Burnout syndrome among Thai intensivists and nurses in pre-COVID19 era

Burnout in pre-COVID19

Authors

  • Chatchai Laopakorn Intensive Care Unit, Mahachai2 Hospital, Samut Sakhon, Thailand
  • Pimsai Kunakorn Intensive Care Unit, Samitivej Srinakarin Hospital, Bangkok, Thailand
  • Petch Wacharasint Division of Pulmonary and Critical Care Medicine, Phramongkutklao Hospital, Bangkok, Thailand

Keywords:

Burnout syndrome, Emotion exhaustion, Depersonalization, Personal accomplishment

Abstract

Background: Burnout syndrome (BOS), a work-related constellation of symptoms and signs, causes individuals emotional stress and is associated with increasing job-related disillusionment. ICU-BOS among Thai intensivists and ICU nurses has never been clarified.

Methods & materials: We performed a multicenter, prospective cross-sectional study in 17 hospitals in Thailand. BOS-related data were collected from full-time ICU physicians and ICU nurses using electronic questionnaires. ICU-BOS was defined when participant exhibited at least 1 of 3 aspects (depersonalization, emotion exhaustion, and personal accomplishment) regarding the Maslach Burnout Inventory. Primary outcome was prevalence of ICU-BOS among intensivists and ICU nurses, and secondary outcomes were risk factors for ICU-BOS.

Results: After a total of 193 electronic surveys were sent, 171 responders (ICU physicians n=66, ICU nurses n=105) were included in this analysis (88.6%). Overall prevalence of ICU-BOS was 62.6%. Using multivariate analysis, the risk factors for ICU-BOS among intensivists were 1) income <20,000 THB, 2) feeling of quitting caring for patients in an ICU within the past 1 year, 3) need >2 holidays/wk. and 4) patient’s ICU-LOS >5 days (adjusted odd ratio (OR) of 31.5, 15.9, 7.4, 14.9; p =0.04, 0.007, 0.035, 0.004 respectively). Risk factors for ICU-BOS among ICU nurses were 1) age >40 years, 2) ICU experience >5 years, 3) patient’s ICU-LOS >5 days, 4) feeling assignments in the ICU were too much and 5) feeling of quitting caring for patients in an ICU within the past 1 year (adjusted OR of 15.7, 4.6, 10.0, 4.3, 5.3; p =0.009, 0.04, 0.004, 0.04, 0.007 respectively).

Conclusions: In this study, we found a high prevalence of ICU-BOS among Thai intensivists and ICU nurses. Co-independent risk factors for BOS were patient’s ICU-LOS >5 days and feeling of quitting caring for patients in an ICU within the past 1 year. Our findings supported further interventions to reduce the high prevalence of ICU-BOS among Thai ICU professionals.

Downloads

Download data is not yet available.

References

Kuremyr D, Kihlgren M, Norberg A, Astrom S, Karisson I. Emotional experiences, empathy and burnout among staff caring for demented patients at a collective living unit and a nursing home. J Adv Nurs. 1994; 19:6709.

Youngsri C. Perception of Working Environment, Burnout and Turnover Intentions of Employees. Industrial and Organizational Psychology King Mongkut’s Institute of Technology North Bangkok; 2006.

Lerthattasilp T. Burnout among psychiatrists in Thailand. J Psychiatr Assoc Thailand. 2011; 56(4):437-448.

Sikheawsukwonghot IP. Factors influencing turnover of physicians in Thai public hospitals. Journal of Graduate Study in Humanities and Social Sciences. 2016; 5:183-209.

Shanafelt TD, Sonja B, Litjen T, Dyrbye LN, Sotile W, Daniel S, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. JAMA Intern Med. 2012; 172:1377–85.

Soler JK, Yaman H, Esteva M, Dobbs F, Asenova RS, Katic M, et al. Burnout in European family doctors: the EGPRN study. Fam Pract. 2008; 25:245–65.

Sharma A, Sharp DM, Walker LG, Monson JR. Stress and burnout in colorectal and vascular surgical consultants working in the UK National Health Service. Psychooncology. 2008; 17:570–6.

Maslach C, Leiter MP. The Truth About Burnout. San Francisco, California: Josset-Bass Publishers; 1997.

Sammawart S. Burnout among nurses in Ramathibodi Hospital. (Master of Science thesis) Faculty of Nursing: Mahidol University; 1989. 100p.

Maslach C, Jackson SE. Maslach Burnout Inventory. Manual Research Edition. Palo Alto, California: Consulting Psychologists Press; 1986.

Chien-Huai Chuang MD, Pei-Chi Tseng MD, Chun-Yu Lin PhD, Kuan-Han Lin PhD, Yen-Yuan Chen MD, MPH PhD. Burnout in the intensive care unit professionals A systematic review. Medicine (Baltimore). 2016; 95(50):e5629.

Embriaco N, Papazian L, Kentish-Barnes N, Pochard F, Azoulay E. BOS among critical care healthcare workers. Curr Opin Crit Care. 2007; 13(5):482-488.

Poncet MC, Toullic P, Papazian L. BOS in critical care nursing staff. Am J Respir Crit Care Med. 2007; 175(7):698-704.

Mealer M, Jones J, Newman J, McFann KK, Rothbaum B, Moss M. The presence of resilience is associated with a healthier psychological profile in intensive care unit (ICU) nurses: results of a national survey. Int J Nurs Stud. 2012; 49(3):292-299.

Downloads

Published

2021-12-20

How to Cite

1.
Laopakorn C, Kunakorn P, Wacharasint P. Burnout syndrome among Thai intensivists and nurses in pre-COVID19 era : Burnout in pre-COVID19. Clin Crit Care [Internet]. 2021 Dec. 20 [cited 2023 Mar. 27];29:2021:e0009. Available from: https://he02.tci-thaijo.org/index.php/ccc/article/view/254181

Issue

Section

Original Articles