Background: Burnout is defined as a high level of emotional exhaustion and depersonalization or a low level of personal accomplishment. The consequences of burnout may result in lower quality of care, low morale and increased job turnover. Having identified the factors that cause burnout among Family Medicine residents, this could be addressed by modifying residency training programs. Objective: The goal of this study was to investigate the degree of burnout among Family Medicine resident trainees. Methodology: This study is a cross-sectional study involving Family Medicine resident trainees of accredited institutions of the Philippine Academy of Family Physicians. The Maslasch Burnout Inventory (MBI) form was also administered to the respondents and this has three subscales 1. Emotional Exhaustion (EE), 2. Depersonalization (DP), 3. Personal Accomplishment (PA). The frequency with which the respondent experiences feelings related to each subscale was assessed using a six-point response format. The higher the scores in subscale (EE) and (DP); the higher the degree of burnout. Conversely, the higher the (PA) subscale points to a lower degree of burnout. Results: A total of 113 residents accomplished the questionnaire and MBI survey form, representing 69.3% of the study population. Of these, 17.7% have regular exercise. The respondents show highest degree of burn out on emotional exhaustion. Residents who have no exercise have four times the risk of having burnout than those who have regular exercise (Odds ratio: 4.3, CI 0.564-32.44). This study also shows a risk of three times for burnout among family medicine resident trainees if they have difficulty coping at work at (Odds ratio: 3.30, CI 0.31-34.77) Conclusion: The family medicine resident trainees have moderate degree of burnout based on Maslash Burnout Inventory. This study also shows that lack of exercise significantly has a high degree of burnout.
BURNOUT

PURPOSE: The purpose of this study was to identify the process of overcoming professional burnout among clinical nurses. METHODS: Data were collected from 12 clinical nurses through in-depth interviews about their actual experiences. The main question was "How do you describe your experience of the process of overcoming professional burnout?" Qualitative data from the field notes and transcribed notes were analyzed using the grounded theory methodology developed by Strauss & Corbin. RESULTS: The core category of experience of the process of professional burnout among clinical nurses was identified as "Keeping a balance by awakening-relaxing-coexisting". The participants used six interactional strategies such as 'Confronting problems', 'Exposing problems', 'Laying the mind's burdens down', 'Taking a breather', 'Seeing from a different perspective', 'Accepting realities'. The results of overcoming process of professional burnout were 'Coexisting' and 'Revitalizing'. CONCLUSION: The results of this study provide useful information for designing supportive programs and policies to solve professional burnout in clinical nurses.
Burnout, Professional

Introduction: With the growing number of females employed as factory workers, it is important to look into the phenomenon of burnout and related organizational climate affecting these workers. Objectives: The study's objectives were: 1) to come up with the indices of burnout among Filipino female factory workers and; 2) to come up with indices of organizational climate components of job autonomy, the content of the job, and nature of management through exploratory factor analysis. Methods: The secondary data used for this study were from a cross-sectional study involving 344 female factory workers. The indicators of the organizational climate were derived through exploratory factor analysis of items in the dataset. Exploratory Factor Analysis was used to reduce the variables into a fewer set of “Component Variables.” The technique explored the relationship of each indicator and then grouped them according to which component they were highly correlated. Using the factor loadings as weights, the index score was generated. The organizational climate indices were derived from the factor loading scores. Burnout Score was derived from respondents’ answers on nine items relating to burnout. The organizational climate indexes were also generated using factor analysis with these components- job autonomy, content of the job, and nature of management. Cronbach alpha was generated for all the items under each index to show the internal consistency and scale reliability. Results: There were 344 female respondents with a mean age of 26 (SD=5.02), and the majority were single (69.21%). Nine items were measured with the lowest average response “work is boring” (0.259 ± .560) for burnout indices. The highest mean answer for the item “work requires new skills or upskilling regularly” at 1.619 ± .762, suggesting that most respondents were required to upskill regularly. “Salary is not enough to meet worker’s needs” also has a high average response, suggesting that most respondents felt that their salary was insufficient to sustain their daily needs. The total burnout score indicates that workers experienced moderate burnout. The indices for burnout have good internal consistency and scale reliability (Cronbach alpha= 0.712). The organizational climate was grouped into Indexes through factor analysis, namely, Autonomy on Quality Index, Autonomy on Rest Index, Skilled work content Index, Physical work content Index, Hazardous work content Index, Health, Safety, and Compensation Index, and Training Index. Autonomy on Quality Index has a mean of 66.877 ± 31.934, suggesting that the autonomy on quality for respondents was moderately high, while Autonomy on Rest Index was 24.159 ± 30.788, suggesting that respondents have low autonomy on rest. The skilled work content index was high at an average of 70.801 ± 22.87, while physical work content and hazardous work content index were low at 29.398 and 25.377, respectively. Health, Safety, and Compensation index average was very low at 8.891 ± 8.524. Conclusion This study came up with indices of burnout unique to female factory workers. The indexes were boredom/boring work, repetitious tasks, fast-paced work, work pressure, not sufficient compensation, work-home conflicts, upskilling, physically tiring, mentally tiring, and salary is not sufficient to meet basic needs. This study also came up with the indexes of organizational climate relating to job autonomy, content of job, and nature of management. The several items under each of these components were subjected to Factor Analysis to come up with indexes of organizational climate. Thus, the contribution of this study is coming up with a burnout index unique to the Filipino factory worker, not just based on subjective expert opinion, but data-driven and statistically derived.
Burnout, Psychological

Background: The highly demanding nature of medical education may lead to development of burnout in medical students which may persist beyond medical school. Burnout can be a predictor of psychological impairments and incorrect patient care Objective: This study aimed to determine the prevalence of burnout and its relationship to socio-demographic variables and associated stressors among 1st to 4th year medical students of Cebu Institute of Medicine for school year 2018-2019 Methods: This is cross-sectional study using a self-administered three-part questionnaire composed of socio-demographic data, stressors, and the Copenhagen Burnout Inventory (CBI). Descriptive statistics were taken for all variables. T-test analysis was used for dichotomous independent variables while Analysis of Variance was utilized for independent samples with multiple variables. Multiple regression analysis was done to determine significant relationship between identified stressors and the determinant score on the CBI Results: Participants had high degree of burnout with average CBI score of 71.53. Majority of the respondents (94.88%) showed at least moderate burnout. Only Year Level (p=0.027) was significantly associated with burnout. Stressors associated with burnout were: lack of belief in what you do (p=0.000), insufficient rewards (p=0.007), poor communication (p=0.002), poor leadership (p=0.009), sense of never ending competition (p=0.009) and scoring lower than hoped (p=0.003). Conclusion Students are at risk for burnout as they temporally progress through medical school peaking at 3rd year level. Stressors encompass personal, study, colleague, and teacher related factors. It is important to address these stressors due to their progressive negative effect both on self and others.
Burnout, Psychological

Objectives: Public health dentists in the Philippines are being made to treat more patients and do other tasks despite being underpaid. Despite this, there is a dearth of information on burnout and its association with Filipino public-school dentists. Thus, this study aimed to assess the burnout levels and their association with the amount of work and sleep quality.

Methods: There were 10 out of 14 dentists from the Caraga Region who responded and answered a self-directed and self-reported online questionnaire composed of 52 questions that gauged sociodemographic data, sources of burnout, level of burnout, lower back pain, and sleep quality.

Results: Based on the results of the study, dentists with more than 40,000 patients (rs=0.81, p=0.005), in charge of more than one municipality (rs=0.67, p=0.035) and more than one school (rs=0.67, p=0.035), and with poor sleep (rs=1, p=0.005) experience more burnout.

Conclusion: The level of burnout is high in Filipino public-school dentists. In this study, burnout was associated with dentists who have poor sleep, having to serve more than 40,000 patients, more than one municipality, and more than one school. The legal bases for oral health and other pertinent memorandum orders from concerned government organizations should be revisited.

Background: Physician burnout is a growing problem worldwide. Several interventions aimed at lowering burnout rates among physicians have been implemented. To date, there is no established structured program to combat burnout in the Philippine General Hospital. This study evaluated the effectiveness of the I-CARE program, a physician resilience and wellness program which adapted the different components of the international programs for the Philippine setting.

Objective: To evaluate the effectiveness of the I-CARE program in reducing medical residents' burnout level.

Methods: After key components of the I-CARE program were identified, the program was implemented in 2 phases. The first phase involved training of consultants to hone their facilitation skills. The second phase was a before-and-after study of the I-CARE program. The participants' burnout level was measured before and after the program using the Maslach Burnout Inventory.

Results: The I-CARE program was implemented in the Department of Pediatrics from March to August 2020. There was no significant change in the overall burnout levels of 59 pediatric residents after the I-CARE implementation (p=0.32). This may be due to several challenges encountered during the implementation, such as time constraints, the increased workload caused by the COVID-19 pandemic, and the lack of physical meetings due to the restrictions of the pandemic. However, the feedback of the administrators, facilitators and residents was generally positive. All the interviewed participants recommended the continuation of the I-CARE program in the Department of Pediatrics.

Conclusion: The I-CARE program shows potential in promoting mental health and emotional wellness among physicians in training.

RESEARCH QUESTION: What are the profiles and the degree of burnout among resident physicians in private tertiary hospitals in Bacolod City? BACKGROUND: Exhaustion from work may result into negative effects not only to the medical staff and patients. Systematic reviews revealed an association in physician burnout and suboptimal quality of care, patient safety and patient satisfaction. However, the prevalence of burnout among resident physicians in Bacolod City has not been established. OBJECTIVES: The study aimed to determine the profiles and the degree of burnout among resident physicians in private tertiary hospitals in Bacolod City. STUDY DESIGN: Cross-sectional survey PARTICIPANTS: We invited all resident physicians in private hospitals in Bacolod City. OUTCOME MEASURE: This study used the 22-item Maslach Burnout Inventory-Human Services Survey. ANALYSIS: IBM SPSS version 22 was used in the data analysis. Mean and frequency distribution were utilized. Analysis of percentage of distribution was used to determine their difference. RESULTS: From December 2019 to January 2020, ninety-three resident physicians consented to participate in the study. The majority of the participants were young adults, females and single. Only a minority of the residents exercised regularly. The majority were practicing their religion. Most of the residents are in their early years of training. Residents in Internal Medicine comprised the majority of the respondents. Among the respondents, in the Emotional Exhaustion (EE) domain: 24.7% were low, 37.6% were moderate, and 37.6% were high. While in the Depersonalization (DP) domain: 43% were low, 34.4% were moderate, and 22.6% were high. Lastly, in the Personal Achievement (PA) domain: 33.3% were low, 35.5% were moderate, and 31.2% were high. High burnout was present in 22.6% among the respondents. CONCLUSIONS: High burn out was seen among young adults, male, single, and more senior resident physicians. Furthermore, residents who exercise regularly and practice their religion have lower burnout. And Internal Medicine residents were seen to have high burnout compared to other training specialization. Organizational- and physician-directed interventions have an essential role in preventing and reducing burnout in training institutions.
Burnout, Professional ; Burnout, Psychological ; Hospitals, Private ; Physicians

Introduction: Burnout and job satisfaction among healthcare providers have been subjects of interest for the past decades due to its impact on a person’s well-being and the possible consequence of compromising patient care. Awareness of this phenomenon will aid in developing strategies to prevent burnout and increase job satisfaction in the workplace. Objective: This study aimed to determine the prevalence of burnout and job satisfaction among healthcare providers employed at the Zamboanga City Medical Center. Methods: The study utilized a descriptive, cross-sectional design. Multi-stage random sampling was used. A total of three hundred sixty-two (362) employees of various occupational groups participated in the study. A self-administered questionnaire was employed to gather data which comprised of sociodemographic data, questions from the Copenhagen Burnout Inventory (CBI) and Job Satisfaction Scale (JSS). Analysis and presentation of results were done using descriptive statistics such as frequency and percentages. Results The prevalence of burnout was 23.49%. It was common among nurses (38.83%) followed by doctors (24%) administrative assistants (10.59%) and nursing attendants (9.42%). Majority (33.15%) had personal burnout followed by work-related (24.04%) and client related burnout 22.93%. Around 48.35% reported satisfaction with their current jobs, while 50% were ambivalent and only 1.66% were dissatisfied. Majority (80.39%) were satisfied with nature of work followed by supervision (74.04%), coworker (66.3%), communication (65.75%) and pay (58.57%). In contrast, less than half were satisfied with fringe benefits (44.76%). Moreover, around 44.2% were dissatisfied with their working conditions. Ambivalence was seen in a range of 42.27% (promotion) to 47.52% (contingent rewards).
Burnout, Psychological ; Job Satisfaction ; Burnout, Professional

Burnout, Professional ; Humans

Burnout, Professional ; Humans