MODERN VIEWS ON THE OCCURRENCE OF EMOTIONAL BURNOUT SYNDROME IN MEDICAL WORKERS: A LITERATURE REVIEW
DOI:
https://doi.org/10.32782/pub.health.2023.4.1Keywords:
emotional burnout, factors, exhaustion, depersonalization, professional activityAbstract
Abstract. Topicality. The specificity of the profession of a medical worker requires high mental stability, responsibility for the life and health of people, the ability to work in extreme conditions, constant emotional stress. These factors can lead to mental exhaustion, loss of work capacity, and the emergence of emotional burnout syndrome, therefore consideration of the factors that lead to the formation of this phenomenon is relevant. Purpose and task. To study and analyze the peculiarities of the occurrence and manifestation of the syndrome of emotional burnout. Materials and methods. Methods: bibliosemantic and historical. Materials: 140 domestic and foreign literary sources and electronic resources were processed. Research results. Currently, there is no clear understanding of the essence of the "burnout" syndrome, which is characterized as a complex multicomponent phenomenon that includes more than 100 symptoms. Numerous publications are devoted to the risk factors of its occurrence, three groups of variables can be distinguished that have a certain influence on the development of this syndrome in "person-to-person" professions: personal, role, and corporate (professional-organizational). As a result of the analysis of the literature, it should be noted that today several models of its development are distinguished. − a one-factor model that defines emotional burnout as a state of physical, emotional, and mental exhaustion. − a two-factor model in which burnout consists of exhaustion and depersonalization. − three-factor model, burnout consists of emotional exhaustion, depersonalization, reduction of personal achievements; − four-factor model, burnout consists of emotional exhaustion, depersonalization of professional activity, depersonalization of subjects of professional activity, reduction of personal achievements. Conclusions. The syndrome of emotional burnout is characterized by a combination of factors in the mental, somatic and social spheres of life. Studies devoted to this problem are presented in the literature quite widely, but today there are no certain clinical-psychological and medical technologies aimed at the prevention of this syndrome.
References
Griep, Y., Bankins, S., Vander, Elst T. & De Witte H. (2021). How psychological contract breach affects long‐term mental and physical health: the longitudinal role of effort–reward imbalance. Applied Psychology: Health and Well‐Being, 13(2), 263–281. https:/doi.org/10.1111/aphw.12246
Zavorina, V. (2020). Strakh i syndrom emotsiinoho vyhorannia [Fear and the syndrome of emotional burnout]. Proceedings of the scientific-practical online conference with international participation «The problem of human being in social-humanitarian and medical discourses». May 28–29, 2020, Kharkiv. 118-120.
Mizhnarodna klasyfikatsiia khvorob Х rozghliadu [International Classification of Diseases X review]. Retrieved from: https://kod.poltavalk.com.ua/mkkh-10-am
Janis, I.L. (1958). Psychological stress: Psychoanalytic and behavioral studies of surgical patients. New York: John Wiley & Sons. https://doi.org/10.1002/bs.3830040208
Perlman, B., & Hartman, E. A. (1982). Burnout: Summary and Future Research. Human Relations, 35(4), 283–305. https://doi.org/10.1177/001872678203500402
Aronsson, G., Theorell, T., Grape, T., Hammarström, A., Hogstedt, C., Marteinsdottir, I., & Hall, C. (2017). A systematic review including meta-analysis of work environment and burnout symptoms. BMC Public Health. Mar 16; 17 (1), 264. https://doi.org/10.1186/s12889-017-4153-7.
Maslach, C., Schaufeli, W.B., & Leiter, M.P. (2001). Job burnout. Annu Rev Psychol, 52, 397–422. https://doi.org/10.1146/annurev.psych.52.1.397
Shkrabiuk, V., & Bilyk, D. (2020). Emotsiine vyhorannia osobystosti: psykholohichnyi analiz problem [Emotional burnout of the personality: a psychological analysis of the problems]. Molodyi vchenyi, 10 (86), 293–296. https://doi.org/10.32839/2304-5809/2020-10-86-60
Lavrova, M.H. (2014). Teoretychnyi analiz suchasnykh pohliadiv na poniattia «emotsiine vyhorannia» [Theoretical analysis of modern views on the concept of "emotional burnout"]. Visnyk Odeskoho natsionalnoho universytetu. Psykholohiia 19 (2), 194–202. Retrieved from: http://nbuv.gov.ua/UJRN/Vonu_psi_2014_19_2_23
Bielosludtseva, K., Fuhol, K., Botvinikova, L., Myronenko, O., & Pliekhanova, O. (2022). Professional burnout in a COVID-19 pandemic. European Respiratory Journal, 60, 2862. https://doi.org/10.1183/13993003.congress-2022.2862
Selye, H. (1956). The stress of life. New York: Mc Graw-Hill.
Lyu, W., & Liu, J. (2021). Artificial Intelligence and emerging digital technologies in the energy sector. Applied energy, 303, 11761. https://doi.org/10.1016/j.apenergy.2021.117615
Maliar-Hazda, N. (2015). Emotsiine vyhorannia – aktualna problema medytsyny sohodennia [Emotional burnout – an actual problem of medicine today]. Problemy klinichnoi pediatrii, 3, 27–31.
Derhach, M.A. (2018). Osoblyvosti mizhosobystisnykh stosunkiv viiskovosluzhbovtsiv z riznym rivnem emotsiinoho vyhorannia, yaki perebuvaiut v zoni boiovykh dii [Peculiarities of interpersonal relations military personnel with different levels of emotional burnout who are in the combat zone]. Aktualni problemy psykholohii, 11 (17), 64–79. Retrieved from: http://www.appsychology.org.ua/data/jrn/v11/i17/7.pdf
Heinemann, L.V., & Heinemann, T. (2017). Burnout Research: Emergence and Scientific Investigation of a Contested Diagnosis. SAGE Open, 7 (1). https://doi.org/10.1177/2158244017697154
Ryzhkova, N.V. (2020). Empirychne doslidzhennia psykholohichnykh chynnykiv emotsiinoho vyhorannia viiskovosluzhbovtsiv inzhenernykh viisk [Empirical study of psychological factors of emotional burnout of servicemen of engineering troops]. Visnyk Natsionalnoho universytetu oborony Ukrainy. Pytannia psykholohii. 4 (57), 84–92.
Chen, H C., Wang, J.Y., Lin,, Y.L., & Yang, S.Y. (2020). Association of internet addiction with family functionality, depression, self-efficacy and self-esteem among early adolescents. International Journal of Environmental Research and Public Health, 17(23), 8820. https://doi.org/10.3390/ijerph17238820
Khalatbaria, J., Ghorbanshiroudia S., & Firouzbakhsha, M. (2013). Correlation of job stress, job satisfaction, job motivation and burnout and feeling stress. Procedia-Social and Behavioral Sciences, 84, 860–863. http://dx.doi.org/10.1016/j.sbspro.2013.06.662
Govindarajan, R. (2018). Аn Organizational Improvement Model for Preventing Burnout of Healthcare Employees. Journal of Human Resource and Sustainability Studies, 6 (4). https://doi.org/10.4236/jhrss.2018.64044
Khmiliar, O., Krasnov, V., Piankivska, L., Krasnytska, O., & Krotiuk, V. (2021). Manifestations of professional maladaptation and emotional burnout syndrome among internship doctors. Advanced and applied sciences, 8 (11), 58–63. https://doi.org/10.21833/ijaas.2021.11.008.
Dodanwala, T., & Shrestha, P. (2021). Work-family conflict and job satisfaction among construction professionals: the mediating role of emotional exhaustion. On the Horizon, 29, 62–75. https://doi.org/10.1108/OTH-11-2020-0042.
Men, Chenghao, Fong, Patrick, Weiwei, Huo, Zhong, Jing, Ruiqian, Jia, & Luo, Jinlian. (2020). Ethical Leadership and Knowledge Hiding: A Moderated Mediation Model of Psychological Safety and Mastery Climate. Journal of Business Ethics, 166. https://doi.org/10.1007/s10551-018-4027-7.
Bodnar, A. (2019). Emotsiine vyhorannia yak vnutrishnoosobystisnyi konflikt [Emotional burnout as an intrapersonal conflict]. XVIII mizhnarodna naukovo-praktychna konferentsiia "Konfliktolohichna ekspertyza: teoriia ta metodyka". Kyiv: 2019, 8–12. Retrieved from: https://ekmair.ukma.edu.ua/handle/123456789/16025
Pines, A., & Aronson, E. (1988). Career Burnout: Causes and Cures. New York: Free Press. 25. Ogden, J. (2019). Health Psychology, 6e. McGraw Hill.
Wilmar, B. Schaufeli, & Dirk van Dierendonck (1993). The Construct Validity of Two Burnout Measures. Journal of Organizational Behavior, 14 (7). 631–647. Retreived from: https://www.jstor.org/stable/2488226
Christina Maslach & Susan E. Jackson. The measurement of experienced burnout. of Journal Organizational Behavior, 2 (2), 99–113. https://doi.org/10.1002/job.4030020205
Parker, G, & Tavella, G. (2022). Is burnout simply a stress reaction? Aust NZJ Psychiatry, 56(9), 1065–1067. https://doi.org/10.1177/00048674211070221.
Khairulin, O.M. (2014). Profesiine vyhorannia viiskovosluzhbovtsiv yak predmet psykholohichnoho analizu [Professional burnout of military personnel as a subject of psychological analysis]. Psykholohiia i suspilstvo, 2, 96–126. Retrieved from: http://nbuv.gov.ua/UJRN/Psis_2014_2_10
Baron Perlman E. Alan Hartman. Burnout: Summary and Future Research Sage Journals, 35 (4). https://doi.org/10.1177/001872678203500402
Aronsson, G., Theorell, T., Grape, T., Hammarström, A., Hogstedt, C., Marteinsdottir, I., & Hall, C. (2017) A systematic review including meta-analysis of work environment and burnout symptoms. BMC Public Health, 17, 264. https://doi.org/10.1186/s12889-017-4153-7
Pierce, C.M.B., & Molloy, G.N. (1990). Psychological and biographical differences between secondary school teachers experiencing high and low levels of burnout. British Journal of Educational Psychology, 60 (1), 37–51. https://doi.org/10.1111/j.2044-8279.1990.tb00920.x
Agyapong B., Obuobi-Donkor G., Burback L., & Wei Y. (2022). Stress, Burnout, Anxiety and Depression among Teachers: A Scoping Review. Int J Environ Res Public Health, 27; 19(17). 10706. https://doi.org/10.3390/ijerph191710706.
Lazar, A.E., Szederjesi, J., Coman, O., Elekes, A., Suciaghi, M., & Grigorescu, B.L. (2022). Survey on Anxiety and Post-Traumatic Stress Disorder in Intensive Care Personnel during the COVID-19 Pandemic in a Medically Under-Resourced Country. Healthcare (Basel), 10(7). 1160. https://doi.org/10.3390/healthcare10071160.
Balan, S.A., Bubenek-Turconi, Ş.I., Droc, G., Marinescu, E., Nita, E., Popa, M.C., Popescu-Spineni, D.. & Tomescu, D. (2019). Burnout syndrome in the Anaesthesia and Intensive Care Unit. Rom J Anaesth Intensive Care, 26(1), 31–36. https://doi.org/10.2478/rjaic-2019-0005.
Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., & Hu, S. (2020). Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open, 3(3), e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976
Draha, T.M., Mialiuk, O.P., & Krynytska, I.Ya. (2017). Osoblyvosti syndromu emotsiinoho vyhorannia u medychnykh pratsivnykiv [Peculiarities of emotional burnout syndrome in medical workers]. Medsestrynstvo, 3, 48–51. Retrieved from: https://core.ac.uk/download/pdf/276628757.pdf
Bayes, A., Tavella, G., & Parker, G. (2021) The biology of burnout: Causes and consequences. World J Biol Psychiatry. 22 (9), 686–698. https://doi.org/10.1080/15622975.2021.1907713.
Assonov, D. (2021). Emotsiine vyhorannia medychnykh pratsivnykiv: modeli, faktory ryzyku ta protektyvni faktory [Emotional burnout of health workers: patterns, risk factors and protective factors]. Psykhosomatychna medytsyna ta zahalna praktyka, 6 (2), 14. https://doi.org/10.26766/pmgp.v6i2.295