Burnout, stress and intentions to leave work in New Zealand psychiatrists; a mixed methods cross sectional study

Chambers, Charlotte; Frampton, Christopher

doi:10.1186/s12888-022-03980-6

Cited by 10 publications

(12 citation statements)

References 41 publications

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“…Some individual factors appear unique to the podiatry profession, while others, such as personality [ 29 ] and younger age [ 29 , 30 ], have been shown to be associated with burnout in other healthcare practitioners. Although this study did not explore whether burnout leads to practitioner turnover, it did reveal an association with an intention to leave the profession, aligning with findings in other healthcare fields [ 31 , 32 , 33 ]. Further exploration of this relationship in future podiatry workforce research is warranted, as early career burnout by younger podiatrists may lead to an older workforce distribution [ 29 , 30 ].…”

Section: Discussionsupporting

confidence: 81%

Burnout in podiatrists associated with individual characteristics, workplace and job satisfaction: A national survey

Bonanno,

Couch,

Haines

et al. 2024

Journal of Foot and Ankle Research

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BackgroundBurnout is highly prevalent among health practitioners. It negatively impacts job performance, patient care, career retention and psychological well‐being. This study aimed to identify factors associated with burnout among Australian podiatrists.MethodsData were collected from registered podiatrists via four online surveys administered annually from 2017 to 2020 as part of the Podiatrists in Australia: Investigating Graduate Employment (PAIGE) study. Information was collected about work history, job preferences, personal characteristics, health, personality, life experiences and risk‐taking behaviours. Multiple logistic regression analyses were used to determine if (i) individual characteristics, (ii) workplace factors and (iii) job satisfaction measures were associated with burnout (based on the abbreviated Maslach Burnout Inventory).ResultsA total of 848 responses were included, with 268 podiatrists (31.6%) experiencing burnout. Participants experiencing burnout were slightly younger, more recent to practice, had poorer health, greater mental distress, lower scores for resilience, extraversion, agreeableness, conscientiousness, emotional stability and openness to experiences. They were less likely to have financial and clinical risk‐taking behaviour and more likely to have career risk‐taking behaviour. Prediction accuracy of these individual characteristic variables for burnout was 72.4%. Participants experiencing burnout were also more likely to work in private practice, have more work locations, work more hours, more direct patient hours, see more patients, have shorter consultation times, more likely to bulk bill chronic disease management plans, have less access to sick leave and professional development and be more likely to intend to leave patient care and the profession within 5 years than participants not experiencing burnout. Prediction accuracy of these workplace‐related variables for burnout was 67.1%. Participants experiencing burnout were less satisfied with their job. Prediction accuracy of these variables for burnout was 78.8%.ConclusionsMany of the factors associated with burnout in Australian podiatrists are modifiable, providing opportunities to implement targeted prevention strategies. The strength of association of these factors indicates high potential for strategies to be successful.

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Section: Discussionsupporting

confidence: 81%

Burnout in podiatrists associated with individual characteristics, workplace and job satisfaction: A national survey

Bonanno,

Couch,

Haines

et al. 2024

Journal of Foot and Ankle Research

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“…These results were comparable with our earlier sample of NZ psychologists in 2021 ( Kercher and Gossage, 2023 ), so measurement errors are unlikely—psychologists have repeatedly reported elevated distress. Similar difficulties were reported for frontline HCPs ( Bell et al, 2021 ) and psychiatrists in NZ during the pandemic ( Chambers and Frampton, 2022 ), but with different measures preventing direct comparisons.…”

Section: Discussionmentioning

confidence: 58%

“…Encouragingly, our respondents reported good average rates of compassion satisfaction. Additionally, more than 90% reported that they had no intention to leave the profession soon (in contrast with NZ psychiatrists, nearly half of whom reported intention to leave, Chambers et al, 2022 ). Psychologists report finding their work rewarding and satisfying, reflected in the reported sense of purpose and reward both here and internationally during the pandemic ( British Psychological Society, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

The COVID-19 pandemic, psychologists’ professional quality of life and mental health

Kercher,

Rahman,

Pedersen

2024

Front. Psychol.

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BackgroundPsychologists are at known risk of work-related stress, secondary trauma, and burnout. The COVID-19 pandemic increased stress and anxiety for communities worldwide and corresponded with an increased demand for mental health services. Our study investigated the impact of COVID-19 on psychologists’ professional quality of life, psychological symptoms, and work-related stress in Aotearoa, New Zealand (NZ).MethodNinety-nine registered psychologists were recruited via NZ professional psychology organizations, representing 3% of the total workforce. Survey data collected included symptoms of compassion fatigue and satisfaction, psychological symptoms, COVID-19-related stress and resilience, and professional and personal circumstances during the third year of the pandemic, 2022.ResultsSeventy percent reported that their work stress had increased, and 60% reported that their caseload intensity had increased during the COVID-19 pandemic. Psychologists reported receiving little to no additional personal or professional support, while 55% reported increased personal responsibilities during the pandemic (for example, closed childcare and schools during lockdowns). High rates of compassion fatigue (burnout and secondary traumatic stress) and low resilience were reported. We observed that psychological distress was higher than the community averages before the pandemic and comparable with frontline healthcare professionals. Compassion fatigue was associated with COVID-related stress, psychological distress, years in practice, and more frequent supervision, but not with working with at-risk clients, levels of personal support, or having children at home. Despite these difficulties, high Compassion Satisfaction scores were also reported, with over 90% indicating they had no intention of leaving the profession in the foreseeable future.ConclusionPsychologists’ compassion fatigue appears to have worsened during the COVID-19 pandemic, as have their symptoms of psychological distress. Increased workplace and clinical demands, telehealth difficulties, stress relating to the pandemic, inadequate support, and increased personal responsibilities were reported by psychologists. Mental health workforces are not immune to the personal and professional impacts of crises and are at risk of burnout and secondary traumatic stress. We hope that increased awareness and understanding of psychologists’ own difficulties during COVID-19 can be used to better tackle future crises and support mental health professionals.

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“…There is a rational explanation for this, in that immigrant workers’ mental health declines as a result of the stress brought about by growing workloads and low levels of reward in host countries [ 70 ]. Work-related stress has long been recognized as a key risk factor for migrant workers’ mental health [ 71 ]. An interesting finding from a study of interviews with foreign care workers in Japan is that completing paper care records and other documents in Japanese is also seen as a heavy workload that can lead to burnout [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Factors Related to Mental Health of Foreign Care Workers in Long-Term Care Facilities in Japan during the COVID-19 Pandemic—A Comparative Study

Yamaguchi

Greiner

2022

IJERPH

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This study aimed to evaluate the factors related to the mental health of foreign care workers in Japan’s long-term care (LTC) facilities and compare their results with those of native care workers. We conducted a cross-sectional survey covering 80 LTC facilities across Japan between August and November 2021. The survey mainly included mental health, workload, reward, sense of coherence, loneliness, COVID-19-specific factors and sociodemographic variables. The results show that workload was a distinct feature associated with the mental health of foreign care workers (n = 172) when compared with those of native care workers (n = 154). In addition, we found that the relationship between cultural adaptation and mental health in a sample of foreign care workers was mediated by loneliness and sense of coherence (SOC). Finally, we found that reward, loneliness, SOC, and COVID-19-specific factors had significant impacts on the mental health of both foreign and native care workers. These findings highlight the importance of support measures from the workplace for foreign care workers. Workplace interventions that focus on workload, reward, and sense of coherence strategies are required to address mental health improvement and may still be of value in dealing with the continuing COVID-19 pandemic.

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Burnout, stress and intentions to leave work in New Zealand psychiatrists; a mixed methods cross sectional study

Cited by 10 publications

References 41 publications

Burnout in podiatrists associated with individual characteristics, workplace and job satisfaction: A national survey

Burnout in podiatrists associated with individual characteristics, workplace and job satisfaction: A national survey

The COVID-19 pandemic, psychologists’ professional quality of life and mental health

Factors Related to Mental Health of Foreign Care Workers in Long-Term Care Facilities in Japan during the COVID-19 Pandemic—A Comparative Study

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