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1.
Rev. urug. enferm ; 17(2): 1-20, dic. 2022.
Artigo em Espanhol | LILACS, BDENF - Enfermagem, BNUY, BNUY-Enf | ID: biblio-1392412

RESUMO

El contexto epidemiológico que se vive a nivel mundial desde el comienzo de la pandemia por COVID-19, puso de manifiesto factores de sobrecarga laboral en el personal de la salud, relacionados con la exposición diaria a situaciones que ponen en riesgo su integridad física y mental. Tomando en cuenta el valor social, la validez científica y el beneficio que se genera con la investigación en el campo de la salud, nos propusimos explorar y analizar en qué medida y en qué aspectos la situación de pandemia ha afectado las cargas en enfermería partiendo de la hipótesis de un aumento en la percepción de cargas desde el inicio de la pandemia por COVID-19. En función de los resultados obtenidos, elaboramos recomendaciones y una propuesta que contribuya al desarrollo de un entorno de trabajo saludable para el personal de enfermería, estableciendo medidas de prevención e intervención destinadas a minimizar los riesgos e incrementar la satisfacción laboral. Para el relevamiento de los datos se aplicó una encuesta online, anónima, auto administrada dirigida al personal de enfermería de Uruguay que trabaja en los tres niveles de atención, la cual nos permitió un acercamiento a los principales indicadores de carga física y mental. En términos absolutos se encuestaron 304 licenciados en enfermería y 677 auxiliares. Si se comparan los encuestados con el Registro de Habilitación del MSP (2017), la participación alcanzó el 3,29 % de la población total en enfermería. Se logró la cobertura de los 19 departamentos de Uruguay. Los resultados obtenidos, evidenciaron un incremento en la carga física y mental, a partir del contexto generado por COVID-19, relacionado principalmente con aspectos institucionales, alteraciones fisiológicas, psicoafectivas y sociofamiliares.


The epidemiological context that has been experienced worldwide since the beginning of the COVID-19 pandemic has revealed factors of work overload in health personnel, related to daily exposure to situations that put their physical and mental integrity at risk. Considering the social value, the scientific validity and the benefit generated by research in the field of health, we set out to explore and analyze to what extent and in what aspects the pandemic situation has affected nursing work load based on the hypothesis of an increase in the perception of burdens since the start of the COVID-19 pandemic. Based on the results obtained, we developed recommendations and a proposal that contributes to the development of a healthy work environment for nursing staff, establishing prevention and intervention measures aimed at minimizing risks and increasing job satisfaction. To collect the data, an online, anonymous, self-administered survey was applied to nursing staff in Uruguay who work at the three levels of care, which allowed us to approach the main indicators of physical and mental load. In absolute terms, 304 nursing graduates and 677 auxiliaries were surveyed. When we compare the respondents with the MSP Qualification Registry (2017), participation reached 3.29% of the total nursing population. Coverage of the 19 departments of Uruguay was achieved. The results showed an increase in the physical and mental load, based on the context generated by COVID-19, mainly related to institutional aspects, physiological, psycho-affective and socio-family alterations.


O contexto epidemiológico que se vive mundialmente desde o início da pandemia do COVID-19 tem revelado fatores de sobrecarga de trabalho nos profi ssionais de saúde, relacionados à exposição diária a situações que colocam em risco sua integridade física e mental. Levando em conta o valor social, a validade científica e o benefício gerado pela pesquisa na área da saúde, propusemo-nos a explorar e analisar em que medida e em que aspectos a situação pandêmica afetou as cargas de trabalho de enfermagem com base na hipótese de aumento na percepção de ônus desde o início da pandemia de COVID-19. Com base nos resultados obtidos, desenvolvemos recomendações e uma proposta que contribui para o desenvolvimento de um ambiente de trabalho saudável para a equipe de enfermagem, estabelecendo medidas de prevenção e intervenção paravive minimizar riscos e aumentar a satisfação no trabalho. Para coletar os dados, foi aplicada uma pesquisa online, anônima e autoadministrada aos profissionais de enfermagem do Uruguai que atuam nos três níveis de atenção, o que permitiu abordar os principais indicadores de carga física e mental. Em termos absolutos, foram pesquisados 304 egressos de enfermagem e 677 auxiliares. Se compararmos os respondentes com o Registro de Qualificação MSP (2017), a participação atingiu 3,29% do total da população de enfermagem. A cobertura dos 19 departamentos do Uruguai foi alcançada. Os resultados obtidos mostraram um aumento da carga física e mental, com base no contexto gerado pela COVID-19, principalmente relacionado a aspectos institucionais, alterações fisiológicas, psicoafetivas e sociofamiliares.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Riscos Ocupacionais , Carga de Trabalho , Estresse Ocupacional , COVID-19 , Recursos Humanos de Enfermagem , Uruguai , Condições de Trabalho , Esgotamento Profissional , Estudos Transversais , Inquéritos e Questionários , COVID-19/psicologia
2.
Front Public Health ; 10: 926395, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36091496

RESUMO

Objective: Thousands of healthcare workers on the frontlines who have been battling the COVID-19 pandemic could face emotional and mental health risks even after their critical pandemic work. This study examined the impact of affective rumination on emotional exhaustion and the spillover effect of affective rumination on unhealthy food consumption among healthcare workers during recuperation. Methods: A total of 418 frontline healthcare workers from 10 Chinese medical institutions were recruited through random cluster sampling. A linear mixed model in SPSS25.0 was performed for hierarchical regression to analyze the effect of affective rumination on unhealthy food consumption via emotional exhaustion. A conditional process analysis was employed to investigate the moderating role of family support in the mediating effect of emotional exhaustion. Results: Front-line healthcare workers scored at a medium level on an emotional exhaustion scale (2.45 ± 0.88). Affective rumination mediated by emotional exhaustion had a significant positive predictive effect on unhealthy food consumption. The indirect effect accounted for ~43.9% of the total effect. Family support amplified the effect of emotional exhaustion on unhealthy food consumption (ß = 0.092, p < 0.05). Conclusion: Affective rumination could be a cause of emotional exhaustion and unhealthy food consumption. First-line healthcare workers could be screened for possible emotional exhaustion through the evaluation of affective rumination in order to provide them with targeted interventions. Family support did not prove to be beneficial in all cases as it enhanced the positive effect of emotional exhaustion on unhealthy eating in the current study. Therefore, family support should be carefully integrated in future interventions.


Assuntos
Esgotamento Profissional , COVID-19 , Esgotamento Profissional/psicologia , COVID-19/epidemiologia , Estudos Transversais , Pessoal de Saúde/psicologia , Humanos , Pandemias , Inquéritos e Questionários
3.
Clin J Oncol Nurs ; 26(5): 519-527, 2022 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-36108207

RESUMO

BACKGROUND: Compassion fatigue (CF) and burnout are well described phenomena among oncology nurses. Physical activity (PA) has been shown to reduce CF and burnout. OBJECTIVES: The purpose of this pilot study was to determine the feasibility of promoting PA and assessing its impact on CF and burnout among RNs across three ambulatory care cancer clinics. METHODS: A convenience sample of nurses with varying roles were invited to participate. Feasibility was assessed by participant accrual and retention rates. CF and burnout were assessed at weeks 0, 6, and 12. The Yale Physical Activity Survey was used to obtain self-reported PA, and daily steps were tracked using participants' personal devices. FINDINGS: Stress scores decreased. Burnout scores demonstrated levels of low emotional exhaustion, moderate depersonalization, and moderate to high personal achievement. Leisurely walking increased significantly, and average daily step counts increased by 37% for weekdays, 10% for weekend days, and 29% for the total week.


Assuntos
Esgotamento Profissional , Fadiga por Compaixão , Assistência Ambulatorial , Esgotamento Profissional/psicologia , Fadiga por Compaixão/psicologia , Estudos Transversais , Exercício Físico , Estudos de Viabilidade , Humanos , Projetos Piloto
4.
J Occup Health ; 64(1): e12360, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36111392

RESUMO

OBJECTIVE: COVID-19 has dramatically affected Western Society's relationship with work and contributed to increased worker burnout. Existing studies on burnout have mostly emphasized workplace culture, leadership, and employee engagement as key contributors to burnout. In this cross-sectional study, we examine the associations between Malach-Pines Short Burnout Measure (MPSBM) scores and participant's self reported personal characteristics, financial strain, workplace conditions, work-life balance, and social inclusion among Canadians living during the third wave of the COVID-19 pandemic. METHODS: To identify the most salient correlates of burnout, Canadian residents, aged 16+, were recruited using paid social media advertisements in French and English to complete a cross-sectional study. Multivariable linear regression and dominance analysis identified the most salient correlates of MPSBM scores. Exposure variables included demographic factors, financial strain, workplace conditions, work-life balance, social support, and loneliness. RESULTS: Among 486 participants, family social support (adjusted ß = -0.14, 95%CI = -0.23, -0.05), emotional loneliness (adjusted ß = 0.26, 95% CI = 0.18, 0.35), insufficient sleep (adjusted ß = 0.38, 95% CI = 0.16, 0.60) and "me time" (adjusted ß = 0.22, 95% CI = 0.03, 0.42), and indicators of financial security (e.g., owning vs renting; adjusted ß = -0.36, 95% CI = -0.54, -0.17; insufficient pay: adjusted ß = -0.36, 95% CI = -0.54, -0.17) were key burnout indicators. People with a bachelor's degree (vs ≤high school diploma; adjusted ß = 0.29, 95% CI = 0.01, 0.58) also had higher burnout scores. CONCLUSION: Interventions addressing workplace culture, leadership, and other proximal workplace stressors, while important, are likely insufficient to meet the needs of workers. Our findings suggest that broader, holistic multicomponent approaches that address multiple upstream dimensions of health-including mental health-are likely necessary to prevent and reduce burnout.


Assuntos
Esgotamento Profissional , COVID-19 , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/psicologia , COVID-19/epidemiologia , Canadá/epidemiologia , Estudos Transversais , Humanos , Solidão , Pandemias , Apoio Social
5.
Am J Mens Health ; 16(5): 15579883221123930, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36113189

RESUMO

Screening for depression in males is important because their symptoms differ from those of females, ranging from indications of aggression to attempts at suicide. Men and women differ in their responses to job stress. There are no tools that have been verified, developed, or translated for screening male depression in Korea. Our team translated the Gotland Male Depression Scale (GMDS) into Korean. The Korean version of GMDS (K-GMDS) and Maslach Burnout Inventory-General Survey (MBI-GS) were administered to 277 office workers in one public institution. Gender differences in each scale score were measured along with the correlation between the K-GMDS and the MBI-GS. There was no significant difference in the K-GMDS score between males and females, whereas females scored significantly higher on the MBI-GS (p < .001). The correlation between the K-GMDS total score and the MBI total score (male: r = .702, p < .001, female: r = .375, p < .001) and MBI subscale scores were higher in males than females. Gender moderated the relationship between total K-GMDS and total MBI scores (p < .001). The Korean version of the GMDS is suitable for screening male depression symptoms in the workplace. The results of the K-GMDS demonstrated a strong correlation between depressive symptoms and work-related burnout among men. This study can be used as a basis for studying male depression symptoms in Korea, which has not been studied extensively. This will prove beneficial for work environments.


Assuntos
Esgotamento Profissional , Depressão , Asiáticos , Esgotamento Profissional/diagnóstico , Depressão/diagnóstico , Feminino , Humanos , Masculino , Inquéritos e Questionários , Local de Trabalho
6.
BMC Med Educ ; 22(1): 675, 2022 Sep 13.
Artigo em Inglês | MEDLINE | ID: mdl-36100880

RESUMO

BACKGROUND: Trainees in graduate medical education are affected by burnout at disproportionate rates. Trainees experience tremendous growth in clinical skills and reasoning, however little time is dedicated to metacognition to process their experiences or deliberate identity formation to create individualized definitions of success and wellbeing. The purpose of this study was to understand the perspectives and experiences of trainees who participated in a 6-month, web-based, group coaching program for women residents in training. METHODS: Better Together Physician Coaching is a six-month, self-paced, online, asynchronous, coaching program with multiple components including live coaching calls, unlimited written coaching, and self-study modules. Semi-structured interviews of seventeen participants of Better Together from twelve GME programs within a single institution in Colorado were conducted from May to June of 2021. All identified as women and had participated in a 6-month coaching program. Both inductive and deductive methods were used in collecting and analyzing the data with an aim to understand learners' perceptions of the coaching program, including "how and why" the coaching program affected training experiences and wellbeing. RESULTS: Three main themes emerged as benefits to the coaching program from the data: 1) practicing metacognition as a tool for healthy coping 2) building a sense of community, and 3) the value of a customizable experience. CONCLUSIONS: Female trainees who participated in a group coaching program expressed that they found value in learning how to cope with stressors through metacognition-focused coaching. They also described that building a community and being able to customize the experience were positive aspects of the program. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT05280964 . Date of registration: March 15th 2022. Retrospectively registered. URL of trial registry record.


Assuntos
Esgotamento Profissional , Tutoria , Médicos , Adaptação Psicológica , Feminino , Nível de Saúde , Humanos , Tutoria/métodos
7.
PLoS One ; 17(9): e0274322, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36112642

RESUMO

OBJECTIVE: To explore the moderating effects of sociodemographic and work-related variables on levels of burnout and mental health among medical residents. METHOD: A cross-sectional online survey was administered at the beginning of the second wave of COVID-19 at different public teaching hospitals where medical residents practiced in Mexico City. A total of 201 medical residents of different years completed the survey. RESULTS: Different univariate inferential analyses on the level of burnout and mental health indices showed significant differences between sex, marital status, previous reports of physical illness or psychological conditions, and residency ranking. However, the effect sizes of those differences were of low to medium size. A predictive path analysis revealed that the three stages of burnout (emotional exhaustion, depersonalization, and achievement dissatisfaction) negatively affect psychological wellbeing and positively affect psychological distress. Finally, even though sociodemographic variables showed some significant variation, the effect sizes were small and did not moderate the direct effect of burnout on mental health indices. CONCLUSIONS: Medical residents deling with every day medical situations, will be exposed to stressors that might increase the probability to experience emotional exhaustion. This would negatively affect levels of wellbeing and positively affect distress, despite their sociodemographic characteristics.


Assuntos
Esgotamento Profissional , COVID-19 , Internato e Residência , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/psicologia , Esgotamento Psicológico , Estudos Transversais , Nível de Saúde , Humanos , Saúde Mental , México/epidemiologia
8.
J Int Med Res ; 50(9): 3000605221106428, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36113033

RESUMO

Burnout syndrome is a distinct "occupational phenomenon" rather than a medical condition, comprising emotional exhaustion, physical fatigue, and cognitive weariness. Both exogenous work-related and endogenous personal factors determine the extent and the severity of symptoms in burnout syndrome. Persistent burnout is a cause of reduced quality of life and is associated with increased risk of sleep impairment and with several medical disorders including mild cognitive impairment, diabetes, and cardiovascular disease.Active coping strategies promoting mental resilience and adaptive behavior, stress-reducing activities, improving work conditions, and reducing exposure to work stressors together may alleviate the distress of burnout and should be introduced early in the clinical course of burnout syndrome. The purpose of this review was to explain this complex and puzzling phenomenon and to describe burnout management.


Assuntos
Esgotamento Profissional , Qualidade de Vida , Adaptação Psicológica , Esgotamento Profissional/psicologia , Emoções , Fadiga , Humanos
9.
BMC Health Serv Res ; 22(1): 1167, 2022 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-36114499

RESUMO

BACKGROUND: Many workplaces, within the healthcare sector, experience high rates of mental health problems such as burnout, anxiety, and depression, due to poor psychosocial working conditions and midwives are not an exception. To develop preventive interventions, epidemiologic surveillance of burnout levels, and their relation to professional specific working conditions is needed. Aims of this study is to assess the construct validity of the Burnout Assessment Tool (BAT) in the context of Swedish midwives, to evaluate whether the item responses can be combined into a single score and differential item functioning regarding age. Another aim was to assess the burnout levels of Swedish midwives. METHODS: Data come from a national cohort of Swedish midwives (n = 1664). The construct validity was evaluated using Rasch analysis. Burnout levels were presented by median and first (Q1) and third (Q3) quartiles for the BAT total score and the four subscales (exhaustion, mental distance, cognitive and emotional impairment). RESULTS: In the analysis including all 23 items the fit to the Rasch model was not obtained. Items within each subscale clustered together in a residual correlation matrix in a pattern consistent with the underlying conceptualization of the BAT, indicating multidimensionality. The Rasch analysis was re-run using the four testlets as input variables which resulted in a good fit. The median burnout level was 2.0 (Q1 = 1.6, Q3 = 2.4). The four subscales differentiated the picture (elevated levels on exhaustion and low levels on the other three subscales). CONCLUSIONS: The construct validity of the BAT for use in the context of Swedish midwives was confirmed. The results indicated a strong general factor, meaning that the responses can be combined into a single burnout score. The scale works invariantly for different age groups. The results of this study secure access to a validated instrument to be used for accurate assessment of the burnout levels among midwives in Sweden.


Assuntos
Esgotamento Profissional , Tocologia , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/psicologia , Esgotamento Psicológico , Feminino , Humanos , Gravidez , Inquéritos e Questionários , Suécia/epidemiologia
10.
Clin Chest Med ; 43(3): 563-577, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36116823

RESUMO

Burnout is occurring in epidemic proportions among intensive care unit physicians and other health-care professionals-accelerated by pandemic-driven stress. The impact of burnout is far-reaching, threatening the health of individual workers, the safety and quality of care our patients receive, and eroding the infrastructure of health care in general. Drivers of burnout include excessive quantity of work (nights, weekends, and acuity surges); excessive menial tasks; incivility, poor communication, and challenges to team success; and frequent moral distress and end-of-life issues. This article provides system-based practice and individual strategies to address these drivers and improve the well-being of our team and our patients.


Assuntos
Esgotamento Profissional , Médicos , Esgotamento Profissional/epidemiologia , Cuidados Críticos , Pessoal de Saúde , Humanos , Unidades de Terapia Intensiva
11.
BMJ ; 378: e070442, 2022 Sep 14.
Artigo em Inglês | MEDLINE | ID: mdl-36104064

RESUMO

OBJECTIVE: To examine the association of physician burnout with the career engagement and the quality of patient care globally. DESIGN: Systematic review and meta-analysis. DATA SOURCES: Medline, PsycINFO, Embase, and CINAHL were searched from database inception until May 2021. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Observational studies assessing the association of physician burnout (including a feeling of overwhelming emotional exhaustion, feelings of cynicism and detachment from job defined as depersonalisation, and a sense of ineffectiveness and little personal accomplishment) with career engagement (job satisfaction, career choice regret, turnover intention, career development, and productivity loss) and the quality of patient care (patient safety incidents, low professionalism, and patient satisfaction). Data were double extracted by independent reviewers and checked through contacting all authors, 84 (49%) of 170 of whom confirmed their data. Random-effect models were used to calculate the pooled odds ratio, prediction intervals expressed the amount of heterogeneity, and meta-regressions assessed for potential moderators with significance set using a conservative level of P<0.10. RESULTS: 4732 articles were identified, of which 170 observational studies of 239 246 physicians were included in the meta-analysis. Overall burnout in physicians was associated with an almost four times decrease in job satisfaction compared with increased job satisfaction (odds ratio 3.79, 95% confidence interval 3.24 to 4.43, I2=97%, k=73 studies, n=146 980 physicians). Career choice regret increased by more than threefold compared with being satisfied with their career choice (3.49, 2.43 to 5.00, I2=97%, k=16, n=33 871). Turnover intention also increased by more than threefold compared with retention (3.10, 2.30 to 4.17, I2=97%, k=25, n=32 271). Productivity had a small but significant effect (1.82, 1.08 to 3.07, I2=83%, k=7, n=9581) and burnout also affected career development from a pooled association of two studies (3.77, 2.77 to 5.14, I2=0%, n=3411). Overall physician burnout doubled patient safety incidents compared with no patient safety incidents (2.04, 1.69 to 2.45, I2=87%, k=35, n=41 059). Low professionalism was twice as likely compared with maintained professionalism (2.33, 1.96 to 2.70, I2=96%, k=40, n=32 321), as was patient dissatisfaction compared with patient satisfaction (2.22, 1.38 to 3.57, I2=75%, k=8, n=1002). Burnout and poorer job satisfaction was greatest in hospital settings (1.88, 0.91 to 3.86, P=0.09), physicians aged 31-50 years (2.41, 1.02 to 5.64, P=0.04), and working in emergency medicine and intensive care (2.16, 0.98 to 4.76, P=0.06); burnout was lowest in general practitioners (0.16, 0.03 to 0.88, P=0.04). However, these associations did not remain significant in the multivariable regressions. Burnout and patient safety incidents were greatest in physicians aged 20-30 years (1.88, 1.07 to 3.29, P=0.03), and people working in emergency medicine (2.10, 1.09 to 3.56, P=0.02). The association of burnout with low professionalism was smallest in physicians older than 50 years (0.36, 0.19 to 0.69, P=0.003) and greatest in physicians still in training or residency (2.27, 1.45 to 3.60, P=0.001), in those who worked in a hospital (2.16, 1.46 to 3.19, P<0.001), specifically in emergency medicine specialty (1.48, 1.01 to 2.34, P=0.042), or situated in a low to middle income country (1.68, 0.94 to 2.97, P=0.08). CONCLUSIONS: This meta-analysis provides compelling evidence that physician burnout is associated with poor function and sustainability of healthcare organisations primarily by contributing to the career disengagement and turnover of physicians and secondarily by reducing the quality of patient care. Healthcare organisations should invest more time and effort in implementing evidence-based strategies to mitigate physician burnout across specialties, and particularly in emergency medicine and for physicians in training or residency. SYSTEMATIC REVIEW REGISTRATION: PROSPERO number CRD42021249492.


Assuntos
Esgotamento Profissional , Medicina de Emergência , Médicos , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/psicologia , Esgotamento Psicológico , Humanos , Assistência ao Paciente , Médicos/psicologia , Inquéritos e Questionários
12.
Fam Syst Health ; 40(3): 433-435, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36095235

RESUMO

In this president's column, the author notes that resilience has been identified as a strategy to mitigate the triumvirate of burnout, compassion fatigue, and moral distress. Once viewed as an innate personality trait, there has been an increased focus on the cultivation of resilience among health care providers, with attention to evolving educational models depending on the career stage of the provider and interventions for interprofessional health care workers. Strategies to develop the "7Cs" of individual resilience, which were initially applied to children and adolescents, have begun to be applied to physicians. If we are to really celebrate our frontline workers, we need to not only promote their personal wellbeing, but also make conscious efforts to restructure the environments and health care systems in which they work. Only through thoughtful and comprehensive interventions-targeting both the individual and the institution-can we truly foster well-being. Such efforts can help move our workforce and teams from the constant state of merely surviving that they have been in the past several years to thriving and finding joy again in their work. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Esgotamento Profissional , Médicos , Adolescente , Esgotamento Profissional/prevenção & controle , Criança , Atenção à Saúde , Pessoal de Saúde , Humanos , Recursos Humanos
13.
J Trauma Nurs ; 29(5): 252-261, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36095272

RESUMO

BACKGROUND: Trauma nurses may experience secondary traumatic stress, compassion fatigue, and burnout as their clinical roles expose them to patients with traumatic injuries. Because traumatic events described as being most stressful for nurses involve sudden death or children and adolescents, multicasualty, school-associated shooting events are likely to be particularly stressful for nurses who care for the affected patients. OBJECTIVE: This research examined the psychosocial effects of caring for patients in an inpatient trauma unit following a multicasualty, school-associated shooting event. METHODS: This research was guided by a qualitative case series approach, a theory of secondary traumatic stress, and the compassion fatigue resilience model. Registered nurses who provided care in the trauma unit of a Level I trauma center to patients who were injured during a multicasualty, school-associated shooting event in the Southeastern United States were invited to participate. RESULTS: The three themes identified by this research were (a) innocence of the patients, (b) trajectories of increased emotions, and (c) processing emotional stressors. Nurses reported the benefits of peer support and provided recommendations to increase the efficacy of formal debriefing sessions. CONCLUSIONS: Nurses value self-care routines and peer support as coping mechanisms to foster well-being following exposure to traumatic events. Hospitals should encourage active participation in timely critical incident stress debriefings and promote the use of employee assistance services to support nursing staff after these events.


Assuntos
Esgotamento Profissional , Fadiga por Compaixão , Adolescente , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Criança , Fadiga por Compaixão/psicologia , Humanos , Satisfação no Emprego , Assistência ao Paciente , Instituições Acadêmicas
15.
Fam Med ; 54(8): 640-643, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36098696

RESUMO

BACKGROUND AND OBJECTIVES: The issue of declining empathy and increasing burnout among residents is of concern for most programs. Numerous studies have shown these changes in both medical students and residents. However, the sequence of empathy decline and increasing burnout is unresolved and most studies have been cross sectional. This paper reports an individually-paired longitudinal analysis intended to clarify the sequence of these changes. METHODS: Beginning in 2017, 35 family medicine residents across all 3 years of training at a rural program completed an established empathy survey and a previously-validated single burnout question at the start of each year and at the midpoint. First, the empathy score for each resident was aligned with the next following burnout measure, and then the reverse sequence was followed, with burnout aligned with the following empathy score. RESULTS: With 125 responses to 133 survey opportunities, we saw a 94% response rate. Empathy scores across residency years decreased slightly and then improved almost to baseline. However, the analysis of variance test for quadratic trend was not significant. The burnout measure increased significantly over the residency years (J-T Statistic=4.89, P<.001). The correlation of the empathy score changing first showed a nonsignificant correlation (Rs=-.150, P=.133). The Spearman's ρ of the burnout measure changing first was significant (Rs=-.300, P=.006). CONCLUSIONS: In this group of residents, changes in burnout occurred before changes in empathy. If further research supports this finding, residency programs could focus more on efforts to address burnout to mitigate decreases in empathy.


Assuntos
Esgotamento Profissional , Internato e Residência , Estudos Transversais , Empatia , Humanos , Inquéritos e Questionários
16.
J Allied Health ; 51(3): 229-233, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36100719

RESUMO

While having a dedicated and productive workforce is the cornerstone of a functioning society, the key is sustainability. Allied health laboratory burnout, characterized by mental exhaustion which negatively affects workplace performance, has worsened during the COVID pandemic. For purposes such as these, the issue must be addressed to ensure that the US will have an adequate workforce to meet the laboratory testing needs of an aging population and any potential future pandemics that may arise. The answer to reducing toxic or challenging workplace environments and improving human workforce sustainability is through transparency and anonymous reporting mandates so the data collected from individual laboratories can be reported as a single "human sustainability" score that reflects the health measure of the laboratory. The 10 laboratories with the highest scores could be listed in the laboratory professional magazine's version of "America's Most Admired Laboratories" and the worst performers in the "Improvements-Needed" listing. Companies are inherently competitive, and this forces laboratories to be more cognizant of workforce well-being and the rate of burnout and work-related chronic conditions. This article outlines how the human sustainability advocacy plan can be implemented using ideas gleaned from Bardach's eight-fold path paradigm.


Assuntos
Esgotamento Profissional , COVID-19 , Idoso , COVID-19/epidemiologia , Humanos , Pessoal de Laboratório Médico , Recursos Humanos , Local de Trabalho
17.
Int J Soc Psychiatry ; 68(6): 1232-1237, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36047053

RESUMO

BACKGROUND: Medical students are under high pressure to perform academically and also face the impact of the COVID-19 pandemic, putting them at risk of developing burnout. AIMS: This study aims to evaluate the prevalence and degree of burnout among medical students in Indonesia during 1 month of the COVID-19 pandemic. METHODS: From April to May 2021, we conducted an online survey of Indonesian medical students to assess burnout (using Maslach Burnout Inventory-Student Survey, MBI-SS). RESULTS: A total of 1,947 students from 27 universities participated in the study. About 35.5% had burnout, 41.7% with a moderate to high level of emotional exhaustion, 45% had moderate to high level of depersonalization and 66.7% had a low level of personal accomplishment. CONCLUSION: A total of 35.5% of medical students in our sample experienced burnout. We suggest further research to explore and identify factors related to these findings and the need for potential interventions at global and national level to enhance the well-being of medical students.


Assuntos
Esgotamento Profissional , COVID-19 , Estudantes de Medicina , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/psicologia , Esgotamento Psicológico/epidemiologia , COVID-19/epidemiologia , Estudos Transversais , Humanos , Indonésia/epidemiologia , Pandemias , Prevalência , Estudantes de Medicina/psicologia , Inquéritos e Questionários
18.
Artigo em Inglês | MEDLINE | ID: mdl-36078181

RESUMO

(1) Background: We aimed to explore Young medical researchers (YMR) normative beliefs and perceived causes of distress and burnout, prior and during the financial crisis in Greece, and to assess their views on Participatory Action Research (PAR) interventions towards tackling these disorders. (2) Methods: A Participatory Learning and Action (PLA) methodology was performed in two time periods (prior crisis: December 2008; during crisis: February-March 2017). In both time periods, three different groups (Group 1: females, Group 2: males, Group 3: mixed) of 5-7 participants and two sessions (≈1 h/session) per group took place in each site. Overall, 204 sessions with 1036 YMR were include in the study. (3) Results: Several socio-demographic characteristics of YMR altered during the crisis (lower income, higher smoking/alcohol consumption, etc.). The majority of YMR conceived distress and burnout as serious syndromes requiring professional support. Feeling very susceptible and the necessity for establishing PAR interventions were frequently reported during the crisis. Numerous (a) barriers and (b) cues to action were mentioned: (a) lack of time, money and support from friends/family/colleagues (b) being extensively informed about the intervention, participation of their collaborators, and raising awareness events. (4) Conclusions: The changing pattern of Greek YMR's beliefs and needs during the crisis stresses the necessity of interventions to tackle distress and burnout. Effectiveness of these interventions could be enhanced by the suggested cues to action that emerged from this study.


Assuntos
Esgotamento Profissional , Feminino , Grécia , Pessoal de Saúde , Pesquisa sobre Serviços de Saúde , Humanos , Masculino
19.
Artigo em Inglês | MEDLINE | ID: mdl-36078376

RESUMO

(1) Background: The subject of athlete burnout is often discussed among sports psychologists. Interventions to reduce this phenomenon are still under investigation with follow-ups. Thus, the purpose of the current meta-analysis is to examine psychological interventions that was carried out to decrease or eliminate burnout syndrome in young athletes. (2) Methods: Scientific electronic databases were searched, and five published studies published between January and June 2022 that met the criteria were selected. The systematic review and meta-analyses followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The Cochrane collaboration tool for assessing the risk of bias was used to assess the studies' quality. Metafor, a package of the R statistical program, was used to perform the analysis. (3) Results: Cognitive behavioral therapy- and mindfulness-based interventions effectively reduced most dimensions of burnout. Moreover, online interventions were significantly more beneficial in this reduction. (4) Conclusions: There should be more high-quality studies on the effectiveness of psychological interventions in reducing burnout, mainly because it leads to tremendous physical and psychological problems for athletes and their coaches; therefore, it requires particular interventions and prevention strategies.


Assuntos
Esgotamento Profissional , Atenção Plena , Esportes , Adolescente , Atletas/psicologia , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Esgotamento Psicológico/terapia , Humanos , Atenção Plena/métodos
20.
Artigo em Inglês | MEDLINE | ID: mdl-36078422

RESUMO

BACKGROUND: Worldwide, stress and burnout continue to be a problem among teachers, leading to anxiety and depression. Burnout may adversely affect teachers' health and is a risk factor for poor physical and mental well-being. Determining the prevalence and correlates of stress, burnout, anxiety, and depression among teachers is essential for addressing this public health concern. OBJECTIVE: To determine the extent of the current literature on the prevalence and correlates of stress, burnout, anxiety, and depression among teachers. METHOD: This scoping review was performed using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews). Relevant search terms were used to determine the prevalence and correlates of teachers' stress, burnout, anxiety, and depression. Articles were identified using MEDLINE (Medical Literature Analysis and Retrieval System Online), EMBASE (Excerpta Medica Data Base), APA PsycINFO, CINAHL Plus (Cumulative Index of Nursing and Allied Health Literature), Scopus Elsevier and ERIC (Education Resources Information Center). The articles were extracted, reviewed, collated, and thematically analyzed, and the results were summarized and reported. RESULTS: When only clinically meaningful (moderate to severe) psychological conditions among teachers were considered, the prevalence of burnout ranged from 25.12% to 74%, stress ranged from 8.3% to 87.1%, anxiety ranged from 38% to 41.2% and depression ranged from 4% to 77%. The correlates of stress, burnout, anxiety, and depression identified in this review include socio-demographic factors such as sex, age, marital status, and school (organizational) and work-related factors including the years of teaching, class size, job satisfaction, and the subject taught. CONCLUSION: Teaching is challenging and yet one of the most rewarding professions, but several factors correlate with stress, burnout, anxiety, and depression among teachers. Highlighting these factors is the first step in recognizing the magnitude of the issues encountered by those in the teaching profession. Implementation of a school-based awareness and intervention program is crucial to resolve the early signs of teacher stress and burnout to avoid future deterioration.


Assuntos
Esgotamento Profissional , Depressão , Ansiedade/epidemiologia , Transtornos de Ansiedade , Esgotamento Profissional/psicologia , Depressão/epidemiologia , Humanos , Satisfação no Emprego , Professores Escolares
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