Orientador: Carlos Roberto Correa / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-13T00:27:36Z (GMT). No. of bitstreams: 1 Jasiulionis_Hugo_M.pdf: 1022930 bytes, checksum: e2cd95e3c19677b0a96650ca417a1336 (MD5) Previous issue date: 2009 / Resumo: Objetivo: O presente estudo teve como objetivo investigar os fatores associados às dimensões da Síndrome de Burnout em uma amostra de professores de escolas da rede pública estadual de ensino em Sumaré, SP. Metodologia: Foi realizado um estudo transversal em uma amostra de professores da rede pública estadual de ensino de Sumaré durante o intervalo compreendido entre junho e agosto de 2008. O estudo foi composto pela aplicação do inventário de Burnout de Maslach e pela aplicação de um inquérito com questões sócio-demográfico-profissionais, cujas variáveis procuraram se associar com as dimensões que compõem a Síndrome de Burnout. Resultados: Foram entrevistados 386 professores. A média encontrada para a dimensão exaustão emocional foi 3.11, para a dimensão despersonalização foi 2.13 e para dimensão baixa realização pessoal no trabalho foi 3.25. Encontrou-se associação significativa entre as três dimensões da Síndrome de Burnout com as variáveis profissionais tais como percepção de estresse relacionado à carga horária de trabalho, percepção de estresse relacionado ao convívio tumultuado entre professor e aluno. O apoio da direção aos professores relaciona-se com a realização profissional dos mesmos. Ser pai parece ser um fator de proteção para a dimensão despersonalização. Praticar atividade física relaciona-se com as dimensões exaustão emocional e baixa realização pessoal no trabalho. / Abstract: Objective: The purpose of this study was investigating the factors associated with Burnout Syndrome in a sample of public school teachers in Sumaré, SP. Methodology: A cross-sectional study was carried out in a sample of public school teachers in Sumaré between June and August/2008. The research was based on application of Maslach Burnout Inventory (MBI) in association with social-demographic-professional questions. Results: 386 questionnaires were applied. The average for Emotional Exhaustion was 3,11, for depersonalization was 2,13 and for personal accomplishment was 3,25. It was found association between three dimensions of Burnout Syndrome and the stress perception related with duration of work and related with teacher and student disturbed relationship. The management support has relation with teacher's personal accomplishment. Having children seems to be a protection factor for depersonalization. There is relationship between physical activity and emotional exhaustion and personal accomplishment. / Mestrado / Epidemiologia / Mestre em Saude Coletiva

Segundo a literatura os hospitais de emergência sofrem, mais do que outras unidades, os efeitos da falta de investimento no sistema público de saúde e de sua crise de governabilidade. O estresse tem despontado como fator desencadeante de doenças ocupacionais, prejudicando todos os atores envolvidos na assistência à saúde, pensando nisso, decidimos realizar uma pesquisa quantitativa e descritiva, realizada como estudo de caso em um hospital estadual no interior de São Paulo que atende Urgências Clínicas e Psiquiátricas, com o objetivo principal de: identificar possíveis causas do estresse entre trabalhadores de enfermagem das alas de emergência e comparar os estressores da Sala de Urgência (S.U.) e Emergências Psiquiátricas (P.Q.U.). O referencial teórico utilizado é o de Robert Karasek sobre demanda-controle de estresse. Na metodologia utilizamos a observação de campo, e após, aplicamos o instrumento Job Content Questionnaire. Encontramos Alpha de Conbrach negativo para três dimensões: DA (Autoridade decisória), PsD (Demanda psicológica) e JI (Insegurança no trabalho), e relacionamos isso com a inadequação transcultural da tradução da escala para a realidade brasileira, principalmente no que tange a estabilidade empregatícia. Na comparação entre os setores observamos que o setor S.U. apresentou escores mais altos para PsD (Demanda psicológica), PhD (Demanda física), CT (Controle no trabalho) e SD (Uso de habilidade). O Suporte Social foi maior para o setor P.Q.U. Concluímos que são necessários novos estudos com o mesmo objetivo para comparações e ainda sugerimos uma revisão da tradução da escala para o português com adequação a nossa realidade empregatícia. / According to the literature the emergency hospitals suffer more than other units, the effects of lack of investment in the public health system and its governability crisis. Stress has emerged as a triggering factor of occupational diseases, affecting all stakeholders in health care, thinking about it, we decided to perform a quantitative and descriptive study, conducted as a case study in a state hospital in São Paulo that meets Emergency Clinics Psychiatric and with the main objective to: identify possible causes of stress among nursing staff in wards, emergency and compare the stressors Room (ER) and Psychiatric Emergencies (PQU). The theoretical framework used is that of Robert Karasek demand-control over stress. Methodology used the field observation, and after we apply the instrument Job Content Questionnaire. Alpha Conbrach found negative for three dimensions: DA (Decision authority), PSD (Psychological demand) and JI (Job insecurity), and relate this to the inadequacy of cross-cultural translation of the scale for the Brazilian reality, especially regarding the stability employment. Comparing the sectors noted that the sector SU showed higher scores for PSD (Psychological demand), PhD (Physical demand), CT (Job control) and SD (Use skill). Social Support was highest for the sector P.Q.U.. We conclude that further studies are needed with the same goal for comparisons and further suggest a revision of the scale of the translation into Portuguese with our reality employment suitability.

M.A. / Burnout has been researched extensively within the work context, however, burnout amongst the student population yielded a dearth of information. Burnout amongst students can be considered as a loss of motivation to engage in academic study (Mostert, Pienaar, Gauche & Jackson, 2007) and could place students’ academic futures in jeopardy (Struthers, Perry & Menec, 20030). More research in this field was required. The purpose of this study was to ascertain the level of burnout and emotional intelligence in a postgraduate university population. The study also aimed to assess whether any relationship existed between burnout and emotional intelligence. The sample consisted of 225 postgraduate participants from a large metropolitan university. Each participant completed a biographical questionnaire, the Maslach Burnout Inventory-Student Survey and the Trait Emotional Intelligence Questionnaire- Short Form. The Maslach Burnout Inventory-Student Survey yielded three results. Professional efficacy yielded the highest mean score, emotional exhaustion the second highest mean score and cynicism obtained the lowest mean score. The Trait Emotional Intelligence Questionnaire- Short Form yielded a relatively high mean for emotional intelligence. The relationships between the scores on the measures of emotional intelligence and burnout were investigated by means of Pearson’s product-moment correlation. Significant correlations were found between the three dimensions of burnout and emotional intelligence. There was a statistically significant negative correlation between emotional intelligence and exhaustion (r = -0.257; p < 0.01). There was also a statistically significant negative correlation between emotional intelligence and cynicism (r = -0.366; p < 0.01). There was a significant positive correlation between professional efficacy and emotional intelligence (r = 0.428; p < 0.01). It appears as if the higher the level of emotional intelligence, the lower the levels of burnout specifically emotional exhaustion and cynicism. This study has implications for students who may suffer from burnout during their university studies. It allows individuals who are involved with students to recognise the huge impact that burnout may have on a student’s life; psychologically, physically, cognitively and behaviourally. This study also provides information on how levels of emotional intelligence can affect levels of burnout. Furthermore, an important aspect of emotional intelligence is that certain areas of emotional intelligence can be learned and increased. If students are taught to increase their levels of emotional intelligence, they may be able to manage stress more efficiently.

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Burnout, characterised by feelings of emotional exhaustion, depersonalisation and reduced personal accomplishment can prove detrimental to both the individual employee and the organisation. These negative effects can significantly affect the service culture of client service organisations, since research has shown that burnout amongst front-line service employees can result in these employees displaying negative feelings and behaviour towards their clients and co-workers (Yagil, 2006: 259). Research into antecedents of burnout has primarily focused on organisational and job variables, such as role conflict, role ambiguity, work overload and lack of social support. The present study departed from this tradition by focusing on the relationship between role identities (subjective perceptions) and burnout amongst 100 client service employees in three client service organisations in South Africa. The research was informed by previous studies that suggest that client service employees who feel subordinate to the client and powerless in their interactions with the client may display higher levels of burnout than those who feel in control of the service relationship (Buunk, Peiro, Rodriguez&Bravo, 2007; Vanheule&Verhaeghe, 2004). By applying a sequential mixed-methods approach consisting of a quantitative and a qualitative phase, the research explored the differences in role identities of client service employees who measure higher on burnout with the role identities of client service employees who measure lower on burnout. In the quantitative phase, a survey questionnaire incorporating the Maslach Burnout Inventory – Human Services Survey (Maslach&Jackson, 1996) and a modified version of the Burke-Tully role-identity measurement (Burke&Tully, 1977) was used. The quantitative phase was followed by a qualitative phase consisting of semi-structured interviews with eight higher burnout and nine lower burnout employees. The quantitative data were analysed by means of Maximum Likelihood Factor Analysis (MLFA) with Direct Quartimin rotation, analysis of variance (ANOVA) and Pearson and Spearman correlation analysis. The analysis of qualitative data proceeded through a process of open, axial and selective coding as suggested by Miles and Huberman (1994). Both the quantitative and qualitative data are interpreted within the conceptual framework developed, and a number of findings are presented. Analysis of the quantitative data shows that the Maslach Burnout Inventory (MBI) items load on two, instead of the three factors as conceptualised by Maslach and Jackson (1986). One of the two factors corresponds to the reduced personal accomplishment subscale. The other factor comprises items from both the emotional exhaustion and depersonalisation subscales. The two subscales derived from the factor analysis were then correlated with client service employees‟ descriptions of self in role, counter-role and self in relation to the client descriptions on the bipolar adjective scales. This analysis revealed a number of significant correlations − suggesting a difference in the role identities of client service employees who measure higher on burnout when compared with client service employees who measure lower on burnout. For instance, higher levels of burnout are associated with feeling weak, powerless, unhelpful, inconsiderate, not respected and unimportant. The more rigid, impatient and inconsiderate the client is perceived to be, the higher the levels of experienced burnout. The qualitative data reveal that the role identities of higher burnout employees differ from the role identities of lower burnout employees. While higher burnout employees regard themselves as subordinate to and powerless against the client, lower burnout respondents define themselves as superior to and more knowledgeable than the client. Lower burnout employees are able to exert a level of control and power over the client, while higher burnout employees feel controlled by the client. The qualitative research also illustrates how role identities inform behaviour which may contribute to the development of burnout. The role identities of lower burnout employees also enable self-verification, while the role identities of higher burnout client service employees inhibit self-verification. The study introduces the concept of role identity as an important variable to consider in the development of burnout and links the development of client service role identities to organisational client discourse. In so doing, the study has provided organisational theorists and practitioners with a further point of intervention with which to reduce burnout in client service settings. The study has also developed a conceptual framework, derived from the literature and supported by both qualitative and quantitative findings, that shows how role identity can contribute to role-related attitudes and behaviours that could lead to or inhibit the development of burnout. The study is therefore not merely descriptive in nature, but provides a tentative explanatory framework linking burnout and role identity and exploring the mechanisms by virtue of which this relationship exists. The dissertation concludes with recommendations as to how organisational client discourse may be framed so as to facilitate the creation of role identities which empower the employee in relation to the client. By facilitating the development of empowered client service employees, organisations could greatly reduce levels of experienced burnout. As a result, organisational performance will improve, since lower levels of burnout are associated with reduced absenteeism, increased job satisfaction and commitment to the organisation and improved relationships with clients. / Thesis (PhD)--University of Pretoria, 2010. / Human Resource Management / unrestricted

Burnout in healthcare professionals (HCPs) can negatively affect HCPs’ health and the overall functioning of the healthcare system. Of great concern is the negative effect of HCP burnout on psychological, cognitive, and work-relevant functioning. Mindfulness-based interventions have been shown to decrease burnout in HCPs and preliminary evidence suggests they may improve work-relevant outcomes. However, the literature is limited by methodological issues and generalizability concerns. The current pragmatic trial investigated feasibility, acceptability, and effectiveness of Mindfulness for Interdisciplinary Healthcare Professionals (MIHP) using a partially randomized, waitlist-controlled, crossover design [intention-to-treat sample: 22 in the mindfulness group (MG), 26 in the control group (CG)] on psychological, cognitive, and interprofessional measures. The present study also included an explanatory aim evaluating mindfulness practice time and practice quality as mediators of change. Within-group changes were assessed with the combined crossover data for mediation and three-month follow-up analyses. Finally, the present study explored the perceived effects of MIHP and how MIHP had its effects using a grounded theory approach. Results found mixed evidence for feasibility and acceptability. Small to large effects were found for the MG on outcomes of burnout, perceived stress, and mindfulness. These effects were present with groups combined and remained at the follow-up. No effect of MIHP was found on cognitive or interprofessional outcomes. Practice time and quality were not significant mediators of main effects. A grounded theory model is proposed for how MIHP may exert its positive effects within the context of healthcare.

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Temmincks pangolins are the world’s most trafficked mammal. This animal is unique to Southern Africa, and just as rare are the conservationists who are working against all odds to save this species from extinction. While the incidence of poaching within South Africa is increasing, as is the value of a pangolin, the conservation workspace is rapidly becoming increasingly dangerous. In light of the above, one cannot help but be concerned for the well-being of the pangolin conservationists. Despite engaging in meaningful work, the conservationists are exposing themselves to prolonged stress that is likely to impact their well-being. The purpose of this study is to explore the well-being of Temmincks pangolin conservationists in terms of state and trait depression as well as burnout. Furthermore, the study aims to understand whether coping mechanisms or resilience mitigate the effect of the potential depression and burnout. Therefore, a sequential explanatory mixed-method design was adopted for this study. The quantitative data was gathered using the Maslach Burnout Inventory General Survey (MBI-GS), the State Trait Personality Inventory Form Y (STPI-Y) depression subscale, the Coping Orientations to Problems Experienced (COPE) questionnaire and the Predictive 6 Factor Resilience Scale (PR6). The qualitative data was collected utilising a semi-structured interview. Results indicated that the participants were currently experiencing both state and trait depression. Additionally, a third of the sample is at risk of developing burnout. In spite of this, the participants displayed the presence of goal focus, tenacity and collaborative spirit. These elements of resilience were shown to assist the conservationists to persist through adversity. The participants also showed the use of effective coping mechanisms, namely; accepting, planning and critically engaging with perceived stressors. These coping mechanisms were shown to enhance the presence of the resilience indicators. Thus, despite depression and burnout impacting negatively on their well-being, the participants are utilising coping mechanisms and resilience which enhances their well-being. Recommendations included a developmental workshop focusing on fostering effective coping mechanisms to build stronger resilience and ward off potential burnout and possibly ameliorate current depression experiences. / Dissertation (MA (Psychology))--University of Pretoria, 2020. / Psychology / MA (Psychology) / Unrestricted

No description available.

Background: Burnout and physician wellness are becoming increasingly topical. While some surveys have been performed with South African anaesthesiologists, these have been conducted in limited samples. While Burnout is often measured, there is a paucity of research on contributory risk and protective factors. Method: A contextual, prospective, cross-sectional study was conducted. The Maslach Burnout Inventory-Human Services Survey (MBI-HSS) and the Areas of Work-Life Survey (AWS) were used to assess Burnout and contributory organizational risk factors amongst state-employed anaesthesiologists working at Groote Schuur Hospital. Results: Out of a possible 127 members of staff (Medical officers, Registrars and Consultants), 81 responded with 75 completing the full survey (59% response rate). Only 4% of respondents were classified as “burnt out”, defined as scoring 8 high in all three domains of Burnout: High Emotional Exhaustion and Depersonalization and Low Personal Accomplishment. However, 67% of respondents scored high for at least one of the components of Burnout, indicating the majority of the respondents are at risk for developing clinically significant Burnout. The Areas of Work-Life survey showed that respondents found their workload inappropriate. However, responses for the categories of Control, Reward, Community, Fairness and Values were all in the acceptable range. Conclusion: While the overall rate of Burnout was low, the majority of respondents were at risk of developing Burnout. High perceived workload appeared to be a particular contributory factor. Protection against Burnout in this group may be provided by a combination of few organisational risk factors together with feelings of personal accomplishment.