Measurement Of Burnout: A Review

Schaufeli, Wilmar B.; Enzmann, Dirk; Girault, Nöelle

doi:10.4324/9781315227979-16

Cited by 116 publications

(105 citation statements)

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“…In line with previous studies showing diminished effects of burnout on health outcomes when controlling for depressive symptomatology (43, 52), we found that the introduction of depression attenuated the association between EE and RMSSD. This is not surprising, given the large symptom overlap between burnout, and particularly the EE dimension, with depression, both cross-sectionally (26, 53) and longitudinally (54). However, employing the approach described by de Jonge et al (40), our results suggest that the depressive somatic factor, and not the core criteria of depression (namely depressive mood and lack of interest), was primarily responsible for reducing the associations between EE and RMSSD.…”

Section: Discussionmentioning

confidence: 95%

Autonomic dysregulation in burnout and depression: evidence for the central role of exhaustion

Kanthak

Stalder²,

Hill³

et al. 2017

Scand J Work Environ Health

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Objectives Given the important role of the autonomic nervous system (ANS) in stress regulation, astonishingly little is known about ANS functioning in burnout, a condition arising after prolonged exposure to work-related stress. The current study sought to investigate ANS modulation, as indexed by vagally-mediated heart rate variability (HRV), in relation to burnout symptomatology to (i) distinguish associations between the three dimensions of burnout [emotional exhaustion (EE), cynicism, reduced personal accomplishment] and (ii) investigate overlap in associations with depressive symptomatology. Methods Assessments of vagally-mediated HRV (ie, root mean square of successive differences, RMSSD) were conducted in a large population-based sample from the Dresden Burnout Study [N=410, mean age 42.2, standard deviation (SD) 11.2 years; 33.4% male]. Vagally-mediated HRV was assessed for 90 seconds during an emotionally-arousing situation (venipuncture, recumbent), a 335-second recumbent recovery period, and a 335-second seated resting condition. Results Results from multiple linear regression analyses revealed that EE was negatively related to RMSSD during venipuncture (β= −0.11, P=0.03) and the seated rest (β= −0.09, P=0.04) even after accounting for established ANS modulators (eg, age, body mass index). This pattern was not observed for the other dimensions of burnout. Exploratory analyses of depressive symptomatology further revealed that RMSSD was significantly and inversely associated with burnout-related symptoms but not with the core criteria of depression (eg, depressed mood). Conclusions This study presents evidence for a link between exhaustion and reduced vagal function, both in burnout and depression, suggesting that ANS modulations may not be disorder-specific but rather a psychophysiological correlate of an underlying feature shared by both conditions.

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Section: Discussionmentioning

confidence: 95%

Autonomic dysregulation in burnout and depression: evidence for the central role of exhaustion

Kanthak

Stalder²,

Hill³

et al. 2017

Scand J Work Environ Health

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show abstract

“…Within the organizational context, there are six factors that have been identified as antecedents that contribute to the development of burnout: workload, lack of control, lack of reward, lack of community, lack of fairness, and incongruence of values between the employee and the workplace [40]. Beyond the impact on the PHN-client relationship, burnout also contributes to negative work-related responses ranging from job dissatisfaction and decreased commitment to staff turnover [41,42]. Although burnout was described, it was not identified as a reason for any PHN leaving the program.…”

Section: Discussionmentioning

confidence: 99%

Long-term home visiting with vulnerable young mothers: an interpretive description of the impact on public health nurses

et al. 2015

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BackgroundThe Nurse-Family Partnership (NFP) is a targeted, nurse home visitation program for young, low-income, first-time mothers. While the effectiveness of the NFP has been established in the United States, and is currently being evaluated in the Canadian public health care system, we have minimal understanding of how work of this nature impacts public health nurses (PHNs), an essential component of this program delivery model, on both professional and personal levels.MethodsThis two-phase study consisted of a qualitative secondary analysis of data from five focus groups conducted with PHNs (N = 6) who delivered the NFP intervention as part of a pilot study assessing feasibility and acceptability conducted in Hamilton, Ontario. The second phase, an interpretive description of individual interviews with the PHNs (N = 10) who have delivered the NFP in this context, further explored themes identified in the first phase. A practice, problem and needs analysis was conducted to describe and understand the phenomenon and promote sustainability of PHNs in this practice environment. Conventional content analysis was used to code and categorize data in the two datasets.ResultsThe nurse-client relationship, the core elements and structure of the NFP program and support of NFP colleagues were described as rewarding factors, while workload and workplace factors were identified as significant contributors to stress. PHNs described transforming their nursing practice through redefining success and shifting to a philosophy where the client is the expert of her own life. PHNs described the personal impact of worry about clients and doubt about their effectiveness in addressing client concerns. High levels of satisfaction were described in relation to the depth and intensity of relationships with clients and seeing them succeed over time.ConclusionsPHNs are impacted in multiple ways by their work with vulnerable, young mothers. The study findings have implications for identification of strategies to support PHNs in reducing staff turnover, PHN burnout, secondary traumatic stress and compassion fatigue, and improving program delivery.

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“…Scholars state that organizational factors in the work context may be a cause of chronic stress that leads to job burnout [1, 10]. If work environment is unable to meet individuals’ needs, this can reduce their energy and enthusiasm, thus leading to negative consequences such as high absenteeism, poor job performance, mental diseases, anxiety, and job-related injuries [ e.g .…”

Section: Introductionmentioning

confidence: 99%

Working and Environmental Factors on Job Burnout: A Cross-sectional Study Among Nurses

Galletta

Ciuffi

Sancassiani

et al. 2016

CPEMH

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Background:Burnout is a problem that impacts on the staff management costs and on the patient care quality.Objective:This work aimed to investigate some psychosocial factors related to burnout. Specifically, we explored the sample characteristics for moderate/high emotional exhaustion, cynicism and professional inefficacy, as well as the relationship between both working and environmental variables and burnout.Method:A cross-sectional study involving 307 nurses from one Italian hospital was carried out. A self-reported questionnaire was used to collect data. Data analysis was performed by using SPSS 19.0.Results:The results showed that there was a significant difference between nurses with low and moderate/high burnout in all the three components in almost all the examined organizational variables. In addition, we found that the aspects of working life had a significant impact on the three dimensions of burnout.Conclusions: The findings of this study not only can provide useful basis for future research in the field, but also can offer practical suggestions for improving nursing practice and promote effective workplace, thus reducing the risk burnout among nurses.

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Measurement Of Burnout: A Review

Cited by 116 publications

References 0 publications

Autonomic dysregulation in burnout and depression: evidence for the central role of exhaustion

Autonomic dysregulation in burnout and depression: evidence for the central role of exhaustion

Long-term home visiting with vulnerable young mothers: an interpretive description of the impact on public health nurses

Working and Environmental Factors on Job Burnout: A Cross-sectional Study Among Nurses

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