Occupational Burnout in Hospitals. A Population-Based Study among Health Professionals Working in Hellenic Red Cross Hospital

Occupational burnout, even though is a widespread subject of research, remains one of the factors that threaten the implementation and organizational structure of the provided health service. The aim of our study is to investigate the level of burnout among health professionals in Hellenic Red Cross Hospital, one of the biggest Public Hospitals in Athens, Greece. The study population included 116 health workers and was conducted in 2022. The present study, cross-sectional in nature, investigates burnout symptoms in the health-related professionals by measuring the three dimensions of burnout;emotional exhaustion, depersonalization and personal achievements. The overall findings show that people who provide health care services in hospitals are a vulnerable group to burnout syndrome. More specifically, it was found that emotional exhaustion moves at medium to high levels, as did depersonalization, while personal achievements are at moderate to low levels. The findings of the present study indicate that emphasis should be given to increasing the personal achievements of employees, which will in turn reduce emotional exhaustion and depersonalization. Perhaps a more detailed study on this topic could enlighten us about the causes and treatment of burnout syndrome in health professionals.

Levels of vocational satisfaction,burnout and compassion fatigue of health professionals working in pediatric clinics

BACKGROUND Burnout and compassion fatigue are affecting the quality of professional life.AIM To investigate the levels of vocational satisfaction,burnout,and compassion fatigue and factors that may be related to health professionals working in children’s clinics.METHODS The study sample was in the west of Turkey.Data were collected using the questionnaire form and the quality of life scale for employees.RESULTS The findings obtained in this study showed that the level of vocational satisfaction of female health professionals and the burnout level of male health professionals were higher.The professional satisfaction of the doctors was lower than that of the nurses and midwives,and the mean score of burnout and fatigue was high.CONCLUSION Further studies are needed on this topic to help improve the factors that may affect the professional quality of life of health professionals.

Psychological flexibility, occupational burnout and eating behavior among working women

Background: Occupational burnout is associated with diminished psychological flexibility and higher emotional (EE) and uncontrolled eating (UE). Psychological flexibility could be a mediating factor between burnout and eating behaviour. Objectives: To investigate differences in eating behaviour between those with different levels of psychological flexibility, and the association of the interaction between psychological flexibility and occupational burnout with eating behaviour. Design: The participants were working women (n = 263), who took part in the randomized controlled health intervention trial. Analyses were performed in a cross-sectional setting at baseline. Methods: Eating behaviour was measured using the Three Factor Eating Behaviour Questionnaire-18 [which evaluates EE, UE and cognitive restraint (CR)], psychological flexibility using Acceptance and Action Questionnaire-II and occupational burnout using Bergen Burnout Indicator-15. Participants were divided into four groups based on the quartile points of psychological flexibility. Results: The EE of those who were inflexible was higher than that of those whose flexibility was high moderate (p = 0.013) and who were flexible (p = 0.001). The UE of those who were inflexible was higher than the UE in the other groups with higher flexibility [low moderate (p = 0.034), high moderate (p een occupational burnout and EE and UE. Multivariate analysis of variances revealed that the combination of psychological flexibility and burnout had a stronger association with the variances of EE and UE than psychological flexibility alone. Conclusions: Persons who are psychologically inflexible have higher EE and UE. Future studies should investigate if increasing psychological flexibility helps decrease EE and UE.

Occupational burnout in nurses:a concept analysis

Objective:This paper aims to clarify the concept of occupational burnout(OB)as well as develop appropriate methods to relieve or prevent OB in the nursing profession.Methods:Walker and Avant's eight-step approach of concept analysis was applied.Results:OB was defined as a chronic form of work-related stress.Accurately,it was characterized by emotional exhaustion,depersonalization/cynicism,and reduced personal accomplishment/inefficacy.Antecedents of burnout included(a)demographic characteristics;(b)chronic exposure to work-related stressors;(c)quantitative and qualitative job demands;(d)lack of job resources;and(e)personality traits.Consequences involved(a)individual’s unfavorable quality of life;(b)negative impact on the organization;and(c)poor services quality.Although the Maslach Burnout Inventory(MBI)is perceived as an ideal tool to measure burnout and hence,it is used worldwide,whether this instrument fits to measure this concept for nurses has still not yet been verified and thus further research is needed.Conclusions:By proposing a comprehensive definition of the concept,this analysis contributes to recognition of the process of OB of nurses.All nurses are vulnerable to OB.Hence,burnout in nursing needs to be recognized as a critical factor in the delivery of safe patient care.It proposes that the prevention of OB would be achieved through team communication training,mindfulness group,education,etc.

Violence at work and its relationship with burnout, depression and anxiety in healthcare professionals of the emergency services

The aim of this study was to examine the possible relationship between physical and psychological aggression suffered in the workplace and professional burnout, depression and anxiety suffered by healthcare professionals of the emergency services. Methods: 315 physicians, nurses, orderlies and ambulance drivers of Critical Care and Emergency Devices (CCED) in the Andalusian Public Health System, in the province of Granada (Spain) participated. They were interviewed about the exposure to violence at work and answered a battery of questions that measured burnout, depression and anxiety. Results: Physical aggression was significantly related to emotional exhaustion, personal accomplishment at work, depression and anxiety. Psychological aggression was associated with personal accomplishment. Logistic regression showed that the CCED professionals who have suffered physical aggression were 4.2 and 2.6 times more likely to have suffered anxiety and reduced personal accomplishment, respectively, than those who did not suffer physical aggression. On the other hand, feelings of anxiety and reduced personal accomplishment increase the professionals’ risk (3.4 and 2.1 times more likely, respectively) of suffering from physical aggression. Conclusion: The results suggest that exposure to violence is related to the other psychological problems tested: emotional exhaustion and personal accomplishment (two components of burnout), depression and anxiety. In addition, physical violence is a risk factor for anxiety and diminished personal accomplishment of the CCED professionals.

Correlation between burnout and professional value in Chinese oncology nurses:A questionnaire survey

Objective:To investigate the relationship between job burnout and professional value in oncology nurses.Methods:The Maslach Burnout Inventory(MBI)and the Nurse Professional Values Scale(NPVS)were administered to nurses(n=328)at the Cancer Hospital of Jiangsu Province,China,and the correlation between job burnout and professional value was calculated.Results:The scores(mean±standard deviation)of emotional exhaustion(25.32±12.37),depersonalization(6.93±5.28),and personal accomplishment(30.25±8.96)were measured,indicating a high level of burnout among oncology nurses.Also measured,were the four domains of professional value:caring(36.39±5.73),actionist(21.17±4.85),responsibility freedom and safety(17.95±2.96),and reliability(11.44±1.98).Job burnout and caring were positively correlated(p<0.01),suggesting that caring was the number one concern of oncology nurses.Clinical implication:The prevalence of job burnout in oncology nurses is high,and this could be improved by increasing perception of professional value.It is urgent for managers to strengthen professional value education and to take strategies that reduce job burnout,which is important for the overall quality and safety of nursing.

Mediating effect of undergraduate nursing students’ professional commitment on positive psychological capital and learning burnout

Objective:The objective of this study is to explore the mediating role of professional commitment of undergraduate nursing students between positive psychological capital(PsyCap)and learning burnout.Materials and Methods:A cluster sampling method was used to survey 442 students of a bachelor’s degree in freshman to the junior in a medical college in Shaanxi Province.Results:Professional commitment was positively related to positive PsyCap(=0.487,P<0.01),while positive PsyCap and professional commitment were negatively related to learning burnout(r=−0.456,r=−0.411,P all<0.01).There are certain mediating effects of professional commitment in the relationship between positive PsyCap and learning burnout.The mediating effect value of professional commitment is−0.065,accounting for 16.08%of the total effect.Conclusion:Nursing educators in medical colleges and universities should focus on developing and training the positive PsyCap of undergraduate nursing students,thereby enhancing and stabilizing their professional commitment level and reducing the risk of learning burnout.

Defining Stress among Corrections Professionals

Corrections professionals experience high levels of acute and chronic work-related stress. This stress leads to increased mental and physical illness, early disability and mortality, and increased healthcare costs. Reducing stress requires identifying and prioritizing factors that contribute to it. Corrections professionals (n = 296) working at six different Oregon Department of Corrections facilities completed a cross-sectional survey, including demographics, work history and validated stress and occupational constructs. The outcome of perceived stress was measured using the Perceived Stress Scale (PSS-4 Short Form). Using a linear mixed effects regression model, we found that perceived stress increases with increased work-related stress (p = 0.02), work hours (p = 0.03), operational stressors (p = 0.002), and lack of procedural injustice (p = 0.03) and decreases with more time employed at current facility (p = 0.06), improved job satisfaction (p < 0.001), and among married or partnered individuals (p = 0.05). Identifying these predictors of stress can inform the development of policy changes to mitigate the stress of this challenged work force.

Hospital ethical climate associated with the professional quality of life among nurses during the early stage of COVID-19 pandemic inWuhan,China:A cross-sectional study

Objectives:To describe the professional quality of life and explore its associated factors among nurses coming from other areas of China to assist with the anti-epidemic fight inWuhan and especially examine whether the hospital ethical climate was independently associated with nurses’professional quality of life.Methods:A cross-sectional online survey was conducted from March 2020 to April 2020.The nurses working in Wuhan from the other parts of China were the target population.The Professional Quality of Life Scale version 5,the Hospital Ethical Climate Survey,and a basic information sheet were used to collect data.Descriptive statistics,t-test,ANOVA,Pearson correlation,and multiple linear regression analysis were used to analyze the data.Results:In total,236 nurses participated in this study,and 219 valid questionnaires were analyzed.The average age of the participants was 31.2±5.0 years.Most nurses were female(176/219;80.4%)and married(145/219;66.2%).In term of professional quality of life,nurses reported moderate(129/219;58.9%)to high(90/219;41.1%)levels of compassion satisfaction,low(119/219;54.3%)to moderate(100/219;45.7%)levels of burnout,and low(67/219;36.0%)to high(10/219;4.6%)levels of secondary traumatic stress.Regarding hospital ethical climate,nurses reported moderately high hospital ethical climates with an average score of 4.46.After controlling for socio-demographic characteristics,the multiple linear regression models showed that the hospital ethical climate subscale of“relationship with physicians”was independently associated with the compassion satisfaction(b=0.533,P<0.01)and burnout(b=0.237,P<0.05);the hospital ethical climate subscale of“relationship with peers”(b=0.191,P<0.01)was independently associated with the secondary traumatic stress.Conclusions:During the early stage of the pandemic,nurses demonstrated moderate to high level of compassion satisfaction,low to moderate level of burnout,and all nurses experienced secondary traumatic stress.Nurses perceived a high level of hospital ethical climate,and the perceived hospital ethical climate played an important role in promoting nurses’professional quality of life during a lifethreatening infectious disease pandemic.

Professional identities of occupational therapy practitioners in Japan

To aim to inductively clarify the professional identity of occupational therapists who work in a clinical setting, the researchers interviewed the 22 occupational therapists who had a minimum of 5 years or more of practice in the field. The professional identities of the practicing occupational therapists were constructed by the following two core categories: “harmonizing with a client’s life and the characteristic of a client’s disability”, and “giving clients sovereignties as a mission of the occupational therapists”. The occupational therapist can carry the role of coordinator in an interdisciplinary team for the clients with disability by understanding them. This is achieved based on the core category called “giving clients sovereignties as a mission of the occupational therapists”. Furthermore, in order to achieve the clients’ sovereignties, the occupational therapist can be an operational unit by planning practical strategies and practicing them based on the core category called “harmonizing with a client’s life and the characteristic of a client’s disability”. The fact is often difficult for these clients that they are concerned with how he/she lived actively. It is through unique ways of contributing for the clients in a team of professionals that the occupational therapists try to understand the clients not as “patients” but as “human beings”, and try to harmonize with their life and the characteristics of their disability, then try to support and empower them to reach a stage in which they have the sovereignties of their lives.

An analysis of association of personality traits with job burnout among nurses working in hospital

Objective:The objective of the present study is to explore the effects of personality traits on job burnout among hospital nurses.Materials and Methods:This cross-sectional research was done during 2019-2020 at Kashan Shahid Beheshti Hospital.The data analysis procedures included descriptive statistics and the partial least squares-based structural equation modeling.The participants were 150 nursing professionals.A questionnaire indicating information on demographics,burnout(measured using the Maslach Burnout Inventory with three dimensions of depersonalization,emotional exhaustion,and personal accomplishment),and personality profile(measured employing the neuroticism extraversion openness five-factor inventory including extroversion,conscientiousness,agreeableness,neuroticism,and openness to experience dimensions)was used to gather the required data.Results:The results of the study showed that the validity and reliability of the measurement model were desirable(factor load higher than 0.5,the Cronbach’s alpha value and the composite reliability are>0.7).Structural model showed statistically drastic,negative relationship between the nurses’burnout levels and neuroticism(β=0.722)and openness to experience(β=0.437).However,the relationship was significantly positive between the nurses’burnout levels and conscientiousness(β=0.672),agreement(β=0.594),and extraversion(β=0.559)(P<0.03).Conclusions:The present study helped the recognition of burnout among nurses working in hospitals and approved the effects of personality features on the burnout experience.

基于预防医学专业核心价值的课程思政教育研究

目前,疾病防控与健康促进对预防医学专业教育教学改革提出了新要求。在分析预防医学专业教育的问题、开展课程思政教育必要性的基础上,构建预防医学专业核心价值体系,包括价值取向(维护和保障人民健康)、伦理道德(为了每个人健康生活)、时代使命(构建大卫生大健康的公共卫生体系)、职业要求(建设健康中国、服务大众健康)。围绕专业核心价值挖掘各门课程中的课程思政元素;开展多种课程思政教育实践方法,包括将思政教育元素融入微视频中、融入课堂教学改革中,开展主题活动实践,与创新创业教育深度融合;并统筹协调各专业课程之间的教育实践方法;从学生的课程总结、考试、章节测验中检验课程思政教育效果。基于以上努力,取得了良好的课程思政教育成效。

巴林特小组活动对护理人员职业倦怠感负性情绪及自我效能的影响

目的探讨巴林特小组活动对呼吸与危重症医学科护理人员职业倦怠感、负性情绪及自我效能的影响。方法将64名护理人员随机均分为对照组和试验组。对照组护理人员给予心理健康讲座,试验组护理人员在对照组基础上给予巴林特小组活动。采用相应的量表评估两组护理人员干预前后的职业倦怠感、负性情绪及自我效能状况。结果干预后试验组护理人员中文版职业倦怠量表(MBI)总分及情绪衰竭、去个性化维度评分均低于干预前和对照组,个人成就感维度评分高于干预前和对照组(P<0.01);干预后试验组护理人员焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均低于干预前和对照组,一般自我效能感量表(GSES)评分高于干预前和对照组(P<0.01)。结论巴林特小组活动能够提高呼吸与危重症医学科护理人员的自我效能感,改善其职业倦怠感及负性情绪状况。

公立医院医务人员职业倦怠现状及危险因素分析

目的:分析公立医院医务人员职业倦怠现状及危险因素。方法:选取2018年6月—2021年6月德阳地区市属公立医院的100名医务人员作为研究对象,统计一般资料及职业倦怠评分,分析公立医院医务人员职业倦怠现状及危险因素。结果:100名医务人员中,无职业倦怠18.0%(18/100),轻度职业倦怠36.0%(36/100),中度职业倦怠26.0%(26/100),重度职业倦怠20.0%(20/100)。年龄、工作年限、婚姻状况、职业及日工作时间是医务人员职业倦怠的影响因素,差异有统计学意义(P<0.05)。年龄21~40岁、工作年限≥10年、未婚、护士职业、日工作时间>8 h是医务人员职业倦怠的危险因素,差异有统计学意义(P<0.001)。结论:针对医务人员职业倦怠的危险因素,医院管理者应加以重视,采取相应干预措施,改善医务人员的职业倦怠情况。

医院行政管理人员职业倦怠影响因素调查研究

目的分析诱发医院行政管理人员职业倦怠的危险因素,预防医院行政管理人员的职业倦怠。方法选取行政管理人员120名,采集一般资料,采用职业倦怠问卷评估受试者的职业倦怠水平,采用职业认同感问卷评估职业认同感。结果医院行政管理人员存在中度倦怠,从业年限、学历、技术职称和周均工作时间是导致职业倦怠的因素。结论受调查的医院行政管理人员普遍存在职业倦怠,采取措施预防医院行政管理人员的职业倦怠具有重要意义。

责任制弹性排班在儿科护士管理中的应用研究

目的探讨责任制弹性排班在儿科护士管理中的应用效果。方法选取2023年1—12月在无锡市儿童医院儿科任职的31名护士为研究对象,2023年1—6月对31名儿科护士实施常规排班管理,2023年7—12月对31名儿科护士实施责任制弹性排班管理。比较责任制弹性排班实施前后儿科护士的工作压力、职业倦怠感、岗位胜任能力及排班满意度。结果责任制弹性排班实施后,儿科护士的工作压力评分、情感衰竭、去人格化评分低于实施前,个人成就感、岗位胜任能力、排班满意度评分高于实施前,差异有统计学意义(P均<0.05)。结论责任制弹性排班能够降低儿科护士工作压力,减轻其职业倦怠感,提高其岗位胜任能力及排班满意度。

专业技术类职业与技能类职业的差异、划分与职业标准建设

专业技术人员与技能人员是职业分类的两个相关类别,但在分类过程中,一些“跨界”职业究竟应如何归类尚存争议,且此科分类事关后续职业标准开发、人才队伍建设、技能等级评价(或专业技术等级考核)等,亟需深入研究。基于对职业分类的功能作用、职业分类大典的修订背景的梳理,通过回溯《中华人民共和国职业分类大典(2022年版)》修订过程,凝练出科学划分专业技术类职业和技能类职业的依据,尝试建立判定两类职业表述和专业技术或技能等级描述的标准话语体系,为两类人员职业生涯的贯通、接续发展提供依据,旨在为完善我国现代职业分类、职业标准体系提供理论基础。

河北省中小学体育教师职业倦怠成因及纾解路径研究

近年来,受到社会、家庭、经济等诸多因素的影响,中小学体育教师职业倦怠呈现上升趋势,并且影响到其工作效率。研究结果表明中小学体育教师普遍存在职业倦怠心理,其中男性教师占比较多,并且年龄越大、学历越高倦怠程度越高。薪资待遇、晋升机会、规章制度、领导支持与社会认同是中小学体育教师职业倦怠的成因。今后应积极关注教师心理状态,出台帮扶政策;完善考核制度,提供培训与晋升机会;提高教师的薪资待遇水平;提升社会责任感,树立良好教育观、价值观。

激励化管理对护理人员工作质量的影响评价

目的评价激励化管理对护理人员工作质量的影响。方法回顾性分析2021年1—12月山东大学附属儿童医院儿科实施常规管理的13名护理人员作为对照组,2022年1—12月山东大学附属儿童医院儿科实施激励化管理的12名护理人员作为观察组。比较不同管理模式对2组护理人员工作质量的影响。结果观察组个人成就感评分为(39.87±4.12)分,高于对照组的(33.37±3.90)分;观察组情感耗竭、去人格化评分分别为(23.34±3.86)分、(9.12±1.34)分,低于对照组的(30.96±5.17)分、(14.40±1.32)分,差异有统计学意义(P<0.05)。观察组工作投入量表(utrecht work engagement scale,UWES)评分高于对照组,差异有统计学意义(P<0.05)。观察组职业获益感评分高于对照组,差异有统计学意义(P<0.05)。观察组护理水平评分高于对照组,差异有统计学意义(P<0.05)。观察组核心胜任力评分高于对照组,差异有统计学意义(P<0.05)。结论激励化管理对护理人员工作质量提高具有积极影响,可减轻护理人员职业倦怠感,提升工作投入状况、职业获益感及护理水平。

重大国际活动中安保人员压力弹性与工作倦怠的关系

目的研究以冬奥会为例,探究在重大国际活动中压力弹性对于安保人员工作倦怠的影响以及职业风险感知和状态焦虑在其中发挥的作用。方法采用压力弹性商数量表、警察职业风险测评量表、状态焦虑量表和工作倦怠量表对270名安保人员进行问卷调查。结果(1)压力弹性与安保人员的工作倦怠状况呈显著负相关;(2)职业风险感知和状态焦虑在压力弹性和工作倦怠之间的单独中介作用均是显著的;(3)职业风险感知和状态焦虑在压力弹性和工作倦怠之间起链式中介作用。结论压力弹性不仅可以直接影响工作倦怠,也可以通过职业风险感知和状态焦虑对工作倦怠产生间接影响。