Burnout in Spanish physiotherapists

Diverse works on health sciences emphasise the importance of burnout in specific jobs. However, there is a lack of research about the presence of this syndrome in Spanish physiotherapists. The aims of this study were to determine the prevalence of burnout among physiotherapists and the relationship with work-related factors. 462 questionnaires were sent to health-centres. The questionnaire of work-related factors was administered, as well as the Maslach burnout inventory (MBI). 258 responses were received (55.8% response rate) from Murcia and Valencia. Regarding results 10 (4%) physiotherapists showed severe burnout. In relation to work-related factors, significant differences were observed. Although the percentage of physiotherapists with severe burnout was relatively low, it is important take into account that the syndrome requires the combined presence of three dimensions, which implies a very relevant situation of mental deterioration.     

Which occupational risk factors are associated with burnout in nursing? A meta-analytic study

Numerous empirical studies have suggested a link between occupational factors and the burnout syndrome. The effect sizes of the association reported vary widely in nursing professionals. The objective of this research was to assess the influence of five occupational factors (job seniority, professional experience, job satisfaction, specialization and work shift) on the three burnout dimensions (emotional exhaustion, depersonalization and personal accomplishment) in nursing. We conducted a meta-analysis with a total of 81 studies met to our inclusion criteria: 31 on job seniority; 29 on professional experience; 37 on job satisfaction; 4 on specialization; and 6 on work shift. The mean effect sizes found suggest that job satisfaction and, to a lesser extent, specialization were important factors influencing the burnout syndrome. The heterogeneity analysis showed that there was a great variability in all the estimates of the mean effect size. Various moderators were found to be significant in explaining the association between occupational factors and burnout. In conclusion, it is important to prevent the substantive moderators that are influencing these associations. The improved methodological variables explain most of the contradictory results found in previous research on this field.     

新三元付出-回报失衡模型框架下护士的付出、回报和过度投入与工作倦怠的关系

摘 要 目的：在护士群体中检验付出、回报和过度投入及其交互作用对工作倦怠的影响,验证新三元付出-回报失衡模型。方法：采用问卷法测查了456名女护士的付出、回报、过度投入和工作倦怠。采用分层线性回归分析验证自变量对因变量的影响。结果：付出、过度投入和付出-回报比正向影响情绪耗竭和去个性化,付出和付出-回报比负向影响职业效能,回报负向影响去个性化,正向影响职业效能。付出对工作倦怠的影响最大,其次是过度投入,回报的影响最小。过度投入能调节付出-回报比对情绪耗竭、职业效能的影响。结论：新三元付出-回报失衡模型适用于女护士群体。     

Comment on “The Self‐Care of Psychologists and Mental Health Professionals” (Dattilio, 2015)—Working With the Mentally Ill Is a Mental Health Hazard: What Can We Do About It?

It has been known for many decades that the risk of burnout, psychological distress, mental illness, or suicidal ideation is higher in mental health professionals (MHP) compared with many other professions and the general population; however, MHPs often disregard their own mental health for the sake of helping others, sometimes with fatal consequences. Paradoxically MHP tends to avoid seeking professional help for their own mental health issues. Apart from the serious risk to one's health that this poses, MHPs are now mandated to report any impairment that affects their ability to practice. The aim of this commentary is to emphasise the heightened risk of mental illness among MHP, and includes some risk factors associated with burnout, psychological distress, or mental illness in MHP. It explores some of the barriers to help seeking, including stigma, and highlights mindfulness as a self‐care strategy to prevent psychological distress and burnout. The commentary makes recommendations for inclusions into current psychology postgraduate as well as undergraduate curriculum. It concludes with recommendation for suitable support from professional bodies to help maintain good mental health and to help prevent mental illness among MHPs.     

中学教师职业倦怠状况及影响因素的研究

职业倦怠是职业压力的一种,指在职业环境中,对长期的情绪紧张源和人际关系紧张源的应激反应而表现出的一系列心理、生理综合征.教师是职业倦怠感的高发人群.教师身上表现出的职业倦怠感对学生的成长和发展有巨大的消极影响.以中学教师为被试,采用问卷调查的方法考察教师的职业倦怠状况和影响因素.研究发现中学教师的职业倦怠整体上并不严重;教龄6-10年是教师职业倦怠最严重的阶段;职称是影响教师职业倦怠的重要因素;性别、所在学校是否重点以及是否班主任对教师职业倦怠没有显著影响.     

L’impact du stress professionnel sur les intervenants SMUR

The aim of this work is to identify the situations of stress experienced by SAMU staff and to study the extent to which they can have an impact on burnout and the level of psychological distress observed in this population. Our sample consists of a group of 69 SAMU staff and a control group of 50 professionals working in hospital services. All subjects provided sociodemographic data and completed three clinical scales – the Job Stress Survey (JSS), the Maslach Burnout Inventory (MBI) and the General Health Questionnaire (GHQ-12) – and the clinical interview. This study shows that SAMU staff have low levels of professional stress, burnout and psychological distress per report with the personnel of the services of hepato-gastroenterology, endocrinology and digestive surgery. We discuss these results by examining the ability of the SAMU staff to manage situations of stress.     

Effect sizes and cut-off points: a meta-analytical review of burnout in latin American countries

Burnout is a highly prevalent globalized health issue that causes significant physical and psychological health problems. In Latin America research on this topic has increased in recent years, however there are no studies comparing results across countries, nor normative reference cut-offs. The present meta-analysis examines the intensity of burnout (emotional exhaustion, cynicism and personal accomplishment) in 58 adult nonclinical samples from 8 countries (Argentina, Brazil, Chile, Colombia, Ecuador, Mexico, Peru and Venezuela). We found low intensity of burnout but there are significant differences between countries in emotional exhaustion explained by occupation and language. Social and human service professionals (police officers, social workers, public administration staff) are more exhausted than health professionals (physicians, nurses) or teachers. The samples with Portuguese language score higher in emotional exhaustion than Spanish, supporting the theory of cultural relativism. Demographics (sex, age) and study variables (sample size, instrument), were not found significant to predict burnout. The effect size and confidence intervals found are proposed as a useful baseline for research and medical diagnosis of burnout in Latin American countries.     

Is mindfulness associated with stress and burnout among mental health professionals in Singapore?

High levels of stress and burnout have been reported among mental health professionals worldwide, including Singapore, with concerning potential implications for the quality of patient care. Mindfulness has been associated with decreased stress and burnout; however, associations between mindfulness, stress, and burnout have not been examined in Singapore. The aim of this study was to investigate whether mindfulness is associated with stress and burnout among healthcare professionals working in a mental health setting in Singapore. A total of 224 Singaporean mental health professionals completed a cross-sectional survey which included measures of: mindfulness (observe, describe, act with awareness, non-judge, and non-react), stress, and burnout (exhaustion and disengagement). Using multiple regression, significant negative associations were found between each of the mindfulness facets and: stress, exhaustion, and disengagement, while controlling for years of experience. Of the five mindfulness facets, act with awareness demonstrated the strongest negative association with all three variables. This study showed that mental health professionals in Singapore who have higher levels of mindfulness also have lower levels stress and burnout (disengagement and exhaustion). Future longitudinal research is warranted to better understand the directionality of these associations, with implications for the development of interventions aimed to reduce stress and burnout within this population.     

医生的工作倦怠及对策

工作倦怠理论的提出始于20世纪70年代,它描述了个体在工作中长期面对情感和人际压力所导致的心理反应。随着该理论的不断发展完善,目前已成为劳动与职业健康领域研究的热点之一。医生做为工作倦怠的高发群体,工作倦怠对其影响及危害不容忽视。因此探讨医生工作倦怠产生的原因,寻求克服倦怠的方法,已成为医疗职业群体研究中的重要问题。     

Burnout among healthcare workers at L’Aquila: its prevalence and associated factors

Burnout, which is now recognized as a real problem in terms of its negative outcome on healthcare efficiency, is a stress condition that can be increased by exposure to natural disasters, such as the 2009 L’Aquila earthquake. This study aims to evaluate burnout syndrome, its associated risk factors and stress levels, and the individual coping strategies among healthcare professionals at L’Aquila General Hospital. A cross-sectional study of 190 healthcare workers was conducted. There was a questionnaire for the collection of the socio-demographic, occupational and anamnestic data, and the Maslach Burnout Inventory, the General Health Questionnaire-12 items (GHQ-12) and the Brief COPE were used. The burnout dimensions showed high scores in Emotional Exhaustion (38.95%), in Depersonalization (23.68%) and in lack of Personal Accomplishment (23.16%), along with the presence of moderate to high levels of distress (54.21%). In addition to factors already known to be associated with burnout (job perception and high levels of distress) exposure to an earthquake emerged as a factor independently associated with the syndrome. Adaptive coping strategies such as religiosity showed a significant and negative relationship with burnout. Our research highlights the need for interventions directed at a reduction in workload and work-stressors and an improvement of adaptive coping strategies, especially in a post-disaster workplace.     

Age and burnout syndrome in nursing professionals: moderating role of emotion-focused coping

This study examined whether the association between age and the three burnout dimensions (emotional exhaustion, depersonalisation and reduced personal accomplishment) depend on the extent of nursing professionals’ use of emotion-focused coping strategy. Participants were 283 nurses (Mage = 35 years, SD = 8.17, Range = 23–66 years) from a tertiary healthcare institution in south-eastern Nigeria. They completed self-report measures of relevant variables in paper and pencil form. Increased age was associated with reduced personal accomplishment for nurses with high emotion-focused coping, but not for those who were low or moderate in use of emotion-focused coping. Such moderation effects were not found for emotional exhaustion and depersonalisation. Findings clarify the conditions under which age may be associated with reduced sense of achievement at work among nursing professionals. The study adds to knowledge in combating burnout in nursing and could guide health managers in developing strategies that might prevent or ameliorate nurses’ burnout.     

Mitigating Burnout Among High-NA Employees in Health Care: What Can Organizations Do?

The purpose of this study was to examine the extent to which factors in the nursing environment have differential effects on burnout levels among nurses high and low in negative affectivity (NA). Specifically, this field study examined the moderating relationships among role ambiguity, role conflict, and collective efficacy on the NA–burnout relationship among nurses in a hospital setting. Findings suggest that perceived role conflict exacerbates while perceptions of collective efficacy reduce specific dimensions of burnout for nurses high in NA. These results offer some evidence regarding which environmental characteristics may mitigate burnout for high-NA nurses.     

Communal Orientation and the Burnout Syndrome Among Nurses1

In the present study, burnout symptoms (emotional exhaustion, depersonalization, and reduced personal accomplishment) were hypothesized to occur among male and female nurses who are low in communal orientation and feel they invest more in their relationships with patients than they receive in return. Communal orientation refers to the desire to give and receive benefits in response to the needs of and out of concern for others. Furthermore, it was expected that the perception of imbalance would be more strongly related to depersonalization and reduced personal accomplishment among women than among men. The sample consisted of 194 full time working nurses (48.5% males, 51.5% females). Burnout was measured with the Maslach Burnout Inventory (MBI). The results show that the burnout syndrome is more widespread among: (a) subjects, particularly women, who perceive an imbalance in their relationships with patients; (b) subjects low in communal orientation; and (c) subjects who both perceive an imbalance and are low in communal orientation. The results are discussed in the context of theoretical and practical implications.     

Disorders associated with burnout and causal attributions of stress among health care professionals in psychiatry

This study, carried out among health care professionals in psychiatry, evaluates burnout (Maslash Burnout Inventory) in relation to other associated disorders: lower levels of self-esteem in different areas (Self-Esteem Inventory); the frequency of stress felt (Nursing Stress Scale); a lesser feeling of general control (Lumpkin); a more negative perception of the general state of health (Diagnostic Interview Schedule); job dissatisfaction and dissatisfaction with numerous aspects of life (Subjective Quality of Life Profile). Moreover, among these professionals, the fact of describing the causes of one's professional burnout as having a “global” impact on one's behavior (using the CDS II), reveals both one's emotional exhaustion and associated disorders (but not the feeling of internal control). This attributional variable appears as a significant mediator between burnout and health (DIS). These results are discussed with the aim of developing the early detection and treatment of burnout and the associated disorders among health care professionals.     

Etude des Facteurs psychosociaux,du burnout,de la Vigueur et des troubles musculosquelettiques chez les soignants hospitaliers

Psychosocial factors, the burnout and the musculoskeletal disorders coexist in health professionals at the hospital. From 176 answers to a questionnary built from Karasek (1990) and Siegrist (1996) theories of psychosocial factors, Shirom (2004) of burnout and vigor and finally Kuorinka (1987) of musculoskeletal disorders, we measure and put in link these different aspects, then we propose a predictive model for burnout and pains.     

The factor structure of the Maslach Burnout Inventory in two Swedish human service organizations

The Maslach Burnout Inventory, MBI, is a well established measure of burnout. Its validity outside the USA is, however, uncertain. The aim of the present study was therefore to apply the MBI on personnel in two Swedish human service organizations, comparing factor solutions and scoring norms to the original results. The population consisted of 5730 employees in the Social Insurance Organization (SIO) and the Individual and Family Care section (IFC) of the social welfare agencies. Principal components analysis, principal axes and alpha factor analyses were performed, all with varimax rotation. The suggested three factor solution showed to be remarkably stable irrespective of type of analysis. Score levels were somewhat lower on two subscales in the Swedish population. The conclusion is that the psychometric properties of the MBI seem to be very satisfactory and stable, at least in comparison between Sweden and USA. It is suggested that the dimensionality of MBI is rather invariant, but that the score levels covary with national, cultural, or professional contexts within the human services.     

Psychometric properties of the "Spanish Burnout Inventory" in Chilean professionals working to physical disabled people

While the most commonly employed burnout measure has been the Maslach Burnout Inventory (MBI), researchers have been troubled by some of the psychometric limitations of this instrument. The aim of this study was to analyze the psychometric properties of the "Spanish Burnout Inventory" (SBI). The psychometric properties were analysed with data from a sample of 277 Chilean professionals working to physical disabled people. The psychometric properties of the SBI were examined through the following analyses: confirmatory factor analysis, reliability Cronbach's alpha, and concurrent validity with the MBI. The hypothesized four factor model obtained an adequate data fit for the sample (chi2(164) = 285.32, p < .001, GFI = .96, RMSEA = .052, NNFI .93, CFI = .94). Results confirmed the hypothesis formulated. The Cronbach's alpha coefficient was higher than .70 for the four scales of the instruments. Results supported the concurrent validity with the MBI. As a whole, the results of these study provided evidence on the adequate psychometric properties of the SBI for the study of burnout in the Chilean cultural context.     

Compassion satisfaction,compassion fatigue,and burnout in a national sample of trauma treatment therapists

Abstract

For behavioral health professionals working with traumatized clients, continuous and prolonged exposure to the stress of working with the myriad of trauma-related stressors experienced by their clients can lead to various responses including burnout, compassion fatigue, and compassion satisfaction. The present study investigates the impact of using evidence-based practices on compassion fatigue, burnout, and compassion satisfaction in a random, national sample of self-identified trauma specialists (N=532). The 30-item Professional Quality of Life Scale (Stamm, 2005) and the 19-item Trauma Practices Questionnaire (Craig & Sprang, 2009) were included in a survey to licensed social workers and psychologists from professional membership rosters. Age and years of experience proved to be powerful predictors of only two of the three criterion variables, with younger professionals reporting higher levels of burnout and more experienced providers endorsing higher levels of compassion satisfaction. The utilization of evidence-based practices predicted statistically significant decreases in compassion fatigue and burnout, and increases in compassion satisfaction. The utility of these findings in understanding the process of trauma transmission between therapist and client as well as directions for future research are discussed.     

Self-perceived clinical competence,gender and workplace setting predict burnout among psychotherapists

Work-related stress, or burnout, is elevated among healthcare staff but the specific risk factors for psychotherapists are not clear, which makes it difficult to design interventions to target this population. Therefore, the aim of this study was to investigate a set of background variables and work-related risk factors for burnout among psychotherapists. Potential protective factors such as level of education, number of years in the profession and access to clinical supervision were investigated. Symptoms of burnout were measured with the Copenhagen Burnout Inventory, and data were collected from 327 psychotherapists. In this group, 62% reported moderate or high levels of burnout symptoms, with significantly higher levels of personal- and work-related burnout than client-related burnout. Being female, having low self-perceived competence and working in the public sector were associated with higher levels of burnout. Other factors, such as age, work experience, level of education or having clinical supervision, were not associated with burnout after controlling for gender, perceived competence and workplace setting. These results confirm previous research that underlines the importance of perceived competence and control over one's work environment, and that women are at higher risk of burnout, possibly because of factors outside of work. The importance of perceived competence as a protective factor suggests that methods that increase therapeutic competence may play an important role in countering work-related stress. In conclusion, there may be a need to continue to develop and integrate specific burnout prevention interventions for psychotherapists.     

The Convergent Validity of Four Burnout Measures in a Chinese Sample: A Confirmatory Factor‐Analytic Approach

The purpose of this paper is to study the convergent validity of the four most widely used burnout measures in a sample of Chinese nurses (N= 717). First, Structural Equation Modeling was used to investigate the factor structure of scores produced by the Maslach Burnout Inventory‐General Survey (MBI‐GS), the Burnout Measure (BM), the Shirom‐Melamed Burnout Measure (SMBM), and the Oldenburg Burnout Inventory (OLBI). Next, several competing models were tested to investigate the convergent validity of these four burnout instruments. The final results suggest that burnout is best conceived of as a multidimensional construct consisting of exhaustion and withdrawal, which are two related but conceptually distinct aspects. In addition, positively phrased items should be dropped from burnout measures for they constitute a separate factor that is considered to be an artifact.