Burnout and its relationship with perceived stress, self-efficacy, depression, social support, and programmatic factors in general surgery residents

Smeds, Matthew R.; Janko, Matthew; Allen, Steven R.; Amankwah, Kwame S.; Arnell, Tracey D.; Ansari, Parswa; Balters, Marcus; Hess, Donald T.; Ferguson, Elizabeth; Jackson, Patrick G.; Kimbrough, Mary K.; Knight, David C.; Johnson, Melissa; Porter, Michael P.; Shames, Brian D.; Schroll, Rebecca; Shelton, Julia; Sussman, Jeffrey J.; Yoo, Peter S.

doi:10.1016/j.amjsurg.2019.07.004

Cited by 53 publications

(61 citation statements)

References 27 publications

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Section: Discussioncontrasting

confidence: 51%

“…In terms of psychological variables, our results show a negative association between burnout and various factors of emotional intelligence [49,56], self-efficacy [36], social support [46], communication skills [41], and self-esteem [33]. However, in the perceived stress scale, we found a positive relationship between high levels of burnout and factors associated with conflict, irritability, fatigue, overburden, fear, and anxiety [59].…”

Section: Discussionmentioning

confidence: 54%

“…In significantly mediated the relationship between job satisfaction and factors of emotional exhaustion and personal experiences of burnout. Smeds et al [36] indicated that the lowest level of burnout was associated with greater self-efficacy in healthcare professionals. Other variables, such as the standards related to patient care, have been found to be mediating variables in the appearance of burnout in workplaces with heavy workloads [37].…”

Section: Introductionmentioning

confidence: 99%

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Analysis of the Risk and Protective Roles of Work-Related and Individual Variables in Burnout Syndrome in Nurses

et al. 2019

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Aims: Burnout syndrome is a phenomenon that is becoming ever more widespread, especially in workers such as nurses who have heavy workloads and time pressures. The progression of burnout syndrome has been shown to be related to both individual and work-related variables. The objective of this study is to examine the risk and protective roles played by work-related and personal variables, both sociodemographic and psychological, in the development of burnout in nurses. Method: The sample was composed of 1236 nurses aged between 21 and 57 years, with a mean age of 31.50 years (SD = 6.18). Women accounted for 84.5% (n = 1044), and the remaining 15.5% (n = 192) were men. Exploratory tests were performed to understand the relationships between burnout and other variables, and a binary logistic regression was conducted to understand the roles of these variables in the incidence of this syndrome. Lastly, a regression tree was constructed. Results: The results show that the sociodemographic variables examined are not related to the level of burnout in nurses. However, certain work-related variables, such as spending more time with colleagues and patients and reporting good-quality relationships, exhibit a negative relationship with the occurrence of burnout. Of the psychological variables, the stress factors conflict-social acceptance and irritability-tension-fatigue, as well as informative communication, are shown to be risk factors for the appearance of burnout in nurses. In contrast, the communication skills factor, empathy, and energy-joy exert a protective function. Conclusion: Identifying the variables that influence the occurrence of burnout syndrome and understanding the manner in which they exert their influence are key elements in the development of effective prevention and intervention of burnout in nursing.

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Section: Discussioncontrasting

confidence: 51%

Section: Discussionmentioning

confidence: 54%

Section: Introductionmentioning

confidence: 99%

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Analysis of the Risk and Protective Roles of Work-Related and Individual Variables in Burnout Syndrome in Nurses

et al. 2019

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“…Response to burnout should focus on burnout prevention strategies and offering clinical, educational, and/or emotional support [ 25 ]. While “resiliency traits” have been proposed as a protective factor against burnout development, we believe that programs should not simply attempt to reduce burnout rates by selection of only residents who subjectively exhibit traits believed to be most protective against burnout (low anxiety, adequate social support, less debt) [ 26 ]. Such actions will inevitably create further marginalization of at-risk groups and does not address the true issue at hand; the healthcare system structure in which one trains.…”

Section: Discussionmentioning

confidence: 99%

Reported burnout among U.S. general surgery residents: A survey of the association of program directors in surgery members

Kinslow

Sutherland

McKenney

et al. 2020

Annals of Medicine and Surgery

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Introduction The literature remains unclear on the development, consequences, and interventions for burnout in resident populations. We aim to identify the prevalence and nuances of reported burnout in general surgery resident physicians to better understand which factors contribute the greatest risk. Methods A 42-question anonymous online survey was distributed by the Association of Program Directors in Surgery (APDS) to general surgery resident physicians. ANOVA, chi-square and multinomial regression analyses were performed with significance defined as p < 0.05. This survey was reported in line with the STOCSS criteria. Results 81 survey responses were received. Burnout was reported by 89.5% of university-hospital affiliated respondents and 95.2% of community teaching hospital affiliated respondents. After adjustment, community respondents showed a nearly fifteen times greater likelihood of burnout (aOR = 14.735, 95% CI: 0.791,274.482). Females were 2.7 times as likely as males to report burnout (aOR = 2.749, 95% CI: 0.189,39.960) and nearly twice as likely to report contemplating suicide (aOR = 1.819, 95% CI: 0.380,8.715). Burnout rates by hours worked/week revealed that 100% of those working ≥80 h/week report experiencing burnout. Conclusion Overall burnout rates reported by surgical residents respondents were high. Community teaching hospital setting, female gender, and increased number of hours worked per week may be associated with higher rates of burnout. Both female and community-affiliated residents were at increased risk of reporting suicidal ideation. Targeted interventions are needed to adequately address program-specific causes for resident burnout and reduce its prevalence in high-risk cohorts.

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“… Helbig and Backhaus (2017) conducted a path analysis of stress events and found that the controllable assessment of stress events did not mediate the selection of stress event assessment and coping strategies. Smeds et al (2019) found that ability perception and social support can simultaneously predict cognitive assessment and coping strategies in stressful situations of general learning situations. Among them, emotional support in social support judges cognitive assessment and coping in the process of personal stress.…”

Section: Introductionmentioning

confidence: 98%

The Influence of Social Support and Ability Perception on Coping Strategies for Competitive Stress in Soccer Players: The Mediating Role of Cognitive Assessment

Zhao

Liu

et al. 2021

Front. Psychol.

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Objectives: To explore the effect of social support and ability perception on stress coping strategies for competitive stress, and to reveal the mediating effects of primary and secondary evaluation, so as to further improve the theoretical model of stress coping in soccer players.Methods: A total of 331 male athletes from 22 teams in the Chengdu Middle School Campus Football League were taken as survey samples, and surveys were conducted on their stress experience, social support, ability perception, cognitive assessment, and coping strategies for competition stress. SPSS 21.0 and AMOS 21.0 statistical analysis software were used. Descriptive statistics, correlation analysis, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA) were used to process the obtained data.Results: (1) Positive primary assessment acted as a full mediator in the relationship between social support and secondary assessments, and negative primary assessment acted as a partial mediator in the relationship between competence perception and secondary assessments; (2) Secondary assessment played a partial mediating role between positive primary assessment and positive coping strategies, and a full mediating role between negative primary assessment and positive coping strategies; (3) Secondary assessments played the mediator neither between social support and a coping strategy for stress nor competence perception and a coping strategy for stress; (4) Positive primary assessment, positive negative assessment, and secondary assessment all had significant positive benefits for positive coping. Still, the impact of positive primary assessment on positive coping was significantly better than negative primary assessment and secondary assessment.Conclusion: The coping strategy for the competitive stress model proposed by this study has a very good fit for the causal model. It can be used to explain the observed data from soccer players in middle schools. The primary and secondary assessments play different roles in the model. The combination of problem focuses and emotional focus on the positive stress coping strategy is suitable in the field of competitive sports. Still, the relevant research results need to be further explored and verified in the future.

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Burnout and its relationship with perceived stress, self-efficacy, depression, social support, and programmatic factors in general surgery residents

Cited by 53 publications

References 27 publications

Analysis of the Risk and Protective Roles of Work-Related and Individual Variables in Burnout Syndrome in Nurses

Analysis of the Risk and Protective Roles of Work-Related and Individual Variables in Burnout Syndrome in Nurses

Reported burnout among U.S. general surgery residents: A survey of the association of program directors in surgery members

The Influence of Social Support and Ability Perception on Coping Strategies for Competitive Stress in Soccer Players: The Mediating Role of Cognitive Assessment

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