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      The prevalence of medical student mistreatment and its association with burnout.

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          Abstract

          Medical student mistreatment has been recognized for decades and is known to adversely impact students personally and professionally. Similarly, burnout has been shown to negatively impact students. This study assesses the prevalence of student mistreatment across multiple medical schools and characterizes the association between mistreatment and burnout.

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          Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction

          Linda Aiken (2002)
          Article 0 comments Cited 426 times – based on 0 reviews     Review now
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            Single item measures of emotional exhaustion and depersonalization are useful for assessing burnout in medical professionals.

            Colin West, Liselotte Dyrbye, Jeff A. Sloan … (2009)
            Burnout has negative effects on work performance and patient care. The current standard for burnout assessment is the Maslach Burnout Inventory (MBI), a well-validated instrument consisting of 22 items answered on a 7-point Likert scale. However, the length of the MBI can limit its utility in physician surveys. To evaluate the performance of two questions relative to the full MBI for measuring burnout. Cross-sectional data from 2,248 medical students, 333 internal medicine residents, 465 internal medicine faculty, and 7,905 practicing surgeons. The single questions with the highest factor loading on the emotional exhaustion (EE) ("I feel burned out from my work") and depersonalization (DP) ("I have become more callous toward people since I took this job") domains of burnout were evaluated in four large samples of medical students, internal medicine residents, internal medicine faculty, and practicing surgeons. Spearman correlations between the single EE question and the full EE domain score minus that question ranged from 0.76-0.83. Spearman correlations between the single DP question and the full DP domain score minus that question ranged from 0.61-0.72. Responses to the single item measures of emotional exhaustion and depersonalization stratified risk of high burnout in the relevant domain on the full MBI, with consistent patterns across the four sampled groups. Single item measures of emotional exhaustion and depersonalization provide meaningful information on burnout in medical professionals.
            Article 0 comments Cited 231 times – based on 0 reviews     Review now
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              Nurses' widespread job dissatisfaction, burnout, and frustration with health benefits signal problems for patient care.

              Linda Aiken, Jeannie Cimiotti, Douglas Sloane … (2011)
              Job dissatisfaction among nurses contributes to costly labor disputes, turnover, and risk to patients. Examining survey data from 95,499 nurses, we found much higher job dissatisfaction and burnout among nurses who were directly caring for patients in hospitals and nursing homes than among nurses working in other jobs or settings, such as the pharmaceutical industry. Strikingly, nurses are particularly dissatisfied with their health benefits, which highlights the need for a benefits review to make nurses' benefits more comparable to those of other white-collar employees. Patient satisfaction levels are lower in hospitals with more nurses who are dissatisfied or burned out-a finding that signals problems with quality of care. Improving nurses' working conditions may improve both nurses' and patients' satisfaction as well as the quality of care.
              Article 0 comments Cited 169 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (iso-abbrev): Acad Med
                Title: Academic medicine : journal of the Association of American Medical Colleges
                ISSN (Electronic): 1938-808X
                ISSN (Print): 1040-2446
                Publication date (Electronic): May 2014
                Volume: 89
                Issue: 5
                Affiliations
                [1 ] Dr. Cook was, at the time of this research, fellow, Medical Education Research, Innovation, Teaching, and Scholarship Program, University of Chicago, Chicago, Illinois, and she is currently core faculty, Internal Medicine Residency Program, MedStar Franklin Square Medical Center, Baltimore, Maryland. Dr. Arora is associate professor, Department of Medicine, assistant dean, Scholarship and Discovery Program, and associate program director, Internal Medicine Residency Program, University of Chicago, Chicago, Illinois. Dr. Rasinski was, at the time of this research, assistant professor, Department of Medicine, and he is currently survey manager, Chicago Consortium for School Research, University of Chicago, Chicago, Illinois. Dr. Curlin was, at the time of this research, associate professor, Department of Medicine, codirector, Program of Medicine and Religion, and associate faculty, MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago, Illinois. He is currently Trent Professor of Medical Humanities, Trent Center for Bioethics, Humanities and History of Medicine, Duke University, Durham, North Carolina. Dr. Yoon is assistant professor, Department of Medicine, and associate faculty, MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago, Illinois.
                Article
                Mid ID: NIHMS650423
                DOI: 10.1097/ACM.0000000000000204
                PubMed ID: 24667503
                SO-VID: bbcce813-6e06-4a0b-bcb5-c5fd566e02c1
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