scholarly journals P146: Does a communications skills intervention improve emergency department staff coping skills and burnout?

CJEM ◽  
2019 ◽  
Vol 21 (S1) ◽  
pp. S117
Author(s):  
F. Zhou ◽  
M. Howlett ◽  
J. Talbot ◽  
J. Fraser ◽  
B. Robinson ◽  
...  

Introduction: Emergency department (ED) staff carry a high risk for the burnout syndrome of increased emotional exhaustion, depersonalization and decreased personal accomplishment. Previous research has shown that task-oriented coping skills were associated with reduced levels of burnout compared to emotion-oriented coping. ED staff at one hospital participated in an intervention to teach task-oriented coping skills. We hypothesized that the intervention would alter staff coping behaviors and ultimately reduce burnout. Methods: ED physicians, nurses and support staff at two regional hospitals were surveyed using the Maslach Burnout Inventory (MBI) and the Coping Inventory for Stressful Situations (CISS). Surveys were performed before and after the implementation of communication and conflict resolution skills training at the intervention facility (I) consisting of a one-day course and a small group refresher 6 to 15 months later. Descriptive statistics and multivariate analysis assessed differences in staff burnout and coping styles compared to the control facility (C) and over time. Results: 85/143 (I) and 42/110 (C) ED staff responded to the initial survey. Post intervention 46 (I) and 23(C) responded. During the two year study period there was no statistically significant difference in CISS or MBI scores between hospitals (CISS: (Pillai's trace = .02, F(3,63) = .47, p = .71, partial η2 = .02); MBI: (Pillai's trace = .01, F(3,63) = .11, p = .95, partial η2 = .01)) or between pre- and post-intervention groups (CISS: (Pillai's trace = .01, F(3,63) = .22, p = .88, partial η2 = .01); MBI: (Pillai's trace = .09, F(3,63) = 2.15, p = .10, partial η2 = .01)). Conclusion: We were not able to measure improvement in staff coping or burnout in ED staff receiving communication skills intervention over a two year period. Burnout is a multifactorial problem and environmental rather than individual factors may be more important to address. Alternatively, to demonstrate a measurable effect on burnout may require more robust or inclusive interventions.

2008 ◽  
Vol 36 (2) ◽  
pp. 208-213 ◽  
Author(s):  
W. Lederer ◽  
J. F. Kinzl ◽  
C. Traweger ◽  
J. Dosch ◽  
G. Sumann

We assessed the prevalence of fully developed burnout, burnout risk and the influence of work and employment related factors in five intensive care units at a university hospital. A cross-sectional study was conducted using self-reporting questionnaires for the evaluation of the frequency and intensity of burnout syndrome (Maslach Burnout Inventory) and work and employment related factors. From a total of 320 eligible intensive care personnel, 33 physicians and 150 nurses participated in the study (59% response rate). Applying the process model for burnout, 63 participants (34.4%) were at risk for burnout and another 11 respondents (6.0%) revealed evidence of fully developed burnout (emotional exhaustion ≥4.0 and lack of personal accomplishment ≤4.0). No statistically significant difference in prevalence of fully developed burnout or burnout risk was detected in subgroups according to age, gender, level of training, years of employment and family status. The desire to choose the same profession again was significantly less in respondents with fully developed burnout (P=0.006). The opportunity to regularly attend facilitation was significantly lower for participants with fully developed burnout (P=0.002) compared to participants with no burnout. Fully developed burnout and burnout risk are common in intensive care personnel. Support from facilitators appeared to be an important preventive factor.


2020 ◽  
Vol 19 (3) ◽  
pp. 479-506
Author(s):  
Militza Saraí Rendón Montoya ◽  
Sandra Lidia Peralta Peña ◽  
Eva Angelina Hernández Villa ◽  
Reyna Isabel Hernández Pedroza ◽  
María Rubi Vargas ◽  
...  

Introducción: El objetivo del estudio fue identificar la prevalencia del Síndrome de Burnout y sus dimensiones en el personal de enfermería de unidades de cuidado crítico y de hospitalización.Metodología: Se llevó a cabo un estudio observacional descriptivo, transversal en 90 enfermeras y enfermeros. Se utilizó el Cuestionario de Maslach Burnout Inventory para el personal de salud. Se realizó análisis exploratorio y análisis descriptivo e inferencial; se emplearon los estadísticos U de Mann Whitney y Kruskal Wallis.Resultados: Se encontró nivel medio de Síndrome de Burnout 82.2%; Agotamiento Emocional bajo 62.2%; nivel bajo de Despersonalización 57.8% y nivel bajo de Falta de Realización Personal 40%. Se evidenció diferencia estadísticamente significativa entre Síndrome de Burnout y turno de trabajo, doble turno al mes, períodos vacacionales al año y carga de trabajo; entre Agotamiento Emocional y tipo de servicio, ingreso quincenal, doble turno al mes, períodos vacacionales, tipo de contratación y carga de trabajo; entre Despersonalización y carga de trabajo; y entre Falta de Realización Personal y tipo de servicio, gusto por el servicio, turno de trabajo, ingreso quincenal, períodos de descanso en el turno, períodos vacacionales al año y tipo de contratación.Conclusiones: Un porcentaje mayor del personal de enfermería obtuvo nivel medio de Síndrome de Burnout. No se encontró diferencia estadísticamente significativa entre el síndrome de Burnout y sus dimensiones con las características sociológicas del personal de enfermería. Se encontró evidencia de que las características laborales son las que presentan mayor influencia en el desarrollo del Síndrome de Burnout. Introduction: The objective of the study was to identify the prevalence of the Burnout Syndrome and its dimensions in the nursing personnel working in the critical care and hospitalization units.Methodology: A descriptive, observational, and cross-sectional study was performed in 90 nurses. The Maslach Burnout Inventory for health personnel was used. An exploratory, descriptive, and inferential analysis was carried out; the Mann Whitney U and Kruskal Wallis tests statistics were used.Results: A medium level regarding the burnout syndrome, 82.2%, was found; emotional exhaustion decreased by 62.2%; low level of depersonalization, 57.8%, and low level of lack of personal accomplishment, 40%. There was a statistically significant difference between burnout syndrome and work shift, double work shift per month, vacation periods per year, and workload; between emotional exhaustion and type of service, two-week income, double work shift, vacation periods, type of procurement, and workload; between depersonalization and workload; and between lack of personal accomplishment and type of service, work shift, two-week income, rest period during the shift, vacation periods per year, and type of procurement. Conclusions: A higher percentage of nursing personnel had a mild burnout syndrome. No statistically significant difference between burnout syndrome and its dimensions and the sociological characteristics of the nursing personnel was found. Evidence that job characteristics are those that show more influence in the development of the burnout syndrome was found.


Author(s):  
Shimaa A. Elghazally ◽  
Atef F. Alkarn ◽  
Hussein Elkhayat ◽  
Ahmed K. Ibrahim ◽  
Mariam Roshdy Elkhayat

Background: burnout syndrome is a serious and growing problem among medical staff. Its adverse outcomes not only affect health-care providers’ health, but also extend to their patients, resulting in bad-quality care. The COVID-19 pandemic puts frontline health-care providers at greater risk of psychological stress and burnout syndrome. Objectives: this study aimed to identify the levels of burnout among health-care professionals currently working at Assiut University hospitals during the COVID-19 pandemic. Methods: the current study adopted an online cross-sectional design using the SurveyMonkey® website for data collection. A total of 201 physicians were included and the Maslach Burnout Inventory (MBI) scale was used to assess the three burnout syndrome dimensions: emotional exhaustion, depersonalization, and reduced personal accomplishment. Results: about one-third, two-thirds, and one-quarter of the respondents had high emotional exhaustion, high depersonalization, and low personal accomplishment, respectively. Younger, resident, and single physicians reported higher burnout scores. The personal accomplishment score was significantly higher among males. Those working more than eight hours/day and dealing with COVID-19 patients had significantly higher scores. Conclusion: during the COVID-19 pandemic, a high prevalence of burnout was recorded among physicians. Age, job title, working duration, and working hours/day were significant predictors for burnout syndrome subscale results. Preventive and interventive programs should be applied in health-care organizations during pandemics.


2019 ◽  
Vol 20 (4) ◽  
pp. 363-369 ◽  
Author(s):  
Laura Vincent ◽  
Peter G Brindley ◽  
Julie Highfield ◽  
Richard Innes ◽  
Paul Greig ◽  
...  

IntroductionThis is the first comprehensive evaluation of Burnout Syndrome across the UK Intensive Care Unit workforce and in all three Burnout Syndrome domains: Emotional Exhaustion, Depersonalisation and lack of Personal Accomplishment.MethodsA questionnaire was emailed to UK Intensive Care Society members, incorporating the 22-item Maslach Burnout Inventory Human Services Survey for medical personnel. Burnout Syndrome domain scores were stratified by ‘risk’. Associations with gender, profession and age-group were explored.ResultsIn total, 996 multi-disciplinary responses were analysed. For Emotional Exhaustion, females scored higher and nurses scored higher than doctors. For Depersonalisation, males and younger respondents scored higher.ConclusionApproximately one-third of Intensive Care Unit team-members are at ‘high-risk’ for Burnout Syndrome, though there are important differences according to domain, gender, age-group and profession. This data may encourage a more nuanced understanding of Burnout Syndrome and more personalised strategies for our heterogeneous workforce.


2020 ◽  
Vol 13 ◽  
pp. 228-234
Author(s):  
Ruth Nutting ◽  
Justin Grant ◽  
Samuel Ofei-Dodoo ◽  
Matthew Runde ◽  
Kethlyn Staab ◽  
...  

Introduction. Healthcare professionals who participate in regular exercise better manage job related stressors, utilize fewer sick days, and discuss fitness with patients at increased rates. Although resident physicians are aware of the health benefits of exercise their rates of exercise are much lower than among medical trainees and practicing physicians. Resident physicians have reported lack of time for traditional structured workouts as one of the greatest barriers to fitness. This study sought to increase resident physician well-being by providing brief workouts through a motivational fitness curriculum. Methods. This pilot study utilized a nonexperimental design; a pre-/post-intervention consisted of a 10-month motivational fitness curriculum. Thirteen family medicine residents at a training program in the midwestern United States participated in this study. The Depression Anxiety Stress Scale-21 (DASS-21) and the Abbreviated Maslach Burnout Inventory (MBI-9) were used to measure the participants’ well-being, pre- and post-curriculum. Standard descriptive statistics and paired samples t-test were used to analyze the data. Results. Twenty-eight percent (13/36) of eligible first-year and second-year family medicine resident physicians participated in the study. On the DASS-21, study participants displayed an improvement in depression, anxiety, and stress scores post-curriculum. On the MBI-9, the participants reported decreased score in emotional exhaustion, but there were no changes in depersonalization and personal accomplishment scores over time.Conclusion. A motivational fitness curriculum may be a convenient way to support well-being among resident physicians. These findings were salient, as graduate medical education programs can implement similar initiatives to support resident physicians’ psychological and physical well-being.


Trauma ◽  
2016 ◽  
Vol 19 (2) ◽  
pp. 118-126 ◽  
Author(s):  
EC Cioè-Peña ◽  
JC Granados ◽  
LL Wrightsmith ◽  
AL Henriquez-Vigil ◽  
RT Moresky

Background In El Salvador, over 32% of all deaths are due to trauma. However, El Salvador lacks any established standardized trauma response system to treat the most critical of Salvadoran patients. In an effort to improve trauma response in El Salvador, we assessed the impact of a trauma-specific skills training, which could improve trauma care in a setting where no formal trauma training exists. Methods We used a pre- and post-interventional design study to measure the critical actions performed during a trauma event, as well as the case-fatality rate, emergency ward-to-operating room time, and utilization of ultrasound. The intervention was a primary trauma care course taught to all study participants. Results Eighteen providers were observed over a six-month period and 194 patient encounters (48 pre- and 146 post-intervention) were recorded. There was no significant difference in observed critical actions during major trauma between the pre-intervention and post-intervention periods. There was a significant improvement in ultrasound usage post-intervention (9.5% to 21.4%; p = 0.04). Conclusion The lack of behavior change observed following a two-day trauma training underscores the gap between physician knowledge and applied behavior change. This is a limited single center study, but further examination is necessary to determine the role of two-day training courses in the larger context of behavior change within a health system that has no formal post-graduate training in or defined algorithmic trauma care.


2006 ◽  
Vol 23 (1) ◽  
pp. 69-90 ◽  
Author(s):  
Shireen Hawkins ◽  
Vicki McKenzie ◽  
Erica Frydenberg

AbstractThis study utilised a mixed-methods approach to examine change for 27 self-selected female adolescents (aged 14-15) who received 11 sessions of coping skills education (Frydenberg & Brandon, 2002a; 2002b) at school in a small-group counselling context by a trainee psychologist. All sessions were tape-recorded and transcribed. Participants reported improvements in self-knowledge, knowledge of options for coping, attitude towards solving problems, differentiating threatening from non-threatening stressors and self-belief. Analysis of pre- and post-teacher questionnaires indicated that class misbehaviour for these students significantly reduced and academic engagement significantly increased. Analysis of students’ pre- and post-questionnaires for their main concern indicated significant reductions in Non-Productive coping. Participants were more likely to use coping strategies that they perceived to be helpful after taking part in this program. When it came to coping in general, students reported significant reductions in their use of Non-Productive coping and increases in both Productive and Reference to Others coping styles.


2021 ◽  
Vol 597 (2) ◽  
pp. 43-54
Author(s):  
Anna Kanios

Workers of the helping professions are particularly susceptible to the occupational burnout syndrome. This stems from the very nature of helping other people who experience several social problems in their everyday life. Working in the helping and caregiving professions relies on direct contact with another human being and involves intensive stress. The burnout syndrome is a consequence of functioning under long-term stress resulting, for example, from overwork. The study objective was to diagnose the occupational burnout among workers in the helping professions and to determine the correlation between burnout and stress-coping styles. In the study, we used Maslach Burnout Inventory (MBI) by C. Maslach (to assess an individual’s experience of burnout) and Coping Inventory for Stressful Situations (CISS) by S. Norman, S. Endler, J.D.A. Parker (adapted by P. Szczepaniak, J. Strelau, K. Wrześniewski) (to assess styles of coping with stress). The empirical analyses indicated the existence of a correlation between the sense of occupational burnout among the workers studied and their styles of coping with stress.


2020 ◽  
Vol 9 (4) ◽  
pp. 1007 ◽  
Author(s):  
Silvia Portero de la Cruz ◽  
Jesús Cebrino ◽  
Javier Herruzo ◽  
Manuel Vaquero-Abellán

Burnout is a major problem among nurses working in emergency departments and is closely related to a high turnover of personnel, nursing errors, and patient dissatisfaction. The aims of this study were to estimate burnout, perceived stress, job satisfaction, coping and general health levels experienced by nurses working in emergency departments in Spain and to analyze the relationships between sociodemographic, occupational, and psychological variables and the occurrence of burnout syndrome among these professionals. A cross-sectional study was conducted in four emergency departments in Andalusia (Spain) from March to December 2016. The study sample was composed of n = 171 nurses. An ad hoc questionnaire was prepared to collect sociodemographic and work data, and the Maslach Burnout Inventory, the Perceived Stress Scale, the Font–Roja Questionnaire, the Brief Cope Orientation to Problem Experience and the General Health Questionnaire were used. The prevalence of high burnout was 8.19%. The levels of perceived stress and job satisfaction were moderate. The most frequent clinical manifestations were social dysfunction and somatic symptoms, and problem-focused coping was the strategy most used by nurses. Lack of physical exercise, gender, years worked at an emergency department, anxiety, social dysfunction, and avoidance coping were significant predictors of the dimensions of burnout.


2019 ◽  
Vol 77 (2) ◽  
pp. 84-90
Author(s):  
Viviane Flumignan Zétola ◽  
Giovana Memari Pavanelli ◽  
Gabriella Ueharo Pereira ◽  
Francisco Manoel Branco Germiniani ◽  
Marcos Christiano Lange

ABSTRACT Background: Burnout syndrome is a work-related psychological response, characterized by emotional exhaustion, depersonalization and low professional accomplishment. Objective: The study aimed to evaluate the prevalence of burnout syndrome in neurologists in the State of Paraná, Brazil, dividing them into stroke neurologists and non-stroke neurologists. Methods: We performed a crosssectional observational study, with a quantitative approach, based on the online Maslach Burnout Inventory - Human Services Survey questionnaire. Results: A total of 74 neurologists were evaluated, 44.6% of whom had burnout syndrome, predominantly among females and stroke neurologists. Both the stroke neurologist and non-stroke neurologist groups had medium degrees of emotional exhaustion and depersonalization; however, while stroke neurologists had high professional accomplishment, non-stroke neurologists had mean-to-low scores of professional accomplishment. There was a proportional relationship between age and emotional exhaustion. Female neurologists also reported lower professional accomplishment levels. Conclusion: Burnout is prevalent among the neurologists of Paraná, corroborating the results previously reported in other studies. There seems to be no significant difference between those neurologists who work in the emergency stroke care setting compared with those who don't.


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