Burnout Rates in Clinical Radiation Oncology and Variations across Professional Subgroups
S.T. McCauleyChase IrwinB. TraubeM.K.A. Ahamed KhanAlireza SadeghiBaldassarre SteaRobert J. HamiltonGary V. Walker
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Demographics
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Knowledge on the development of burnout among dentists is important for purposes of prevention and intervention. Using a two-wave longitudinal design, this study examined the chronological sequence of the three dimensions of the Maslach Burnout Inventory: emotional exhaustion; depersonalization; and personal accomplishment. Structural Equation Modelling was employed among a representative sample of Dutch dentists to examine the fit of several models proposed in earlier research. The results indicated that a model in which emotional exhaustion precedes depersonalization, which in turn precedes personal accomplishment, shows an adequate fit among dentists. However, an alternative model, in which personal accomplishment precedes emotional exhaustion, had an even better fit. In addition to the test of these a priori models, an ad hoc model was constructed that best fitted the current data. This model indicated emotional exhaustion to precede the development of depersonalization and personal accomplishment independently. Although not univocal, the results showed that emotional exhaustion should not be discarded as an early sign of burnout. This is in line with the view that emotional exhaustion can be considered as the key dimension of burnout.
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Occupational Burnout
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The authors conducted a study of burnout within the foodservice environments of five major hotel chains. The Maslach Burnout Inventory, a psychometric instrument, was used to measure three dimensions of burnout: • Emotional Exhaustion (EE) • Depersonalization (DP) • Personal Accomplishment (PA). Findings show a significant incidence of high burnout according to Maslach's three domains-especially on the emotional exhaustion (28%) and depersonalization (20%) subscales. We have also unequivocally demonstrated that the Maslach inventory is a reliable and valid instrument for measuring burnout in the food-service industry.
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В данной научной работе проводилось выявление и распространение эмоционального выгорания, психического истощения, деперсонализации, у врачей и младшего медицинского персонала (медицинских сестер) на амбулаторно-поликлиническом этапе. Исследование проводилось с помощью опросника MBI (Maslach Burnout Inventory) в русскоязычной адаптации Н.Е. Водопьяновой и Е.С. Старченковой. Осуществлялся анализ зависимости синдрома эмоционального выгорания от стажа работы обследуемых. Исследовались наиболее значимые внешние и внутренние факторы, провоцирующие синдром эмоционального выгорания у медицинского персонала. В ходе исследовательской работы было определено, что у половины медицинских работников преобладает средний уровень синдрома эмоционального выгорания, у большинства респондентов преобладает средний уровень профессионального выгорания, средний уровень деперсонализации и низкий уровень редукции личных достижений, с увеличением стажа работы происходит увеличение уровня эмоционального выгорания, у врачей наиболее распространен средний уровень психоэмоционального истощения, деперсонализации и редукции личных достижений, у среднего медицинского персонала - низкий уровень психоэмоционального истощения, деперсонализации и редукции личных достижений. Средний уровень эмоционального выгорания более высокий у медицинских сестер, по сравнению с врачами. Наиболее значимым внешним фактором, провоцирующим синдром эмоционального выгорания, у медицинских работников является дестабилизирующая организация деятельности, у 90% медицинских работников присутствует интенсивное восприятие и переживание обстоятельств профессиональной деятельности, 75% склонны к эмоциональной ригидности. У 46% респондентов слабая мотивация эмоциональной отдачи в профессиональной деятельности и 10% имеют нравственные дефекты личности In this scientific work, the identification and dissemination of emotional burnout, mental exhaustion, depersonalization, among doctors and junior medical personnel (nurses) at the outpatient stage was carried out. The study was conducted using the MBI questionnaire (Maslach Burnout Inventory) in the Russian-language adaptation by N. E. Vodopyanova and E. S. Starchenkova. The analysis of the dependence of the burnout syndrome on the work experience of the subjects was carried out. The most significant external and internal factors provoking the burnout syndrome in medical personnel were studied. During the research it was determined that half of the health workers is dominated by the average level of burnout, the majority of respondents is dominated by the average level of professional burnout, the average level of depersonalization, and a low level of reduction of personal achievements, with increasing experience, there is an increase in the level of burnout among physicians is most common, the average level of emotional exhaustion, depersonalization and reduction of personal achievement, the average medical personnel - low level of psychoemotional exhaustion, depersonalization and reduction of personal achievements. The average level of emotional burnout is higher in nurses, compared to doctors. The most significant external factor that provokes the burnout syndrome in medical workers is the destabilizing organization of activities, 90% of medical workers have an intense perception and experience of the circumstances of their professional activities, 75% are prone to emotional rigidity. 46% of respondents have a weak motivation for emotional return in their professional activities and 10% have moral personality defects
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This paper is a report of a study to identify the occupational burnout profiles of a sample of nurses in Turkey and to examine alternative developmental models of burnout based on these profiles.Previous findings on causal links between components of occupational burnout have largely been inconclusive. There are divergent models of inter-temporal ordering of emotional exhaustion, depersonalization and personal accomplishment, which are the three dimensions of burnout.Data were collected with 248 nurses from five hospitals in Turkey in 2007. The Maslach Burnout Inventory was used to collect burnout data and the Job Descriptive Index was used to measure satisfaction with coworkers and supervisors. Following validity and reliability analyses of these instruments, burnout profiles were identified using cluster analysis and the resulting profiles were validated using analysis of variance.Three burnout profiles were identified and validated. Findings suggest a coupling of emotional exhaustion and depersonalization. That is, nurses who reported higher levels of emotional exhaustion also reported higher levels of depersonalization. Examination of the profiles suggested a non-linear relationship between personal accomplishment and emotional exhaustion or depersonalization. More specifically, nurses with higher emotional exhaustion or depersonalization did not always report lower personal accomplishment.Partial support for the developmental model that endorses temporal precedence of emotional exhaustion was found. The model that emphasizes temporal precedence of depersonalization was not supported. Depersonalization was found to be a dysfunctional coping strategy with respect to emotional exhaustion. Emotional exhaustion rather than depersonalization or perceptions of personal accomplishment should be screened for early detection and prevention of burnout.
Occupational Burnout
Occupational Stress
Dysfunctional family
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To the Editor: We read the recent report, “Burnout in Medical School Deans: An Uncommon Problem” by Gabbe et al1 with great interest. We appreciated the very clear presentation of burnout data, but we believe the conclusions drawn from those data are incorrect. The authors concluded that, according to their criteria, only 2% of medical school deans exhibited high levels of burnout. Their criteria required high levels of burnout in all three domains of the Maslach Burnout Inventory (MBI): depersonalization, emotional exhaustion, and low personal accomplishment. However, the MBI manual2 does not report any validity evidence on a single “high burnout” outcome but rather reports correlations with high burnout in each subscale separately. This means that to define high burnout, each subscale must be considered separately. Although an alternative definition requiring a high subscore in emotional exhaustion or depersonalization has been suggested as indicative of clinically significant burnout and has been widely used,3 we were unable to find support in the literature for a summative definition of burnout requiring high burnout in all three MBI subscales. From the authors’ Figure 2, 24% of medical school deans exhibited high depersonalization, 40% high emotional exhaustion, and 18% low personal accomplishment. These individual high burnout rates are similar to those reported elsewhere in the literature among medical students and physicians.3 A total of 56% of responding deans exhibited high burnout on at least one subscale, and 47% had either high emotional exhaustion or depersonalization, providing a vastly different interpretation of the frequency of burnout than the 2% suggested by the authors. In summary, then, we conclude that high levels of burnout are actually very common among medical school deans. This adds to the existing body of evidence pointing to burnout as prevalent at all stages of medical careers. Colin P. West, MD, PhD Assistant professor of medicine and biostatistics, Division of General Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, Minnesota; ([email protected]). Liselotte N. Dyrbye, MD Assistant professor of medicine, Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, Minnesota. Tait D. Shanafelt, MD Assistant professor of medicine, Division of Hematology, Mayo Clinic, Rochester, Minnesota.
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Abstract Burnout syndrome refers to the appearance of a physical and mental exhaustion state that occurs as a result of a high stress level, associated with excessive workload. Burnout is characterized by three components- emotional exhaustion, depersonalization and personal accomplishment. Its diagnosis is established by using the Maslach Burnout Inventory (MBI). According to MBI, burnout is defined by the presence of a high level of emotional exhaustion and depersonalization while personal accomplishment is low. The prevention and treatment of burnout syndrome includes lifestyle changing measures, mindfulness, mental wellness programmes and cognitive behavioural therapy.
Burnout Syndrome
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