1.Mediating role of depression between workplace violence and job burnout among healthcare workers.
Xiaohua ZHAO ; Zheng ZHANG ; Zengyu CHEN ; Yusheng TIAN ; Haiyan CHEN ; Jiansong ZHOU
Journal of Central South University(Medical Sciences) 2023;48(6):903-908
OBJECTIVES:
Health workers are at risk of workplace violence, which can seriously affects their mental health and work status. This study aims to explore the mediating role of depression between workplace violence and job burnout among healthcare workers.
METHODS:
From January 10 to February 5, 2019, a questionnaire was distributed to frontline healthcare workers through the wenjuanxing platform using convenient sampling (snowball sampling). The questionnaire included the Chinese version of the Workplace Violence Scale, Maslach Burnout Inventory, and Patient Health Questionnaires (PHQ-2). Descriptive statistics, correlation analysis, and mediation model tests were conducted on the cross-sectional data collection.
RESULTS:
The study included 3 684 participants, with (31.63±7.69) years old. Among them 2 079(56.43%) were experienced workplace violence, 687(18.65%) were screened positive for depression, and 2 247(60.99%) were experienced high levels of occupational burnout. Correlation analysis showed positive association between workplace violence and depression, workplace violence and occupational burnout, depression and occupational burnout (r=0.135, r=0.107, r=0.335, respectively, all P<0.001). After controlling for covariates, workplace violence had an indirect effect on occupational burnout through depression, with a standardized coefficient of 0.25 (SE=0.02, 95% CI 0.21 to 0.28), accounting for 13.87% of the total effect.
CONCLUSIONS
The study highlights the close relationship between workplace violence, depression, and occupational burnout among healthcare workers, with depression acting as a mediator between workplace violence and occupational burnout. This study suggests that it is necessary to improve the communication skills of healthcare workers, increase the installation of security systems and emergency plans, use new media platforms to convey positive energy between doctors and patients, and open channels for medical consultation and complaints. It is also necessary to provide guidance for healthcare workers' depressive emotions. Addressing depression among health care workers will help reduce the harm caused by workplace violence, protect the physical and mental health of healthcare workers, and reduce work burnout.
Humans
;
Young Adult
;
Adult
;
Burnout, Professional
;
Cross-Sectional Studies
;
Depression/epidemiology*
;
Workplace Violence
;
Burnout, Psychological
;
Health Personnel
2.Safety attitudes, burnout and well-being among healthcare workers during the COVID-19 pandemic: an Indo-Pacific regional cross-sectional study.
Abhiram KANNEGANTI ; Benjamin Yong Qiang TAN ; Nik Hisamuddin NIK AB RAHMAN ; Aloysius Sheng-Ting LEOW ; Max DENNING ; Ee Teng GOH ; Lucas Jun HAO LIM ; Ching-Hui SIA ; Ying Xian CHUA ; James KINROSS ; Melanie TAN ; Li Feng TAN ; Yi Min WAN ; Arvind SHARMA ; Rivan DANUAJI ; R N KOMAL KUMAR ; Chew Keng SHENG ; Cheah Phee KHENG ; Sarah Shaikh ABDUL KARIM ; Mohd Najib ABDUL GHANI ; Suhaimi MAHMUD ; Yiong Huak CHAN ; Vijay Kumar SHARMA ; Kang SIM ; Shirley Beng SUAT OOI
Singapore medical journal 2023;64(11):667-676
INTRODUCTION:
The coronavirus disease 2019 (COVID-19) pandemic has had an unprecedented impact in Asia and has placed significant burden on already stretched healthcare systems. We examined the impact of COVID-19 on the safety attitudes among healthcare workers (HCWs), as well as their associated demographic and occupational factors, and measures of burnout, depression and anxiety.
METHODS:
A cross-sectional survey study utilising snowball sampling was performed involving doctors, nurses and allied health professions from 23 hospitals in Singapore, Malaysia, India and Indonesia between 29 May 2020 and 13 July 2020. This survey collated demographic data and workplace conditions and included three validated questionnaires: the Safety Attitudes Questionnaire (SAQ), Oldenburg Burnout Inventory and Hospital Anxiety and Depression Scale. We performed multivariate mixed-model regression to assess independent associations with the SAQ total percentage agree rate (PAR).
RESULTS:
We obtained 3,163 responses. The SAQ total PARs were found to be 35.7%, 15.0%, 51.0% and 3.3% among the respondents from Singapore, Malaysia, India and Indonesia, respectively. Burnout scores were highest among respondents from Indonesia and lowest among respondents from India (70.9%-85.4% vs. 56.3%-63.6%, respectively). Multivariate analyses revealed that meeting burnout and depression thresholds and shifts lasting ≥12 h were significantly associated with lower SAQ total PAR.
CONCLUSION
Addressing the factors contributing to high burnout and depression and placing strict limits on work hours per shift may contribute significantly towards improving safety culture among HCWs and should remain priorities during the pandemic.
Humans
;
Cross-Sectional Studies
;
Pandemics
;
COVID-19/epidemiology*
;
Burnout, Psychological
;
Health Personnel
3.Relationship between social support and parental burnout in COVID-19 among Chinese young parents.
Ming Long CHEN ; Xiao Han LIU ; Jing GUO
Journal of Peking University(Health Sciences) 2022;54(3):520-525
OBJECTIVE:
To explore potential categories of parental social support for young parents under the coronavirus disease 2019 (COVID-19) epidemic, and to examine correlations of different types of parents' social support with parental burnout.
METHODS:
In April 2020, we conducted an online voluntary survey among young parents across China with scales and a self-designed questionnaire. The latent profile analysis method was used to analyze parents' received social support and perceived social support. The social support categories were taken as independent variables and parental burnout as dependent variables, and multiple regression analysis was carried out to explore the relationship between received social support, perceived social support and parental burnout. Finally, the moderating effect of resilience between social support groups and parental burnout was discussed.
RESULTS:
The results of latent profile analysis revealed three potential types of received social support, namely isolate, normal, and multi-support and the proportions of the respondents with the three profiles were 14.1%, 78.0%, and 7.9%. Four potential types of perceived social support, namely, indigent, medium, affluent and divergent and the proportions of the respondents with the four profiles were 13.7%, 29.6%, 25.3%, and 31.3%. Among them, the parents with divergent perceived social support had more perception of social support from the couple, family and relatives, but less perception of social support from net-friend, social organizations and the government. Regression analysis showed that there was no statistically significant correlation between different profiles of received social support and parental burnout, and among the groups of perceived social support, there was a statistically significant correlation between indigent and divergent types of social support and parental burnout. The divergent parents had lower levels of parental burnout compared with indigent (β=-0.120, P=0.003). Also, resilience moderated the effect of divergent perceived social support and parental burnout. Compared with the parents with low resilience, the parents with high resilience perceived divergent social support with lower parenting burnout.
CONCLUSION
There are prominent latent types of received social support and perceived social support under epidemic. People with divergent perceived social support (more perceived supports from partner, family and friends) are prone to have a relatively lower risk of parental burnout. Parents with higher resilience will be more sensitive to the support of close acquaintances, and can better resist parental burnout.
Burnout, Psychological/epidemiology*
;
COVID-19/epidemiology*
;
China/epidemiology*
;
Humans
;
Parents
;
Social Support
4.Stress and Burnout among Physicians: Prevalence and Risk Factors in a Singaporean Internal Medicine Programme.
Kay Choong SEE ; Tow Keang LIM ; Ee Heok KUA ; Jason PHUA ; Gerald Sw CHUA ; Khek Yu HO
Annals of the Academy of Medicine, Singapore 2016;45(10):471-474
Adult
;
Age Factors
;
Burnout, Professional
;
epidemiology
;
psychology
;
Cross-Sectional Studies
;
Exercise
;
Female
;
Humans
;
Internal Medicine
;
education
;
Internship and Residency
;
Interprofessional Relations
;
Male
;
Physicians
;
psychology
;
statistics & numerical data
;
Prevalence
;
Risk Factors
;
Singapore
;
epidemiology
;
Stress, Psychological
;
epidemiology
;
psychology
;
Surveys and Questionnaires
5.Are We Working Too Hard?-A Functional Scoring of Orthopaedic Surgeons.
Nicholas Sl NG ; Ernest Bk KWEK
Annals of the Academy of Medicine, Singapore 2016;45(5):212-214
Adult
;
Age Factors
;
Burnout, Professional
;
epidemiology
;
Female
;
Health Status
;
Humans
;
Male
;
Marital Status
;
Mental Health
;
Occupational Health
;
Orthopedic Surgeons
;
statistics & numerical data
;
Pain
;
epidemiology
;
Personnel Staffing and Scheduling
;
Sex Factors
;
Singapore
;
epidemiology
;
Social Behavior
;
Stress, Psychological
;
epidemiology
;
Surveys and Questionnaires
;
Work Schedule Tolerance
6.Relationship of personality with job burnout and psychological stress risk in clinicians.
Lei HUANG ; Dinglun ZHOU ; Yongcheng YAO ; Yajia LAN
Chinese Journal of Industrial Hygiene and Occupational Diseases 2015;33(2):84-87
OBJECTIVETo analyze the job burnout and mental health status of clinicians and the relationship of personality with job burnout and psychological stress, and to investigate the direct or indirect effects of personality on psychological stress.
METHODSMaslach Burnout Inventory-General Survey (MBI-GS), Eysenck Personality Questionnaire-Revised Short Scale (EPQ-RSC), and Kessler 10 Scale were administered to 775 clinicians.
RESULTSOf all clinicians, 29.5% had mild burnout, with a score of 22.7 ± 8.18 for psychological stress risk. The effect of personality on emotional exhaustion and cynicism was greater than that on personal accomplishment. Clinicians with a personality of introversion, neuroticism, and psychoticism suffered a higher risk of psychological stress. Personality had both direct and indirect effects on psychological stress. Neuroticism had the strongest effect on psychological stress, with an effect size of 0.55.
CONCLUSIONClinicians have a high level of both job burnout and mental psychological stress risk. Personality is significantly correlated with job burnout and psychological stress risk. Measures depending on personality should be taken for effective intervention.
Anxiety Disorders ; Burnout, Professional ; epidemiology ; psychology ; Fatigue ; Humans ; Neuroticism ; Personality ; Physicians ; psychology ; Risk ; Stress, Psychological ; epidemiology ; psychology ; Surveys and Questionnaires
7.The prevalence of burnout and the related factors among some medical students in Korea.
Jaewon CHOI ; Shill Lee SON ; Suh Hee KIM ; Hyunsoo KIM ; Jee Young HONG ; Moo Sik LEE
Korean Journal of Medical Education 2015;27(4):301-308
PURPOSE: This study was conducted to examine the relationship between the prevalence of burnout and its related factors in medical students in Korea. METHODS: All available medical students in the metropolitan city of Daejeon, Korea, were asked to answer self-administered questionnaires from July 1 to July 26 in 2013. A total of 534 medical students participated. The Maslach Burnout Inventory-Student Survey (MBI-SS) and structured questionnaires on related factors were used. Confirmatory factor analysis and Cronbach's alpha were used to verify the applicability of the MBI-SS to medical students in Korea. We also performed chi-square test and logistic regression analysis to identify the factors that were associated with burnout. RESULTS: The MBI-SS was reliable and valid in measuring burnout in Korean medical students. Our confirmatory factor analysis approved and explained the appropriateness of the model fit. The prevalence of burnout among medical students was 26.4% (n=141). Such rates were higher in students who were female, experienced greater levels of depression, had poor academic performance, feared dropping out, and were stressed by the poor quality of the class facilities. CONCLUSION: The MBI-SS is a valid instrument to measure academic burnout in Korean medical students. Further studies should be performed, because improvements in the mental health of medical students will benefit these doctors-to-be and their future patients.
Burnout, Professional/*epidemiology
;
Factor Analysis, Statistical
;
Female
;
Humans
;
Logistic Models
;
Male
;
Prevalence
;
Psychometrics/*methods
;
Reproducibility of Results
;
Republic of Korea/epidemiology
;
Risk Factors
;
Stress, Psychological/*epidemiology
;
Students, Medical/*psychology
;
Surveys and Questionnaires/*standards
8.The epidemiological characteristics and correlated factors of daily hassles for thermal power plant workers.
Hui WU ; Shan-fa YU ; Wen-hui ZHOU ; Gui-zhen GU
Chinese Journal of Preventive Medicine 2012;46(7):619-622
OBJECTIVEThis study aimed to investigate the epidemiological characteristics and correlated factors of daily hassles among thermal power plant workers.
METHODSA mass screening of daily hassles and correlated factors was conducted on 498 workers from a thermal power plant in Zhengzhou in July, 2008. The questionnaires included Daily Hassles Questionnaires, Work Roles Questionnaires, Job Content Questionnaires (Chinese version), Effort-Reward Imbalance (Chinese version), Work Locus of Control Scale and Type A Behavior Scale, with content covering demographic characters and occupational stress correlated factors among subjects. The daily hassles was divided into lower level and higher level according to scores, and the epidemiological characteristics and correlated factors of daily hassles were analyzed.
RESULTSA total of 446 qualified questionnaires were obtained, effective response rate was 89.6% (446/498). For respondents, the age was (36.96 ± 6.49) years old, working length of the current job was (12.05 ± 7.54) years, the daily hassles scores was (9.01 ± 2.50), and the prevalence rate of the higher level of daily hassles was 34.1% (152/446). The multiple non-conditional logistic regression analysis showed 5-14 years' working length of current job (OR = 0.451, 95%CI: 0.225 - 0.904), average income > 3000 yuan(OR = 0.372, 95%CI: 0.202 - 0.684), reward (OR = 0.557, 95%CI: 0.325 - 0.954) and coping strategy (OR = 0.552, 95%CI: 0.330 - 0.925) were negatively correlated with daily hassles, and shift-work (OR = 1.887, 95%CI: 1.108 - 3.215), effort (OR = 2.053, 95%CI: 1.198 - 3.519), psychological demand (OR = 1.797, 95%CI: 1.049 - 3.078), negative affectivity (OR = 3.421, 95%CI: 2.065 - 5.668) were positively correlated with daily hassles.
CONCLUSIONThe prevalence rate of the higher level of daily hassles was considerable high for thermal power plant workers. Its negative correlated factors included 5 - 14 years' working length of the current job, average income > 3000 yuan, reward and coping strategy and its positive corelated factors included shift-work, effort, psychological demand and negative affectivity.
Adult ; Burnout, Professional ; epidemiology ; Female ; Humans ; Male ; Occupational Diseases ; epidemiology ; Power Plants ; Stress, Psychological ; epidemiology ; Surveys and Questionnaires
9.Hierarchical regression analysis for relationship between job stress and job burnout in Shanghai employees.
Jun-ming DAI ; Hui-zhu YU ; Jian-hua WU ; Hui-hua XU ; Weng-rong SHEN ; Zu-bing WANG ; Hua FU
Chinese Journal of Industrial Hygiene and Occupational Diseases 2006;24(8):450-453
OBJECTIVETo identify related factors of job burnout in Shanghai employees.
METHODSFour hundred fifty-six employees in Shanghai were investigated in this study. Self-administered questionnaires were used to assess job burnout and job stress, based on Maslach Burnout Inventory and the Job Demand-Control model as well as Effort-Reward Imbalance Model. Hierarchical linear regression was employed to analyze the relationship of job burnout to personal characteristics and job stress.
RESULTSThe indexes of three dimensions of job burnout were emotional exhaustion 19.70 +/- 8.92, depersonalization 11.95 +/- 4.45 and reduced personal accomplishment 28.10 +/- 10.08. Job stress was found to be affected differently in three dimensions of job burnout. Job demand, effort and over-commitment had positive impact on emotional exhaustion. Job control had a negative association with emotional exhaustion. There were significant relationship between depersonalization and age, sex and education of employees. Job control, reward and over-commitment affected the index of depersonalization. Education level and social support increased personal accomplishment index.
CONCLUSIONIt is necessary to reduce job stress and care about personal characteristics in preventing job burnout.
Adult ; Burnout, Professional ; epidemiology ; psychology ; Female ; Humans ; Male ; Middle Aged ; Occupational Health ; Personality Inventory ; Regression Analysis ; Social Support ; Stress, Psychological ; epidemiology ; Surveys and Questionnaires

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