Browsing by Subject "Burnout"

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  • Ericsson, Christoffer R.; Nordquist, Hilla; Lindström, Veronica; Rudman, Ann (2021)
    Background Paramedics experience traumatic events and social emergencies during assignments while also being subjected to verbal and physical threats. Consequently, they are at risk for burnout and secondary traumatic stress, factors inherent to professional quality of life. Defusing and peer-support potentially decrease such symptoms; however, perceived defusing needs and use are not always balanced. Our aim was to explore Finnish paramedics' professional quality of life, using the Professional Quality of Life Scale, with associations to EMS assignment experiences as well as formal and informal defusing need and use over a 12-month period. Methods A quantitative study of 257 Finnish paramedics using a cross-sectional design. Study outcomes were secondary traumatic stress (STS), compassion satisfaction (CS), and burnout (BO) scores using the modified 9-item Short Professional Quality of Life scale (ProQOL). Likert-type scales were used to collect participants' recollections of assignment experiences and defusing from a 12-month period. Associations were explored using Spearman's correlation coefficients. Results Short ProQOL score medians were STS 4.00 (IQR 3), BO 6.00 (IQR 3) and CS 13.00 (IQR 3). STS and BO correlated to experiences of social emergencies and traumatic events while BO correlated to experiences of threat situations (r = 0.206, p = .001). Paramedics perceived a need for defusing in general associated with STS (r = 0.178, p < .001) and participated in informal defusing. Participation in defusing of any form did not associate with ProQOL scores. Conclusions Finnish paramedics' more frequent experiences of social emergencies, traumatic events, and paramedic-directed threat situations were associated with higher levels of STS and BO. STS was also associated with paramedics' increased need for defusing and use of informal peer defusing, although neither STS, BO or CS scores associated to any defusing form. Managing paramedics STS and BO, while fostering CS, could therefore be a future research focus.
  • Heikkurinen, Pasi Petteri; Ruuska, Toni Pekka Kalevi; Kuokkanen, Anna Maria; Russell, Sally (2021)
    This article examines parallels between the increasing mental burnout and environmental overshoot in the organisational context. The article argues that there is a particular philosophy of management that connects these two phenomena of overshoot and burnout, namely productivism. As there are boundaries in all ecological processes and systems, the productivist aim of having ever more output and growth is deemed absurd. It is proposed that productivity as a management philosophy not only leads to mental ill-health in organisations but also to overshoot in the environment. The article concludes that productivism, which denies the limits in utilisation of humans and other natural resources, fits poorly with circular economy and sustainability. Hence, ecological management should be complemented with a more holistic and processual view of organizations, as well as have an aim of peaceful coexistence between all earthbound objects. This signifies acknowledging and caring for human and non-human needs both now and in future by applying the idea of moderation to production of goods and services.
  • Salmela-Aro, Katariina; Upadyaya, Katja (2018)
    Integrating the life-span approach with the Job-Demands-Resources (JD-R) model, this study examined the associations between personal and job demands and resources and work burnout and engagement during the early, mid, and late career stages. A further aim was to include novel job-related demands caused by digitalization, globalization and diversity. We also examined the extent to which work engagement and burnout were associated with general well-being, i.e., life satisfaction and depressive symptoms, among employees in different career stages. Employees (N = 1415) from three large organizations participated in the study via their occupational health services. The research questions were analyzed using structural equation modeling. In line with the life-span approach, the results for personal demands showed that, especially during the early career stage, economic problems were associated with work burnout symptoms, whereas during the late career stage caregiving demands were associated with work burnout and, negatively, with work engagement. In line with the JD-R model, job resources were related to work engagement in all career stages and high resilience buffered against the associations between demands and work engagement and burnout. The results for job demands showed that ICT demands were associated with work burnout during the early career stage and multicultural job demands with work burnout during the middle career stage. Finally, work engagement was associated with life satisfaction and work burnout was associated with depressive symptoms in all career stages. To conclude, an integrative life-span framework can be applied in the context of the demands-resources model.
  • Raevuori, Anu; Hofman-Roddman, Valerie; Goldin, Philippe; Gillung, Erin; Connolly, Susan; Dillon, Ellis; Vähämäki, Veko; Ranta, Krstian; Hilgert, Outi; Nazander, Albert; Huang, Fannie (2020)
    Objective: The aim was to examine change in burnout and depressive symptoms among physicians enrolled in an evidence-based digital health intervention, the Meru Health Program (MHP). Methods: We recruited 27 physicians with evidence of work-related stress as reported from a single-item burnout measure from the Palo Alto Foundation Medical Group and enrolled them into an 8-week, smartphone-delivered and therapist-supported program that combines several evidence-based depression treatments such as cognitive behavioral therapy and mindfulness meditation. Results: We observed a decrease in burnout (p = 0.049, effect size r = 0.71) and depressive symptoms (p = 0.001, effect size d = -0.9) at post-treatment. Engagement metrics were not significantly associated with outcomes. Conclusion: The MHP, a digital therapist-supported intervention delivered via smartphone application, was found to be a promising intervention for physicians suffering from burnout.
  • Ketonen, Elina E.; Malmberg, Lars-Erik; Salmela-Aro, Katariina; Muukkonen, Hanni; Tuominen, Heta; Lonka, Kirsti (2019)
    The present study investigated the dynamic nature of students' daily experiences and general study engagement using intra-individual assessment. More specifically, we examined individual differences in the relationship between university students' task-specific value and situational emotions and, further, whether first-year study engagement would moderate this association during the first two years of studies. Intra-individual state assessments were conducted via mobile phone-based experience sampling method (ESM) during participants' first (N = 72) and second (N = 56) academic years, resulting in 3089 and 2912 fully completed state questionnaires. In both years, students were asked five times a day over two weeks how important they perceived their current activity and their positive and negative emotions. Using multilevel structural equation modeling, we found that, on average, a higher perception of task-specific value was associated with higher positive emotions and lower negative emotions within individuals. However, individual differences were detected in the value-emotion relations especially during the second academic year. Finally, the findings indicated that overall study engagement, measured at the beginning of the first academic year, predicted between-person differences in these within-person relationships both years.
  • Sakakibara, Keiko; Shimazu, Akihito; Toyama, Hiroyuki; Schaufeli, Wilmar B. (2020)
    The current study aimed to validate the Japanese version of the Burnout Assessment Tool (BAT-J), a new burnout measure. We conducted an Internet survey to confirm the validity and reliability of the BAT-J, using registered monitors from a Japanese survey company. The first-wave survey was conducted in May 2018, with 1,032 monitors. Of these, 498 participated in the second-wave survey in June 2018 to confirm 1-month test-retest reliability. We examined the factorial validity of the BAT-J core symptoms (BAT-JC) and BAT-J secondary symptoms (BAT-JS), as well as their reliability (internal consistency and test-retest reliability) and construct validity. Factorial validity was examined using confirmatory factor analyses and exploratory structural equation modeling bifactor analyses. Convergent and discriminant validity were examined using multitrait-multimethod frameworks well as the average variance explained. Exploratory structural equation modeling bifactor solutions for the BAT-JC, BAT-JS, and BAT-J demonstrated the best fit to the data. They also indicated that the general factor accounted for over two-thirds of the common variance explained. Internal consistency and test-retest reliability were confirmed. Convergent and internal discriminant validity of the BAT-JC were confirmed vis-vis burnout, as assessed with the Maslach Burnout Inventory - General Survey. Moreover, external discriminant validity of the BAT-J was demonstrated for work engagement and workaholism. Finally, both BAT scales showed significant positive relationships with job demands and turnover intention. All validity results were in line with the job demands-resources model. The results of the current study provide the first evidence for the BAT-J's reliability and factorial and construct validity.