Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 949
Filtrar
2.
Pediatrics ; 145(1)2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31843859

RESUMO

BACKGROUND: We aimed to describe the national epidemiology of burnout in pediatric residents. METHODS: We conducted surveys of residents at 34 programs in 2016, 43 programs in 2017, and 49 programs in 2018. Survey items included the Maslach Burnout Inventory, demographics, program characteristics, personal qualities, experiences, and satisfaction with support, work-life balance, and learning environment. Analyses included cross-sectional comparisons and cross-sectional and longitudinal regression. RESULTS: More than 60% of eligible residents participated; burnout rates were >50% in all years and not consistently associated with any demographic or residency characteristics. Cross-sectional associations were significant between burnout and stress, sleepiness, quality of life, mindfulness, self-compassion, empathy, confidence in providing compassionate care (CCC), being on a high-acuity rotation, recent major medical error, recent time off, satisfaction with support and career choice, and attitudes about residency. In cross-sectional logistic regression analyses, 4 factors were associated with an increased risk of burnout: stress, sleepiness, dissatisfaction with work-life balance, and recent medical error; 4 factors were associated with lower risk: empathy, self-compassion, quality of life, and CCC. Longitudinally, after controlling for 2017 burnout and 2018 risk factors (eg, recent error, sleepiness, rotation, and time off), 2017 quality of life was associated with 2018 burnout; 2017 self-compassion was associated with lower 2018 stress; and 2017 mindfulness, empathy, and satisfaction with learning environment and career choice were associated with 2018 CCC. CONCLUSIONS: A majority of residents met burnout criteria. Several identified factors (eg, stress, sleepiness, medical errors, empathy, CCC, and self-compassion) suggest targets for interventions to reduce burnout in future studies.


Assuntos
Esgotamento Profissional/epidemiologia , Internato e Residência/estatística & dados numéricos , Pediatria/estatística & dados numéricos , Equilíbrio Trabalho-Vida , Adulto , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/psicologia , Estudos Transversais , Empatia , Feminino , Humanos , Masculino , Erros Médicos , Atenção Plena , Qualidade de Vida , Autoimagem , Sonolência , Fatores Socioeconômicos , Estresse Psicológico/epidemiologia
3.
Ned Tijdschr Geneeskd ; 1632019 10 01.
Artigo em Holandês | MEDLINE | ID: mdl-31580034

RESUMO

Burnout is a serious health problem and the cause of career disruption in 15% of women and 9% of men who quit their job. Of all work-related complaints, 37% is attributable to workload and stress. Many workers visit their general practitioner with work-related complaints. Recently, the Dutch College of General Practitioners (NederlandsHuisartsenGenootschap) published a guideline on burnout. While the guideline provides a good framework for managing patients with a burnout, additional attention could be paid to prevention and how to distinguish burnout from depression.


Assuntos
Esgotamento Profissional/diagnóstico , Depressão/diagnóstico , Medicina de Família e Comunidade/normas , Doenças Profissionais/diagnóstico , Esgotamento Profissional/psicologia , Depressão/psicologia , Medicina de Família e Comunidade/métodos , Feminino , Humanos , Masculino , Países Baixos , Doenças Profissionais/psicologia , Guias de Prática Clínica como Assunto , Carga de Trabalho/psicologia
4.
Curr Urol Rep ; 20(10): 62, 2019 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-31478112

RESUMO

Physician burnout-a constellation of depersonalization, emotional exhaustion, reduced feelings of personal attachment, and a low sense of accomplishment-is a term that has been around since the 1980s. Burnout rates among residents and fellows are higher than medical students, attending physicians, and age-matched college graduates, with rates ranging from 40-80% of trainees across subspecialties. Unfortunately, burnout among residents and trainees has been linked to lower scores on in-service examinations for internal medicine residents as well as poorer overall health and exercise habits. The purpose of this review is to quantify the extent of burnout among urology residents and examine effective techniques and measures to prevent burnout and practically what can be done to combat this growing epidemic.


Assuntos
Esgotamento Psicológico/etiologia , Esgotamento Psicológico/terapia , Internato e Residência , Médicos/psicologia , Urologia/educação , Adulto , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/etiologia , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/terapia , Esgotamento Psicológico/diagnóstico , Esgotamento Psicológico/prevenção & controle , Feminino , Humanos , Masculino , Inquéritos e Questionários
5.
Mayo Clin Proc ; 94(10): 2022-2031, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31543254

RESUMO

OBJECTIVE: To measure self-valuation, involving constructive prioritization of personal well-being and a growth mindset perspective that seeks to learn and improve as the primary response to errors, in physicians and evaluate its relationship with burnout and sleep-related impairment. METHODS: We analyzed cross-sectional survey data collected between July 1, 2016, and October 31, 2017, from 5 academic medical centers in the United States. All faculty and medical-staff physicians at participating organizations were invited to participate. The self-valuation scale included 4 items measured on a 5-point (0-4) Likert scale (summative score range, 0-16). The self-valuation scale was developed and pilot tested in a sample of 250 physicians before inclusion in the multisite wellness survey, which also included validated measures of burnout and sleep-related impairment. RESULTS: Of the 6189 physicians invited to participate, 3899 responded (response rate, 63.0%). Each 1-point score increase in self-valuation was associated with -1.10 point lower burnout score (95% CI, -1.16 to -1.05; standardized ß=-0.53; P<.001) and 0.81 point lower sleep-related impairment score (95% CI, -0.85 to -0.76; standardized ß=-0.47; P<.001), adjusting for sex and medical specialty. Women had lower self-valuation (Cohen d=0.30) and higher burnout (Cohen d=0.22) than men. Lower self-valuation scores in women accounted for most of the sex difference in burnout. CONCLUSION: Low self-valuation among physicians is associated with burnout and sleep-related impairment. Further research is warranted to develop and test interventions that increase self-valuation as a mechanism to improve physician well-being.


Assuntos
Esgotamento Profissional/diagnóstico , Autoavaliação Diagnóstica , Medicina , Doenças Profissionais/diagnóstico , Saúde do Trabalhador , Transtornos do Sono-Vigília/diagnóstico , Esgotamento Profissional/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Doenças Profissionais/epidemiologia , Transtornos do Sono-Vigília/epidemiologia , Estados Unidos
7.
Health Qual Life Outcomes ; 17(1): 133, 2019 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-31362760

RESUMO

BACKGROUND: Researchers have studied for decades workplace stress and burnout to identify their relationship to health and wellness. This research has focused on stress levels in people, as well as on environmental and personal factors that contribute to experiencing stress or burnout. In addition to the burnout measurement questionnaires (MBI-GS), Leiter and Maslach designed a model to evaluate the areas of work environment that relate to this construct (Areas of Worklife Scale-AWLS). The goal of the present research was to analyze the psychometric properties of a Spanish translation of the MBI (GS) and the AWLS with a Spanish-speaking population. This work makes a substantial contribution by addressing the need to use validated measures and methods when exploring the positive and negative aspects of organizations. These conditions provide a means to accurately evaluate the impact of interventions aimed to address stress and burnout. METHOD: Cross-sectional study with self-report measures. The sample was comprised of 452 managers and employees (hotels, restaurants, catering) of Aragón (Spain). There were approximately equal numbers of women and men (45,4% vs. 54,6%). The average age of participants was 36.6 years (SD = 10.03). A battery of questionnaires was used: Socio-demographic and work characteristics, Scale of stress and health symptoms, Maslach Burnout Inventory-General Survey (MBI-GS), Areas of Worklife Scale (AWLS). RESULTS: The results showed optimal psychometric properties in both questionnaires, especially in terms of the predictive capacity of the AWLS in each of the MBI-GS dimensions. CONCLUSIONS: The best explained dimension is that of emotional exhaustion. The manageable load variable is the one that most contributes to predicting burnout levels. For future interventions, the results confirm the need to verify the levels of each area of work, in order to focus on the most deteriorated ones.


Assuntos
Esgotamento Profissional/diagnóstico , Inquéritos e Questionários/normas , Local de Trabalho/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida , Espanha , Traduções
8.
Res Nurs Health ; 42(5): 358-368, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31410868

RESUMO

Most nurses in Korea work rotating shifts, an important contributor to fatigue. The Occupational Fatigue Exhaustion Recovery (OFER) Scale assesses work-related fatigue among nurses. In this study, we aimed to translate and culturally adapt the Korean version of this scale (OFER-K) with nurses working rotating shifts in Korea. Instrument adaptation was performed using committee-based translation, cognitive interviewing, and expert panel interviewing. Criterion validity, convergent validity, construct validity, internal consistency, and test-retest reliability were examined as psychometric properties of the OFER-K. An online survey was completed by 331 nurses; 107 of these nurses completed a second survey after 1 month to assess test-retest reliability. The overall Cronbach's alpha was 0.88. The correlation between participants' initial and retest responses for the total scale was 0.64 (p < .001). The chronic fatigue subscale was stable over time, t(106) = -1.76, p = .08. Criterion and convergent validity were supported by correlations between the OFER-K scale and the Chalder Fatigue Questionnaire, Epworth Sleepiness Scale, and Pittsburgh Sleep Quality Index. Confirmatory factor analysis showed a good fit using a three-factor model. The findings of this study showed that the OFER-K scale is a reliable and valid instrument for assessing chronic fatigue, acute fatigue, and inter-shift recovery in Korean nurses. Future research using this scale may lead to a better understanding of the antecedents and consequences of nurse fatigue and could provide important information to nurse researchers, administrators, and policymakers for developing interventions to reduce nurse fatigue.


Assuntos
Esgotamento Profissional/diagnóstico , Fadiga/diagnóstico , Recursos Humanos de Enfermagem no Hospital/psicologia , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Psicometria/métodos , Reprodutibilidade dos Testes , República da Coreia , Inquéritos e Questionários , Traduções
9.
J Vasc Surg ; 70(3): 913-920.e2, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31279532

RESUMO

OBJECTIVE: Vascular surgeons may experience physical discomfort during open and endovascular procedures. We aimed to understand and quantify the timing, severity, and location of the pain, as well as to identify how pain correlates with other factors. METHODS: An electronic survey was distributed to 1164 members of the Society for Clinical Vascular Surgery during the summer of 2016. There were 1089 (93.6%) surveys that were successfully delivered and 263 responses received (response rate of 24.2%). The survey was designed to quantify pain before, during, and after surgical procedures using the modified Borg scale. Questions aimed at determining surgeon workload, type of practice, burnout, and professional satisfaction were also included. RESULTS: Of the 263 total responses, 184 responders were male (82.1%). Workload data revealed that more than 87% of surgeons operate 3 or more days per week and 4 or more hours per day. Lead garments were worn by 48.4% these surgeons every day, with 91.4% wearing lead at least once per week. Pain was present in 74.7% of surgeons before beginning an operation, in 92.3% during an operation, and in 96.8% at completion. Before, during, and after surgery, 12.2% of vascular surgeons (n = 32) experience at least moderate pain. Years in practice had no effect on these results, and although not reaching statistical significance, there was a trend correlating surgeons who wear lead experiencing more pain immediately after performing an operation (P = .090). Of these surgeons, 31.4% acknowledged seeking medical help, although only 4.4% reported pain to their institutions. Professional satisfaction among vascular surgeons was inversely correlated with pain. Those expressing satisfaction with their profession had less pain before and two days after performing surgery (P ≤ .005). Self-reported burnout among surgeons positively correlated with increased pain. Burned out surgeons reported more pain while performing surgery (P ≤ .001), immediately after performing surgery (P ≤ .001), and persistent pain (P ≤ .001). CONCLUSIONS: Physical discomfort during the performance of daily duties by vascular surgeons is ubiquitous. Our survey shows a correlation between self-reported workplace burnout and an increased severity of work-related pain. Additional studies are needed to determine the causality of these correlations and what potential interventions can be undertaken to decrease all work-related pain.


Assuntos
Atitude do Pessoal de Saúde , Esgotamento Profissional/etiologia , Procedimentos Endovasculares/efeitos adversos , Satisfação no Emprego , Dor Musculoesquelética/etiologia , Doenças Profissionais/etiologia , Cirurgiões/psicologia , Procedimentos Cirúrgicos Vasculares/efeitos adversos , Adulto , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/psicologia , Ergonomia , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Dor Musculoesquelética/diagnóstico , Dor Musculoesquelética/fisiopatologia , Dor Musculoesquelética/psicologia , Doenças Profissionais/diagnóstico , Doenças Profissionais/fisiopatologia , Doenças Profissionais/psicologia , Saúde do Trabalhador , Fatores de Risco , Carga de Trabalho
10.
Trials ; 20(1): 406, 2019 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-31287010

RESUMO

INTRODUCTION: End-of-life (EoL) care professionals are prone to burnout given the intense emotional nature of their work. Previous research supports the efficacy of art therapy in reducing work-related stress and enhancing emotional health among professional EoL caregivers. Integrating mindfulness meditation with art therapy and reflective awareness complementing emotional expression has immense potential for self-care and collegial support. Mindful-compassion art therapy (MCAT) is a novel, empirically informed, and highly structured intervention that aims to reduce work-related stress, cultivate resilience, and promote wellness. This study aims to assess the potential effectiveness of MCAT for supporting EoL care professionals in Singapore. METHODS: This is an open-label waitlist randomized controlled trial. Sixty EoL care professionals, including doctors, nurses, social workers, and personal care workers, are randomly allocated to one of two groups: (i) an intervention group that receives MCAT immediately and (ii) a waitlist-control group that receives MCAT after the intervention group completes treatment. Face-to-face self-administered outcome assessments are collected at three different time points-baseline (T1) for both groups, post-intervention (T2), and 6-week follow-up (T3) for intervention group-as well as pre-intervention (T2) and post-intervention (T3) for the waitlist-control group. The primary outcome measure is burnout, and secondary measures include emotional regulation, resilience, compassion, quality of life, and death attitudes. Between- and within-participant comparisons of outcomes are conducted, and the appropriate effect size estimates are reported. An acceptability and feasibility study is to be conducted by using a triangulation of qualitative data with framework analysis. DISCUSSION: The outcomes of this study will contribute to advancements in both theories and practices for supporting professional EoL caregivers around the world. It will also inform policy makers about the feasibility, acceptability, and effectiveness of delivering a multimodal psycho-socio-spiritual intervention within a community institutional setting. The study has received ethical approval from the institutional review board of Nanyang Technological University. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT03440606 . Retrospectively registered February 21, 2018.


Assuntos
Terapia pela Arte , Esgotamento Profissional/prevenção & controle , Empatia , Pessoal de Saúde/psicologia , Atenção Plena , Resiliência Psicológica , Assistentes Sociais/psicologia , Assistência Terminal/psicologia , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/psicologia , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto , Singapura , Fatores de Tempo , Resultado do Tratamento , Listas de Espera
11.
Z Psychosom Med Psychother ; 65(2): 183-197, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31154931

RESUMO

Objectives: There is an ongoing debate as to whether job burnout and depression are overlapping concepts or differ from each other, although this has not been scrutinized in inpatients. To further elucidate the robustness of this relationship, we used three different measurements of depression. We further examined the influence of psychological distress, perceived stress and sleep quality in the link between depressive symptoms and burnout. Methods: We investigated 723 consecutive inpatients, aged 23 to 82 years, 51.2 % women, referred to a hospital specialized in the treatment of job stress-related disorders. Patients completed the Maslach Burnout Inventory, the Beck Depression Inventory, the Hospital Anxiety and Depression Scale, the Brief Symptom Inventory, the Perceived Stress Scale, and the Pittsburgh Sleep Quality Index. Results: We found significant correlations between burnout total scores as well as subscales (emotional exhaustion, depersonalization, lack of accomplishment) and depressive symptoms, virtually independent of the applied depression measure. The shared variance ranged between 1.1 % and 19.4 %. Greater levels of burnout were directly associated with cognitiveaffective symptoms and, although to a lesser extent, also with somatic-affective symptoms of depression. In the multivariable analysis, significantly more total burnout symptoms were revealed in more depressed and younger patients, in men than women, and in employees with greater levels of psychological distress and perceived stress, respectively. Conclusions: The findings suggest that although burnout and depression do not represent the same psychopathology, there is considerable overlap between the two constructs; the extent of this overlap may vary depending upon the applied depression measure.


Assuntos
Esgotamento Profissional/terapia , Depressão/psicologia , Pacientes Internados , Estresse Ocupacional/terapia , Adulto , Idoso , Idoso de 80 Anos ou mais , Esgotamento Profissional/complicações , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/psicologia , Depressão/complicações , Depressão/diagnóstico , Feminino , Humanos , Pacientes Internados/psicologia , Pacientes Internados/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/complicações , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/psicologia , Psicopatologia , Adulto Jovem
12.
Saudi J Kidney Dis Transpl ; 30(3): 581-586, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31249221

RESUMO

The objective of this study was to evaluate the prevalence of burnout among medical residents in and assess the influence of certain demographic factors. The residents were asked to classify their level of burnout (according to one out of five levels of burnout) using their own definition of burnout. This survey was undertaken away from any examination time and confidentially ascertained. The frequency of burnout and itself level were calculated and compared between genders and year of training using the Chi-square. Eighty-two residents responded to the survey (100% of attendees and 91.1% of all residents in the department); 74.2% were male and 25.8% of female, 38.7% were in their 1st year of training, 24.2% in their 2nd year, 29.0% in their 3rd year, and 8.1% in their 4th year. The overall burnout frequency was 41.9% (29% with moderate burnout, and 12.9% with severe burnout). Overall twice as many female residents had burnout than males (P = 0.017). The prevalence of "moderate burnout" among males and females was 19.8% and 56.3%, respectively. However, no difference between males and females was seen in the "severe burnout" category (13% and 12.5%, respectively). The overall burnout rate was the lowest in the 1st year of training (33.3%) and the highest in the last (60%) but with no statistical significance (P = 0.4). Whereas 2/3rd of the male residents had no burnout, only 1/3rd one their female counterparts had no burnout (P = 0.017). Conversely, the prevalence of "moderate burnout" among males and females was 19.8% and 56.3%, respectively (P = 0.002). However, no difference between males and females was seen in the "severe burnout" category (13% and 12.5%, respectively. In conclusion, 50% of the residents had burnout which was significantly more prevalent in females. The rate of burnout is the highest in the last year of training and the lowest in the 1st year.


Assuntos
Esgotamento Profissional/epidemiologia , Educação de Pós-Graduação em Medicina/métodos , Internato e Residência , Médicas , Esgotamento Profissional/diagnóstico , Feminino , Humanos , Masculino , Prevalência , Fatores de Risco , Arábia Saudita/epidemiologia , Índice de Gravidade de Doença , Distribuição por Sexo , Fatores de Tempo
13.
Digit J Ophthalmol ; 25(1): 5-11, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31080370

RESUMO

Purpose: Burnout affects half of doctors in the United States. Programs to decrease burnout and foster resilience are needed to prevent loss of doctors in the workforce and maintain quality care. To ameliorate burnout at our eye center, we developed a resilience program and used a survey to identify additional groups with higher burnout for future interventions. Methods: The eye center-wide resilience program consisted of the baseline burnout survey, short email wellness tips, a grand rounds presentation, short wellness presentations at faculty meetings, and a small group discussion series with clinical faculty. The anonymous burnout survey was performed prospectively online at the beginning of this program. The survey participants consisted of respondents at the Duke Eye Center, including all doctors, scientists, clinical and research staff, trainees, and administrative and educational staff, in June and July of 2017. The short, anonymous electronic survey consisted of 10 demographic questions, 2 validated burnout questions, and 1 validated work-life balance question. Results: A total of 593 individuals were invited to participate, of whom 252 completed the survey. Overall, 37% of the respondents reported being emotionally exhausted, and 17% had experienced depersonalization. With regard to work-life balance, 43% of the respondents were satisfied and 34% were dissatisfied. Burnout was higher in respondents who participated in clinical care (P = 0.001), particularly among ophthalmic technicians (P = 0.044). Feedback from the doctors participating in the "Doctors Lounge" suggested perceived benefits, including enhanced collegiality, life skills, and improved self-management. Conclusions: Our baseline burnout survey showed higher burnout in our clinical workers, particularly in our ophthalmic technicians. Planning for next year will include the providers identified in the survey.


Assuntos
Esgotamento Profissional/diagnóstico , Oftalmologia , Resiliência Psicológica , Inquéritos e Questionários , Esgotamento Profissional/prevenção & controle , Humanos , Estados Unidos
14.
J Neurointerv Surg ; 11(11): 1100-1104, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30975735

RESUMO

BACKGROUND: The toll of burnout on healthcare is significant and associated with physician depression and medical errors. OBJECTIVE: To assess the prevalence and risk factors for burnout among neurointerventionalists. METHODS: A 39-question online survey containing questions about neurointerventional practice and the Maslach Burnout Inventory-Human Services Survey for medical personnel was distributed to members of major US neurointerventional physician societies. RESULTS: 320 responses were received. Median (interquartile range) composite scores for emotional exhaustion were 25 (16-35), depersonalization 7 (4-12), and personal accomplishment 39 (35-44). 164/293 respondents (56%) met established criteria for burnout. There was no significant relationship between training background, practice setting, call frequency, or presence of a senior partner on burnout prevalence. Multiple logistic regression analysis showed that feeling underappreciated by hospital leadership (OR=3.71; p<0.001) and covering more than one hospital on call (OR=1.96; p=0.01) were strongly associated with burnout. Receiving additional compensation for a call was independently protective against burnout (OR= 0.70; p=0.005). CONCLUSIONS: This survey of United States neurointerventional physicians demonstrated a self-reported burnout prevalence of 56%, which is similar to the national average among physicians across other specialties. Additional compensation for a call was a significant protective factor against burnout. In addition, feeling underappreciated by departmental or hospital leadership and covering more than one hospital while on call were associated with greater odds of burnout.


Assuntos
Esgotamento Profissional/epidemiologia , Esgotamento Profissional/psicologia , Satisfação no Emprego , Médicos/psicologia , Inquéritos e Questionários , Adulto , Esgotamento Profissional/diagnóstico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Procedimentos Neurocirúrgicos/psicologia , Satisfação Pessoal , Estados Unidos/epidemiologia
15.
Psychol Assess ; 31(8): 1073-1079, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30958024

RESUMO

In this study, we addressed the ongoing debate about what burnout and depression scales measure by conducting an exploratory structural equation modeling (ESEM) bifactor analysis. A sample of 734 U.S. teachers completed a survey that included the Center for Epidemiologic Studies Depression scale (CES-D-10), the depression module of the Patient Health Questionnaire (PHQ-9), the Generalized Anxiety Disorder scale (GAD-7), and the Maslach Burnout Inventory (MBI), which contains emotional exhaustion (EE), depersonalization (DP), and (diminished) personal accomplishment (PA) subscales. Job adversity and workplace support were additionally measured for the purpose of a nomological network analysis. EE, burnout's core, was more highly correlated with the depression and anxiety scales than it was with DP and PA, even with controls for item content overlap. The CES-D-10, PHQ-9, GAD-7, and EE subscale of the MBI were similarly related to job adversity and workplace support. ESEM bifactor analysis revealed that the CES-D-10, PHQ-9, GAD-7, and EE items loaded highly on a general factor, which we labeled nonspecific psychological distress (NSPD). We conclude that depression, anxiety, and EE scales reflect NSPD. DP items largely reflect two factors, NSPD and depersonalization, about equally. PA items were found to be less related to NSPD. With respect to the debate surrounding burnout-depression overlap, our findings do not support the view that the burnout construct represents a syndrome that consists of EE, DP, and diminished PA and excludes (or does not primarily include) depressive symptoms. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Transtornos de Ansiedade/diagnóstico , Esgotamento Profissional/diagnóstico , Transtorno Depressivo/diagnóstico , Escalas de Graduação Psiquiátrica/estatística & dados numéricos , Adulto , Transtornos de Ansiedade/psicologia , Esgotamento Profissional/psicologia , Transtorno Depressivo/psicologia , Análise Fatorial , Feminino , Humanos , Masculino , Professores Escolares/psicologia , Professores Escolares/estatística & dados numéricos , Estados Unidos , Local de Trabalho/psicologia
16.
Artigo em Inglês | MEDLINE | ID: mdl-31027210

RESUMO

Due to globalization and the accelerated growth of technology, ever more employees of companies are affected by burnout syndrome, the psychological nature of which requires a prolonged response to chronic interpersonal stressors in work environments. The present research aims to validate the operability of the Maslach Burnout Inventory-General Survey (MBI-GS) using a sample of 378 professionals belonging to middle and senior management working in companies within the IMMEX sector (comprising the industrial-manufacturing, maquiladora and export services) located in the state of Baja California, Mexico. Firstly, an exploratory factor analysis using the principal components method and Varimax rotation was performed and the results revealed the existence of three factors representing more than 67 percent of the total variance. Secondly, a confirmatory factorial analysis was carried out performing appropriate results for the indices Chi-square goodness-of-fit model, Root Mean Square Error of Approximation (RMSEA), Normed Fit Index (NFI), Comparative Fit Index (CFI), Relative Fit Index (RFI), Parsimony Ratio (PRATIO) and Parsimony Normed Fit Index (PNFI), which are highly recommended by literature in these types of studies. Additionally, construct validity was satisfactorily verified. The factorial solution coincided with the Maslach Burnout Inventory original proposal so that this instrument can be considered a valid and reliable option to analyze the burnout levels in people pertaining to middle and senior management in these types of industries.


Assuntos
Pessoal Administrativo/psicologia , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/psicologia , Indústrias/estatística & dados numéricos , Estresse Psicológico/diagnóstico , Inquéritos e Questionários/normas , Local de Trabalho/psicologia , Pessoal Administrativo/estatística & dados numéricos , Adulto , Análise Fatorial , Feminino , Humanos , Masculino , México , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Local de Trabalho/estatística & dados numéricos
17.
West J Emerg Med ; 20(2): 278-290, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30881548

RESUMO

Physician well-being is a complex and multifactorial issue. A large number of tools have been developed in an attempt to measure the nature, severity, and impact of both burnout and well-being in a range of clinical populations. This two-article series provides a review of relevant tools and offers guidance to clinical mentors and researchers in choosing the appropriate instrument to suit their needs, whether assessing mentees or testing interventions in the research setting. Part One begins with a discussion of burnout and focuses on assessment tools to measure burnout and other negative states. Part Two of the series examines the assessment of well-being, coping skills, and other positive states.


Assuntos
Esgotamento Profissional/diagnóstico , Médicos/psicologia , Transtornos de Ansiedade/diagnóstico , Transtornos de Ansiedade/etiologia , Esgotamento Profissional/etiologia , Transtorno Depressivo/diagnóstico , Transtorno Depressivo/etiologia , Empatia/fisiologia , Nível de Saúde , Humanos , Mentores , Inabilitação do Médico/psicologia , Escalas de Graduação Psiquiátrica , Pesquisadores
18.
West J Emerg Med ; 20(2): 291-304, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30881549

RESUMO

Part One of this two-article series reviews assessment tools to measure burnout and other negative states. Physician well-being goes beyond merely the absence of burnout. Transient episodes of burnout are to be expected. Measuring burnout alone is shortsighted. Well-being includes being challenged, thriving, and achieving success in various aspects of personal and professional life. In this second part of the series, we identify and describe assessment tools related to wellness, quality of life, resilience, coping skills, and other positive states.


Assuntos
Esgotamento Profissional/psicologia , Médicos/psicologia , Adaptação Psicológica/fisiologia , Esgotamento Profissional/diagnóstico , Nível de Saúde , Humanos , Inabilitação do Médico/psicologia , Escalas de Graduação Psiquiátrica , Qualidade de Vida , Resiliência Psicológica
20.
Int J Occup Med Environ Health ; 32(2): 229-244, 2019 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-30855601

RESUMO

OBJECTIVES: The problem of defining burnout concerns its overlapping effect with other syndromes and disorders, such as depression and anxiety. Additionally, some individual characteristics influence susceptibility to burnout (e.g., neuroticism). Therefore, the question arises whether burnout is or is not a distinct syndrome. The aim of the study is to compare 2 distinct burnout measures by analyzing their connections with organizational and individual variables. MATERIAL AND METHODS: The study was conducted in the Institute of Applied Psychology at the Jagiellonian University, Kraków, Poland on a group of employees (N = 100; 40 men; mean age 36.03 years). All participants completed 2 burnout scales: the Maslach Burnout Inventory - General Survey (MBI-GS) and the Link Burnout Questionnaire (LBQ). Organizational and individual factors were controlled with Areas of Worklife Survey, State-Trait Anxiety Inventory, NEO Five-Factor Inventory and Beck's Depression Inventory scales. A structural equation path model was created to quantify the relations between organizational factors and burnout, as well as to control the individual factors of anxiety, neuroticism and depression. RESULTS: The results indicate high compatibility between MBI-GS and LBQ on burnout diagnosis. The MBI-GS and LBQ revealed stronger connections with organizational context and individual characteristics, respectively. Depression explains dimensions of exhaustion (MBI-GS, LBQ), sense of disillusion (LBQ), neuroticism-exhaustion (MBI-GS); anxiety explains sense of professional inefficacy (LBQ). CONCLUSIONS: Besides organizational variables, individual characteristics also play an important role in explaining burnout syndrome. Exploring the 2 burnout models has revealed that depression is an important determinant of exhaustion. Cynicism and relationship deterioration have consistently been explained only by organizational context. Int J Occup Med Environ Health. 2019;32(2):229-44.


Assuntos
Esgotamento Profissional/diagnóstico , Escalas de Graduação Psiquiátrica , Adulto , Ansiedade/psicologia , Esgotamento Profissional/psicologia , Esgotamento Psicológico/diagnóstico , Esgotamento Psicológico/psicologia , Depressão/psicologia , Feminino , Humanos , Masculino , Neuroticismo , Polônia , Inquéritos e Questionários
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA