Prevalence of signs of professional burnout among medical workers involved in providing medical care for CSD
- Authors: Artamonova G.V.1, Popsuiko A.N.1, Agienko A.S.1
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Affiliations:
- Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
- Section: Original Research Articles
- URL: https://medjrf.com/0869-2106/article/view/624424
- DOI: https://doi.org/10.17816/medjrf624424
- ID: 624424
Cite item
Abstract
BACKGROUND: Among 13 thousand doctors interviewed in 2021, 42% displayed signs of professional burnout. This phenomenon negatively affects the frequency of repeated hospitalizations, the number of adverse events, and increased employee turnover. However, studies concerning burnout in doctors are rare and do not focus on specialists who provide medical care for patients with circulatory system diseases (CSD).
AIMS: was to assess the level of burnout in medical workers involved in the provision of medical care for patients with CSD and to propose measures for its prevention.
MATERIALS AND METHODS: A sociological survey (based on the standardized Maslach Burnout Inventory questionnaire) was conducted among medical personnel. The sample is represented by doctors – 89 respondents, and nursing staff and auxillary nurses (NSAN) – 128 respondents.
RESULTS: 80.2% of respondents presented with a high level of reduced professional accomplishments (RPA), 53.4% – a moderate average level of depersonalization. The emotional exhaustion was similar in all respondents, although average level of emotional exhaustion was the most prevalent (39.6%). 43.8% of doctors had an average level of emotional exhaustion (EE), which is higher compared with NSAN – 37.5%. Regarding the level of depersonalization, all employees showed similar results, with a slight predominance of low (+0.1%) and medium (+0.7%) levels in doctors, and high (+ 0.8%) levels in NSAN. A high level of RPA was typical for the majority of doctors (82%) and NSAN (78%). According to the majority of respondents, the emotional burnout prevention program should be based on measures that ensure a rational distribution of workload and responsibilities within structural units (doctors – 78.4%, NSAN – 82.7%), whereas only 14.7% of doctors and 19.6% of NSAN would prefer training program, coaching sessions, etc.
CONCLUSIONS: Working as medical staff and providing medical care for patients with CSD is strongly associated with a high level of reduced professional accomplishments (80.2% of respondents). Proper measures for the prevention of emotional burnout should primarily include organizational solutions focused on optimizing internal processes in medical staff` work.
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About the authors
Galina V. Artamonova
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Email: popsan@kemcardio.ru
ORCID iD: 0000-0003-2279-3307
SPIN-code: 3972-2791
Scopus Author ID: 36980033200
ResearcherId: S-6079-2016
Doctor of Science (Medicine), Professor, Deputy Director for Research, Head of the Department of Optimization of Medical Care for Cardiovascular Diseases
Russian Federation, 6, Sosnoviy Blvd., Kemerovo, Russian Federation, 650002Artem N. Popsuiko
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Author for correspondence.
Email: popsan@kemcardio.ru
ORCID iD: 0000-0002-5162-0029
SPIN-code: 4652-0570
Scopus Author ID: 57221260950
ResearcherId: X-2654-2019
PhD (Philosophy), Senior Researcher at the Laboratory for Modeling Management Technologies, Department of Medical Care Optimization
Russian Federation, 6, Sosnoviy Blvd., Kemerovo, Russian Federation, 650002Alena S. Agienko
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Email: agienko_alena@mail.ru
ORCID iD: 0000-0001-5521-4653
SPIN-code: 7252-5646
Scopus Author ID: 57226003687
ResearcherId: AAU-1528-2021
Junior Research at the Laboratory for Modeling Management Technologies, Department of Medical Care Optimization
Russian Federation, 6, Sosnoviy Blvd., Kemerovo, Russian Federation, 650002References
- Medscape: v 2021 godu 47% vrachei v SShA ispytali emotsionalnoe vygoranie [Medscape: 47% of US doctors experienced burnout in 2021]. Available from: https://www.vademec.ru/news/2022/01/28/medscape-v-2021-godu-47-vrachey-v-ssha-ispytali-emotsionalnoe-vygoranie/. Accessed: Jul 6, 2023. (In Russ).
- Coleman DM, Money SR, Meltzer AJ, Wohlauer M, Drudi LM, Freischlag JA, Hallbeck S, Halloran B, Huber TS, Shanafelt T, Sheahan MG. Vascular surgeon wellness and burnout: A report from the Society for Vascular Surgery Wellness Task Force. Journal of Vascular Surgery. 2021 Jun;73(6):1841-1850.e3. http://dx.doi.org/10.1016/j.jvs.2020.10.065
- Chow OS, Sudarshan M, Maxfield MW, Seese LM, Watkins AA, Fleishman A, Gangadharan SP. National Survey of Burnout and Distress Among Cardiothoracic Surgery Trainees. The Annals of Thoracic Surgery. 2021 Jun;111(6):2066–71. http://dx.doi.org/10.1016/j.athoracsur.2020.06.062
- West CP, Dyrbye LN, Shanafelt TD. Physician burnout: contributors, consequences and solutions. Journal of Internal Medicine. 2018 Mar 24;283(6):516–29. http://dx.doi.org/10.1111/joim.12752
- Neplyueva GA, Soloveva AE, Krovopolenova SD, Solovev AE, Zaitsev VV, Zvartau NE, Konradi AO, Villevalde SV. Prevalence of professional burnout among practicing cardiologists in the constituent entities of the Russian Federation. Russian Journal of Cardiology. 2023 Jan 25;28(1S):5320. (In Russ). http://dx.doi.org/10.15829/1560-4071-2023-5320
- Rubin B, Goldfarb R, Satele D, Graham L. Burnout and distress among nurses in a cardiovascular centre of a quaternary hospital network: a cross-sectional survey. CMAJ Open. 2021 Jan;9(1):E19–28. http://dx.doi.org/10.9778/cmajo.20200058
- Riley MR, Mohr DC, Waddimba AC. The reliability and validity of three‐item screening measures for burnout: Evidence from group‐employed health care practitioners in upstate New York. Stress and Health. 2017 May 19;34(1):187–93. http://dx.doi.org/10.1002/smi.2762
- Nesyn VV, Nesyn SV. Burnout of health professionals. Online Scientific and Educational Bulletin Health and Educational Millennium. 2019;21(6):19-23. (In Russ). http://dx.doi.org/10.26787/nydha-2226-7417-2019-21-6-19-23
- Vasilieva LN, Ksenofontova AG. Prevalence Of Burnout Syndrome Among Doctors Zdravookhranenie Chuvashii. 2020;1:10-16. (In Russ). http://dx.doi.org/10.25589/GIDUV.2020.45.52.001
- Shanafelt TD, Sloan JA, Habermann TM. The well-being of physicians. The American Journal of Medicine. 2003 Apr;114(6):513–9. http://dx.doi.org/10.1016/s0002-9343(03)00117-7
- Romani M, Ashkar K. Burnout among physicians. Libyan Journal of Medicine. 2014 Jan;9(1):23556. http://dx.doi.org/10.3402/ljm.v9.23556
- Mikalauskas A, Širvinskas E, Marchertienė I, Macas A, Samalavičius R, Kinduris Š, Benetis R. Burnout among Lithuanian cardiac surgeons and cardiac anesthesiologists. Medicina (Kaunas). 2012;48(9):478-84. https://doi.org/10.3390/medicina48090071
- Patel RS, Sekhri S, Bhimanadham NN, Imran S, Hossain S. A Review on Strategies to Manage Physician Burnout. Cureus. 2019 Jun;11(6): e4805. http://dx.doi.org/10.7759/cureus.4805