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Stratton KJ, Finta MK, Scicluna V, Uttal S, Perlman RL. Reducing Barriers to Well-Being and Promoting Mental Health Resources Through a Pilot Opt-Out Check-In Program for Medical Residents. Health Promot Pract 2025:15248399251337027. [PMID: 40383974 DOI: 10.1177/15248399251337027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/20/2025]
Abstract
Physicians-in-training experience high rates of mental health, burnout, and well-being concerns, yet face many barriers to accessing care. Burnout is associated with poor self-rated health, sleep disturbances, and other health risks. Unfortunately, residents often face barriers to participating in health-promoting activities due to lack of time, perceived stigma, confidentiality concerns, and low awareness of available services. To improve access to health resources, and specifically mental health support, we developed a pilot opt-out well-being check-in program, offered via videoconferencing, at a large academic medical center. Internal medicine and neurology residents (N = 93) were protected from clinical duties to meet individually with a psychologist. The 45-minute session consisted of a brief assessment, identification of stressors, discussion of well-being goals, and referral to further services as indicated. The study goals were to establish the feasibility of implementing a program-wide intervention, assess resident satisfaction with the intervention, and reduce barriers to mental health and well-being resources. The study authors developed a brief post-session satisfaction survey. Analysis included participation rates and responses to satisfaction survey questions. 64.5% of residents attended the check-in session. Among the 57% who responded to a post-intervention survey, over 90% agreed that the session was valuable, convenient, and recommended program continuation. This health promotion program successfully offered tailored mental health and well-being support within demanding residency training structures. Opt-out programs that minimize barriers to participation are a valuable part of multifaceted workplace well-being initiatives.
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Affiliation(s)
- Kelcey J Stratton
- University of Michigan, Ann Arbor, MI, USA
- University of Michigan Medical School, Ann Arbor, MI, USA
| | - Mary K Finta
- Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, MN, USA
| | - Victoria Scicluna
- Sentara Pulmonary, Critical Care & Sleep Specialists, Norfolk, VA, USA
| | - Sarah Uttal
- University of Michigan Health, Ann Arbor, MI, USA
| | - Rachel L Perlman
- University of Michigan Medical School, Ann Arbor, MI, USA
- University of Michigan Health, Ann Arbor, MI, USA
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Zhuang H, Zhao H, Liu M, Wang Y, Wang Y, He C, Zhai J, Wang B. Depression, anxiety, stress symptoms among overweight and obesity in medical students, with mediating effects of academic burnout and internet addiction. Sci Rep 2025; 15:16566. [PMID: 40360662 PMCID: PMC12075502 DOI: 10.1038/s41598-025-01793-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2024] [Accepted: 05/08/2025] [Indexed: 05/15/2025] Open
Abstract
This study aimed to explore the mediating effects of academic burnout and internet addiction on the associations between BMI (normal weight and overweight/obesity) and depressive, anxiety, and stress symptoms among medical students. This study included 610 medical students aged 18-24 years in 2023. Regression analysis was used to explore the mediating effects of academic burnout and internet addiction on the associations between BMI and depressive/anxiety/stress symptoms. The bootstrap method was used to examine the statistical significance of the mediating effects. According to the mediation model incorporated academic burnout and internet addiction as mediators of overweight/obese status and depressive/anxiety/stress symptoms, the direct effects of overweight/obesity on symptoms of depression (b = 0.452, p < 0.001), anxiety (b = 0.449, p < 0.001), and stress (b = 0.466, p < 0.001) among medical students were statistically significant. Our results showed that overweight/obesity medical students were directly related to academic burnout and internet addiction, and to the further development of depression/anxiety/stress symptoms. Medical students with overweight/obesiety statusmight be at high risk for depressive/anxiety/stress symptoms. It is possible to relieve these symptoms by preventing academic burnout and providing early intervention for internet addiction. The risk of depression/anxiety/stress resulting from overweight/obesity status in medical students should be reduced.
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Affiliation(s)
- Huiying Zhuang
- Institute of Information on Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, No. 16 South Street, Dongzhimen, Beijing, 100700, P. R. China
- Inner Mongolia Minzu University, Tongliao, Inner Mongolia, P.R. China
| | - Honglin Zhao
- Inner Mongolia Minzu University, Tongliao, Inner Mongolia, P.R. China
| | - Mingjing Liu
- Inner Mongolia Minzu University, Tongliao, Inner Mongolia, P.R. China
| | - Ye Wang
- Inner Mongolia Minzu University, Tongliao, Inner Mongolia, P.R. China
| | - Yan Wang
- Inner Mongolia Minzu University, Tongliao, Inner Mongolia, P.R. China
| | - Chang He
- Institute of Information on Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, No. 16 South Street, Dongzhimen, Beijing, 100700, P. R. China
| | - Jingbo Zhai
- Inner Mongolia Minzu University, Tongliao, Inner Mongolia, P.R. China.
- Key Laboratory of Zoonose Prevention and Control at Universities of Inner Mongolia Autonomous Region, No. 1472 Holin He Street, Tongliao, 028000, Inner Mongolia, P.R. China.
| | - Bin Wang
- Institute of Information on Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, No. 16 South Street, Dongzhimen, Beijing, 100700, P. R. China.
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McLellan N, Lie JJ, Geller J, Stuart H. Disordered eating behaviours, self-compassion, and psychological distress in Canadian general surgery residents. Am J Surg 2025; 243:116295. [PMID: 40112480 DOI: 10.1016/j.amjsurg.2025.116295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2024] [Revised: 02/10/2025] [Accepted: 03/10/2025] [Indexed: 03/22/2025]
Abstract
BACKGROUND Surgical residents experience higher levels of negative stress and helplessness compared to the general population. Studies have linked stress to negative eating habits. Despite the high stress and burnout among surgical residents, studies on their disordered eating behaviors remain limited. Understanding the factors contributing to these findings will help optimize mental health during residency training. METHODS This study is a mixed-methods cross-sectional survey of all general surgery residents in Canada. The survey assessed disordered eating, quality of life, and self-compassion using the Eating Attitudes Test (EAT-26), Kessler Psychological Distress Scale (KPDS), and Self-Compassion short-form scale (SCSF). A qualitative component examined factors influencing eating habits in residency. Logistic regression was performed to identify factors associated with at-risk disordered eating behaviors. RESULTS Out of 450 surgical residents, 128 residents completed the survey (28 %). Respondents were 23 % male and split evenly across all postgraduate levels. There were 68 % of respondents who identified as having psychological distress and 34 % exhibited high risk behaviors for disordered eating. High levels of psychological distress (OR 3.29; 95 % CI [1.39-7.76]) and elevated BMI (OR 3.99; 95 % CI [1.63-9.77]) were significantly associated with exhibiting at-risk disordered eating behaviors Positive factors influencing eating were having a partner at home and having non-residency related extracurriculars. Negative factors were overnight call shift frequency, call shift length, and volume of pages. CONCLUSION This is the first nationwide survey examining eating behaviors among general surgery residents. This population was found to have elevated rates of high-risk behavior for disordered eating.
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Affiliation(s)
- Nicole McLellan
- Department of Surgery, Vancouver General Hospital, University of British Columbia, 2775 Laurel St, Vancouver, British Columbia, V5Z1M9, Canada.
| | - Jessica J Lie
- Department of Surgery, Vancouver General Hospital, University of British Columbia, 2775 Laurel St, Vancouver, British Columbia, V5Z1M9, Canada; Department of Surgical Oncology, MD Anderson Cancer Center, University of Texas, 1515 Holcombe Blvd, Houston, TX, 77030, USA
| | - Josie Geller
- Department of Psychiatry, University of British Columbia, 2255 Wesbrook Mall, Vancouver, BC, V6T 2A1, Canada; Saint Paul's Hospital Eating Disorders Program, 1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada
| | - Heather Stuart
- Department of Surgery, Vancouver General Hospital, University of British Columbia, 2775 Laurel St, Vancouver, British Columbia, V5Z1M9, Canada
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Wang W, Wang M, Pan H, Jian W, Chen L, Zheng Y. Health risky behaviors among rural-to-urban migrant workers in China: prevalence, patterns, and association with distal and proximal factors. Front Public Health 2025; 13:1459661. [PMID: 40061463 PMCID: PMC11885242 DOI: 10.3389/fpubh.2025.1459661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2024] [Accepted: 02/10/2025] [Indexed: 05/13/2025] Open
Abstract
Background Health Risky Behaviors (HRBs) pose a significant public health challenge, particularly among migrant workers in China who face unfavorable living and working conditions. This study aimed to investigate the prevalence and characteristics of HRBs in rural-to-urban migrant workers, as well as explore factors associated with HRBs from both distal and proximal perspectives. Methods A cross-sectional survey involving 2,065 rural-to-urban migrant workers was conducted. Participants completed a structured questionnaire assessing HRBs, distal factors (school dropout, peer victimization, physical neglect/abuse, emotional neglect/abuse) and proximal factors (work burnout, parent-child conflict, adulthood poverty, divorce intention, core self-evaluation). Logistic regression analysis was utilized to identify predictors of HRBs, leading to the development and validation of a prediction model (nomograms) for HRBs among migrant workers. The model's performance was assessed using metrics such as the area under the curve (AUC), calibration curve, receiver operating characteristic (ROC) curve, and decision curve analysis (DCA). Results Significant predictors of HRBs included gender, school dropout, peer victimization, abuse/neglect experiences, work burnout, parent-child conflict, adulthood poverty, divorce intention, and core self-evaluation. The developed nomogram showed promising predictive accuracy with an AUC of 0.77 for the training set and 0.76 for the validation set. The calibration curve demonstrated good alignment with the diagonal, and the DCA illustrated the model's utility across different threshold ranges. Conclusion This study highlighted a high prevalence of HRBs among migrant workers in China, and the predictive tool developed can be instrumental in informing targeted interventions and policies to address and manage HRBs effectively among this population.
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Affiliation(s)
- Weikai Wang
- Department of Psychiatry, Huzhou Third Municipal Hospital, The Affiliated Hospital of Huzhou University, Huzhou, Zhejiang, China
| | - Mengting Wang
- School of Mental Health, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Hong Pan
- School of Mental Health, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Wenqian Jian
- School of Mental Health, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Li Chen
- School of Mental Health, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Yawen Zheng
- Lishui Second People's Hospital, Wenzhou Medical University, Lishui, Zhejiang, China
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Yusof ANM, Razali HYH. Moving Away from the Blame Culture: The Way Forward to Manage Medical Errors. Malays J Med Sci 2024; 31:126-132. [PMID: 39830101 PMCID: PMC11740813 DOI: 10.21315/mjms2024.31.6.10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2024] [Accepted: 06/27/2024] [Indexed: 01/22/2025] Open
Abstract
When a medical error occurs, the instinct to blame healthcare professionals may seems like a way to ensure they learn from their mistakes. However, in today's healthcare landscape, the blame culture, coupled with the fear of litigation, proves detrimental to improving patient care. This culture fosters a reluctance among healthcare professionals to openly disclose mistakes, depriving them of valuable learning opportunities. These professionals, often referred to as second victims, deserve as much attention and support as the patients who are affected by the errors. Given that medical errors are inevitable, it becomes imperative to effectively manage the aftermath to ensure all parties involved are adequately supported and shielded from adverse consequences. This article delves into the ethical complexities of medical errors, advocating for a shift from a blame-centric culture to one that prioritises support for second victims. The aim of this article is to underscore the crucial importance of addressing medical errors within the healthcare sector by fostering an environment that promotes learning and growth post-error.
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Affiliation(s)
- Aimi Nadia Mohd Yusof
- Department of Medical Ethics and Law, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Sungai Buloh, Selangor, Malaysia
| | - Hazdalila Yais Haji Razali
- Department of Medical Ethics and Law, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Sungai Buloh, Selangor, Malaysia
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Hogans BB. Principles of Pain Management. Continuum (Minneap Minn) 2024; 30:1318-1343. [PMID: 39445923 DOI: 10.1212/con.0000000000001476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2024]
Abstract
OBJECTIVE This article introduces the general principles of assessing, diagnosing, and managing pain relevant to neurologic practice. LATEST DEVELOPMENTS Scientific understanding of and clinical practices related to pain and pain management are advancing. The field is remarkable for the diversity of health professions engaged in this effort, including physicians, scientists, psychologists, pharmacists, and many others. Pain classification is transforming with pending changes to the International Classification of Diseases diagnostic coding system, and pain assessment has moved toward consistent application of the biopsychosocial model. The diagnosis of pain has continued to become more sophisticated with the development of additional testing modalities, clearer classification systems, and diagnostic criteria. Pain management requires both pharmacologic and nonpharmacologic elements; systematic review evidence for both of these and interventional and surgical management are increasingly available. The context of treatment remains important given the impact of social determinants of health and limitations of access to diagnostic and treatment resources. Due to global and interprofessional collaborations as well as new research funding, the outlook is positive. ESSENTIAL POINTS Pain is a protean experience for humans; functional MRI (fMRI) and other research modalities show that pain perception is highly multifocal, and modulation occurs at many nervous system levels. Neurologists bring special skills to pain evaluation and management, are well equipped to appreciate both the focal and diffuse nature of pain, and can envision how pain attenuates sleep, cognitive function, mobility, motivation, and social connection. By operationalizing expert knowledge of the nervous system, implementing relevant therapies, and collaborating with diverse health professions to manage pain, neurologists can succeed at and find meaning in optimizing patient outcomes.
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Miley M, Mantzios M, Egan H, Connabeer K. Exploring the moderating role of health-promoting behaviours and self-compassion on the relationship between clinical decision-making and nurses' well-being. J Res Nurs 2024:17449871241270822. [PMID: 39544447 PMCID: PMC11559758 DOI: 10.1177/17449871241270822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2024] Open
Abstract
Background Clinical decision-making is an essential part of the nursing role and has implications for both patient care and nurses' well-being. Aim This study aimed to explore the relationship between nurses' perceptions of clinical decision-making ability and moral distress across a nursing population, and the potential link to self-compassion and health-promoting behaviours. Methods A self-report questionnaire was distributed to a sample of nurses (N = 152) from April to September 2022. The survey explored nurses' perceptions of clinical decision-making ability, moral distress, physical activity, grazing, stress-eating, burnout and self-compassion. Results Perceived clinical decision-making ability was associated with moral distress experience, and both self-compassion and grazing moderated this relationship, independently. Conclusion Findings highlight the link between nurses' perceptions of clinical decision-making ability and moral distress experience. Both eating behaviours and self-compassion influence the relationship between these two factors and identify potential areas that may support (and hinder) nurses' well-being through clinical decision-making. These findings reinforce the importance of healthy eating habits and being self-compassionate to prevent moral distress arising as a result of clinical decision-making.
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Affiliation(s)
- Molly Miley
- PhD student, Department of Psychology, Birmingham City University, UK
| | - Michail Mantzios
- Professor of Applied and Experimental Psychology, Department of Psychology, Birmingham City University, UK
| | - Helen Egan
- Professor of Health Psychology, Department of Psychology, Birmingham City University, UK
| | - Kathrina Connabeer
- Senior Lecturer in Psychology, Department of Psychology, Birmingham City University, UK
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Medina-Martínez J, Aliño M, Vázquez-Martínez A, Villanueva-Blasco VJ, Cano-López I. Risk and Protective Factors Associated with Drug Use in Healthcare Professionals: A Systematic Review. J Psychoactive Drugs 2024; 56:397-411. [PMID: 37341709 DOI: 10.1080/02791072.2023.2227173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 06/01/2023] [Indexed: 06/22/2023]
Abstract
Healthcare professionals are exposed to stressful situations that may favor substance use vulnerability. This systematic review aims to synthesize the risk and protective factors associated with use, abuse, and dependence of alcohol, tobacco, psychoactive drugs, and cannabis in healthcare professionals. Following PRISMA recommendations, a systematic search was performed in PsycINFO, Web of Science, PubMed/MEDLINE, Embase, Scopus, and Cochrane Library. The search yielded 1523 studies, of which 19 were selected. The identified risk factors were demographic factors (i.e. male gender, and single/divorced marital status), psychopathological factors, social factors, positive attitudes toward drugs, unhealthy lifestyle habits, the COVID-19 pandemic, and the coexistence of the use of several substances. The protective factors were demographic factors (i.e. ethnicity and having dependent children), healthy lifestyle habits, and workplace anti-drug policies (i.e. restriction of tobacco use). These findings highlight the need for preventive actions against drug use in healthcare professionals to improve their health and reduce the possible negative impact on their healthcare practice. Knowledge of modifiable risk and protective factors allows their incorporation as components in preventive actions, and non-modifiable factors (e.g. demographic variables) may contribute to the detection of groups of greater vulnerability to propose selective prevention actions in this population.
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Affiliation(s)
| | - Marta Aliño
- Faculty of Health Sciences, Valencian International University, Valencia, Spain
- Research Group in Psychology and Quality of Life (PsiCal)/VIU-NED Chair of Global Neuroscience and Social Change, Valencian International University, Valencia, Spain
| | - Andrea Vázquez-Martínez
- Faculty of Health Sciences, Valencian International University, Valencia, Spain
- Research Group in Health and Psycho-Social Adjustment (GI-SAPS), Valencian International University, Valencia, Spain
| | - Víctor José Villanueva-Blasco
- Faculty of Health Sciences, Valencian International University, Valencia, Spain
- Research Group in Health and Psycho-Social Adjustment (GI-SAPS), Valencian International University, Valencia, Spain
| | - Irene Cano-López
- Faculty of Health Sciences, Valencian International University, Valencia, Spain
- Research Group in Psychology and Quality of Life (PsiCal)/VIU-NED Chair of Global Neuroscience and Social Change, Valencian International University, Valencia, Spain
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Berthold A, Luchsinger L, Siegrist M. The Perceived Influence of the COVID-19 Pandemic on the Medical Education of Residents in 2021 and 2022. J Grad Med Educ 2024; 16:318-322. [PMID: 38882422 PMCID: PMC11173043 DOI: 10.4300/jgme-d-23-00361.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Revised: 10/24/2023] [Accepted: 03/12/2024] [Indexed: 06/18/2024] Open
Abstract
Background Recent studies reported how the COVID-19 pandemic influenced the medical education community. However, little is known about the further influence of the pandemic over time and about the impact across the different medical disciplines. Objective Our objective was to investigate how residents working in different disciplines and on different tracks (full- vs part-time) perceived the influence of the COVID-19 pandemic in 2021 and 2022 on their education. Methods The data were collected with a questionnaire (developed by the Swiss Federal Institute of Technology and the Swiss Institute for Medical Education) as part of the Swiss national annual survey on medical education. We assessed the influence of the pandemic on medical residents from different specialties in 2021 and 2022 with 3 items: global effect on education, available time for education, and effect on teaching. Results The questionnaire had a response rate of 70% (8496 of 12 137) in 2021 and 2022 (8823 of 12 604). In 2021, residents reported that the pandemic had a negative influence (3.5 of 5; P<.001; 95% CI 0.49, 0.53) and impaired their education. The negative influence declined (t=7.91; P<.001; 95% CI 0.07, 0.11) but remained noticeable in 2022 (3.4 of 5; P<.001; 95% CI 0.41, 0.44). This pattern of results was similar among the different medical specialties. In both years, residents working full-time reported a more severe influence of the pandemic than those working part-time (eg, in 2021 impaired education: 3.1 of 4 vs 2.9 of 4; P<.01; 95% CI -0.26, -0.14). Conclusions The negative influence of the pandemic declined across all medical disciplines.
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Affiliation(s)
- Anne Berthold
- is Researcher, Consumer Behavior Group, ETH Zurich, Zurich, Switzerland
| | - Larissa Luchsinger
- is Researcher, Consumer Behavior Group, ETH Zurich, Zurich, Switzerland; and
| | - Michael Siegrist
- is Professor, Consumer Behavior Group, ETH Zurich, Zurich, Switzerland
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Saragosa M, Goraya F, Serrano F, Nowrouzi-Kia B, Guilcher S, Abdul Aziz Y, Gohar B. From Crisis to Opportunity: A Qualitative Study on Rehabilitation Therapists' Experiences and Post-Pandemic Perspectives. Healthcare (Basel) 2024; 12:1050. [PMID: 38786460 PMCID: PMC11120773 DOI: 10.3390/healthcare12101050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2024] [Revised: 05/03/2024] [Accepted: 05/06/2024] [Indexed: 05/25/2024] Open
Abstract
Rehabilitation therapists (RTs) have developed substantial mental health problems since the pandemic. Our study aimed to understand the experience of COVID-19 on occupational therapists and physiotherapists practicing in Canada, how the pandemic may have affected care delivery, and to identify new learnings articulated by RTs. A qualitative descriptive study design guided data collection through one-on-one interviews, dyadic interviews, and focus groups. We recruited active RTs across Canada, advertising on professional practice networks and social media platforms and using snowball sampling. Forty-nine RTs representing seven Canadian provinces participated. The four overarching themes developed using thematic analysis were (1) navigating uncertainty along with ever-changing practices, policies, and attitudes, (2) morphing roles within a constrained system, (3) witnessing patients suffering and experiencing moral distress, and (4) recognizing the personal toll of the pandemic on self and others, as well as lessons learned. Our study demonstrated that many RTs suffered moral distress, poor mental health, and some from challenging financial situations, especially those in the private sector. They also expressed a resilient attitude in response to these stressors. Implications in the future include identifying promising communication strategies that could act as protective factors, addressing workforce constraints and diminishing resources through innovative models of care.
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Affiliation(s)
- Marianne Saragosa
- Department of Population Medicine, University of Guelph, Guelph, ON N1G 2W1, Canada; (F.G.); (F.S.); (B.G.)
| | - Farwa Goraya
- Department of Population Medicine, University of Guelph, Guelph, ON N1G 2W1, Canada; (F.G.); (F.S.); (B.G.)
| | - Frances Serrano
- Department of Population Medicine, University of Guelph, Guelph, ON N1G 2W1, Canada; (F.G.); (F.S.); (B.G.)
- Department of Psychology, University of Guelph, Guelph, ON N1G 2W1, Canada
- Department of Psychology, Laurentian University, Sudbury, ON P3E 2C6, Canada
| | - Behdin Nowrouzi-Kia
- Department of Occupational Science & Occupational Therapy, University of Toronto, Toronto, ON M5G 1V7, Canada;
- Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada
- Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, ON P3E 2C6, Canada
| | - Sara Guilcher
- Department of Physical Therapy, University of Toronto, Toronto, ON M5G 1V7, Canada;
- Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON M5S 3M2, Canada;
| | - Yasmin Abdul Aziz
- Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON M5S 3M2, Canada;
| | - Basem Gohar
- Department of Population Medicine, University of Guelph, Guelph, ON N1G 2W1, Canada; (F.G.); (F.S.); (B.G.)
- Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, ON P3E 2C6, Canada
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Chen YH, Lin JJ, Yang CW, Tang HM, Jong GP, Yang TY. The effect of commuting time on burnout: the mediation effect of musculoskeletal pain. BMC Health Serv Res 2024; 24:468. [PMID: 38614994 PMCID: PMC11016201 DOI: 10.1186/s12913-024-10908-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2024] [Accepted: 03/26/2024] [Indexed: 04/15/2024] Open
Abstract
OBJECTIVES This study explores the relationship among commuting, musculoskeletal (MS) pain, and burnout. METHODS An observational and cross-sectional study was conducted at a medical university-affiliated hospital in Taichung, Taiwan in 2021. The two questionnaire was used and they included the Copenhagen Burnout Inventory (CBI) and the Nordic Musculoskeletal Questionnaire (NMQ). All participants were invited to complete the cross-sectional survey. A multiple linear regression was assessed correlations between commuting, MS pain, and burnout. RESULTS After excluding those with missing data, 1,615 healthcare workers were deemed valid as research participants. In multiple linear regression, commuting time longer than 50 min was associated with personal burnout (PB) in the presence of adjusted confounders; however, long commuting time was not associated with work-related burnout (WB). Furthermore, the choice of commuting method did not affect PB or WB. Notably, both neck and shoulder pain (NBSP) and ankle pain (BAP) increase the risk of PB and WB. The mediation analysis demonstrated that NBSP is a mediating factor, increasing the level of PB and WB for commuting times longer than 50 min. CONCLUSIONS Healthcare workers who commute for more than 50 min should be considered part of a high-risk group for burnout and musculoskeletal pain. They should also be provided with resources and programs focused on burnout prevention and MS pain relief.
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Affiliation(s)
- Yong-Hsin Chen
- The Department of Health Policy and Management, Chung Shan Medical University, Taichung, 402, Taiwan
- Department of Public Health, Chung Shan Medical University, Taichung, 402, Taiwan
- Department of Occupational Safety and Health, Chung Shan Medical University Hospital, Taichung, 402, Taiwan
| | - Jia June Lin
- Department of Endocrinology and Metabolism, Chung Shan Medical University Hospital, Taichung, 402, Taiwan
- Nursing Department, Chung Shan Medical University Hospital, Taichung, 402, Taiwan
| | - Ching-Wen Yang
- Department of Occupational Safety and Health, Chung Shan Medical University Hospital, Taichung, 402, Taiwan
| | - Hsiu-Mei Tang
- Department of Occupational Safety and Health, Chung Shan Medical University Hospital, Taichung, 402, Taiwan
| | - Gwo-Ping Jong
- Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung, 402, Taiwan
- Institute of Medicine, Chung Shan Medical University, Taichung, 402, Taiwan
| | - Tsung-Yuan Yang
- Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung, 402, Taiwan.
- Institute of Medicine, Chung Shan Medical University, Taichung, 402, Taiwan.
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12
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Chen M, Xu X, Liu Y, Yao Y, Zhang P, Liu J, Zhang Q, Li R, Li H, Liu Y, Chen W. Association of eating habits with health perception and diseases among Chinese physicians: a cross-sectional study. Front Nutr 2023; 10:1226672. [PMID: 37637951 PMCID: PMC10452877 DOI: 10.3389/fnut.2023.1226672] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Accepted: 07/25/2023] [Indexed: 08/29/2023] Open
Abstract
Background Some eating habits may be related to the development of gastrointestinal diseases, obesity, and related metabolic dysfunctions. Because of long working hours, and shift schedules, physicians are more likely to form such eating habits and have a high risk of developing these diseases. Objectives We aimed to investigate the association between physicians' eating habits and their health perception and diseases. Methods Between 24 June and 5 August 2020, we performed convenience sampling of in-service physicians in hospitals in mainland China. A questionnaire was administered to collect data pertaining to basic sociodemographic characteristics, eating habits, health-related information such as body mass index classification, and prevalence of common diseases. The associations among eating habits and perceived suboptimal health status, micronutrient deficiency-related diseases, obesity, and related metabolic diseases were analysed. Results The prevalence of unhealthy eating habits was high: more eating out-of-home (53.4% in hospital canteens, 23.0% in restaurants and takeaways), fewer meals at home, irregular meals (30.5%), and eating too fast (the duration <10 min, 34.6%). Among those with the above eating habits, the prevalence rates of sub-optimal health and disease were higher than among those without the above eating habits. Conclusion Eating habits such as frequent eating out-of-home, irregular meals, and eating too fast were common among physicians, and were significantly related to perceived sub-optimal health status and disease occurrence.
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Affiliation(s)
- Moxi Chen
- Department of Clinical Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Xuan Xu
- Department of Clinical Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Yinghua Liu
- The First Medical Center of PLA General Hospital of China, Beijing, China
| | - Ying Yao
- Department of Clinical Nutrition, Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Shanghai, China
| | - Pianhong Zhang
- The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, China
| | - Jingfang Liu
- Division of Nutrition, National Clinical Research Center for Aging and Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China
| | - Qian Zhang
- Beijing Tongren Hospital, CMU, Beijing, China
| | - Rongrong Li
- Department of Clinical Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Hailong Li
- Department of Clinical Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Yan Liu
- Department of Clinical Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Wei Chen
- Department of Clinical Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
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13
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Huang ZP, Huang F, Liang Q, Liao FZ, Tang CZ, Luo ML, Lu SL, Lian JJ, Li SE, Wei SQ, Wu B. Socioeconomic factors, perceived stress, and social support effect on neonatal nurse burnout in China: a cross-sectional study. BMC Nurs 2023; 22:218. [PMID: 37357312 PMCID: PMC10291763 DOI: 10.1186/s12912-023-01380-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Accepted: 06/14/2023] [Indexed: 06/27/2023] Open
Abstract
BACKGROUND Neonatal nurses' working environments are highly stressful, and burnout is common. This study examines the effect of socioeconomic factors, perceived stress, and social support on neonatal nurse burnout. METHODS A total of 311 neonatal nurses participated in this study. They were administered a validated Maslach Burnout Inventory. The study employed a 14-item perceived stress scale (PSS-14) and a social support rate scale (SSRS) to examine stress, socioeconomic factors, and lifestyles. RESULTS Of the neonatal nurses, 40.19% had burnout, 89.60% had mild burnout, and 10.40% had moderate burnout; no neonatal nurse experienced severe burnout. Young nurses and those with low technical skills, poor interpersonal relationships, irregular diet, and insufficient rest were exposed to burnout (all p < 0.05).Most burnout nurses experienced moderate-severe perceived stress, and their PSS-14 scores were higher (all p < 0.05).The scores for objective social support, subjective social support, utilization of social support, total SSRS scores, and the level of social support were all lower in burnout nurses (all p < 0.05). Perceived stress was correlated positively and significantly with emotional exhaustion and personal accomplishment (all p < 0.05). Social support correlated significantly with and reduced personal accomplishments (p < 0.05). Age, poor interpersonal relationships, perceived stress, and social support were all independent factors associated with neonatal nurse burnout (all p < 0.05). CONCLUSION The prevalence of burnout in neonatal nurses was higher than average. Socioeconomic factors, higher perceived stress, and lower social support contribute to neonatal nurse burnout. Nursing managers should pay attention to socioeconomic factors, perceived stress, and social support among neonatal nurses and employ strategies to reduce neonatal nurse burnout.
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Affiliation(s)
- Zhen-peng Huang
- Faculty of Nursing, Guangxi University of Chinese Medicine, Nanning, China
| | - Fang Huang
- Faculty of Nursing, Guangxi University of Chinese Medicine, Nanning, China
- Department of Neonatology, Nanning Maternal and Child Health Hospital, Nanning, China
| | - Qun Liang
- Department of Neonatology, Nanning Maternal and Child Health Hospital, Nanning, China
| | - Feng-zhen Liao
- Pediatric Intensive Care Unit, Nanning Maternal and Child Health Hospital, Nanning, China
| | - Chuan-zhuang Tang
- Department of Neonatology, Nanning Maternal and Child Health Hospital, Nanning, China
| | - Min-lan Luo
- Department of Neonatology, Nanning Maternal and Child Health Hospital, Nanning, China
| | - Si-lan Lu
- Department of Neonatology, Nanning Maternal and Child Health Hospital, Nanning, China
| | - Jing-jing Lian
- Department of Neonatology, Nanning Maternal and Child Health Hospital, Nanning, China
| | - Shan-e Li
- Department of Pediatrics, Nanning Second People’s Hospital, Nanning, China
| | - Su-qiao Wei
- Department of Pediatrics, Nanning Second People’s Hospital, Nanning, China
| | - Bin Wu
- Faculty of Nursing, Guangxi University of Chinese Medicine, Nanning, China
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14
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Morales-Suárez-Varela M, Peraita-Costa I, Llopis-Morales A, Llopis-González A. Athletic Burnout and Its Association with Diet in Children and Adolescents. Life (Basel) 2023; 13:1381. [PMID: 37374163 DOI: 10.3390/life13061381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2023] [Revised: 06/05/2023] [Accepted: 06/07/2023] [Indexed: 06/29/2023] Open
Abstract
Children today are constantly exposed to several risk factors and high levels of stress that can impact their mental, emotional, and physical health, which can trigger burnout. The objective of this study was to determine the prevalence and frequency of burnout in young amateur athletes and to study the role of the Mediterranean diet on burnout risk. An observational, cross-sectional, and descriptive study of 183 basketball players between 8 and 15 years old was carried out. Adherence to the Mediterranean diet was assessed using the KIDMED questionnaire and the risk of burnout was assessed with the Athlete Burnout Questionnaire. Medians, minimums and maximum values for quantitative variables and absolute frequencies and percentages for qualitative variables were obtained. The results show a higher percentage of burnout among girls. The children who meet the established threshold for burnout spend more time watching television. Participants with better adherence to the Mediterranean diet have lower burnout values in both genders and those with a higher risk of burnout have a worse adherence to the Mediterranean diet. Therefore, it is important to implement a balanced diet appropriate to the individual needs of the athlete.
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Affiliation(s)
- María Morales-Suárez-Varela
- Research Group in Social and Nutritional Epidemiology, Pharmacoepidemiology and Public Health, Department of Preventive Medicine and Public Health, Food Sciences, Toxicology and Forensic Medicine, Faculty of Pharmacy, Universitat de València, Av. Vicent Andrés Estelles s/n, 46100 Burjassot, València, Spain
- CIBER of Epidemiology and Public Health, Carlos III Health Institute, Av. Monforte de Lemos 3-5 Pabellón 11 Planta 0, 28029 Madrid, Madrid, Spain
| | - Isabel Peraita-Costa
- Research Group in Social and Nutritional Epidemiology, Pharmacoepidemiology and Public Health, Department of Preventive Medicine and Public Health, Food Sciences, Toxicology and Forensic Medicine, Faculty of Pharmacy, Universitat de València, Av. Vicent Andrés Estelles s/n, 46100 Burjassot, València, Spain
- CIBER of Epidemiology and Public Health, Carlos III Health Institute, Av. Monforte de Lemos 3-5 Pabellón 11 Planta 0, 28029 Madrid, Madrid, Spain
| | - Agustín Llopis-Morales
- Research Group in Social and Nutritional Epidemiology, Pharmacoepidemiology and Public Health, Department of Preventive Medicine and Public Health, Food Sciences, Toxicology and Forensic Medicine, Faculty of Pharmacy, Universitat de València, Av. Vicent Andrés Estelles s/n, 46100 Burjassot, València, Spain
| | - Agustín Llopis-González
- Research Group in Social and Nutritional Epidemiology, Pharmacoepidemiology and Public Health, Department of Preventive Medicine and Public Health, Food Sciences, Toxicology and Forensic Medicine, Faculty of Pharmacy, Universitat de València, Av. Vicent Andrés Estelles s/n, 46100 Burjassot, València, Spain
- CIBER of Epidemiology and Public Health, Carlos III Health Institute, Av. Monforte de Lemos 3-5 Pabellón 11 Planta 0, 28029 Madrid, Madrid, Spain
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15
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Alam F, Yang Q, Rūtelionė A, Bhutto MY. Virtual Leadership and Nurses' Psychological Stress during COVID-19 in the Tertiary Hospitals of Pakistan: The Role of Emotional Intelligence. Healthcare (Basel) 2023; 11:healthcare11111537. [PMID: 37297677 DOI: 10.3390/healthcare11111537] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Revised: 05/10/2023] [Accepted: 05/12/2023] [Indexed: 06/12/2023] Open
Abstract
Although intelligence has been widely examined in the literature, the correlation of emotional intelligence (EI) has with virtual leadership, work stress, work burnout, and job performance in the nursing profession needs further consideration. Prior studies have confirmed that leadership style and emotional intelligence massively contribute to better outcomes in the nursing profession. Based on these confirmations, this research intended to explore the impact of virtual leadership and EI on work stress, work burnout, and job performance among nurses during the COVID-19 pandemic. A convenient sampling technique was adopted to select the data sample. To analyze our hypotheses, 274 self-reported surveys were distributed in five tertiary hospitals in Pakistan through a cross-sectional quantitative research design. The hypotheses were tested with SmartPLS-3.3.9. Our findings revealed that virtual leadership and EI have considerably influenced nurses' work stress, burnout level, and job performance. The study concludes that EI significantly moderates virtual leadership and psychological stress among nurses.
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Affiliation(s)
- Fahad Alam
- School of Economics and Management, University of Science and Technology Beijing, Beijing 100083, China
| | - Qing Yang
- School of Economics and Management, University of Science and Technology Beijing, Beijing 100083, China
| | - Aušra Rūtelionė
- Faculty of Bioeconomy Development, Vytautas Magnus University, LT-44248 Kaunas, Lithuania
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16
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Utter J, McCray S, Denny S. Eating Behaviours Among Healthcare Workers and Their Relationships With Work-Related Burnout. Am J Lifestyle Med 2023. [DOI: 10.1177/15598276231159064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/06/2023] Open
Abstract
The current research describes the indicators of good nutrition among staff working in a hospital setting and determines if dietary indicators are associated with work-related burnout. In total, 501 staff of a large healthcare organization in SouthEast Queensland, Australia completed a health and wellbeing survey. Multiple regression models were constructed to describe the associations between dietary indicators and burnout, while controlling for age, gender, work role and level of employment. Among the total sample of healthcare workers, indicators of healthy eating were poor. Fewer than 40% reported their overall diet as very good and fewer than 15% of healthcare workers reported eating the recommended 5 or more servings of vegetables per day. There was an inverse relationship between good nutrition and burnout, across a range of indicators (including rating of overall diet, fruit and vegetable consumption and sharing meals with family), such that healthier eating indicators were associate with less burnout. Given that rates of both poor nutrition and burnout among healthcare professionals are high, findings from the current study suggest that efforts to promote better nutrition among healthcare workers are warranted. Future research may evaluate if improving the nutrition of healthcare workers has a positive impact on work-related burnout.
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Affiliation(s)
- Jennifer Utter
- Nutrition & Dietetics, Mater Health, Raymond Terrace, South Brisbane, QLD, Australia (JU, SM); Faculty Health Sciences and Medicine, Bond University, Robina, QLD, Australia (JU); Young Adult Health Centre, Mater Health Raymond Terrace, South Brisbane, QLD, Australia (SD)
| | - Sally McCray
- Nutrition & Dietetics, Mater Health, Raymond Terrace, South Brisbane, QLD, Australia (JU, SM); Faculty Health Sciences and Medicine, Bond University, Robina, QLD, Australia (JU); Young Adult Health Centre, Mater Health Raymond Terrace, South Brisbane, QLD, Australia (SD)
| | - Simon Denny
- Nutrition & Dietetics, Mater Health, Raymond Terrace, South Brisbane, QLD, Australia (JU, SM); Faculty Health Sciences and Medicine, Bond University, Robina, QLD, Australia (JU); Young Adult Health Centre, Mater Health Raymond Terrace, South Brisbane, QLD, Australia (SD)
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17
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Lozano A, López R, Pereira FJ, Blanco Fontao C. Impact of Cooperative Learning and Project-Based Learning through Emotional Intelligence: A Comparison of Methodologies for Implementing SDGs. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16977. [PMID: 36554857 PMCID: PMC9778663 DOI: 10.3390/ijerph192416977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Revised: 11/27/2022] [Accepted: 12/14/2022] [Indexed: 06/17/2023]
Abstract
Education for sustainable development (ESD) is a holistic and transformative form of education that seeks action-oriented pedagogy using self-directed learning, participation, and collaboration, among other aspects, and is suitable for developing active methodologies. Since affective-emotional aspects can contribute in the teaching-learning process, this work studies, through a case study, the comparison of the influence of two active methodologies: Cooperative Learning (CL) and Project-Based Learning (PBL) in student emotions and learning processes, as well as their awareness of ESD. For that purpose, a survey was conducted at the fourth secondary level in the science laboratory, subjected to the innovation project e-WORLD, which developed the content of the 7 and 13 Sustainable Development Goals (SDGs) from the 2030 Agenda. Results of ANOVA and Tukey's tests carried out showed that both methodologies improved skills and knowledge related to climate change and energy, and triggered major positive emotions in students. Furthermore, CL allowed students to acquire more individual and group responsibility than communication skills developed with PBL. It is necessary to continue working on the involvement of students in these methodologies in order to improve their social skills and to reveal life changes towards more socio-sustainable ones.
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Affiliation(s)
- Alba Lozano
- Department of Mining, Topography and Structures, Area of Mining Prospecting and Research, University of Leon, 24007 León, Spain
- Department of Mineralogy, Petrology and Applied Geology, Faculty of Earth Sciences, University of Barcelona (UB), Martí Franquès s/n, 08028 Barcelona, Spain
| | - Roberto López
- Department of Applied Chemistry and Physics, Area of Physical Chemistry, University of Leon, 24007 León, Spain
| | - Fernando J. Pereira
- Department of Applied Chemistry and Physics, Area of Analytical Chemistry, University of Leon, 24007 León, Spain
| | - Carolina Blanco Fontao
- Department of General and Specific Didactics and Theory of Education, Area of Didactics of Experimental Sciences, University of Leon, 24007 León, Spain
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18
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Chen YH, Lou SZ, Yang CW, Tang HM, Lee CH, Jong GP. Effect of Marriage on Burnout among Healthcare Workers during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15811. [PMID: 36497885 PMCID: PMC9737389 DOI: 10.3390/ijerph192315811] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/03/2022] [Revised: 11/23/2022] [Accepted: 11/25/2022] [Indexed: 06/12/2023]
Abstract
Since the onset of the COVID-19 pandemic, burnout symptoms have been prevalent among healthcare workers. Living with spouses can be complex and was associated with an increased burnout risk during the COVID-19 pandemic. This study investigated the relationship between living with spouses and burnout among healthcare workers during the COVID-19 pandemic. We distributed questionnaires to participants working in a hospital affiliated with a medical university in Taiwan. The questionnaires were the Copenhagen Burnout Inventory, which comprises personal burnout (PB), work-related burnout (WB), and client burnout subscales; the Nordic Musculoskeletal Questionnaire; and information on basic demographic variables, family factors, living habits, work-related factors, and physical health factors. Multiple linear regression and mediation analysis were used. We obtained 1615 (63.81%) valid questionnaires. After analysis revealed that marriage was an independent risk factor for PB; however, the effect of marriage on WB was nonsignificant after controlling for risk factors. Parenthood, less alcohol use, reported sleep duration less than six hours, less overtime, less shift work, and participation in leisure activities with family and friends were found to be mediators between marriage and a lower WB level. In addition, chronic diseases, frequent neck pain, and shoulder pain were suppression factors. In summary, marriage was associated with an increased risk of PB. Married individuals sustain a high WB level because of changes in family roles, living conditions, and work conditions. Overall, helping healthcare workers to maintain well-being in marriage or family living may be effective in decreasing burnout during the COVID-19 pandemic.
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Affiliation(s)
- Yong-Hsin Chen
- Department of Public Health, Chung Shan Medical University, Taichung 40201, Taiwan
- Department of Occupational Safety and Health, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
| | - Shu-Zon Lou
- Department of Occupational Therapy, Chung Shan Medical University, Taichung 40201, Taiwan
- Occupational Therapy Room, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
| | - Ching-wen Yang
- Department of Occupational Safety and Health, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
| | - Hsiu-Mei Tang
- Department of Occupational Safety and Health, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
| | - Chiu-Hsiang Lee
- Department of Nursing, Chung Shan Medical University, Taichung 40201, Taiwan
- Department of Nursing, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
| | - Gwo-Ping Jong
- Department of Internal Medicine, Chung Shan Medical University Hospital and Chung Shan Medical University, Taichung 40201, Taiwan
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19
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Chen YH, Yeh CJ, Lee CM, Jong GP. Mediation Effect of Musculoskeletal Pain on Burnout: Sex-Related Differences. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12872. [PMID: 36232174 PMCID: PMC9566025 DOI: 10.3390/ijerph191912872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Revised: 10/02/2022] [Accepted: 10/07/2022] [Indexed: 06/16/2023]
Abstract
Burnout occurs when people are exposed to emotionally demanding work situations over an extended period, resulting in physical, emotional, and mental exhaustion. This study adopted the personal burnout (PB) and work-related burnout (WB) scales of the Copenhagen Burnout Inventory to measure burnout levels. Musculoskeletal (MS) pain is one factor influencing burnout. Previous studies have demonstrated that male and female hormones may contribute to sex-related differences in MS pain. This was an observational and cross-sectional study conducted at a medical-university-affiliated hospital in Taichung, Taiwan, in 2021. Data were collected for demographic characteristics, family structure, living habits, occupation, physical health, Nordic Musculoskeletal Questionnaire score, and Copenhagen Burnout Inventory score. Of the 2531 questionnaires that were distributed, 1615 (63.81%) valid questionnaires remained after those with missing data were excluded. The results demonstrated neck and shoulder pain (NBSP) is commonly associated with burnout among healthcare workers, with a higher prevalence among women than among men. With confounders being controlled for, women were found to experience substantially higher levels of personal and work-related burnout than men did. NBSP is a mediating factor; therefore, it is a key reason why women are more likely than men to experience burnout.
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Affiliation(s)
- Yong-Hsin Chen
- Department of Public Health, Chung Shan Medical University, Taichung 402, Taiwan
- Department of Occupational Safety and Health, Chung Shan Medical University Hospital, Taichung 402, Taiwan
| | - Chih-Jung Yeh
- Department of Public Health, Chung Shan Medical University, Taichung 402, Taiwan
| | - Chun-Ming Lee
- Department of Internal Medicine, St. Joseph’s Hospital, Yunlin 632, Taiwan
| | - Gwo-Ping Jong
- Department of Internal Medicine, Chung Shan Medical University Hospital, Chung Shan Medical University, Taichung 402, Taiwan
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20
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Brooks J, Giblin-Scanlon L, Boyd LD, Vineyard J. Compassion Fatigue, Compassion Satisfaction, Burnout and Alcohol Use Among Dental Hygienists. Alcohol Alcohol 2022; 58:76-83. [PMID: 36124680 PMCID: PMC9494449 DOI: 10.1093/alcalc/agac036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Revised: 07/22/2022] [Accepted: 07/24/2022] [Indexed: 01/12/2023] Open
Abstract
AIMS The purpose of this study was to investigate the relationship between demographics, compassion fatigue (CF), compassion satisfaction (CS), burnout (BO) and alcohol use among dental hygienists (DHs). METHODS The web-based survey consisting of two validated instruments [Alcohol Use Disorders Identification Test (AUDIT) and Professional Quality of Life] to measure alcohol use, CF, CS and BO was conducted with a convenience sample of DHs (n = 963). RESULTS The completion rate was 81.6% (n = 786). Nearly one in five DHs (19.1%) reported having their alcohol consumption influenced by the Coronavirus disease 2019 pandemic at least moderately. The number of hours worked per week (x) and AUDIT scores (y) were fully mediated by BO (m) (P < 0.001); the average number of hours worked per week (x) and AUDIT scores (y) were fully mediated by CF (m) (P < 0.001); the average number of patients seen per day (x) was a predictor of AUDIT scores (y) when partially mediated by BO (m) (P < 0.001); and age (x) was a predictor of AUDIT scores (y), mediated by CS (m). Results showed that one in four DHs could qualify for binge drinking (25.6%, n = 177) and 15.1% experienced blackout drinking episodes within the past year (n = 118). CONCLUSION Mediating relationships exist between demographics, CF, CS, BO and alcohol use among DHs. More research needs to be conducted on alcohol use and CF among DHs and protective factors that may reduce the risk of BO, CF or alcohol use.
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Affiliation(s)
| | - Lori Giblin-Scanlon
- Corresponding author: MCPHS University, Forsyth School of Dental Hygiene, 179 Longwood Avenue, Boston, MA 02115, USA. Tel.: 617-735-1588; Fax: 617-732-2912; E-mail:
| | - Linda D Boyd
- MCPHS University, Forsyth School of Dental Hygiene, 179 Longwood Avenue, Boston, MA 02115, USA
| | - Jared Vineyard
- MCPHS University, Forsyth School of Dental Hygiene, 179 Longwood Avenue, Boston, MA 02115, USA
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21
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Malinauskas R, Grinevicius M, Malinauskiene V. Burnout among Telecommunication Sales Managers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11249. [PMID: 36141531 PMCID: PMC9517578 DOI: 10.3390/ijerph191811249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Revised: 09/01/2022] [Accepted: 09/06/2022] [Indexed: 06/16/2023]
Abstract
(1) Background: Various investigations have confirmed that burnout prevails in intensive and demanding contemporary working environments. Most of these studies have analyzed the associations between emotional exhaustion and various work factors. We studied the gap in the literature by simultaneously considering the three commonly recognized dimensions of burnout (emotional exhaustion, depersonalization, and reduced personal accomplishment) using a representative sample of telecommunication sales managers. (2) Methods: 849 survey respondents completed an anonymous questionnaire that included items representing psychosocial factors at work, lifestyle characteristics, and the Maslach Burnout inventory. The hierarchical regression analysis revealed the predictors of emotional exhaustion, depersonalization, and reduced personal accomplishment. (3) Results: job demands and witnessing bullying at the workplace were the most powerful predictors of emotional exhaustion, followed by self-rated health, night work, education, and physical inactivity. Witnessing bullying at the workplace, job control, self-rated health, and physical inactivity were the strongest predictors of depersonalization. Finally, direct experiences of negative acts at the workplace, job control, social support at work, bullying exposure duration, family crises, physical inactivity, smoking and alcohol, and body mass index were the most important predictors of reduced personal accomplishments. (4) Conclusions: the present study fills a gap in the research surrounding the three dimensions of burnout. The findings not only confirm that high job demands, low job control, and low social support at work contribute to burnout but also contribute to the novel understanding that workplace bullying plays an integral role.
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22
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Chen YH, Yeh CJ, Pan LF, Jong GP. Relationships between Alcohol Use, Musculoskeletal Pain, and Work-Related Burnout. MEDICINA (KAUNAS, LITHUANIA) 2022; 58:1022. [PMID: 36013489 PMCID: PMC9416127 DOI: 10.3390/medicina58081022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Revised: 07/19/2022] [Accepted: 07/27/2022] [Indexed: 11/16/2022]
Abstract
Background and Objectives: Burnout affects approximately half of all nurses, physicians, and other clinicians. Alcohol use may impair performance in work-related tasks, leading to decreased productivity and morale. The present study’s aim was to determine whether a causal relationship existed between alcohol use, work-related burnout (WB), and musculoskeletal pain. Materials and Methods: A total of 1633 members from a hospital affiliated with a medical university in Taichung, Taiwan, completed questionnaires in 2021, where 1615 questionnaires were declared valid. Questionnaires were used to obtain information on basic demographic variables, and the Nordic Musculoskeletal Questionnaire and Copenhagen Burnout Inventory were used. Statistical analyses were performed using SAS Enterprise Guide 6.1 software, and significance was set at p < 0.05. Results: Work experience, being married, parenthood, leisure activities with family and friends, and regular weekly exercise were negatively associated with WB. In addition, overtime work, irregular and regular shift work, the physician and nurse medical profession, chronic disease (heart disease, diabetes, etc.), neck and both shoulders pain (NBSP), both ankles pain (BAP), and alcohol use frequency (AUF) were positively associated with WB. NBSP could explain the residual effect of AUF on WB. AUF was determined to mediate the relationship between NBSP and WB. In addition, NBSP was found to mediate the relationship between AUF and WB. Conclusions: The individuals who used alcohol to cope with NBSP or those with NBSP who often consumed alcohol had worsened WB due to a vicious circle of musculoskeletal pain and alcohol use. Therefore, medical staff should not consider alcohol use as an option to reduce burnout.
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Affiliation(s)
- Yong-Hsin Chen
- Department of Public Health, Chung Shan Medical University, Taichung 402, Taiwan; (Y.-H.C.); (C.-J.Y.)
- Department of Occupational Safety and Health, Chung Shan Medical University Hospital, Taichung 402, Taiwan
| | - Chih-Jung Yeh
- Department of Public Health, Chung Shan Medical University, Taichung 402, Taiwan; (Y.-H.C.); (C.-J.Y.)
| | - Lung-Fa Pan
- Department of Medical Imaging and Radiological Science, Central Taiwan University of Science and Technology, Takun, Taichung 406, Taiwan;
- Department of Cardiology, Taichung Armed Forces General Hospital, Taichung 411, Taiwan
| | - Gwo-Ping Jong
- Department of Internal Medicine, Chung Shan Medical University Hospital, Chung Shan Medical University, Taichung 402, Taiwan
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Wilf-Miron R, Kittany R, Saban M, Kagan I, Saban M. Teachers' characteristics predict students' guidance for healthy lifestyle: a cross-sectional study in Arab-speaking schools. BMC Public Health 2022; 22:1420. [PMID: 35883162 PMCID: PMC9321300 DOI: 10.1186/s12889-022-13795-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Accepted: 07/06/2022] [Indexed: 11/10/2022] Open
Abstract
Introduction Schools are valuable settings for implementing healthy lifestyle interventions. Teachers' health behaviors affect their health and well-being and might affect their position as role models for students. This study aimed a) to assess health behaviors, health perceptions, burnout, job satisfaction, and organizational commitment among Arab school teachers in Israel; b) to examine the relationship between these variables; and c) to explain the variance of healthy lifestyle promotion among students. Methods A cross-sectional study using a structured questionnaire was conducted among 150 teachers (mean age 39 years, 85% women) in May-June 2020. Results Most respondents (79%) were overweight and obese, 79% reported unhealthy nutrition and not reaching the recommended physical activity target, 47% slept >7 hours at night and 54% defined their health status as very good or excellent. Reported burnout levels were high. Organizational commitment and job satisfaction were high while students’ guidance towards a healthy lifestyle was moderate. Burnout was negatively correlated with health perception, organizational commitment, and job satisfaction. Health perception was positively correlated with organizational commitment, job satisfaction and promoting a healthy lifestyle among students. Logistic regression analysis revealed that job satisfaction, performance of PA according to the recommendations and burnout predicted 51% of the variance of healthy lifestyle promotion among students. Conclusions Teachers in Israeli Arab schools report unfavorable health behaviors and health perception as well as high burnout levels. The findings suggest implementing intervention programs to reduce teacher burnout and creating organizational conditions that would encourage teachers to adopt a healthy lifestyle and help them promote healthy lifestyle habits among their students. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-13795-5. Teachers' health behaviors may affect their position as role models for students. Israeli Arab teachers had unfavorable health behaviors and high body mass index. Burnout inversely correlated with organizational commitment and job satisfaction. Better perceived health predicted lower burnout and higher job satisfaction. Improved school environment could improve teachers' wellbeing and role modeling.
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Affiliation(s)
- Rachel Wilf-Miron
- Department of Health Promotion, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Ramat Gan, Israel
| | - Roaa Kittany
- Department of Health Promotion, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Mor Saban
- Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Ramat Gan, Israel
| | - Ilya Kagan
- Nursing Department, School of Health Sciences, Ashkelon Academic College, Ben Tzvi 12, 78211, Ashkelon, Israel
| | - Mor Saban
- Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Ramat Gan, Israel.
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Pina D, Vidal-Alves M, Puente-López E, Luna-Maldonado A, Luna Ruiz-Cabello A, Magalhães T, Llor-Esteban B, Ruiz-Hernández JA, Martínez-Jarreta B. Profiles of lateral violence in nursing personnel of the Spanish public health system. PLoS One 2022; 17:e0268636. [PMID: 35622880 PMCID: PMC9140284 DOI: 10.1371/journal.pone.0268636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Accepted: 05/04/2022] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Workplace violence in healthcare settings has long been studied in scientific literature, particularly in the nursing profession. Research has explored mostly user violence probably for its high prevalence and impact on health and job satisfaction. Yet this focus may overshadow another dangerous type of workplace violence: coworker violence. Exerted by co-workers with similar status, lateral violence differs from that yielded by a co-worker with a higher rank, known as vertical. This study aims to deepen the knowledge about lateral violence perceived by nurses and its interaction with other variables commonly associated with workplace violence in healthcare: burnout, job satisfaction, and self-perceived health. METHOD A random block sampling was performed, prompting a total sample of 925 nursing professionals from 13 public hospitals located in the southeast of Spain. The sample distribution (mean and standard deviation) and the response percentages according to the study variables of the ad-hoc questionnaire were analyzed and classified with cluster analysis. RESULTS Through the cluster analysis, two subgroups were obtained: Cluster 1, composed of 779 participants, with low scores in the variables used for the classification, high levels of both extrinsic and intrinsic satisfaction, low levels of emotional exhaustion and cynicism, and low rates of somatization, anxiety, social dysfunction and depression; and Cluster 2, composed of 115 participants and characterized by moderate-high scores in the variables used for the classification, moderate extrinsic satisfaction, and low intrinsic satisfaction, high emotional exhaustion and cynicism and lower somatization, anxiety, social dysfunction, and depression scores. Excluded cases amounted to 31. CONCLUSION Nursing professionals who experience lateral violence reveal a lower intrinsic satisfaction, feeling less self-accomplished in their job, and less positive work experience. Emotional exhaustion rises as a concerning progressive and long-term outcome of experiencing this type of violence.
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Affiliation(s)
- David Pina
- Department of Socio-sanitary Sciences, University of Murcia, Murcia, Spain
| | - Maria Vidal-Alves
- Department of Socio-sanitary Sciences, University of Murcia, Murcia, Spain
- Department of Community Medicine, Information and Health Decisions, School of Medicine, University of Porto, Porto, Portugal
- University Institute of Health Sciences—CESPU, Gandra, Portugal
| | | | | | | | - Teresa Magalhães
- Department of Community Medicine, Information and Health Decisions, School of Medicine, University of Porto, Porto, Portugal
- University Institute of Health Sciences—CESPU, Gandra, Portugal
| | | | - José Antonio Ruiz-Hernández
- Servicio de Psicología Aplicada (SEPA), University of Murcia, Murcia, Spain
- Department of Pathological Anatomy, Forensic and Legal Medicine and Toxicology, University of Zaragoza, Zaragoza, Spain
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Niestrój-Jaworska M, Dębska-Janus M, Polechoński J, Tomik R. Health Behaviors and Health-Related Quality of Life in Female Medical Staff. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19073896. [PMID: 35409579 PMCID: PMC8997715 DOI: 10.3390/ijerph19073896] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Revised: 03/16/2022] [Accepted: 03/22/2022] [Indexed: 02/04/2023]
Abstract
The aim of this study was to evaluate the relationship between the intensity of health behaviors and health-related quality of life in female mid-level medical staff. The study group consisted of 153 female mid-level medical staff members. The intensity of health behaviors was examined with the Polish version of Health Behavior Inventory. Health-related quality of life was verified with the Short Form Health Survey questionnaire (SF 36v2). Among the participants, 33% had low, 39% average, and 28% high intensity of health behaviors. The mental component of health-related quality of life was rated higher (83.3 ± 15.3 points) compared to the physical one. The lowest health-related quality of life was observed in the domain of “bodily pain”, while the highest was found for the domain of “social functioning”. Both the physical and mental components of health-related quality of life were significantly positively correlated with health behavior prevalence in all its categories. The post-hoc tests revealed the variation in physical and mental components of HRQoL according to the level of health behavior intensity.
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Affiliation(s)
- Maria Niestrój-Jaworska
- Department of Health-Related Physical Activity and Tourism, The Jerzy Kukuczka Academy of Physical Education in Katowice, 40-065 Katowice, Poland; (M.N.-J.); (R.T.)
| | - Małgorzata Dębska-Janus
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education in Katowice, 40-065 Katowice, Poland;
- Correspondence:
| | - Jacek Polechoński
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education in Katowice, 40-065 Katowice, Poland;
| | - Rajmund Tomik
- Department of Health-Related Physical Activity and Tourism, The Jerzy Kukuczka Academy of Physical Education in Katowice, 40-065 Katowice, Poland; (M.N.-J.); (R.T.)
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27
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Zhou AY, Hann M, Panagioti M, Patel M, Agius R, Van Tongeren M, Esmail A, Bower P. Cross-sectional study exploring the association between stressors and burnout in junior doctors during the COVID-19 pandemic in the United Kingdom. J Occup Health 2022; 64:e12311. [PMID: 35025106 PMCID: PMC8757574 DOI: 10.1002/1348-9585.12311] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Revised: 11/26/2021] [Accepted: 12/19/2021] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVES This study aims to develop a comprehensive list of stressors relevant to junior doctors and will also report findings exploring the associations between burnout and stressors, which include work and non-work-related stressors as well as pandemic-related stressors. METHODS An anonymous online questionnaire was sent to 1000 randomly selected junior doctors in the North-West of England. The questionnaire included 37 questions on general and pandemic-specific stressors, and the Maslach Burnout Inventory Health Services Survey. The main outcomes of interest were junior doctor ratings of stressors and scores for burnout (emotional exhaustion [EE], depersonalisation [DP], and personal accomplishment [PA]). Stepwise regression analysis was undertaken to assess associations between stressors and burnout. RESULTS In total, 326 responses were collected (response rate = 33%). Of the top 10 stressors rated by junior doctors, 60% were related to the pandemic. Multiple stressors were found to be associated with the burnout dimensions. Fatigue (β = .43), pandemic-related workload increase (β = .33), and feeling isolated (β = .24) had the strongest associations with EE, whereas fatigue (β = .21), uncertainty around COVID-19 information (β = .22) and doing unproductive tasks (β = .17) had the strongest associations with DP. Working beyond normal scope due to COVID-19 (β = -.26), not confident in own ability (β = -.24) and not feeling valued (β = -.20) were found to have the strongest associations with PA. CONCLUSIONS Junior doctors experience a combination of general stressors and additional stressors emerging from the pandemic which significantly impact burnout. Monitoring these stressors and targeting them as part of interventions could help mitigating burnout in junior doctors.
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Affiliation(s)
- Anli Yue Zhou
- Division of Population Health, Health Services Research & Primary Care, National Institute for Health Research School for Primary Care Research, University of Manchester, Manchester, UK.,Division of Population Health, Health Services Research & Primary Care, Centre for Occupational and Environmental Health, University of Manchester, Manchester, UK
| | - Mark Hann
- Division of Population Health, Health Services Research & Primary Care, Centre for Biostatistics, University of Manchester, Manchester, UK
| | - Maria Panagioti
- Division of Population Health, Health Services Research & Primary Care, National Institute for Health Research School for Primary Care Research, University of Manchester, Manchester, UK
| | | | - Raymond Agius
- Division of Population Health, Health Services Research & Primary Care, Centre for Occupational and Environmental Health, University of Manchester, Manchester, UK
| | - Martie Van Tongeren
- Division of Population Health, Health Services Research & Primary Care, Centre for Occupational and Environmental Health, University of Manchester, Manchester, UK
| | - Aneez Esmail
- Division of Population Health, Health Services Research & Primary Care, National Institute for Health Research School for Primary Care Research, University of Manchester, Manchester, UK
| | - Peter Bower
- Division of Population Health, Health Services Research & Primary Care, National Institute for Health Research School for Primary Care Research, University of Manchester, Manchester, UK
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Biber D. Mindful self-compassion for nurses: a systematic review. Nurs Manag (Harrow) 2021; 29:18-24. [PMID: 34904424 DOI: 10.7748/nm.2021.e2028] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/14/2021] [Indexed: 01/12/2023]
Abstract
This article details a systematic review that aimed to synthesise and analyse the published research on the effects of mindful self-compassion interventions on stress in nurses. Five studies were identified that met the inclusion criteria and were analysed in terms of sample characteristics, intervention, measurement of self-compassion, additional psychosocial outcome measures, intervention duration and adherence, intervention outcomes and effect size and follow-up. The review found that mindful self-compassion interventions had medium-to-large effect sizes for self-compassion, traumatic stress, burnout, stress and compassion satisfaction. There was also high intervention adherence (mean=86%) in the included studies. Since these interventions can improve self-compassion and compassion in nurses, they have the potential to enhance the quality of compassionate care provided by nurses who undergo training in mindful self-compassion.
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Affiliation(s)
- Duke Biber
- Sport Management, Wellness and Physical Education, University of West Georgia, Carrollton, GA, US
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Huang R, Hewitt DB, Cheung EO, Agarwal G, Etkin CD, Smink DS, Shanafelt TD, Bilimoria KY, Hu YY. Burnout Phenotypes Among U.S. General Surgery Residents. JOURNAL OF SURGICAL EDUCATION 2021; 78:1814-1824. [PMID: 33935019 DOI: 10.1016/j.jsurg.2021.03.019] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Revised: 03/10/2021] [Accepted: 03/26/2021] [Indexed: 06/12/2023]
Abstract
OBJECTIVE Although well-established metrics exist to measure workplace burnout, researchers disagree about how to categorize individuals based on assessed symptoms. Using a person-centered approach, this study identifies classes of burnout symptomatology in a large sample of general surgery residents in the United States. DESIGN, SETTING, PARTICIPANTS A survey was administered following the 2018 American Board of Surgery In-Training Examination (ABSITE) to study wellness among U.S. general surgery residents. Latent class models identified distinct classes of residents based on their responses to the emotional exhaustion and depersonalization questions of the modified abbreviated Maslach Burnout Inventory (aMBI). Classes were assigned representative names, and the characteristics of their members and residency programs were compared. RESULTS The survey was completed by 7415 surgery residents from 263 residency programs nationwide (99.3% response rate). Five burnout classes were found: Burned Out (unfavorable score on all six items, 9.8% of total), Fully Engaged (favorable score on all six items, 23.1%), Fatigued (favorable on all items except frequent fatigue, 32.2%), Overextended (frequent fatigue and burnout from work, 16.7%), and Disengaged (weekly symptoms of fatigue and callousness, 18.1%). Within the more symptomatic classes (Burned Out, Overextended, and Disengaged), men manifested more depersonalization symptoms, whereas women reported more emotional exhaustion symptoms. Burned Out residents were characterized by reports of mistreatment (abuse, sexual harassment, and gender-, racial-, or pregnancy and/or childcare-based discrimination), duty hour violations, dissatisfaction with duty hour regulations or time for rest, and low ABSITE scores. CONCLUSIONS Burnout is multifaceted, with complex and variable presentations. Latent class modeling categorizes general surgery residents based on their burnout symptomatology. Organizations should tailor their efforts to address the unique manifestations of each class as well as shared drivers.
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Affiliation(s)
- Reiping Huang
- Surgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery and Center for Health Services and Outcomes Research, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - D Brock Hewitt
- Surgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery and Center for Health Services and Outcomes Research, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Division of Surgical Oncology, Ohio State University Wexner Medical Center, Arthur G James Cancer Hospital, Columbus, Ohio
| | - Elaine O Cheung
- Surgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery and Center for Health Services and Outcomes Research, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Medical Social Sciences, Northwestern University, Chicago, Illinois
| | - Gaurava Agarwal
- Department of Psychiatry, Northwestern University, Chicago, Illinois
| | - Caryn D Etkin
- Surgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery and Center for Health Services and Outcomes Research, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Douglas S Smink
- Brigham & Women's Faulkner Hospital, Boston, Massachusetts; Department of Surgery, Harvard Medical School, Boston, Massachusetts
| | - Tait D Shanafelt
- Division of Hematology, Stanford School of Medicine, Stanford University, Stanford, California; Stanford Medicine WellMD Center, Stanford, California
| | - Karl Y Bilimoria
- Surgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery and Center for Health Services and Outcomes Research, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; American College of Surgeons, Chicago, Illinois
| | - Yue-Yung Hu
- Surgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery and Center for Health Services and Outcomes Research, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Division of Pediatric Surgery, Ann & Robert H. Lurie Children's Hospital, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
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Abstract
OBJECTIVES Burnout is a state of exhaustion resulting from prolonged and excessive workplace stress. We sought to examine biological underpinnings of burnout, focussing on mechanisms and physical consequences. METHODS We searched the literature on burnout and evaluated studies examining biological parameters in patient populations (i.e. 'clinical' burnout) as well as in individuals from the general population judged as having some degree of burnout evaluated using a dimensional approach. RESULTS Findings suggest that burnout is associated with sustained activation of the autonomic nervous system and dysfunction of the sympathetic adrenal medullary axis, with alterations in cortisol levels. Limited studies have also shown altered immune function and changes in other endocrine systems. Consequences of burnout include increased allostatic load, structural and functional brain changes, excito-toxicity, systemic inflammation, immunosuppression, metabolic syndrome, cardiovascular disease and premature death. Limitations of studies include variability in study populations, low specificity of burnout measures, and mostly cross-sectional studies precluding examination of changes across the course of burnout. CONCLUSIONS Further examination of biological mechanisms of burnout would benefit from more homogeneous clinical samples, challenge tests and prospective studies. This would assist in differentiation from conditions such as depression and aid with development of specific treatment targets for burnout.
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Affiliation(s)
- Adam Bayes
- School of Psychiatry, UNSW, Sydney, Australia.,Black Dog Institute, Sydney, Australia
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Davies SM, Sriskandarajah S, Staneva AS, Boulton HCM, Roberts C, Shaw SH, Silverio SA. Factors influencing ‘burn‐out’ in newly qualified counsellors and psychotherapists: A cross‐cultural, critical review of the literature. COUNSELLING & PSYCHOTHERAPY RESEARCH 2021. [DOI: 10.1002/capr.12485] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Affiliation(s)
- Siân M. Davies
- School of Psychology Liverpool John Moores University Liverpool UK
- Centre for Women's Mental Health The University of Manchester Manchester UK
- Department of Psychological Sciences University of Liverpool Liverpool UK
| | | | | | | | - Chelsey Roberts
- Therapist and Independent Researcher Tucson USA
- Elizabeth Garrett Anderson Institute for Women's Health University College London London UK
| | | | - Sergio A. Silverio
- Department of Psychological Sciences University of Liverpool Liverpool UK
- Elizabeth Garrett Anderson Institute for Women's Health University College London London UK
- School of Life Course Sciences King’s College London London UK
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Calcagni CC, Salanova M, Llorens S, Bellosta-Batalla M, Martínez-Rubio D, Martínez Borrás R. Differential Effects of Mindfulness-Based Intervention Programs at Work on Psychological Wellbeing and Work Engagement. Front Psychol 2021; 12:715146. [PMID: 34646205 PMCID: PMC8502863 DOI: 10.3389/fpsyg.2021.715146] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Accepted: 08/02/2021] [Indexed: 11/15/2022] Open
Abstract
Two different mindfulness-based interventions were deployed in a sample of white-collar workers to explore the differential effects on different facets of mindfulness, dimensions of psychological wellbeing, work engagement, performance, and stress of a participant. A total of 28 participants completed one of the different programs, and their results were compared between groups and against 27 participants randomly allocated to a waiting list control group. Results suggest both mindfulness intervention programs were successful at increasing the levels of psychological wellbeing, work engagement, and performance of the participants, as well as decreasing their levels of stress. Significant differences were found between the two programs in all outcome variables. Results suggest that brief and customized mindfulness interventions at work are as successful as lengthier programs.
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Affiliation(s)
- Cristián Coo Calcagni
- Department of Developmental, Educational & Social Psychology and Methodology, Jaume I University, Castellón de La Plana, Spain
| | - Marisa Salanova
- Department of Developmental, Educational & Social Psychology and Methodology, Jaume I University, Castellón de La Plana, Spain
| | - Susana Llorens
- Department of Developmental, Educational & Social Psychology and Methodology, Jaume I University, Castellón de La Plana, Spain
| | - Miguel Bellosta-Batalla
- Department of Personality, Evaluation and Psychological Treatment, University of Valencia, Valencia, Spain
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Slabšinskienė E, Gorelik A, Kavaliauskienė A, Zaborskis A. Burnout, lifestyle and relaxation among dentists in Lithuania: a cross-sectional study. BMC Health Serv Res 2021; 21:1098. [PMID: 34654421 PMCID: PMC8520307 DOI: 10.1186/s12913-021-07074-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Accepted: 09/22/2021] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND The aim of this study was to estimate the association of burnout level with lifestyle and relaxation among dentists in Lithuania. A better understanding of this association could help in the development of targeted interventions to prevent burnout among these professionals. METHODS The survey was conducted among practising dentists (N = 380) using the Maslach Burnout Inventory (MBI) and an authors' proposed scale to measure lifestyle and relaxation. Poisson regression was applied to examine the association between variables. RESULTS Regular cigarette smoking among dentists in Lithuania was 16.8 % and alcohol consumption was 31.3 %. Some forms of active relaxation were also common: regular playing sports (57.9 %), and spending time in nature (61.4 %). Emotional exhaustion (EE) and depersonalization (DP) burnout dimensions were negatively related to the regular use of illegal substances, alcohol, medication and smoking, while personal achievement (PA) was negatively related to smoking only. Dentists who regularly exercised had significantly lower EE and DP sum scores, and better assessments of PA. There were also positive relationships of EE, DP and PA sum scores with the variables of relaxation (e.g., spending time with family or friends, visiting a theatre, engaging in art, listening to music). CONCLUSIONS It was concluded that the burnout dimensions are negatively associated with unhealthy lifestyle factors and positively associated with active relaxation among dentists in Lithuania. Therefore, burnout prevention should target specific lifestyle and relaxation improvement strategies.
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Affiliation(s)
- Eglė Slabšinskienė
- Medical Academy, Faculty of Odontology, Department of Oral Health and Pediatric Dentistry, Lithuanian University of Health Sciences, Kaunas, Lithuania.
- Academy of Medicine, Faculty of Odontology, Department of Oral Health and Pediatric Dentistry, Lithuanian University of Health Sciences, J.Luksos-Daumanto street, 6, LT-50106, Kaunas, Lithuania.
| | - Andrej Gorelik
- Medical Academy, Faculty of Odontology, Department of Oral Health and Pediatric Dentistry, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Aistė Kavaliauskienė
- Medical Academy, Faculty of Odontology, Department of Orthodontics, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Apolinaras Zaborskis
- Medical Academy, Faculty of Public Health, Department of Preventive Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania
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Burnout and resilience among pharmacy technicians: A Singapore study. J Am Pharm Assoc (2003) 2021; 62:86-94.e4. [PMID: 34688567 DOI: 10.1016/j.japh.2021.09.013] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2021] [Revised: 09/06/2021] [Accepted: 09/26/2021] [Indexed: 11/20/2022]
Abstract
BACKGROUND Burnout describes emotional exhaustion (EE), depersonalization (DP), and low personal achievement caused by work and is known to bring about negative consequences to practitioners, patients, and health systems. Various organizational and personal factors, such as organizational strategies and resilience, have been associated with this phenomenon. However, there is a paucity of data describing the prevalence of burnout among pharmacy staff within Singapore and Asia, especially in the pharmacy technician (PT) population. OBJECTIVES This study aimed to (1) quantify burnout in PTs in patient-care sectors in Singapore and (2) explore factors that may be associated with burnout. METHODS A cross-sectional survey among PTs in patient-care areas in Singapore, which includes hospitals, primary and secondary care institutions, and retail pharmacies, across both public and private sectors was conducted from February to April 2020. The Maslach Burnout Inventory - Human Services Survey and Brief Resilience Scale were used to assess burnout and resilience among participants. Demographic, employment, and well-being information were also collected and summarized. Univariate analysis and multivariate logistic regression were used to assess associations between burnout and potential risk and impact factors. RESULTS Slightly more than half (52.0%) of PTs reported burnout (EE score ≥ 27 or DP ≥ 10 or both). Statistically significant factors associated with burnout include resilience, age, years of experience, ethnicity, marital status, nationality, highest qualifications, pharmacy-related certification, full-time employment status, and work hours. Impact associated with burnout includes intent for job change, job satisfaction, sleep, and presence of mental conditions. Statistically significant reported reasons for burnout and ways to build resilience were also elucidated. CONCLUSION Burnout affects most PTs in Singapore and is primarily driven by workload and nature of their work, low resilience, and poor social support structures. National and organizational efforts are needed to arrest the vicious cycle that propagates burnout in PTs.
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Sasidharan S, Dhillon HS. Stress and burnout among health-care workers in the coronavirus disease 2019 intensive care unit. Int J Crit Illn Inj Sci 2021; 11:257-261. [PMID: 35070917 PMCID: PMC8725809 DOI: 10.4103/ijciis.ijciis_45_21] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2021] [Revised: 07/07/2021] [Accepted: 08/08/2021] [Indexed: 11/18/2022] Open
Abstract
Since late December 2019, the city of Wuhan in China has reported a novel pneumonia caused by coronavirus disease 2019 (COVID-19), which has now spread domestically and internationally. The COVID-19 pandemic has caused unthinkable consequences and has challenged and, in numerous cases, beaten the capacity of hospitals and intensive care units (ICUs) worldwide to handle it. Apart from the obvious burden of patient care, extended work timings, and fear of personal safety, health-care workers (HCWs) also suffer from occupational stress as a result of lack of skills, organizational factors, and low social support at work leading to distress, burnout, and psychosomatic problems. This leads to stress, direct deterioration in quality of life as well as the quality of service provided. In this article, the authors navigate on the root cause of stress that is peculiar to the HCWs deployed in the ICU and suggest recommendations to alleviate it. To aid in the research, we searched the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, PsycINFO, CINAHL, NIOSHTIC-2, and Web of Science up to May 2021.
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Affiliation(s)
- Shibu Sasidharan
- Department of Anesthesia and Critical Care, Command Hospital, Western Command, Chandimandir, Haryana, India
| | - Harpreet Singh Dhillon
- Department of Psychiatry, Command Hospital, Western Command, Chandimandir, Haryana, India
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Chen YH, Tsai CF, Yeh CJ, Jong GP. Is burnout a mediating factor between sharps injury and work-related factors or musculoskeletal pain? World J Clin Cases 2021; 9:7391-7404. [PMID: 34616806 PMCID: PMC8464475 DOI: 10.12998/wjcc.v9.i25.7391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Revised: 06/01/2021] [Accepted: 07/27/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Burnout, musculoskeletal pain, and sharps injuries (SIs) affect medical workers. AIM To establish a model between SIs, burnout, and the risk factors to assess the extent to which burnout affects SIs. METHODS This questionnaire was used for an observational and cross-sectional study, which was based on members at a hospital affiliated with a medical university in Taichung, Taiwan, in 2020. The valid responses constituted 68.5% (1734 of 2531). The items were drawn from the Nordic Musculoskeletal Questionnaire and Copenhagen burnout inventory and concerned work experience, occupational category, presence of chronic diseases, sleep duration, overtime work, and work schedule. Factor analysis, chi-square test, Fisher exact test, Multiple linear, logistic regression and Sobel test were conducted. The present analyses were performed using SAS Enterprise Guide 6.1 software (SAS Institute Inc., Cary, NC, United States), and significance was set at P < 0.05. RESULTS Personal and work-related burnout ranks, sex, work experience ranks, occupational groups, drinking in the past month, sleep duration per day, presence of chronic diseases, overtime work ranks, and work schedule were associated with SIs. Frequent upper limb and lower limb pain (pain occurring every day or once a week) determined to be related to SIs. High personal burnout (> Q3) and high work-related burnout (> Q3) mediated the relationship between SIs and frequent lower limb pain. Similarly, frequent lower limb pain mediated the relationship of SIs with high personal and high work-related burnout. High personal and high work-related burnout mediated the relationships of SIs with overtime work and irregular shift work. The mediating model provides strong evidence of an association between mental health and SIs. CONCLUSION Burnout was determined to contribute to SIs occurrence; specifically, it mediated the relationships of SIs with frequent musculoskeletal pain, overtime work, and irregular shift work.
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Affiliation(s)
- Yong-Hsin Chen
- Department of Public Health, Chung Shan Medical University, Taichung 40201, Taiwan
- Department of Occupational Safety and Health, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
| | - Chin-Feng Tsai
- Division of Cardiology, Department of Internal Medicine, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
- School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
| | - Chih-Jung Yeh
- Department of Public Health, Chung Shan Medical University, Taichung 40201, Taiwan
| | - Gwo-Ping Jong
- Department of Internal Medicine, Chung Shan Medical University Hospital and Chung Shan Medical University, Taichung 40201, Taiwan
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Chumakov E, Petrova N, Mamatkhodjaeva T, Ventriglio A, Bhugra D, Molodynski A. Screening of minor psychiatric disorders and burnout among a sample of medical students in St. Petersburg, Russia: a descriptive study. MIDDLE EAST CURRENT PSYCHIATRY 2021. [PMCID: PMC8387095 DOI: 10.1186/s43045-021-00118-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Background Despite the general interest of researchers around the world, there are few studies on the psychological wellbeing and burnout among medical students in Russia. The aim of this study was to perform screening for minor psychiatric disorders, burnout, problematic alcohol use, and quantify the psychological issues and stress among a sample of medical students in St. Petersburg, Russia. Results According to the GHQ-12, screening for minor mental disorders was positive in 140 students (85%). Screening for burnout using the OLBI showed positive results in 121 (73%) students for disengagement and 132 (80%) students for exhaustion. Screening with the CAGE tool identified a risk of alcohol consumption in 33 students (20%). Most students reported academic studies as the main source of stress in their life (n = 147; 89.1%). Conclusions This study identified very high levels of stress, burnout, risk of minor mental disorders, and problematic alcohol use among medical students in St. Petersburg, Russia. These findings suggest more attention is needed to the poor mental wellbeing and health in medical students in Russia.
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Navinés R, Olivé V, Fonseca F, Martín-Santos R. [Work stress and resident burnout, before and during the COVID-19 pandemia: An up-date]. Med Clin (Barc) 2021; 157:130-140. [PMID: 34083069 PMCID: PMC8101798 DOI: 10.1016/j.medcli.2021.04.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 04/02/2021] [Accepted: 04/06/2021] [Indexed: 11/23/2022]
Affiliation(s)
- Ricard Navinés
- Unidad Funcional de Psiquiatría, Departamento de Medicina, Instituto de Neurociencias, Universidad de Barcelona (UB), Barcelona, España; Societat Catalana de Psiquiatria i Salut Mental (SCPiSM), Barcelona, España
| | - Victoria Olivé
- Unidad Funcional de Psiquiatría, Departamento de Medicina, Instituto de Neurociencias, Universidad de Barcelona (UB), Barcelona, España; Servicio de Prevención de Riesgos Laborales, Hospital Clínic, Barcelona, España
| | - Francina Fonseca
- Societat Catalana de Psiquiatria i Salut Mental (SCPiSM), Barcelona, España; Grupo de Investigación en Adicciones, Instituto de Investigación Médica Hospital del Mar (IMIM), Universidad Autònoma de Barcelona, Instituto de Neuropsiquiatría y Adicciones (INAD), Red de Trastornos Adictivos (RediTA), Barcelona, España
| | - Rocío Martín-Santos
- Grupo de Investigación en Vulnerabilidad, Psicopatología y Género, Servicio de Psiquiatría y Psicología, Programa de Atención al personal sanitario, Hospital Clínic, IDIBAPS, CIBERSAM, Barcelona, España; Unidad Funcional de Psiquiatría, Departamento de Medicina, Instituto de Neurociencias, Universidad de Barcelona (UB), Barcelona, España; Societat Catalana de Psiquiatria i Salut Mental (SCPiSM), Barcelona, España.
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Navinés R, Olivé V, Fonseca F, Martín-Santos R. Work stress and resident burnout, before and during the COVID-19 pandemia: An up-date. MEDICINA CLINICA (ENGLISH ED.) 2021; 157:130-140. [PMID: 35005240 PMCID: PMC8721440 DOI: 10.1016/j.medcle.2021.04.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Accepted: 04/06/2021] [Indexed: 02/05/2023]
Affiliation(s)
- Ricard Navinés
- Unidad Funcional de Psiquiatría, Departamento de Medicina, Instituto de Neurociencias, Universidad de Barcelona (UB), Barcelona, Spain
- Societat Catalana de Psiquiatria i Salut Mental (SCPiSM), Barcelona, Spain
| | - Victoria Olivé
- Unidad Funcional de Psiquiatría, Departamento de Medicina, Instituto de Neurociencias, Universidad de Barcelona (UB), Barcelona, Spain
- Servicio de Prevención de Riesgos Laborales, Hospital Clínic, Barcelona, Spain
| | - Francina Fonseca
- Societat Catalana de Psiquiatria i Salut Mental (SCPiSM), Barcelona, Spain
- Grupo de Investigación en Adicciones, Instituto de Investigación Médica Hospital del Mar (IMIM), Universidad Autònoma de Barcelona, Instituto de Neuropsiquiatría y Adicciones (INAD), Red de Trastornos Adictivos (RediTA), Barcelona, Spain
| | - Rocío Martín-Santos
- Grupo de Investigación en Vulnerabilidad, Psicopatología y Género, Servicio de Psiquiatría y Psicología, Programa de Atención al Personal Sanitario, Hospital Clínic, IDIBAPS, CIBERSAM, Barcelona, Spain
- Unidad Funcional de Psiquiatría, Departamento de Medicina, Instituto de Neurociencias, Universidad de Barcelona (UB), Barcelona, Spain
- Societat Catalana de Psiquiatria i Salut Mental (SCPiSM), Barcelona, Spain
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Berent D, Skoneczny M, Macander M, Wojnar M. The association among health behaviors, shift work and chronic morbidity: A cross-sectional study on nurses working in full-time positions. J Public Health Res 2021; 11. [PMID: 34351093 PMCID: PMC8847952 DOI: 10.4081/jphr.2021.2099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2021] [Accepted: 06/11/2021] [Indexed: 11/29/2022] Open
Abstract
Background: Nurses are known to work in conditions of stress and physical overload. Health behaviors are modifiable factors that may reduce the adverse effects of work on general health. The present study examined health-related behaviors and their association with current night shift work and chronic morbidity among female nurses. Design and Method: Four hundred seventy-two female nurses (M ± SD = 44.28±7.14 years) self-reported their health habits, physical activity, body mass index (BMI), and chronic disorders that required current treatment. Instruments used in the study consisted of an author-developed questionnaire and the Health Behavior Inventory (HBI). Reported diagnoses were classified as cardio-vascular, gastro-intestinal, malignant neoplastic, endocrine, or other. Results: The most common reported disorders were cardiovascular disorders (5.7% of nurses) followed by other (7.6%), endocrine (7.4%), gastro-intestinal (6.4%), and malignancy (0.2%). On average, health-related behaviors on the HBI were average (83.49 ± 14.33). Overweight and/or obesity (i.e., BMI ≥25 kg/m2) were reported by 41.5% of nurses, 24.2% were current smokers, and 36% reported no recreational physical activity. The remaining 64% of nurses who performed physical activity did not report activity levels that met World Health Organization recommendations. Physical activity and HBI scores (total and subscales; i.e., positive attitude, preventive behaviors, proper dietary habits, health-related practices) were not associated with current night shift work or morbidity. Conclusion: Health-promoting programs are needed to support weight control and promote health-related behaviors among nurses. Future research should identify potential barriers to healthy lifestyle recommendations in the workplace.
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