Burnout and psychiatric disorder among cancer clinicians

Ramirez, Amanda-Jane; Graham, Jill; Richards, M. A.; Cull, Ann; Gregory, W M; Leaning, M S; Snashall, David; Timothy, Adebowale

doi:10.1038/bjc.1995.244

Cited by 539 publications

(465 citation statements)

References 16 publications

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“…For this reason, it was appropriate to include this topic in personal questionnaires. Ramirez et al (1995Ramirez et al ( , 1996 had found a prevalence of 27% psychiatric morbidity in 1133 hospital consultants, largely surgeons, radiologists, and oncologists using the same instrument as this study, the GHQ-12, with a prevalence for cancer clinicians only of 28%. The results for breast teams in this sample were very different from those previously described and warrant further study.…”

Section: Mental Health Of Breast Teams Membersmentioning

confidence: 52%

“…Could those breast teams (and individuals within them) that participated, and returned their personal questionnaires, be different from the remainder? There seems no obvious reason to attribute different motivations to those completing questionnaires in this study to those responding to Ramirez (Ramirez et al, 1995(Ramirez et al, , 1996.…”

Section: Mental Health Of Breast Teams Membersmentioning

confidence: 74%

“…It covers feelings of strain, depression, inability to cope, anxiety based on insomnia, lack of confidence, and other psychological problems. This measure had previously been used in the NHS to study cancer clinicians (Ramirez et al, 1995(Ramirez et al, , 1996, the mental health of the NHS workforce (Hardy et al, 1999), in which the GHQ-12 showed good validity against a psychiatric interview.…”

Section: Measures Usedmentioning

confidence: 99%

“…Ramirez et al (1995) had suggested that there might be latent problems among cancer clinicians of 'burn-out' or psychiatric morbidity. For this reason, it was appropriate to include this topic in personal questionnaires.…”

Section: Mental Health Of Breast Teams Membersmentioning

confidence: 99%

See 3 more Smart Citations

Breast cancer teams: the impact of constitution, new cancer workload, and methods of operation on their effectiveness

Haward¹,

et al. 2003

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National guidance and clinical guidelines recommended multidisciplinary teams (MDTs) for cancer services in order to bring specialists in relevant disciplines together, ensure clinical decisions are fully informed, and to coordinate care effectively. However, the effectiveness of cancer teams was not previously evaluated systematically. A random sample of 72 breast cancer teams in England was studied (548 members in six core disciplines), stratified by region and caseload. Information about team constitution, processes, effectiveness, clinical performance, and members' mental well-being was gathered using appropriate instruments. Two input variables, team workload (P ¼ 0.009) and the proportion of breast care nurses (P ¼ 0.003), positively predicted overall clinical performance in multivariate analysis using a two-stage regression model. There were significant correlations between individual team inputs, team composition variables, and clinical performance. Some disciplines consistently perceived their team's effectiveness differently from the mean. Teams with shared leadership of their clinical decision-making were most effective. The mental well-being of team members appeared significantly better than in previous studies of cancer clinicians, the NHS, and the general population. This study established that team composition, working methods, and workloads are related to measures of effectiveness, including the quality of clinical care.

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Section: Mental Health Of Breast Teams Membersmentioning

confidence: 52%

Section: Mental Health Of Breast Teams Membersmentioning

confidence: 74%

Section: Measures Usedmentioning

confidence: 99%

Section: Mental Health Of Breast Teams Membersmentioning

confidence: 99%

See 2 more Smart Citations

Breast cancer teams: the impact of constitution, new cancer workload, and methods of operation on their effectiveness

Haward¹,

et al. 2003

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“…Following individual factors have been found to be associated with burnout: being young, single and female, early life events, family or past history of psychiatric disorder, personality traits of neuroticism and self-criticism, lack of communication and management skills, surface learning style and surface-disorganised approach to work, perceived overwork, low pay and lack of personal or vacation time and extra-work stress (Mount, 1986;Olkinuora et al, 1990;Whippen and Canellos, 1991;Ramirez et al, 1995Ramirez et al, , 1996Deary et al, 1996;Wall et al, 1997;Weinberg and Creed, 2000;McManus et al, 2002;Delva et al, 2002). Organisational factors associated with burnout were found to be overload, time urgency, practice routine, increasing managerial burden, inadequate staffing, long working hours and poor resources (Ramirez et al, 1996;Arnetz, 1997;Grunfeld et al, 2000).…”

mentioning

confidence: 99%

Haemato-oncology and burnout: an Italian survey

et al. 2008

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This cross-sectional survey aimed to evaluate the prevalence of burnout and estimated psychiatric disorders among haematooncology healthcare professionals in Italy. The aspects of work that respondents perceive as stressful and satisfying have also been examined. The assessments were made using the Maslach Burnout Inventory (MBI), General Health Questionnaire and a studyspecific questionnaire. Logistic regression models were applied to show associations between different sources of work-related stress and burnout. Three hundred and eighty-seven out of 440 (87.95%) returned their questionnaires. The scores on MBI subscales indicate a high level of emotional exhaustion in 32.2% of the physicians and 31.9% of the nurses; a high level of Depersonalisation in 29.8 and 23.6%, respectively; and a low level of personal accomplishment in 12.4 and 15.3% respectively. The estimated prevalence of psychiatric disorders was 36.4% in physicians and 28.8% in nurses. Statistical analysis confirmed age, sex, personal dissatisfaction, physical tiredness and working with demanding patients to be associated with burnout. In conclusion, haemato-oncology healthcare professionals report a level of burnout and estimated psychiatric morbidity comparable to other oncological areas. Knowledge of the mechanisms of burnout and preventing and dealing with them is therefore a fundamental requirement for the improvement of quality in health services and job satisfaction.

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