Stress and burnout among healthcare professionals working in a mental health setting in Singapore

Yang, Sheng‐Qi; Meredith, Pamela; Khan, Asaduzzaman

doi:10.1016/j.ajp.2015.04.005

Cited by 60 publications

(53 citation statements)

References 31 publications

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“…There are reports of relatively high levels of burnout among mental health professionals in the United States (Acker, 2012), Australia (Lloyd & King, 2004), and Singapore (Yang, Meredith, & Khan, 2015). This is of particular concern as burnout has been associated with high staff turnover (Chiang & Chang, 2012) and decreased patient care (Shanafelt, Bradley, Wipf, & Back, 2002) in samples of healthcare professionals.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Mindfulness Intervention in Reducing Stress and Burnout for Mental Health Professionals in Singapore

Yang

Meredith

Khan

2017

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Stress and burnout have been shown to be a concern among mental health professionals in several countries including Singapore, and can affect quality of care and staff turnover. The aim of this study was to examine the effectiveness of a mindfulness program in increasing mindfulness and compassion, and reducing stress and burnout, among mental health professionals in Singapore. The study utilised data from a prospective pre-post study design with follow-up. A total of 37 mental health professionals participated in the program, which was conducted in three cohorts over nine months. The program consisted of six two-hour sessions offered once a week over six weeks, and used a range of mindfulness techniques to teach participants to cultivate compassionate and non-judgemental attitudes towards their inner experiences. Data were collected at three stages: pre-and post-intervention, and three months follow-up. Assessments considered mindfulness (Five Facets Mindfulness Questionnaire), compassion (Self-Compassion Scale-SF, Compassion Scale), stress (Perceived Stress Scale-10), and burnout (Oldenburg Burnout Inventory). Participants demonstrated significant improvement in four of the five mindfulness facets (observe, describe, non-judge, non-react) and in compassion levels, and a significant reduction in stress, following intervention. The gains in mindfulness and self-compassion scores were maintained at three months follow-up. No change was observed for burnout variables. Results suggest that mindfulness training was effective in reducing stress and improving mindfulness and compassion, but not decreasing burnout, for this group of mental health professionals in Singapore. Future experimental research with larger samples is warranted to validate the findings of the present study.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Mindfulness Intervention in Reducing Stress and Burnout for Mental Health Professionals in Singapore

Yang

Meredith

Khan

2017

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“…In literature, some studies show relationship between burnout and years in profession. 6,12,13,27,32 Burnout is considered as a high risk factor in the early period of one's career. 11 This result can be explained through professional experience, and increasing authority on patient guidance and management.…”

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confidence: 99%

Factors Affecting Burnout and Job Satisfaction in Turkish Emergency Medicine Residents

Toker¹,

Ayrık²,

Bozkurt³

et al. 2015

Emerg Med Open J

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CitationToker I, Ayrık C, Bozkurt S, et al. ABSTRACTObjective: Despite the increasing concerns on burnout and job satisfaction in health-care professional, very few studies have examined resident physicians in Turkey. This study was aimed to determine the factors affecting burnout and job satisfaction among emergency medicine residents in Turkey. Method: An number of 410 emergency medicine residents including e-mail addresses registered to Emergency Medicine Associations received questionnaire forms previously prepared on an internet-based questionnaire site. Participants were asked to fill out Maslach Burnout Inventory (MBI), Job Satisfaction Scale (JSS) and socio-demographic data form. Results: Decrease in depersonalization grades and increase in personal accomplishment grades with the advancing age were found. Residents who had an experience greater than 10 years in the profession showed lower depersonalization grades in comparison with the beginners. Residents who could not reach a consultant for patient evaluation presented higher emotional exhaustion grades. Also residents who felt appreciated in work place and work in concert with the staff had lower burnout grades and higher job satisfaction grades. An increase in the average number of patients seen per day was found out to boost emotional exhaustion grades. Also the visible increase in the time spent for social activities during the week reduced emotional exhaustion and depersonalization grades while increasing personal accomplishment grades. Residents who were exposed to daily violence had lower job satisfaction grades and higher emotional exhaustion and depersonalization grades than those experienced violence on a monthly basis. Increase of job satisfaction was accompanied by a decreased burnout level. Conclusion: Emergency medicine residents have high burnout levels. For diminished burnout level and enhancement of job satisfaction in emergency medicine, adjustments like social support, workload, workplace stress and prevention of violence would be useful.

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“…There are reports of relatively high levels of burnout among mental health professionals in the United States , Australia , and Singapore (Yang, Meredith, & Khan, 2015). This is of particular concern as burnout has been associated with high staff turnover and decreased patient care in samples of healthcare professionals.…”

Section: Introductionmentioning

confidence: 99%

“…In the only available Singaporean study, Yang, Meredith and Khan (2015) surveyed 220 mental health professionals and reported higher levels of stress and burnout in comparison to studies of healthy adults in Western countries such as the United States and Sweden. These results were obtained from the same study sample as this study.…”

Section: Introductionmentioning

confidence: 99%

“…While listening to their problems and providing emotional support, mental health professionals are at risk of emotional exhaustion, stress, and burnout . Evidence of high levels of stress and burnout among mental health professionals has emerged from both Western and Asian countries Yang, Meredith, & Khan, 2015). In a survey conducted by , with 304 mental health professionals in Australia, 57% of the sample experienced emotional exhaustion, while 33% experienced depersonalization, which is an attempt to emotionally withdraw from work and which may result in a cynical attitude towards their clients ).…”

Section: Introductionmentioning

confidence: 99%

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Mindfulness, stress and burnout among mental health professionals in Singapore

Yang¹

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International literature suggests that mental health professionals are experiencing high levels of stress and burnout. This is of concern as high levels of stress and burnout in healthcare professionals are associated with staff health concerns, decreased patient satisfaction, and high staff turnover rates. A growing body of research has shown that mindfulness is effective in reducing stress and burnout in health professionals in western countries. However, the extent of stress and burnout, and the effectiveness of mindfulness interventions in reducing stress and burnout experienced by mental health professionals in Singapore, were unknown.To address these gaps in the literature, there were two primary aims of this thesis: (1) to investigate the extent of stress and burnout in healthcare professionals working in a mental health setting in Singapore, and (2) to examine the effectiveness of a mindfulness intervention in promoting mindfulness and compassion and reducing stress and burnout among mental health professionals in Singapore. A sequential two-phase research design was adopted to address these aims. Phase one was a cross-sectional survey study addressing the first aim, while Phase two was a prospective study addressing the second aim. In addition, there were three secondary aims: (1) to investigate the psychometric properties of the Five Facets Mindfulness Questionnaire (FFMQ), (2) to examine the associations between mindfulness, stress, and burnout among mental health professionals in Singapore, and (3) to examine the relationships between amount of time engaged in both formal and informal homework practice and change in mindfulness and stress levels after the mindfulness intervention. The first and second secondary aims were addressed in the Phase one study, while the third secondary aim was addressed in the Phase two study.In the Phase one study, a cross-sectional survey which included the PSS (Perceived Stress Scale), OLBI (Oldenburg Burnout Inventory), and FFMQ (Five Facets Mindfulness Questionnaire), was conducted. A total of 260 Singaporean mental health professionals consisting of psychiatrists/ doctors, allied health professionals, case managers, pharmacists, researchers, or nurses completed the survey. Findings from this study showed that healthcare professionals working in a mental health setting in Singapore were experiencing higher levels of stress and burnout compared to healthy adults in other countries. Mental health professionals below the age of 25, those with less than five years' experience, and those with the lowest annual income, reported the highest levels of stress and burnout. No significant 3 associations were found between other demographic or work situation variables with stress and burnout. All of the mindfulness facets were negatively associated with stress and burnout. In addition, the FFMQ was found to have a five-factor structure consistent with the original measure, and demonstrated excellent internal consistency and adequate construct validity, in our sample of Si...

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Stress and burnout among healthcare professionals working in a mental health setting in Singapore

Cited by 60 publications

References 31 publications

Effectiveness of Mindfulness Intervention in Reducing Stress and Burnout for Mental Health Professionals in Singapore

Effectiveness of Mindfulness Intervention in Reducing Stress and Burnout for Mental Health Professionals in Singapore

Factors Affecting Burnout and Job Satisfaction in Turkish Emergency Medicine Residents

Mindfulness, stress and burnout among mental health professionals in Singapore

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