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Fulltext A better mental health for all

Jasraj, S., Viknesh, N.

Malaysian Journal of Psychiatry, 2017;26(1):0-0.
MyJurnal

Psychiatric services have progressed well throughout history, marked by a shift from heavily inpatient asylums to outpatient management via deinstitutionalization, and advances in psychopharmacology. An overview of important themes is discussed at public mental health level. Firstly, differences between sexes are touched upon from theoretical and societal perspectives. Next, among the disabled, the phenomenon of diagnostic overshadowing, attributing apparent mental health problems to learning disability, contributes to their overall poorer quality of life. Mental health at both extremes of age is another important theme, whereby dementia and depression are keenly observed in the older age group, while maternal risk factors and parenting play a role in the mental well-being of the younger age group. Fourthly, inequalities, stigma and discrimination, are rife among people living with mental illness, and thereby detrimental in their road to recovery. Deinstitutionalization is explained as being more than just downsizing the inpatient load, gaining prominence with the emergence of community psychiatry services, and found to be helpful in overcoming stigma. Demographically, it was demonstrated that developing countries, as opposed to developed countries, have advantages in their approaches to psychiatric services, including better integration of people living with mental illness into society. Lastly, the psychological well-being of mental health workers should not be discounted, with measures such as stress management and resilience training proving to be key in combating burnout.

Matched MeSH terms: Burnout, Professional
Fulltext Life satisfaction of middle-aged career women in Kelantan: the mediating role of job satisfaction

Ruzaini I, Siti Marziah Z, Wan Yusoff Wan S, See SY

Jurnal Psikologi Malaysia, 2017;31:21-28.

Job satisfaction is significantly related to overall attitudes towards life or life satisfaction. For most people, work is a central life activity. Full time employees spent substantial amount of time at work. Middle-aged women are working longer hours and spending less time with their families, which has led to family crisis, burn out, and depression. Thus, this study helps to determine the relationship between social support and family attachment on life satisfaction among middle-aged career women in Kelantan. It will also analyse the mediating role of job satisfaction. This study is a quantitative study, which was conducted in Kelantan. It involves 438 middle-aged career women in Kelantan. Social support, family attachment and job satisfaction were found to positively relate to life satisfaction. Moreover, job satisfaction was proven as the mediator in the relationship between social support and life satisfaction. This result indicates that life satisfaction of middle-aged career women rely significantly on job satisfaction. Job satisfaction can intervene the direction and the level of life satisfaction of middle-aged career women. This finding could be used as an input for any intervention programs and policies to uplift the well- being and quality of life of middle-aged women.

Matched MeSH terms: Burnout, Professional
Fulltext Investigating validity evidence of the Malay translation of the Copenhagen Burnout Inventory

Andrew Chin RW, Chua YY, Chu MN, Mahadi NF, Wong MS, Yusoff MSB, et al.

J Taibah Univ Med Sci, 2018 Feb;13(1):1-9.
PMID: 31435296 DOI: 10.1016/j.jtumed.2017.06.003

Introduction: The Copenhagen Burnout Inventory (CBI) is a recent burnout measure with a focus on fatigue and exhaustion. It has three factors: personal burnout, work-related burnout, and client-related burnout. This study aimed to translate the CBI into the Malay language and to validate the translated version among a group of medical students.

Methods: The forward-backward translation was performed as per standard guidelines. The Malay version of CBI (CBI-M) was distributed to 32 medical students to assess face validity and later to 452 medical students to assess construct validity. The data analysis was performed by Microsoft Excel, SPSS and AMOS.

Results: The face validity index of CBI-M was more than 0.8. The three factors of CBI-M achieved good levels of goodness-of-fit indices (Cmin/df = 2.99, RMSEA = 0.066, GFI = 0.906, CFI = 0.938, NFI = 0.910, TLI = 0.925). The composite reliability values of the three factors ranged from 0.84 to 0.87. The Cronbach's alpha values of the three factors ranged from 0.83 to 0.87.

Conclusions: This study supports the face and construct validity of the CBI-M with a high internal consistency.

Matched MeSH terms: Burnout, Professional
Fulltext Stress and burnout syndrome in health-care providers treating dengue infection: A cross-sectional study

Boo YL, Liam CCK, Lim SY, Look ML, Tan MH, Ching SM, et al.

Med J Malaysia, 2018 12;73(6):371-375.
PMID: 30647206

INTRODUCTION: Increased prevalence of dengue fever had led to increase stress in providing optimal care for patients. This has been identified as a potential factor that may lead to negative health effects on medical doctors. This study was designed to review the prevalence and associated factors of burnout syndrome (including depression, anxiety, and stress level) among clinicians in the setting of increasing cases of dengue in Malaysia.

METHODS: A cross-sectional, multi-centre study was carried out among doctors in contact with patients with dengue infection from four major hospitals in Malaysia in 2015 using Maslach Burnout Inventory and DASS-21 questionnaire.

RESULTS: A total of 313 respondents were included in this study with 15.9% of the respondents experiencing high burnout syndrome. Long working hours, depression, anxiety, and stress were significantly associated with high degree of burnout syndrome (p<0.05). However, number of dengue cases reviewed was not significantly associated with the degree of burnout syndrome. Depression and stress were among factors identified as the predictors for burnout syndrome.

CONCLUSION: High degree of burnout syndrome among clinicians with significant correlations with symptoms of depression and stress will require early identification to enable early measures to resolve, as well as prevent it. Future studies with more hospitals involvement should be conducted to establish the relationship between the degree of burnout syndrome and prevalence of dengue infection.

Matched MeSH terms: Burnout, Professional/etiology*; Burnout, Professional/epidemiology
Measuring Athletic Mental Energy (AME): Instrument Development and Validation

Lu FJH, Gill DL, Yang CMC, Lee PF, Chiu YH, Hsu YW, et al.

Front Psychol, 2018;9:2363.
PMID: 30574106 DOI: 10.3389/fpsyg.2018.02363

Although considerable research indicates that mental energy is an important factor in many domains, including athletic performance (Cook and Davis, 2006), athletic mental energy (AME) has never been conceptualized and measured. Therefore, the aim of this study was to conceptualize and develop a reliable and valid instrument to assess AME. In Study 1, a focus group interview established the initial framework of AME. Study 2 used a survey to collect athletes' experiences of AME and develop a scale draft titled "Athletic Mental Energy Scale (AMES)." In Study 3, we examined the psychometric properties and the underlying structure of AMES via item analysis, internal consistency, and exploratory factor analysis (EFA). In Study 4, we used confirmatory factor analysis (CFA) to examine AMES's factorial validity; and examined concurrent and discriminant validity by examining correlations with athletes' life stress, positive state of mind, and burnout. In study 5, we examined the measurement invariance of the 6-factor, 18-item AMES with Taiwanese and Malaysian samples. Study 6 examined the predictive validity by comparing AMES scores of successful and unsuccessful martial artists. Across these phases, results showed a 6-factor, 18-item AMES had adequate content validity, factorial structure, nomological validity, discriminant validity, predictive validity, measurement invariance, and reliability. We suggest future studies may use AMES to examine its relationships with athletes' cognition, affect, and performance. The application of AMES in sport psychology was also discussed.

Matched MeSH terms: Burnout, Professional
Fulltext Prevalence and associated factors of burnout among family medicine residents in Al Madina, Saudi Arabia

Aldubai SAR, Aljohani AM, Alghamdi AG, Alghamdi KS, Ganasegeran K, Yenbaawi AM

J Family Med Prim Care, 2019 02;8(2):657-662.
PMID: 30984690 DOI: 10.4103/jfmpc.jfmpc_268_18

Background and Aim: Burnout is a common problem for interns and residents. It has been associated with physical and mental health of health care providers as well as low job satisfaction and medical errors. Few studies have investigated this problem among residents. This study aimed to determine the prevalence of burnout and its associated factors among family residents in Al Madina city, Saudi Arabia.
Materials and Methods: This cross-sectional study was conducted among 75 residents in the family medicine residency programs in Al Madina, Saudi Arabia. A self-administered questionnaire was used that includes questions on sociodemographic characteristics and sources of stress and burnout. T test, analysis of variance (ANOVA) test, and multiple linear regression analysis were employed.
Results: Majority were female (54.7%) and aged 26 to 30 years (84.0%). The significant predictors of burnout in the final model were "tests/examinations" (P = 0.014), "large amount of content to be learnt" (P = 0.016), "unfair assessment from superiors" (P = 0.001), "work demands affect personal/home life" (P = 0.001), and "lack of support from superiors" (P = 0.006).
Conclusion: Burnout is present among family medicine residents at a relatively high percentage. This situation is strongly triggered by work-related stressors, organizational attributes, and system-related attributes, but not socio-demographics of the respondents. Systemic changes to relieve the workload of family medicine residents are recommended to promote effective management of burnout.

Matched MeSH terms: Burnout, Professional
Psychosocial stressors at work and well-being of male employees

Noor Dalila IZA, Rosnah I, Ismail NH

Med J Malaysia, 2019 04;74(2):160-167.
PMID: 31079128

INTRODUCTION: Psychosocial stressors appear to alter the state of mind and adoption of overeating behaviour, resulting in high body mass index. This study was conducted to determine the magnitude of psychosocial stressors on male employees' well-being.
METHOD: This study used secondary data retrieved from a cross-sectional study involving 492 male employees' completed data. Eligible participants completed validated questionnaires of the Psychosocial Safety Climate (PSC-12) scale, short version Demand Induced Strain Compensation (DISQ 2.1), Oldenburg Burnout Inventory - Emotional Exhaustion domain and the Three Eating Factor Questionnaire (TEFQ) -Uncontrolled Eating domain; assessing psychosocial safety climate, job demands and job resources, emotional exhaustion, and uncontrolled eating behaviour, respectively. Body mass index (BMI) was calculated based on weight and height. The research statistical model was tested by two-steps of assessment replicating partial least squares structural equation modelling (PLS-SEM).
RESULT: The results show that psychosocial stressors (psychosocial safety climate, job demands and job resources) had significant effects on emotional exhaustion (β= -0.149, p=0.004; β= 0.223, p<0.001; β= -0.127, p=0.013). Emotional exhaustion predicted by work stressors may act as a chain reaction which could result in uncontrolled eating (β=0.138, p=0.005) and high BMI (β=0.185, p<0.001). Emotional exhaustion does mediate the relationship between PSC and uncontrolled eating behaviour (β= -0.021 [95% boot CI bias corrected: -0.048, -0.002]).
CONCLUSION: The psychosocial stressors at work are significant factors for emotional exhaustion, which further signifies the positive effect on uncontrolled eating behaviour and BMI among Malaysian male employees.

Matched MeSH terms: Burnout, Professional/etiology; Burnout, Professional/epidemiology
Fulltext The effect of the job demand and perceived job burnout in the context of academicians’ role performance

Raja Mayang Delima Mohd Beta, Nordayana Zulkifli, Noor Hasvenda Abd Rahim, Mumtaz Ahmad, Masilah Mohamad

Journal of Academia Universiti Teknologi MARA Negeri Sembilan, 2019;7(101):57-71.
MyJurnal

With the high demands on research ou tputs, academicians are under pressure to cope with their teaching responsibilities as well as other managerial and administrative responsibilities that may affect their in role and extra role performance. Four hundred and thirty one (431) academicians fr om twen ty (20) Malaysian public universities were sampled which drawn from a stratified sampling The study examined the factors affecting in role and extra role performance among academicians in Malaysian public universities. There were two (2) propose d affecting factors that being examined; namely job demands as independent factor, perceived job burnout as the mediating factor and religious perso nality as a moderating factor. The job demands, in role performance and extra role performance questi onnaire revised by Bakker (2014), while the perceived job burnout questionnaire by Demerouti (2010) and religious personality questionnaire by Krauss (2007) were adopted and adapted. The Job demands resources theory of burnout guided the study through a q uantita tive research design. Data were analysed using SPSS 23.0 and AMOS 23.0 approaches of structural equation modelling t o test the hypothesised model. The findings of this study largely supported the hypothesised relationships proposed in the theoreti cal mod el especially the mediating effect of perceived job burnout between job demands towards in role and extra role performance. The study concluded that all research objectives were successfully answered and achieved. Future studies applying the propos ed mode l are therefore recommended to be conducted at the institutions of higher learning across Malaysia in order to verify these findings.

Matched MeSH terms: Burnout, Professional
Fulltext Occupational stress among primary school teachers: a study in jilin province

Wen, Xin, Talwar, P., Tan, Kock Wah, Nur Fatihah, Mat Yusoff, Oon, Yin Bee, Kartini Abdul Ghani

Journal of Cognitive Sciences & Human Development, 2019;5(1):11-18.
MyJurnal

The purpose of this study was to study the association between selected demographic characters
and stress among primary school teachers. The respondents constituted of 60 male
and female school teachers who were chosen using stratified sampling technique. Study was
conducted in Jilin Province. Study design was cross sectional. SPSS was used to analyze
both descriptive and inferential statistics. The main results were as follows. Female teachers
experienced more stress compared to male teachers. Teachers below the age of 40 had more
stress probably, due to teaching experience, as this study revealed that teachers who had
more teaching experience had less stress. Marriage plays and important role in stress, unmarried
teachers experienced comparatively higher levels of stress compared to those married.
Furthermore, those living alone experienced more stress. Occupational stress is known
to cause burnout. It may be a good strategy to provide training in stress management techniques

Matched MeSH terms: Burnout, Professional
Fulltext Occupational burnout and its influencing factors among primary health care providers under Tuaran Area Health Office

Joshua Teo Beng Chin, Shamsul Bahari Shamsudin, Noraziah Bakri

Malaysian Journal of Medicine and Health Sciences, 2019;15(106):28-28.
MyJurnal

Introduction: Primary health care providers face a wide range of stressors and are at high risk of developing occu-pational burnout, which may cause ineffectiveness and reduce the productivity of the health care system. Methods: A cross-sectional study was conducted among the primary health care provider working in health facilities under Tuaran Area Health Office. A total of 199 of 604 providers randomly selected as respondents for this study. Self-ad-ministered questionnaire and the Maslach Burnout Inventory are used for data collection. Descriptive statistics were used to determine the prevalence and Chi-square test was used to determine the association of risk factors. Results: Prevalence of occupational burnout is 10.1% with high level of overall burnout (n = 20), 60.8% are having low to moderate level of overall burnout (n = 121) and 29.1% has no burnout (n = 58). A significant relationship was observed between burnout, high workload, out-of-scope workload and distance between home and workplace (p≤0.01). However, no significant relationship was observed between burnout and age, gender, marital status, finan-cial status, education level, experience and income. Conclusion: This study shows that distribution of workload as well as the job scope may affect burnout. Further study can be conducted to identify home-workplace distance re-lation to burnout. With the identification of these factors, a counter measures and intervention can be implemented.

Matched MeSH terms: Burnout, Professional
Connotations of psychological and physiological health in the psychosocial work environment: An industrial context

Javaid MU, Bano S, Mirza MZ, Isha ASN, Nadeem S, Jawaid A, et al.

Work, 2019;64(3):551-561.
PMID: 31658088 DOI: 10.3233/WOR-193016

BACKGROUND: Psychological conditions are experiences of the conscious and unconscious elements of the work context, which revolve around workers' perceptions of feeling either engaged or disengaged with the assigned tasks. In the psychosocial work environment of hazardous industries like petrochemicals where production lasts twenty-four hours a day and continues seven-days-a-week, a psychologically available worker is extremely important. Psychological availability refers to when workers who are physically, emotionally and psychologically engaged at the moment of performing tasks.
OBJECTIVE: The broad objective of this study was to investigate the direct and indirect effects of behavioral factors on the psychological and physiological health of workers.
METHODS: The latest, second generation technique, which is structural equation modeling, is used to identify the relationships between behavioral antecedents and health outcomes. A total of 277 technical workers participated, aged between 20 and 49 and were healthy in all aspects.
RESULTS: The study results showed quantitative demands, emotional demands, work-family conflict, and job insecurity were significantly associated with both psychological (stress) and physiological (Body Mass Index) factors. The social support of colleagues produced mixed findings with direct and indirect paths. Stress also significantly mediates the psychosocial factors and burnout of the workers.
CONCLUSION: The study concluded that workers were physically available, but they experienced distractions as members of social systems, affecting their physiological and psychological health.

Matched MeSH terms: Burnout, Professional/psychology
Fulltext Teachers' burnout: A SEM analysis in an Asian context

Prasojo LD, Habibi A, Mohd Yaakob MF, Pratama R, Yusof MR, Mukminin A, et al.

Heliyon, 2020 Jan;6(1):e03144.
PMID: 31938746 DOI: 10.1016/j.heliyon.2019.e03144

Researchers in educational psychology have researched Teacher Self-Concept (TSC) and Teacher Efficacy (TE) as two main predictors predicting burnout. Guided by a model developed by Zhu, Liu, Fu, Yang, Zhang & Shi (2018), the researchers aimed at building a model involving TSC, TE, and three components of burnout; Emotional Exhaustion (EE), Depersonalization (DP), and Reduced Personal Accomplishment (RPA) through Structural Equation Modeling (SEM). The researchers investigated predicting factors of burnout by reporting TSC and TE that might directly affect the components and examine the probability of TE to become a mediator of the correlation between TSC and burnout. This research also examined whether the difference emerges constantly among demographic information (gender and teaching experience) regarding all involved variables. A sample of 876 teachers across three Indonesian provinces completed a printed form of questionnaires. Some statistical procedures namely Content Validity Index (CVI), Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), Covariance-Based Structural Equation Modeling (CB-SEM), and t-test were conducted. Findings informed that the model is valid and reliable. TSC could directly affect EE, DE, and RPA, as well as indirectly influence them mediated by TE. Besides, TE is also reported to have significant relationships with EE, DE, and RPA. No significant differences in terms of age and teaching experiences emerge, except for EE.

Matched MeSH terms: Burnout, Professional
Fulltext Data relating to factors affecting teachers' burnout: A sem analysis in an Asian context

Prasojo LD, Habibi A, Yaakob MFM, Pratama R, Yusof MR, Mukminin A, et al.

Data Brief, 2020 Jun;30:105448.
PMID: 32309526 DOI: 10.1016/j.dib.2020.105448

The dataset presents the relationship between Teacher Self-Concept (TSC) and Teacher Efficacy (TE) as the predictors predicting burnout. Three components of burnout involved are Emotional Exhaustion (EE), Depersonalization (DP), and Reduced Personal Accomplishment (RPA). Various statistical approaches such as Content Validity Index (CVI), Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), Covariance-Based Structural Equation Modeling (CB-SEM) were addressed. Eight hundred seventy six Indonesian teachers form 3 provinces were willing to get involved by filling in the instrument. The data can be used for the educational institutions and centers to issue policies overcoming burnout among teachers, teachers to understand factors affecting their burnout, and future researchers extend the model offered by this dataset. This dataset is co-submitted from Heliyon entitled "Teachers' burnout: A SEM analysis in an Asian context" [1].

Matched MeSH terms: Burnout, Professional
The effect of job demands on health and work outcomes: A longitudinal study among Malaysian employees

Muhamad Nasharudin NA, Idris MA, Young LM

Psych J, 2020 Oct;9(5):691-706.
PMID: 32755003 DOI: 10.1002/pchj.378

The purpose of the current study was to investigate the impact of job demands on health and work outcomes among Malaysian workers. We hypothesized that job demands (i.e., emotional demands and physical demands) would predict future work-related burnout and work engagement, in turn affecting sleep problems and job performance (in-role, extra-role). A longitudinal two-wave survey was conducted among Malaysian workers and valid data from 345 participants were analyzed using structural equation modeling. The results revealed that work-related burnout predicts sleep problems while work engagement increased employees' job performance over time. Overall, the current study highlights the importance of specific job demands (i.e., emotional demands and physical demands) that specifically affect health-related behavior and work-related behavior among workers.

Matched MeSH terms: Burnout, Professional*
The Experiences of Well-being of Palliative Care Providers in Malaysia: A Thematic Analysis

Tan SB, Lee YL, Tan SN, Ng TY, Teo YT, Lim PK, et al.

J Hosp Palliat Nurs, 2020 10;22(5):407-414.
PMID: 32898385 DOI: 10.1097/NJH.0000000000000678

Palliative care providers find meaning in their work, even though stress, burnout, and compassion fatigue can be a concern. In this study, we aimed to explore the experiences of well-being of palliative care providers in Malaysia. Data collected using semistructured interviews were thematically analyzed. Eighteen palliative care providers participated: 9 doctors and 9 nurses. Five subthemes were generated: (1) values and strengths, (2) coping and work-life balance, (3) social support and spirituality, (4) passion and satisfaction, and (5) learning, growth, and transformation. These subthemes were further categorized into 2 themes: resilience and reward. The results may inform the development of interventions in the promotion and sustenance of well-being of palliative care providers.

Matched MeSH terms: Burnout, Professional
Fulltext Burnout and work-related stressors in gastroenterology: a protocol for a multinational observational study in the ASEAN region

Ong J, Ong AML, Ong S, Xin X, Lee YY, Pausawasdi N, et al.

BMJ Open Gastroenterol, 2020 11;7(1).
PMID: 33148790 DOI: 10.1136/bmjgast-2020-000534

BACKGROUND: Clinician burnout is an important occupational hazard that may be exacerbated by the novel COVID-19 pandemic. Within Southeast Asia, burnout in gastroenterology is understudied. The primary objective of this study is to estimate the prevalence of burnout symptoms within gastroenterology, in member states of the Associations of Southeast Asian Nations (ASEAN), during and after the COVID-19 pandemic. The secondary objective is to identify work-related stressors that contribute to burnout in ASEAN gastroenterologists.
METHODS AND ANALYSIS: This is an observational study that will use anonymised online surveys to estimate the prevalence of burnout symptoms at two time points: during the COVID-19 pandemic in 2020 and in 2022 (assumed to be after the pandemic). Gastroenterologists from Singapore, Malaysia, Thailand, Indonesia, Philippines and Brunei will be invited to participate in the online survey through their national gastroenterology and endoscopy societies. Burnout will be assessed using the Maslach Burnout Inventory-Human Services Survey tool. Supplementary questions will collect demographic and qualitative data. Associations between demographic characteristics and burnout will be tested by multiple regression.
RESULTS: The prevalence of burnout symptoms in gastroenterology during the COVID-19 pandemic, and the baseline prevalence after COVID-19, will be established in the above-mentioned countries. Work-related stressors commonly associated with burnout will be identified, allowing the introduction of preventative measures to reduce burnout in the future.
ETHICS AND DISSEMINATION: Ethical approval was granted by the Singhealth Centralised Institutional Review Board (2020/2709). Results will be submitted for publication.

Matched MeSH terms: Burnout, Professional/epidemiology*
Fulltext A comparative study on the psychological health status of pre-clinical medical students enrolled through different admission tests

Yusoff MSB

J Taibah Univ Med Sci, 2020 Dec;15(6):439-446.
PMID: 33318735 DOI: 10.1016/j.jtumed.2020.08.011

Objective: This study was conducted at the end of the second year of the pre-clinical program to assess differences in psychological status of students enrolled by multiple mini interview (MMI) and personal interview (PI).
Methods: We adopted a comparative cross-sectional study on pre-clinical medical students who appeared in two different admission tests. The stress, anxiety, and depression levels of students were measured by the depression, anxiety, stress scale (DASS-21), and their burnout level was measured by the Copenhagen Burnout Inventory.
Results: The stress, anxiety, and depression scores between MMI and PI were not significantly different (p-value > 0.05). The personal, work and client burnout scores between MMI and PI were not significantly different (p-value > 0.05). The prevalence of stress (MMI = 39%, PI = 36.9%), anxiety (MMI = 78%, PI = 67.4%), depression (MMI = 41%, PI = 36.2%) and burnout (MMI = 29%, PI = 31.9%) between MMI and PI cohorts was not significantly different (p-value > 0.05). These results showed similar levels of stress, anxiety, depression, and burnout in students at the end of the pre-clinical phase.
Conclusions: This study showed similar psychological health status of the pre-clinical students who were enrolled by two different admission tests. The prevalence of stress, anxiety, burnout, and depression among the pre-clinical medical students was comparable to the global prevalence. The results indicate that medical schools can consider implementing either MMI or PI to recruit suitable candidates for medical training.

Matched MeSH terms: Burnout, Professional
Fulltext Are our healthcare workers well protected during COVID-19? learning from current experiences and challenges

Siti Munira Yasin,, Kamarulzaman Muzaini, Ely Zarina Samsudin, Mohamad Ikhsan Selamat, Zaliha Ismail

Journal of Clinical and Health Sciences, 2020;5(2):4-18.
MyJurnal

The outbreak of novel coronavirus disease 2019 (COVID-19) has been declared a Public
Health Emergency of International Concern by the World Health Organization. The incidence
of this pandemic continues to rise, with 40,665,438 confirmed cases and 1,121,843 deaths
worldwide by 21 October 2020. During this public health crisis, healthcare workers are at the
frontline of the COVID-19 outbreak response, and as such are at risk of being infected and
developing job burnout while in the line of duty. This study reviews the history of COVID-19
outbreak, infection control measures in hospitals during COVID-19 outbreak, healthcare
workers’ risk of infection and other health effects from battling COVID-19, and challenges and
recommendations for protecting healthcare workers during this pandemic. At present,
healthcare workers are every country’s most valuable resources, and their safety must thus
be ensured. Strong medical leadership, clear pandemic planning, policies and protocols,
continuous educational training, adequate provision of personal protective equipment,
psychological support, and the provision of food, rest, and family support for healthcare
workers would augment a climate of safety in the workplace, ensure their wellbeing, and
improve their capacity to battle this ongoing pandemic.

Matched MeSH terms: Burnout, Professional
Fulltext The journey and glitches: a study on burnout and turnover syndrome among the nursing students in one of the nursing institutions of higher learning in Malaysia

Hamidah H, Azila T, Kelvin J M, NurulIzzatie M, Khadijah N Roslih

Malaysian Journal of Medicine and Health Sciences, 2020;16(105):11-0.
MyJurnal

Introduction: Burnout is a psychological syndrome experienced by an individual who is exposed to chronic stress. It is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress. It is often associ- ated with feelings of hopelessness and difficulties in dealing with work efficiency. As for students, going-through the process of learning is a complex stressful phenomenon causing of poor academic performance. The aim of the study was to explore causes of student nurses’ burnout followed by the intention to leave the program. Methods: This is a cross sectional study with total of 127 respondents selected based on Krejci Morgan (1970) sample size calculation from year 1 till year 3 nursing students. Maslach Burnout Inventory (2016) was used to measure the burnout-self test comprised of emotional exhaustion, depersonalization and personal achievement. Twenty-two (22 items) with 7- points scale measuring responses of “Never (0)” to “Every day (7).” For Part B, three open ended questions applied to the intention of leaving the program. Results: A total of 35% of students had the intention of leaving the nursing program and 54% occurred during the first and second year of the study. Stress and financial struggles triggered the intention of quitting the program and 68% felt the study was breaking them down. Conclusion: Pursuing the program despite of the glitches worth the fights, 99 % of respondents acknowledged that this program is worth their future profession. Through this program they learnt to handle their emotional problem calmly and look after patients and colleague’s problem effectively. Nursing is a field of knowledge of humanities, exclusively in the care of patients and Nursing has been able to educate and transform the society who were insufficient in lives into useful human beings.

Matched MeSH terms: Burnout, Professional
Fulltext Resilience among undergraduate nursing students in University Malaysia Sabah

Mazlinda M, Azra F A, Segaran Ramodran, Marlinah P, Adawiyah N R, Randall M, et al.

Malaysian Journal of Medicine and Health Sciences, 2020;16(105):35-0.
MyJurnal

Introduction: Resilience is an important coping mechanism that nurses need to inculcate as they often faced with numerous psychosocial conflicts and stressors in providing day to day patient care. Student nurses are particularly vulnerable to psychosocial stressors and studies indicates that poor resilience is associated with poor academic performance, burn out, depression and high risk of drop out. This study was to examine the level of resilience and associated factors among nursing students in University Malaysia Sabah. Methods: The study entailed a descriptive cross-sectional survey assessing the level of resilience involving student nurses. Ethical clearance for this study was obtained from REC UMS and as well as respondent’s consent. A total of 100(N) nursing students was selected through stratified sampling by year of study (year 1, n=35; year 2 n=35; and year 3 n=30). Sample selection randomization for each year of study was done using full name list generated using Microsoft excel. The study tool consists of a validated instrument (reliability α= 0.82) benchmarked from a previous study which captured respondent`s demo- graphics and a 28-item inquiry related to resilience. Data analysis use descriptive statistics and Fisher`s-Exact test for correlates. Results: In this study among 100 nursing students 82% (n=82) had high resilience score (cut-off mean score more than 3.5) and 18% low resilience score (cut-off mean score lower than 3.4). Comparing distribution of resilience scores, respondents with low resilience scores were higher among thefirst-year nursing student and stu- dents of family origin from rural settings. Conclusion: Findings imply that most nursing students in this study have a high level of resilience and a small cohort of the student nurses have low resilience vulnerable to stressors and risk poor achievement and drop out. There is a need to address nursing students with poor resilience and this paper will discuss some pragmatic strategies.

Matched MeSH terms: Burnout, Professional

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