Development of Burnout in Physical Therapist Students and Associated Factors: A Study During COVID-19

Smith, Allison; Ellison, Jennifer; Bogardus, Jennifer; Gleeson, Peggy

doi:10.1097/jte.0000000000000239

Cited by 4 publications

(12 citation statements)

References 35 publications

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“…In a previous study, satisfaction with the level of support from faculty had a significant influence on the development of burnout, with the odds of developing burnout increasing by 1.421 for each 1-unit decrease in satisfaction with the level of support from faculty. 23 Similar results were found among year 1 and 2 medical students. 18 Feeling supported by faculty members and the DPT cohort may boost well-being and defend against the development of burnout in DPT students.…”

Section: Discussionsupporting

confidence: 76%

“…17,19,21,22 e results from a previous study assessing burnout in DPT students indicated that perceived stress, level of resilience, satisfaction with the level of support from faculty, and satisfaction with the overall learning environment at the DPT school may influence the development of burnout in DPT students. 23 Nearly all published studies assessing burnout and factors related to the development of burnout are quantitative in nature and frequently consist of outcome measures and surveys. Speaking directly with students may shed light on their perception of burnout and what factors they feel affect their well-being while in DPT school; these perceptions might not be captured by surveys.…”

Section: Jennifer Ellison Is An Associate Professor In Thementioning

confidence: 99%

“…17,19,21,22 The results from a previous study assessing burnout in DPT students indicated that perceived stress, level of resilience, satisfaction with the level of support from faculty, and satisfaction with the overall learning environment at the DPT school may influence the development of burnout in DPT students. 23…”

Section: Literature Reviewmentioning

confidence: 99%

“…SUBJECTS Doctor of physical therapy students were recruited through convenience sampling from those who volunteered through a Psy-chData survey from a previous study. 23 A total of 522 students provided their email addresses in the previous study. Students who volunteered to participate in the qualitative portion were stratified by group (burnout and nonburnout, which was determined in the previous study) and geographic region.…”

Section: Jennifer Ellison Is An Associate Professor In Thementioning

confidence: 99%

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Factors Contributing to Burnout and Well-Being in Physical Therapist Students

Smith

Ellison

Bogardus

et al. 2022

JOPTE

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Introduction.Burnout is a syndrome resulting from chronic workplace stress that has not been successfully managed. Prevention and management of burnout in the doctor of physical therapy (DPT) student population may help reduce the development of burnout later in their work life.Review of Literature.Few published studies assessing burnout have been conducted with physical therapist students. In studies with medical and nursing students, individual factors that influence the development of burnout include reduced level of physical activity, reduced level of social support, not experiencing positive life events, increased fatigue, increased stress, and decreased resilience. Environmental factors that influence the development of burnout include grading scheme and perceptions of the learning environment.Subjects.Participants included 20 DPT students from across the United States.Method.A total of 522 students from a previous study who volunteered for the present grounded theory qualitative study were stratified by burnout group (burnout and nonburnout) and geographic region. Once stratified, students were randomized and then contacted through email to set up an interview time to participate in a Zoom audio interview. A total of 20 semistructured interviews were completed ranging from 20 to 40 minutes.Results.Three major themes emerged from the data, each with 3 subthemes. The major themes included burnout experience, factors that negatively affected well-being, and factors that positively affected well-being.Discussion and Conclusion.The results of this study indicate that DPT students experienced burnout as a combination of exhaustion, disengagement, and chronic overload. Factors that negatively affected well-being while in DPT school included unmanageable stress, an excessive workload, and time pressures. Factors that positively affected well-being while in DPT school included prioritizing time, support from faculty, friends, and family, and self-awareness.

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Section: Discussionsupporting

confidence: 76%

Section: Jennifer Ellison Is An Associate Professor In Thementioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Jennifer Ellison Is An Associate Professor In Thementioning

confidence: 99%

See 2 more Smart Citations

Factors Contributing to Burnout and Well-Being in Physical Therapist Students

Smith

Ellison

Bogardus

et al. 2022

JOPTE

Self Cite

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show abstract

“…[1][2][3][4][5][6][7][8] Studies have shown that health professional students experienced a wide array of adverse ramifications during the pandemic. [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] Findings show that the pandemic influenced levels of psychosocial and economic hardships. [21][22][23][24][25][26] Specifically, research indicates that DPT students withstood increased stress, burnout, fatigue, anxiety, and depression, decreased quality of life, financial hardship, lower program satisfaction, and sleep disturbances.…”

Section: Review Of Literaturementioning

confidence: 99%

A Comparison of Physical Therapist Educational Outcomes Before and During the COVID-19 Pandemic: A Multicenter Study

Pucillo,

Crowder,

Andrea

et al. 2024

JOPTE

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Introduction. The purpose of this study was to analyze and compare educational outcomes of Doctor of Physical Therapy (DPT) graduates before and during the COVID-19 pandemic. Review of Literature. Reports show increased stress, anxiety, and burnout during the COVID-19 pandemic, which may have negatively affected academic performance. Historically, academic performance is predictive of National Physical Therapy Examination (NPTE) scores. Yet, there is little evidence analyzing student outcomes during the pandemic. Subjects. Doctor of Physical Therapy graduate records (N = 1,897) were retrospectively collected from a multicenter convenience sample consisting of 5 blended programs. Records were sampled from existing “prepandemic” graduates of Fall 2018–2019 (n = 988) and “pandemic” graduates of Fall 2021–2022 (n = 909). Methods. A causal comparative and correlational study design was used. Grade point average (GPA) and NPTE scores were collected. A general linear model examined differences between groups, and a multiple linear regression examined predictors of NPTE performance. Results. Grade point average was a significant predictor of NPTE score (r 2 = 0.56; P < .01) for the overall sample and for the prepandemic and pandemic cohorts (r 2 = 0.38, P < .01; r 2 = 0.45, P < .01, respectively). Grade point average was not significantly different between the groups (P = .09), nor did it significantly influence differences in NPTE scores (P = .13). Pandemic graduates displayed a significantly lower NPTE pass rate (85.1%) compared with prepandemic graduates (89.7%; P < .01). Pandemic graduates experienced higher rates of academic difficulty (20%; P < .01) and had a approximately 5 times higher likelihood of not passing the NPTE. Discussion and Conclusion. This is the first study to report on DPT graduate outcomes spanning the COVID-19 pandemic. Similar to previous studies, GPA remained the most significant predictor of NPTE scores. Pandemic graduates demonstrated significantly lower NPTE scores and higher rates of academic difficulty (GPA < 3.0). Continued monitoring of NPTE performance is warranted between prepandemic, pandemic, and postpandemic cohorts across modes of program delivery.

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Psychological flexibility as a mediator in the relationship between resilience and academic burnout among Doctor of Physical Therapy students: A structural equation modeling study

Cherry,

Singh,

Buck

2024

Health Science Reports

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Background and AimsAlthough resilience has been identified as an important factor for mitigating burnout among health profession students, little is known regarding the modifiable factors that should be emphasized to improve resilience in this population. The purpose of this study was to evaluate psychological flexibility as a modifiable mediator of the relationship between resilience and academic burnout among healthcare students.MethodsThis cross‐sectional study was conducted with 369 Doctor of Physical Therapy (DPT) students from universities across the United States. A two‐stage structural equation modeling approach, including confirmatory factor analysis and structural path analysis, was used to investigate psychological flexibility as a mediator of the relationship between resilience and academic burnout.ResultsThe measurement and structural path models demonstrated a good fit to the data. Resilience had a statistically significant indirect association with less academic burnout through psychological flexibility as the mediator (β = −0.32, 95% confidence interval = [−0.43, −0.08], p < 0.001). The direct relationship between resilience and academic burnout was not statistically significant (β = −0.19, p = 0.10).ConclusionThese results indicate that the positive effects of resilience on academic burnout occur through modifiable psychological flexibility processes only. These results suggest that psychological flexibility is a modifiable mechanism through which resilience impacts academic burnout. Developing interventions focusing on psychological flexibility may help students build resilience and limit academic burnout, positively impacting the students, their future institutions, and their future patients.

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Development of Burnout in Physical Therapist Students and Associated Factors: A Study During COVID-19

Abstract: Supplemental Digital Content is Available in the Text.

Cited by 4 publications

References 35 publications

Factors Contributing to Burnout and Well-Being in Physical Therapist Students

Factors Contributing to Burnout and Well-Being in Physical Therapist Students

A Comparison of Physical Therapist Educational Outcomes Before and During the COVID-19 Pandemic: A Multicenter Study

Psychological flexibility as a mediator in the relationship between resilience and academic burnout among Doctor of Physical Therapy students: A structural equation modeling study

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