Preview

Russian Journal of Cardiology

Advanced search

Prevalence of professional burnout among practicing cardiologists in the constituent entities of the Russian Federation

https://doi.org/10.15829/1560-4071-2023-5320

Abstract

The burnout syndrome among healthcare professionals is a headline problem in the world, as it leads to poor health of medical workers, affects patient satisfaction with health care and the healthcare system as a whole. At the same time, existing preventive measures can improve the well-being of staff.

Aim. To study the prevalence of professional burnout syndrome among practicing cardiologists in the Russian Federation (RF).

Material and methods. This cross-sectional study was carried out using the method of online anonymous surveying. The inclusion criterion was the current practical activity in the RF. The study involved 452 cardiologists from 8 federal districts (women; n=377, 83,4%), 48,2% of which worked in a hospital. Occupational burnout was assessed using the Maslach Burnout Inventory (MBI) questionnaire in the Russian language adaptation for healthcare workers by N. E. Vodopyanova and E. S. Starchenkova. The score was calculated on three subscales (emotional exhaustion, depersonalization, personal accomplishment), the maximum score for the subscales was 54, 30 and 48, respectively. The personal accomplishment subscale is the opposite as follows: the higher the score, the less the symptom severity. Additionally, demographic parameters, working conditions, the desire to change job and field of activity were taken into account. Regression analysis was used to establish associations of burnout with factors.

Results. The median score of the emotional exhaustion subscale was 29,5 (23,0; 35,0) points, depersonalization — 12,0 (8,0; 16,0) and personal accomplishment — 32,0 (28,0; 37,0). Men had higher depersonalization score than women as follows: 15,0 (10,0; 18,0) vs 11,0 (8,0; 15,0), p=0,001. High degrees of emotional exhaustion and depersonalization (burnout) were found in 235 (52%) cardiologists, while all three symptoms simultaneously — in 132 (29,2%) doctors. There were no symptoms of burnout in 84 (18,6%) cardiologists. A high degree of burnout was associated with a desire to change job (p<0,001).

Conclusion. A high prevalence of professional burnout among practicing cardiologists in the RF was revealed, which, in turn, is associated with the desire to change job or occupation.

About the Authors

G. A. Neplyueva
Almazov National Medical Research Center
Russian Federation

Galina A. Neplyueva, MD, Specialist of the Department of Scintific suppurt of staffing at the Division for the Federal Projects Implementation

St. Petersburg



A. E. Soloveva
Almazov National Medical Research Center
Russian Federation

Anzhela E. Soloveva, MD, PhD, Associate professor at the Department of Cardiology, Faculty of Advanced Training, Institute of Medical Education, Head of the department of scintific suppurt of staffing at the Division for the Federal Projects Implementation

St. Petersburg



S. D. Krovopolenova
Almazov National Medical Research Center
Russian Federation

Sofya D. Krovopolenova, Specialist of the Department of Monitoring and Analysis of Regional Health Indicators at the Division for the Federal Projects Implementation

St. Petersburg



A. E. Solovev
Almazov National Medical Research Center
Russian Federation

Aleksey E. Solovev, Head of the Regional Cooperation Department of the Regional Health Development Service at the Division for the Federal Projects Implementation

St. Petersburg



V. V. Zaitsev
Almazov National Medical Research Center
Russian Federation

Vadim V. Zaitsev, Leading Specialist of the Department of Scintific Suppurt of Staffing at the Division for the Federal Projects Implementation, PHD student

St. Petersburg



N. E. Zvartau
Almazov National Medical Research Center
Russian Federation

Nadezhda E. Zvartau, MD, PhD, Deputy Director for work with regions, Head of the Division of the Federal Projects Implementation, Associate Professor at the Department of Faculty Therapy with the Clinic, Institute of Medical Education

St. Petersburg



A. O. Konradi
Almazov National Medical Research Center
Russian Federation

Alexsandra O. Konradi, MD, PhD, Doctor of medical sciences, Professor, Corresponding member of RAS, Deputy director for Research, Head of the Research Department of Arterial Hypertension, Head of Public Healthcare Department of the Medical Education Institute

St. Petersburg



S. V. Villevalde
Almazov National Medical Research Center
Russian Federation

Svetlana V. Villevalde, MD, PhD, Doctor of medical sciences, Professor, Head of the Analysis and Prospective Planning service at the Division for the Implementation of Federal Projects, Head of the Department of Cardiology, Faculty of Advanced Training, Institute of Medical Education

St. Petersburg



References

1. Shanafelt TD, Boone S, Tan L, et al. Burnout and Satisfaction With Work-life Balance Among US Physicians Relative to the General US Population. Arch Intern Med. 2012;172(18):1377-85. doi:10.1001/archinternmed.2012.3199.

2. Mikalauskas A, Benetis R, Sirvinskas E, et al. Burnout among anesthetists and intensive care physicians. Open Medicine. 2020;13(1):105-12. doi:10.1515/med-20180017.

3. Menton NK, Shanafeld TD, Sinsky CA, et al. Association of physician burnout with suicidal ideation and medical errors. JAMA Network open. 2020;3(12):e2028780. doi:10.1001/jamanetworkopen.2020.28780.

4. Owoc J, Manczak M, Tombarkiewicz M, et al. Burnout, well-being and self-reported medical errors among physicians. Pol Arch Intern Med. 2021;131(7-8):626-32. doi:10.20452/pamw.16033.

5. Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory. Third edition. 1998. Palo Alto, CA: Consalting Psychologisys Press.

6. Ayisi-Boateng NK, Bankah ME, Ofori-Amankwah GK, et al. A cross-sectional selfassessment of burnout amongst a sample of doctors in Ghana. Afr J Prm Health Care Fam Med. 2020;12(1),a2336. doi:10.4102/phcfm.v12i1.2336.

7. Patel RS, Bachu R, Adikey A, et al. Factors Related to Physician Burnout and Its Consequences: A Review. Behav Sci (Basel). 2018;8(11):98. doi:10.3390/bs8110098.

8. Marques-Pinto A, Moreira S, Costa-Lopes R, et al. Predictors of Burnout Among Physicians: Evidence From a National Study in Portugal. Front. Psychol. 2021;12:699974. doi:10.3389/fpsyg.2021.699974.

9. Picquendar G, Guedon A, Moulinet F, et al. Influence of medical shortage on GP burnout: a cross-sectional study. Family Practice. 2019;36(3):291-6. doi:10.1093/fampra/cmy080.

10. Mehta LS, Lewis JS, Duvernoy KS, et al. Burnout and Career Satisfaction Among U. S. Cardiologists. JACC. 2019;73(25):3345-53. doi:10.1016/j.jacc.2019.04.031.

11. Anagnostopoulos F, Liolios E, Persefonis G, et al. Physician Burnout and Patient Satisfaction with Consultation in Primary Health Care Settings: Evidence of Relationships from a one-with-many Design. J Clin Psychol Med Settings. 2012;19(4):401-10. doi:10.1007/s10880-011-9278-8.

12. Tawfik DS, Profit J, Morgenthaler TI, et al. Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reported Medical Errors. Mayo Clin Proc. 2018; 93(11):1571-80. doi:10.1016/j.mayocp.2018.05.014.

13. Wen J, Cheng Y, Hu X, et al. Workload, burnout, and medical mistakes among physicians in China: A cross-sectional study. BioScience Trends. 2016;10(1):27-33. doi:10.5582/bst.2015.01175.

14. Tsiga E, Panagopoulou E, Montgomery A. Examining the link between burnout and medical error: A checklist approach. Burnout Research. 2017;6(1-8). doi:10.1016/j.burn.2017.02.002.

15. Han S, Shanafeld TD, Sinsky C, et al. Estimating the Attributable Cost Physician Burnout in the United States. Ann Intern Med. 2019;4(170):784-90. doi:10.7326/M18-1422.

16. Kobyakova OS, Deev IA, Kulikiv ES, et al. Professional burnout in healthcare workers in the Russian Federation in case of the Tomsk Region. Profilakticheskaya Meditsina. 2018;21(6);68-73. (In Russ.) doi:10.17116/profmed20182016168.

17. Khudova IYu, Ulumbekova GE. "Burnout" in young professionals: diagnosis, treatment, features in the era of COVID-19. ORGZDRAV: news, opinions, training. Vestnik VSHOUZ. 2021;7(1):42-62. (In Russ.) doi:10.33029/24118621-2021-7-1-42-62.

18. Sinbukhova EV, Lubnin AYu, Popugaev KA. Burnout in anesthesiology and resuscitation. Russian Sklifosovsky Journal "Emergency Medical Care". 2019;8(2):186-93. (In Russ.) doi:10.23934/2223-9022-2019-8-2-186-193.

19. Pogosova NV, Isakova SS, Sokolova OY, et al. Occupational Burnout, Psychological Status and Quality of Life in Primary Care Physicians Working in Outpatient Settings. Kardiologiia. 2021;61(6):69-78. (In Russ.) doi:10.18087/cardio.2021.6.n1538.

20. Vodopyanova EN, Starchenkova ES, Nasledov AD. Standardized questionnaire "Professional burnout" for specialists of socionomic professions. Bulletin of St. Petersburg State University. 2013;4:17-27. (In Russ.)

21. Vodopyanova N, Starchenkova E. Burnout syndrome. 2nd edition Peter. SPb. 2008. p.46, 158. (In Russ.) Волопьянова Н. Е., Старченкова Е. С. Синдром выгорания. 2 издание Питер. Спб. 2008. c.46, 158. ISBN: 978-5-91180-891-4.

22. Pantenburg B, Luppa M, Konig H, et al. Burnout among young physicians and its association with physicians’ wishes to leave: results of a survey in Saxony, Germany. Journal of Occupational Medicine and Toxicology. 2016;11:2. doi:10.1186/s12995-0160091-z.

23. Vinnikov D, Dushpanova A, Kodasbaev A, et al. Occupational burnout and lifestyle in Kazakhstan cardiologists. Arch Public Health. 2019;77(13). doi:10.1186/s13690-0190345-1.

24. Gan Y, Jiang H, Yang Y, et al. Prevalence of burnout and associated factors among general practitioners in Hubei, China: a cross-sectional study. BMC Public Health. 2019;19:1607. doi:10.1186/s12889-019-7755-4.

25. Huber NT, Ham SA, Qayyum M, et al. Association between Job Factors, Burnout, and Preference for a New Job, a Nationally Representative Physician Survey. J Gen Intern Med. 2018;33(6);789-91. doi:10.1007/s11606-018-4412-z.


Supplementary files

  • To determine the prevalence of professional burnout among practicing cardiologists in the Russian Federation, a cross-sectional study was conducted using online anonymous surveying with MBI questionnaire in Russian language adaptation.
  • The questionnaire was completed by 452 cardiologists from institutions of different types of incorporation.
  • We established that more than 50% of cardiologists have a high emotional exhaustion and depersonalization.
  • Identification of severe burnout symptoms is associated with the desire to change job.

Review

For citations:


Neplyueva G.A., Soloveva A.E., Krovopolenova S.D., Solovev A.E., Zaitsev V.V., Zvartau N.E., Konradi A.O., Villevalde S.V. Prevalence of professional burnout among practicing cardiologists in the constituent entities of the Russian Federation. Russian Journal of Cardiology. 2023;28(1S):5320. https://doi.org/10.15829/1560-4071-2023-5320

Views: 1852


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1560-4071 (Print)
ISSN 2618-7620 (Online)