Burnout syndrome; Healthcare professionals; Medical area; Personality factors; Prolonged disorders of consciousness; Risk factors
Abstract :
[en] BACKGROUND: Burnout is more common among healthcare professionals, that is an important problem of professional distress that can seriously affect healthcare professionals' emotional state, health, medical quality and doctor-patient relationship. However, only few studies researched the burnout status of healthcare professionals who care for patients with prolonged disorders of consciousness. The aim of this study was to evaluate the level of burnout and related contributing personal and environment factors in healthcare professionals managing these patients. METHODS: Institution-based cross-sectional study. Maslach Burnout Inventory-Human Services Survey was used to evaluate burnout in professionals who specially care for patients with prolonged disorders of consciousness in the neurorehabilitation department. RESULTS: A total of 200 questionnaires were distributed, 121 were collected, among them 93 questionnaires could be used for further analysis. In this study, 61 participants (65.6%) showed burnout (55.2% physicians and 82.9% nurses). For the risks and Maslach Burnout Inventory scores, emotional exhaustion and depersonalization were correlated with age, gender, occupation, marital status, years of practice, and education level. Reduced personal accomplishment was correlated with marital status. The variables of age (< 29 years old), occupation (nurses), marital status (unmarried), years of practice (< 5 years), and educational level (≤ Undergraduate) were associated with high levels of burnout. CONCLUSIONS: Healthcare professionals who care for patients with disorders of consciousness experienced high levels of burnout. Especially those who were younger, nurse, unmarried, less practice experience or lower educational levels were more likely to experience high burnout.
Research Center/Unit :
CHU de Liège-Centre du Cerveau² - ULiège
Disciplines :
Neurology
Author, co-author :
Wang, J.; International Unresponsive Wakefulness Syndrome and Consciousness Science Institute, Hangzhou Normal University, Hangzhou, 310036, China
Wang, W.; International Unresponsive Wakefulness Syndrome and Consciousness Science Institute, Hangzhou Normal University, Hangzhou, 310036, China
Laureys, Steven ; Université de Liège - ULiège > Giga Consciousness-Coma Science Group
Di, Haibo; International Unresponsive Wakefulness Syndrome and Consciousness Science Institute, Hangzhou Normal University, Hangzhou, 310036, China
Language :
English
Title :
Burnout syndrome in healthcare professionals who care for patients with prolonged disorders of consciousness: a cross-sectional survey
Publication date :
2020
Journal title :
BMC Health Services Research
eISSN :
1472-6963
Publisher :
NLM (Medline)
Volume :
20
Issue :
1
Pages :
841
Peer reviewed :
Peer Reviewed verified by ORBi
European Projects :
H2020 - 778234 - DoCMA - Disorders of Consciousness (DoC): enhancing the transfer of knowledge and professional skills on evidence-based interventions and validated technology for a better management of patients H2020 - 785907 - HBP SGA2 - Human Brain Project Specific Grant Agreement 2
Name of the research project :
DOCMA project (EU-H2020-MSCA-RISE-778234) Zhejiang Province Chinese Medicine Science and Technology Program Project (2018ZB101) Zhejiang Basic Public Interest Research Program Project (LGF20H090017) Fund Generet
Funders :
NSCF - National Natural Science Foundation of China [CN] EU - European Union [BE] FRB - King Baudouin Foundation [BE] CE - Commission Européenne [BE]
Funding number :
National Natural Science Foundation of China (81471100); National Natural Science Foundation of China (81920108023); Hangzhou Normal University (2018PYXML007)
Chen SM, McMurray A. "burnout"in intensive care nurses. J Nurs Res. 2001;9(5):152-64.
Ksiazek I, Stefaniak TJ, Stadnyk M, Ksiazek J. Burnout syndrome in surgical oncology and general surgery nurses: a cross-sectional study. Eur J Oncol Nurs. 2011;15(4):347-50.
Hyman SA, Michaels DR, Berry JM, Schildcrout JS, Mercaldo ND, Weinger MB. Risk of burnout in perioperative clinicians: a survey study and literature review. Anesthesiology. 2011;114(1):194-204.
Calnan M, Wainwright D, Forsythe M, Wall B, Almond S. Mental health and stress in the workplace: the case of general practice in the UK. Soc Sci Med. 2001;52(4):499-507.
Cheung T, Wong SY, Wong KY, Law LY, Ng K, Tong MT, Wong KY, Ng MY, Yip PS. Depression, anxiety and symptoms of stress among baccalaureate nursing students in Hong Kong: a cross-sectional study. Int J Environ Res Public Health. 2016;13(8):779.
Mata DA, Ramos MA, Bansal N, Khan R, Guille C, Di Angelantonio E, Sen S. Prevalence of depression and depressive symptoms among resident physicians: a systematic review and meta-analysis. JAMA. 2015;314(22):2373-83.
Iwanicki EF, Schwab RL. A cross validation study of the Maslach burnout inventory. Educ Psycho Meas. 1981;41(4):1167-74.
Maslach C, Jackson SE. The measurement of experienced burnout. J Organ Behav. 1981;2(2):99-113.
Kalliath TJ, O'Driscoll MP, Gillespie DF, Bluedorn AC. A test of the Maslach burnout inventory in three samples of healthcare professionals. Work Stress. 2000;14(1):35-50.
Pisanti R, Lombardo C, Lucidi F, Violani C, Lazzari D. Psychometric properties of the Maslach burnout inventory for human services among Italian nurses: a test of alternative models. J Adv Nurs. 2013;69(3):697-707.
Iftadi I, Astuti RD, Rosita M. Using NASA task load index and Maslach burnout inventory for evaluating the subjective mental and physical workload of nurse central surgical installation hospitals Karanganyar. 2016 2nd International Conference of Industrial, Mechanical, Electrical, and Chemical Engineering (ICIMECE). Yogyakarta: IEEE. 2016. p. 127-31. https://doi.org/10.1109/ICIMECE.2016.7910438.
Maslach C, Leiter MP. Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry. 2016;15(2):103-11.
Donis J, Kraftner B. The prevalence of patients in a vegetative state and minimally conscious state in nursing homes in Austria. Brain Inj. 2011;25(11):1101-7.
Stern JM, Sazbon L, Becker E, Costeff H. Severe behavioural disturbance in families of patients with prolonged coma. Brain Inj. 1988;2(3):259-62.
Morena MJ, De La E, Cruzado JA. Caregivers of patients with disorders of consciousness: coping and prolonged grief. Acta Neurol Scand. 2013;127(6):413-8.
Romaniello C, Farinelli M, Matera N, Bertoletti E, Pedone V, Northoff G. Anxious attachment style and hopelessness as predictors of burden in caregivers of patients with disorders of consciousness: a pilot study. Brain Inj. 2015;18(4):1-7.
Gosseries O, Demertzi A, Ledoux D, Bruno MA, Vanhaudenhuyse A, Thibaut A, Laureys S, Schnakers C. Burnout in healthcare workers managing chronic patients with disorders of consciousness. Brain Inj. 2012;26(12):1493-9.
Leonardi M, Pagani M, Giovannetti AM, Raggi A, Sattin D. Burnout in healthcare professionals working with patients with disorders of consciousness. Work. 2013;45(3):349-56.
Kilfedder CJ, Power KG, Wells TJ. Burnout in psychiatric nursing. J Adv Nurs. 2001;34(3):383-96.
Coker A, Omoluabi P. Validation of maslach burnout inventory. IFE PsychologIA: An International Journal. 2009;17(1):231-42.
Sahraian A, Fazelzadeh A, Mehdizadeh AR, Toobaee SH. Burnout in hospital nurses: a comparison of internal, surgery, psychiatry and burns wards. Int Nurs Rev. 2008;55(1):62-7.
Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med. 2002;136(5):358-67.
Luan X, Wang P, Hou W, Chen L, Lou F. Job stress and burnout: a comparative study of senior and head nurses in China. Nurs Health Sci. 2017;19(2):163-9.
Wallace JE, Lemaire JB, Ghali WA. Physician wellness: a missing quality indicator. Lancet. 2009;374(9702):1714-21.
Kuhn CM, Flanagan EM. Self-care as a professional imperative: physician burnout, depression, and suicide. Can J Anaesth. 2017;64(2):158-68.
Huang CL, Weng SF, Wang JJ, Hsu YW, Wu MP. Risks of treated insomnia, anxiety, and depression in health care-seeking physicians: a nationwide population-based study. Medicine (Baltimore). 2015;94(35):e1323.
Chan CM, Wan Ahmad WA, Yusof MM, Ho GF, Krupat E. Patient-centredness, job satisfaction and psychological distress: a brief survey comparing oncology nurses and doctors. Asian Pac J Cancer Prev. 2015;16(16):6895-8.
de Paiva LC, Acg CR, Elc DPC, Gonçalves AK. Burnout syndrome in health-care professionals in a university hospital. Clinics. 2017;72(5):305-9.
Giacino JT, Katz DI, Schiff ND, Whyte J, Ashman EJ, Ashwal S, Barbano R, Hammond FM, Laureys S, Ling GSF, et al. Comprehensive systematic review update summary: disorders of consciousness: report of the guideline development, dissemination, and implementation subcommittee of the American Academy of Neurology; the American congress of rehabilitation medicine; and the National Institute on Disability, Independent Living, and Rehabilitation Research. Neurology. 2018;91(10):461-70.
Balch CM, Shanafelt TD. Burnout among surgeons: whether specialty makes a difference. Arch Surg. 2011;146(4):385-6.
Siau CS, Wee L-H, Ibrahim N, Visvalingam U, Ling Yeap L, Yeoh S, Wahab S. Predicting burnout and psychological distress risks of hospital healthcare workers. Malaysian J Public Health Med. 2018;2018:125-36.
Sears SF Jr, Urizar GG Jr, Evans GD. Examining a stress-coping model of burnout and depression in extension agents. J Occup Health Psychol. 2000;5(1):56-62.
Hayes B, Douglas C, Bonner A. Work environment, job satisfaction, stress and burnout among haemodialysis nurses. J Nurs Manag. 2015;23(5):588-98.
Trufelli DC, Bensi CG, Garcia JB, Narahara JL, Abrao MN, Diniz RW, Miranda Vda C, Soares HP, Del Giglio A. Burnout in cancer professionals: a systematic review and meta-analysis. Eur J Cancer Care (Engl). 2008;17(6):524-31.
Howlett M, Doody K, Murray J, LeBlanc-Duchin D, Fraser J, Atkinson PR. Burnout in emergency department healthcare professionals is associated with coping style: a cross-sectional survey. Emerg Med J. 2015;32(9):722-7.
Nowakowska-Domagala K, Jablkowska-Gorecka K, Kostrzanowska-Jarmakowska L, Morton M, Stecz P. The interrelationships of coping styles and professional burnout among physiotherapists: a cross-sectional study. Medicine (Baltimore). 2015;94(24):e906.
Ewers P, Bradshaw T, McGovern J, Ewers B. Does training in psychosocial interventions reduce burnout rates in forensic nurses? J Adv Nurs. 2002;37(5):470-6.
