Burnout, psychological morbidity, job stress, and job satisfaction in Chinese neurologists

Zhou, Xinyu; Pu, Juncai; Zhong, Xiaoni; Zhu, Dan; Yin, Dinghong; Yang, Lining; Zhang, Yuqing; Fu, Yuying; Wang, Haiyang; Xie, Peng

doi:10.1212/wnl.0000000000003883

Cited by 63 publications

(75 citation statements)

References 25 publications

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“…Through univariate analysis, we found that, compared to the group working in the dermatology group, those working in the surgeon sector suffered from occupational stress with the rate of 8.8 times higher (11.9% compared to 1.5%). This result similar to research in China in 2017 and India in 2018 (20,28). This is consistent with the reality at the hospital.…”

Section: The Relationship Between Stress Status According To Some Chasupporting

confidence: 92%

Occupational Stress Among Health Worker in a National Dermatology Hospital in Vietnam, 2018

Ngoc

Thanh

Thi³

et al. 2020

Front. Psychiatry

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A cross-sectional study was conducted among 171 doctors and nurses in a National Dermatology hospital using the Karasek's Job Content Questionnaire which has been validated in Vietnamese (JCQ-V), to assess the prevalence of occupational stress and to explore the association with some associated factors among them. The result showed that doctors and nurses with occupational stress accounted for 6.4%. This proportion was higher among nurse compared to doctor (8.0% vs. 2.2%); among those with diploma literacy compared to bachelor and above (10.6% and 2.3%). This rate was also higher in health workers under 30 years old (12.9%), health workers under 5 years at work (12.1%), working night shift from 3-4 nights (33.3%), temporary employment (12.8%), heavy workload occasionally (12.5%), and working hard occasionally (17.2%) compared to those in the comparison groups with p value <0,05. This prevalence concentrated in some departments such as surgery (11.9%), internal medicine (6.7%), dermatology, and others (1.5%). The study has not found the significant association between the prevalence of occupational stress and heavy workload and skill level. Therefore, it is essential for hospital should conduct screening all doctors, nurses, and medical staffs to identify subjects having occupational stress and give appropriate intervention.

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Section: The Relationship Between Stress Status According To Some Chasupporting

confidence: 92%

Occupational Stress Among Health Worker in a National Dermatology Hospital in Vietnam, 2018

Ngoc

Thanh

Thi³

et al. 2020

Front. Psychiatry

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“…The results of this study demonstrated a high prevalence of burnout syndrome in neurologists in Paraná, comparable with recent publications. Physicians in specialties at the front line of health care access, such as emergency medicine and general internal medicine, are at a greater risk of burnout syndrome, according to previous studies 3,18 . With the new categorization of stroke neurologists, who are responsible for the emergency care of stroke, particularly caring for hyperacute and acute strokes, which started mainly in the 2000s 19 , this could theoretically have led to a higher prevalence of burnout syndrome in this specific new setting.…”

Section: Discussionmentioning

confidence: 96%

Burnout syndrome: are stroke neurologists at a higher risk?

Zétola

Pavanelli

Pereira

et al. 2019

Arq. Neuro-Psiquiatr.

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Background: Burnout syndrome is a work-related psychological response, characterized by emotional exhaustion, depersonalization and low professional accomplishment. Objective: The study aimed to evaluate the prevalence of burnout syndrome in neurologists in the State of Paraná, Brazil, dividing them into stroke neurologists and non-stroke neurologists. Methods: We performed a crosssectional observational study, with a quantitative approach, based on the online Maslach Burnout Inventory - Human Services Survey questionnaire. Results: A total of 74 neurologists were evaluated, 44.6% of whom had burnout syndrome, predominantly among females and stroke neurologists. Both the stroke neurologist and non-stroke neurologist groups had medium degrees of emotional exhaustion and depersonalization; however, while stroke neurologists had high professional accomplishment, non-stroke neurologists had mean-to-low scores of professional accomplishment. There was a proportional relationship between age and emotional exhaustion. Female neurologists also reported lower professional accomplishment levels. Conclusion: Burnout is prevalent among the neurologists of Paraná, corroborating the results previously reported in other studies. There seems to be no significant difference between those neurologists who work in the emergency stroke care setting compared with those who don't.

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“…There is no doubt that it is essential to monitor these issues as they unfold and explore the relationship between doctors' career calling and burnout in depth. Doctors exhibit reduced enthusiasm for their work due to emotional exhaustion, a decline in professional meaningfulness, job satisfaction, and organizational identification [25]. When doctors are treated unfairly, their enthusiasm diminishes with in-role weakening and extrarole decreasing, [26] resulting a loss of psychological attachment to their organization [26].…”

Section: What Is the Relationship Between Career Calling Psychologicmentioning

confidence: 99%

A cross-sectional study of job burnout, psychological attachment, and the career calling of Chinese doctors

Zhang

Wang

Xie

et al. 2020

BMC Health Serv Res

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Background: The main objectives of this study were as follows: (1) evaluate the prevalence of burnout syndrome among doctors, (2) establish associations with demographic factors in China, and (3) examine the mediating role of psychological attachment in the relationship between job burnout and career calling. Methods: This cross-sectional survey was conducted by administering an online questionnaire in May 2016. The survey was performed across Thirty provinces. In total, A total of 3016 Chinese doctors were selected as participants, of which 2617 completed valid questionnaires (effective response rate: 86.77%). Results: The overall prevalence of burnout symptoms among Chinese doctors was 85.79%. Little variance was reported for burnout symptoms according to age (Waldχ 2 = 6.843, P < 0.05, OR < 1), professional title (Waldχ 2 = 13.110, P < 0.05, OR > 1), and daily working hours (Waldχ 2 = 7.226, P < 0.05, OR > 1). However, the burnout of Chinese doctors was found to be associated with psychological attachment (B = − 0.6433, P < 0.0001) and career calling (B = 0.3653, P < 0.0001); furthermore, psychological attachment (B = 0.2350, P < 0.001) mediated the relationship between job burnout and career calling. Conclusion: Burnout symptoms among Chinese doctors were prevalent and associated with age, professional title, and long working hours. Chinese doctors aged 20-30 experienced a much higher level of burnout symptoms. The longer hours doctors worked, the more likely they were at risk of burnout symptoms, especially among attending physicians. Doctors who endured high-level burnout tended to exhibit decreasing psychological attachment, which threatened their sense of career calling. Finally, this paper proposed related explanations for the function mechanisms based on both theoretical and practical perspectives.

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Burnout, psychological morbidity, job stress, and job satisfaction in Chinese neurologists

Abstract: Burnout and psychological morbidity are common in Chinese neurologists. Burnout is the single greatest predictor of neurologists' psychological morbidity, high job stress, and low job satisfaction.

Cited by 63 publications

References 25 publications

Occupational Stress Among Health Worker in a National Dermatology Hospital in Vietnam, 2018

Occupational Stress Among Health Worker in a National Dermatology Hospital in Vietnam, 2018

Burnout syndrome: are stroke neurologists at a higher risk?

A cross-sectional study of job burnout, psychological attachment, and the career calling of Chinese doctors

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