The prevalence of working stress and emotional burnout among health workers

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Introduction. In the course of their occupational activities, health workers experience a huge burden, which often leads to the development of stress, emotional burnout, and changes in health status.

Goal — to study the prevalence of working stress and the degree of emotional burnout in health workers with different levels of work stress.

Material and methods. Two hundred ten health workers of outpatient polyclinic institutions of Kazan were examined using the questionnaire “RAMIS” (Workplace and stress) and the questionnaire of emotional burnout by K.Maslach (adapted by N.E. Vodopyanova).

Results. There was recorded an increased level of stress among health workers in all age groups (31.6% at a young age, 35% on average, 42.4% in the elderly). Low level of social support (54.2%) and low level of control (43.1%) are the leading factors in the structure of working stress among health workers of outpatient clinics. A high degree of emotional burnout is equally recorded in all the age groups studied (35.9% at a young age, 40% on average, 42.3% in the elderly). A reliable relationship between working stress and emotional burnout has been determined.

Limitations. Health workers in hospitals and private medical clinics were not included, as well as those who did not give informed consent to participate in this study.

Conclusion. A high level of working stress was recorded in each age group studied, the relationship between age and the level of work stress was not revealed. Also, the burnout syndrome was detected in all age groups and had no connection with age. Health workers with a high level of stress were found to be much more likely to suffer from emotional burnout than people with low working stress.

Compliance with ethical standards. The study passed an ethical examination and was approved by the local ethics committee of the Kazan State Medical University of the Ministry of Health of Russia. (Minutes of the meeting № 1 dated 02.03.2021).

Contribution:
Sibgatullin I.Ya. — collection and processing of materials, writing and formatting of the text;
Badamshina G.G. — research concept and design, editing;
Fatkhutdinova L.M. — research concept, editing.
All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.

Conflict of interest. The authors declare no conflict of interest.

Acknowledgement. The study was carried out at the expense of grant No. 2/22-9 dated 2.08.2022 of the Kazan State Medical University of the Ministry of Health of the Russian Federation, allocated for research within the framework of the University Development Program.

Received: October 26, 2023 / Accepted: November 15, 2023 / Published: December 8, 2023

作者简介

Iskander Sibgatullin

Kazan State Medical University of the Ministry of Health of the Russian Federation

编辑信件的主要联系方式.
Email: kgmua@mail.ru
ORCID iD: 0000-0003-2351-658X

Assistant of the Department of Hygiene, Occupational Medicine, Kazan State Medical University of the Ministry of Health of the Russian Federation, Kazan, 420012, Russian Federation.

e-mail: kgmua@mail.ru

俄罗斯联邦

Lilia Fatkhutdinova

Kazan State Medical University of the Ministry of Health of the Russian Federation

Email: noemail@neicon.ru
ORCID iD: 0000-0001-9506-563X

Доктор медицинских наук, профессор, заведующий кафедрой гигиены, медицины труда. ФГБОУ ВО "Казанский государственный медицинский университет" Министерства здравоохранения РФ, 420012, Казань, Россия

俄罗斯联邦

Gulnara Badamshina

Center of Hygiene and Epidemiology in the Republic of Tatarstan (Tatarstan)

Email: noemail@neicon.ru
ORCID iD: 0000-0003-0088-6422

Доктор медицинских наук, доцент кафедры гигиены, медицины труда. ФГБОУ ВО "Казанский государственный медицинский университет" Министерства здравоохранения РФ, 420012, Казань, Россия

俄罗斯联邦

参考

  1. Cohen S., Janicki-Deverts D., Miller G.E. Psychological stress and disease. JAMA. 2007; 298(14): 1685–7. https://doi.org/10.1001/jama.298.14.1685
  2. Stansfeld S., Candy B. Psychosocial work environment and mental health – a meta-analytic review. Scand. J. Work Environ. Health. 2006; 32(6): 443–62. https://doi.org/10.5271/sjweh.1050
  3. Theorell T., Hammarström A., Aronsson G., Träskman Bendz L., Grape T., Hogstedt C., et al. A systematic review including meta-analysis of work environment and depressive symptoms. BMC Public Health. 2015; 15: 738. https://doi.org/10.1186/s12889-015-1954-4
  4. Linton S.J., Kecklund G., Franklin K.A., Leissner L.C., Sivertsen B., Lindberg E., et al. The effect of the work environment on future sleep disturbances: A systematic review. Sleep Med. Rev. 2015; 23: 10–9. https://doi.org/10.1016/j.smrv.2014.10.010
  5. Jamal M. Burnout among Canadian and Chinese employees: a cross-cultural study. Eur. Manag. Rev. 2005; 2(3): 224–30. https://doi.org/10.1057/palgrave.emr.1500038
  6. Arshadi N., Damiri H. The relationship of job stress with turnover intention and job performance: moderating role of OBSE. Procedia Soc. Behav. Sci. 2013; 84: 706–10. https://doi.org/10.1016/j.sbspro.2013.06.631
  7. Lu Y., Hu X.M., Huang X.L., Zhuang X.D., Guo P., Feng L.F., et al. Job satisfaction and associated factors among healthcare staff: a cross-sectional study in Guangdong Province, China. BMJ Open. 2016; 6(7): e011388. https://doi.org/10.1136/bmjopen-2016-011388
  8. Wu S., Li H., Zhu W., Lin S., Chai W., Wang X. Effect of work stressors, personal strain, and coping resources on burnout in Chinese medical professionals: a structural equation model. Ind. Health. 2012; 50(4): 279–87. https://doi.org/10.2486/indhealth.ms1250
  9. Jamal M. Relationship of job stress and Type-A behavior to employees’ Job satisfaction, organizational commitment, psychosomatic health problems, and turnover motivation. Hum. Relat. 1990; 43(8): 727–38. https://doi.org/10.1177/001872679004300802
  10. Harzer C., Ruch W. The relationships of character strengths with coping, work-related stress, and job satisfaction. Front. Psychol. 2015; 6: 165. https://doi.org/10.3389/fpsyg.2015.00165
  11. Mansoor M., Fida S., Nasir S. The impact of job stress on employee job satisfaction: A study on telecommunication sector of Pakistan. J. Bus. Stud. Q. 2011; 2(3): 50–6.
  12. Gray-Toft P., Anderson J.G. Stress among hospital nursing staff: its causes and effects. Soc. Sci. Med. A. 1981; 15(5): 639–47. https://doi.org/10.1016/0271-7123(81)90087-0
  13. Liu S., Onwuegbuzie A.J. Chinese teachers’ work stress and their turnover intention. Int. J. Educ. Res. 2012; 53: 160–70. https://doi.org/10.1016/j.ijer.2012.03.006
  14. Kim H., Kao D. A meta-analysis of turnover intention predictors among U.S. child welfare workers. Child. Youth Serv. Rev. 2014; 47(Pt. 3): 214–23. https://doi.org/10.1016/j.childyouth.2014.09.015
  15. Han S.S., Han J.W., Choi E.H. Effects of nurses’ Job stress and work family conflict on turnover intention: focused on the mediating effect of coping strategies. Asian Women. 2015; 31(3): 1–20.
  16. Li D., Yin W.Q., Zhang X.Y., Su M., Meng M., Wang Q. Investigation on turnover intention of medical staff in public hospitals and research of early-warning system’s construction. Chin. J. Hosp. Adm. 2010; 26(3): 218–21.
  17. Wang F., Gao Y. Doctor with high work stress (Chinese version). China Hospital CEO. 2014; 7: 50–1.
  18. Bonenberger M., Aikins M., Akweongo P., Wyss K. The effects of health worker motivation and job satisfaction on turnover intention in Ghana: a cross-sectional study. Hum. Resour. Health. 2014; 12: 43–54. https://doi.org/10.1186/1478-4491-12-43
  19. Maslach C., Schaufeli W.B., Leiter M.P. Job burnout. Annu. Rev. Psychol. 2001; 52: 397–422. https://doi.org/10.1146/annurev.psych.52.1.397
  20. Rotenstein L.S., Torre M., Ramos M.A., Rosales R.C., Guille C., Sen S., et al. Prevalence of burnout among physicians: a systematic review. JAMA. 2018; 320(11): 1131–50. https://doi.org/10.1001/jama.2018.12777
  21. Lo D., Wu F., Chan M., Chu R., Li D. A systematic review of burnout among doctors in China: a cultural perspective. Asia Pac. Fam. Med. 2018; 17: 3. https://doi.org/10.1186/s12930-018-0040-3
  22. Dubale B.W., Friedman L.E., Chemali Z., Denninger J.W., Mehta D.H., Alem A., et al. Systematic review of burnout among healthcare providers in sub-Saharan Africa. BMC Public Health. 2019; 19(1): 1247. https://doi.org/10.1186/s12889-019-7566-7
  23. Shanafelt T.D., Hasan O., Dyrbye L.N., Sinsky C., Satele D., Sloan J., et al. Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Mayo Clin. Proc. 2015; 90(12): 1600–13. https://doi.org/10.1016/j.mayocp.2015.08.023
  24. West C.P. Physician well-being: expanding the triple aim. J. Gen. Intern. Med. 2016; 31(5): 458–9. https://doi.org/10.1007/s11606-016-3641-2
  25. Dyrbye L.N., Shanafelt T.D. Physician burnout: a potential threat to successful health care reform. JAMA. 2011; 305(19): 2009–10. https://doi.org/10.1001/jama.2011.652
  26. Rathert C., Williams E.S., Linhart H. Evidence for the quadruple aim: a systematic review of the literature on physician burnout and patient outcomes. Med. Care. 2018; 56(12): 976–84. https://doi.org/10.1097/mlr.0000000000000999
  27. Kivimäki M., Jokela M., Nyberg S.T., Singh-Manoux A., Fransson E.I., Alfredsson L., et al. Long working hours and risk of coronary heart disease and stroke: a systematic review and meta-analysis of published and unpublished data for 603,838 individuals. Lancet. 2015; 386(10005): 1739–46. https://doi.org/10.1016/s0140-6736(15)60295-1
  28. Shanafelt T.D., Bradley K.A., Wipf J.E., Back A.L. Burnout and self-reported patient care in an internal medicine residency program. Ann. Intern. Med. 2002; 136(5): 358–67. https://doi.org/10.7326/0003-4819-136-5-200203050-00008
  29. Shin S., Park J.H., Bae S.H. Nurse staffing and nurse outcomes: a systematic review and meta-analysis. Nurs. Outlook. 2018; 66(3): 273–82. https://doi.org/10.1016/j.outlook.2017.12.002
  30. Prapanjaroensin A., Patrician P.A., Vance D.E. Conservation of resources theory in nurse burnout and patient safety. J. Adv. Nurs. 2017; 73(11): 2558–65. https://doi.org/10.1111/jan.13348
  31. Olszewski R., Owoc J., Manczak M., Tombarkiewicz M. How burnout affects errors among physicians: meta-analysis. Eur. Heart J. 2019; 40(Suppl. 1): 2578.
  32. Li H., Zhao M., Shi Y., Xing Z., Li Y., Wang S., et al. The effectiveness of aromatherapy and massage on stress management in nurses: a systematic review. J. Clin. Nurs. 2019; 28(3–4): 372–85. https://doi.org/10.1111/jocn.14596
  33. Aryankhesal A., Mohammadibakhsh R., Hamidi Y., Alidoost S., Behzadifar M., Sohrabi R., et al. Interventions on reducing burnout in physicians and nurses: a systematic review. Med. J. Islam. Repub. Iran. 2019; 33: 77. https://doi.org/10.34171/mjiri.33.77
  34. Ilić I.M., Arandjelović M.Ž., Jovanović J.M., Nešić M.M. Relationships of work-related psychosocial risks, stress, individual factors and burnout – Questionnaire survey among emergency physicians and nurses. Med. Pr. 2017; 68(2): 167–78. https://doi.org/10.13075/mp.5893.00516
  35. Appiani F.J., Rodríguez Cairoli F., Sarotto L., Yaryour C., Basile M.E., Duarte J.M. Prevalence of stress, burnout syndrome, anxiety and depression among physicians of a teaching hospital during the COVID-19 pandemic. Arch. Argent. Pediatr. 2021; 119(5): 317–24. https://doi.org/10.5546/aap.2021.eng.317

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