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Burnout in Surgeons from a Tertiary Public University Hospital

Received: 29 February 2024     Accepted: 2 April 2024     Published: 10 May 2024
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Abstract

Surgeon burnout has been attracting worldwide attention. This study aimed to determine the prevalence rate for both Burnout Syndrome (BS) and burnout evidence and to identify burnout risk factors in surgeons from a high-complexity academic medical center, in Brazil. A dichotomized socio-demographic questionnaire and the MBI-HSS questionnaire were employed. Data collection was conducted on a personal computer REDCap program. The MBI-HSS Latent profile analysis (LPA) was used. The BS rate corresponded to the LPA Burnout class rate. The burnout evidence prevalence rate was equivalent to the sum of all five LPA classes, except for the Engagement one. The univariate Fisher's exact test was used for intra and inter class burnout risk factor investigation. A p value ≤ 0.05 was considered significant. Among the 77 surgeons analyzed, the BS prevalence rate was 6%. The burnout evidence prevalence rate was 31.1%. Almost half (41.6%) of the respondents could not be classed in any of the 5 LPA profiles. There were no significant differences between the surgeons presenting with burnout evidence and the engaged ones. No burnout risk factor could be detected, but less surgical workload (days/wk.) and full-time job regime both accentuated burnout levels in the personal accomplishment LPA dimension.

Published in American Journal of Applied Psychology (Volume 13, Issue 2)
DOI 10.11648/j.ajap.20241302.12
Page(s) 32-42
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Burnout Syndrome, Surgeon Burnout, Occupational Stress, Latent Burnout Profiles

References
[1] Balch, C. M., Shanafelt, T. Combating stress and burnout in surgical practice: a review. Thoracic Surgery Clinics. 2011, 21(3), 417-430.
[2] Brandt, M. L. Sustaining a career in surgery. American Journal of Surgery. 2017, 214(4), 707-714.
[3] Siegel, T. R., Nagengast, A. K. Mitigating Burnout. Surgical Clinics North America. 2019, 99(5), 1029-1035.
[4] Al-Ghunaim, T. A., Johnson, J., Biyani, C. S., Alshahrani, K. M., Dunning, A., O'Connor, D. B. Surgeon burnout impact on patient safety and professionalism: A systematic review and meta-analysis. The American Journal of Surgery. 2022, 224(1 Pt A), 228-238.
[5] Maslach, C., Jackson, S. E., Leiter, M. P. Maslach Burnout Inventory Manual. 3rd ed. Palo Alto, CA: Consulting Psychologists Press; 1996, 52 p.
[6] Leiter, M. P., Maslach, C. Latent Burnout profiles: A new approach to understanding the Burnout experience. Burnout Research. 2016, 3(4), 89-100.
[7] Al-Ghunaim, T., Johnson, J., Biyani, C. S., O'Connor, D. B. Burnout in surgeons: A qualitative investigation into contributors and potential solutions. International Journal of Surgery. 2022, 101, 106613.
[8] Chalkias, P. L., Vosynioti, G. G., Charalampopoulou, M., Vlachakis, D., Darviri, C., Chrousos, G. P., Bacopoulou, F. Burnout in General Surgeons. A Systematic Review. Advances in Experimental Medicine and Biology. 2023, 1425, 151-159.
[9] Rotenstein, L. S., Torre, M., Ramos, M. A., Rosales, R. C., Guille, C., Sen, S., Mata, D. A. Prevalence of Burnout among physicians: a systematic review. JAMA. 2018, 320(11), 1131-1150.
[10] World Health Organization. “Burnout an “occupational phenomenon”: International classification of Diseases”. Available from
[11] Novais, R. N., Rocha, L. M., Eloi, R. J., Santos, L. M., Ribeiro, M. V. M. R., Ramos, F.W.S. Burnout Syndrome prevalence of on-call surgeons in trauma reference hospital and its correlation with weekly workload: cross- sectional study. Revista Colégio Brasileiro de Cirurgiões. 2016, 43(5), 314-319.
[12] Bratu, I., Heiss, K., Mueller, C., Winthrop, A., Blair, G., Moulton, C.A. Canadian Association of Pediatric Surgeons’ State of wellness. Journal of Pediatric Surgery. 2019, 54(5), 891-894.
[13] Yates, S. W. Physician Stress and Burnout. The American Journal of Medicine. 2020, 133(2), 160−164.
[14] Pines, A. M. Marriage Burnout: a new conceptual framework for working with couples. Psychotherapy in Private Practice. 1987, 5(2), 31-44.
[15] Dyrbye, L. N., Shanafelt, T. D., Balch, C. M., Satele, D., Sloan, J., Freischlag, J. Relationship between work-home conflicts and burnout among American surgeons: a comparison by sex. Archives of Surgery. 2011, 146(2), 211-217.
[16] Tanios, M., Haberman, D., Bouchard, J., Motherwell, M., Patel, J. Analyses of burnout among medical professionals and suggested solutions-a narrative review. Journal of Hospital Management and Health Policy, 2022, 6, 1-11.
[17] Dietrich, L. G., Vögelin, E., Dem, M. J., Pastor, T., Gueorguiev, B. Quality of Life and Working Conditions of Hand Surgeons - A National Survey. Medicina. 2023, 59(8), 1450.
[18] Magalhães, R. A. C., Glina, D. M. R. Saúde Ética & Justiça, 2006, v. 11, n. 1-2, p. 29-35. /
[19] Becker, N. D., Rocha, A. C., Follador, F. N. C., Wendt, G. W., Ferreto, L. E. D., Fortes, P. N. Burnout syndrome in Brazilian Medical Doctors: a cross-sectional examination of risk and protective factors. Front Health Serv. 2021, 16(1), 760034.
[20] Barros, M. M. S., Almeida, S. P., Barreto, A. L. P., Faro, S. R. S., Araujo, M. R. M., Faro, A. Síndrome de Burnout em Médicos Intensivistas: Estudo em UTIs de Sergipe. Trends in Psychology / Temas em Psicologia. 2016, 24(1), 377-389.
[21] Will, K. K., Johnson, M. L., Lamb, G. Team-based care and patient satisfaction in the hospital setting: a systematic review. Journal of Patient-Centered Research and Reviews. 2019, 6, 158-71.
[22] Muller, D. Kathryn. The New England Journal of Medicine. 2017, 376(12), 1101-1103.
[23] Rath, K. S., Huffman, L. B., Philips, G. S., Carpenter, K. M., Fowler, J. M. Burnout and associated factors among members of the Society of Gynecologic Oncology. American Journal of Obstetrics and Gynecology. 2015, 213(6), 824.e1-824.e9.
Cite This Article
  • APA Style

    Costa, M. L., Vicente, W. V. D. A. (2024). Burnout in Surgeons from a Tertiary Public University Hospital. American Journal of Applied Psychology, 13(2), 32-42. https://doi.org/10.11648/j.ajap.20241302.12

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    ACS Style

    Costa, M. L.; Vicente, W. V. D. A. Burnout in Surgeons from a Tertiary Public University Hospital. Am. J. Appl. Psychol. 2024, 13(2), 32-42. doi: 10.11648/j.ajap.20241302.12

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    AMA Style

    Costa ML, Vicente WVDA. Burnout in Surgeons from a Tertiary Public University Hospital. Am J Appl Psychol. 2024;13(2):32-42. doi: 10.11648/j.ajap.20241302.12

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  • @article{10.11648/j.ajap.20241302.12,
      author = {Maria Luiza Costa and Walter Villela de Andrade Vicente},
      title = {Burnout in Surgeons from a Tertiary Public University Hospital
    },
      journal = {American Journal of Applied Psychology},
      volume = {13},
      number = {2},
      pages = {32-42},
      doi = {10.11648/j.ajap.20241302.12},
      url = {https://doi.org/10.11648/j.ajap.20241302.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajap.20241302.12},
      abstract = {Surgeon burnout has been attracting worldwide attention. This study aimed to determine the prevalence rate for both Burnout Syndrome (BS) and burnout evidence and to identify burnout risk factors in surgeons from a high-complexity academic medical center, in Brazil. A dichotomized socio-demographic questionnaire and the MBI-HSS questionnaire were employed. Data collection was conducted on a personal computer REDCap program. The MBI-HSS Latent profile analysis (LPA) was used. The BS rate corresponded to the LPA Burnout class rate. The burnout evidence prevalence rate was equivalent to the sum of all five LPA classes, except for the Engagement one. The univariate Fisher's exact test was used for intra and inter class burnout risk factor investigation. A p value ≤ 0.05 was considered significant. Among the 77 surgeons analyzed, the BS prevalence rate was 6%. The burnout evidence prevalence rate was 31.1%. Almost half (41.6%) of the respondents could not be classed in any of the 5 LPA profiles. There were no significant differences between the surgeons presenting with burnout evidence and the engaged ones. No burnout risk factor could be detected, but less surgical workload (days/wk.) and full-time job regime both accentuated burnout levels in the personal accomplishment LPA dimension.
    },
     year = {2024}
    }
    

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    AU  - Maria Luiza Costa
    AU  - Walter Villela de Andrade Vicente
    Y1  - 2024/05/10
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    DO  - 10.11648/j.ajap.20241302.12
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    JF  - American Journal of Applied Psychology
    JO  - American Journal of Applied Psychology
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    AB  - Surgeon burnout has been attracting worldwide attention. This study aimed to determine the prevalence rate for both Burnout Syndrome (BS) and burnout evidence and to identify burnout risk factors in surgeons from a high-complexity academic medical center, in Brazil. A dichotomized socio-demographic questionnaire and the MBI-HSS questionnaire were employed. Data collection was conducted on a personal computer REDCap program. The MBI-HSS Latent profile analysis (LPA) was used. The BS rate corresponded to the LPA Burnout class rate. The burnout evidence prevalence rate was equivalent to the sum of all five LPA classes, except for the Engagement one. The univariate Fisher's exact test was used for intra and inter class burnout risk factor investigation. A p value ≤ 0.05 was considered significant. Among the 77 surgeons analyzed, the BS prevalence rate was 6%. The burnout evidence prevalence rate was 31.1%. Almost half (41.6%) of the respondents could not be classed in any of the 5 LPA profiles. There were no significant differences between the surgeons presenting with burnout evidence and the engaged ones. No burnout risk factor could be detected, but less surgical workload (days/wk.) and full-time job regime both accentuated burnout levels in the personal accomplishment LPA dimension.
    
    VL  - 13
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