfiansyah. "THE EFFECT OF BURNOUT SYNDROME ON TURNOVER INTENTION USING ORGANIZATIONAL COMMITMENT AS AN INTERMEDIATE VARIABLE." Jurnal Administrasi Kesehatan Indonesia 8, no. 2 (September 21, 2020): 109. http://dx.doi.org/10.20473/jaki.v8i2.2020.109-122.

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Background: The average of employee turnover rate in Surabaya Surgical Hospital was quite high roughly about 16.21% in 2011 until 2015. Employees’ negative behavior or feelings due to long exposure to an emotional stressor are called burnout syndrome which could trigger turnover in an organization.Aims: This study analyzed the effect of burnout syndrome towards turnover intention using organizational commitment as an intermediate variable.Methods: This study was cross-sectional research by involving 126 respondents as samples according to the proportion of each unit at Surabaya Surgical Hospital. Data were analysed statistically using multiple linier regression.Results: Respondents were mostly female (65.1%) and in the age group of 26-35 years (62.7%). Most of them were early adults, permanent employees (95.2%), and undergraduates (89.7%). While the minority have worked for 3 up to 4 years (40.5%). Burnout syndrome had a significant effect on employees’ organizational commitment. Organizational commitment showed a significant effect on turnover intention, while burnout syndrome did not show a significant effect on turnover intention.Conclusion: Burnout syndrome did not directly affect turnover intention but became a possible cause of turnover intention through organizational commitment as the intermediate variable. The results of this study could be the basis for hospital managers to decrease employee’s turnover intention by minimizing burnout syndrome and increasing organizational commitment with a better reward system. Keywords: burnout syndrome, organizational commitment, turnover intention, hospital.
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Pérez-Fuentes, María, María Molero Jurado, África Martos Martínez, and José Gázquez Linares. "New Burnout Evaluation Model Based on the Brief Burnout Questionnaire: Psychometric Properties for Nursing." International Journal of Environmental Research and Public Health 15, no. 12 (December 2, 2018): 2718. http://dx.doi.org/10.3390/ijerph15122718.

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Health care personnel are considered one of the worker sectors most exposed to heavier workloads and work stress. One of the consequences associated with the exposure to chronic stress is the development of burnout syndrome. Given that evaluating this syndrome requires addressing the context in which they are to be used, the purpose of this work was to analyze the psychometric properties and structure of the Burnout Brief Questionnaire (CBB), and to propose a more suitable version for its application to health professionals, and more specifically nurses. The final study sample was made up of 1236 working nursing professionals. An exploratory factorial analysis was carried out and a new model was proposed through a confirmatory factorial analysis. Thus, validation of the CBB questionnaire for nursing health care personnel showed an adequate discrimination of the items and a high internal consistency of the scale. With respect to the factorial analysis, four factors were extracted from the revised model. Specifically, these new factors, called job dissatisfaction, social climate, personal impact, and motivational abandonment, showed an adequate index of adjustment. Thus, the Brief Burnout Questionnaire Revised for nursing staff has favorable psychometric properties, and this model can be applied to all health care professionals.
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Choi, Jaeyong, Nathan E. Kruis, and Yeonsoo Kim. "The Impact of Occupational Characteristics and Victimization on Job Burnout Among South Korean Correctional Officers." Criminal Justice and Behavior 47, no. 7 (May 25, 2020): 905–23. http://dx.doi.org/10.1177/0093854820923024.

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Prior research on correctional officer burnout has focused almost exclusively on the effects of job characteristics. To date, this line of inquiry has largely failed to consider one important factor associated with the unique nature of prison work—direct exposure to interpersonal victimization (e.g., individuals in custody-on-officers). This article uses data from 269 correctional officers working in four South Korean facilities to examine the differential impact of experienced individuals in custody-on-officers aggression (i.e., verbal violence, minor and serious physical violence) and job characteristics (e.g., role clarity) on three dimensions of job burnout (i.e., emotional exhaustion, depersonalization, and a sense of a lack of personal accomplishment). Results show that verbal victimization is more impactful on correctional officer burnout than physical victimization. However, the results also suggest that job characteristics may be more impactful on predicting certain dimensions of correctional officer burnout than experienced victimization. Potential policy implications are discussed.
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Isenhardt, Anna, and Ueli Hostettler. "Inmate Violence and Correctional Staff Burnout: The Role of Sense of Security, Gender, and Job Characteristics." Journal of Interpersonal Violence 35, no. 1-2 (December 5, 2016): 173–207. http://dx.doi.org/10.1177/0886260516681156.

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Violence in the workplace has serious consequences for employees and organizations. Based on a survey in early 2012 among employees from all work areas of 89 of the total 112 correctional facilities in Switzerland resulting in a sample of 2,045 employees (response rate 48.5%), this study (a) analyzed whether victimization has an impact on correctional staff burnout, (b) tested the hypothetical mediating role of sense of security in the relationship between victimization and burnout, and (c) included gender and job characteristics because work experiences and exposure to violence of staff differ strongly with gender and work tasks. Two different forms of violence were considered: (a) experienced violence (inmates-on-staff) and (b) observed violence (inmate-on-inmate). Analysis was carried out using structural equation modeling. Results show that victimization and witnessing violence between inmates negatively affect the personal sense of security and increase correctional staff burnout. In addition, the sense of security mediated the effect from experienced and observed violence on burnout. Gender and job characteristics also proved to be important. This is especially true for staff working as correctional officers and for employees working with young inmates and with inmates awaiting trial who reported a greater exposure to violence and a lower sense of security. The study adds to the knowledge on violence and its outcomes in corrections and contributes to the literature on the consequences of workplace violence in general and, specifically, in social service occupations.
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Estock, Patricia, and Janet E. Simon. "Prevalence and Outcomes of Exposure to Catastrophic Events Among Athletic Trainers." Journal of Athletic Training 53, no. 11 (November 1, 2018): 1098–102. http://dx.doi.org/10.4085/1062-6050-533-17.

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Context Little is known about the prevalence of exposure to catastrophic events or how caring for athletes exposed to catastrophic events can influence burnout in athletic trainers (ATs). Objective To assess (1) the prevalence of exposure to catastrophic events, (2) the levels of burnout among ATs who have been exposed to catastrophic events, and (3) the coping strategies they used. Design Cross-sectional study. Setting Online survey. Patients or Other Participants We invited 9881 certified members of the National Athletic Trainers' Association to participate in this study; 1007 surveys were completed, for a response rate of 10.2% (433 men, 572 women, and 2 who preferred not to answer the question). Main Outcome Measure(s) Participants completed an online survey to assess demographic information, exposure to a catastrophic event, and scores on the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) and the Coping Inventory for Stressful Situations (CISS). Scores on the MBI-HSS (personal accomplishment, depersonalization, and emotional exhaustion subscales) and CISS (avoidance, task, and emotion-oriented subscales) were determined. Two multivariate analyses of variance (one for MBI-HSS and one for CISS) were conducted using the independent variable of group (catastrophic event and no catastrophic event). The α level was set at P &lt; .05 for all analyses. Results A total of 518 ATs (51.4%) reported providing care to athletes exposed to a catastrophic event and 489 (48.6%) did not. The group that reported providing care for athletes exposed to a catastrophic event had a significantly worse personal accomplishment score (46.1 ± 6.7) than the group that had never provided such care (44.6 ± 7.7; P &lt; .05). The emotion-oriented score for those who had provided care for athletes exposed to a catastrophic event was 14.3 ± 4.8 versus 14.9 ± 4.2 for those who had not (P &lt; .05), indicating less use of emotion-oriented coping strategies. Conclusions The ATs who provided care to athletes exposed to a catastrophic event could be more likely to suffer from a lack of personal accomplishment and exhibit task and emotion-oriented coping behaviors.
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Khammissa, Razia AG, Simon Nemutandani, Sindisiwe Londiwe Shangase, Gal Feller, Johan Lemmer, and Liviu Feller. "The burnout construct with reference to healthcare providers: A narrative review." SAGE Open Medicine 10 (January 2022): 205031212210830. http://dx.doi.org/10.1177/20503121221083080.

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Burnout syndrome is a psychological response to long-term exposure to occupational stressors. It is characterized by emotional exhaustion, cognitive weariness and physical fatigue, and it may occur in association with any occupation, but is most frequently observed among professionals who work directly with people, particularly in institutional settings. Healthcare professionals who work directly with patients and are frequently exposed to work overload and excessive clinical demands, to ethical dilemmas, to pressing occupational schedules and to managerial challenges; who have to make complex judgements and difficult decisions; and who have relatively little autonomy over their job-related tasks are at risk of developing clinical burnout. In turn, clinical burnout among clinicians has a negative impact on the quality and safety of treatment, and on the overall professional performance of healthcare systems. Healthcare workers with burnout are more likely to make mistakes and to be subjected to medical malpractice claims, than do those who are burnout-naïve. Experiencing the emotional values of autonomy, competence and relatedness are essential work-related psychological needs, which have to be satisfied to promote feelings of self-realization and meaningfulness in relation to work activities, thus reducing burnout risk. Importantly, an autonomy-supportive rather than a controlling style of management decreases burnout risk and promotes self-actualization, self-esteem and a general feeling of well-being in both those in charge and in their subordinates. The purpose of this article is to discuss some of the elements constituting the burnout construct with the view of gaining a better understanding of the complex multifactorial nature of burnout. This may facilitate the development and implementation of both personal, behavioural and organizational interventions to deal with the burnout syndrome and its ramifications.
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Andersen, Dorte Raaby, Lars Peter Andersen, Charlotte Ann Gadegaard, Annie Høgh, Annick Prieur, and Thomas Lund. "Burnout among Danish prison personnel: A question of quantitative and emotional demands." Scandinavian Journal of Public Health 45, no. 8 (July 21, 2017): 824–30. http://dx.doi.org/10.1177/1403494817718644.

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Objectives The objective of this follow-up study was to investigate associations between individual, occupational and work environment factors and burnout among both uniformed and non-uniformed personnel working in the Danish Prison and Probation Service. Methods The participants (N = 4808) with client contact received a questionnaire in 2010 and again in 2011. In 2010, 2843 participants responded to the questionnaire (59.1%), and in 2011, 1741 responded to the questionnaire, yielding a response rate of 61.2% of the baseline population, and 36.2% of the invited population. Burnout and work characteristics were measured with validated scales from the Copenhagen Psychosocial Questionnaire, and data was analysed by logistic regression. Results Risk factors with the highest impact on burnout were work environmental factors: quantitative demands, emotional demands, involvement in and meaning of work. Role conflict, role clarity, social support and demands for hiding emotions had borderline significance. Besides cohabitation, there was no association between individual factors and burnout or between occupational characteristics and burnout. Moreover, there was no association between exposure to threats and violence and burnout. Conclusions: Efforts for preventing burnout ought to be concentrated on reducing the quantitative job-demands, on easing and improving staff–inmate relationships, but also on involvement in and meaning of work. Most work in prison is invisible and the overall goals are in conflict with each other. Management must provide solutions to problems of role conflict and support groups for social support. There is a risk of burnout among both uniformed personnel and non-uniformed personnel working in both open and closed facilities.
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