Assessment of Burnout: A Pilot Study of International Women Physicians

Haffizulla, Farzanna; Newman, Connie B.; Kaushal, Sakshi; Williams, Caitlin A.; Haffizulla, Anisa; Hardigan, Patrick C.; Templeton, Kim

doi:10.7812/tpp/20.028

Cited by 6 publications

(4 citation statements)

References 30 publications

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“…A very small percentage of HCPs presented high/severe burnout in all three subscales, results that do not match other studies indicating a BS prevalence of up to 55% among HCPs during the COVID-19 pandemic 18 . However, the low rate of Clientrelated Burnout matches other international studies using the CBI 33 . It also seems that being a physician, years of work, and working in the public sector, result in higher levels of Burnout, contrasting with studies arguing that BS is correlated with gender and marital status 7 but agreeing with the results of Αfonso et al 7 who found that workplace rather than personal factors weighs more heavily in the occurrence of BS.…”

Section: Discussionsupporting

confidence: 82%

Change in smoking behavior and burnout syndrome among healthcare workers during the COVID-19 pandemic

Papakala,

Zarogiannis,

Hatzoglou

2023

Pneumon

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management of patients' smoking habit as it may limit HCPs' ability to intervene with their patients 2 .In recent years, HCPs are also faced with another phenomenon, Burnout Syndrome (BS). BS was first described in 1974 by Herbert Freudenberger as the response to longterm stress due to adverse conditions at work 4 . Today, BS is included in the 11th Revision of the International Classification of Diseases (ICD-11) as an occupational phenomenon (not a disease) and a syndrome resulting from chronic stress created in the workplace, which is not adequately treated 5 . BS is more common in physicians than ABSTRACT INTRODUCTIONThe smoking behavior of healthcare professionals (HCPs) probably affects their interventions to their patients. The present study assessed the change in HCPs' conventional cigarette smoking behavior during the COVID-19 pandemic and the presence of Burnout Syndrome (BS). METHODS A descriptive, cross-sectional study was carried out in Greece during the spring of 2022, based on a sample of 278 HCPs, through an electronic questionnaire which was promoted to HCPs profiles in social media via snowball sampling and also to the members of the city of Kozani's Medical Association via email. Questions related to smoking habit were combined with the Fagerström test for nicotine dependence (FTND) scale and the Copenhagen Burnout Inventory (CBI). Burnout was regressed against smoking characteristics and nicotine dependence. RESULTS Overall, 278 HCPs participated. Almost three-quarters (71.6%) were women, the average age of all participants was 42 years, 48.6% were PhD/MSc holders, 53.6% were physicians, and 80.2% believed that smokers would manifest a severe form of COVID-19. The study revealed a significant decrease in smokers in the current period (60.1% to 43.2%, p<0.001) and low degree of dependence. Moderate/low levels of BS, with Personal Burnout having higher mean levels (p<0.001), were found. Personal Burnout was associated with being a physician (β=5.62, p=0.038), financial difficulties (β=4.87, p=0.015) and the public sector (β= -7.24, p=0.005). Work-related Burnout was associated with younger ages (β= -0.45, p=0.039), more years of work (β=2.56, p=0.050) and the public sector (β= -6.20, p=0.011). There was a significantly smaller reduction in smokers among those experiencing high/ severe Work-related Burnout. CONCLUSIONS A significant reduction in the smoking habit of HCPs was found. Reduction was significantly smaller among those experiencing high/ severe Work-related Burnout. Current smoking habit and nicotine dependence did not have a significant correlation with any of the three forms of burnout, while being a physician, years of work, and working in the public sector were associated with higher Personal or Work-related Burnout.

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Section: Discussionsupporting

confidence: 82%

Change in smoking behavior and burnout syndrome among healthcare workers during the COVID-19 pandemic

Papakala,

Zarogiannis,

Hatzoglou

2023

Pneumon

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“…Some of these factors include women physician wellness, resiliency, and risks of burnout. [11][12][13] However, despite these efforts, significant gender disparity in academic EM persists. There also remains a gap in our understanding of the specific drivers of gender disparity in academic EM.…”

Section: Introductionmentioning

confidence: 99%

Gender-based Barriers in the Advancement of Women Leaders in Emergency Medicine: A Multi-institutional Qualitative Study

Graham

Ferrel

Wells

et al. 2021

WestJEM

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Introduction: Leadership positions occupied by women within academic emergency medicine have remained stagnant despite increasing numbers of women with faculty appointments. We distributed a multi-institutional survey to women faculty and residents to evaluate categorical characteristics contributing to success and differences between the two groups. Methods: An institutional review board-approved electronic survey was distributed to women faculty and residents at eight institutions and were completed anonymously. We created survey questions to assess multiple categories: determination; resiliency; career support and obstacles; career aspiration; and gender discrimination. Most questions used a Likert five-point scale. Responses for each question and category were averaged and deemed significant if the average was greater than or equal to 4 in the affirmative, or less than or equal to 2 in the negative. We calculated proportions for binary questions. Results: The overall response rate was 55.23% (95/172). The faculty response rate was 54.1% (59/109) and residents’ response rate was 57.1% (36/63). Significant levels of resiliency were reported, with a mean score of 4.02. Childbearing and rearing were not significant barriers overall but were more commonly reported as barriers for faculty over residents (P <0.001). Obstacles reported included a lack of confidence during work-related negotiations and insufficient research experience. Notably, 68.4% (65/95) of respondents experienced gender discrimination and 9.5% (9/95) reported at least one encounter of sexual assault by a colleague or supervisor during their career. Conclusion: Targeted interventions to promote female leadership in academic emergency medicine include coaching on negotiation skills, improved resources and mentorship to support research, and enforcement of safe work environments. Female emergency physician resiliency is high and not a barrier to career advancement.

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“…We did not explore possible protective factors against psychological distress and burnout which may have led to an overestimation of distress in our study [42]. This study also did not account for other factors that have been shown to contribute to affect wellbeing among females such as wage disparities, gender bias and discrimination, poor social and organizational support, and microaggressions and harassment [43][44][45]. Future studies should also incorporate negative interactions with patients as possible stress-related factors.…”

Section: Limitationsmentioning

confidence: 99%

Factors associated with psychological distress in emergency medicine residents: findings from a single-center study

2024

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Emergency medicine (EM) residents face significant levels of psychological stress from work and non-work-related factors which can impact their well-being. The objective of this study was to determine the factors that may worsen or mitigate the prevalence of psychological distress among EM residents in a university-based tertiary medical center. Over a 3-month period, after an EM block, residents completed a survey on their demographics, work-related factors, and the Kessler-10 psychological distress scale. Fisher’s exact and Pearson correlation coefficient were used to determine statistical significance. Significant variables were then analyzed using ordinal and multiple linear regression to determine predictor variables. The study enrolled 38 participants, with an average age of 27 ± 1.5 years and a male preponderance. 44.74% had varying degrees of psychological distress, with females more likely experiencing severe distress. Participants who reported curtailing their daily activities more frequently were found to have a 1.58 times higher likelihood of severe psychological distress. Participants remaining after end-of-shift to complete tasks and those experiencing more negative interactions with colleagues had significantly higher levels of distress. We found a high prevalence of varying degrees of psychological distress among emergency medicine residents with almost one fifth in our study population having a high likelihood of severe distress. Female gender and work-related problems that lead to a reduction in normal daily activities seem to correlate with the severity of psychological distress in EM residents. However, future research would need to account for a wider range of institutional, social and societal factors that may contribute to residents’ likelihood of psychological distress. Nonetheless, it is essential for residents, mentors of residents, and residency program directors and personnel to understand reasons behind these factors, i.e., negative interactions with colleagues and increased workload and to strategize early identification and mitigation techniques to promote resident wellness.

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Assessment of Burnout: A Pilot Study of International Women Physicians

Cited by 6 publications

References 30 publications

Change in smoking behavior and burnout syndrome among healthcare workers during the COVID-19 pandemic

Change in smoking behavior and burnout syndrome among healthcare workers during the COVID-19 pandemic

Gender-based Barriers in the Advancement of Women Leaders in Emergency Medicine: A Multi-institutional Qualitative Study

Factors associated with psychological distress in emergency medicine residents: findings from a single-center study

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