The Prevalence of Burnout and Depression and Their Association With Adherence to Safety and Practice Standards

Oliveira, Gildàsio S. De; Chang, Ray; Fitzgerald, Paul C.; Almeida, Marcela; Castro-Alves, Lucas Santana; Ahmad, Shireen; McCarthy, Robert J.

doi:10.1097/sa.0b013e3182aa9198

Cited by 37 publications

(82 citation statements)

References 2 publications

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“…The prevalence of burnout and depression in anesthesiology residents has not been determined, and researchers have not concluded whether anesthesiology resident burnout/depression affects patient care and safety 16 . De Oliveira et al sought to fill this gap by determining the prevalence of burnout and depression in anesthesiology residents in the United States.…”

Section: Discussionmentioning

confidence: 99%

“…The syndrome results from the interaction between chronic stress at work and individual factors, and its symptoms and signs are grouped into three multidimensional factors: emotional exhaustion (EE), depersonalization (DE) or skepticism and reduced professional satisfaction (PS). BS differs from depression because it is workplace-specific, whereas depression extends to other nonprofessional contexts 16 .…”

Section: Introductionmentioning

confidence: 99%

“…EE results in low tolerance, a feeling of frustration and irritability. DE is a person's attempt to promote an affective distancing and indifference to work and others through the defensive use of ironic, cold and cynical attitudes 16 . Reduction in PS is a sense of dissatisfaction with common activities.…”

Section: Introductionmentioning

confidence: 99%

“…Studies have shown a high incidence of BS in health professionals [14][15][16] . BS also occurs in individuals whose activities are psychologically similar to work, such as students 17 .…”

Section: Introductionmentioning

confidence: 99%

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The prevalence of burnout syndrome in medical students

Almeida¹,

Souza²,

Almeida³

et al. 2016

Arch. Clin. Psychiatry (São Paulo)

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Background: Burnout syndrome (BS) is a set of psychological symptoms resulting from the interaction between chronic occupational stress and individual factors. These symptoms include emotional exhaustion, depersonalization and decreased professional satisfaction. BS is manifested in a variety of professions and is prevalent in contexts in which health professionals are required to interact directly with the public. Objective: To determine the prevalence of BS among medical students at a university in Ceará State, Brazil. Methods: Of the 517 students enrolled in their first to eighth semester in 2013, 376 (72.7%) were contacted. A socio-economic evaluation questionnaire and the Maslach Burnout Inventory -Human Services Survey (MBI-HSS) were administered. Statistical analysis was conducted using SPSS 20.0. Two groups -burnout/risk and non-burnout -were compared using the chi-square and likelihood ratio tests with a significance level of 5%. Variables with p < 0.20 were included in a multivariate analysis logistical regression model. Results: Burnout was detected in 14.9% of the students, and 57.7% showed a risk of developing the syndrome. Logistic regressions showed an association between burnout and "have failed examinations" and "have considered abandoning the course", p = 0.047 and p < 0.0001, respectively. Discussion: Psychopedagogy should be implemented to address the high prevalence of burnout in medical students.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Studies have shown a high incidence of BS in health professionals [14][15][16] . BS also occurs in individuals whose activities are psychologically similar to work, such as students 17 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The prevalence of burnout syndrome in medical students

Almeida¹,

Souza²,

Almeida³

et al. 2016

Arch. Clin. Psychiatry (São Paulo)

View full text Add to dashboard Cite

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“…In particular, while interventions addressing depressive symptoms may focus at the level of the individual (e.g., mindfulness), interventions for burnout should also involve organisational-level change, considering work-related changes such as work process restructuring, shift readjustments and performance appraisals (Awa et al, 2010, West andDawson, 2012). A small number of studies have investigated both burnout and depressive symptoms (de Oliveira Jr et al, 2013, Dyrbye et al, 2013, Fahrenkopf et al, 2008, GarrousteOrgeas et al, 2015, but none have proposed an explanatory model of how these variables contribute together to patient safety outcomes. Furthermore, each of these studies has been amongst doctors and no research has investigated these variables together in nursing staff.…”

Section: Contribution Of the Researchmentioning

confidence: 99%

Burnout mediates the association between depression and patient safety perceptions: a cross‐sectional study in hospital nurses

Johnson

Louch

Dunning

et al. 2017

Journal of Advanced Nursing

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Aims The aim of this study was to investigate the relationships between depressive symptoms, burnout and perceptions of patient safety. A mediation model was proposed whereby the association between symptoms of depression and patient safety perceptions was mediated by burnout. Background There is growing interest in the relationships between depressive symptoms and burnout in healthcare staff and the safety of patient care. Depressive symptoms are higher in healthcare staff than the general population and overlap conceptually with burnout. However, minimal research has investigated these variables in nurses. Given the conceptual overlap between depressive symptoms and burnout, there is also a need for an explanatory model outlining the relative contributions of these factors to patient safety. Design A cross‐sectional questionnaire was distributed at three acute NHS Trusts. Method Three‐hundred and twenty‐three hospital nursing staff completed measures of depressive symptoms, burnout and patient safety perceptions (including measures at the level of the individual and the work area/unit) between December 2015 ‐ February 2016. Results When tested in separate analyses, depressive symptoms and burnout facets were each associated with both patient safety measures. Furthermore, the proposed mediation model was supported, with associations between depressive symptoms and patient safety perceptions fully mediated by burnout. Conclusion These results suggest that symptoms of depression and burnout in hospital nurses may have implications for patient safety. However, interventions to improve patient safety may be best targeted at improving burnout in particular, with burnout interventions known to be most effective when focused at both the individual and the organisational level.

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“Necessary Compromises”: A Qualitative Exploration of the Influence of Burnout on Resident Education

Germann

Nelson

et al. 2020

AEM Education and Training

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Objective: Burnout is prevalent among resident physicians and has a negative impact on their well-being and effectiveness at work. How burnout shapes residents' educational experiences, attitudes, habits, and practices is not well understood. There is also a lack of research regarding self-identified mitigation strategies for residents. The authors qualitatively explored burnout's role in the educational experiences of resident physicians.Methods: Qualitative data were generated from a sample of 29 emergency medicine residents through four semistructured focus groups across four institutions in January and February 2019. The authors employed a constructivist approach to thematic analysis. Transcripts were coded and organized into major and minor themes.Results: Residents reported that a misalignment of their individual versus institutional priorities and a lack of agency were significant contributors to their burnout. Residents described how burnout affected multiple aspects of their education, including their motivation and curiosity to learn, engagement in scholarly activity, and teaching of others. Residents identified several ways of building a sense of community that they explained was most useful in mitigating their experiences with burnout. Conclusion:Burnout had a negative influence on many facets of residents' educational experiences during training. Program directors and educators can take resident-identified steps to moderate its detrimental role on trainee education.B urnout among resident physicians is prevalent 1,2 and has been attributed to high educational demands, long working hours, lack of autonomy, and a poor work-life balance. [3][4][5] Residents with burnout are less effective at work and have increased rates of substance abuse, alcohol consumption, and suicidality. 3,[6][7][8] The significance of burnout on resident education and training was reinforced by the Accreditation Council for Graduate Medical Education's (ACGME) release of new standards that require residency programs to monitor burnout and establish wellness initiatives. 9

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The Prevalence of Burnout and Depression and Their Association With Adherence to Safety and Practice Standards

Cited by 37 publications

References 2 publications

The prevalence of burnout syndrome in medical students

The prevalence of burnout syndrome in medical students

Burnout mediates the association between depression and patient safety perceptions: a cross‐sectional study in hospital nurses

“Necessary Compromises”: A Qualitative Exploration of the Influence of Burnout on Resident Education

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