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Keywords = emotional exhaustion (EE)

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23 pages, 1352 KB  
Article
Challenges of Prepartum Working Professionals Amid the Pandemic: Navigating Non-Work Responsibilities, Burnout, Work-Life Imbalance, and Emotional Exhaustion
by Nisrutha Dulla, Sugyanta Priyadarshini, Malabika Sahoo, Sumita Mishra, Snigdharani Panda, Bhargav Appasani and Amitkumar V. Jha
COVID 2025, 5(9), 144; https://doi.org/10.3390/covid5090144 - 28 Aug 2025
Viewed by 315
Abstract
The current study aims to examine the impact of non-work responsibilities (NWRs) due to work from home (WfH) conditions on the work–life imbalance (WLI) and emotional exhaustion (EE) experienced by pregnant working women during the pandemic (COVID-19) in Indian settings. Due to lack [...] Read more.
The current study aims to examine the impact of non-work responsibilities (NWRs) due to work from home (WfH) conditions on the work–life imbalance (WLI) and emotional exhaustion (EE) experienced by pregnant working women during the pandemic (COVID-19) in Indian settings. Due to lack of empirical evidence on the increasing rate of mental health issues during the prepartum period amid the pandemic, the study attempted to explore the effect of NWRs, prepartum burnout (PB) on the WLI and EE during WfH. The research study was carried out in urban cities of eastern coastal India and other major eastern cities by collecting data from 386 working pregnant women from January to March 2023. For assessing the reliability and validity of the measurement model, a Confirmatory Factor Analysis (CFA) using AMOS 23 was performed, and SPSS 26 using Process macro was used for examining the direct, mediation, and moderated mediation effects. Findings depicted that NWRs and PB are positively significant with EE. Additionally, WLI mediates the relationship between NWRs → EE and PB → EE. Moderated mediation was also examined and reported the contradictory results, with COVID-19 rumination (CR) as the moderator. To the best of our knowledge, this study is the first to explore the combined effects of organizational psychology (WLI, WfH) and mental health (PB, EE) variables on pregnant working professionals in the Indian context. The study has the potential to overcome the challenges faced by prepartum working professionals in the forthcoming pandemic and challenging times, if any, keeping in mind their robustness in overpowering severe public health emergency events. Full article
(This article belongs to the Special Issue How COVID-19 and Long COVID Changed Individuals and Communities 2.0)
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14 pages, 905 KB  
Article
Burnout Syndrome Among Spanish Professionals Dedicated to Implant Dentistry: An Observational Study
by Ángel-Orión Salgado-Peralvo, Andrea Uribarri, Eugenio Velasco-Ortega, José López-López, Álvaro Jiménez-Guerra, Loreto Monsalve-Guil, Jesús Moreno-Muñoz, José-Luis Rondón-Romero, Iván Ortiz-García and Enrique Núñez-Márquez
Healthcare 2025, 13(14), 1724; https://doi.org/10.3390/healthcare13141724 - 17 Jul 2025
Cited by 1 | Viewed by 363
Abstract
Background: Burnout syndrome (BS) is an occupational condition resulting from chronic stress, characterized by three dimensions, emotional exhaustion (EE), depersonalization (DE), and diminished personal accomplishment (PA), particularly prevalent in caregiving professions such as healthcare. The aim of this study is to analyse [...] Read more.
Background: Burnout syndrome (BS) is an occupational condition resulting from chronic stress, characterized by three dimensions, emotional exhaustion (EE), depersonalization (DE), and diminished personal accomplishment (PA), particularly prevalent in caregiving professions such as healthcare. The aim of this study is to analyse the prevalence of BS among Spanish dental implantology specialists, along with the impact of demographic, educational, and professional aspects. Methods: This is a cross-sectional observational study based on the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines and was open to respondents from May to December 2024. An electronic survey based on the Maslach Burnout Inventory—Human Services Survey (MBI–HSS) was sent to members of the Spanish Society of Implants. The data were analysed using descriptive analysis. Results: A total of 305 participants (20.9%) (31.5% females and 68.5% males) completed the questionnaire. The prevalence of BS was 4.3%; however, 61.0% of the dentists showed signs of suffering from the syndrome. The mean values of EE were “average” (20.3 ± 13.8) and of DE and EE “low” (5.1 ± 5.9, and 32.5 ± 14.5, respectively). The factors significantly associated with suffering from BS were being female and having more than 20 years of experience in dental implant treatments. Conclusions: It is advisable to conduct instructive and awareness-raising initiatives among dental professionals to promote an awareness of their mental health, ultimately aiming at preserving their physical and emotional well-being while delivering optimal care to their patients. Full article
(This article belongs to the Special Issue Occupational Stress and Burnout in Healthcare Workers)
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13 pages, 218 KB  
Article
Exploring the Association Between Digital Health Literacy and Burnout and Depression Among TV Journalists During the COVID-19 Pandemic in Serbia
by Ivana Bozovic, Aleksandra Jovic-Vranes, Ivana Stasevic-Karlicic, Dejana Stanisavljevic, Vedrana Pavlovic and Jovana Todorovic
Healthcare 2025, 13(14), 1688; https://doi.org/10.3390/healthcare13141688 - 14 Jul 2025
Viewed by 462
Abstract
Introduction: As in other crises, during COVID-19 pandemic, journalists were under immense pressure to report precise scientific information in a timely manner, which may have had a negative influence on their mental health. There could be an association between the digital health literacy [...] Read more.
Introduction: As in other crises, during COVID-19 pandemic, journalists were under immense pressure to report precise scientific information in a timely manner, which may have had a negative influence on their mental health. There could be an association between the digital health literacy of journalists and their mental health. The aim of this article was to explore the association between digital health literacy and burnout and depression among journalists in Serbia. Methods: A cross-sectional study was conducted involving a total of 180 journalists working on television with national coverage in Serbia. The main research instrument used was a questionnaire with four sections containing personal demographic information, the Digital Health Literacy Instrument, the Maslach Burnout Inventory-Human Services Survey, and the Beck Depression Inventory. Results: A total of 30% participants were found to have high levels of burnout on the emotional exhaustion (EE) subscale. On the depersonalization (DP) subscale, 10.6% experienced high levels of burnout. On the personal accomplishment (PA) subscale, 38.3% of participants faced high levels of burnout. Multivariate logistic regression analyses showed the association between high burnout on the EE scale and health status (OR: 0.597, 95% CI: 0.375–0.952) and protecting privacy (OR: 0.522, 95% CI: 0.311–0.875). Multivariate logistic regression analysis showed the association between high burnout on the PA scale and information searching (OR: 0.255, 95% CI: 0.124–0.526), sex (OR: 2.594, 95% CI: 1.007–6.68), socioeconomic status (OR: 2.282, 95% CI: 1.133–4.595), and alcohol consumption (OR: 2.188, 95% CI: 1.004–4.769). Multivariate logistic regression analysis showed associations between depression and sex (OR: 0.180, 95% CI: 0.059–0.548), health status (OR: 0.316, 95% CI: 0.160–0.626), the use of anti-anxiety medications (OR: 7.303, 95% CI: 3.167–16.840), information searching (OR: 0.432, 95% CI: 0.191–0.981), and protecting privacy (OR: 0.443, 95% CI: 0.233–0.841). Conclusions: Our study showed a negative association between different domains of burnout, depression, and scores on protecting privacy and information searching scales. Full article
(This article belongs to the Special Issue Research on Health Literacy and Health Promotion in Healthcare)
18 pages, 512 KB  
Article
Psychometric Properties of the Emotional Exhaustion Scale for Children and Adolescents (EES-CA)
by Jonathan Martínez-Líbano, Catalina Coronado Reyno, Roberto Iturra Lara and Guillermo Barahona-Fuentes
Adolescents 2025, 5(2), 20; https://doi.org/10.3390/adolescents5020020 - 13 May 2025
Viewed by 930
Abstract
Emotional exhaustion in children and adolescents has become a significant concern in post-pandemic educational settings, with increased risks of anxiety, depression, and academic disengagement. Despite the growing prevalence of burnout symptoms in school-aged populations, few psychometrically validated tools exist to assess this construct [...] Read more.
Emotional exhaustion in children and adolescents has become a significant concern in post-pandemic educational settings, with increased risks of anxiety, depression, and academic disengagement. Despite the growing prevalence of burnout symptoms in school-aged populations, few psychometrically validated tools exist to assess this construct in younger cohorts. This study aimed to validate the factorial structure and psychometric properties of the Emotional Exhaustion Scale (EES-CA) for use in children and adolescents, focusing on reliability, internal structure, and convergent validity. An instrumental, cross-sectional study was conducted with a sample of 543 Chilean students aged 10 to 18 (M = 13.00, SD = 1.77). The EES-CA, adapted from the university-level Emotional Exhaustion Scale, was administered along with the Depression, Anxiety, and Stress Scale (DASS-21). Data were analyzed in the following four phases: descriptive analysis, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and convergent validity. Reliability was estimated via Cronbach’s alpha and McDonald’s omega. EFA supported the following two-factor solution: Scholar Stress and Emotional Fatigue, explaining 58.49% of the total variance. CFA confirmed the superiority of the bifactorial model (χ2 = 91.74, df = 34; CFI = 0.960; RMSEA = 0.072) over the unifactorial model (χ2 = 133.20, df = 35; CFI = 0.932; RMSEA = 0.093). The internal consistency was strong (α = 0.888; ω = 0.883). The convergent validity for the EES-CA showed low correlations with wellbeing (PWI) and non-significant correlations with emotional intelligence (TMMS-24), supporting discriminant validity. The EES-CA exhibits a robust bifactorial structure with high reliability and valid associations with psychological distress measures. This scale is an appropriate and psychometrically sound instrument for assessing emotional exhaustion in school-aged populations, providing a valuable tool for early detection and intervention in educational and mental health contexts. Full article
(This article belongs to the Special Issue Implicit Measures of Risky Behaviors in Adolescence)
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12 pages, 1182 KB  
Article
Burnout Among Hospital Nurses in Kazakhstan
by Makhigul Maxudova, Dinara Ospanova, Areti Stavropoulou, Lyazzat Alibekova, Gulnar Sultanova, Galina Veklenko and Kundyzay Tobzhanova
Nurs. Rep. 2025, 15(3), 92; https://doi.org/10.3390/nursrep15030092 - 6 Mar 2025
Cited by 1 | Viewed by 1105
Abstract
Background: Burnout is an important psychological condition that affects the work performance of nurses. It occurs under long-term psychological or emotional stress associated with the work of a nurse. As a result, symptoms such as emotional exhaustion (EE), depersonalization (DP), and reduced personal [...] Read more.
Background: Burnout is an important psychological condition that affects the work performance of nurses. It occurs under long-term psychological or emotional stress associated with the work of a nurse. As a result, symptoms such as emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (PA) may be experienced. The purpose of this study was to determine the syndrome of “burnout” using three subscales—emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (PA)—among nurses providing round-the-clock nursing care in multidisciplinary hospitals in the Republic of Kazakhstan. Methods: A cross-sectional study was conducted among nurses in the Republic of Kazakhstan working in round-the-clock care. In total, 284 respondents participated in the online survey. The Maslach Burnout Inventory for Medical Personnel (MBI-HSS-MP) was used for collecting data. Results: The results demonstrated that burnout occurred among 61.97% of hospital nurses in the Republic of Kazakhstan. EE was identified among 29.23% of the respondents, DP in 60.92% of the respondents, and PA in 38.73%. Burnout, according to these indicators, occurred in 25.7% (EE), 19.37% (DP), and 12.68% (PA) of nurses. The level of burnout was higher among young nursing specialists and more frequent in the southern region of the Republic of Kazakhstan. Conclusions: This study revealed a high level of burnout among nurses providing round-the-clock care in multidisciplinary hospital settings. These findings have implications for further research into the impact of burnout on nurses’ work and for developing interventions to reduce potential risks to nursing staff health and improving the quality of nursing care. Full article
(This article belongs to the Special Issue New Advances in Nursing Care)
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19 pages, 2114 KB  
Article
Exploring Burnout at the Morgue During the COVID-19 Pandemic: A Three-Phase Analysis of Forensic and Pathology Personnel
by Lilioara-Alexandra Oprinca-Muja, Adrian-Nicolae Cristian, Elena Topîrcean, Alina Cristian, Marius Florentin Popa, Roxana Cardoș, George-Călin Oprinca, Diter Atasie, Cosmin Mihalache, Mihaela Dana Bucuță and Silviu Morar
Healthcare 2025, 13(5), 504; https://doi.org/10.3390/healthcare13050504 - 26 Feb 2025
Cited by 3 | Viewed by 999
Abstract
Background/Objectives: Burnout is a critical concern among healthcare professionals, particularly during crises such as the COVID-19 pandemic. This study investigated burnout levels among forensic medicine and pathology personnel at three distinct phases: the early pandemic period (Phase 1—September 2020), the peak of [...] Read more.
Background/Objectives: Burnout is a critical concern among healthcare professionals, particularly during crises such as the COVID-19 pandemic. This study investigated burnout levels among forensic medicine and pathology personnel at three distinct phases: the early pandemic period (Phase 1—September 2020), the peak of the pandemic (Phase 2—October 2021), and the post-pandemic period (Phase 3—October 2024). Methods: A total of 37 participants employed in forensic medicine and pathology departments completed the Maslach Burnout Inventory (MBI). A one-way repeated measures ANOVA was conducted to assess within-subject differences over time. Normality and sphericity were tested using the Shapiro–Wilk test and Mauchly’s test, with the Greenhouse-Geisser correction. Post hoc Bonferroni-adjusted comparisons identified significant differences, and partial eta squared (η2) was reported for effect sizes. Results: Results showed significant fluctuations in burnout levels across the three phases. Emotional exhaustion and low personal accomplishment peaked during Phase 2, with slight reductions observed in Phase 3. Gender differences were evident, with females reporting higher EE levels and males exhibiting higher depersonalization across all phases. Marital and parental status also influenced burnout levels, with unmarried individuals and those without children showing higher burnout scores. Medical doctors experienced the highest burnout levels among professional roles, while auxiliary staff showed significant challenges in the PA subscale. Conclusions: The COVID-19 pandemic was pivotal in exacerbating burnout levels due to increased workload, crisis decision-making, and emotional toll. Although the sample size is limited, these findings underscore the importance of implementing targeted interventions to mitigate burnout among forensic and pathology personnel, especially during healthcare emergencies. Gender-based differences in burnout suggest the necessity of specific workplace well-being strategies, while the protective role of family status demonstrates the importance of work-life balance policies. The persistence of psychological distress after a medical crisis calls for long-term monitoring and support programs. There is a need for improved workload distribution, peer support networks, and mental health training to build resilience among forensic and pathology personnel. Full article
(This article belongs to the Special Issue Burnout and Mental Health among Health Professionals)
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13 pages, 247 KB  
Article
Stress and Burnout Among Anesthesia Technologists, Technicians, and Trainees: A Cross-Sectional Study in a Tertiary Hospital in Saudi Arabia
by Mohmad H. Alsabani, Fay Aljohani, Ghaid Rakan Alkathiri, Judy Saad Alkhonain, Lama Aljuhani, Shahad Alanazi, Lafi H. Olayan, Turki Aljuhani, Faraj K. Alenezi and Mohammed K. Al Harbi
Healthcare 2025, 13(2), 119; https://doi.org/10.3390/healthcare13020119 - 9 Jan 2025
Viewed by 1807
Abstract
Background/Objectives: Occupational burnout poses a significant burden to healthcare personnel, institutions, and service users. Anesthesia technologists and technicians work in the shadow of the perioperative team, and a lack of attention to anesthesia support personnel may pose a significant risk to their wellbeing [...] Read more.
Background/Objectives: Occupational burnout poses a significant burden to healthcare personnel, institutions, and service users. Anesthesia technologists and technicians work in the shadow of the perioperative team, and a lack of attention to anesthesia support personnel may pose a significant risk to their wellbeing and the quality of care delivered. To date, only a few studies have investigated the prevalence of burnout among anesthesia technologists and technicians worldwide and in Saudi Arabia. Thus, the aim of this cross-sectional study was to assess the prevalence and contributing factors to burnout among anesthesia technologists and technicians in a single tertiary hospital in Saudi Arabia. Methods: The study utilized the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) to assess burnout and a 10-point scale to assess stress levels. The MBI-HSS inventory consists of three subscales: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). Univariate and multivariate linear regression analyses were used to identify correlates of each burnout subscale. Gender was included in the multivariable regression analysis in addition to significant variables from univariable analysis. Results: A total of 89 participants completed the survey. Based on each subscale of the MBI-HSS, more than 60% of the participants reported high to moderate EE, and more than half reported high to moderate DP. For PA, only 25.8% of participants reported low PA. We found that age (β = −0.58, 95% CI: −0.95, −0.20; p = 0.003) and stress (β = 3.3, 95% CI: 2.1, 4.5; p < 0.001) were independently associated with EE. In addition, night shift (β = 3.3, 95% CI: 0.44, 6.1; p = 0.024) and stress (β = 0.73, 95% CI: 0.13, 1.3; p = 0.017) were independently associated with DP. Independent factors for PA were identified including night shifts (β = 6.6, 95% CI: 1.4, 12; p = 0.014) and stress levels (β = −1.3, 95% CI: −2.4, −0.12; p = 0.03). Conclusions: This research underscores the alarmingly high prevalence of burnout and the strong link between elevated EE and DP rates and workplace stress, emphasizing the necessity to identify and mitigate these stressors. It is therefore crucial to evaluate the effectiveness of the current wellbeing and mental health initiatives and programs in Saudi Arabia to ensure that they address evolving challenges and the overall mental health of healthcare personnel. Full article
18 pages, 816 KB  
Article
Workplace Buoyancy and Servant Leadership as Catalysts for Sustainable Disaster Management: Mitigating Emotional Exhaustion in Disaster Response Teams
by Ibrahim Yikilmaz, Lutfi Surucu, Ahmet Maslakci, Alper Bahadir Dalmis and Meric Ergun
Sustainability 2024, 16(7), 2695; https://doi.org/10.3390/su16072695 - 25 Mar 2024
Cited by 4 | Viewed by 2296
Abstract
Amid global crises like natural disasters and climate change, the emotional well-being of disaster response workers (DRWs) is a key factor in sustainable public health and disaster management. The study highlights the issue of emotional exhaustion among DRWs, which can impact organizational effectiveness [...] Read more.
Amid global crises like natural disasters and climate change, the emotional well-being of disaster response workers (DRWs) is a key factor in sustainable public health and disaster management. The study highlights the issue of emotional exhaustion among DRWs, which can impact organizational effectiveness and the health and well-being of affected communities. The study examines the roles of servant leadership (SL) and workplace buoyancy (WB) in addressing these issues. Using data from 336 DRWs involved in the 2023 Kahramanmaraş earthquake, JD-R Theory is employed to study how these factors interact in high-demand scenarios. Analysis with the Smart PLS 4 program reveals that SL and WB play key roles in reducing emotional exhaustion (EE). Notably, WB partially mediates the relationship between SL and EE. These insights are vital for creating sustainable public health and disaster management strategies in times of growing conflicts and climate crises. By extending the JD-R Theory to encompass these elements, the study provides valuable suggestions for policymakers and managers to enhance the resilience and well-being of DRWs. The study deepens our understanding of public health challenges in disaster settings and highlights the need for integrated, sustainable responses to support those on the front lines of disaster relief efforts. Full article
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12 pages, 301 KB  
Article
Factors Influencing Burnout Syndrome and Depression in Dentists across Various Institutions
by Levent Ciğerim, Zeynep Dilan Orhan, İbrahim Doğru, Nazlı Hilal Kahraman, Abdalrahim Hussein and Hayrettin Baş
Medicina 2024, 60(3), 517; https://doi.org/10.3390/medicina60030517 - 21 Mar 2024
Cited by 7 | Viewed by 3341
Abstract
Background and Objectives: This study aimed to identify the occupational and personal factors influencing burnout syndrome (BS) and depression among dentists in academic faculties, oral and dental health centres (ODHCs), and private clinics. Materials and Methods: This prospective, cross-sectional study was [...] Read more.
Background and Objectives: This study aimed to identify the occupational and personal factors influencing burnout syndrome (BS) and depression among dentists in academic faculties, oral and dental health centres (ODHCs), and private clinics. Materials and Methods: This prospective, cross-sectional study was carried out on dentists working in different regions of Turkey. Data were gathered through an online questionnaire hosted on Google Forms. The questionnaire consisted of demographic data and Maslach BS Inventory (MBI) and Beck Depression Inventory (BDI) sections. The demographic data collected included age, height, weight, marital status, blood type, gender, monthly income, income satisfaction, and whether the participant had enough free time. The dentists were divided into three groups, namely, faculty setting, private clinic, and ODHC, according to the institutions at which they worked. Results: The study was composed of 290 dentists, including 172 males and 118 females, with an average age of 36.98 ± 5.56 years. In total, 128 of the dentists worked in faculties, 72 worked in private clinics, and 90 worked in ODHCs. The study found that women exhibited higher EE scores than men (p < 0.05). The comparison of BS and depression scores showed no statistically significant differences between groups based on marital status or blood type (p > 0.05). There was no significant relationship between emotional exhaustion (EE), depersonalisation (DP), personal accomplishment (PA), and depression scores according to age, BMI, and work experience (p < 0.05). It was found that the EE scores of the dentists working in faculties and private clinics were lower than those of the dentists working in ODHCs (p < 0.05). Monthly income was associated with depression (r = −0.35). Conclusions: The findings reveal that dentists employed in ODHCs reported greater levels of EE. These results suggest a pressing need for enhancements in the work environments of dentists, especially in ODHCs. Full article
(This article belongs to the Section Dentistry and Oral Health)
13 pages, 817 KB  
Article
Stress and Burnout among Medical Specialists in Romania: A Comparative Study of Clinical and Surgical Physicians
by Ioana Silistraru, Oana Olariu, Anamaria Ciubara, Ștefan Roșca, Anisia-Iuliana Alexa, Florentina Severin, Doina Azoicăi, Radu Dănilă, Sergiu Timofeiov and Ioan-Adrian Ciureanu
Eur. J. Investig. Health Psychol. Educ. 2024, 14(2), 311-323; https://doi.org/10.3390/ejihpe14020021 - 1 Feb 2024
Cited by 2 | Viewed by 2233
Abstract
This study, which focuses on 227 participants (196 females and 31 males) comprising 187 clinical specialists and 40 surgical physicians, examines the prevalence of burnout in medical specialists. We investigate the effects of the emotional exhaustion (EE), Depersonalization (D), and personal accomplishment (PA) [...] Read more.
This study, which focuses on 227 participants (196 females and 31 males) comprising 187 clinical specialists and 40 surgical physicians, examines the prevalence of burnout in medical specialists. We investigate the effects of the emotional exhaustion (EE), Depersonalization (D), and personal accomplishment (PA) dimensions on professional satisfaction and plans to change careers using the modified licensed Maslach Burnout Inventory—Human Services Survey (MBI-HSS (MP)). High emotional exhaustion is reported by 52.63% of men and 71.28% of women in the clinical medicine group (n = 188). In the surgical specialties (n = 39), scores are significantly higher, with 75% of men and 77.77% of women reporting EE. In our sample group, 71.36% express high levels of emotional exhaustion, with similar patterns across specialization and gender. Clinical medicine respondents report high degrees of depersonalization in 33.13% of females and 21.05% of males, while surgical specialty respondents report high levels in 33.33% of females and 50% of males. Across genders and specializations, 33.03% of all respondents show high levels of depersonalization. Clinical medicine participants report high levels of personal accomplishment (42.60% of females and 42.10% of males), whereas surgical specialties report 44.44% of females and 66.66% of male on the PA dimension. Of the total number of respondents, 44.05% report having a high level of personal accomplishment; differences exist depending on specialty and gender. In addition, questions regarding professional fulfilment and intention to change careers were presented to the participants. A total of 53.40% (16 male and 105 female) of the clinical medicine respondents said they intended to change careers, while 33 participants (9 male, 34 female) doubted if they would remain in the same specialization. Furthermore, 86 individuals (9 male and 77 female) in the surgical specialties said they would never choose to work in healthcare again. Regression analysis suggests that being male, higher in age, and working in surgical specialties with lower job satisfaction and a higher intention to change profession are associated with higher levels of EE. Age and work satisfaction are significant predictors of depersonalization, and higher career satisfaction is associated with increased levels of PA. Full article
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11 pages, 306 KB  
Article
Alexithymia, Burnout, and Hopelessness in a Large Sample of Healthcare Workers during the Third Wave of COVID-19 in Italy
by Domenico De Berardis, Anna Ceci, Emanuela Zenobi, Dosolina Rapacchietta, Manuela Pisanello, Filippo Bozzi, Lia Ginaldi, Viviana Marasco, Maurizio Di Giosia, Maurizio Brucchi, Guendalina Graffigna, Jacopo Santambrogio, Antonio Ventriglio, Marianna Mazza and Giovanni Muttillo
Brain Sci. 2023, 13(11), 1550; https://doi.org/10.3390/brainsci13111550 - 5 Nov 2023
Cited by 7 | Viewed by 3268
Abstract
In the present study, we aimed to assess the frequency of and the relationships between alexithymia, burnout, and hopelessness in a large sample of healthcare workers (HCWs) during the third wave of COVID-19 in Italy. Alexithymia was evaluated by the Italian version of [...] Read more.
In the present study, we aimed to assess the frequency of and the relationships between alexithymia, burnout, and hopelessness in a large sample of healthcare workers (HCWs) during the third wave of COVID-19 in Italy. Alexithymia was evaluated by the Italian version of the 20-item Toronto Alexithymia Scale (TAS-20) and its subscales Difficulty in Identifying Feelings (DIF), Difficulty in Describing Feelings (DDF), and Externally Oriented Thinking (EOT), burnout was measured with the scales emotional exhaustion (EE), depersonalisation (DP), and personal accomplishment (PA) of the Maslach Burnout Test (MBI), hopelessness was measured using the Beck Hopelessness Scale (BHS), and irritability (IRR), depression (DEP), and anxiety (ANX) were evaluated with the Italian version of the Irritability‚ Depression‚ Anxiety Scale (IDA). This cross-sectional study recruited a sample of 1445 HCWs from a large urban healthcare facility in Italy from 1 May to 31 June 2021. The comparison between individuals that were positive (n = 214, 14.8%) or not for alexithymia (n = 1231, 85.2%), controlling for age, gender, and working seniority, revealed that positive subjects showed higher scores on BHS, EE, DP IRR, DEP, ANX, DIF, DDF, and EOT and lower on PA than the not positive ones (p < 0.001). In the linear regression model, higher working seniority as well as higher EE, IRR, DEP, ANX, and DDF scores and lower PA were associated with higher hopelessness. In conclusion, increased hopelessness was associated with higher burnout and alexithymia. Comprehensive strategies should be implemented to support HCWs’ mental health and mitigate the negative consequences of alexithymia, burnout, and hopelessness. Full article
19 pages, 4075 KB  
Systematic Review
The Global Prevalence and Associated Factors of Burnout among Emergency Department Healthcare Workers and the Impact of the COVID-19 Pandemic: A Systematic Review and Meta-Analysis
by Ahmed Ramdan M. Alanazy and Abdullah Alruwaili
Healthcare 2023, 11(15), 2220; https://doi.org/10.3390/healthcare11152220 - 7 Aug 2023
Cited by 31 | Viewed by 7994
Abstract
Background/Aim: Emergency medicine (EM) settings are very stressful, given the high workload, intense working environment, and prolonged working time. In turn, the rate of burnout and its three domains have been increasingly reported among healthcare workers (HCWs). Therefore, we conducted this meta-analysis to [...] Read more.
Background/Aim: Emergency medicine (EM) settings are very stressful, given the high workload, intense working environment, and prolonged working time. In turn, the rate of burnout and its three domains have been increasingly reported among healthcare workers (HCWs). Therefore, we conducted this meta-analysis to determine the prevalence and risk factors of burnout among EM HCWs. Methods: Six databases were searched in February 2023, yielding 29 articles (16,619 EM HCWs) reporting burnout or its three domains (emotional exhaustion “EE”, depersonalization “DP”, and personal accomplishment “PA”). The primary outcome was the prevalence of burnout and its domains, while secondary outcomes included the risk factors of high burnout, EE, DP, or low PA. Burnout rates were pooled across studies using STATA software. The prevalence was measured using the pooled effect size (ES), and the random-effects model was used when heterogeneity was encountered; otherwise, the fixed-effects model was used. Results: The prevalence of overall burnout was high (43%), with 35% of EM HCWs having a high risk of burnout. Meanwhile, 39%, 43%, and 36% of EM workers reported having high levels of EE and DP and low levels of PA, respectively. Country-specific changes in the rate of burnout were observed. The rate of high burnout, high EE, high DP, and low PA was higher during the COVID-19 pandemic as compared to the pre-pandemic period. The type of profession (nurses, physicians, residents, etc.) played a significant role in modifying the rate of burnout and its domains. However, gender was not a significant determinant of high burnout or its domains among EM workers. Conclusions: Burnout is a prevalent problem in emergency medicine practice, affecting all workers. As residents progress through their training years, their likelihood of experiencing burnout intensifies. Nurses are most affected by this problem, followed by physicians. Country-associated differences in burnout and its domains are evident. Full article
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13 pages, 973 KB  
Article
Prevalence of Burnout in Healthcare Workers of Tertiary-Care Hospitals during the COVID-19 Pandemic: A Cross-Sectional Survey from Two Central European Countries
by Ladislav Štěpánek, Marie Nakládalová, Magdaléna Janošíková, Romana Ulbrichtová, Viera Švihrová, Henrieta Hudečková, Eliška Sovová, Milan Sova and Jiří Vévoda
Int. J. Environ. Res. Public Health 2023, 20(4), 3720; https://doi.org/10.3390/ijerph20043720 - 20 Feb 2023
Cited by 8 | Viewed by 3370
Abstract
COVID-19 has led to an unprecedented strain on healthcare workers (HCWs). This study aimed to determine the prevalence of burnout in hospital employees during a prolonged pandemic-induced burden on healthcare systems. An online survey among employees of a Czech and Slovak university hospital [...] Read more.
COVID-19 has led to an unprecedented strain on healthcare workers (HCWs). This study aimed to determine the prevalence of burnout in hospital employees during a prolonged pandemic-induced burden on healthcare systems. An online survey among employees of a Czech and Slovak university hospital was conducted between November 2021 and January 2022, approximately when the incidence rates peaked in both countries. The Maslach Burnout Inventory—Human Services Survey was applied. We obtained 807 completed questionnaires (75.1% from Czech employees, 91.2% from HCWs, 76.2% from women; mean age of 42.1 ± 11 years). Burnout in emotional exhaustion (EE) was found in 53.2%, depersonalization (DP) in 33%, and personal accomplishment (PA) in 47.8% of respondents. In total, 148 (18.3%) participants showed burnout in all dimensions, 184 (22.8%) in two, and 269 (33.3%) in at least one dimension. Burnout in EE and DP (65% and 43.7%) prevailed in physicians compared to other HCWs (48.6% and 28.8%). Respondents from COVID-19-dedicated units achieved burnout in the EE and DP dimensions with higher rates than non-frontline HCWs (58.1% and 40.9% vs. 49.9% and 27.7%). Almost two years of the previous overloading of healthcare services, caused by the COVID-19 pandemic, resulted in the relatively high prevalence of burnout in HCWs, especially in physicians and frontline HCWs. Full article
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12 pages, 758 KB  
Article
Burnout, Resilience, Supervisory Support, and Quitting Intention among Healthcare Professionals in Saudi Arabia: A National Cross-Sectional Survey
by Rayan A. Siraj, Ahmed E. Alhaykan, Ahmed M. Alrajeh, Abdulelah M. Aldhahir, Jaber S. Alqahtani, Samah Bakhadlq, Saeed M. Alghamdi, Abdullah A. Alqarni, Manal M. Alqarni, Turki M. Alanazi, Abdullah Alruwaili, Saleh S. Algarni, Fahad H. Alahmadi, Mushabbab Alahmari and Rashid H. Alahmadi
Int. J. Environ. Res. Public Health 2023, 20(3), 2407; https://doi.org/10.3390/ijerph20032407 - 29 Jan 2023
Cited by 11 | Viewed by 4629
Abstract
Although personal resilience and supervisory support are known to reduce the impact of burnout and quitting intention, there is limited data available to explore these relationships among healthcare professionals (HCPs) in Saudi Arabia. This study aimed to assess the prevalence of burnout and [...] Read more.
Although personal resilience and supervisory support are known to reduce the impact of burnout and quitting intention, there is limited data available to explore these relationships among healthcare professionals (HCPs) in Saudi Arabia. This study aimed to assess the prevalence of burnout and explore its association with resilience, supervisory support, and intention to quit among Saudi Arabian HCPs. Methods: A cross-sectional survey was distributed to a convenience sample of HCPs between April and November 2022. Participants responded to socio-demographic questions, the Maslach Burnout Inventory-Human Services Survey for Medical Personnel (MBI-HSS (MP)), the Connor-Davidson resilience scale 10 (CD-RISC 10), and the Perceived of Supervisor Support Scale (PSS). Descriptive, inferential, correlation, and logistic regression tests were performed for data analyses. Results: Of the 1174 HCPs included in the analysis, 77% were presented with high burnout levels: 58% with emotional exhaustion (EE), 72% with depersonalization (DP), and 66% with low personal accomplishment (PA). Females were associated with increased odds of burnout (OR: 1.47; 95% CI: 1.04–2.06) compared to males. Burnout and its subscales were associated with higher intention to leave practice, with 33% of HCPs considering quitting their jobs. Furthermore, HCPs reported a low resilience score overall, and negative correlations were found between EE (r = −0.21; p < 0.001) and DP (r = −0.12; p < 0.01), and positive correlation with low PA (r = 0.38; p < 0.001). In addition, most HCPs perceived supervisory support as low, and it is associated with increased burnout and quitting intention. Conclusion: Burnout is common among HCPs across all clinical settings and is associated with higher intention to quit and low resilience and supervisory support. Workplace management should provide a supportive workplace to reduce burnout symptoms and promote resiliency. Full article
(This article belongs to the Section Health Care Sciences & Services)
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13 pages, 347 KB  
Article
Emotional Exhaustion Variables in Trainee Teachers during the COVID-19 Pandemic
by Jonathan Martínez-Líbano and María-Mercedes Yeomans
Eur. J. Investig. Health Psychol. Educ. 2023, 13(2), 271-283; https://doi.org/10.3390/ejihpe13020021 - 24 Jan 2023
Cited by 10 | Viewed by 3516
Abstract
Introduction: emotional exhaustion among trainee teachers is a relevant topic since it could have repercussions regarding the lives of their future pupils. Our objective was to determine the degree of trainee teachers’ emotional exhaustion and associated variables during the COVID-19 pandemic. Methods: the [...] Read more.
Introduction: emotional exhaustion among trainee teachers is a relevant topic since it could have repercussions regarding the lives of their future pupils. Our objective was to determine the degree of trainee teachers’ emotional exhaustion and associated variables during the COVID-19 pandemic. Methods: the design was cross-sectional and descriptive. Questionnaires with sociodemographic variables, perceptions of mental health, and the Emotional Exhaustion Scale (ECE) (α = 0.890; ω = 0.893) validated for the Chilean context were answered by 204 trainee teachers. The results were analyzed using SPSS software version 25 and the Emotional Exhaustion Interpretation Table (EES-Int). Results: the results show that 92.2% of the trainee teachers presented a worsening in their mental health, stress (66.2%), irritability (38.2%), anxiety (37.7%), and depressive symptoms (32.8%). Online classes (73.04%) and the pandemic (67.6%) were the main influencing factors. Education students who perceived their mental health had worsened became 6.63 times more likely to develop emotional exhaustion [AOR = 6.63; 95% CI: 1.78, 24.69]. In addition, education students with a high perception of academic stress were 7.45 more likely to develop emotional exhaustion [AOR = 7.45; 95% CI: 1.98, 28.09]. Conclusion: we can conclude that trainee teachers have high levels of emotional exhaustion and their perception of their mental health and the academic stress they are being subjected to during the COVID-19 pandemic may lead them to present symptoms of frequent or permanent problems with concentration, attention, recall of information, dissatisfaction with their performance, and frequent learning difficulties. From the affective dimension, they present frequent or permanent anxiety, restlessness, irritability, indifference, low mood, and psychomatization. From the socio-interactional dimension, they present frequent or permanent social withdrawal, interpersonal problems, problems at work or school, and family and relationship problems. Increasing the sample to delve into emotional exhaustion by subject area is necessary. For future studies, research should be conducted on the causes of emotional exhaustion by subject area and the coping strategies of trainee teachers to understand differences and provide input on emotional support in practice. Full article
(This article belongs to the Special Issue Emotional Problems and Mindful/Acceptance Frameworks)
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