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Association of burnout with doctor–patient relationship and common stressors among postgraduate trainees and house officers in Lahore—a cross-sectional study

INTRODUCTION: Burnout is defined as a prolonged state of physical and psychological exhaustion. Doctors, due to the demanding nature of their job, are susceptible to facing burnout, which has far reaching implications on their productivity and motivation. It affects the quality of care they provide...

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Autores principales: Ahmad, Waqas, Ashraf, Huma, Talat, Afnan, Khan, Aleena Ahmad, Baig, Ammad Anwar, Zia, Iqra, Sarfraz, Zohak, Sajid, Hifsa, Tahir, Marium, Sadiq, Usman, Imtiaz, Hira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PeerJ Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136394/
https://www.ncbi.nlm.nih.gov/pubmed/30221087
http://dx.doi.org/10.7717/peerj.5519
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author Ahmad, Waqas
Ashraf, Huma
Talat, Afnan
Khan, Aleena Ahmad
Baig, Ammad Anwar
Zia, Iqra
Sarfraz, Zohak
Sajid, Hifsa
Tahir, Marium
Sadiq, Usman
Imtiaz, Hira
author_facet Ahmad, Waqas
Ashraf, Huma
Talat, Afnan
Khan, Aleena Ahmad
Baig, Ammad Anwar
Zia, Iqra
Sarfraz, Zohak
Sajid, Hifsa
Tahir, Marium
Sadiq, Usman
Imtiaz, Hira
author_sort Ahmad, Waqas
collection PubMed
description INTRODUCTION: Burnout is defined as a prolonged state of physical and psychological exhaustion. Doctors, due to the demanding nature of their job, are susceptible to facing burnout, which has far reaching implications on their productivity and motivation. It affects the quality of care they provide to patients, thus eroding the doctor–patient relationship which embodies patient centeredness and autonomy. The study aims at addressing the stressors leading to burnout and its effect on the doctor–patient relationship. METHODS: A descriptive, cross-sectional study design with convenience (non-probability) sampling technique was employed in six major hospitals of Lahore, Pakistan. A total of 600 doctors were approached for the study which included house officers or “HOs” (recent graduates doing their 1 year long internship) and post-graduate trainees or “PGRs” (residents for 4–5 years in their specialties). Burnout was measured using the Copenhagen Burnout Inventor (CBI) while attitudes towards the doctor–patient relationship was measured using the Patient Practitioner Orientation Scale (PPOS), which measures two components of the relationship: power sharing and patient caring. Pearson correlation and linear regression analysis were used to analyze the data via SPSS v.21. RESULTS: A total of 515 doctors consented to take part in the study (response rate 85.83%). The final sample consisted of 487 doctors. The burnout score was not associated with the total and caring domain scores of PPOS (P > 0.05). However, it was associated with the power sharing sub-scale of PPOS. Multiple linear regression analysis yielded a significant model, by virtue of which CBI scores were positively associated with factors such as female gender, feeling of burn out, scoring high on sharing domain of PPOS and a lack of personal control while CBI scores were negatively associated with private medical college education, having a significant other, accommodation away from home and a sense of never ending competition. Burnout levels varied significantly between house officers and post graduate trainees. Twenty-three percent of the participants (mostly house officers) had high/very high burnout levels on the CBI (Kristenson’s burnout scoring). Both groups showed significant differences with respect to working hours, smoking status and income. CONCLUSION: Although burnout showed no significant association with total and caring domain scores of PPOS (scale used to assess doctor–patient relationship), it showed a significant association with the power sharing domain of PPOS suggesting some impact on the overall delivery of patient care. Thus, it necessitates the monitoring of stressors in order to provide an atmosphere where patient autonomy can be practiced.
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spelling pubmed-61363942018-09-14 Association of burnout with doctor–patient relationship and common stressors among postgraduate trainees and house officers in Lahore—a cross-sectional study Ahmad, Waqas Ashraf, Huma Talat, Afnan Khan, Aleena Ahmad Baig, Ammad Anwar Zia, Iqra Sarfraz, Zohak Sajid, Hifsa Tahir, Marium Sadiq, Usman Imtiaz, Hira PeerJ Psychiatry and Psychology INTRODUCTION: Burnout is defined as a prolonged state of physical and psychological exhaustion. Doctors, due to the demanding nature of their job, are susceptible to facing burnout, which has far reaching implications on their productivity and motivation. It affects the quality of care they provide to patients, thus eroding the doctor–patient relationship which embodies patient centeredness and autonomy. The study aims at addressing the stressors leading to burnout and its effect on the doctor–patient relationship. METHODS: A descriptive, cross-sectional study design with convenience (non-probability) sampling technique was employed in six major hospitals of Lahore, Pakistan. A total of 600 doctors were approached for the study which included house officers or “HOs” (recent graduates doing their 1 year long internship) and post-graduate trainees or “PGRs” (residents for 4–5 years in their specialties). Burnout was measured using the Copenhagen Burnout Inventor (CBI) while attitudes towards the doctor–patient relationship was measured using the Patient Practitioner Orientation Scale (PPOS), which measures two components of the relationship: power sharing and patient caring. Pearson correlation and linear regression analysis were used to analyze the data via SPSS v.21. RESULTS: A total of 515 doctors consented to take part in the study (response rate 85.83%). The final sample consisted of 487 doctors. The burnout score was not associated with the total and caring domain scores of PPOS (P > 0.05). However, it was associated with the power sharing sub-scale of PPOS. Multiple linear regression analysis yielded a significant model, by virtue of which CBI scores were positively associated with factors such as female gender, feeling of burn out, scoring high on sharing domain of PPOS and a lack of personal control while CBI scores were negatively associated with private medical college education, having a significant other, accommodation away from home and a sense of never ending competition. Burnout levels varied significantly between house officers and post graduate trainees. Twenty-three percent of the participants (mostly house officers) had high/very high burnout levels on the CBI (Kristenson’s burnout scoring). Both groups showed significant differences with respect to working hours, smoking status and income. CONCLUSION: Although burnout showed no significant association with total and caring domain scores of PPOS (scale used to assess doctor–patient relationship), it showed a significant association with the power sharing domain of PPOS suggesting some impact on the overall delivery of patient care. Thus, it necessitates the monitoring of stressors in order to provide an atmosphere where patient autonomy can be practiced. PeerJ Inc. 2018-09-10 /pmc/articles/PMC6136394/ /pubmed/30221087 http://dx.doi.org/10.7717/peerj.5519 Text en ©2018 Ahmad et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ) and either DOI or URL of the article must be cited.
spellingShingle Psychiatry and Psychology
Ahmad, Waqas
Ashraf, Huma
Talat, Afnan
Khan, Aleena Ahmad
Baig, Ammad Anwar
Zia, Iqra
Sarfraz, Zohak
Sajid, Hifsa
Tahir, Marium
Sadiq, Usman
Imtiaz, Hira
Association of burnout with doctor–patient relationship and common stressors among postgraduate trainees and house officers in Lahore—a cross-sectional study
title Association of burnout with doctor–patient relationship and common stressors among postgraduate trainees and house officers in Lahore—a cross-sectional study
title_full Association of burnout with doctor–patient relationship and common stressors among postgraduate trainees and house officers in Lahore—a cross-sectional study
title_fullStr Association of burnout with doctor–patient relationship and common stressors among postgraduate trainees and house officers in Lahore—a cross-sectional study
title_full_unstemmed Association of burnout with doctor–patient relationship and common stressors among postgraduate trainees and house officers in Lahore—a cross-sectional study
title_short Association of burnout with doctor–patient relationship and common stressors among postgraduate trainees and house officers in Lahore—a cross-sectional study
title_sort association of burnout with doctor–patient relationship and common stressors among postgraduate trainees and house officers in lahore—a cross-sectional study
topic Psychiatry and Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136394/
https://www.ncbi.nlm.nih.gov/pubmed/30221087
http://dx.doi.org/10.7717/peerj.5519
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