Prevalence and co-variates of burnout in consultant hospital doctors: burnout in consultants in Ireland Study (BICDIS)

Margiotta, Fabio; Crudden, Genevieve; Byrne, Dara; Doherty, Anne M.

doi:10.1007/s11845-018-1886-y

Cited by 20 publications

(20 citation statements)

References 23 publications

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“…This is the first study examining levels of BO among consultant child and adolescent psychiatrists in Ireland, set against a background of unprecedented consultant vacancies and increasing CAMHS referrals. Although the response rate (46%) was lower than hoped, it is comparable to that found in studies among consultants in Ireland (42%–55%),9 22 studies within psychiatry (26%)27 and studies using CBI (22.5%–40%) 20 21. It is unclear whether non-response would preferentially apply to busy overworked clinicians with high BO levels, too exhausted to participate, or if respondents are more likely to reflect those who had indeed experienced BO and wanted to have their voice heard.…”

Section: Discussionmentioning

confidence: 70%

“…In a sample of 1037 Australian midwives, equivalent prevalence rates were also much lower (43.8% for work-related BO and 64.9% for personal) than that found among child psychiatry consultants practicing in Ireland 21. Two other studies examining doctors working in Irish hospitals reported rates of BO considered by the authors to be higher than their European colleagues, with junior doctors being most at risk 9 22…”

Section: Discussionmentioning

confidence: 76%

“…There is some evidence in the literature of a higher rate of BO in clinicians working with children. Margiotta et al found that paediatricians in Ireland scored higher than other groups,22 and in a large Finnish study (n = 3313), while psychiatrists had a higher prevalence of BO than other specialities, the highest rates were found in those working in child psychiatry and in the community 25. Even when biological markers are used to measure ‘stress’, levels among nurses in a CAMHS inpatient setting were found to be higher than in a neonatal intensive unit 26…”

Section: Discussionmentioning

confidence: 99%

“…Many of the recommendations made by the MacCraith report, especially around retention, have not been successful 33 34. Poorer working conditions, unequal remuneration and type of contract were found to adversely affect BO levels among consultants in Ireland, where a two tier consultant contract exists 22. Working conditions of hospital doctors in Ireland were also considered less favourable than in other EU countries 9…”

Section: Discussionmentioning

confidence: 99%

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Burnout in consultants in child and adolescent mental health services (CAMHS) in Ireland: a cross-sectional study

et al. 2020

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Physician burnout has reached epidemic levels in many countries, contributing to adverse personal, patient and service outcomes. Adverse socioeconomic conditions, such as the economic downturn in the Ireland post 2008, contribute to a situation of increased demand but inadequate resources. Given a recent unprecedented increase in referrals to Irish child and adolescent mental health services (CAMHS), coupled with a fragmented and poorly resourced service, it is important to reflect on consultant child psychiatrists’ well-being.ObjectivesTo report on the level of burnout among consultants working in CAMHS in Ireland using a cross-sectional design.SettingCommunity CAMHS in Ireland.ParticipantsAn online questionnaire was sent to all consultant child psychiatrists registered with the Irish Medical Council (n=112). Fifty-two consultants replied (46% response rate).Primary outcome measuresQuestions assessed demographic and occupational details, career satisfaction and perceived management, government and public support. The Copenhagen Burnout Inventory measured personal, work and patient-related burnout.ResultsThe prevalence of moderate or higher levels of work-related and personal burnout was 75% and 72.3%, respectively. Fewer (n=14, 26.9%) experienced patient-related burnout. There was a strong correlation between work burnout and personal (r=0.851, n=52, p<0.001) and patient-related burnout (r=0.476, n=52, p<0.001). Lack of confidence in government commitment to investment in CAMHS (p<0.001) and perceived ineffective management by health authorities (p=0.002) were associated with higher burnout scores. Few consultants (n=11, 21%) felt valued in their job. The majority (n=36, 69%) had seriously considered changing jobs, and this was positively associated with higher burnout (p<0.001). Higher burnout scores were present in those (n=15, 28.8%) who would not retrain in child psychiatry (p=0.002).ConclusionThe high level of burnout reported by respondents in this study, and ambivalence about child psychiatry as a career choice has huge professional and service implications. Urgent organisational intervention to support consultant psychiatrists’ well-being is required.

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Burnout in consultants in child and adolescent mental health services (CAMHS) in Ireland: a cross-sectional study

et al. 2020

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“…In the UK, the improving access to psychological therapies (IAPT) initiative has introduced over 6,000 newly trained low‐ and high‐intensity therapists to the National Health Service (NHS) since it was launched in 2008 (National Health Service, 2015). The work of psychological therapists involves a high degree of face‐to‐face client work, which is known to increase risk of burnout (Margiotta, Crudden, Byrne, & Doherty, 2018), and one study reported that 69% of IAPT therapists met criteria for burnout (Westwood, Morison, Allt, & Holmes, 2017).…”

Section: Introductionmentioning

confidence: 99%

Burnout in psychological therapists: A cross‐sectional study investigating the role of supervisory relationship quality

Johnson

Corker

O’Connor

2020

Clinical Psychologist

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Background Burnout is a growing problem in mental health‐care professionals. Clinical supervision is a mandated part of all psychological therapeutic practice but no previous study has explored whether higher quality supervision is associated with lower burnout in qualified psychological therapists. Aims The study aimed to investigate whether the quality of the supervisory relationship was associated with two facets of burnout, exhaustion and disengagement, in a group of psychological therapists once work demands had been accounted for. Methods Psychological therapists were recruited to complete a cross‐sectional online survey between May 2016 and January 2017. The survey measured frequency and quality of clinical supervision, workload factors, and disengagement and burnout. Data were analysed using hierarchical linear regression. Results Two hundred and ninety‐eight qualified psychological therapists responded to the survey. Results suggested that higher quality supervision was associated with lower disengagement but not lower exhaustion. Frequency of supervision and workload variables were not associated with either facet of burnout. Female gender was associated with higher exhaustion but gender had no association with disengagement. According to previously used cut‐off scores, 235 (78.9%) participants could be classed as suffering from “high burnout,” and 173 (58.1%) participants could be classed as suffering from “high disengagement.” Conclusions There is a growing need for burnout reduction interventions in mental health‐care professionals. The present results identify a potential role for enhancing the quality of the supervisory relationship by creating more open, safe spaces for supervisees.

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Work-Life Balance of Korean Gastroenterologists Depending on Sex and Age

Kim

2022

Sex/Gender-Specific Medicine in the Gastrointestinal Diseases

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Prevalence and co-variates of burnout in consultant hospital doctors: burnout in consultants in Ireland Study (BICDIS)

Cited by 20 publications

References 23 publications

Burnout in consultants in child and adolescent mental health services (CAMHS) in Ireland: a cross-sectional study

Burnout in consultants in child and adolescent mental health services (CAMHS) in Ireland: a cross-sectional study

Burnout in psychological therapists: A cross‐sectional study investigating the role of supervisory relationship quality

Work-Life Balance of Korean Gastroenterologists Depending on Sex and Age

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