Prevalence and Factors Associated with Burnout Among Home-based Palliative Care Worker in Mueang Surin District
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Abstract
Background: Burnout in palliative care workers is very important and increasing, however, there is no clear criteria for diagnosing burnout.
Objective: To study the prevalence and factors related to burnout among palliative care workers at home in Muang Surin District.
Methods: A descriptive cross-sectional survey was conducted, included all palliative care workers from 28 primary care units in Mueang Surin District. Instruments were used as the following: 1) answered questionnaires on general information data 2) answered questionnaires on palliative care environment factors assessment form 3) Maslach Burnout Invertory (MBI). Data. Analysis was conducted by descriptive statistics such as frequency, percentage, mean (standard deviation) and analytical statistics such as chi-square. The statistical significance was determined at p<0.05.
Results: A sample of 102 palliative care workers. Mostly, there were 81 (79.4%) females. The mean age was 42 years. There were 65 (63.7%) nurses. The prevalence of burnout was 61.8%. The prevalence of burnout in nurses were found 63.5 %, Public health academics 19%, Public health officers 9.5% and Physicians 7.9% respectively. Factors related to burnout were statistically significant: gender (p=0.042), education level (p=0.021), number of visits to patients requiring palliative care (p=0.035), responsibilities (p=0.015) professional perception of competence (p=0.015)
Conclusion: The study revealed that three five of palliative care workers have burnout. When bunout was classified into occupation group, nurses had the highest prevalence of burnout, followed by public health academics, public health officer and doctors respectively. Factors associated with burnout among palliative care workers were statistically significant: sex, education level, number of visits to patients requiring palliative care, responsibilities and professional perception of competence.
Keywords: Burnout, Palliative care worker, Maslach Burnout Inventory (MBI)
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References
World health organization. Palliative Care. [Internet]. 2020. [cited 2021 May 3]. Available from:URL:https://www.who.int/news-room/fact-sheets/detail/palliative-care.
Pereira MS, Teixeira CM,Ribeiro O, Marrero PH, Fonseca AM,CarvalhoAS.Burnout in physicians and nurses: a multicentre quantitative study in palliative care units in Portugal. Referência. 2014;3:55-64. doi: 10.12707/RIII131783
Pavelková H, BužgováR.Burnout among healthcare workers in hospice care.Central European Journal of Nursing and Midwifery. 2015;6(1):218-223. Cent Eur J Nurs Midw 2015;6(1):218–223 doi: 10.15452/CEJNM.2015.06.0006
Koh MY, Chong PH, Neo PS, Ong YJ, Yong WC, Ong WY,et al. Burnout, psychological morbidity and use of coping mechanisms among palliative care practitioners: A multi-centre cross-sectional study. Palliat Med 2015;29(7):633-42. doi: 10.1177/0269216315575850.
บุญเอื้อ โจว. ปัจจัยที่มีอิทธิพลต่อความเหนื่อยหน่ายในการทํางานของพยาบาลวิชาชีพ: ศึกษากรณีวิทยาลัยแพทยศาสตร์ กรุงเทพมหานครและวชิรพยาบาล. [ปริญญานิพนธ์ ศิลปศาสตรมหาบัณฑิต(พัฒนาสังคม)]. คณะพัฒนาสังคมและสิ่งแวดล้อม, บัณฑิตวิทยาลัย; กรุงเทพฯ : สถาบันบัณฑิตพัฒนบริหารศาสตร์; 2553.
ศรัณย์ ศรีคำ,วิโรจน์ เจียมจรัสรังษี, เดชา ลลิตอนันต์พงษ์. ภาวะเหนื่อยล้าในการทำงานและปัจจัยที่เกี่ยวข้องของแพทย์ประจำบ้านโรงพยาบาลจุฬาลงกรณ์. วารสารสมาคมจิตแพทย์แห่งประเทศไทย 2557;59(2):139-50.
Li H, Zuo M, Gelb AW, Zhang B, Zhao X, Yao D, et al. Chinese Anesthesiologists Have High Burnout and Low Job Satisfaction: A Cross-Sectional Survey. Anesth Analg 2018;126(3):1004-12. doi: 10.1213/ANE.0000000000002776.
Kamal AH, Bull JH, Wolf SP, Swetz KM, Shanafelt TD, Ast K, et al. Prevalence and Predictors of Burnout Among Hospice and Palliative Care Clinicians in the U.S. J Pain Symptom Manage 2016;51(4):690-696. doi: 10.1016/j.jpainsymman.2015.10.020.
Parola V, Coelho A, Cardoso D, Sandgren A, Apóstolo J. Prevalence of burnout in health professionals working in palliative care: a systematic review. JBI Database System Rev Implement Rep. 2017 Jul;15(7):1905-33. doi: 10.11124/JBISRIR-2016-003309.JBI Database System Rev Implement Rep. 2017.
Gama G, Barbosa F, Vieira M. Personal determinants of nurses' burnout in end of life care. Eur J Oncol Nurs 2014;18(5):527-33. doi: 10.1016/j.ejon.2014.04.005.
Dyrbye LN, Shanafelt TD, Sinsky CA, Cipriano PF, Bhatt J, Ommaya A, et al. Burnout among health care professionals: a call to explore and address this underrecognized threat to safe, high-quality care. [Internet]. 2017. [cited 2021 May 3]. Available from:URL:https://www.ama-assn.org/sites/ama-assn.org/files/corp/media-browser/public/ipp/i17-ipps-lotte-dyrbye-burnout-among-health-care-professionals.pdf.
Leiter MP. Coping patterns as predictors of burnout: the function of control and escapist coping patterns.J Organ Behav 2006;12:123-44.
West CP, Dyrbye LN, Shanafelt TD. Physician burnout: contributors, consequences and solutions. J Intern Med 2018;283(6):516-29. doi: 10.1111/joim.12752.
Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory Manual. 3rd. ed. Palo Alto, CA : Consult Psychol Press; 1996.
Wu H, Liu L, Wang Y, Gao F, Zhao X, Wang L. Factors associated with burnout among Chinese hospital doctors: a cross-sectional study. BMC Public Health 2013;13:786. doi: 10.1186/1471-2458-13-786.
Fernando BMS, Samaranayake DL. Burnout among postgraduate doctors in Colombo: prevalence, associated factors and association with self-reported patient care. BMC Med Educ 2019;19(1):373. doi: 10.1186/s12909-019-1810-9.
Wong KP, Kaliya-Perumal AK, Oh J. Orthopaedic Resident Burnout: A Literature Review on Vulnerability, Risk Factors, Consequences and Management Strategies. Malays Orthop J 2019;13(2):15-19. doi: 10.5704/MOJ.1907.003.
Chatlaong T, Pitanupong J, Wiwattanaworaset P. Sleep Quality and Burnout Syndrome among Residents in Training at the Faculty of Medicine, Prince of Songkla University. SJR 2020;72(4):307-14. doi: https://doi.org/10.33192/Smj.2020.41
ศิวัช ธำรงวิศว, จารุรินทร์ ปิตานุพงศ์, วิศรุต ศรีสินทร์.ความเหนื่อยล้าจากการทำงาน และปัจจัยที่เกี่ยวข้องในพยาบาลวิชาชีพ โรง พยาบาลสงขลานครินทร์. เวชสารแพทย์ทหารบก 2019;72(3):177-85.
Sammawart S. Burnout among nurses in Ramathibodi Hospital [thesis Master Science]. Graduate School, Nursing Master. Bangkok: Mahidol University; 1989.
Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol 2001;52:397-422. doi: 10.1146/annurev.psych.52.1.397.
Leiter MP, Maslach C. Areas of worklife: A structured approach to organizational predictors of job burnout. In: Emotional and physiological processes and positive intervention strategies. Bingley : Emerald Group Publishing Limited; 2003: 91-134.
Patel RS, Bachu R, Adikey A, Malik M, Shah M. Factors Related to Physician Burnout and Its Consequences: A Review. Behav Sci (Basel) 2018;8(11):98. doi: 10.3390/bs8110098.
Shanafelt TD, Dyrbye LN, Sinsky C, Hasan O, Satele D, Sloan J, et al. Relationship Between Clerical Burden and Characteristics of the Electronic Environment With Physician Burnout and Professional Satisfaction. Mayo Clin Proc 2016;91(7):836-48. doi: 10.1016/j.mayocp.2016.05.007.
Bakker AB, Westman M, Schaufeli WB. Crossover of burnout: an experimental design. Eur J Work Organ 2007;16(2):220-39.
