Burnout among clinicians in tertiary care setting

Authors

  • Rajya Lakshmi Chepuru Department of Community Medicine, Andhra Medical College, Visakhapatnam, Andhra Pradesh
  • Siva Kumar Lotheti Department of Community Medicine, Andhra Medical College, Visakhapatnam, Andhra Pradesh
  • Devi Madhavi Bhimarasetty Department of Community Medicine, Andhra Medical College, Visakhapatnam, Andhra Pradesh

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20180776

Keywords:

Burnout, Clinicians, Visakhapatnam

Abstract

Background: “Burnout” is defined as a state of physical, emotional and mental exhaustion, or a coping mechanism to working conditions that are stressful, demanding and lack of recognition. Effects of burnout are many and can eventually threaten one’s job satisfaction, relationship and also health. High patient load, long working hours, poor logistics and infrastructure support and unreasonable demands from patients make clinicians vulnerable for stress and burnout. Objective was to study the prevalence of burn out in clinicians and factors associated with burnout.

Methods: The study was an observational descriptive cross-sectional study conducted among Doctors in clinical departments of a Tertiary Medical care setting in October-November 2015. Sample size was 97. Study was conducted using Maslach Burnout Inventory with additional questions on demographic factors, work experience, hours of work and speciality. The inventory comprised 22 items on a seven-point Likert scale. Frequency of symptoms (ranging from ‘0=never’ to ‘6=every day’). Burnout was measured in three dimensions - emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA). The data was collected after taking Institutional ethics committee approval and verbal consent from participants. Data was analyzed using MS Excel 2007.

Results: About 15% 0f clinicians showed high emotional exhaustion, 9% high depersonalization, and 18% low Personal accomplishment. More Females showed burnout than males and more clinicians from surgical branches showed burnout when compared to medical branches.

Conclusions: Burnout exists among healthcare professionals and measures should be taken to identify causes and take remedial actions.

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Author Biographies

Rajya Lakshmi Chepuru, Department of Community Medicine, Andhra Medical College, Visakhapatnam, Andhra Pradesh

Community Medicine department,

Post Graduate

Siva Kumar Lotheti, Department of Community Medicine, Andhra Medical College, Visakhapatnam, Andhra Pradesh

Depatment of Community Medicine, Andhra Medical College,Visakhapatnam.

Assistant Professor

Devi Madhavi Bhimarasetty, Department of Community Medicine, Andhra Medical College, Visakhapatnam, Andhra Pradesh

Community Medicine Department,

Professor and Head

References

Chen W-S, Haniff J, Siau C-S, Seet W, Loh S-F, Jamil MHA. Pilot Study of the Malay Maslach Burnout Inventory and Malay Work-Related Quality of Life Scale in Malaysia. Studies in Asian Soc Sci. 2014;1(1);20-6.

Challenges Faced By General Doctors. Available: www.doctormana.com. Accessed on 16 November 2017.

Khan MM, Sami LB, Talib SH, Dase RK. Prevalence of Occupational Stress among Doctors of Aurangabad city [MS], India. Int J Curr Med Applied sci. 2016;11(1):60-4.

Aldrees TM, Aleissa S, Zamakhshary M, Badri M, Sadat M. Alid Physician well-being: prevalence of burnout and associated risk factors in a tertiary hospital, Riyadh, Saudi Arabia. Ann Saudi Med. 2013;33(5):451-6.

Mosby's Medical Dictionary, 9th edition. Elsevier; 2009.

Mind Garden, Tools for Transformation , Available from: http://www.mindgarden.com. Accessed on 16 November 2017.

Rafferty JP, Lemkau JP, Purdy RR, Rudisill JR. Validity of the Maslach Burnout Inventory for family practice physicians. J Clin Psychol. 1986;42:488–93.

Lee RT, Ashforth BE. A meta-analytic examination of the correlates of the three dimensions of job burnout. J Appl Psychol. 1996;81:123–33.

Bhugra D, Bhui KS, Gupta KR. Burnout And Stress Among Doctors And Dentists In North India. Int J Culture Mental Health. 2008;1(1): 24-9.

Bangal VB, Shinde KK, Gavhane SP. Review of reasons and remedial measures for burnout during residency programme. Int J Biomed Advance Res. 2012;3(8) :613-7.

Soler JK, Yaman H, Esteva M, Dobbs F, Asenova RS, Katic M, et al. Burnout in European family doctors: the EGPRN Study. Fam Pract. 2008;25(4):245-65.

Selmanovic S, Ramic E, Pranjic N, Brekalo-Lazarevic S, Pasic Z, Alic A. Stress At Work And Burnout Syndrome In Hospital Doctors. Med Arh. 2011;65(4):221-4.

Ratnakaran B, Prabhakaran A, Karunakaran V. Prevalence of burnout and its correlates among residents in a tertiary medical center in Kerala, India: A cross-sectional study. J Postgrad Med. 2016;62:157-61.

Frank E, Dingle AD. Self reported depression and suicide attempts among U.S. women physicians. Am J Psychiatry. 1999;156:12.

Elliot DL, Girard DE: Gender and the emotional impact of internship. J Am Med Wom Assoc. 1986;4:54–6.

Firth-Cozens J. Emotional distress in junior house officers. Br Med J. 1987;293:533–6.

Firth-Cozens J. Sources of stress in women junior house officers. Br Med J. 1990; 301:89–91.

Hendrie HC, Clair DK, Brittain HM, Fadul PE. A study of anxiety/depressive symptoms of medical students, house staff, and their spouses/partners. J Nerv Ment Dis. 1990;178:204–7.

Hsu K, Marshall V. Prevalence of depression and distress in a large sample of Canadian residents, interns, and fellows. Am J Psychiatry. 1987;144:1561–6.

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Published

2018-02-24

How to Cite

Chepuru, R. L., Lotheti, S. K., & Bhimarasetty, D. M. (2018). Burnout among clinicians in tertiary care setting. International Journal Of Community Medicine And Public Health, 5(3), 1157–1161. https://doi.org/10.18203/2394-6040.ijcmph20180776

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Section

Original Research Articles