Latent burnout profile analysis in hospital doctors in Ireland.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2024
Historique:
received: 13 02 2024
accepted: 02 08 2024
medline: 22 8 2024
pubmed: 22 8 2024
entrez: 22 8 2024
Statut: epublish

Résumé

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.

Sections du résumé

BACKGROUND BACKGROUND
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.
AIMS OBJECTIVE
To examine the prevalence of latent burnout profiles (LBP) amongst Irish hospital doctors.
METHODS METHODS
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.
RESULTS RESULTS
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.
CONCLUSIONS CONCLUSIONS
The use of LPA provides more nuanced exploration of the phenomenon which can be correlated with workplace features, pointing to potential interventions.

Identifiants

pubmed: 39172911
doi: 10.1371/journal.pone.0308972
pii: PONE-D-24-05186
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0308972

Informations de copyright

Copyright: © 2024 Haire et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Auteurs

Gordon Haire (G)

Faculty of Occupational Medicine, Royal College of Physicians in Ireland, Dublin, Ireland.

Lucia Prihodova (L)

Research Department, Royal College of Physicians in Ireland, Dublin, Ireland.

Sophia Kilcullen (S)

Research Department, Royal College of Physicians in Ireland, Dublin, Ireland.

Blánaid Hayes (B)

Faculty of Occupational Medicine, Royal College of Physicians in Ireland, Dublin, Ireland.

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