Burnout Syndrome among Otorhinolaryngologists during the COVID-19 Pandemic
Abstract
:1. Introduction
2. Materials and Methods
2.1. Ethics Statement
2.2. Design
2.3. Sample Calculation Size
2.4. Study Population
2.5. Burnout Measure
2.6. Statistical Analysis
3. Results
3.1. Demographics
3.2. MBI Score
3.3. Professional Burnout
3.4. Correlation between MBI Subscale Scores and Sociodemographic Characteristics
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Maison, D.; Jaworska, D.; Adamczyk, D.; Affeltowicz, D. The challenges arising from the COVID-19 pandemic and the way people deal with them. A qualitative longitudinal study. PLoS ONE 2021, 16, e0258133. [Google Scholar] [CrossRef] [PubMed]
- Krajewska, J.; Krajewski, W.; Zub, K.; Zatoński, T. COVID-19 in otolaryngologist practice: A review of current knowledge. Eur. Arch. Oto-Rhino-Laryngol. 2020, 277, 1885–1897. [Google Scholar] [CrossRef] [PubMed]
- Kumar, S. Burnout and doctors: Prevalence, prevention and intervention. Health 2016, 4, 37. [Google Scholar] [CrossRef] [PubMed]
- Maslach, C.; Jackson, S.E.; Leiter, M.P. The Maslach Burnout Inventory Manual. Available online: https://www.researchgate.net/profile/Christina-Maslach/publication/277816643_The_Maslach_Burnout_Inventory_Manual/links/5574dbd708aeb6d8c01946d7/The-Maslach-Burnout-Inventory-Manual.pdf (accessed on 25 May 2022).
- Maslach, C.; Leiter, M.P.; Schaufeli, W. Measuring Burnout. Oxf. Handb. Organ Well Being 2009, 2, 86–108. [Google Scholar] [CrossRef]
- Lee, R.T.; Ashforth, B.E. On the Meaning of Maslach’s Three Dimensions of Burnout. J. Appl. Psychol. 1990, 75, 743–747. [Google Scholar] [CrossRef] [PubMed]
- Kaschka, W.P.; Korczak, D.; Broich, K. Burnout: A fashionable diagnosis. Dtsch. Arztebl. Int. 2011, 108, 781–787. [Google Scholar] [CrossRef] [PubMed]
- Civantos, A.M.; Byrnes, Y.; Chang, C.; Prasad, A.; Chorath, K.; Poonia, S.K.; Jenks, C.M.; Bur, A.M.; Thakkar, P.; Graboyes, E.M.; et al. Mental health among otolaryngology resident and attending physicians during the COVID-19 pandemic: National study. Head Neck 2020, 42, 1597–1609. [Google Scholar] [CrossRef]
- Rotenstein, L.S.; Torre, M.; Ramos, M.; Rosales, R.; Guille, C.; Sens, S.; Mata, D. Prevalence of Burnout Among Physicians: A Systematic Review. JAMA 2018, 320, 1131–1150. [Google Scholar] [CrossRef]
- Salvagioni, D.A.J.; Melanda, F.N.; Mesas, A.E.; González, A.D.; Gabani, F.L.; Andrade, S.M.D. Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies. PLoS ONE 2017, 12, e0185781. [Google Scholar] [CrossRef]
- Reith, T.P. Burnout in United States Healthcare Professionals: A Narrative Review. Cureus 2018, 10, e3681. [Google Scholar] [CrossRef] [PubMed]
- Mikalauskas, A.; Benetis, R.; Širvinskas, E.; Andrejaitienė, J.; Kinduris, Š.; Macas, A.; Padaiga, Ž. Burnout among anesthetists and intensive care physicians. Open Med. 2018, 13, 105–112. [Google Scholar] [CrossRef] [PubMed]
- Pourhoseingholi, M.A.; Vahedi, M.; Rahimzadeh, M. Sample size calculation in medical studies. Gastroenterol. Hepatol. Bed Bench 2013, 6, 14–17. [Google Scholar] [CrossRef] [PubMed]
- Vasileiou, K.; Barnett, J.; Thorpe, S.; Young, T. Characterising and justifying sample size sufficiency in interview-based studies: Systematic analysis of qualitative health research over a 15-year period. BMC Med. Res. Methodol. 2018, 18, 1–18. [Google Scholar] [CrossRef] [PubMed]
- Poghosyan, L.; Aiken, L.H.; Sloane, D.M. Factor structure of the Maslach Burnout Inventory. Int. J. Nurs. Stud. 2009, 46, 894–902. [Google Scholar] [CrossRef] [PubMed]
- Žutautienė, R.; Radišauskas, R.; Kaliniene, G.; Ustinaviciene, R. The prevalence of burnout and its associations with psychosocial work environment among Kaunas region (Lithuania) hospitals’ physicians. Int. J. Environ. Res. Public Health 2020, 17, 3739. [Google Scholar] [CrossRef]
- Skorobogatova, N.; Žemaitiene, N.; Šmigelskas, K.; Tamelienė, R. Professional burnout and concurrent health complaints in neonatal nursing. Open Med. 2017, 12, 328–334. [Google Scholar] [CrossRef] [PubMed]
- Sachdev, S.B.; Verma, H.V. Relative importance of service quality dimensions: A multisectional study. J. Serv. Res. 2004, 4, 93. [Google Scholar]
- Bouranta, N.; Chitiris, L.; Paravantis, J. The relationship between internal and external service quality. Int. J. Contemp. Hosp. Manag. 2009, 21, 275–293. [Google Scholar] [CrossRef]
- Maciulyte, A. Assessment of burnout syndrome influencing factors among doctors providing medical care. Master’s Thesis, Lithuanian University of Health Sciences, Kaunas, Lithuania, 2016. [Google Scholar]
- Grunfeld, E.; Whelan, T.J.; Zitzelsberger, L.; Willan, A.R.; Montesanto, B.; Evans, W.K. Cancer care workers in Otario: Prevalence of burnout, job stress, and job satisfaction. Cmaj 2000, 163, 166–169. [Google Scholar]
- Wisetborisut, A.; Angkurawaranon, C.; Jiraporncharoen, W.; Uaphanthasath, R.; Wiwatanadate, P. Shift work, and burnout among health care workers. Occup. Med. (Chic Ill) 2014, 64, 279–286. [Google Scholar] [CrossRef] [PubMed]
- Ramirez, A.J.; Graham, J.; Richards, M.A.; Cull, A.; Gregory, W.M.; Leaning, M.S.; Snashall, D.C.; Timothy, A.R. Burnout and psychiatric disorder among cancer clinicians. Br. J. Cancer 1995, 71, 1263–1269. [Google Scholar] [CrossRef]
- Tironi, M.O.S.; Teles, J.M.M.; Barros, D.D.S.; Vieira, D.F.V.B.; Silva Filho, C.M.D.; Martins Júnior, D.F.; Matos, M.A.; Sobrinho, C.L.N. Prevalence of burnout syndrome in intensivist doctors in five Brazilian capitals. Rev. Bras. Ter. Intensiva 2016, 28, 270–277. [Google Scholar] [CrossRef]
- Brady, K.J.S.; Ni, P.; Sheldrick, R.C.; Trockel, M.T.; Shanafelt, T.D.; Rowe, S.G.; Schneider, J.I.; Kazis, L.E. Describing the emotional exhaustion, depersonalization, and low personal accomplishment symptoms associated with Maslach Burnout Inventory subscale scores in US physicians: An item response theory analysis. J. Patient-Rep. Outcomes 2020, 4, 42. [Google Scholar] [CrossRef]
- Civantos, A.M.; Bertelli, A.; Gonçalves, A.; Getzen, E.; Chang, C.; Long, Q.; Rajasekaran, K. Mental health among head and neck surgeons in Brazil during the COVID-19 pandemic: A national study. Am. J. Otolaryngol. 2020, 41, 102694. [Google Scholar] [CrossRef]
- Momin, N.; Nguyen, J.; McKinnon, B. Effects of SARS-CoV-2 on the Practice of Otolaryngology. South Med. J. 2021, 114, 327–333. [Google Scholar] [CrossRef]
- Larson, D.P.; Carlson, M.L.; Lohse, C.M.; O’Brien, E.K.; Kircher, M.L.; Gurgel, R.K.; Hunter, J.B.; Micco, A.G.; Nogan, S.J.; O’Connell, B.P.; et al. Prevalence of and Associations With Distress and Professional Burnout Among Otolaryngologists: Part I, Trainees. Otolaryngol-Head Neck Surg. (United States) 2021, 64, 1019–1029. [Google Scholar] [CrossRef]
- Raftopulos, M.; Wong, E.H.; Stewart, T.E.; Boustred, R.N.; Harvey, R.J.; Sacks, R. Occupational Burnout among Otolaryngology-Head and Neck Surgery Trainees in Australia. Otolaryngol. Head Neck Surg. 2019, 160, 472–479. [Google Scholar] [CrossRef]
- Vijendren, A.; Yung, M.; Shiralkar, U. Are ENT surgeons in the UK at risk of stress, psychological morbidities and burnout? A national questionnaire survey. Surgeon 2018, 16, 12–19. [Google Scholar] [CrossRef]
- Golub, J.S.; Johns III, M.M.; Weiss, P.S.; Ramesh, A.K.; Ossoff, R.H. Burnout in academic faculty of otolaryngology-head and neck surgery. Laryngoscope 2008, 118, 1951–1956. [Google Scholar] [CrossRef]
- Fletcher, A.M.; Pagedar, N.; Smith, R.J.H. Factors correlating with a burnout in practicing otolaryngologists. Otolaryngol. Head Neck Surg. 2012, 146, 234–239. [Google Scholar] [CrossRef]
- Reed, L.; Mamidala, M.; Stocks, R.; Sheyn, A. Factors Correlating to Burnout among Otolaryngology Residents. Ann. Otol. Rhinol. Laryngol. 2020, 129, 599–604. [Google Scholar] [CrossRef] [PubMed]
- Contag, S.P.; Golub, J.S.; Teknos, T.N.; Nussenbaum, B.; Stack, B.C.; Arnold, D.J.; Johns, M.M. Professional burnout among microvascular and reconstructive free-flap head and neck surgeons in the United States. Arch. Otolaryngol. Head Neck Surg. 2010, 136, 950–956. [Google Scholar] [CrossRef]
- Afonso, M.A.; Cadwell, J.B.; Staffa, S.J.; Zurakowski, D. Burnout rate and risk factors among anesthesiologists in the United States. Anesthesiology 2021, 134, 683–696. [Google Scholar] [CrossRef]
- Podhorodecka, K.; Radkowski, P.; Boniecka, P.; Wojtkiewicz, J. Psychological distress after the COVID-19 pandemic among anesthesiologists in Poland—an observational study. Int. J. Environ. Res. Public Health 2022, 19, 9328. [Google Scholar] [CrossRef]
- Sevinc, A.S.; Metin, S.; Basi, B.N.; Cinar, A.S.; Ozkan, T.M.; Oba, S. Anxiety and burnout in anesthetists and intensive care unit nurses during the COVID-19 pandemic: A cross-sectional study. Braz. J. Anesthesiol. 2022, 2, 169–175. [Google Scholar] [CrossRef]
- Kumaresan, A.; Suganthirabubu, P.; Srinivasan, V.; Vijay, C.Y.; Divyalaxmi, P.; Alagesan, J.; Vishnuram, S.; Ramana, K.; Prathap, L. Prevalence of Burnout Syndrome Among Work-From-Home IT Professionals During the COVID-19 Pandemic. Work 2022, 71, 379–384. [Google Scholar] [CrossRef]
MBI Subscales | High Professional Burnout | Moderate Professional Burnout | Low Professional Burnout |
---|---|---|---|
Emotional Exhaustion (EE) (Score: 45–9) | ≥25 | 24–15 | 14–9 |
Depersonalization (DP) (Score: 25–5) | ≥15 | 14–10 | 9–5 |
Personal Accomplishment (PA) (Score: 45–8) | 14–8 | 15–24 | ≥25 |
Emotional Exhaustion (EE) (Score: 45–9) | ≥25 | 24–15 | 14–9 |
Characteristic | Group | p-Value 3 | |
---|---|---|---|
ORL 1 n = 80 | Control n = 30 | ||
Male, n (%) | 28 (35.0) | 16 (53.3) | 0.082 |
Female, n (%) | 52 (65.0) | 14 (46.7) | |
Age, years; mean (SD) 2 | 53.5 (15.2) | 47.3 (10.3) | 0.063 |
Civil status,n (%) Married/adult children Married/school-aged children Married/no children Single Other (divorced/widowed) | 45 (56.3) 17 (21.3) 3 (3.7) 14 (17.5) 1 (1.2) | 17 (56.7) 6 (20.0) - 3 (10.0) 4 (13.3) | 0.970 0.882 - 0.335 0.007 |
Working experience, mean (SD) 2 | 26.6 (17.7) | 7.7 (4.2) | <0.001 |
Working hours, mean (SD) 2 | 50.8 (17.3) | 57.3 (8.7) | 0.005 |
Satisfaction with work environment Completely dissatisfied dissatisfied Moderately satisfied Satisfied Sufficiently satisfied Fully satisfied | - - 12 (15.0) 26 (32.5) 37 (46.3) 5 (6.2) | - - - - - 30 (100.0) | - - - - - <0.001 |
Salary Completely dissatisfied Dissatisfied Moderately satisfied Satisfied Sufficiently satisfied Fully satisfied | - 17 (21.3) 34 (42.5) 19 (23.7) 10 (12.5) - | - - - - 24 (80.0) 6 (20.0) | - - - - <0.001 - |
Emotionally traumatic event in the last 6 months | 1 (1.6) | 0 (0.0) | 0.488 |
Type of Hospital * Public - University hospital - National hospital - Regional hospital Private hospital | 11 (13.8) 22 (27.5) 38 (47.5) 9 (11.2) | ||
Practice setting * Outpatient Office ENT Department Outpatient office and ENT Department | 35 (43.8) 12 (15.0) 33 (41.2) | ||
Academic status, n (%) | 7 (8.8) | ||
Patients per week *, mean (SD) 2 | 65.7 (41.9) | ||
Surgeries for week**, mean (SD) 2 | 3.2 (4.1) |
Subscale | Mean (SD) 2 | Median | High | Moderate | Low | |||||
---|---|---|---|---|---|---|---|---|---|---|
ORL 1 Group | Control Group | ORL 1 Group | Control Group | ORL 1 Group | Control Group | ORL 1 Group | Control Group | ORL 1 Group | Control Group | |
Emotional Exhaustion (EE) | 23.7 (4.9) | 15.4 (2.6) | 24 | 15 | 33 (41.3) | 0 (0.0) | 44 (55.0) | 12 (40.0) | 3 (3.7) | 18 (60.0) |
Depersonalization (DP) | 12.5 (3.2) | 9.8 (2.3) | 13 | 10 | 16 (20.0) | 1 (3.3) | 55 (68.8) | 4 (13.3) | 9 (11.2) | 25 (83.4) |
Personal Accomplishment (PA) | 26.1 (6.1) | 35.1 (2.8) | 27 | 36 | 57 (71.3) | 0 (0.0) | 21 (26.3) | 0 (0.0) | 2 (2.4) | 30 (100.0) |
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Šiupšinskienė, N.; Spiridonovienė, B.; Pašvenskaitė, A.; Vaitkus, J.; Vaitkus, S. Burnout Syndrome among Otorhinolaryngologists during the COVID-19 Pandemic. Medicina 2022, 58, 1089. https://doi.org/10.3390/medicina58081089
Šiupšinskienė N, Spiridonovienė B, Pašvenskaitė A, Vaitkus J, Vaitkus S. Burnout Syndrome among Otorhinolaryngologists during the COVID-19 Pandemic. Medicina. 2022; 58(8):1089. https://doi.org/10.3390/medicina58081089
Chicago/Turabian StyleŠiupšinskienė, Nora, Brigita Spiridonovienė, Agnė Pašvenskaitė, Justinas Vaitkus, and Saulius Vaitkus. 2022. "Burnout Syndrome among Otorhinolaryngologists during the COVID-19 Pandemic" Medicina 58, no. 8: 1089. https://doi.org/10.3390/medicina58081089