Burnout and areas of work-life among anaesthetists in South Africa Part 1 : Burnout

Coetzee, J. F.; Kluyts, Hyla-Louise

doi:10.36303/sajaa.2020.26.2.2358

Cited by 13 publications

(18 citation statements)

References 55 publications

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“…Studies have shown burnout in several work fields; however, the most affected were teachers, police officers, and health care professionals (especially physicians and nurses) [6,[17][18][19]. The burnout syndrome affects approximately 10%-70% of nurses and 30%-50% of physicians, nurse practitioners, and physician assistants [20] and is highly prevalent among health care professionals [21][22][23][24], especially among those working in public health services [25,26].…”

Section: Introductionmentioning

confidence: 99%

Use of the Maslach Burnout Inventory Among Public Health Care Professionals: Protocol for a Scoping Review

Soares¹,

Lopes²,

Mendonça³

et al. 2022

JMIR Res Protoc

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Background Burnout syndrome is a chronic response to stressors in the workplace. It is characterized by emotional exhaustion and physical and mental burnout and may lead to high employee turnover, work absenteeism, and increased occupational accidents. Most studies use the Maslach Burnout Inventory (MBI) to identify burnout and implement preventive actions and treatments. Objective This study presents a scoping review protocol to identify and map studies that used MBI to assess burnout syndrome in health care professionals working in public health services. Methods This scoping review protocol follows the Joanna Briggs Institute reviewers’ manual, and this protocol consists of 6 stages: identifying the research question, identifying relevant studies, study selection, data extraction and coding, analysis and interpretation of results, and consultation with stakeholders. We will conduct searches in Embase, LILACS, PubMed/MEDLINE, PsycINFO, Scopus, Web of Science databases, and gray literature. The main research question is as follows: how is MBI used to identify burnout syndrome in health care professionals working in public health services? Inclusion criteria will comprise qualitative and quantitative studies using MBI to identify burnout syndrome in health care professionals working in public health services and no restrictions in language and publication dates. Data will be extracted using a spreadsheet adapted from the Joanna Briggs Institute model. Quantitative and qualitative data will be analyzed using descriptive statistics and thematic analysis, respectively. The consultation with stakeholders will be essential for increasing the knowledge about MBI, identifying new evidence, and developing future strategies to guide public policies preventing burnout syndrome in health care professionals working in public services. Results This protocol will guide a scoping review to identify and map studies that used MBI to identify burnout syndrome in health care professionals working in public health services. The results of this review may be useful to public health care professionals, managers, policymakers, and the general population because these findings will help understand the validated, translated, and adapted versions of MBI and domains, number of items, Likert scales, and cutoff points or the latent profile analysis most used in the literature. Furthermore, possible research gaps may be identified to guide future studies. All information regarding the stages of the scoping review favor its transparency and allow it to be methodologically replicated according to the principles of open science, thereby reducing the risk of bias and data duplication. Conclusions This study may reveal the multiplicity of scales described in the literature and the different forms of assessing burnout syndrome in health care professionals. This study may help to standardize the assessment of burnout syndrome in health care professionals working in public health services and contribute to the discussion and knowledge dissemination about burnout syndrome and mental health in this population. International Registered Report Identifier (IRRID) DERR1-10.2196/42338

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Section: Introductionmentioning

confidence: 99%

Use of the Maslach Burnout Inventory Among Public Health Care Professionals: Protocol for a Scoping Review

Soares¹,

Lopes²,

Mendonça³

et al. 2022

JMIR Res Protoc

View full text Add to dashboard Cite

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“…The margin of error was calculated for all proportions and the confidence intervals (CIs) for differences between proportions were calculated using the Newcombe method. 14,15 Correlations were sought between equipment availability and airway management skills, and the preference for equipment use. Countries were also analysed separately to identify regional differences.…”

Section: Discussionmentioning

confidence: 99%

Global airway management of the unstable cervical spine survey (GAUSS)

Stegmann

Llewellyn

Hofmeyr

2021

Southern African Journal of Anaesthesia and Analgesia

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The study population was PAPs in current anaesthesia practice worldwide. PAPs were included if they provided anaesthesia at least once per week but excluded if they were not qualified medical doctors.Background: Rapid advancement in optical and video devices used for indirect visualisation of the airway has expanded the options for emergency and elective endotracheal intubation in patients with unstable fractures of the cervical spine. Aiming to ascertain whether videolaryngoscopy (VL) has replaced awake flexible intubation (AFI) as the preferred technique for airway management, we conducted a global survey to evaluate current clinical practice.Methods: After obtaining ethics approval, we created a questionnaire featuring two hypothetical patients with unstable injuries of the cervical spine -one emergency and one urgent elective. Target sample sizes per country were estimated using data from the World Federation of Societies of Anaesthesiologists' (WFSA) Global Anaesthesia Workforce Survey. Respondents were asked about their training, experience, airway skills, current clinical setting and availability of airway equipment, as well as their preferred airway strategy in each case. The questionnaire was actively distributed for one year through the WFSA member societies and through social networks to physician anaesthesia providers (PAPs). Global and regional trends were assessed using descriptive statistics.Results: Of a total of 1 904 responses, 1 153 (101 countries) were included in the final analysis. In the emergency case, 46.9% (95% confidence interval [CI] 44.0-49.8%) of respondents preferred VL and 39.8% (95% CI 38.0-42.6%) chose AFI. In the urgent elective case, 51.3% (95% CI 48.3-54.3%) selected VL as their preferred method, while 37.3% (95% CI 34.4-40.2%) indicated AFI. Significant regional variations in preference were found. Conclusion:The results suggest that practice in airway management of unstable cervical spine fractures is changing. Currently PAPs tend to favour VL over AFI. There is a statistically significant preference for VL in elective cases which is traditionally considered to be a stronghold of AFI.

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“…12 (Part 1 Appendix, Tables A1 and A2). 1 We determined multivariate predictors of the three burnout dimensions ‡ using stepwise least-squares multiple linear regression. The six AWLs were the continuous independent † A state of clinically diagnosable burnout is considered to exist when a person has a high Maslach score for emotional exhausion plus either a high score for cynicism or a low score for efficacy.…”

Section: Discussionmentioning

confidence: 99%

“…In Part 1 of this study we report on a survey in which we investigated the existence of the burnout syndrome among members of the South African Society of Anaesthetists (SASA). 1 In that article we concluded that the prevalence and severity of burnout among South African anaesthesia providers were too high, especially among employees in public sector hospitals.…”

Section: Introductionmentioning

confidence: 98%

Burnout and areas of work-life among anaesthetists in South Africa Part 2 : areas of work-life

Kluyts

Coetzee

2020

Southern African Journal of Anaesthesia and Analgesia

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Introduction: The purpose of this two-part study was to determine the prevalence and severity of the burnout syndrome among South African anaesthetists working in the public and private sectors, and to identify areas of work-life (AWLs) that predispose to burnout. We reported our burnout findings in Part 1.1 In this paper (Part 2) we report on the AWLs. Methods: Invitations were e-mailed to 1 852 SASA members, requesting responses to a validated questionnaire, the Areas of Worklife Survey (Mindgarden Inc. Menlo Park, USA). The questionnaire results in scores for six AWLs that impact on the development of the burnout syndrome, namely workload, control, reward, community, fairness and values. Results: 189 public sector and 309 private sector anaesthetists responded. 85% of public sector respondents worked in academic hospitals. The values AWL could not be properly assessed due to respondents’ misinterpretations regarding that particular item. Compared to private sector, public sector anaesthetists had lower (i.e. more adverse) median scores for five AWLs. Greater proportions of public sector anaesthetists had low scores for the five AWLs. Correspondingly, smaller proportions of public sector anaesthetists had high (i.e. favourable) scores for workload, control, reward, and fairness. Multivariable least squares regression analysis identified the following significant explanatory variables for the following burnout dimensions: For emotional exhaustion these were workload, reward, community and control. For cynicism they were workload, reward, control, gender and years of experience. Predictors for efficacy were reward, community, control and years of experience. Logistic regression analysis included workload, reward and control AWL as explanatory variables for a clinical diagnosis of burnout with workload the dominant variable. Conclusions: Public sector anaesthetists experience more adverse AWLs than those in private practice. The most important factor appears to be excessive workload. Additionally, the reward, community and control AWLs are important determinants of anaesthetists’ psychological relationships with their work.

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Burnout and areas of work-life among anaesthetists in South Africa Part 1 : Burnout

Cited by 13 publications

References 55 publications

Use of the Maslach Burnout Inventory Among Public Health Care Professionals: Protocol for a Scoping Review

Use of the Maslach Burnout Inventory Among Public Health Care Professionals: Protocol for a Scoping Review

Global airway management of the unstable cervical spine survey (GAUSS)

Burnout and areas of work-life among anaesthetists in South Africa Part 2 : areas of work-life

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