Emotional burnout among medical stuff of a neurosurgery center: analysis of prevalence, structure and risk factors
DOI:
https://doi.org/10.14739/2310-1210.2024.6.307238Keywords:
emotional burnout, neurosurgery, medical professionals, mental health, psychologAbstract
Aim. To determine the prevalence and risk factors of emotional burnout among medical workers of a neurosurgery center.
Materials and methods. In 2022–2024, a prospective study of the medical staff involved in emergency care for patients with acute ischemic stroke, in particular mechanical thrombectomy, was conducted at the Center for X-ray Endovascular Neurosurgery of Kyiv City Clinical Hospital No. 1. The mean age of the sample was 32.2 ± 5.8 years. The sex structure was: 40 (80.0 %) men and 10 (20.0 %) women. The clinical-psychopathological, psychodiagnostic and statistical methods were used. The psychodiagnostic method was implemented by using the Maslach Burnout Inventory (MBI, C. Maslach et al., 1997).
Results. It has been determined that such a criterion as the sex of neurosurgery center medical staff did not affect the severity of any component of emotional burnout (p > 0.05). Statistically significant differences in the prevalence of high rates of emotional burnout components have been found between groups of medical staff with different specializations. Namely, it has been revealed that working in the center as a neurosurgeon was significantly associated with high rates of such components as “Emotional exhaustion” (p = 0.04) and “Depersonalization” (p = 0.006). A direct correlation has also been established between the total work experience, length of service at the neurosurgery center and the number of working hours per month with the intensity of emotional burnout manifestations in the selected contingent of individuals.
Conclusions. The prevalence of emotional burnout among medical staff of the neurosurgery center has been established for various components of this phenomenon: “Emotional exhaustion” – 52.0 %, “Depersonalization” – 40.0 %, “Reduction of personal achievements” – 50.0 %, indicating a high level of stress and negatively affecting the mental health of the selected contingent. The risk for developing emotional burnout among the medical staff rises with increasing workload, length of service and work experience at the center. An absolute risk factor for emotional burnout is a neurosurgical practice. The development of psychotherapeutic measures aimed at overcoming the manifestations of emotional burnout in medical workers and increasing their resilience to stressful working conditions of the neurosurgery center is promising.
References
Assonov D. [Emotional burnout of healthcare professionals: models, risk factors and protective factors]. Psychosomatic Medicine and General Practice. 2021;6(2):e0602295. Ukrainian. doi: https://doi.org/10.26766/pmgp.v6i2.295
Richards AE, Curley KL, Zhang N, Bendok BR, Zimmerman RS, Patel NP, et al. Burnout and Emotional Intelligence in Neurosurgical Advanced Practice Providers Across the United States: A Cross-Sectional Analysis. World Neurosurg. 2021;155:e335-44. doi: https://doi.org/10.1016/j.wneu.2021.08.066
Yu J, Zou F, Sun Y. Job satisfaction, engagement, and burnout in the population of orthopedic surgeon and neurosurgeon trainees in mainland China. Neurosurg Focus. 2020;48(3):E3. doi: https://doi.org/10.3171/2019.12.FOCUS19830
Beheza L. Psykholohichni osoblyvosti emotsiinoho vyhorannia likariv. Psychological perspectives. 2020;36:37-48. doi: https://doi.org/10.29038/2227-1376-2020-36-37-48
Mackel CE, Nelton EB, Reynolds RM, Fox WC, Spiotta AM, Stippler M. A Scoping Review of Burnout in Neurosurgery. Neurosurgery. 2021;88(5):942-54. doi: https://doi.org/10.1093/neuros/nyaa564
Naumenko H. [From burnout to involvement of medical staff. Strategies for successful creation of an effective organizational culture in a medical institution (practical cases of the Mayo Clinic)]. Psychosomatic Medicine and General Practice. 2020;5(2). Available from: https://uk.e-medjournal.com/index.php/psp/article/view/238
Senturk JC, Melnitchouk N. Surgeon Burnout: Defining, Identifying, and Addressing the New Reality. Clin Colon Rectal Surg. 2019;32(6):407-14. doi: https://doi.org/10.1055/s-0039-1692709
Khan R, Hodges BD, Martimianakis MA. When I say … burnout. Med Educ. 2023;57(8):704-5. doi: https://doi.org/10.1111/medu.15088
Berardo L, Gerges C, Wright J, et al. Assessment of burnout prevention and wellness programs for US-based neurosurgical faculty and residents: a systematic review of the literature. J Neurosurg. 2020;135(2):392-400. doi: https://doi.org/10.3171/2020.6.JNS201531
Romito BT, Okoro EN, Ringqvist JRB, Goff KL. Burnout and Wellness: The Anesthesiologist's Perspective. Am J Lifestyle Med. 2020;15(2):118-25. Published 2020 Mar 15. doi: https://doi.org/10.1177/1559827620911645
Shakir HJ, McPheeters MJ, Shallwani H, Pittari JE, Reynolds RM. The Prevalence of Burnout Among US Neurosurgery Residents. Neurosurgery. 2018;83(3):582-90. doi: https://doi.org/10.1093/neuros/nyx494
Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory: Third edition. In: . Zalaquett P, Wood RJ, editors. Lanham (US): Scarecrow Press Inc; 1997. p. 191-218.
Terenda NO, Pavliv TB, Terenda OA. Profesiine vyhorannia – odna z nevyrishenykh problem systemy okhorony zdorovia. Bulletin of Social Hygiene and Health Protection Organization of Ukraine. 2021;2:29-33. doi: https://doi.org/10.11603/1681-2786.2021.2.12377
Zaed I, Jaaiddane Y, Chibbaro S, Tinterri B. Burnout Among Neurosurgeons and Residents in Neurosurgery: A Systematic Review and Meta-Analysis of the Literature. World Neurosurg. 2020;143:e529-34. doi: https://doi.org/10.1016/j.wneu.2020.08.005
Zaed I, Chibbaro S. In Reply to the Letter to the Editor Regarding "Burnout Among Neurosurgeons and Residents in Neurosurgery: A Systematic Review and Meta-Analysis of the Literature". World Neurosurg. 2022;164:479. doi: https://doi.org/10.1016/j.wneu.2022.06.011
Neal MT, Lyons MK. Burnout and work-life balance in neurosurgery: Current state and opportunities. Surg Neurol Int. 2020;11:456. doi: https://doi.org/10.25259/SNI_736_2020
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