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1.
Psychoneuroendocrinology ; 128: 105213, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33845387

RESUMO

In the critical context of COVID-19 pandemic, healthcare workers are on the front line, participating directly in the care, diagnosis, and treatment of patients with COVID-19. This exposes them to a higher risk of developing chronic stress, psychological distress, and any other mental health symptoms. OBJECTIVE: to evaluate stress and burnout in a health workers population and, in addition, to measure hair cortisol concentration as a current biomarker of stress. MATERIALS AND METHODS: 234 health workers from Hospital de Clínicas "José de San Martín", Buenos Aires University, were included in this study. In this population hair samples were obtained from the posterior vertex as close to the scalp as possible and the individuals completed the following surveys: perceived stress, social support, burnout scale, life event scale, and sociodemographic data. Hair cortisol was measured by an automated chemiluminescent method. The studied population was divided into three groups considering those individuals below the healthy reference sample range (< 40 pg/mg hair), within the healthy reference range (40-128 pg/mg hair) and above the reference range (> 128 pg/mg hair). This study used a transversal and observational design. RESULTS: Our results show that 40% of the studied population presented hair cortisol values outside of the healthy reference range. In the whole studied population, a direct correlation was found between hair cortisol concentration and perceived stress as well as between hair cortisol concentration and the emotional exhaustion component of burnout (r = 0.142, p = 0.030; r = 0.143, p = 0.029, respectively). 12% of the studied population showed Burnout (52% doctors and residents, 19% nurses, 19% administrative personnel). Higher values in hair cortisol levels were found in the group with burnout versus individuals without burnout (p = 0.034). Finally, a mediation analysis was performed, finding that depersonalization is a mediating variable in the relationship between self-perceived stress and hair cortisol level (F = 4.86, p = 0.0086; indirect effect IC: 0.0987-1.8840). CONCLUSION: This is the first study in which a stress biomarker such as hair cortisol is evaluated in this population and in this context. Healthcare workers are subjected to increased levels of stress and burnout. High depersonalization, emotional exhaustion, and decreased personal sense of accomplishment characterize this population. It is the responsibility of the health authorities to implement strategies to manage this psychological emergency.


Assuntos
COVID-19 , Hidrocortisona/metabolismo , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/metabolismo , Recursos Humanos em Hospital/psicologia , Adulto , Argentina/epidemiologia , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/metabolismo , Esgotamento Profissional/fisiopatologia , Feminino , Cabelo/química , Pesquisas sobre Serviços de Saúde , Hospitais Universitários/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/fisiopatologia , Recursos Humanos em Hospital/estatística & dados numéricos
3.
J Med Internet Res ; 23(4): e24191, 2021 04 19.
Artigo em Inglês | MEDLINE | ID: mdl-33739930

RESUMO

BACKGROUND: During the COVID-19 pandemic, health professionals have been directly confronted with the suffering of patients and their families. By making them main actors in the management of this health crisis, they have been exposed to various psychosocial risks (stress, trauma, fatigue, etc). Paradoxically, stress-related symptoms are often underreported in this vulnerable population but are potentially detectable through passive monitoring of changes in speech behavior. OBJECTIVE: This study aims to investigate the use of rapid and remote measures of stress levels in health professionals working during the COVID-19 outbreak. This was done through the analysis of participants' speech behavior during a short phone call conversation and, in particular, via positive, negative, and neutral storytelling tasks. METHODS: Speech samples from 89 health care professionals were collected over the phone during positive, negative, and neutral storytelling tasks; various voice features were extracted and compared with classical stress measures via standard questionnaires. Additionally, a regression analysis was performed. RESULTS: Certain speech characteristics correlated with stress levels in both genders; mainly, spectral (ie, formant) features, such as the mel-frequency cepstral coefficient, and prosodic characteristics, such as the fundamental frequency, appeared to be sensitive to stress. Overall, for both male and female participants, using vocal features from the positive tasks for regression yielded the most accurate prediction results of stress scores (mean absolute error 5.31). CONCLUSIONS: Automatic speech analysis could help with early detection of subtle signs of stress in vulnerable populations over the phone. By combining the use of this technology with timely intervention strategies, it could contribute to the prevention of burnout and the development of comorbidities, such as depression or anxiety.


Assuntos
Ansiedade/diagnóstico , Esgotamento Profissional/diagnóstico , COVID-19/psicologia , Pessoal de Saúde/psicologia , Acústica da Fala , Fala/fisiologia , Adulto , Ansiedade/etiologia , Ansiedade/psicologia , Esgotamento Profissional/etiologia , Esgotamento Profissional/psicologia , COVID-19/epidemiologia , Feminino , Humanos , Masculino , Pandemias , Projetos Piloto , SARS-CoV-2 , Inquéritos e Questionários , Telefone
4.
J Am Dent Assoc ; 152(2): 136-145, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33494868

RESUMO

BACKGROUND: Nearly 40% of US physicians experience occupational burnout. The actual prevalence rate of burnout among US dentists remains unknown. The authors examined a simplified 2-item burnout screening tool based on the Maslach Burnout Inventory (MBI) to identify possible occupational burnout among dentists. METHODS: Data were obtained from a survey of pediatric dentists (n = 540) in the United States. The full MBI items from the data set were used to determine and categorize emotional exhaustion and depersonalization. Responses to 2 MBI items, 1 for emotional exhaustion and 1 for depersonalization, were analyzed separately and risk of experiencing high MBI emotional exhaustion and depersonalization was calculated using all subscale items for these 2 burnout dimensions. Spearman correlations were used to compare responses to the 2 MBI items and MBI emotional exhaustion and depersonalization. RESULTS: Based on frequency of at least once per week, 18% of respondents had positive response to MBI item "I feel burned out from my work" and had high MBI emotional exhaustion, and 9% had positive response to MBI item "I have become more callous toward people since I took this job" along with high MBI depersonalization. The risk of experiencing the burnout dimensions of high emotional exhaustion and depersonalization increased with positive frequency score for the respective MBI items. There were strong positive correlations between responses to the 2 MBI items and emotional exhaustion and depersonalization scores, respectively. CONCLUSIONS: A simple 2-item burnout screening tool can be used to identify potential occupational burnout among dentists. PRACTICAL IMPLICATIONS: Improving awareness about occupational burnout can help mitigate its detrimental consequences.


Assuntos
Esgotamento Profissional , Médicos , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/epidemiologia , Criança , Odontólogos , Despersonalização/epidemiologia , Humanos , Inquéritos e Questionários , Estados Unidos/epidemiologia
5.
Rev Lat Am Enfermagem ; 29: e3386, 2021.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-33439946

RESUMO

OBJECTIVE: to confirm the factorial validity of the Maslach Burnout Inventory - Human Services Survey version in a sample of health professionals from the emergency services. METHOD: a quantitative, exploratory, descriptive and analytical study. Two hundred and eighty-two health professionals participated in the study. For data collection, a sociodemographic questionnaire and the Maslach Burnout Inventory were used. The psychometric sensitivity for the MBI-HSS items was estimated by measures of central tendency, variability and the distribution shape. Internal consistency was estimated using Cronbach's alpha coefficient and the adequacy of the sample was verified using the Kaiser-Meyer-Olkin (KMO) index. As indexes for assessing the quality of fit of the model, the chi-square ratio by the degrees of freedom (χ2/DoF), the comparative fit index (CFI), the goodness of fit index (GFI), the Tucker Lewis index (TLI) and the root mean square error of approximation (RMSEA) were considered. To test data fit, the maximum likelihood method was used. RESULTS: the three-factor structure of the Maslach Burnout Inventory was confirmed. Items 9, 12, 15 and 16 had a factorial weight below what was considered appropriate and were removed from the model. The second order hierarchical model with the aforementioned modifications presented an adequate adjustment to the data and can be considered the best and most parsimonious model tested according to the information theory indexes. The internal consistency of the instrument's factors was recalculated considering the exclusion of the items and the three factors were considered adequate. CONCLUSION: the results obtained show that the Maslach Burnout Inventory is a reliable and factorially valid instrument for measuring the burnout syndrome in emergency service professionals in Brazil.


Assuntos
Esgotamento Profissional , Esgotamento Psicológico , Brasil , Esgotamento Profissional/diagnóstico , Humanos , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
6.
Rev Med Suisse ; 17(723): 221-224, 2021 Jan 27.
Artigo em Francês | MEDLINE | ID: mdl-33507665

RESUMO

Lacking diagnostic standards, the prevalence of Occupational Burnout (OB) remains uncertain. Unisanté aimed to evaluate its magnitude in its patients and to evaluate the medical practices related to OB in two of its departments, the Department of the Policlinics (DDP) and the Department of Occupational and Environmental Health (DSTE). An online survey has shown that 43/55 of the physicians participating in the survey have already diagnosed patients with OB in their practice. Two focus groups allowed to evaluate the interest and usefulness of a standardized diagnostic tool for physicians of the DDP and the DSTE. The tool turned out not to be appropriate in its present form, but this work allowed to sensitize physicians to OB and to clarify the recommendations for the screening and treatment of OB patients at Unisanté.


Assuntos
Esgotamento Profissional , Médicos , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/terapia , Estudos Transversais , Humanos , Prevalência , Inquéritos e Questionários
7.
J Med Internet Res ; 23(1): e21445, 2021 01 11.
Artigo em Inglês | MEDLINE | ID: mdl-33427674

RESUMO

BACKGROUND: Medical professionals are exposed to multiple and often excessive demands in their work environment. Low-intensity internet interventions allow them to benefit from psychological support even when institutional help is not available. Focusing on enhancing psychological resources-self-efficacy and perceived social support-makes an intervention relevant for various occupations within the medical profession. Previously, these resources were found to operate both individually or sequentially with self-efficacy either preceding social support (cultivation process) or following it (enabling process). OBJECTIVE: The objective of this randomized controlled trial is to compare the efficacy of 4 variants of Med-Stress, a self-guided internet intervention that aims to improve the multifaceted well-being of medical professionals. METHODS: This study was conducted before the COVID-19 pandemic. Participants (N=1240) were recruited mainly via media campaigns and social media targeted ads. They were assigned to 1 of the following 4 groups: experimental condition reflecting the cultivation process, experimental condition reflecting the enabling process, active comparator enhancing only self-efficacy, and active comparator enhancing only perceived social support. Outcomes included 5 facets of well-being: job stress, job burnout, work engagement, depression, and job-related traumatic stress. Measurements were taken on the web at baseline (time 1), immediately after intervention (time 2), and at a 6-month follow-up (time 3). To analyze the data, linear mixed effects models were used on the intention-to-treat sample. The trial was partially blinded as the information about the duration of the trial, which was different for experimental and control conditions, was public. RESULTS: At time 2, job stress was lower in the condition reflecting the cultivation process than in the one enhancing social support only (d=-0.21), and at time 3, participants in that experimental condition reported the lowest job stress when compared with all 3 remaining study groups (ds between -0.24 and -0.41). For job-related traumatic stress, we found a significant difference between study groups only at time 3: stress was lower in the experimental condition in which self-efficacy was enhanced first than in the active comparator enhancing solely social support (d=-0.24). The same result was found for work engagement (d=-0.20), which means that it was lower in exactly the same condition that was found beneficial for stress relief. There were no differences between study conditions for burnout and depression neither at time 2 nor at time 3. There was a high dropout in the study (1023/1240, 82.50% at posttest), reflecting the pragmatic nature of this trial. CONCLUSIONS: The Med-Stress internet intervention improves some components of well-being-most notably job stress-when activities are completed in a specific sequence. The decrease in work engagement could support the notion of dark side of this phenomenon, but further research is needed. TRIAL REGISTRATION: ClinicalTrials.gov NCT03475290; https://clinicaltrials.gov/ct2/show/NCT03475290. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.1186/s13063-019-3401-9.


Assuntos
Pessoal de Saúde/psicologia , Nível de Saúde , Intervenção Baseada em Internet , Estresse Ocupacional/terapia , Adulto , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/terapia , COVID-19 , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Saúde Mental , Autoeficácia , Apoio Social , Local de Trabalho
8.
BMC Med Educ ; 21(1): 35, 2021 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-33413369

RESUMO

BACKGROUND: Burnout results from excessive demands at work. Caregivers suffering from burnout show a state of emotional exhaustion, leading them to distance themselves from their patients and to become less efficient in their work. While some studies have shown a negative impact of burnout on physicians' clinical reasoning, others have failed to demonstrate any such impacts. To better understand the link between clinical reasoning and burnout, we carried out a study looking for an association between burnout and clinical reasoning in a population of general practice residents. METHODS: We conducted a cross-sectional observational study among residents in general practice in 2017 and 2019. Clinical reasoning performance was assessed using a script concordance test (SCT). The Maslach Burnout Inventory for Human Services Survey (MBI-HSS) was used to determine burnout status in both original standards of Maslach's burnout inventory manual (conventional approach) and when individuals reported high emotional exhaustion in combination with high depersonalization or low personal accomplishment compared to a norm group ("emotional exhaustion +1" approach). RESULTS: One hundred ninety-nine residents were included. The participants' mean SCT score was 76.44% (95% CI: 75.77-77.10). In the conventional approach, 126 residents (63.31%) had no burnout, 37 (18.59%) had mild burnout, 23 (11.56%) had moderate burnout, and 13 (6.53%) had severe burnout. In the "exhaustion + 1" approach, 38 residents had a burnout status (19.10%). We found no significant correlation between burnout status and SCT scores either for conventional or "exhaustion + 1" approaches. CONCLUSIONS: Our data seem to indicate that burnout status has no significant impact on clinical reasoning. However, one speculation is that SCT mostly examines the clinical reasoning process's analytical dimension, whereas emotions are conventionally associated with the intuitive dimension. We think future research might aim to explore the impact of burnout on intuitive clinical reasoning processes.


Assuntos
Esgotamento Profissional , Medicina Geral , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/epidemiologia , Esgotamento Psicológico/epidemiologia , Raciocínio Clínico , Estudos Transversais , Humanos , Inquéritos e Questionários
9.
Epidemiol Psychiatr Sci ; 30: e8, 2021 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-33436137

RESUMO

AIMS: Occupational Burnout (OB) is currently measured through several Patient-Reported Outcome Measures (PROMs) and some of them have become widely used in occupational health research and practice. We, therefore, aimed to review and grade the psychometric validity of the five OB PROMs considered as valid for OB measure in mental health professionals (the Maslach Burnout Inventory (MBI), the Pines' Burnout Measure (BM), the Psychologist Burnout Inventory (PBI), the OLdenburg Burnout Inventory (OLBI) and the Copenhagen Burnout Inventory (CBI)). METHODS: We conducted systematic literature searches in MEDLINE, PsycINFO and EMBASE databases. We reviewed studies published between January 1980 and September 2018 following a methodological framework, in which each step of PROM validation, the reference method, analytical technics and result interpretation criteria were assessed. Using the COnsensus-based Standards for the selection of health Measurement Instruments we evaluated the risk of bias in studies assessing content and criterion validity, structural validity, internal consistency, reliability, measurement error, hypotheses testing and responsiveness of each PROM. Finally, we assessed the level of evidence for the validity of each PROM using the GRADE approach. RESULTS: We identified 6541 studies, 19 of which were included for review. Fifteen studies dealt with MBI whereas BM, PBI, OLBI and CBI were each examined in only one study. OLBI had the most complete validation, followed by CBI, MBI, BM and PBI, respectively. When examining the result interpretation correctness, the strongest disagreement was observed for MBI (27% of results), BM (25%) and CBI (17%). There was no disagreement regarding PBI and OLBI. For OLBI and CBI, the quality of evidence for sufficient content validity, the crucial psychometric property, was moderate; for MBI, BM and PBI, it was very low. CONCLUSION: To be validly and reliably used in medical research and practice, PROM should exhibit robust psychometric properties. Among the five PROMs reviewed, CBI and, to a lesser extent, OLBI meet this prerequisite. The cross-cultural validity of these PROMs was beyond the scope of our work and should be addressed in the future. Moreover, the development of a diagnostic standard for OB would be helpful to assess the sensitivity and specificity of the PROMs and further reexamine their validity.The study protocol was registered in PROSPERO (CRD 42019124621).


Assuntos
Esgotamento Profissional/diagnóstico , Medidas de Resultados Relatados pelo Paciente , Psicometria/estatística & dados numéricos , Inquéritos e Questionários/normas , Esgotamento Profissional/psicologia , Esgotamento Psicológico , Humanos , Reprodutibilidade dos Testes
10.
J Affect Disord ; 281: 168-173, 2021 02 15.
Artigo em Inglês | MEDLINE | ID: mdl-33321382

RESUMO

BACKGROUND: Burnout and clinical depression have been variably viewed as synonymous or as distinctly differing entities - but with few distinguishing features provided. Failure to differentiate the two conditions can lead to compromised clinical management. We sought to enhance the differentiation of burnout and clinical depression by assembling a list of candidate differentiating features. METHODS: In assembling a set of distinguishing clinical features we compared burnout states against the two principal depressive sub-types (i.e. melancholic and non-melancholic depression) rather than against 'major depression' per se. Our candidate features were assembled from a review of salient literature, our clinical observations and from a sub-sample of subjects who self-identified as having experienced both burnout and depression and who volunteered differentiating features. RESULTS: We judged that burnout shares few features with melancholic depression. While burnout and non-melancholic depression share a set of symptoms, differences were greater than commonalities. LIMITATIONS: Our findings were based on clinical observation and exploratory research rather than being empirical, and thus future studies are needed to evaluate the validity of our results. CONCLUSIONS: We position burnout and clinical depression as categorically distinct and suggest that application of our nominated parameters should assist clinical differentiation of the two syndromes.


Assuntos
Esgotamento Profissional , Transtorno Depressivo Maior , Esgotamento Profissional/diagnóstico , Depressão/diagnóstico , Transtorno Depressivo Maior/diagnóstico , Humanos , Projetos de Pesquisa
11.
Artigo em Inglês | MEDLINE | ID: mdl-33352940

RESUMO

This paper introduces a new definition for burnout and investigates the psychometric properties of the Burnout Assessment Tool (BAT). In a prior qualitative study, 49 practitioners were interviewed about their conceptualization of burnout (part 1). Using a dialectical approach, four core dimensions-exhaustion, mental distance, and impaired emotional and cognitive impairment-and three secondary dimensions-depressed mood, psychological distress, and psychosomatic complaints-emerged, which constitute the basis of the BAT. In the second study, the psychometric characteristics of the BAT were investigated in a representative sample of 1500 Flemish employees, focusing on factorial validity, reliability, and construct validity, respectively. Results demonstrate the assumed four-factor structure for the core dimensions, which is best represented by one general burnout factor. Contrary to expectations, instead of a three-factor structure, a two-factor structure was found for the secondary dimensions. Furthermore, the BAT and its subscales show adequate reliability. Convergent validity and discriminant validity with other burnout measures-including the MBI and OLBI-was demonstrated, as well as discriminant validity with other well-being constructs, such as work engagement and workaholism.


Assuntos
Esgotamento Psicológico/diagnóstico , Esgotamento Profissional/diagnóstico , Humanos , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
12.
Ansiedad estrés ; 26(2/3): 167-173, jul.-dic. 2020. tab
Artigo em Inglês | IBECS | ID: ibc-199764

RESUMO

BACKGROUND AND OBJECTIVE: Job stress can have important consequences on the physical, mental or social health of the workers. A considerable number of studies have shown that the nursing community is especially vulnerable to suffering stress due to their work characteristics. The purpose of this research was to determine the relationship between perception of psychosocial risk factors at work, trait-anxiety and mental health in nursing. METHOD: Two hundred and ten nurses from various public hospitals in Madrid Province have participated in this study. The perception of psychosocial risk factors was evaluated with DECORE and NASA-TLX questionnaires, trait-anxiety was measured by STAI questionnaire and mental health by GHQ-28 questionnaire. RESULTS: The results of the multiple regression analysis revealed that trait-anxiety was the variable most related to mental health. To explore the isolated association between working conditions and nurses' mental health, partial correlations controlling the nurses' trait-anxiety level were calculated and significant correlations were found between mental health and some psychosocial risk factors like organizational support, cognitive and temporal demands and control/autonomy at work. CONCLUSION: Trait-anxiety influences the relations between working conditions and nurse's mental health, but regardless of the trait-anxiety level of nurses, the adverse psychosocial conditions of the workplace are directly associated with poorer mental health


ANTECEDENTES: El estrés experimentado en el ámbito laboral puede tener importantes consecuencias para la salud tanto física como mental y/o social de los trabajadores. Un número considerable de investigaciones han demostrado que el colectivo de enfermería es especialmente vulnerable al estrés debido a las características particulares de su labor. El objetivo de este estudio fue analizar las relaciones entre la percepción de riesgos psicosociales, la ansiedad rasgo y la salud mental en profesionales de la enfermería. MÉTODO: En este estudio han participado 210 profesionales de enfermería de varios hospitales de la Comunidad Autónoma de Madrid. La percepción de los factores psicosociales de riesgo se ha evaluado mediante los cuestionarios DECORE y NASA/TLX, el nivel de ansiedad rasgo se ha valorado con el cuestionario STAI y la salud mental, con el cuestionario GHQ-28. RESULTADOS: El resultado del análisis de regresión múltiple ha revelado que la variable con mayor correlación con la salud mental fue la ansiedad rasgo. Para evaluar la relación, independientemente de la ansiedad rasgo, entre las condiciones laborales y la salud mental de las/los enfermeras/os, se calcularon las correlaciones parciales, controlando el nivel de ansiedad rasgo, y se encontraron correlaciones significativas y positivas entre una peor salud mental y la mayor presencia de factores psicosociales de riesgo, tales como menor apoyo organizacional, demandas cognitivas y temporales más altas y peor nivel de control en el trabajo. CONCLUSIONES: La ansiedad rasgo influye en la relación entre las condiciones laborales y la salud mental del personal de enfermería, pero independientemente del nivel de ansiedad rasgo, las condiciones laborales adversas se relacionan de forma directa con un peor nivel de salud mental


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/psicologia , Ansiedade/diagnóstico , Saúde Mental , Esgotamento Profissional/diagnóstico , Estudos Transversais , Escalas de Graduação Psiquiátrica , Fatores de Risco , Inquéritos e Questionários , Análise de Regressão
13.
JCO Glob Oncol ; 6: 1494-1509, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-33017179

RESUMO

PURPOSE: The coronavirus disease 2019 (COVID-19) pandemic has had a global impact, and Singapore has seen 33,000 confirmed cases. Patients with cancer, their caregivers, and health care workers (HCWs) need to balance the challenges associated with COVID-19 while ensuring that cancer care is not compromised. This study aimed to evaluate the psychological effect of COVID-19 on these groups and the prevalence of burnout among HCWs. METHODS: A cross-sectional survey of patients, caregivers, and HCWs at the National Cancer Centre Singapore was performed over 17 days during the lockdown. The Generalized Anxiety Disorder-7 and Maslach Burnout Inventory were used to assess for anxiety and burnout, respectively. Self-reported fears related to COVID-19 were collected. RESULTS: A total of 624 patients, 408 caregivers, and 421 HCWs participated in the study, with a response rate of 84%, 88%, and 92% respectively. Sixty-six percent of patients, 72.8% of caregivers, and 41.6% of HCWs reported a high level of fear from COVID-19. The top concern of patients was the wide community spread of COVID-19. Caregivers were primarily worried about patients dying alone. HCWs were most worried about the relatively mild symptoms of COVID-19. The prevalence of anxiety was 19.1%, 22.5%, and 14.0% for patients, caregivers, and HCWs, respectively. Patients who were nongraduates and married, and caregivers who were married were more anxious. The prevalence of burnout in HCWs was 43.5%, with more anxious and fearful HCWs reporting higher burnout rates. CONCLUSION: Fears and anxiety related to COVID-19 are high. Burnout among HCWs is similar to rates reported prepandemic. An individualized approach to target the specific fears of each group will be crucial to maintain the well-being of these vulnerable groups and prevent burnout of HCWs.


Assuntos
Ansiedade/epidemiologia , Esgotamento Profissional/epidemiologia , Cuidadores/psicologia , Infecções por Coronavirus/psicologia , Neoplasias/psicologia , Pneumonia Viral/psicologia , Adulto , Idoso , Ansiedade/diagnóstico , Ansiedade/psicologia , Betacoronavirus/patogenicidade , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/psicologia , Institutos de Câncer/organização & administração , Institutos de Câncer/normas , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/transmissão , Estudos Transversais , Medo/psicologia , Feminino , Pessoal de Saúde/psicologia , Acesso aos Serviços de Saúde/organização & administração , Acesso aos Serviços de Saúde/normas , Humanos , Controle de Infecções/normas , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Transmissão de Doença Infecciosa do Profissional para o Paciente/prevenção & controle , Masculino , Oncologia/organização & administração , Oncologia/normas , Pessoa de Meia-Idade , Neoplasias/terapia , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/transmissão , Prevalência , Singapura/epidemiologia , Carga de Trabalho/psicologia
15.
Clin Neurol Neurosurg ; 198: 106193, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32942135

RESUMO

OBJECTIVE: The novel coronavirus SARS-CoV-2 (COVID-19) pandemic has posed significant changes to physician workflow and healthcare delivery. This national survey investigated the impact of the pandemic on burnout and career satisfaction among U.S. attending neurosurgeons. METHODS: A 24-question survey was sent electronically to all American Association of Neurological Surgeons (AANS) attending members. The abbreviated Maslach Burnout Inventory (aMBI) was used to measure the following burnout and career satisfaction indices: emotional exhaustion, depersonalization, and personal accomplishment. Bivariate analyses were conducted and multivariate analyses were performed using logistic regression models. RESULTS: 407 attending neurosurgeons were included in the present study, with an overall response rate of 17.7 %. The majority of respondents were male (88.7 %), White (84.3 %), and in practice for 15 years or more (64.6 %). The majority reported a decrease in work hours due to the pandemic (82.6 %), uncertainty about future earnings (80.3 %), and uncertainty regarding future healthcare reform (84.5 %). Burnout was identified in 83 (20.4 %) respondents, whereas career satisfaction was identified in 316 (77.6 %) respondents. Rate of burnout was decreased when compared to rates reported in the pre-COVID era. In multivariate analysis, burnout was associated with working in a hostile or difficult environment since the rise of COVID-19 (OR = 2.534, p = 0.008), not having children (OR = 3.294, p = 0.011), being in practice for 5-15 years (vs. < 5 years) (OR = 4.568, p = 0.014), spending increased time conducting non-neurosurgical medical care due to COVID-19 (OR = 2.362, p = 0.019), feeling uncertain about future earnings due to COVID-19 (OR = 4.031, p = 0.035), and choosing not to pursue or feeling uncertain about pursuing neurosurgery again if given the choice (OR = 7.492, p < 0.001). Career satisfaction was associated with cerebrovascular subspecialty training (OR = 2.614, p = 0.046) and a willingness to pursue neurosurgery again if given the choice (OR = 2.962, p < 0.001). CONCLUSION: Factors related to the novel COVID-19 pandemic have contributed to changes in workflow among U.S. attending neurosurgeons. Despite these changes, we report decreased burnout and high career satisfaction among U.S. neurosurgeons. Understanding modifiable stressors among neurosurgeons during the pandemic may help to identify effective future interventions to mitigate burnout and improve career satisfaction.


Assuntos
Betacoronavirus , Esgotamento Profissional/epidemiologia , Infecções por Coronavirus/epidemiologia , Satisfação no Emprego , Corpo Clínico Hospitalar/psicologia , Neurocirurgia/educação , Pneumonia Viral/epidemiologia , Adulto , Idoso , Atitude do Pessoal de Saúde , Esgotamento Profissional/diagnóstico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Inquéritos e Questionários , Estados Unidos , Carga de Trabalho
16.
Plast Reconstr Surg ; 146(4): 464e-473e, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32970014

RESUMO

BACKGROUND: Physician burnout is a well-known problem and widespread issue in the field of medicine. Recently, more attention has been given to the significance of burnout among plastic surgeons. The cause of burnout is multifactorial, with emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment all playing a role. The objective of this article is to provide practical measures to help plastic surgeons in identifying the signs of burnout, thereby mitigating its consequences. METHODS: A literature review was performed to determine the comprehensive findings of previous research conducted on burnout among plastic surgeons. Particular interest was given to successful tactics used in managing work-related stress. Wellness strategies and resources from both academic and private medical settings were also obtained to further review methods for burnout management. RESULTS: There is a wide range of causes and risk factors for burnout among plastic surgeons. The majority of cases correlate with increased workload, loss of physician autonomy, and, in the context of trainees, lack of mentorship. Managing burnout can be supported by identification through survey tools. Establishing a wellness committee is also useful to develop institution-specific interventions. Equally as important, individuals must take steps to manage and minimize their burnout. CONCLUSIONS: This article provides practical strategies for institutions to identify and manage burnout among plastic surgeons. It is obvious that causes of burnout vary in different settings such as academic and community hospitals; therefore, it is critical for institutions to individualize their approach to burnout.


Assuntos
Esgotamento Profissional/diagnóstico , Esgotamento Profissional/terapia , Cirurgia Plástica/psicologia , Esgotamento Profissional/etiologia , Humanos , Fatores de Risco
19.
Ideggyogy Sz ; 73(7-08): 231-240, 2020 Jul 30.
Artigo em Húngaro | MEDLINE | ID: mdl-32750239

RESUMO

Background - The two free-to-use versions of the Oldenburg Burnout Inventory (OLBI) have been increasingly utilised to assess the prevalence of burnout among human service workers. The OLBI has been developed to overcome some of the psychometric and conceptual limitations of the Maslach Burnout Inventory, the gold standard of burnout measures. There is a lack of data on the structural validity of the Mini Oldenburg Burnout Inventory and the Oldenburg Burnout Inventory in Hungary. Purpose - To assess the structural validity of the Hungarian versions of the Oldenburg Burnout Inventory and the Mini-Oldenburg Burnout Inventory. Methods - We enrolled 564 participants (196 healthcare workers, 104 nurses and 264 clinicians) in three cross-sectional surveys. In our analysis we assessed the construct validity of the instruments using confirmatory factor analysis and internal consistency using coefficient Cronbach's α. Results - We confirmed the two-dimensional structure (exhaustion and disengagement) of the Mini-Oldenburg Inventory and a shortened version of the Oldenburg Burnout Inventory Internal consistency coefficient confirmed the reliability of the instruments. The burnout appeared more than a 50 percent of the participants in every subsample. The prevalence of exhaustion was above 54.5% in each of the subsamples and the proportion of disengaged clinicians was particularly high (92%). Conclusions - Our findings provide support for the construct validity and reliability of the Hungarian versions of the Mini-Oldenburg Burnout Inventory and a shortened version of the Oldenburg Burnout Inventory in the assessment of burnout among clinicians and nurses in Hungary.


Assuntos
Pessoal Administrativo/psicologia , Esgotamento Profissional/diagnóstico , Esgotamento Psicológico , Psicometria/métodos , Psicometria/normas , Adulto , Esgotamento Profissional/psicologia , Estudos Transversais , Análise Fatorial , Humanos , Hungria , Reprodutibilidade dos Testes , Inquéritos e Questionários
20.
Clin Imaging ; 67: 58-61, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32516695

RESUMO

Physician burnout is a recognized problem within medicine and its prevalence appears to be increasing. The symptoms include three major components; exhaustion, depersonalization and feeling a lack of accomplishment. The presence of burnout can have major professional and personal consequences. While there has been much commentary on the impact of burnout, little has been published addressing ways to prevent and resolve the issue. Our department has taken a novel and individualized approach to lower burnout. This includes allowing faculty to personalize their schedules as demonstrated by the perspectives of four breast imaging faculty. We as physicians are as diverse as the patient population we treat which needs to be recognized when addressing solutions to burnout. We propose that most practices and departments can find meaningful ways to allow physicians to increase their sense of autonomy through flexibility and control in scheduling. Having leadership open to unique and sometimes unconventional approaches enables a mutually beneficial culture of respect, productivity, and wellness.


Assuntos
Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/epidemiologia , Feminino , Humanos , Masculino , Médicos , Prevalência , Inquéritos e Questionários
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