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2019, BMC Research Notes
Objective: A number of risk and protective factors have been described on the development of burnout syndrome amongst medical residents. The current study aims to investigate the impact of hospital educational environment and occupational stress on trainee doctors burnout. A cross-sectional study among 269 medical residents was conducted. Greek version of Postgraduate Hospital Educational Environment Measure (PHEEM-G) for the assessment of their educational environment, Greek Version of Job Stress Measure (JSM-G) for the stress assessment and Copenhagen Burnout Inventory (CBI) for burnout measurement were used. Results: Medical residents' perceptions about their educational environment are rather negative. Their job-related stress ranged between moderate and high levels, while burnout ranged in medium levels. A significant positive association was observed between total CBI and its subscales and stress. Positive evaluation of the clinical learning environment was inversely related with burnout levels. Job stress was correlated independently and positively with higher total burnout levels and its' three dimensions. Work-related burnout was independently and negatively related with social support.
HEALTH PSYCHOLOGY RESEARCH
Translation and validation of the Copenhagen Burnout Inventory amongst Greek doctors2019 •
The Copenhagen Burnout Inventory (CBI) is a tool for burnout measurement and includes three different subscales: (i) personal, (ii) work-related and (iii) client-related burnout. The aim of this study was the translation and validation of CBI into the Greek Language. The forward-backward translation method was performed. Initially the questionnaire was distributed to 35 medical students for face validity assessment. Then, 284 residents answered the Greek version of CBI so as for construct validity to be examined. The data analysis was performed by using SPSS and AMOS. Face validity was estimated above 0.8 for the Greek version of CBI. The three factors model of CBI-Greek, with 1 item removed, achieved not so well-defined inner structure in CFI. However, the 16-item model achieved good levels of goodness-of-fit indices (Cmin/df 2.52, RMSEA 0.074, GFI 0.901, CFI70.938, NFI 0.901, TLI 0.923). The composite reliability values, also varied from 0.842 to 0.852. Cronbach's alpha index values surpassed 0.844. The 16-item model of CBI-Gr is a valid tool with high internal consistency that can be used in the evaluation of burnout in Greek population. The original 3-items model is a possible alternative.
BMC Research Notes
The relationship between stress, social capital and quality of education among medical residents2018 •
Objective: The educational climate is a key factor in medical education. The study aims to examine the relationship between trainee doctors' perceptions of hospital educational environment, stress and social capital. A cross-sectional study among 104 trainee doctors working in a Greek public hospital was conducted. According to the main hypotheses , perceptions of clinical training are positively associated with social capital and negatively with stress. Results: Perceptions of autonomy dimension of training quality was positively related to community participation, tolerance of diversity and total social capital. Perceptions of teaching and social support dimensions of the quality of education were positively correlated with community participation. All training quality subscales were negatively correlated with almost all working stress subscales. Analysis revealed significantly higher scores in autonomy perceptions for those who evaluated their undergraduate studies positively. Females had a significantly lower score in perceptions of teaching and social support scales.
European Journal of Internal Medicine
Burnout in internal medicine physicians: Differences between residents and specialists2006 •
Human resources for health
Burnout and training satisfaction of medical residents in Greece: will the European Work Time Directive make a difference?2010 •
2017 •
Background: Nursing is perceived as a strenuous job. Although past research has documented that stress influences nurses' health in association with quality of life, the relation between stress and caring behaviors remains relatively unexamined, especially in the Greek working environment, where it is the first time that this specific issue is being studied. The aim was to investigate and explore the correlation amidst occupational stress, caring behaviors and their quality of life in association to health. Methods: A correlational study of nurses (N = 246) who worked at public and private units was conducted in 2013 in Greece. The variables were operationalized using three research instruments: (1) the Expanded Nursing Stress Scale (ENSS), (2) the Health Survey SF-12 and (3) the Caring Behaviors Inventory (CBI). Univariate and multivariate analyses were performed. Results: Contact with death, patients and their families, conflicts with supervisors and uncertainty about the therapeutic effect caused significantly higher stress among participants. A significant negative correlation was observed amidst total stress and the four dimensions of CBI. Certain stress factors were significant and independent predictors of each CBI dimension. Conflicts with co-workers was revealed as an independent predicting factor for affirmation of human presence, professional knowledge and skills and patient respectfulness dimensions, conflicts with doctors for respect for patient, while conflicts with supervisors and uncertainty concerning treatment dimensions were an independent predictor for positive connectedness. Finally, discrimination stress factor was revealed as an independent predictor of quality of life related to physical health, while stress resulting from conflicts with supervisors was independently associated with mental health. Conclusion: Occupational stress affects nurses’ health related quality of life negatively, while it can also be considered as an influence on patient outcomes.
Postgraduate medical trainees experience high rates of burnout, but evidence regarding psychiatric trainees is missing. We aim to determine burnout rates among psychiatric trainees, and identify individual, educational and work-related factors associated with severe burnout.
Burnout in health care professionals has gained significant attention over the last few decades. As a result of the intense emotional demands of the work environment, clinicians are particularly susceptible to developing burnout above and beyond usual workplace stress. Residency training, in particular, can cause a significant degree of burnout, leading to interference with individuals' ability. Overall, burnout is associated with a variety of negative consequences including depression, suicidal ideation, physical symptoms related to fatigue, risk of medical errors, and negative effects on patient safety. The purpose of this review is to provide medical educators and administrators with an overview of the factors that contribute to burnout, the impact of burnout, specialty wise variation, and suggestions for interventions to decrease burnout. Unlike medical institutions and the universities running postgraduate courses in developed countries, the importance of the post and the role of residency coordinator are underestimated in most of the medical schools in India. Residency coordinator has greater role to play between various key persons involved in residency training programme.
It J Gynaecol Obstet.
Learning climate and quality of postgraduate training in gynecology and obstetrics should be assessed in italian training courses2018 •
Training in obstetrics and gynecology plays a pivotal role in the development of future specialists and clearly affects the quality of care provided. Despite the importance of the topic, data on the training quality and adequacy are lacking: considering this point, we would like to investigate it with a survey. Learning climate (LC) is an important factor and indicator of training quality, and it is related to symptoms of burnout, career dissatisfaction, and depression. We propose to investigate LC with Dutch Residency Educational Climate Test (D-RECT) that will be submitted to all the Italian trainees in gynecology and obstetrics. In order to assess trainee perceptions about personal competences, personal training level, professional development and overall satisfaction at the end of training, we developed a structured questionnaire of 24 items, the Fifth-Year Training Questionnaire (FYT-Q), that will be submitted with D-RECT only to trainees at the fifth year. The aim is to describe the state of the art in obstetrics and gynecology training in Italy. This could be the first step to allow departments to be made aware of the limitations of their training, to identify areas needing improvement, thus becoming a driver for change and improvement.
Background: The Postgraduate Hospital Educational Environment Measure (PHEEM) is a highly reliable and valid instrument to measure the educational environment during post graduate medical training. This review extends earlier reports by evaluating the extant adoption of PHEEM in various international clinical training sites, and its significant correlations in order to expand our understanding on the use of PHEEM and facilitate future applications and research. Method: A systematic literature review was conducted on all articles between 2005 and October 2015 that adopted and reported data using the PHEEM. Results: Overall 30 studies were included, encompassing data from 14 countries internationally. Notable differences in the PHEEM scores were found between different levels of training, disciplines, and clinical training sites. Common strengths and weaknesses in learning environments were observed and there were significant correlations between PHEEM scores and In-Training Exam (ITE) performance (positive correlation) and level of burnout (negative correlation), respectively. Conclusions: PHEEM is widely adopted in different learning settings, and is a useful tool to identify the strengths and weaknesses of an educational environment. Future research can examine other correlates of PHEEM and longitudinal changes in interventional studies.
Stress and Health
Work–family interference as a mediator between job demands and job burnout among doctors2006 •
Aging & Mental Health
Secrets to psychological success: Why older doctors might have lower psychological distress and burnout than younger doctors2009 •
Occupational Medicine
Quality of work life in doctors working with cancer patients2012 •
2010 •
Divaris Kimon Lai Caroline S Polychronopoulou Argy Eliades Theodore Katsaros Christos Stress and Burnout Among Swiss Dental Residents Schweizerische Monatsschrift Fur Zahnmedizin 122 Pp 610 5 Bern Schweizerische Zahnarzte Gesellschaft
Stress and burnout among Swiss dental residents2012 •
BMC Health Services Research
Burnout syndrome in Cypriot physiotherapists: a national survey2010 •
Journal of Nursing …
Conflict management and job satisfaction in paediatric hospitals in Greece2011 •
Health Science Journal
Burnout of nursing personnel in a regional university hospital2008 •
Journal of Managerial Psychology
Occupational stress, job satisfaction and health state in male and female junior hospital doctors in Greece2003 •
Clinical Psychology Review
Burnout–depression overlap: A review2015 •
Eur J Obstet Gynecol Reprod Biol.
Learning climate and quality of Italian training courses in gynecology and obstetrics2019 •
2011 •
BMC Public Health
The factors associated with the burnout syndrome and fatigue in Cypriot nurses: a census report2012 •
The Journal of Bone and Joint Surgery (American)
Managing Stress in the Orthopaedic Family2011 •
Supportive Care in Cancer
Prevalence of burnout among Swiss cancer clinicians, paediatricians and general practitioners: who are most at risk2009 •
2017 •
Journal of health organization and management
Connecting organisational culture and quality of care in the hospital: is job burnout the missing link?2011 •
The Scientific Journal of …
Research in occupational stress among nursing staff-a comparative study in capital and regional hospitalsJournal of General Internal Medicine
How Do Distress and Well-being Relate to Medical Student Empathy? A Multicenter Study2007 •
Industrial psychiatry journal
Internal predictors of burnout in psychiatric nurses: An Indian study2012 •
ANZ Journal of Surgery
GS25P�BURNOUT IN AUSTRALASIAN YOUNGER FELLOWS2009 •
Annals of General Psychiatry
Higher levels of psychiatric symptomatology reported by health professionals working in medical settings in Greece2011 •
Health Promotion Perspectives
Psychometric properties of the Iranian version of the Copenhagen Burnout Inventory2019 •
IP innovative publication pvt. ltd
Prevalence of burnout and its correlates among medicos of Malappuram districtInternational Journal of Nursing Studies
Short sleep duration is dose-dependently related to job strain and burnout in nurses: A cross sectional survey2015 •