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DOI: 10.4103/ijmpo.ijmpo_168_17
Emotional exhaustion in cancer clinicians: A mixed methods exploration
Financial support and sponsorship Nil.
Abstract
Objectives: The aim of the current study was to explore the associations of emotional exhaustion in oncology clinicians and perceptions of doctors about their work–life balance in a developing country. Methods: The current study used quantitative semi-structured interviews and qualitative in-depth interviews to explore emotional exhaustion and burnout in doctors in a tertiary care cancer center. Sociodemographic details, Maslach Burnout Inventory, and Patient Health Questionnaire were used for the quantitative analysis. Results: Increased work pressure (adjusted odds ratio [AOR]: 5.39, 95% confidence interval [CI]: 2.01–14.47, P < 0.01), reduced job-related satisfaction (AOR: 3.56, 95% CI: 1.37–9.25, P < 0.01), being a woman (AOR: 3.4, 95% CI: 1.2–9.5, P < 0.01), and having higher anxiety and depression scores (AOR: 2.89, 95% CI: 1.11–7.46, P = 0.03) were independently associated with higher levels of emotional exhaustion. In the qualitative interviews, many doctors felt working in oncology a satisfying as well as stressful experience. Dealing with palliative and end-of-life situations and counseling patients and their family members about various treatment options contributed to the stress. Male and female clinicians viewed work–life balance differently. Female doctors charted a larger area of influence for which they felt responsible in work and life. Conclusion: Increased work pressure, reduced job satisfaction, and increased affective symptoms contribute to emotional exhaustion in oncology clinicians, and the risk increases especially in female doctors. Having gender-sensitive and employee-friendly policies will likely help in having a nurturing work environment.
Publikationsverlauf
Artikel online veröffentlicht:
08. Juni 2021
© 2019. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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References
- 1 Ramirez AJ, Graham J, Richards MA, Cull A, Gregory WM. Mental health of hospital consultants: The effects of stress and satisfaction at work. Lancet 1996; 347: 724-8
- 2 Shanafelt T, Dyrbye L. Oncologist burnout: Causes, consequences, and responses. J Clin Oncol 2012; 30: 1235-41
- 3 Leung J, Rioseco P, Munro P. Stress, satisfaction and burnout amongst Australian and New Zealand radiation oncologists. J Med Imaging Radiat Oncol 2015; 59: 115-24
- 4 Koh MY, Chong PH, Neo PS, Ong YJ, Yong WC, Ong WY. et al. Burnout, psychological morbidity and use of coping mechanisms among palliative care practitioners: A multi-centre cross-sectional study. Palliat Med 2015; 29: 633-42
- 5 Taylor C, Graham J, Potts HW, Richards MA, Ramirez AJ. Changes in mental health of UK hospital consultants since the mid-1990s. Lancet 2005; 366: 742-4
- 6 Buckman R. The invisible effects of therapeutic failure. Oncologist 2010; 15: 1370-2
- 7 Lyckholm L. Dealing with stress, burnout, and grief in the practice of oncology. Lancet Oncol 2001; 2: 750-5
- 8 Chatani Y, Nomura K, Ishiguro A, Jagsi R. Factors associated with attainment of specialty board qualifications and doctor of medical science degrees among Japanese female doctors. Acad Med 2016; 91: 1173-80
- 9 Hawton K, Clements A, Sakarovitch C, Simkin S, Deeks JJ. Suicide in doctors: A study of risk according to gender, seniority and specialty in medical practitioners in England and Wales, 1979-1995. J Epidemiol Community Health 2001; 55: 296-300
- 10 Mallath MK, Taylor DG, Badwe GK, Rath YK, Shanta V, Pramesh CS. et al. The growing burden of cancer in India: Epidemiology and social context. Lancet Oncol 2014; 15: e205-12
- 11 Jugale PV, Mallaiah P, Krishnamurthy A, Sangha R. Burnout and work engagement among dental practitioners in Bangalore city: A cross-sectional study. J Clin Diagn Res 2016; 10: ZC63-7
- 12 Pandey J, Singh M. Donning the mask: Effects of emotional labour strategies on burnout and job satisfaction in community healthcare. Health Policy Plan 2016; 31: 551-62
- 13 Ratnakaran B, Prabhakaran A, Karunakaran V. Prevalence of burnout and its correlates among residents in a tertiary medical center in Kerala, India: A cross-sectional study. J Postgrad Med 2016; 62: 157-61
- 14 Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. Int J Qual Health Care 2007; 19: 349-57
- 15 Maslach C, Jackson SE. Maslach Burnout Inventory. Palo Alto, California: Consulting Psychologist's Press; 1986.
- 16 Kroenke K, Spitzer RL, Williams JB, Löwe B. An ultra-brief screening scale for anxiety and depression: The PHQ-4. Psychosomatics 2009; 50: 613-21
- 17 Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006; 3: 77-101
- 18 Cubero DI, Fumis RR, de SáTH, Dettino A, Costa FO, Van EyllBM. et al. Burnout in medical oncology fellows: A prospective multicenter cohort study in Brazilian institutions. J Cancer Educ 2016; 31: 582-7
- 19 Győrffy Z, Dweik D, Girasek E. Reproductive health and burn-out among female physicians: Nationwide, representative study from Hungary. BMC Womens Health 2014; 14: 121
- 20 Downs JA, Reif LK, Hokororo A, Fitzgerald DW. Increasing women in leadership in global health. Acad Med 2014; 89: 1103-7