Medicine and Health Sciences Commons^™

Burnout Among Emergency Physicians Working At A Large Tertiary Centre In Ontario, Rushika Perera, Kristine Van Aarsen, Laura Foxcroft, Rodrick Lim

Journal of Wellness

BACKGROUND: Emergency medicine (EM) is a high-stress specialty. Work related stress and burnout have been reported to negatively impact physician-patient interactions, overall physician mental and physical health, and most importantly, patient outcomes. We assessed the rates of burnout among emergency physicians (EPs) at our centre.

METHODS: A local cross-sectional study to assess burnout among adult and pediatric EPs, fellows and residents was conducted at three Emergency Departments (EDs) at a single institution in Canada. The anonymous online survey encompassed demographics, the validated MBI tool (Maslach Burnout Inventory) and additional questions aimed at identifying determinants of EP burnout. Each respondent’s three …

Reconciling Incongruencies: Examining The Meaning And Influencing Factors Of Oncology Nurses' Professional Quality Of Life, Rebecca Lynne Boni

UNLV Theses, Dissertations, Professional Papers, and Capstones

Nurses often witness suffering and loss. These experiences are intrinsic to the practice of nursing and can exert a strong, cumulative effect on nurses’ professional quality of life (QOL). Stamm (2010b) conceptualizes professional QOL as a composite of compassion fatigue and compassion satisfaction. Inferior professional QOL has been linked to numerous negative healthcare outcomes. Oncology nurses are particularly vulnerable to compassion fatigue. The Professional Quality of Life Scale (ProQOL), created by Stamm (2009), is the current survey used to measure professional QOL, but it may not be specific enough for oncology nurses.

The purpose of this grounded theory study was …

Mindfulness-Based Stress Reduction Activities Via Smartphone In Advanced Practice Providers: A Pilot Quality Improvement Project To Reduce Perceived Stress, Burnout, And Intent To Leave, Cynthia L. Larsen-Bednarchik

Doctor of Nursing Practice Projects

Abstract

Burnout, attrition, and decreased work engagement among Advanced Practice Providers (APPs) are growing concerns and can have a negative influence on health care provider wellbeing. Chronic workplace stress is linked to various physical health problems, such as fatigue, insomnia, heart disease, depression, anxiety, and obesity. Chronic provider burnout is costly and extends to organizations and hospitals due to higher attrition, increased absenteeism, and decreased work engagement. Mindfulness-based stress reduction (MBSR) programs focus on the intent of practicing mindfulness to cultivate a state of being that is nonjudgmental, openhearted, friendly, curious, accepting, and compassionate. MBSR programs afford clinicians a way …

Burnout, Depression And Suicide Prevention For Nursing Staff In High-Intensity Settings, April Ritchie

Doctor of Nursing Practice (DNP) Projects

Nurses working in high-intensity settings experience burnout at higher rates than in other nursing areas. Burnout in healthcare is a problem estimated as high as 70% by the Agency for Healthcare Research and Quality. Burnout can lead to depressive symptoms, which can lead to suicidal ideation in affected healthcare providers, which makes early identification and treatment of utmost importance to the mental and physical wellbeing of these nurses.

The purpose of this project is to examine burnout in nursing staff working in high-intensity areas of the hospital in order to help identify burnout and/or depressive symptoms before they lead to …

An Investigation Into The Relationships Between Bullying, Discrimination, Burnout And Patient Safety In Nurses And Midwives: Is Burnout A Mediator?, Judith Johnson, Lorraine Cameron, Lucy Mitchinson, Mayur Parmar, Gail Opio-Te, Gemma Louch, Angela Grange

HPD Articles

BACKGROUND: Bullying and discrimination may be indirectly associated with patient safety via their contribution to burnout, but research has yet to establish this. AIMS: The aims of this study were to investigate the relationships between workplace bullying, perceived discrimination, levels of burnout and patient safety perceptions in nurses and midwives and to assess whether bullying and discrimination were more frequently experienced by Black, Asian and minority ethnic than White nurses and midwives. METHODS: In total, 528 nurses and midwives were recruited from four hospitals in the United Kingdom to complete a cross-sectional survey between February and March 2017. The survey …

Burnout, Job Dissatisfaction, And Mental Health Outcomes Among Medical Students And Health Care Professionals At A Tertiary Care Hospital In Pakistan: Protocol For A Multi-Center Cross-Sectional Study, Syed Hamza Mufarrih, Aeman Naseer, Nada Qaisar Qureshi, Zohaib Anwar, Nida Zahid, Riaz Hussain Lakdawala, Shahryar Noordin

Department of Biological & Biomedical Sciences

Burnout, a state of vital exhaustion, has frequently been related to work-related stress and job dissatisfaction. Given the emotionally and physically challenging nature of their work, high rates of burnout have been reported among health care professionals. This may put them at a higher risk for of suffering from adverse mental health outcomes, including depression, anxiety and stress. In our study, we aim to assess the prevalence i of and associations among burnout and job dissatisfaction and adverse mental health outcomes in a developing country, where the challenges faced by the health care system are unique. Facilities are over-burdened and …

Wellness Domains For Residency Training Programs, Danielle Hart, Glenn Paetow, Ramin Tabatabai, Rochelle Zarzar, Arlene S. Chung

Journal of Wellness

In this editorial, we describe a residency-specific wellness framework that residency leadership can utilize in developing their local wellness programs.

Resident Experience Discussion (Red): Resident-Led Discussion Groups To Promote Resilience, Timothy Kuchera, Colin J. Thomas, Candace L. Haddox, Hannah C. Nordhues, Deanne T. Kashiwagi, Alan Kubey

Department of Medicine Posters

We sought to promote resident wellness through a resident-initiated-and-run discussion forum outside the formal residency structure

The Effectiveness Of A Robotic Seal On Compassion Satisfaction In Acute Care Nurses: A Mixed Methods Approach, Jo S. Henson

Nursing Theses and Dissertations

Problem: Nurses face a variety of stressors that can result in decreased levels of compassion satisfaction. The purpose of this study was to investigate the efficacy of a computerized interactive social assist robot (PARO) to decrease stressors and increase compassion levels of acute care nurses in an inpatient setting.

Theory: The Professional Quality of Life Model posits that low Compassion Satisfaction, Burnout, and Secondary Traumatic Stress leads to Compassion Fatigue.

Hypotheses: It was hypothesized that interaction with a social assist robot with artificial intelligence will result in decreasing levels of stress therefore increasing levels of compassion satisfaction in nurses working …

Examining Predictors Related To Intent To Leave Nursing Among Advanced Beginner Nurses, Laura M. Domagala

College of Science and Health Theses and Dissertations

Introduction: Advanced beginner nurses are at risk of leaving the nursing profession prematurely and therefore further contributing to the nursing shortage. After a review of the literature, there are no known studies to date that examine the impact of compassion fatigue (including burnout and secondary traumatic stress), and compassion satisfaction on intent to leave nursing in the advanced beginner nurses. Objective: The objective of this study is (1) to examine the difference between demographic characteristics and compassion fatigue, and compassion satisfaction, and (2) to examine significant predictors for intent to leave nursing in the advanced beginner nurse measured by compassion …

Correctional Officers: Attitudes And Training, Madison Meiser, Emma Ricciardelli

Psychology: Student Scholarship & Creative Works

Past literature on correctional officers is relatively sparse leaving many gaps in information important to supporting officers in their careers. Correctional officers have many experiences throughout their careers which affect their job satisfaction, levels of burnout, and turnover. Training in regard to mental health of the prisoners these officers are responsible for is one aspect of the career that requires more study. Crisis Intervention Team (CIT) training is making strides in improving the skills of police officers when handling detainees with mental illnesses. CIT training focuses on knowledge about mental health, verbal de-escalation tactics, and increasing the officer’s confidence in …

Mindfulness In Medicine: Modified Mindfulness-Based Stress Reduction (Mbsr) Program Among Future Doctors, Virtue Sankoh

Dissertations, Theses, and Capstone Projects

Medical trainees are at particular risk for stress-related illness, including mental health problems such as suicidal ideation, substance abuse, and mood disorders. A vast literature on mindfulness-based stress reduction (MBSR), consisting of mindfulness education and structured meditative practices, has consistently demonstrated that MBSR and related mindfulness-based interventions improve mental and physical health, as well as one’s overall sense of well-being. Moreover, theorists and researchers have begun to suggest further that mindfulness plays a particular role in social cognition, or social-emotional learning. Medical schools have long been interested in ways to improve the “soft skills” related to interpersonal connectedness that are …

Nurse Managers: An Association Between Empowerment And Burnout, Sonja Lynn Avery

Doctoral Projects

The purpose of the study is to ascertain the presence of an inverse relationship between nurse managers’ feelings of structural empowerment and self-perception of burnout. Although research is available studying the effects of staff nurse empowerment and burnout, literature is sparse relative to evaluation of nurse manager empowerment and burnout. Of the studies available, there is supportive evidence pertaining to the negative implications associated with nurse manager burnout such as reduced staff nurse retention and morale, decrease in quality of patient care, and financial impact on organizational success. With such negative implications associated with a lack of empowerment and burnout, …

Redefining Burnout: Exploring Common Conceptualizations And The Neurophysiology Of Chronic Stress To Establish An Integrated Allostatic Model, Danny A. Guzzi

Dissertations

Burnout is a widely researched stress-related phenomenon associated with numerous adverse outcomes for employees and organizations. Unfortunately, burnout is not well understood and research to this point has been flawed due to a lack of consensus on the definition, dimensionality, and context of the construct. Prevalent conceptualizations of burnout have been criticized for being arbitrarily developed without solid theoretical foundation and for failing to clearly distinguish burnout from depression or other work-related conditions such as compassion fatigue, secondary traumatization, and vicarious traumatization. The current project first examines relevant literature to identify commonalities among prevalent burnout conceptualizations. Then relevant stress research …

An Analysis Of Stress In Undergraduate Nursing Students At The University Of Maine, Samantha King

Honors College

Prolonged stress has shown a direct correlation to negative health outcomes. College students are amongst the population of individuals who experience chronic stress due to a variety of factors (e.g. heavy course load, pressures to succeed, and a new environment and social setting). Nursing students in particular are exposed to considerable stress as they face these same stress triggers as other college majors in addition to the strict pass/fail guidelines, clinical experience, and the pressures of life or death experiences when working in the health field. Knowing that stress has a profound impact on health and well-being, nursing students should …

A Study Of Wellness Education As A Burnout Coping Strategy, Abhishek Surampudy, Allen Friedland, Md, Himani Divatia, Do, Tina Hu, Md

Phase 1

Introduction: The MedScape National Physician Burnout & Depression 2018 report states that over 40% of responding physicians reported burnout, with 12% reporting clinical depression. As such, there is a need to study burnout mitigation.

Objective: This study seeks to validate the hypothesis that intervention will prevent burnout and promote physician well-being.

Methods: 200 medical professionals attending the November 2018 NMPRA conference in Orlando were administered a survey to assess attitudes and prevalence of burnout. Education about burnout was provided through an information booth, handouts, and discussions. A monthly newsletter about wellness will seek to inspire participants. Another survey after 6 …

Technology Use And Wellness Maintenance In A Medical Student Population, Lillian Flashner

Phase 1

Introduction: Burnout now affects more than half of U.S. medical students, causing decreased resilience and coping ability. When these students become physicians, they are more likely to commit medical error and have decreased patient satisfaction. Studies in college students have shown that technology use may improve wellness and deter burnout; however, heretofore no studies have been conducted to understand if medical students use the same practices.

Objective: Our specific aims were to survey medical students to identify whether they use technology to maintain their wellness, and to identify which technologies are the most effective for this purpose.

Methods: We distributed …

When Self-Care Is Not Enough: Reflections On How To Make Trauma-Intensive Clinical Work More Sustainable, Brianna C. Delker

Dignity: A Journal of Analysis of Exploitation and Violence

As a psychology resident on the psychiatry consultation-liaison service at a trauma center, I was asked by another trainee how I cope with the devastating cases of traumatic injury and abuse that we witnessed regularly on the service. This trainee’s courageous question about how we as providers cope sustainably with bearing witness to trauma coincided with my own reflection on the limits of “self-care” as it is often discussed and practiced in human service professions. In this article, I argue that an activity-based approach to self-care is not enough for providers in trauma-intensive service settings and must be complemented with …

Development Of The Resident Wellness Scale For Measuring Resident Wellness, R. Brent Stansfield, Dan Giang, Tsveti Markova

Journal of Patient-Centered Research and Reviews

Purpose: Graduate medical education programs have a responsibility to monitor resident wellness. Residents are at risk of burnout, depression, and suicide. Burnout and depression are associated with poor patient care. Many existing tools measure burnout, depression, and general human well-being, but resident wellness is a distinct construct. We aimed to develop an instrument to measure resident wellness directly.

Methods: An expert panel from two purposefully different graduate medical education institutions generated a behavior- and experience-based model of resident wellness. The panel and resident leaders from both institutions generated 92 items, which were tested alongside anchor scales measuring burnout, depression, personality, …

Burnout, Depression And Suicide Prevention For Nurses In High-Intensity Settings, April Ritchie

Doctor of Nursing Practice (DNP) Projects

Problem: Burnout in healthcare has been reported as high as 35% for hospital nurses in acute care and occurs at higher rates in high-intensity settings. Burnout can lead to depressive symptoms, which can lead to suicidal ideation in affected healthcare providers and warrants further attention.

Context: Studies indicate that identification and interventions can help improve burnout; therefore, nurses in the emergency department (ED), intensive care unit (ICU), labor and delivery (L&D), and neonatal intensive care unit (NICU) completed education, surveys, and tools to identify and treat the problem.

Interventions: Nurse education on burnout, depression, and suicide was completed, and …

Teaching Resilience To Nurses And Nursing Students, Laura Elizabeth Mckinney

All Electronic Theses and Dissertations

Background: Nurses are leaving the profession at high rates and many of them cite compassion fatigue and burnout as the cause. Nursing students leave their schooling at even higher rates. Developing resilience in nursing students and practicing nurses will prevent many from changing careers. Purpose: The purpose of this critical review of the literature is to answer the question: How can nurse educators encourage the growth of resilience in nursing students and practicing nurses? Results: Using the Johns Hopkins Research Evidence Appraisal Tool (Dearholt & Dang, 2002), eighteen high quality and good quality articles were reviewed for this project. This …

Medice, Cura Te Ipsum (Physician, Heal Thyself): A Documentary Film Exploring How The Passions Of Medical Students Will Make Them Better And Healthier Physicians, Ryan Emhoff

Phase 1

It is a well documented, yet largely ignored fact that physicians, residents and medical students are experiencing a pandemic of depression, burnout, dissatisfaction, and suicide. The principal cause may be the institution of medicine, which is slow to change, abusive, and dismissive of these complaints. While interventions are necessary at all levels of training, medical students may be the most in need as their mental health is the poorest of these groups.

Emotion-focused coping activities focus on alleviating stress. The humanities can function as emotion-focused coping activities, and exposure to them in medical education has been correlated with higher empathy …

A First Step: Analyzing The Professional Quality Of Life Of U.S. College Mental Health Counselors, Jeffrey Yoichi Kuroiwa

Open Access Theses & Dissertations

The study used a demographic questionnaire and the Professional Quality of Life Scale (ProQOL) to conduct a national survey of mental health counselors (N = 236) working at colleges and universities in the United States. It was hypothesized that U.S. college mental health counselors would indicate higher than average scores on the ProQOL subscales for compassion satisfaction, burnout, and secondary traumatic stress. The results show that U.S. college mental health counselors indicate average potential for compassion satisfaction and average risk for developing burnout and secondary traumatic stress. It was also hypothesized that counselors' ProQOL scores would differ between gender, age, …

Primary Care Panel Comanagement By A Physician And An Advanced Practice Clinician: Impact On Provider Burnout, Jennifer Strobel

Doctor of Nursing Practice Projects

Background: Levels of burnout have reached epidemic proportions among health care professionals, resulting in a number of negative consequences, including loss of productivity, increased turnover, and increased organizational costs. Advanced Practice Clinicians (“APCs”- a term that encompasses both ARNPs and PAs) were integrated into teams with physicians at a network of primary care clinics in a greater metropolitan area in the United States with the goal of reducing provider burnout. This approach has not yet been evaluated to determine whether there are benefits for reduction of burnout levels in clinicians. Few studies have been conducted to date about the …

The Effects Of Compassion Fatigue On Burnout Among Inpatient Psychiatric And Intensive Care Unit Nurses, Amita Madan Neidlinger

DNP Projects

PURPOSE: This DNP project is relevant to nurses of the psychiatric and Intensive Care Unit (ICU) setting, as high stress environments may produce higher rates of compassion fatigue and burnout. Investigation of these areas may help illuminate unnecessary healthcare costs that are associated with these phenomena. This DNP project is important to the University of Kentucky’s healthcare system, its patients, and nurses. Increased absenteeism and increased medication errors are positively associated with the prevalence of compassion fatigue and burnout in nurses. Outcomes from this project will allow identification of unnecessary healthcare costs and encourage administrators to focus on reducing nurse …

Risk And Protective Factors For Secondary Traumatic Stress And Burnout Among Home Visitors, Sandina Begic, Jennifer M. Weaver, Theodore W. Mcdonald

Psychological Sciences Faculty Publications and Presentations

The overarching goal of this study was to understand the context of home visitor secondary traumatic stress and burnout, and how this might affect intention to quit among home visitors, particularly focusing on potential risk factors and supportive strategies identified by the home visitors. All home visitors providing services in the state in which the research was conducted (N = 27) completed a structured interview and a quantitative survey at two time points, 6 months apart. Results indicated that more than two-thirds of the home visitors experienced either medium or high levels of secondary traumatic stress and burnout over the …

An Exploratory Structural Equation Modeling Bi-Factor Analytic Approach To Uncovering What Burnout, Depression, And Anxiety Scales Measure, Irvin Sam Schonfeld, Jay Verkuilen, Renzo Bianchi

Publications and Research

In this study, we addressed the ongoing debate about what burnout and depression scales measure by conducting an exploratory structural equation modeling (ESEM) bifactor analysis. A sample of 734 U.S. teachers completed a survey that included the Center for Epidemiologic Studies Depression scale (CES-D-10), the depression module of the Patient Health Questionnaire (PHQ-9), the Generalized Anxiety Disorder scale (GAD-7), and the Maslach Burnout Inventory (MBI), which contains emotional exhaustion (EE), depersonalization (DP), and (diminished) personal accomplishment (PA) subscales. Job adversity and workplace support were additionally measured for the purpose of a nomological network analysis. EE, burnout’s core, was more highly …

Benchmarking Nurse Outcomes In Australian Magnet® Hospitals: Cross-Sectional Survey, L. Stone, M. Arneil, Linda Coventry, V. Casey, S. Moss, A. Cavadino, B. Laing, A. L. Mccarthy

Research outputs 2014 to 2021

Background: Positive reports of nursing-related outcomes such as quality nursing care, nursing engagement with work and good practice environment are crucial in attaining and maintaining Magnet® designation. The majority of Magnet®-designated organisations (N = 482) are in the USA, with their aggregate nursing outcomes widely published as benchmark data. Australian Magnet® outcomes have not been aggregated or published to date. Methods: The aims are to benchmark educational preparation, occupational burnout, job satisfaction, intention to leave and working environment of nurses in Australian Magnet®-designated facilities and to determine the reliability of the Practice Environment Scale-Australia. The design is a cross-sectional multisite …

Finding Your Balance: An Investigation Of Recovery–Stress Balance In Vocational Dance Training, Peta Blevins, Shona Erskine, Luke Hopper, Gene Moyle

Research outputs 2014 to 2021

Professional dance careers require years of intensive training. Stress experienced during training must be balanced with adequate recovery to prevent overtraining and burnout. Little is known, however, about how dancers achieve recovery–stress balance. This study examined dancers’ recollection of stress and recovery during their vocational dance training to identify potential stressors and recovery behaviors in vocational dance training. Twelve current and ex-professional ballet (n=4) and contemporary dancers (n=8) participated in the study. Four general dimensions, based on the extant overtraining literature in athletes, were identified: dance culture, intrapersonal, interpersonal, and situational factors. Cultural norms, health factors related to injury and …

Determinants Of Compassion Fatigue In Acute Care Nursing, Sherry Levering

Walden Dissertations and Doctoral Studies

Nurses experiencing compassion fatigue (CF) are emotionally exhausted, which contributes to decreased nurse retention and patient satisfaction. The focus of this project was to identify factors that contribute to CF. A systematic review was conducted to identify demographic factors that contribute to CF in the acute care setting, clarify the types of care situations that increase CF, and describe the social support networks of nursing units influencing CF. The review included peer-reviewed journal articles published between 2007 and 2018 that focused on registered nurses in the acute care setting. Using the grading of recommendation assessment development and evaluation format, 3 …