Faculty of Health and Environmental Sciences, School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand.
Active Living and Rehabilitation: Aotearoa New Zealand, Health and Rehabilitation Research Institute, School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand.
J Foot Ankle Res. 2024 Jun;17(2):e12030. doi: 10.1002/jfa2.12030.
Burnout and occupational stress have not yet been explored within the Aotearoa New Zealand (AoNZ) podiatry workforce despite research suggesting an increased risk among this population. This study aimed to: (i) determine the prevalence and severity of burnout risk and occupational stress among AoNZ podiatrists; (ii) determine the factors associated with burnout risk and occupational stress among AoNZ podiatrists; and (iii) examine the relationship between burnout risk and occupational stress.
A cross-sectional online survey study was undertaken involving registered podiatrists practicing in AoNZ. Personal and professional demographic characteristics were captured. Participants also completed the Maslach Burnout Inventory (assessing three domains of emotional exhaustion, depersonalisation and personal accomplishment) and the Workplace Stress Scale as measures of burnout risk and occupational stress, respectively. Descriptive statistics, multiple regression analyses and correlation analyses were performed to address the research aims.
Responses from 112 AoNZ podiatrists were included in the analyses. High levels of emotional exhaustion were identified in 43.8% of practitioners and were associated with physical activity status, sector of work, working in isolation and work hours (R = 0.304, F (8, N = 110) = 5.519, p < 0.001). High levels of depersonalisation were seen in 13.4% of practitioners and were associated with patient caseload and work hours, (R = 0.183, F (4, N = 108) = 5.770, p < 0.001). Low levels of personal accomplishment were observed in 8.9% of practitioners and associated with ethnicity, physical activity status and patient caseload, (R = 0.152, F (5, N = 106) = 3.577, p < 0.005). A total of 27.7% of practitioners exhibited an overall moderate to high risk of developing burnout. Over a fifth of practitioners exhibited stress at severe or dangerous levels. Stress levels were significantly associated with physical activity status, sector of work and management responsibility, (R = 0.282, F (5, N = 47) = 3.218, p = 0.15). A strong positive relationship was found between emotional exhaustion and stress (rho = 0.59, p < 0.001).
The findings reflect a moderate to severe risk of developing burnout within the workforce, with high workloads and collegial isolation constituting the primary modifiable factors driving burnout development. To maintain retention and well-being within the workforce, mitigation strategies must be implemented to address this issue.
尽管有研究表明，在这一人群中，倦怠和职业压力的风险增加，但在新西兰（AoNZ）足病医生劳动力中，尚未对其进行探索。本研究旨在：（i）确定 AoNZ 足病医生中倦怠风险和职业压力的患病率和严重程度；（ii）确定与 AoNZ 足病医生的倦怠风险和职业压力相关的因素；（iii）研究倦怠风险与职业压力之间的关系。
采用横断面在线调查研究，涉及在 AoNZ 执业的注册足病医生。记录个人和职业人口统计学特征。参与者还完成了 Maslach 倦怠量表（评估情绪衰竭、去个性化和个人成就感三个领域）和工作场所压力量表，分别作为倦怠风险和职业压力的衡量标准。采用描述性统计、多元回归分析和相关分析来解决研究目的。
对 112 名 AoNZ 足病医生的回复进行了分析。43.8%的从业者情绪衰竭程度较高，与身体活动状况、工作领域、孤立工作和工作时间有关（R=0.304，F（8，N=110）=5.519，p<0.001）。13.4%的从业者出现较高的去个性化程度，与患者病例量和工作时间有关（R=0.183，F（4，N=108）=5.770，p<0.001）。8.9%的从业者个人成就感较低，与种族、身体活动状况和患者病例量有关（R=0.152，F（5，N=106）=3.577，p<0.005）。共有 27.7%的从业者表现出中度至高度发展为倦怠的风险。超过五分之一的从业者表现出严重或危险水平的压力。压力水平与身体活动状况、工作领域和管理责任显著相关（R=0.282，F（5，N=47）=3.218，p=0.15）。情绪衰竭和压力之间存在强烈的正相关关系（rho=0.59，p<0.001）。
研究结果反映出劳动力中出现中度至严重的倦怠风险，高工作量和同事孤立是导致倦怠发展的主要可改变因素。为了保持劳动力的保留和福祉，必须实施缓解策略来解决这个问题。
