Development of burnout over time and the causal order of the three dimensions of burnout among male and female GPs. A three-wave panel study

Houkes, Inge; Winants, Yvonne; Twellaar, Mascha; Verdonk, Petra

doi:10.1186/1471-2458-11-240

Cited by 183 publications

(165 citation statements)

References 44 publications

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“…For example, in the present study, female students endorsed higher distress from their exposure to human suffering than male students. This is consistent with previous research demonstrating that female physicians are more likely to experience emotional exhaustion at the onset of burnout, compared to male physicians who experience depersonalization as the initial symptom [27]. Similarly, female students in the present study reported more difficulty managing their academic workload and more problems with time management.…”

Section: Discussionsupporting

confidence: 92%

In their own words: stressors facing medical students in the millennial generation

Hill

Goicochea

Merlo

2018

Medical Education Online

361

258

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Background: Medical student exposure to stressors is associated with depression, burnout, somatic distress, decreases in empathy, serious thoughts about dropping out of medical school, suicidal ideation, and poor academic performance. Despite this, there have been no recent, multicenter, qualitative studies assessing medical students’ perceptions of their greatest stressor(s). Objective: The goal of this study was to identify the most significant stressors noted by medical students themselves, in order to inform the development of programs and policies to reduce medical student distress. Design: Medical students from the nine schools in the state of Florida were invited to complete an anonymous online questionnaire assessing wellness and distress. Students were notified that all responses were voluntary and that individual responses would not be linked to themselves or their program. This paper focuses on students’ responses to fixed-response items regarding their experience of stress and open-ended responses to the following question: ‘What do you consider to be the greatest stressor(s) facing medical students?’ Qualitative data were analyzed using the Grounded Theory method of data analysis. Results: Results confirmed the impact of several stressors highlighted in previous studies (e.g., excessive workload, difficulties with studying and time management, conflicts in work–life balance and relationships, medical school peer relations, health concerns, and financial stressors). However, students also reported unique system-level concerns that have not consistently been highlighted in past research (e.g., medical school administrative failures, concerns about lack of assistance with career planning, and assessment-related performance pressure. Conclusions: Though individually focused interventions have demonstrated some success, medical students self-report stressors that may be better addressed through system-level changes.

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Section: Discussionsupporting

confidence: 92%

In their own words: stressors facing medical students in the millennial generation

Hill

Goicochea

Merlo

2018

Medical Education Online

361

258

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“…Among Swedish police personnel (Backteman-Erlanson et al, 2013), the mean value for DP was also significantly higher for men than for women. These results are also consistent with other studies that report men to have higher levels of DP than women (Houkes, Winants, Twellaar, & Verdonk, 2011). This result is also comparable to established research in the field (Bakker, Demerouti, & Schaufeli, 2002;Emmerik & Euwema, 2001;Maslach et al, 2001;Schaufeli & Enzmann, 1998).…”

Section: Discussionsupporting

confidence: 82%

“…With regard to the differences between women and men in this study, a problem with studying sex differences in a male-dominated profession is that the sample sizes for females are generally small resulting in poor power to detect small differences between the sexes (Greenglass, 1991;Greenglass, Burke, & Ondrack, 1990;Grossi, Perski, Evengård, Blomkvist, & Orth-Gomér, 2003;Houkes et al, 2011). Another strength of this study is that comparability is ensured because the instrument used in this study is one that is commonly used by researchers in occupational health in different contexts (Backteman-Erlanson et al, 2013;Lindeberg et al, 2010;Staland-Nyman, Alexanderson, & Hensing, 2008).…”

Section: Methodological Considerationsmentioning

confidence: 99%

Burnout and Association with Psychosocial Work Environment among Swedish Firefighters

Jacobsson¹,

Backteman-Erlandson²,

Padyab³

et al. 2016

GJHS

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Firefighters are exposed to traumatic and stressful psychosocial and physical strain in their work, and thus they are considered to be a group at high risk of burnout. The aim of this study was to investigate burnout (emotional exhaustion (EE) and depersonalization (DP) among Swedish female and male firefighters and to examine the gender-stratified relationship between psychosocial work environment and burnout when considering the moderating effect of coping strategies among Swedish firefighters. The overall mean values of both EE and DP were notably low in comparison with the general population in Sweden. We found that psychosocial work environment factors increase the risk of burnout among male firefighters. Among men, EE was associated with high demands and lack of social support in work. The association was also confirmed with DP as the outcome and lack of good leadership as the exposure among men. However, among female firefighters the association between psychosocial work environment factors and burnout failed to appear. Among women, EE and DP were only associated with the coping strategy Psychological distancing (PDi). A negative association with DP and the coping strategy Positive Reappraisal (PRe) was also found among women. Regardless of the result from the regression analyses, we must consider that the majority of the female and male firefighters in our study had low scores on the outcome variables EE and DP. Future studies should explore female and male firefighters' context and possible health-protecting environment.

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“…20 For that reason, burnout has been a major topic of health services research in efforts to better understand its causes and solutions. [21][22][23][24][25] The most common measure of burnout is the Maslach Burnout Inventory (MBI), a well-validated, 26 widely-used self-survey measure. 27,28 The MBI comprises three scales: 1) emotional exhaustion (nine items), a state of chronic emotional and physical depletion; 2) depersonalization (five items), a sense of disconnection from coworkers and clients; and 3) diminished personal accomplishment (eight items), a negative sense of self-value and ability.…”

Section: Introductionmentioning

confidence: 99%

Using a Single Item to Measure Burnout in Primary Care Staff: A Psychometric Evaluation

et al. 2014

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BACKGROUND: Burnout affects nearly half of all U.S. nurses and physicians, and has been linked to poor outcomes such as worse patient safety. The most common measure of burnout is the well-validated Maslach Burnout Inventory (MBI). However, the MBI is proprietary and carries licensing fees, posing challenges to routine or repeated assessment. OBJECTIVE: To compare a non-proprietary, single-item burnout measure to a single item from the MBI Emotional Exhaustion (MBI:EE) subscale that has been validated as a standalone burnout measure. DESIGN: Cross-sectional online survey. PARTICIPANTS: A sample of primary care providers (PCPs), registered nurses, clinical associates (e.g., licensed practical nurses (LPNs), medical technicians), and administrative clerks in the Veterans Health Administration surveyed in 2012. MAIN METHODS: We compared a validated one-item version of the MBI:EE and a non-proprietary single-item burnout measure used in the Physician Work Life Study. We calculated kappa statistics, sensitivity and specificity, positive predictive (PPV) and negative predictive values (NPV), and area under the receiver operator curve (AUC). We conducted analyses stratified by occupation to determine the stability of the correlation between the two measures. KEY RESULTS: We analyzed responses from 5,404 participants, including 1,769 providers and 1,380 registered nurses. The prevalence of burnout was 36.7 % as measured on the single MBI:EE item and 38.5 % as measured on the non-proprietary single-item measure. Relative to the MBI:EE, the non-proprietary single-item measure had a correlation of 0.79, sensitivity of 83.2 %, specificity of 87.4 %, and AUC of 0.93 (se=0.004). Results were similar when stratified by respondent occupation. CONCLUSIONS: A non-proprietary single-item measure served as a reliable substitute for the MBI:EE across occupations. Because it is non-proprietary and easy to interpret, it has logistical advantages over the one-item MBI.

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Development of burnout over time and the causal order of the three dimensions of burnout among male and female GPs. A three-wave panel study

Cited by 183 publications

References 44 publications

In their own words: stressors facing medical students in the millennial generation

In their own words: stressors facing medical students in the millennial generation

Burnout and Association with Psychosocial Work Environment among Swedish Firefighters

Using a Single Item to Measure Burnout in Primary Care Staff: A Psychometric Evaluation

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