Burnout at a bone marrow transplantation unit in Turkey: Effects of interactive psychoeducational seminars

Aim: Health staff working at bone marrow transplantation units (BMTUs) is found to be at a higher risk for suffering from burnout. This paper reports a critical assessment of how burnout level of the health staff working at a bone marrow transplantation unit changes after psychoeducational seminars. Materials and methods: The study was conducted by the Consultation Liaison Psychiatry Division at the BMTU of the Department of Hematology at Ankara University, School of Medicine. Sixty-one health staff members (67%) working at the BMTU filled out socio-demographic and occupational data form, and validated Turkish versions of Maslach Burnout Inventory (MBI), Hospital Anxiety-Depression Scale (HADS), and Quality of Life Scale-short form (SF-36). After the baseline data were collected, 29 members refused to attend the psychoeducational seminars and served as "control" group for the study. The remaining 32 (intervention group) attended 9 interactive seminars focusing on reducing burnout. After completion of the seminars, both intervention and control groups filled out MBI, HADS, and SF-36 scales for the comparisons of the impacts of educational seminars. Results: The mean age, gender distribution, educational level, marital status, history of psychiatric illness, and MBI, HADS and SF-36 subscale scores of the subjects in the two groups were not statistically significantly different at baseline. However, after the seminars, there were significant differences in MBI subscale (emotional exhaustion, depersonalization, and personal accomplishment) scores of the groups (P < 0.05). The burnout levels significantly reduced in the intervention group, but there were no significant differences in the HADS and SF-36 scores of the groups (P > 0.05). Conclusion: The findings of this study indicate that burnout among health care professionals may be reduced with psychoeducational seminars. Future studies supporting our finding might lead to implementation of such cost effective seminars for BMTU staff.

Burnout at a bone marrow transplantation unit in Turkey: Effects of interactive psychoeducational seminars

Aim: Health staff working at bone marrow transplantation units (BMTUs) is found to be at a higher risk for suffering from burnout. This paper reports a critical assessment of how burnout level of the health staff working at a bone marrow transplantation unit changes after psychoeducational seminars. Materials and methods: The study was conducted by the Consultation Liaison Psychiatry Division at the BMTU of the Department of Hematology at Ankara University, School of Medicine. Sixty-one health staff members (67%) working at the BMTU filled out socio-demographic and occupational data form, and validated Turkish versions of Maslach Burnout Inventory (MBI), Hospital Anxiety-Depression Scale (HADS), and Quality of Life Scale-short form (SF-36). After the baseline data were collected, 29 members refused to attend the psychoeducational seminars and served as "control" group for the study. The remaining 32 (intervention group) attended 9 interactive seminars focusing on reducing burnout. After completion of the seminars, both intervention and control groups filled out MBI, HADS, and SF-36 scales for the comparisons of the impacts of educational seminars. Results: The mean age, gender distribution, educational level, marital status, history of psychiatric illness, and MBI, HADS and SF-36 subscale scores of the subjects in the two groups were not statistically significantly different at baseline. However, after the seminars, there were significant differences in MBI subscale (emotional exhaustion, depersonalization, and personal accomplishment) scores of the groups (P < 0.05). The burnout levels significantly reduced in the intervention group, but there were no significant differences in the HADS and SF-36 scores of the groups (P > 0.05). Conclusion: The findings of this study indicate that burnout among health care professionals may be reduced with psychoeducational seminars. Future studies supporting our finding might lead to implementation of such cost effective seminars for BMTU staff.

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  • Campbell DA Jr, Sonnad SS, Eckhauser FE, Campbell KK, Greenfield LJ. Burnout among American surgeons. Surgery 2001; 130(4): 696-705.
  • Chopra SS, Sotile WM, Sotile MO. Physician burnout. JAMA 2004; 291(5):633-5.
  • Felton JS. Burnout as a clinical entity. Its importance in health care workers. Occup Med 1998; 48(4): 237-50.
  • Freudenberger H. Staff burnout. J Soc Issues 1974; 50(1): 159– 65.
  • Grunfeld E, Whelan TJ, Zitzelsberger L, Willan AR, Montesanto B, Evans KW. Cancer care workers in Ontario: prevalence of burnout, job stress and job satisfaction. Can Med Assoc J 2000; 163(2): 166-70.
  • Kiss A. Support of the transplant team. Support Care Cancer 1994; 2(1): 56-60.
  • Armstrong J, Holland J. Surviving the stresses of clinical oncology by improving communication. Oncology 2004; 18(3): 363-8.
  • Borill C, West M, Shapiro D, Rees A. Team working and effectiveness in the NHS. Br J Health Care Manag 2000; 6: 364- 71.
  • Graham J, Ramirez A. Improving the working lives of cancer clinicians. Eur J Cancer Care 2002; 11(3): 188-92.
  • Maslach C, Jackson SE. The measurement of experienced burnout. J Occ Beh 1981; 2: 99-113.
  • Ergin C. Turkish health staffs’ norms of Maslach Burnout Inventory. 3P Journal 1996; 4(11): 28-33.
  • Abiodun OA. A validity study of the Hospital Anxiety and Depression Scale in general hospital units and a community sample in Nigeria. Br J Psychiatr 1994; 165(5): 669-72.
  • Aydemir Ö. Validity and reliability of Turkish form of Hospital Anxiety Depression Scale. Turk Psikiyatri Derg 1997; 8: 280-7.
  • Christina CW, Roger BD, Hamel MB. Comparing the SF-12 and SF-36 health status questionnaires in patients with and without obesity. Health and Quality of Life Outcomes 2008; 6: 11.
  • Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş A. Validity and reliability of Turkish form of Short Form-36 (SF-36). Drug and Treatment Journal 1999; 2(2): 102-6.
  • Leiter M, Harvie P, Frizzell C. The correspondence of patıent satısfactıon and nurse burnout. Soc Sci Med 1998; 47(10); 1611- 7.
  • Sekeres MA, Chernoff M, Lynch TJ Jr, Kasendorf EI, Lasser DH, Greenberg DB. The Impact of a Physician Awareness Group and the First Year of Training on Haematology-Oncology Fellows. J Clin Oncol 2003; 21: 3676-82.
  • Freeborn D. Satisfaction, commitment and well-being among HMO physicians. Permanente J 1998; 2: 22-30.
  • Association of Professors of Medicine. Predicting and Preventing Physician Burnout: Results from the United States and the Netherlands. Am j Med 2001; 111: 170-5.
  • Schmoldt RA, Freeborn DK, Klevit HD. Physician burnout: recommendations for HMO managers. HMO Pract 1994; 8: 58- 63.
  • Panagopoulou E, Montgomery A, Benos A. Burnout in internal medicine physicians: Differences between residents and specialists. Eur J Intern Med 2006; 17: 195-200.
  • Araşjo MMT, Silva MJP, Francisco MCPB. Nursing the dying: essential elements in the care of terminally ill patients. Int Nurs Rev 2004; 5(3): 149-58.
  • Bakker AB, Schaufeli WB, Demerouti E, Janssen PPM, Van der Hulst R, Brouwer J. Using equity theory to examine the difference between burnout and depression. Anxiety Stress Coping 2000; 13: 247-267.