China
Africa
Explore chapters and articles related to this topic
Professional issues
Published in Janetta Bensouilah, Pregnancy Loss, 2021
Although a certain amount of stress is to be expected when working in an emotionally charged field, when stress becomes cumulative (seeBox 8.1), extreme or exceeds an individual’s ability to cope, burnout may result. Burnout syndrome is the exhaustion of the body’s normal mechanisms for coping with stress. It can occur in those who work with people in a caring capacity, and is defined as a response to prolonged exposure to demanding interpersonal situations. It is characterised by emotional exhaustion, depersonalisation, and a reduced level of personal accomplishment.3 In the context of practitioners, emotional exhaustion is said to occur when the practitioner is overwhelmed by their work, and is considered to be the first stage of burnout. Depersonalisation refers to impersonal feelings towards patients in one’s care – that is, behaving as a carer but not feeling caring – and reduced personal accomplishment refers to the feeling that nothing that they do makes any difference, or that it remains unappreciated.
Integration with the Interdisciplinary Care Team
Published in Amy J. Litterini, Christopher M. Wilson, Physical Activity and Rehabilitation in Life-threatening Illness, 2021
Christopher M. Wilson, Amy J. Litterini
One of the most underestimated but important roles of the interdisciplinary care team is to serve as a ‘support group’ for each other. Burnout syndrome is the chronic long-term emotional distress of healthcare professionals providing care for those in challenging health situations and is a concern in PC (see Chapter 5).11 An additional concept is compassion fatigue, where providers who are working with those who are suffering often experience emotional consequences to providing care, termed the ‘cost of caring.’12 An inverse term to compassion fatigue is the concept of compassion satisfaction, where healthcare providers experience “emotional rewards of caring for others in a health care context; clinicians feel a sense of return or incentive by seeing a ‘change for the better’ in patients and families.”12 Best practices for addressing burnout and compassion fatigue include participating in mindfulness, meditation, and creative writing, of which effectiveness was established in a randomized controlled trial.13 A mixed-methods study in Portugal cited the impactful role of the IDT in protecting against burnout, which may lend credence to the benefit of shared decision-making and the ‘support group’ concept within the IDT.14 In addition to the clinical benefit of supporting team members during difficult times, a therapist providing emotional support and encouragement firmly establishes him or her as a valuable member of the team.
The Relationship between Intensification of Stress-Inducing Customer Behaviors, Job Burnout, and Well-Being of Customer Service Workers
Published in Dorota Żołnierczyk-Zreda, Emotional Labour in Work with Patients and Clients, 2020
Job burnout syndrome affects the physical and mental health of workers. It is associated with poor job satisfaction, declining performance, deterioration of private life, growing somatic complaints and other health problems, a pessimistic approach to life, depression, and anxiety disorders. The consequences of job burnout also affect organizations, contributing to absenteeism, increased staff turnover, lower productivity, deteriorating relations between co-workers, surging sickness absence, and employee medical treatment costs, or the costs of hiring new employees [Ostrowska and Michcik 2013].
COVID-19 psychological impact during the Italian lockdown: A study on healthcare professional
Published in Journal of Workplace Behavioral Health, 2021
Calogero Lo Destro, Corinna Gasparini
Taken together, these results seem to clearly indicate the risk for health professionals to experience high levels of stress that, if left untreated, may result in burnout syndrome. As stated by Maslach (1982), burnout can occur in almost any profession, but it is more prevalent in some fields, such as: social work, police work, teaching and healthcare professionals (nurses, psychologists, etc.). Specifically, the prevalence of psychological and physical symptoms has been found among physicians and nurses, across many countries and several medical specialists (e.g., Hamid & Musa, 2017; Hannan et al., 2018; Kluger, Townend, & Laidlaw, 2003). In this field, burnout may induce several negative effects, such as lower quality of care provided to patients, increased rates of medical errors (e.g., Shanafelt et al., 2010; West, Tan, Habermann, Sloan, & Shanafelt, 2009), decrease in professional work effort (Shanafelt et al., 2016), increased absenteeism and intention to leave (Bobbio & Manganelli, 2015). From previous research, both work-related factors (e.g., organizational support, feeling of insecurity in the workplace, dealing with difficult patients) and individual psychological variables (e.g., coping strategies, work engagement, avoidance, distress) have been found to affect vulnerability to burnout (Hamid & Musa, 2017; Grassi & Magnani, 2000; Marjanovic, Greenglass, & Coffey, 2007; Thomsen, Soares, Nolan, Dallender, & Arnetz, 1999).
The impact of burn-out on emergency physicians and emergency medicine residents: a systematic review
Published in Acta Clinica Belgica, 2020
Delphine Verougstraete, Said Hachimi Idrissi
Among the 11 studies included in this systematic review, there is a wide variety in the prevalence estimates of burnout among emergency physicians and emergency medicine residents. The great variety in prevalence make it difficult to highlight a conclusion on this subject. The discrepancy of the assessment methods and definitions of burnout, and thus the study quality, is perceptible. The use of arbitrary definitions for burnout likely contributed to the heterogeneity in the review. It is important for future research to develop a consensus definition of burnout and diagnostic criteria for a clinical burnout syndrome. Hereby a standard measurement tool can be realised. Only then, a valuable investigation can be executed to assess the effects of chronic work-related stress on emergency physicians and emergency medicine residents. By determining specific criteria, detailed solutions can be found to encourage the implementation of structural reforms to improve clinical care.
Effects of an adjunctive, chronotype-based light therapy in hospitalized patients with severe burnout symptoms - a pilot study
Published in Chronobiology International, 2019
Markus Canazei, Daniela Bassa, Paulino Jimenez, Ilona Papousek, Andreas Fink, Elisabeth Weiss
The present study has some limitations. First, to date, there are no consensual diagnostic criteria for the burnout syndrome and the disorder is not yet included in clinical classification systems such as DSM-5 (American Psychiatric Association 2013) or ICD-10 (World Health Organization 1993). Therefore, in the current study diagnostics was based on the ICD-10 criteria of work-related neurasthenia and increased scores >3.5 on the exhaustion scale in the MBI-GS. Hence, the findings of our study might not be generalizable to clinical burnout patients that are diagnosed differently. Second, light intervention effects on sleep and daytime sleepiness were only measured with self-reported parameters but not objectively with polysomnography (Ekstedt et al. 2009) or actigraphy (Ancoli-Israel et al. 2003; Janurek et al. 2018). Third, the study did not include a placebo light condition. Fourth, no long-term effects of the treatment have been examined and, thus, sustained benefits of light treatment that go beyond the inpatient period remain unknown. Finally, the sample size was rather small and replication in larger samples is required before practical recommendations are justified.