Burnout, grit and resilience among Jordanian orthopedic surgeons: a cross-sectional study

Abstract

Background Burnout is a serious issue that affects physicians more than the general population; however, those with higher levels of grit and resilience have been shown to experience lower levels of burnout. The primary aim was to determine the prevalence of burnout among Jordanian orthopedic surgeons, explore its risk factors, and investigate the relationship between burnout and grit and resilience. Methods We conducted a questionnaire-based cross-sectional study targeting a total of 180 orthopedic surgeons attending the yearly Jordanian National Orthopedic Conference (JNOC). Non-random sampling (i.e., convenience) was utilized to recruit participants. The abbreviated Maslach Burnout Inventory, short grit scale, and Connor-Davidson Resilience Scale were used. Scores were examined using the Mann–Whitney U, Kruskal–Wallis H, and Spearman’s rho tests, of which results were corrected using the Bonferroni method. Results Among 135 respondents, 62.2% were specialists and 37.8% were residents. About 52.0% practiced in public hospitals. Approximately 69.0% worked for more than 50 h weekly. The prevalence of burnout among all participants was 45.2% with more frequency among residents (66.7%). Burnout and the participants’ grit and resilience showed an inverse relationship (ρ = -0.441 and ρ = -0.312, respectively). Age (ρ = 0.337), number of children (ρ = 0.245), and years of experience (ρ = 0.331) were positively correlated with grit. The median score for grit was higher in physicians who had or are having their residency outside Jordan (p < 0.001). Age (ρ = 0.233) and years of experience (ρ = 0.269) were positively correlated with resilience. Conclusion Jordanian orthopedic surgeons face significant rates of burnout. Institutional efforts should be taken to detect and prevent burnout in addition to enhancing the grit and resilience among orthopedic professionals.

Sociodemographic and work-related factors associated with psychological resilience in South African healthcare workers: a cross-sectional study

“…Age is also important when performing this regression analysis, as age has previously been reported to be an important confounder of psychological resilience and needs to be adjusted for when performing regression analysis. [19,20,21] Multiple imputation was chosen because it results in valid statistical inferences. [22] To assess the sensitivity of the results with respect to the multiple imputation method chosen, multiple imputation using the three methods available in the Multivariate Imputation by Chained Equation (MICE) package in R were performed (see Supplementary Table S2 online).…”

“…Wang et al (2020) argued that senior healthcare workers have better experience and professional skills to address complex situations that arise in the workplace [19] Wang et al (2020). andHamdan et al (2023) reported that years in practice was positively associated with psychological resilience (p < 0.050 and p = 0.013, respectively) [19,21]. Afshari et al (2021) noted that an increase in healthcare workers' education and work experience may be linked to the progression of skills, which results in the development of positive coping strategies, leading to greater resilience.…”

Surgeon Burnout-Time to Heal the Healers

“…He said, “In the classic training program, we have taught how to perform surgery but not how to live as a surgeon.” Organizations can conduct regular surveys for feedback and support, flexible working hours when required, and medicolegal support in adverse outcomes or major complication cases. Regular and timely physical and mental health checkups and training programs focused on resilience, stress management, and coping strategies can enhance surgeons’ ability to navigate challenging situations [ 12 ]. At an individual level, one needs to chalk out a work–life balance.…”