Occupational stress and burnout among Hong Kong dentists

Choy, HB; Wong, May Chun Mei

doi:10.12809/hkmj166143

Cited by 53 publications

(56 citation statements)

References 16 publications

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“…A study of HK dentists found that patient-related stressors such as actually and possibly making mistakes, having a medical emergency, coping with difficult patients and dealing with high patient expectations were among their top ranked stressors. 51 One can argue that these patient-related factors would also be relevant to younger, less experienced medical doctors contributing to higher patient-related burnout scores. The relationship between age and work-related burnout may depend on additional factors such as level of experience.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and severity of burnout in Hong Kong doctors up to 20 years post-graduation: a cross-sectional study

Chin

Wan

et al. 2020

BMJ Open

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ObjectiveTo estimate the prevalence and severity of burnout and explore the factors associated with burnout among Hong Kong medical graduates up to 20 years post-graduation.DesignCross-sectional survey.SettingHong Kong.ParticipantsDoctors who graduated from the University of Hong Kong between 1995 and 2014.Primary and secondary outcome measuresBurnout as measured by the Copenhagen Burnout Inventory (CBI), alcohol consumption as measured by the Alcohol Use Disorders Identification Test Version C, lifestyle behaviours (hours of sleep and work, exercise, smoking, substance use), career satisfaction and sociodemographic characteristics were obtained using paper or online questionnaires.ResultsResponse rate was 30.9% (496/1607). Prevalence of CBI burnout was 63.1% (personal), 55.9% (work-related) and 35.4% (patient-related). The mean CBI subscale scores were 57.4±21.4 (personal), 48.9±7.4 (work-related) and 41.5±21.8 (client-related). Factors associated with personal and patient-related burnout included age (coeff −0.437, 95% CI −0.779 to −0.095 and coeff −0.596, 95% CI −0.965 to −0.228, respectively), practice setting (coeff −5.759, 95% CI −10.665 to −0.853 and coeff −5.317, 95% CI −10.602 to −0.032, respectively) and regular exercise (coeff −6.855, 95% CI −11.102 to −2.608 and coeff −6.769, 95% CI −11.333 to −2.205, respectively). Gender (coeff 5.1, 95% CI 1.382 to 8.818), average hours of sleep per night (coeff −5.200, 95% CI −7.139 to −3.262) and work hours per week (coeff 0.226, 95% CI 0.099 to 0.353) were associated with personal burnout only. No factors were significantly associated with work-related burnout.ConclusionBurnout is highly prevalent among Hong Kong medical graduates. Younger doctors, women and those working in the public sector appear to be at higher risk for burnout and may benefit from targeted interventions. Policymakers and healthcare authorities should consider measures to help reduce burnout by enabling adequate sleep, reducing work hours and encouraging exercise.

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Section: Discussionmentioning

confidence: 99%

Prevalence and severity of burnout in Hong Kong doctors up to 20 years post-graduation: a cross-sectional study

Chin

Wan

et al. 2020

BMJ Open

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“…However, psychometric properties of the occupational distress questionnaire were at generally acceptable levels. This was because items assessing occupational distress were derived from various existing occupational distress instruments that already have validity evidence [41][42][43][44]. Since these instruments were either too lengthy or too in depth, a concise version was adapted for this questionnaire to balance the distribution of empathy, PsyCap, and distress items.…”

Section: Discussionmentioning

confidence: 99%

“…Occupational distress investigated in many studies usually includes level of burnout, work-life imbalance, and required work effort. Most of these studies used lengthy instruments, sometimes even needing multiple tools to assess the concept of occupational distress [41][42][43]. To balance the number of items investigating occupational distress with those investigating personal distress in this study, only single items were used to reflect each domain of occupational distress as a whole, such as burnout, stress, career satisfaction, work-life balance.…”

Section: Occupational Distress Scalementioning

confidence: 99%

The mediating role of psychological capital on the relation between distress and empathy of medical residents: a cross-sectional survey

Jin

Song

et al. 2020

Medical Education Online

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Background: Medical residents usually suffer from work overload and experience both personal and professional distress, which affects their level of the empathy to patients. Psychological capital (PsyCap) is a psychological resource that is negatively associated with indicators of distress. Objective: This study explored the potential mediating effect of PsyCap on the relationship between distress and empathy, which may help healthcare professionals in their defense of empathy erosion due to distress. Design: A total of 620 first-year residents were recruited for this cross-sectional survey. Empathy and PsyCap of residents were assessed by the Chinese version of the Jefferson Scale of Physician Empathy and the Psychological Capital Questionnaire, respectively. In this study, both personal and professional aspects contributing to resident distress were investigated by the Satisfaction with Life Scale and an occupational distress scale. T-tests and oneway ANOVA were used to test differences in empathy of residents. Pearson's correlation was used to examine correlations between distress, PsyCap, and empathy. Structured equation modeling was used to conduct the pathway analysis to test the mediating effect of PsyCap on the association between distress and empathy. Results: 537 residents (86.6%) completed the survey. Distress, empathy, and PsyCap were significantly correlated (P < .01) and in the expected directions. The first step analysis showed that as distress increased, the empathy of residents significantly decreased (P < .01), with the direct effect coefficient being 0.265. When PsyCap was included, the direct effect coefficient decreased to 0.033. This indirect effect was significant (P < .01). The variance accounted for was 81.14%, which indicated a partial mediating effect of PsyCap. Conclusions: PsyCap may serve a significant protective role against the impact of distress on the level of empathy of medical residents. In addition to reducing distress, PsyCap development could be considered in empathy decline prevention and empathy cultivating strategies.

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“…The second category pertains to occupational factors. Studies have pointed out that the occurrence of job burnout is closely related to such factors as work pressure, workload, working hours, and work content [7][8][9]. In addition, research has uncovered a correlation between job satisfaction and job burnout: a few dimensions of job satisfaction can significantly contribute to job burnout, and individual job dissatisfaction is an important cause of job burnout [10].…”

Section: Introductionmentioning

confidence: 99%

The status of job burnout and its influence on the working ability of copper-nickel miners in Xinjiang, China

Sun

Zhang

et al. 2020

BMC Public Health

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Background: Job burnout is increasingly common among occupational groups, and it is evolving into a new occupationally harmful phenomenon. The purpose of this study was to investigate the status of job burnout and its influence on the working ability of copper-nickel miners in Xinjiang, China, and to provide a theoretical basis for alleviating job burnout and improving the working ability of copper and nickel miners. Methods: A cross-sectional survey was carried out in June 2017 to September 2018 in Hami City, Xinjiang Autonomous Uygur Region, China. According to the main production process stratification of copper-nickel ore (mining unit, beneficiation unit, smelting unit), a self-administered questionnaire survey on the general situation of miners was conducted on the basis of the Chinese Maslach Burnout Inventory and Work Ability Index Questionnaire among 1400 miners registered in the human resources department of copper and nickel mines by stratified cluster sampling. Results: There were 1014 miners with different degrees of burnout, accounting for 80.86% of the total: 432 people reported mild burnout (34.45%), 516 reported moderate burnout (41.15%), and 66 reported high burnout (5.26%). There were significant differences in the degree of burnout according to sex, age, education level, monthly income, and work unit (p < 0.05). The level of male burnout was higher than that of females. Miners aged 35-40 years, with a high-school education, a monthly income of less than 2500 yuan, and who belonged to the smelting unit had the highest job burnout.There were significant differences in working ability among miners with different burnout level (p < 0.01). Partial correlation analysis showed that work ability was negatively correlated with emotional exhaustion, reduced sense of achievement, and total burnout score (p < 0.001). Multinomial logistic regression analyses showed that the education level, professional title,work units and job burnout level had a pronounced impact on the working ability of miners (p < 0.001); The reduced level of education, primary title, smelting unit, and the increase in job burnout are risk factors for the reduction of working ability. Conclusions: Our results indicate that job burnout is common among copper and nickel miners. Furthermore, working ability decreases with an increase in job burnout, and reducing job burnout can improve the working ability of copper and nickel miners.

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Occupational stress and burnout among Hong Kong dentists

Cited by 53 publications

References 16 publications

Prevalence and severity of burnout in Hong Kong doctors up to 20 years post-graduation: a cross-sectional study

Prevalence and severity of burnout in Hong Kong doctors up to 20 years post-graduation: a cross-sectional study

The mediating role of psychological capital on the relation between distress and empathy of medical residents: a cross-sectional survey

The status of job burnout and its influence on the working ability of copper-nickel miners in Xinjiang, China

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