Burnout Syndrome in...
 
Notifications
Clear all

Burnout Syndrome in the Society

11 Posts
11 Users
1 Likes
253 Views
(@ashishjoshi)
Posts: 121
Reputable Member Admin
Topic starter
 

Let's share your thoughts on the burnout Syndrome in the society.

 
Posted : September 13, 2021 8:53 am
(@madhavi-kharwar)
Posts: 11
Active Member
 

In the light of social change and transformation in the work situation , interest in the problem of burnout has grown over the past decade. There is a conspicuous discrepancy despite numerous new discoveries regarding the development of burnout syndrome , many questions still remain unanswered . Is burnout merely high level stress at the workplace or the result of complex interaction of social factors and individual factors .Recent research suggest that such influences are possibly not only relevant for the development of burnout syndrome , but also in the pathogenesis of occupation related psychiatric diseases . According to person misfit concept an imbalance between mental decisive for the development of burnout syndrome . The risk of burnout is influenced not only by extent of the stress factors and deficits in personal resources , but above all by social support systems and coping strategies . In addition to primary personality structure ,negative factors which influence the individual stress tolerance are inadequate or lacking strategies to deal with stress , disappointment expectations ,and lifestyle .Measures to prevent burnout can be differentiated according to preventive approach and levels of prevention . Preventive approaches to be considered are both modifications in the working environment and also improvements in the individuals ability to cope with stress .According to WHO the levels of prevention can be divided into primary preventive measures ,secondary measures , tertiary measures. The concepts of behavioural preventive measures presented in literature focus on primary prevention and are domain of psychology . In times of limited resources ,acceptance and feasibility also play an important role in development and implementation of preventive strategies . The closing of gaps in our knowledge would also be a great improvement for the prevention of burnout .

 
Posted : September 13, 2021 1:52 pm
(@harpreet)
Posts: 60
Trusted Member
 

The International Classification of Diseases (ICD-11) includes burnout as an occupational phenomenon and defines it as a syndrome due to chronic workplace stress characterized by feelings of exhaustion, negativism and decreased, unmanaged professional efficacy (1). This article “A clinical perspective on burnout: diagnosis, classification, and treatment of clinical burnout” (2) talks about differentiating between the symptoms of mild stress disorders and clinical burnout and emphasizes that the difference is qualitative rather than dimensional. It also discusses need for tailored interventions as per the risk profiles.

References

  1. //www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseases
  2. //www.tandfonline.com/doi/full/10.1080/1359432X.2021.1948400
 
Posted : September 13, 2021 5:16 pm
(@chandrima-chatterjee)
Posts: 17
Eminent Member
 

Burnout Syndrome in the Society

During the COVID-19 pandemic, the human race has faced many challenges. Mental health, which was not much discussed before, became a topic that needed to be addressed. Many new terms became part of the urban dictionary like "burnout", "zoom fatigue", "work from home or WFH", etc. With the Work from Home culture, arguments over the good and the wrong sides blur professional-personal life boundaries and many other effects. Burnout has been shown to affect almost all sectors of society.

As WHO described in ICD-11, "Burnout" or "Burnout Syndrome" results from prolonged workplace stress, which has not been appropriately managed. As per the report, it is characterised by three dimensions – [1]

  • feelings of energy depletion or exhaustion.
  • Increased mental distance from one's job, or feelings of negativism or cynicism related to one's career, and
  • reduced professional efficacy.

 

Burnout has been highly prevalent in healthcare professionals. The long working hours, stress related to the pandemic and using the limited resources to their maximum potential has added up to the pressure. While healthcare workers can choose whether or not to work in a healthcare organisation based on perceived safety or hazards, they also share a shared obligation to help patients in times of distress. In the event of a pandemic, ethical values, such as the ability of providers to make decisions on their own, may compromise their psychological and emotional wellbeing. Moral distress has been identified as a root cause of Burnout in healthcare practitioners. In medical practice, patient autonomy and welfare remain essential ethical ideas severely impacted while patients are on ventilator support. Owing to the limited therapeutic options for Covid-19, a physician may encounter moral uncertainty while choosing on therapy, especially if the patient is unable to engage in decision-making due to a severe illness. Marginalised communities, such as racial and ethnic minorities, are more likely to become infected and have inadequate healthcare access to and outcomes. It can be extremely difficult for individuals dealing with the pandemic's quickly increasing new cases and fatalities daily. Increasing awareness of work-related stress and Burnout, promoting mindfulness and self-care practises for promoting mental wellbeing, ensuring optimal mental health services, and using digital technologies to address workplace stress and deliver medication are all examples of multipronged evidence-based approaches to address Burnout during this pandemic, according to global evidence. [2]

 

 

References

  1. //www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseases
  2. Sultana A, Sharma R, Hossain MM, Bhattacharya S, Purohit N. Burnout among healthcare providers during COVID-19 pandemic: Challenges and evidence-based interventions.

//www.researchgate.net/profile/Md-Hossain-98/publication/340634505_Burnout_Among_Healthcare_Providers_During_COVID-19_Pandemic_Challenges_and_Evidence-based_Interventions/links/5f9f2800a6fdccfd7b947a29/Burnout-Among-Healthcare-Providers-During-COVID-19-Pandemic-Challenges-and-Evidence-based-Interventions.pdf

Other Interesting Reads

  1. Griffith AK. Parental Burnout and child maltreatment during the COVID-19 pandemic. Journal of family violence. 2020 Jun 23:1-7.

//link.springer.com/content/pdf/10.1007/s10896-020-00172-2.pdf

  1. Weber A, Jaekel-Reinhard A. Burnout syndrome: a disease of modern societies? Occupational medicine. 2000 Sep 1;50(7):512-7.

//academic.oup.com/occmed/article/50/7/512/1444456?login=true

 
Posted : September 13, 2021 9:02 pm
(@shambhavi)
Posts: 16
Eminent Member
 

In particular to the healthcare sector, especially during COVID-19 pandemic, various organizations have declared burnout as a public health crisis amongst medical staff from all around the world. A recent study conducted in China from January 29, 2020, to February 3, 2020, to assess the mental health status of physicians and nurses found that they demonstrated a high prevalence of anxiety, depression, and insomnia.[1] Burnout involves cognitive fatigue, depersonalization, and a diminished sense of success. Since physicians endure an extremely taxing working environment, burnout syndrome among healthcare workers has attracted major interest in recent years.

To understand the cause behind this syndrome, research suggests that physicians are at higher risk of burnout due to exposure to emotional pressure beyond the level experienced in most other professions. Burnout has been linked to decreased efficiency, diminished work satisfaction, subsequent irritability and dissatisfaction amongst physicians, impacting their sense of well-being and willingness to function fully at work and add to increased risk of medical errors, which also has a harmful effect on patient outcomes. Unfortunately, burnout has been also been primarily associated with suicidal risk and elevated levels of depression, increased risk of cardiovascular diseases and many more such life threatening events. [2]

While the physical health, mental health, and burnout risk has been studied in frontline health care workers, to date, no study has examined the effects of COVID-19 on the public health workforce, mostly due to the complexities of defining the public health workforce, which includes not only those who work for federal, state, and local governmental public health agencies but also workers in community based organizations, public health staff in health care systems, those working in academic public health, and others.[3]  This is alarming most of the people suffering from job burnouts are on their own and have not been reached out for provision of any assistance or aid, at large yet.

 

REFERENCES:

  1. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open. (2020) 3:e203976. doi: 10.1001/jamanetworkopen.2020.3976 //jamanetwork.com/journals/jamanetworkopen/fullarticle/2763229
  2. Elhadi M, Msherghi A, Elgzairi M, et al. Burnout Syndrome Among Hospital Healthcare Workers During the COVID-19 Pandemic and Civil War: A Cross-Sectional Study. Front Psychiatry. 2020;11:579563. Published 2020 Dec 11. doi:10.3389/fpsyt.2020.579563 //www.ncbi.nlm.nih.gov/pmc/articles/PMC7759513/
  3. Stone KW, Kintziger KW, Jagger MA, Horney JA. Public Health Workforce Burnout in the COVID-19 Response in the U.S. Int J Environ Res Public Health. 2021;18(8):4369. Published 2021 Apr 20. doi:10.3390/ijerph18084369 //www.ncbi.nlm.nih.gov/pmc/articles/PMC8074254/
 
Posted : September 14, 2021 4:23 am
(@kamalpreet)
Posts: 69
Estimable Member
 

A cross sectional survey was conducted on the health care professionals (HCPs) worldwide to evaluate the exposure, perceptions, workload, and possible burnout  during pandemic. The three measures were exposure, perception and workload. It was observed high job workload, high job stress, high time pressure and inadequate PPE had increased the health care professionals burnout during COVID-19.

Mental health resources, additional training, strengthening organizational support for HCPs physical and emotional needs, helping with childcare, temporary housing , wages and availability of adequate PPE could help to reduce the burnout in health care professionals. These modifiable actions can be taken from healthcare institutions and other governmental and non-governmental stakeholders

read here : //journals.plos.org/plosone/article?id=10.1371/journal.pone.0238217

 
Posted : September 14, 2021 3:19 pm
(@heemanshu-aurora)
Posts: 8
Active Member
 

During the Covid-19 pandemic healthcare systems have faced rising demands and limited resources. Thus it is  important to understand the corresponding rates of burnout, predictors of burnout and what should be done to reduce the same.

There is an  association between safety attitudes and psychological outcomes, institutions should pay particular attention to safety culture during the Covid-19 pandemic. The use of patient safety teams, for example, can support the integration of human factors principles, such as effective communication, into organizational processes that will improve patient and staff safety. The use of such teams during a time of organizational change can help design, adapt and reconfigure work systems, maximize individual and team performance under high-risk, high-stakes environments, while minimizing the introduction of new significant safety risks or unintended consequences into the work system”. Similarly, institutions should boost and expand learning systems to capture risks and improvement opportunities, and leverage these to protect staff and patients. 

Measures to mitigate harm arising from psychological distress following the Covid-19 pandemic are important to prevent long-term harm. Six evidence-based principles (Greenburg et al, 2020) to support the mental health of Health care workers (HCW) following the Covid-19 pandemic: appropriate appreciation, investigating absences (for welfare reasons), conducting return to work interview, paying close attention to at-risk groups, continually monitoring staff, and helping HCWs make sense of their experience.

References:

//www.bmj.com/content/368/bmj.m1211

//journals.plos.org/plosone/article?id=10.1371/journal.pone.0238666#pone.0238666.ref077

 
Posted : September 15, 2021 3:02 pm
(@isha09)
Posts: 30
Eminent Member
 

Burnout is a dynamic process and it is a result of consistent chronic stress (at the workplace) which has not been successfully dealt with. It is characterized by exhaustion and depersonalization (negativism/cynicism) and is found predominantly in almost all the jobs especially white collar such as care providers, and social professions (e.g. social workers, teachers, nurses, doctors, dentists. This condition develops when there is an imbalance between stress level tolerance both psychologically and physically. The risk of burnout is influenced not only by the extent of the stressors and deficits in personal and social support systems and lack of coping strategies. In addition to this, negative factors also influence the individual stress tolerance levels. There can be multidimensional symptoms such as chronic fatigue, continuous exhaustion, mental dysfunction like concentration and memory disturbances, a lack of drive and personality changes, anxiety and depressive disturbances, and suicidal tendencies. Also the development of addictions, headaches, and systemic disorders such as cardiovascular, gastrointestinal and so on. 

According to the WHO,  the levels of prevention can be divided into

  • primary preventive measures (avoidance/removal of factors that make the patient ill)
  • secondary measures (early recognition-intervention of manifest disease) and
  • tertiary measures (coping with the consequences of disease-rehabilitation and relapse prophylaxis)

Preventive approaches for this condition could be both modifying the working environment and also improving individual's ability to cope with stress (behavioural preventive measures) such as by learning of relaxation techniques, delegating responsibility, making hobbies (sport, culture, nature), maintaining stable partnerships/social relationships, frustration prophylaxis (reducing false expectations). Creating a healthy work environment by improving time management, communication style of leadership, rewarding and recognising performance, and training of managers, adequate staffing, collaboration, authentic leadership, and effective communication.

To conclude, Burnout is a challenge to each and every job nowadays and can happen with individuals without any prior history of psychological or psychiatric disorders. It can be triggered by a mismatch between expectations and profound standards of employee and what the job demands actually. 

References:

  1. //www.thoracic.org/patients/patient-resources/resources/burnout-syndrome.pdf
  2. //pubmed.ncbi.nlm.nih.gov/11198677/
  3. //www.frontiersin.org/articles/10.3389/fpubh.2015.00158/full

 

 
Posted : September 16, 2021 4:30 pm
(@b-shivani)
Posts: 16
Active Member
 

Chronic stress in the workplace, if not managed properly, results in burnout syndrome. Burnout Syndrome showcases:

  • Hyperactivity
  • Fatigue
  • Reduced activity like withdrawal and resignation
  • Emotional reaction in the form of aggression and cynicism 
  • Breakdown
  • Loss of social contact
  • Psychosomatic reaction such as sleep disturbances, gastrointestinal disorders and cardiovascular disorders
  • Suicidal intention

Burnout cannot be dismissed as a fashionable trend as it reduces productivity, feeling helpless and hopeless. It reflects in the workplace, at home and in the society. Studies reveal the physicians were more likely to have symptoms of burnout. Unfortunately, critical care professionals have higher rate of occurrence which will adversely affect their ability to provide proper care to patients. It remained unrecognized until Critical Care Societies Collaborative turned its attention towards diagnosis, prevalence, causative factors and its consequences on health providers. Working in an ICU can be stressful due to high mortality and morbidity of patients. Added to it, encounters with traumatic, ethical issues and limited resources enhance the chances of burnout among them.

Suggested therapies for burnout are antidepressants, relaxation techniques, reorganization of work and change of work environment.

 

Citation

1. Weber A, Jaekel-Reinhard A. Burnout syndrome: a disease of modern societies? Occup Med (Lond). 2000 Sep;50(7):512-7. doi: 10.1093/occmed/50.7.512. PMID: 11198677.

2. Moss M, Good VS, Gozal D, Kleinpell R, Sessler CN. A Critical Care Societies Collaborative Statement: Burnout Syndrome in Critical Care Health-care Professionals. A Call for Action. Am J Respir Crit Care Med. 2016 Jul 1;194(1):106-13. doi: 10.1164/rccm.201604-0708ST. PMID: 27367887.

 

Reference

//www.thoracic.org/patients/patient-resources/resources/burnout-syndrome.pdf

 
Posted : September 17, 2021 9:08 pm
(@shruti-sharma)
Posts: 29
Eminent Member
 

I found this article really appreciative :

//journal.chestnet.org/article/S0012-3692(16)01269-1/fulltext

 

BOS also directly affects the mental health and physical well-being of the many critical care physicians, nurses, and other health-care professionals who practice worldwide. Until recently, BOS and other psychological disorders in critical care health-care professionals remained relatively unrecognized.

 
Posted : September 18, 2021 2:46 pm
(@ashruti-bhatt)
Posts: 74
Trusted Member
 

According to the most common description at present, burnout syndrome is characterized by exhaustion, depersonalization and reduced satisfaction in performance. Because of its aetiopathogenesis, burnout is today mainly regarded as the result of chronic stress which has not been successfully dealt with. This paper attached below, gives an overview of the current definition for burnout syndrome and states possible contemporary hypotheses for its aetiology. By examining diagnostic criteria and possible therapies, methods of prevention are discussed. There is an urgent need for further investigations to determine whether burnout syndrome is a work-related disease.

 

//pubmed.ncbi.nlm.nih.gov/11198677/

 
Posted : September 19, 2021 11:36 am
Share:
Go to Top