Hygienic assessment of the occurrence and development of emotional burnout syndrome among medical students and its prevention
DOI:
https://doi.org/10.15584/ejcem.2023.3.4Keywords:
COVID-19 pandemic, doctors, emotional burnout syndrome, exhaustion, medical students, stressAbstract
Introduction and aim. Emotional burnout syndrome has become increasingly common in recent decades, regardless of the field of professional activity. The purpose of our study was to compare the prevalence of emotional burnout in medical students of Vinnytsia National Medical University before the beginning of the academic semester and during the passing of exams.
Material and methods. An anonymous, voluntary survey before the start of study was taken by 300 students, among them 82.3% were women, 17.7% were men.
Results. During the exams, 362 students took part, including 76.2% women and 24.1% men. According to the results of the study, the proportion of the "average" degree of exhaustion increased in second-year students by 15.6%; third-year students by 44.4%. The "high" degree of emotional exhaustion according to the results of the study before the start of training was found in male students of the third year ‒ 44.4% and 36.4% of male students of the sixth year. During the exams, the rate of "high" emotional exhaustion was observed in first-year students, increasing from 12.5% to 18% and in sixth-year students from 36.4% to 50%.
Conclusion. Thus, it was found that female students are the most adapted to the educational load, to passing exams, which affects the psychosomatic state of future doctors.
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References
Chorna V, Makhniuk V, Pshuk N, Gumeniuk N, Shevchuk Y, Khliestova S. Burnout in mental health professionals and the measures to prevent it. Georgian Med News. 2021;(310):113-118.
Panagioti M, Gooding PA, Tarrier N. A meta-analysis of the association between posttraumatic stress disorder and suicidality: The role of comorbid depression. Compr Psychiatry. 2012;53:915-930. doi: 10.1016/j.comppsych.2012.02.009
Botha E, Gwin T, Purpora C. The effectiveness of mindfulness based programs in reducing stress experienced by nurses in adult hospital settings: a systematic review of quantitative evidence protocol. JBI Database Sistem Rev Implement Rep. 2015;13(10):21-29. doi: 10.11124/jbisrir-2015-2380
Rotenstein LS, Ramos MA, Torre M, et al. Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students: A Systematic Review and Meta-Analysis. JAMA. 2016;316(21):2214-2236. doi: 10.1001/jama.2016.17324.
Chorna VV. Psychical zdorov''ya of the vnutrishneperemischenikh persons and factors which influence on his changing. Materials of the ІІ International Scientific and Practical Conference „Innovations and prospects in modern science”, 13-15 лютого, 2023р, Sweden, ( Stockholm, - SSPG Publish). 2023: 93-97.
Vandenbroeck S, Van Gerven E, De Witte H, Vanhaecht K, Godderis L. Burnout in Belgian physicians and nurses. Occup Med (Lond). 2017;67(7):546-554. doi: 10.1093/occmed/kgx126
Boni RADS, Paiva CE, de Oliveira MA, Lucchetti G, Fregnani JHTG, Paiva BSR. Burnout among medical students during the first years of undergraduate school: Prevalence and associated factors. PLoS One. 2018;13(3):e0191746. doi: 10.1371/journal.pone.0191746.
Chorna VV. Research of syndrome of the emotional burning down is among students-physicians : reasons of development and prophylaxis. Materials of the 30th International Scientific and Practical Conference „Modern aspects of modernization of science: status, problems, development trends”, March 7, 2023, Hamburg (Germany). 2023:390-394.
Obregon M, Luo J, Shelton J, Blevins T, MacDowell M. Assessment of burnout in medical students using the Maslach Burnout Inventory-Student Survey: a cross-sectional data analysis. BMC Med Educ. 2020;20(1):376. doi: 10.1186/s12909-020-02274-3
Hillert A, Albrecht A, Voderholzer U. The Burnout Phenomenon: A Résumé After More Than 15,000. Scientific Publications. Front Psychiatry. 2020;11:519237. doi: 10.3389/fpsyt.2020.519237
Friganović A, Selič P, Ilić B, Sedić B. Stress and burnout syndrome and their associations with coping and job satisfaction in critical care nurses: a literature review. Psychiatr Danub. 2019;31(1):21-31.
Joshi VR, Younger JM, Das S, Goud BKM, Pramanik K. Factors influencing burnout in millennial medical students during the COVID-19 pandemic! Ir J Med Sci. 2022;4:1-7. doi: 10.1007/s11845-022-03016-8
World Health Organization WHO Coronavirus Disease (COVID-19) Dashboard. https://covid19.who.int/ (Accessed on 3 March 2021).
Amoafo E, Hanbali N, Patel A, Singh P. What are the significant factors associated with burnout in doctor? Occup Med (Lond. 2015; 65(2):117-121. doi: 10.1093/ocmed/kqu144
Edú-Valsania S, Laguía A, Moriano JA. Burnout: A Review of Theory and Measurement. Int J Environ Res Public Health. 2022;19(3):1780. doi: 10.3390/ijerph19031780
Bouza E, Gil-Monte PR, Palomo E. et al. Work-related burnout syndrome in physicians in Spain. Rev Clin Esp (Barc). 2020;220(6):359-363. doi: 10.1016/j.rce.2020.02.002.
Chorna VV, Makhniuk VM, Моhylnyi SM, et al. The state of occupational stress in medical workers, counteraction and overcoming it. Environment&Health. 2022:2;53-62. doi: 10.32402/ dovkil2022.02.053
Al-Haddad A, Al-Omar F, Al-Khaleel A, Al-Khalaf A. Prevalence of burnout syndrome and its related risk factors among physicians working in primary health care centers of the Ministry of Health, Al Ahsa region, Saudi Arabia, 2018-2019. J Family Med Prim Care. 2020;9(2):571-579. doi: 10.4103/jfmpc.jfmpc_743_19
Elghazally SA, Alkarn AF, Elkhayat H, Ibrahim AK, Elkhayat MR. Burnout Impact of COVID-19 Pandemic on Health-Care Professionals at Assiut University Hospitals, 2020. Int J Environ Res Public Health. 2021;18(10):5368. doi: 10.3390/ijerph18105368
Kleinpell R, Moss M, Good VS, Gozal D, Sessler CN. The Critical Nature of Addressing Burnout Prevention: Results From the Critical Care Societies Collaborative's National Summit and Survey on Prevention and Management of Burnout in the ICU. Crit Care Med. 2020;48(2):249-253. doi: 10.1097/CCM.0000000000003964.
Suleiman-Martos N, Albendin-Garcia L, Gomez-Urguiza JL, et al. Prevalence and Predictors of Burnout in Midwives: F Systematic Review and Meta-Fnaiysis. Int J Environ Res Public Health. 2020;17(2):E641. doi:10.3390/ijerph17020641.
Chauhan S. Comprehensive review of coronavirus disease 2019 (COVID-19). Biomed J. 2020;43(4):334-340. doi: 10.1016/j.bj.2020.05.023.
Djalante R, Lassa J, Setiamarga D, et al. Review and analysis of current responses to COVID-19 in Indonesia: Period of January to March 2020. Prog Disaster Sci. 2020;6:100091. doi: 10.1016/j.pdisas.2020.100091
Guo J, Lianming L, Baoguo W. Psychological Effects of COVID-19 on Hospital Staff: A National Cross-Sectional Survey of China Mainland. Soc Sci Electron. Publ. 2020;4:6-11. doi: 10.2139/ssrn.3550050
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;194:106-113. doi: 10.1164/rccm.201604-0708ST.
Salyers MP, Bonfils KA, Luther L, et al. The Relationship Between Professional Burnout and Quality and Safety in Healthcare: A Meta-Analysis. J Gen Intern Med. 2017;32:475-482. doi: 10.1007/s11606-016-3886-9
Dincer B, Inangil D. The effect of Emotional Freedom Techniques on nurses' stress, anxiety, and burnout levels during the COVID-19 pandemic: a randomized controlled trial. Explore. 2021;17:109-114. doi: 10.1016/j.explore.2020.11.012
Chigwedere OC, Sadath A, Kabir Z, Arensman E. The impact of epidemics and pandemics on the mental health of healthcare workers: a systematic review. Int J Environ Res Public Health. 2021;18:1-35. doi: 10.3390/ijerph18136695
Salvagioni DAJ, Melanda FN, Mesas AE, González AD, Gabani FL, Andrade SM. Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies. PLoS One. 2017;12(10):e0185781. doi: 10.1371/journal.pone.0185781
Navarro-Abal Y, Gómez-Salgado J, López-López MJ, Climent-Rodríguez JA. Organisational Justice, Burnout, and Engagement in University Students: A Comparison between Stressful Aspects of Labour and University Organisation. Int J Environ Res Public Health. 2018;15(10):2116. doi: 10.3390/ijerph15102116
Salmela-Aro K, Upadyaya K, Vinni-Laakso J, Hietajärvi L. Adolescents’ longitudinal school engagement and burnout before and during COVID-19: The role of socio-emotional skills. J Res Adolesc J. 2021;31:796-807.
Hernesniemi E, Räty H, Kasanen K, Cheng X, Hong J, Kuittinen M. Burnout among Finnish and Chinese university students. Scand J Psychol. 2017;58(5):400-408. doi: 10.1111/sjop.12380
Munjiza J, Britvic D, Radman M, Crawford MJ. Severe war-related trauma and personality pathology: a case-control study. BMC Psychiatry. 2017;17(1):100. doi: 10.1186/s12888-017-1269-3
Martin L, Oepen R, Bauer K, et al. Creative Arts Interventions for Stress Management and Prevention-A Systematic Review. Behav Sci (Basel). 2018;8(2):28. doi: 10.3390/bs8020028
Debowska A, Horeczy B, Boduszek D, Dolinski D. A repeated cross-sectional survey assessing university students' stress, depression, anxiety, and suicidality in the early stages of the COVID-19 pandemic in Poland. Psychol Med. 2020:1-4. doi: 10.1017/S003329172000392X
Fawaz M, Samaha A. E-learning: Depression, anxiety, and stress symptomatology among Lebanese university students during COVID-19 quarantine. Nurs Forum. 2021;56(1):52-57. doi: 10.1111/nuf.12521
Tomás-Miquel JV, Expósito-Langa M, Nicolau-Juliá D. The influence of relationship networks on academic performance in higher education: A comparative study between students of a creative and a non-creative discipline. Higher Education. 2016;71(3):307-322. doi: 10.1007/s10734-015-9904-8
Händel M, Stephan M, Gläser-Zikuda,M, Kopp B, Bedenlier S, Ziegler A. Digital readiness and its effects on higher education students’ socio-emotional perceptions in the context of the COVID-19 pandemic. J Res Technol Educ. 2020;54(2):267-280. doi: 10.1080/15391523.2020.1846147
UNESCO. Nurturing the social and emotional wellbeing of children and young people during crises. UNESCO COVID-19 https://unesdoc.unesco.org/ark:/48223/pf0000373271. Accessed March 20, 2023.
Jain N, Prasad S, Czárth ZC, et al. War Psychiatry: Identifying and Managing the Neuropsychiatric Consequences of Armed Conflicts. J Prim Care Community Health. 2022;13:21501319221106625. doi: 10.1177/21501319221106625
Marôco J, Assunção H, Harju-Luukkainen H, et al. Predictors of academic efficacy and dropout intention in university students: Can engagement suppress burnout? PLoS One. 2020;15(10):e0239816. doi: 10.1371/journal.pone.0239816
Smeeth D, McEwen FS, Popham CM, et al. War exposure, post-traumatic stress symptoms and hair cortisol concentrations in Syrian refugee children. Mol Psychiatry. 2023;28(2):647-656. doi: 10.1038/s41380-022-01859-2
UNHR. Ukraine: civilian casualty update 26 December 2022. https://www.ohchr.org/en/news/2022/12/ukraine-civilian-casualty-update-26-december-2022. Accessed March 24, 2023.
Justino P. Poverty and violent conflict: A micro-level perspective on the causes and duration of warfare. J. Peace Res. 2009;46(3):315-333. doi: 10.1177/0022343309102655.
Kira IA, Templin T, Lewandowski L, Ramaswamy V, Ozkan B, Mohanesh J. The physical and mental health effects of iraq war media exposure on Iraqi refugees. J Muslim Mental Health. 2008;3(2):193-215. doi: 10.1080/15564900802487592
Ho AHY, Tan-Ho G, Ngo TA, et al. A novel mindful-compassion art therapy (MCAT) for reducing burnout and promoting resilience for end-of-life care professionals: a waitlist RCT protocol. Trials. 2019;20(1):406. doi: 10.1186/s13063-019-3533-y
Gettings RD, Kirtley J, Wilson-Menzfeld G, Oxburgh GE, Farrell D, Kiernan MD. Exploring the Role of Social Connection in Interventions With Military Veterans Diagnosed With Post-traumatic Stress Disorder: Systematic Narrative Review. Front Psychol. 2022;13:873885. doi: 10.3389/fpsyg.2022.873885
Novo Navarro P, Landin-Romero R, Guardiola-Wanden-Berghe R, et al. 25 years of Eye Movement Desensitization and Reprocessing (EMDR): The EMDR therapy protocol, hypotheses of its mechanism of action and a systematic review of its efficacy in the treatment of post-traumatic stress disorder. Rev Psiquiatr Salud Ment (Engl Ed). 2018;11(2):101-114. doi: 10.1016/j.rpsm.2015.12.002
Chand SP, Kuckel DP, Huecker MR. Cognitive Behavior Therapy. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022.
Keefe JR, Chambless DL, Barber JP, Milrod BL. Treatment of anxiety and mood comorbidities in cognitive-behavioral and psychodynamic therapies for panic disorder. J Psychiatr Res. 2019;114:34-40. doi: 10.1016/j.jpsychires.2019.04.009
Tolin DF, Wootton BM, Levy HC, et al. Efficacy and mediators of a group cognitive-behavioral therapy for hoarding disorder: A randomized trial. J Consult Clin Psychol. 2019;87(7):590-602. doi: 10.1037/ccp0000405
Chorna VV, Anhelska VY, Makhnyuk VV. Telemedical assistance of mental health centers of health care institutions. I Міжнародна науково-практична конференція “International scientific and practical conference“ Scientific progress: innovations, achievements and prospects”, October 9-11, 2022. Munich, Germany. 2022;559:29-36.
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