Faculty of Occupational Medicine, Royal College of Physicians in Ireland, Dublin, Ireland.
Research Department, Royal College of Physicians in Ireland, Dublin, Ireland.
PLoS One. 2024 Aug 22;19(8):e0308972. doi: 10.1371/journal.pone.0308972. eCollection 2024.
Burnout, characterised by emotional exhaustion (EE), depersonalisation (DP) and reduced personal accomplishment (PA), is caused by chronic workplace stress. Though widely reported in doctors, variability in definitions and assessment methods render comparisons between studies challenging. Furthermore, traditional methods of reporting burnout can be misleading, focusing more on individuals than on the workplace. Various scores from Maslach Burnout inventory (MBI) have been previously reported as 'burnout', inflating reported prevalence. Recent research suggests using latent profile analysis (LPA), to explore the continuum from engagement to burnout, as distinct patterns of working life may contribute to different profiles.
To examine the prevalence of latent burnout profiles (LBP) amongst Irish hospital doctors.
LBP categorisation of MBI was applied to responses from 1610 hospital doctors from a national survey. Effort-Reward Imbalance (ERI) questionnaire and work ability score were used to measure work stress and work ability.
In line with LBP categorisation, the respondents were classified as follow: 23% (N = 364) Engaged; 21% (N = 332) Burnout (High EE and DP), Overextended (N = 476, 30%); 22% (N = 355) Ineffective (low PA score), 5% (N = 83) Disengaged (high DP scores). Consultants were more likely to be classified as Engaged than trainees. Those classified as Burnout were younger. Females were more likely to be classified as Overextended. Work stress was associated with Overextended, Disengaged and Burnout profiles. Insufficient workability was associated with Burnout profile.
The use of LPA provides more nuanced exploration of the phenomenon which can be correlated with workplace features, pointing to potential interventions.
burnout 是由慢性工作场所压力引起的，其特征为情绪耗竭（EE）、去人性化（DP）和个人成就感降低（PA）。 burnout 在医生中广泛报道，但由于定义和评估方法的差异，使得研究之间的比较具有挑战性。此外，传统的 burnout 报告方法可能具有误导性，更多地关注个体，而不是工作场所。 Maslach 倦怠量表（MBI）的各种得分以前曾被报告为“倦怠”，从而夸大了报告的流行率。最近的研究表明，使用潜在剖面分析（LPA）来探索从投入到倦怠的连续体，因为不同的工作生活模式可能会导致不同的模式。
检查爱尔兰医院医生中潜在倦怠模式（LBP）的流行率。
将 LBP 分类应用于全国调查中 1610 名医院医生的 MBI 回答。使用努力-回报失衡（ERI）问卷和工作能力评分来衡量工作压力和工作能力。
根据 LBP 分类，受访者被分类如下：23%（N = 364）投入；21%（N = 332）倦怠（高 EE 和 DP），过度劳累（N = 476，30%）；22%（N = 355）无效（PA 评分低），5%（N = 83） disengaged（高 DP 评分）。顾问比受训者更有可能被归类为投入。被归类为倦怠的人更年轻。女性更有可能被归类为过度劳累。工作压力与过度劳累、不投入和倦怠模式相关。工作能力不足与倦怠模式相关。
LPA 的使用提供了对现象的更细致探索，可以与工作场所特征相关联，指出潜在的干预措施。
