Occupational stress and burnout in anaesthesia

Nyssen, Anne‐Sophie; Hansez, Isabelle; Baele, Ph.; Lamy, Martine; Keyser, Véronique De

doi:10.1093/bja/aeg058

Cited by 236 publications

(248 citation statements)

References 14 publications

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“…This result was similar to those of previous studies 28) . Older physicians benefit from rich experience and high positions which ensure them respect, reward and less time commitment.…”

Section: Burnout and Its Association With Physicians' Sociodemographisupporting

confidence: 94%

Physician Burnout and Its Associated Factors: A Cross‐sectional Study in Shanghai

Wang

Xie²,

Dai

et al. 2014

Journal of Occupational Health

107

100

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Physician Burnout and Its Associated Factors: A Cross‐sectional Study in Shanghai: Zhihui WANG, et al. School of Public Health, Fudan University China— Objectives The aim of this study was to determine the rate of burnout and the contributing factors behind it among physicians in Shanghai. Methods In this cross‐sectional study, a total of 457 physicians from 21 hospitals in Shanghai completed self‐reported questionnaires in June 2008. The Chinese version of the job content questionnaire (C‐JCQ) and the Chinese version of the effort‐reward imbalance questionnaire (C‐ERI) were used to measure occupational stress. The Chinese version of Maslach Burnout Inventory (C‐MBI) was used to measure burnout rate. We then performed regression analysis of physician burnout. Results The MBI model revealed that 277 physicians (60.6%) were experiencing a mild degree of burnout and that 27 physicians (5.9%) were experiencing a severe degree of burnout. In the assessment of occupational stress, most physicians (64.8%) had a demand/control ratio higher than 1, and 21.9% of all physicians had an effort/reward ratio higher than 1, indicating a high level of occupational stress exposure. Regression analyses showed higher levels of burnout among physicians of younger age, less work experience, longer working hours, on shift duty, or from highergrade hospitals. Both the JCQ and ERI models showed good predictive power for physician burnout, with the ERI model performing better. Conclusions Physicians in Shanghai were experiencing a high degree of burnout, which was significantly associated with occupational stress as well as distinctive personal and work characteristics. Interventions aiming at reducing job‐related stress can be effective approaches to prevent burnout among physicians.

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“…This result was similar to those of previous studies 28) . Older physicians benefit from rich experience and high positions which ensure them respect, reward and less time commitment.…”

Section: Burnout and Its Association With Physicians' Sociodemographisupporting

confidence: 94%

Physician Burnout and Its Associated Factors: A Cross‐sectional Study in Shanghai

Wang

Xie²,

Dai

et al. 2014

Journal of Occupational Health

107

100

View full text Add to dashboard Cite

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“…In 1964, Selye was the first to use the term "stress" to describe a set of physical and psychological responses to adverse conditions or influences (cited from Fevre et al, 2003). Occupational stress can be defined as a disruption of the emotional stability of the individual that induces a state of disorganization in personality and behaviour (Nwadiani, 2006). A stressor may be defined as any "demand made by the internal or external environment that upsets a person's balance and for which restoration is needed" (Herbert, 1997;Larson, 2004).…”

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confidence: 99%

“…According to Karasek's job demand-control model, strain occurs when high job demands combine with low opportunity to influence tasks and procedures, resulting in poor employee health and low job satisfaction (Bridger et al, 2007). Heavy workload (McKenna et al, 2002;Nwadiani, 2006), infrequent rest breaks, long working hours and shift work; hectic and routine tasks that have little inherent meaning, do not utilize workers' skills, and provide little sense of control (Fairbrother & Warn, 2003). Locus of control and self-efficacy may have a major impact on perceived stressors and resultant stress (Kenny, 1999;Fevre et al, 2003;Love et al, 2007).…”

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confidence: 99%

“…Role conflict occurs when different groups or persons with whom an individual must interact (e.g. family, members of that person's group) hold conflicting expectations about that individual's behaviour (Nwadiani, 2006;Chang & Lu, 2007). Role conflict can result from inconsistent information (Conley & Woosley, 2000).…”

mentioning

confidence: 99%

“…Role conflict can result from inconsistent information (Conley & Woosley, 2000). It is important to note that several studies have revealed that both role conflict and role ambiguity are associated with low satisfaction, absenteeism, low involvement, low expectancies and task characteristics with a low motivating potential and tension, which all affect the productivity and efficiency at the organisation (Conley & Woosley, 2000;Manshor et al, 2003;Koustelios et al, 2004;Nwadiani, 2006;Chang & Lu, 2007).Furthermore, role demands could be stressful when they are excessive (role overload) (Johnson et al, 2005). For instance, academic overload comes when teachers experience increased responsibilities (Stress, 2008).…”

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confidence: 99%

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Factors Associated with Occupational Stress and Their Effects on Organizational Performance in a Sudanese University

Shikieri¹,

Musa²

2012

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Occupational stress has a significant impact on student learning and thereby on the contribution that such institutions can make to society. This affects organizational performance by reducing productivity and efficiency which affect the organization negatively. The aim of the current study was to determine the factors associated with occupational stress and their relationship with organizational performance at one of the private universities in Sudan. A total of 150 male and female employees from different departments and with various educational levels in the main building of the university were randomly selected. Data was collected using a questionnaire with background questions, job stressors such as role conflict and ambiguity, lack of participation in decision making, lack of authority, workload, unsatisfactory working conditions and interpersonal relationships, and statements about the effect on organisational performance. Questions were based on three-and four-point scale. Responses were grouped in terms of scores to show the level of job stress. Descriptive statistics was carried out using SPSS programme. Results indicated that on average the employees experienced high degree of job stress. Job stressors affected the general physical health of employees, their job satisfaction and performance as well as their commitment negatively. Similar findings were reported in other studies. The study recommended that the university needs to elevate the situation and resolve all the factors affecting the employees by for example increasing the number of staff needed to perform the tasks and/or decreasing the number of students enrolled.Keywords: Higher Education; Occupational Stress; Organizational Performance; Sudan IntroductionStress is a prevalent problem in modern life (Smith, 2000;Chang & Lu, 2007). In 1964, Selye was the first to use the term "stress" to describe a set of physical and psychological responses to adverse conditions or influences (cited from Fevre et al., 2003). Occupational stress can be defined as a disruption of the emotional stability of the individual that induces a state of disorganization in personality and behaviour (Nwadiani, 2006). A stressor may be defined as any "demand made by the internal or external environment that upsets a person's balance and for which restoration is needed" (Herbert, 1997;Larson, 2004). Job stressors may refer to any characteristic of the workplace that poses a threat to the individual (Bridger et al., 2007). They affect organizational performance by reducing productivity and efficiency which affect the organization negatively (Dua, 1994;Brown & Uehara, 2008;Reskin, 2008). Theories of Occupational StressThere are several theories of occupation stress, in this section, the "person-environment fit theory, the "demand-control" theory and the "cybernetic and systems" theory will be the selected theories since they are prevalent and central to the literature on occupational stress (Fevre et al., 2003). Moreover, they are representative of the range of theories in t...

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Resident Burnout

Thomas¹

2004

JAMA

776

569

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HE WELL-BEING OF INTERNS AND resident physicians is a hotly debated topic for which the importance, 1,2 implications, 1,3 and solutions 4,5 have all been questioned. Residency is a stressful, overwhelming period during which residents work long hours and during which the lives of others depend on residents as they increase their knowledge base exponentially. Resident physicians have tremendous responsibilities in the workplace yet may feel they control very little. 6 This arrangement sets the stage for residents to develop burnout. Debate exists about whether residents' psychosocial distress has immediate or long-term consequences for patients, or for the physicians themselves. 1 Given the goals of residency training, some stress seems inevitable, 4 even favorable, 7 yet scattered studies suggest that residents experience high rates of burnout, a severe stress reaction, and that burnout may be associated with adverse mental health and work performance. This article reviews studies of resident burnout in the medical literature to address the following questions: (1) What is the level of clinically significant burnout among residents? (2) What factors are associated with development of burnout? (3) What are the health and performance consequences for residents with burnout and their patients? and (4) What coping resources may help residents with burnout? The article concludes by suggesting areas for further research and reform. BURNOUT Burnout is a pathological syndrome in which emotional depletion and maladaptive detachment develop in response to prolonged occupational stress. The construct was originally developed through occupational psychology research to describe a pattern observed among some human service workers. 8 Through serial qualitative surveys, field observations, interviews, and confirmatory factor analysis of the primary survey instrument, researchers have characterized burnout as a psychological construct and established its construct, discriminant, and convergent validity. 9 According to Maslach et al, 9 burnout has 3 dimensions: emotional exhaustion, in which overwhelming work demands deplete the individual's energy; depersonalization and cynicism, in which the individual detaches from For editorial comment see p 2913.

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Occupational stress and burnout in anaesthesia

Abstract: Remedial actions are discussed at the end of the paper.

Cited by 236 publications

References 14 publications

Physician Burnout and Its Associated Factors: A Cross‐sectional Study in Shanghai

Physician Burnout and Its Associated Factors: A Cross‐sectional Study in Shanghai

Factors Associated with Occupational Stress and Their Effects on Organizational Performance in a Sudanese University

Resident Burnout

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