Background Burnout has adverse implications in healthcare settings, compromising patient care. Allied health professionals (AHPs) are defined as individuals who work collaboratively to deliver routine and essential healthcare services, excluding physicians and nurses. There is a lack of studies on burnout among AHPs in Singapore. This study explored factors associated with a self-reported burnout level and barriers to seeking psychological help among AHPs in Singapore. Methods We conducted a cross-sectional study in a sample of AHPs in a tertiary hospital from October to December 2019. We emailed a four-component survey to 1127 eligible participants. The survey comprised four components: (1) sociodemographic characteristics, (2) Maslach Burnout Inventory (MBI-HSS), (3) Areas of Worklife Survey, and (4) Perceived Barriers to Psychological Treatment (PBPT). We performed a multiple logistic regression analysis to identify factors associated with burnout. Adjusted odds ratios (AORs) and associated 95% confidence intervals (CIs) were computed. Results In total, 328 participants completed the questionnaire. The self-reported burnout level (emotional exhaustion>27 and/or depersonalization>10) was 67.4%. The majority of the respondents were female (83.9%), Singaporean (73.5%), aged 40 years and below (84.2%), and Chinese ethnicity (79.9%). In the multiple logistic regression model, high burnout level was negatively associated with being in the age groups of 31 to 40 (AOR 0.39, 95% CI 0.16–0.93) and 40 years and older (AOR 0.30, 95% CI 0.10–0.87) and a low self-reported workload (AOR 0.35, 95% CI 0.23–0.52). High burnout level was positively associated with a work experience of three to five years (AOR 5.27, 95% CI 1.44–20.93) and more than five years (AOR 4.24; 95% CI 1.16–16.79. One hundred and ninety participants completed the PBPT component. The most frequently cited barriers to seeking psychological help by participants with burnout (n = 130) were ‘negative evaluation of therapy’ and ‘time constraints.’ Conclusions This study shows a high self-reported burnout level and identifies its associated factors among AHPs in a tertiary hospital. The findings revealed the urgency of addressing burnout in AHPs and the need for effective interventions to reduce burnout. Concurrently, proper consideration of the barriers to seeking help is warranted to improve AHPs' mental well-being.
Uncorrected refractive error was a significant problem among Singapore students aged 12-16 years (grade 7). Uncorrected refractive error was more common among students with low academic ability or those who had not visited an eye care provider for a long time.
Objective To explore the prevalence of burnout, factors associated with burnout, and barriers to seeking psychological help among allied health professionals in Singapore. Design Cross-sectional study. Setting A tertiary hospital in Singapore. Participants Allied health professionals. Primary outcome measure Burnout measured by using Maslach Burnout Inventory (MBI-HSS) Results: In total, 328 participants completed the questionnaire. The prevalence of burnout was 67.4%. A majority of the respondents were female (83.9%), Singaporean (73.5%), aged 40 years and below (84.2%), and of Chinese ethnicity (79.9%). In the multiple logistic regression model, burnout was negatively associated with being in the age groups of 31 to 40 (AOR 0.39, 95% CI 0.16-0.93) and 40 years (AOR 0.30, 95% CI 0.10-0.87) and a low workload burden (AOR 0.35, 95% CI 0.23-0.52). Burnout was positively associated with a longer work experience of 3 to 5 years (AOR 5.27, 95% CI 1.44-20.93) and more than five years (AOR 4.24; 95% CI 1.16-16.79). Among the 190 participants who completed the PBPT, barriers to seeking psychological help shown to be significantly associated with burnout were a lack of motivation and time constraints (p<0.01). Conclusions: This study shows a high prevalence of burnout and identifies its associated factors among Singapore's allied health professionals. The findings revealed the urgency of addressing burnout in allied health professionals and the need for effective interventions to reduce burnout. Concurrently, proper consideration of the barriers to seeking help is warranted to improve allied health professionals' mental wellbeing.
Background: The posterior ledge (PL) is a vital structure that supports the implant posteriorly during orbital floor reconstruction. This study describes a technique for mapping the posterior ledge in relation to the infraorbital margin in patients with orbital floor blowout fractures. The relationship between the optic foramen and posterior ledge was established. Methods: Facial computed tomography (FCT) scans of 67 consecutive patients with isolated orbital floor blow-out fractures were analyzed using Osirix. Planes of Reference for Orbital Fractures (PROF), a standardized technique for performing measurements on FCT, was used. Viewed coronally, the orbit was divided into 7 equal sagittal slices (L1 laterally to L7 medially) with reference to the mid-orbital plane. The distances of PL from infra-orbital margin (IM), and location of optic foramen were determined. Results: The greatest distance to PL is found at slice L5 (Median:30.1mm, Range:13.5–37.1mm). The median and ranges for each slice are as follows: L1 (Median:0.0mm, Range:0.0–19.9mm), L2 (Median:0.0mm, Range:0.0–21.5mm), L3 (Median:15.8mm, Range:0.0–31.7mm), L4 (Median:26.1mm, Range:0.0–34.0mm), L5 (Median:30.1mm, Range:13.5–37.1mm), L6 (Median:29.0mm, Range:0.0–36.3mm), L7 (Median:20.8mm, Range:0.0–39.2mm). The median distance of the optic foramen from IM is 43.7mm (Range:37.0– 49.1mm) at slice L7. Conclusion: Distance to PL from IM increases medially until the slice L5 before decreasing. A reference map of the posterior ledge in relation to the infraorbital margin and optic foramen is generated. The optic foramen is located in close proximity to the posterior ledge at the medial orbital floor. This aids in pre-operative planning and intra-operative dissection.
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