occupational burnout

职业倦怠
  • 文章类型: Journal Article
    职业倦怠已被认为是最关键的社会问题之一。本研究旨在评估一组伊朗牙髓医生的职业倦怠。
    72名伊朗牙髓医生通过完成缩写的Maslach倦怠清单(aMBI)参加了这项横断面研究,由三个领域的一份问卷组成。数据用SPSS21进行分析,采用卡方检验,相关性检验,和线性回归。
    关于职业倦怠,2.9%的参与者有严重的情绪衰竭,4.2%表现出强烈的成就感,67.2%表现为中度职业倦怠,78.9%的参与者对他们的工作感到满意。在所有变量中,只有毕业后的几年与牙髓医生的职业倦怠呈显著负相关.
    与该领域的标准平均分数相比,牙髓医生的总体平均分数显示出中等的职业倦怠率。最近的毕业生表现出更高的分数。
    UNASSIGNED: Occupational burnout has been introduced as one of the most critical social problems. The present study aimed to evaluate occupational burnout among a group of Iranian endodontists.
    UNASSIGNED: Seventy-two Iranian endodontists participated in this cross-sectional study by completing the abbreviated Maslach Burnout Inventory (aMBI), consisting of one questionnaire in three domains. The data were analyzed with SPSS 21, using the chi-squared test, correlation test, and linear regression.
    UNASSIGNED: Concerning occupational burnout, 2.9% of the participants had severe emotional exhaustion, 4.2% exhibited an intense feeling of decreased accomplishment, 67.2% exhibited moderate occupational burnout, and 78.9% of the participants were satisfied with their job. Of all the variables, only the years elapsed since graduation had an inverse and significant correlation with occupational burnout among endodontists.
    UNASSIGNED: The overall mean scores of endodontists showed a moderate rate of occupational burnout compared to the standard mean scores in this field. Recent graduates exhibited higher scores.
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  • 文章类型: Journal Article
    倦怠归因于负面的工作环境,并威胁患者和临床医生的安全。心理安全是指工作环境对于人际冒险是安全的,并且可以提供对工作环境与倦怠之间关系的洞察力。在对加利福尼亚州621名护士从业人员的调查数据进行的横断面分析中,我们发现三分之一(34%)的人经历了高倦怠。工作环境中的四个因素与职业倦怠呈负相关,与心理安全呈正相关。在每个工作环境因素与情绪疲惫和人格解体之间的关系中,观察到了心理安全性的显着调解作用。观察到最大的调解效果是护士-医生关系和实践可见性对情绪疲惫的总影响(37%和32%,分别)和独立实践与支持和NP-管理关系(32%和29%,分别)。我们发现,总的来说,心理安全感降低了工作环境与职业倦怠之间的负相关的强度。我们认为研究,实践,减轻倦怠和改善工作环境的政策努力应将心理安全视为系统层面福祉的指标。
    Burnout is attributed to negative work environments and threatens patient and clinician safety. Psychological safety is the perception that the work environment is safe for interpersonal risk-taking and may offer insight into the relationship between the work environment and burnout. In this cross-sectional analysis of survey data from 621 nurse practitioners in California, we found that one-third (34%) experienced high burnout. Four factors in the work environment were negatively associated with burnout and positively associated with psychological safety. Significant mediation effects of psychological safety were observed on the relationships between each work environment factor and both emotional exhaustion and depersonalization. The largest mediation effects were observed on the total effects of Nurse Practitioner-Physician Relations and Practice Visibility on Emotional Exhaustion (37% and 32%, respectively) and Independent Practice and Support and NP-Administration Relations on Depersonalization (32% and 29%, respectively). We found, overall, that psychological safety decreased the strength of the negative relationship between work environment and burnout. We argue that research, practice, and policy efforts to mitigate burnout and improve the work environment should consider psychological safety as a metric for system-level well-being.
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  • 文章类型: Journal Article
    背景:倦怠是放射学中普遍存在的慢性问题,给个人和医疗系统带来沉重负担。
    结论:关于职业倦怠管理的文献中有很大一部分集中在基于个人的补救措施上。我们认为倦怠是一个系统性问题,并概述了一些可用于减轻放射学倦怠的基于系统的策略。这些包括管理工作负载、优化轮班,最大限度地提高自主性,限制工作与生活的冲突,创造职业成就的机会,利用用户友好的电子病历(EMR),部署高效的图片存档和通信系统(PACS),建筑系统冗余,领导力透明度,营造健康的工作环境。结论:基于系统的策略可以帮助减轻职业倦怠。
    BACKGROUND: Burnout is a chronic problem prevalent in radiology, with a significant burden on individuals and healthcare systems.
    CONCLUSIONS: A substantial portion of the literature on managing burnout has focused on individual-based remedies. We posit that burnout is a systemic problem and present an overview of some system-based strategies that could be employed to mitigate burnout in radiology. These include managing workload, optimizing work shifts, maximizing autonomy, limiting work-life conflicts, creating opportunities for professional fulfillment, utilizing user-friendly electronic medical records (EMR), deploying efficient picture archiving and communication systems (PACS), building system redundancy, leadership transparency, and fostering a healthy work environment.  CONCLUSION: System-based strategies can help mitigate burnout.
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  • 文章类型: Journal Article
    背景:先前的研究表明,在医疗保健专业人员中,抑郁与职业倦怠之间存在很强的关联,但是结果不一致,缺乏对不同医疗保健专业之间这种关系的深入探索。本研究旨在调查中国医疗保健专业人员中抑郁和倦怠之间的相互关系,以及医生和护士之间这些症状的网络是否存在差异。
    方法:采用Maslach倦怠量表-一般调查和2项患者健康问卷评估了3,684名医疗保健专业人员的职业倦怠和抑郁情绪。翻译已经完善,以确保准确性和学术适用性。随后,对2,244名工作倦怠水平较高的参与者进行了网络分析,以确定核心症状,并探讨工作倦怠与抑郁之间的关系.
    结果:本研究表明,对事物缺乏兴趣和愉悦与工作精疲力竭之间存在网络联系,过度疲劳面对工作,在工作中倾向于崩溃,医疗保健专业人员比以前缺乏对工作的热情,以及护士和医生之间对事物缺乏兴趣和乐趣与对工作缺乏热情之间的网络联系显着差异。
    结论:医生和护士的抑郁倦怠网络结构不同,强调两组都需要采取有针对性的干预措施。
    BACKGROUND: Previous studies have demonstrated a strong association between depression and job burnout among healthcare professionals, but the results have been inconsistent, and there is a lack of in-depth exploration of such a relationship among different healthcare professions. The present study aims to investigate the interrelationships between depression and burnout among Chinese healthcare professionals and whether there are differences in the networks of these symptoms between doctors and nurses.
    METHODS: The Maslach Burnout Inventory-General Survey and the 2-item Patient Health Questionnaire were employed to assess job burnout and depression among 3,684 healthcare professionals. The translation has been refined to ensure accuracy and academic suitability. Subsequently, network analysis was conducted on 2,244 participants with a higher level of job burnout to identify core symptoms and explore the associations between job burnout and depression.
    RESULTS: The present study showed a network association between lack of interest and pleasure in things and being exhausted from work, excessive tiredness facing work, tendency to collapse at work, and lack of passion for work than before among healthcare professionals, as well as a notable difference in the network association between lack of interest and pleasure in things and lack of passion for work than before between nurses and doctors.
    CONCLUSIONS: The depression-burnout network structures differ between doctors and nurses, highlighting the need for targeted intervention measures for both groups.
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  • 文章类型: Journal Article
    背景:初级保健中的职业倦怠会损害工人的幸福感和患者护理。许多因素导致倦怠,包括高工作负载,情绪压力,和不支持的主管。形成性证据表明,如果诊所领导者与团队成员进行季度和简短(〜30分钟)的一对一检查以确认和解决工作生活压力源,则可能会减少倦怠(例如,时间表,工作流故障,休假请求)。本文介绍了一项随机对照试验(RCT)的干预方案,旨在评估检查在减少初级保健专业人员倦怠方面的有效性和过程。
    方法:在西北太平洋某医疗系统的12个初级保健诊所进行了双臂RCT。六个诊所接受了适应性设计,半结构化干预,包括预定义的培训模块,采用基于证据的策略,通过签到来减少倦怠,随后是针对诊所的反馈会议,然后提供和进行季度领导-员工检查。六个诊所被随机分配为候补对照。在基线和12个月随访时,使用Maslach倦怠量表(MBI)测量倦怠。次要结果包括组织约束,心理安全,和主管支持。采用多层次建模和定性方法评估干预效果和过程。
    结论:通过关注可改变的工作-生活因素,如压力源和主管支持,入住干预措施旨在降低初级保健专业人员的倦怠率。这项试验的结果将揭示入住可能减少倦怠的条件。结果还将为旨在改善初级保健环境中的心理健康和福祉的政策和干预措施提供信息。
    结果:gov:IDNCT05436548。
    BACKGROUND: Burnout in primary care undermines worker well-being and patient care. Many factors contribute to burnout, including high workloads, emotional stress, and unsupportive supervisors. Formative evidence suggests that burnout might be reduced if clinic leaders hold quarterly and brief (∼30 min) one-on-one check-ins with team members to acknowledge and address work-life stressors (e.g., schedules, workflow breakdowns, time off requests). This paper describes the intervention protocol for a randomized controlled trial (RCT) designed to evaluate the effectiveness and process of the check-ins in reducing burnout among primary care professionals.
    METHODS: Two-arm RCT conducted at 12 primary care clinics of a healthcare system in the Pacific Northwest. Six clinics received an adaptive design, semi-structured intervention, including predefined training modules with evidence-based tactics to reduce burnout through the check-ins, followed by clinic-specific feedback sessions prior to offering and conducting quarterly leader-employee check-ins. Six clinics were randomized as waitlist controls. Burnout was measured using the Maslach Burnout Inventory (MBI) at baseline and at the 12-month follow-up. Secondary outcomes include organizational constraints, psychological safety, and supervisor support. Multilevel modeling and qualitative methods were applied to evaluate the effects and process of the intervention.
    CONCLUSIONS: By focusing on modifiable work-life factors such as stressors and supervisor support, the check-ins intervention aims to reduce burnout rates among primary care professionals. Findings from this trial will shed light on the conditions upon which check-ins might reduce burnout. Results will also inform policies and interventions aimed at improving mental health and well-being in primary care settings.
    RESULTS: gov: ID NCT05436548.
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  • 文章类型: Journal Article
    中国护士的职业倦怠状况值得关注。童年创伤,孤独,情绪障碍是这种倦怠的重要预测因素,然而,很少有研究探讨潜在的机制。本研究旨在探索从童年创伤到孤独的中介途径,情绪紊乱,通过横断面分析,最终导致护士职业倦怠。
    研究数据来自云南省,中国,2022年7月11日至7月26日。使用标准化量表测量关键变量:儿童期创伤问卷简表,孤独的三项孤独量表,患者健康问卷和情绪障碍的广义焦虑症问卷,以及Maslach职业倦怠量表-人类服务调查。采用中介模型分析进行数据分析,以检验孤独感和情绪障碍对儿童创伤与职业倦怠之间关系的影响。使用AMOS和SPSS软件进行数据分析。
    孤独和情绪障碍完全介导了童年创伤和情绪衰竭之间的关联[间接效应(95%CI)=0.228(0.196,0.270)]。孤独和情绪障碍部分介导了童年创伤[间接效应(95%CI)=-0.020(-0.039,0.002)]与个人成就感或人格解体[间接效应(95%CI)=0.221(0.186,0.255)]之间的关联。
    儿童创伤可通过护士的孤独感和情绪障碍影响职业倦怠。预防策略可以包括保护性干预措施,如治疗孤独和情绪障碍,尤其是经历过童年创伤的护士。
    UNASSIGNED: The occupational burnout status of nurses in China warrants attention. Childhood trauma, loneliness, and emotional disturbance are significant predictors of this burnout, yet few studies have delved into the underlying mechanisms. This study seeks to explore the mediating pathway from childhood trauma to loneliness, emotional disturbance, and ultimately occupational burnout among nurses through a cross-sectional analysis.
    UNASSIGNED: Data for the study were collected from Yunnan province, China, from 11 July to 26 July 2022. Key variables were measured using standardized scales: the Childhood Trauma Questionnaire Short Form for childhood trauma, the three-item loneliness scale for loneliness, the Patient Health Questionnaire and the Generalized Anxiety Disorder questionnaire for emotional disturbance, and the Maslach Burnout Inventory-Human Service Survey for occupational burnout. Mediation modeling analysis was employed for data analysis to test the effect of loneliness and emotional disturbance on the association between childhood trauma and occupational burnout. Data analysis was conducted using AMOS and SPSS software.
    UNASSIGNED: Loneliness and emotional disturbance fully mediated the association between childhood trauma and emotional exhaustion [indirect effect (95% CI) = 0.228 (0.196, 0.270)]. Loneliness and emotional disturbance partially mediated the association between childhood trauma [indirect effect (95% CI) = -0.020 (-0.039, 0.002)] and personal accomplishment or depersonalization [indirect effect (95% CI) = 0.221 (0.186, 0.255)].
    UNASSIGNED: Childhood trauma could affect occupational burnout through loneliness and emotional disturbance among nurses. Preventive strategies could include protective interventions like treatment of loneliness and emotional disturbance, especially in nurses who experienced childhood trauma.
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  • 文章类型: Journal Article
    护理的配给被称为忽略所需患者护理的方面。其结果是向患者提供的服务不完整或延迟。在重症监护病房中雇用的麻醉护士承受着巨大的工作量。特别沉重的是心理负担,在许多情况下导致倦怠综合征的发作和工作满意度的下降。
    是确定职业倦怠之间的关系,重症监护病房麻醉护士的工作满意度和护理配给。
    研究组由波兰重症监护病房的477名麻醉护士组成。该研究于2022年12月至2023年1月之间进行。研究工具是BERNCA-R问卷,工作满意度量表和Maslach倦怠量表,已分发给选定的医院,并要求转交给重症监护室并完成。在统计分析中,用斯皮尔曼的ρ系数计算相关性,报告关系的强度及其积极或消极的方向。使用IBMSPSS26.0软件包和ExactTests模块进行分析。
    BERNCA问卷的平均得分为1.65±0.82。职业倦怠的平均得分为60.82±10.46。情绪疲惫的程度,这显著影响职业倦怠,为26.39±6.07,去个性化为14.14±3.21,个人成就缺失为20.29±4.70。所有获得的分数都超过了总分50%的阈值,这表明职业倦怠的存在处于显著水平。被调查护士的工作满意度在35分的23.00±5.2分以上。
    结果证明有统计学意义,尽管联合力量较弱,职业倦怠与麻醉护士配给护理的相关性。随着麻醉护士执行某些活动能力的限制增加,他们的工作满意度下降。在有利于护士的工作环境中,没有履行的工作职责较少。因此,为护理人员创造友好的工作环境至关重要,这将促进尽可能高水平的服务提供。
    UNASSIGNED: Rationing of nursing care is referred to as overlooking aspects of required patient care. Its result is incomplete or delayed services provided to the patient. Anesthesia nurses employed in an intensive care unit are exposed to a significant workload. Particularly heavy is the psychological burden leading in many cases to the onset of burnout syndrome and a decrease in job satisfaction.
    UNASSIGNED: Was to determine the relationship between occupational burnout, job satisfaction and rationing of care among anesthesia nurses employed in intensive care units.
    UNASSIGNED: The study group consisted of 477 anesthesia nurses employed in intensive care units in Poland. The study was conducted between December 2022 and January 2023. The research tools were BERNCA-R questionnaire, Job Satisfaction Scale questionnaire and Maslach Burnout Inventory questionnaire, which were distributed to selected hospitals with a request to be forwarded to intensive care units and completed. In the statistical analysis, correlations were calculated using Spearman\'s rho coefficient, reporting the intensity of the relationship and its positive or negative direction. The analysis was performed using the IBM SPSS 26.0 package with the Exact Tests module.
    UNASSIGNED: The mean score of the BERNCA questionnaire was 1.65 ± 0.82. The mean score of occupational burnout was 60.82 ± 10.46. The level of emotional exhaustion, which significantly affects occupational burnout, was 26.39 ± 6.07, depersonalization was 14.14 ± 3.21 and lack of personal achievement was 20.29 ± 4.70. All the scores obtained exceeded the threshold of 50% of total points, which indicates the presence of occupational burnout at a significant level. The job satisfaction of the nurses surveyed was above mean at 23.00 ± 5.2 out of 35 total points.
    UNASSIGNED: The results proved that there is a statistically significant, although with a weak strength of association, correlation between occupational burnout and rationing of care by anesthesia nurses. As the limitation of anesthesia nurses\' ability to perform certain activities increases, their job satisfaction decreases. In a work environment that is conducive to nurses, there are fewer job responsibilities that are unfulfilled. Therefore, it is essential to create a friendly work environment for nursing staff that will promote the provision of services at the highest possible level.
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  • 文章类型: Journal Article
    近年来,随着高等教育改革的不懈推进,学者们一直在经历与进行科学研究相关的压力。本研究以中国大学教师为研究对象,我们采用逐步回归方法,并回顾相关文献,构建了学业压力与职业倦怠的作用机制。具体来说,我们以工作满意度和相对剥夺为中介和调节变量,对东部15所大学的1239名教师进行了实证研究,中央,和中国西部。研究结果表明:(1)学业压力对职业倦怠有显著的正向影响;(2)工作满意度在学业压力与职业倦怠之间具有部分中介作用;(3)相对剥夺正向调节学业压力与工作满意度的关系。这表明大学教师也受到相对剥夺和不公平感的影响。这些发现对高等教育管理和学术研究具有重要价值。
    In recent years, with the unremitting advancement of higher education reform, academics have been experiencing stress associated with conducting scientific research. In this study focusing on university teachers in China, we adopted a stepwise regression method and reviewed related literature to construct a mechanism of academic stress and occupational burnout. Specifically, we tested job satisfaction and relative deprivation as mediating and moderating variables and conducted empirical research on 1239 teachers from 15 universities in eastern, central, and western China. Our findings show that: (1) academic stress has a significant positive effect on occupational burnout; (2) job satisfaction has a partial role as the intermediary agent between academic stress and occupational burnout; and (3) relative deprivation positively moderates the relationship between academic stress and job satisfaction, indicating that teachers in universities and colleges are also affected by relative deprivation and the perception of inequity. These findings have significant value in the management of higher education and academic research.
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  • 文章类型: Journal Article
    本研究进行了全面的荟萃分析,以系统地回顾中国警察职业倦怠与工作压力之间的关系。此外,本研究使用元分析结构方程模型探讨了应对方式的中介作用。调查涉及对CNKI的彻底搜索,PubMed,PsychInfo,WebofScience,和谷歌学者数据库,结果确定了总共39项研究,其中124个效应大小和14,089名警察。研究结果表明,中国警察的工作压力与职业倦怠之间存在正相关(r=0.410,95%CI=[0.347,0.469])。此外,消极应对方式调节了工作压力与职业倦怠的关系。重要的是,这些结论在警察的各个工作区域都是正确的。这些结果为中国警察工作中工作压力与职业倦怠之间的关系提供了见解,并阐明了潜在的机制。基于这些发现,建议实施侧重于减轻工作压力和培养积极应对方式的干预措施,以减轻警官的职业倦怠。
    The present study conducted a comprehensive meta-analysis to systematically review the relationship between occupational burnout and work pressure among Chinese police officers. Additionally, the study explored the mediating role of coping styles using a meta-analytic structural equation model. The investigation involved a thorough search of CNKI, PubMed, PsychInfo, Web of Science, and Google Scholar databases, resulting in the identification of a total of 39 studies with 124 effect sizes and 14,089 police officers. The findings revealed a positive correlation between work pressure and occupational burnout among Chinese police officers (r = 0.410, 95% CI = [0.347, 0.469]). Furthermore, negative coping styles mediate the relationship between work pressure and occupational burnout. Importantly, these conclusions held true across various work regions for police officers. These results provide insights into the relationship magnitude between work pressure and occupational burnout in Chinese police work and shed light on the underlying mechanisms. Based on these findings, it is recommended that interventions focusing on reducing work pressure and fostering positive coping styles be implemented to mitigate occupational burnout among police officers.
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  • 文章类型: Journal Article
    倦怠综合症是医疗保健领域的重要问题,特别是在高压力下操作的从业者中,重症监护设置。了解在这种情况下导致职业倦怠的多方面因素对于设计有效的干预措施和促进重症监护专业人员的福祉至关重要。
    为了调查患病率,促成因素,以及沙特阿拉伯重症监护健康提供者中与倦怠综合征相关的潜在干预措施。
    采用了横断面研究设计,从重症监护健康提供者的样本中收集数据,包括医生。使用自我管理的结构化电子问卷,将Maslach倦怠量表(MBI)与三个子量表结合起来:情绪衰竭,去个性化,和个人成就。目标人群是18岁以上的男性和女性重症监护服务提供者,大多数参与者年龄在25到34岁之间。
    统计分析表明,反应分布存在显着差异(p<0.05),强调理解遇到情绪疲惫的重要性,个人成就,和人格解体。Durbin-Watson统计量表明有限的自相关,共线性公差值表明预测因子之间的标称相互关系。发现“共情MBI失人格化”因子与结果变量之间存在显著正相关,表明情绪耗竭之间的复杂关系,个人成就,和人格解体。
    这项研究强调了职业倦怠的多面性,揭示了情感耗竭之间错综复杂的关系,个人成就,和人格解体。这些发现共同构成了未来指南和干预措施的重要基础,以提高医疗保健专业人员的福祉。
    UNASSIGNED: Burnout Syndrome constitutes a critical concern in healthcare, particularly among practitioners operating in high-stress, critical care settings. Understanding the multifaceted factors contributing to burnout in this context is pivotal for devising effective interventions and promoting the well-being of critical care professionals.
    UNASSIGNED: To investigate the prevalence, contributing factors, and potential interventions related to Burnout Syndrome among critical care health providers in Saudi Arabia.
    UNASSIGNED: A cross-sectional research design was employed, gathering data from a sample of critical care health providers, including medical practitioners. A self-administered structured electronic questionnaire was used, incorporating the Maslach Burnout Inventory (MBI) with its three subscales: emotional exhaustion, depersonalization, and personal accomplishment. The target population was male and female critical care health providers over 18 years age, most participants lies between 25 years to 34 years.
    UNASSIGNED: Statistical analysis shows significant disparities in response distribution (p<0.05), highlighting the importance of understanding encounters with emotional exhaustion, personal accomplishment, and depersonalization. The Durbin-Watson statistic indicated limited autocorrelation, and collinearity tolerance values suggested nominal intercorrelations among predictors. A significant positive correlation was found between the \"Depersonalization Loss of Empathy MBI\" factor and the outcome variables, indicating complex relationships between emotional exhaustion, personal accomplishment, and depersonalization.
    UNASSIGNED: The study highlights the multifaceted nature of burnout, revealing intricate relationships between emotional exhaustion, personal accomplishment, and depersonalization. These findings collectively form an important foundation for future guidelines and interventions to enhance the well-being of healthcare professionals.
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