Search Results (63)

Background: Healthcare professionals are exposed to high emotional demands, including repeated contact with suffering, death, moral distress, and organizational pressure. These factors are associated with psychological distress, burnout, and secondary traumatic stress. Expressive Writing (EW) has been proposed as a psychological intervention, but evidence of its effectiveness among healthcare professionals remains heterogeneous. Objectives: To examine the effects of EW on psychological health, psychophysical well-being, and professional satisfaction among healthcare professionals. Methods: A systematic review was conducted in accordance with the Cochrane Handbook for Systematic Reviews of Interventions and the PRISMA 2020 guidelines. Searches were performed in PubMed, CINAHL, CENRAL, CENTRAL Scopus, Embase, and PsycINFO from database inception to January 2025. Quantitative studies involving healthcare professionals and evaluating structured expressive writing interventions were considered for inclusion, including randomized and non-randomized, controlled and uncontrolled designs. Studies reporting psychological, psychophysical, or work-related outcomes were eligible. Only full-text articles published in English or Italian were considered. The review protocol was registered and archived in the Open Science Framework. Methodological quality was assessed using CASP checklists, the RoB 2 tool, and the Newcastle–Ottawa Scale. Results: Seven studies published between 2017 and 2023 were included. EW interventions were associated with reductions in psychological distress, particularly perceived stress, depressive symptoms, and post-traumatic stress symptoms. Findings regarding burnout and compassion fatigue were mixed. Organizational and job-related outcomes, such as job satisfaction and organizational commitment, showed limited and heterogeneous improvements. No consistent effects were observed for resilience or social support. Overall, the methodological quality of the included studies was generally good. Conclusions: EW appears to be a promising, low-cost intervention for reducing psychological distress among healthcare professionals. However, heterogeneity in study designs, intervention protocols, and outcome measures limits the strength of the evidence. Further high-quality, controlled studies using standardized EW protocols are needed. Full article

Background and Objectives: Burnout syndrome is a major challenge among healthcare workers, affecting both mental and physical health. Although stress may influence physiological systems, this study does not directly assess biological mechanisms, and interpretations should remain associative. Stress-related associations may be reflected in body composition, but objective data are limited. This study aims to assess the associations between burnout, body composition, and quality of life in medical staff, using bioimpedance as the main tool. Material and methods: The cross-sectional study included 95 medical staff (36 resident doctors, 13 specialists/consultants, 31 nurses, 15 nursing assistants), 75.8% women, mean age 38 ± 10 years, conducted in the medical and surgical departments of Dr. C.I. Parhon Clinical Hospital, Iași, between January and March 2024. Burnout was assessed using the Maslach Burnout Inventory; quality of life was evaluated with SF-12; body composition was measured by bioimpedance (BMI, muscle mass, fat mass, bone mass, hydration, basal metabolism, metabolic age). Statistical analyses included ANOVA, Kruskal–Wallis, and Spearman correlations. Results: Resident physicians had higher muscle, bone mass and basal metabolism, with lower adipose tissue compared to other categories (p < 0.05). Total burnout and exhaustion were positively correlated with muscle mass (r = 0.247, p = 0.016), bone mass (r = 0.219, p = 0.033), basal metabolism (r = 0.219, p = 0.033) and negatively with QoLM (r = −0.315, p = 0.002). Other body variables, including BMI, total adipose tissue, and water level, showed no significant correlations. These associations may be influenced by age, sex, and professional category and do not imply causality. Conclusions: Age, profession, and work seniority are associated with burnout and specific changes in body composition. However, these findings are correlational, and bioimpedance-derived parameters do not reflect direct biological stress mechanisms. Full article

Burnout syndrome is conceptualized as a work-related psychological condition primarily marked by persistent exhaustion, emotional and cognitive impairment and mental distancing. In addition to these core dimensions, burnout may give rise to secondary symptoms, including psychological distress, psychosomatic complaints, and depressive mood. The Burnout Assessment Tool (BAT) includes specific measures for both primary and secondary symptoms. This study aimed to evaluate the validity evidence of the BAT’s secondary symptoms Brazilian version scale (BAT-S). The sample consisted of 1.750 professionals (71% women), with a mean age of 39 years (SD = 11). Confirmatory Factor Analyses indicated that a model of two oblique first-order factors, differentiating psychological distress from psychosomatic complaints, provided a superior fit compared to the unidimensional solution. The scale also presented satisfactory internal consistency for the scales of psychological distress (α = 0.88 and ω = 0.90) and psychosomatic complaints (α = 0.85 and ω = 0.87). The BAT-S represents a reliable tool to assess these secondary symptoms of burnout, advancing research that integrates behavioral and physiological markers, offering practical applications for occupational health interventions and preventive strategies in the workplace. Full article

Background: Burnout is a syndrome resulting from long-term, unmanaged work-related stress. This study aimed to evaluate the validity and reliability of the Serbian versions of BAT among fifth-year medical students at the University of Belgrade Faculty of Medicine. Methods: This cross-sectional study, which included a total of 431 students at the Faculty of Medicine, University of Belgrade, was conducted during the last week of November 2024. The study instruments used were the Burnout Assessment Tool (BAT) and the Copenhagen Burnout Inventory (CBI). Results: Cronbach’s alpha for the entire BAT scale was α = 0.946; for core burnout symptoms, it was α = 0.938; for the exhaustion scale, α = 0.865; for mental distance, α = 0.858; for cognitive impairment, α = 0.907; for emotional impairment, α = 0.878; for secondary symptoms, α = 0.863; for psychological distress, α = 0.791; and for psychosomatic complaints, α = 0.801. The EFA showed six factors that explained a total of 63.76% of the variance. Factor 1 explained 35.71% of the variance; factor 2 explained 9.81%; factor 3, 5.785%; factor 4, 5.415%; factor 5, 3.956%; and factor 6 explained 3.076% of the variance. After the elimination of the three items with the lowest loadings, the EFA showed five factors that explained a total of 63.347% of the total variance. Factor 1 explained a total of 36.637% of the variance; factor 2, 10.544%; factor 3, 6.345%; factor 4, 5.612%; and factor 5 explained a total of 4.209%. Conclusions: This study showed that the Serbian version of the BAT exhibits excellent reliability, clear factorial validity, and strong convergent and discriminative performance. Full article

With the expansion of photovoltaic (PV) systems, failures of bypass diodes (BPDs) embedded in PV modules can degrade the power-generation performance and pose safety risks. When a BPD fails, current circulates within the module, leading to overheating and eventual burnout of the failed BPD. The heating characteristics of a BPD depend on its fault resistance, and although many modules are connected in series in actual PV systems, the heating risk at the module-string level has not been sufficiently evaluated to date. In this study, a numerical simulation model is constructed to reproduce the operation of PV modules and module strings containing failed BPDs, and its validity is verified through experiments. The validated numerical simulation results quantitatively illustrate how series-connected PV modules modify the fault-resistance dependence of BPD heating under maximum power-point operation. The results show that, under maximum power-point operation, the fault resistance at which BPD heating becomes critical shifts depending on the number of series-connected modules examined, while the magnitude of the maximum heating decreases as the string length increases. The heat generated in a BPD at the maximum power point decreases as the number of series-connected modules increases for the representative string configurations analyzed. However, under open-circuit conditions due to power-conditioner abnormalities, the power dissipated in the failed BPD increases significantly, posing a very high risk of burnout. Considering that lightning strikes are one of the major causes of BPD failure, adopting diodes with higher voltage and current ratings and improving the thermal design of junction boxes are effective measures to reduce BPD failures. The simulation model constructed in this study, which was experimentally validated for short PV strings, can reproduce the electrical characteristics and heating behaviors of PV modules and strings with BPD failures with accuracy sufficient for comparative and parametric trend analysis, and serves as a practical tool for system-level safety assessment, design considerations, and maintenance planning within the representative configurations analyzed. Full article

Burnout results from chronic workplace stress and is most effectively addressed through workplace interventions. Successful implementation of interventions may, however, be constrained by factors within the work environment. This study aimed to evaluate a new tool, the Veterinary Nurse Burnout Prevention Survey (VNBPS). The 35-item, cross-sectional mixed methods survey aimed to identify the presence of burnout risk factors for veterinary nurses (VNs), and support selection of tailored interventions within the clinic. The VNBPS was conducted within VN teams (N = 67) across six Australian veterinary clinics between August and September 2025. After delivery and analysis of the survey, a summary of results and tailored recommendations was provided to each clinic. A subsequent evaluation questionnaire measured perceived ease of participation, accuracy of findings, and practicality of recommendations. The majority of the 17 respondents who completed the evaluation questionnaire (71%, n = 10) found the survey very easy to complete, and the findings to be accurate (79%, n = 11), or very accurate (21%, n = 3). Recommended interventions were perceived to be practical (50%, n = 7) or very practical (29%, n = 4). Internal reliability of the VNBPS was good. Participants reported that the survey held additional value in initiating conversations about burnout. This confirms the VNBPS as a useful tool to assist veterinary workplaces in the prevention of VN burnout and provide practical support for leaders to improve the wellbeing and professional sustainability of VN teams. Full article

Background/Objectives: In the healthcare sector, burnout has become a critical concern due to high job demands and emotional strain. The main objective of the study is to examine the predictive role of psychosocial work-related risks in the development of burnout. Methods: A cross-sectional study was conducted, using a snowball recruitment method, from May to September 2025, among 154 healthcare workers. Data were collected using the psychosocial risk factors scale (INSAT_ERPS) and the Burnout Assessment Tool (BAT) and analyzed with descriptive and inferential statistics to analyze the predictive role of the psychosocial risk on burnout dimensions. Results: Psychosocial risk factors are consistently linked to the development of burnout symptoms. For exhaustion, the predictors included Working Hours (β = 0.312, p < 0.001), Social Work Relations (β = 0.196, p = 0.026), and Emotional Demands (β = 0.295, p = 0.002). For mental distance, the predictors included Work Intensity (β = −0.193, p = 0.049), Emotional Demands (β = 0.294, p = 0.004), and Work Values (β = 0.348, p = 0.003). For cognitive impairment, Work Values (β = 0.240, p = 0.042) and for emotional impairment, Employment Relations (β = 0.182, p = 0.038) emerged only one significant positive predictor. Conclusions: Findings underscore a crucial understanding: the development of burnout is not solely determined by the workload intensity, or the number of hours worked, the quality of working life and the dynamics within the workplace play pivotal roles in predicting burnout. A multidomain evaluation aligns with a holistic well-being approach to well-being by emphasizing that enhancing healthcare workers’ health demands systemic interventions addressing psychosocial work environment. Full article

Modern romantic relationships face increasing internal and external pressures that may leave partners emotionally depleted and overwhelmed, yet empirical tools for assessing relationship burnout remain limited, mononormative, and psychometrically underdeveloped. Across two studies, we developed and validated the Antecedents of Relationship Burnout Scale (ARBS), a multidimensional measure grounded in the Job Demands–Resources (JD–R) model and designed to capture the relational demands and resource deficits that precipitate burnout. Study 1 generated and evaluated an initial 51-item pool using a sample of 175 partnered adults. Exploratory factor analysis revealed a clear and robust two-factor structure: Relationship Depletion and Exhaustion (e.g., emotional detachment, diminished appreciation, unmet emotional/sexual needs) and Relational Overload (e.g., external stressors, partner demands, role strain). Study 2 sought to confirm this structure and establish the ARBS’s psychometric validity via a sample of 288 adults. A confirmatory factor analysis supported a 36-item two-factor model with strong internal consistency, full measurement invariance across gender, and theory-consistent associations with relationship satisfaction, therapy participation, and infidelity urge, demonstrating both convergent and predictive validity. Together, these studies introduce the ARBS as the first comprehensive, theoretically grounded measure of the antecedents of relationship burnout, offering a rigorous foundation for future research, assessment, and intervention. Full article

Background/Objectives: Emergency healthcare professionals are continually exposed to high clinical and organizational demands that compromise their mental, physical, and occupational health. This systematic review and meta-analysis examined the prevalence and interrelations of biopsychosocial and work-related health outcomes among emergency personnel, providing an integrated synthesis of recent empirical evidence. Methods: A systematic search of PubMed, Scopus, Web of Science, and CINAHL identified 6214 records, of which 50 studies met inclusion criteria and were analyzed (total n = 278,000 emergency professionals). Eligible studies (2020–2025) evaluated biopsychosocial outcomes (burnout, depression, stress, resilience, sleep quality) and occupational indicators (workplace violence, job satisfaction, effort-reward imbalance, engagement, turnover intention). Meta-analyses were conducted using random-effects models (DerSimonian-Laird method), producing pooled prevalence estimates for each outcome based on the number of studies that reported the corresponding variable. Risk of bias was assessed using the Joanna Briggs Institute tools, with most studies rated as moderate-to-high quality. Results: Pooled estimates showed fair self-perceived health in 44.0%, severe burnout in 10.7%, depressive symptoms in 35.1%, moderate-to-severe stress in 74.6%, and poor sleep quality in 40.1% of staff. Workplace violence affected 76.9% of professionals. Job satisfaction averaged 68.1%, turnover intention 62.1%, and effort-reward imbalance 61.9%. Resilience was predominantly moderate (33.9%). Considerable heterogeneity was observed; however, patterns were consistent across regions and professional roles. Conclusions: Emergency healthcare personnel face substantial biopsychosocial strain and occupational risks, driven by persistent structural pressures. Health systems should implement integrated organizational strategies to reduce violence, enhance psychological support, ensure safe staffing, and protect rest and recovery. Improving staff well-being is essential for maintaining a resilient and effective emergency care workforce. Full article

Background/Objectives: Palliative care nurses are at risk of burnout, trauma, and poor well-being. Expressive writing interventions are shown to promote self-reflection, personal growth, and resilience. A pilot study was designed to test the feasibility and use of a self-reflexive blog writing intervention to promote the subjective well-being, resilience, and personal growth of palliative care nurses during the COVID-19 pandemic. Methods: A sample of N = 144 registered nurses working in palliative care settings were enrolled in the study. Recruitment was performed using university alumni, nursing, and palliative care organization member listservs. Self-reported surveys such as the Subjective Well-Being Inventory (SUBI), Brief Resiliency Scale (BRS), and Post-traumatic Growth Inventory (PTGI) scales were used to evaluate study outcomes. Pre- and post-surveys were obtained at baseline, 4 weeks, and 6 weeks. Upon baseline survey completion, participants were randomly assigned to control and intervention groups. Participants in the intervention group were asked to write two weekly blog entries for a period of four weeks using a blog template on Qualtrics software. Descriptive statistical measures were used to evaluate the study outcomes and content analysis to analyze descriptive survey responses and blog narratives. Results: A total of N = 57 participants completed this study. Most participants were females (93%), White (89.5%), married (93%), and full-time employees (96.5%) and underwent PC training (93%). The findings indicate significant improvement in the subjective well-being (MD = 2.43, p < 0.05) and resilience scores (MD = 0.244, p < 0.05) in the intervention group. No significant changes were found in post-traumatic growth scores post-intervention. Most participants found blog writing as a supportive tool to reflect on their personal experiences and to ventilate their emotions and feelings. Conclusions: Self-reflexive blog writing is convenient and a potentially effective method for promoting the resilience and well-being of nurses. Future studies are needed to evaluate its effectiveness in a larger sample across different practice settings. Full article

Background/Objectives: Family members who provide care play a central but often underestimated role in the healthcare system and are frequently exposed to considerable physical, emotional, and social stress. To better understand and support their needs, a structured self-assessment tool (SSA-PA) was developed. This development addresses the current lack of practical, validated instruments that enable caregivers to systematically reflect on their own stress levels and resources, which is becoming increasingly important in view of the growing demand for care and the risk of caregiver burnout. This tool aims to promote self-reflection, identify individual stresses and resources, and enable more targeted support for family caregivers. Methods: The development process (September–December 2024) followed a multi-phase design that integrated theoretical foundations from nursing, health, and psychology, in particular Orem’s theory of self-care deficit, Lazarus and Folkman’s stress and coping model, and Engel’s biopsychosocial model. Four core dimensions were defined: (1) health and self-care, (2) burden and stress, (3) support and resources, and (4) satisfaction and quality of life. The final tool comprises 37 items (mostly 5-point Likert scales), supplemented by multiple-choice and open-ended questions. Content validity was ensured through expert review and testing with nine family caregivers. Internal consistency was assessed using Cronbach’s alpha (α = 0.998), indicating very high reliability, although possible item redundancies were identified. The evaluation took place in January 2025 with 33 family caregivers to assess user-friendliness, relevance, and perceived usefulness. Results: The majority of participants rated the tool as user-friendly and clearly structured. Around 80% reported a high level of comprehensibility, and over half stated that the tool provided new insights into their own health and care burden. Qualitative feedback highlighted the value of the tool for self-reflection and motivation to seek external support. Suggestions for improvement included shorter item formulations, improved visual feedback (e.g., progress bars or charts), and expanded question areas on financial burdens and digital support options. Conclusions: The SSA-PA is a theoretically grounded and user-centered tool for assessing and reflecting on the situation of family caregivers. It not only enables systematic self-assessments but also promotes awareness and proactive coping strategies. Future research should focus on conducting factor analyses to further validate the construct, testing the tool in larger samples, and exploring its integration into structured care consultations to improve the quality of home care. Full article

Aim: To evaluate basal well-being and the effects of a Mindfulness-Based Stress Reduction (MBSR) program in health-care professionals (HCPs), a recognized worker category subjected to elevated stress from job conditions. Methods: A quasi-experimental pre–post study was conducted in Italian HCPs. Well-being (assessed by Psychological General Well-Being Index-PGWBI), stress (Perceived Stress Scale-PSS), and burnout (Maslach Burnout Inventory-MBI) were collected at baseline and after an MBSR program. Moreover, levels of C reactive protein, glucose, and lipid profiles were also monitored in a subgroup. Results: At baseline, Total-PGWBI score value evidenced no distress, whereas Total-PSS and MBI dimensions (emotional exhaustion—EE, depersonalization and detachment from the job—DP, and lack of personal or professional accomplishment—PA) indicate moderate distress. After MBSR, PGWBI, PSS, and MBI dimensions significantly improved. Moreover, significant benefits on lipid profile were observed after MBSR. Conclusions: MBSR may be a promising method to improve well-being and lipid profile in HCPs. Thus, MBSR might represent a new future complementary prevention tool for mental and physical health maintenance in this category of workers. Full article

Background/Objectives: Burnout syndrome among nurses can significantly contribute to the nursing shortage, leading to high turnover and negative impacts on both nurses and patient care. The primary objective of this project was to evaluate the feasibility, acceptability, and preliminary effect of a mindfulness-based mobile application (MBMA) on burnout and well-being in emergency department (ED) nurses over four weeks. Methods: An EBPQI with a descriptive approach was taken to evaluate ED nurses’ burnout and well-being, which was measured with the Mini-Z Single Item (MZSI) and Nurses’ Well-Being Index (NWBI). We also asked three open-ended questions about their experience using the once-daily MBMA over the four-week period. Twelve participants from a mid-western hospital were recruited, and six completed both the pre-test and post-test surveys. Results: Results found no statistically significant improvement in burnout (p = 1.00) or well-being (p = 0.783). However, upon a secondary analysis using imputed data, a statistically significant improvement in burnout was found (p = 0.012). Among the six participants who completed the post-intervention, a significant and positive correlation between burnout and well-being was identified (r = 0.81, p = 0.048). Themes from qualitative responses included perceived helpfulness of MBMA tools, perceived usefulness, and lack of time for daily participation. Although statistical improvements were not observed, individual comments indicated that the tool was helpful; however, setting aside time to engage with it remained difficult. Conclusions: Findings from this project support the need for further research exploring the impact of individualized interventions specifically targeting ED nurses as well as organizational strategies aimed at those already experiencing burnout or impaired well-being. Full article

Background/Objectives. Quality of nursing care (QNC) is a central concept in healthcare systems worldwide, with growing emphasis on developing reliable and contextually appropriate instruments for its assessment. Over recent decades, there has been a shift from outcome-based evaluation toward more holistic, patient-centered frameworks that consider both clinical indicators and interpersonal dimensions of care. This scoping review aimed to map the range, nature, and characteristics of self-report instruments used to assess the quality of nursing care, including their psychometric properties and contextual applications across different clinical settings. Methods. A systematic search was conducted in CINAHL Complete, MEDLINE (via PubMed), Scopus, Web of Science, and ProQuest Dissertations & Theses, alongside gray literature sources, following the Joanna Briggs Institute (JBI) methodology and PRISMA-ScR guidelines. Studies were included if they reported on the development, validation, adaptation, or application of QNC assessment tools in hospital or community nursing contexts, and were published in English, Portuguese, or Spanish. Results. Fifty-nine studies were included, spanning from 1995 to 2025. The instruments identified were predominantly structured around Donabedian’s structure-process-outcome model, and many emphasized relational domains such as empathy, communication, and respect. Tools like the Good Nursing Care Scale (GNCS), the Quality of Oncology Nursing Care Scale (QONCS), and the Karen Scales demonstrated strong internal consistency (Cronbach’s α ranging from 0.79 to 0.95). Conclusions. Organizational factors, including leadership and staffing, and predictors such as burnout and work intensity, were found to influence perceived care quality. Important gaps remain regarding longitudinal use and integration of patient-reported outcome measures. Full article

Burnout is a critical problem among healthcare professionals worldwide, but nationally representative data on psychosocial factors associated with burnout are lacking for Latvia’s hospital system. This study investigated twofold aims: first, it examined the association between job-related demands, psychosocial resources, and burnout in a representative sample of Latvian hospital staff; and second, it tested whether specific resources buffer or amplify the impact of excessive workload. A cross-sectional survey was conducted among 4756 healthcare workers across 30 inpatient institutions in Latvia. Participants completed the Copenhagen Psychosocial Questionnaire III and the Burnout Assessment Tool; regression and moderation analyses were used. Burnout was positively associated with longer working hours, multiple job-holding, and psychosocial demands such as emotional strain, time pressure, and work–life conflict. Several resources, including support from colleagues, supervisor support, recognition, sense of belonging, supervisor evaluation, and especially resources for quality work, were associated with lower burnout and weakened the relationship between workload and burnout. In contrast, high autonomy, meaning at work, organizational justice, and role conflict amplified this association. These findings suggest that in resource-constrained healthcare systems, some job resources may be associated with increased risk of burnout. Effective interventions should address both structural and relational factors to mitigate burnout among healthcare workers. Full article