Main Article Content
Burnout, Oncology, Prevention, Risk factors
Background: Burnout is a stress-induced occupational related syndrome, characterized by Emotional Exhaustion (EE), feeling of depersonalization (DP) and low sense of professional accomplishment (PA).
The aim of this study is to analyse the effectiveness of interventions in decreasing health professionals Burnout as well as work and life-style risk factors.
Methods: A survey in Medical Oncology Department in the University Hospital of Parma was conducted using the validated Maslach Burnout Inventory (MBI) and two additional questionnaires exploring lifestyle and work factors.
An 8-months intervention involved fortnight meetings by facilitators, incorporated elements of reflection, shared experiences and managing emotions.
Six months after the end of the intervention a second survey was performed among the participants using MBI and the same questionnaires mentioned above.
Results: EE resulted the most problematic score in Day Hospital: after the 8-month intervention we described a significant decreasing in EE score especially for Day Hospital operators (from 16.7 to 10.9) and a considerable reduction in DP score.
In the Oncology Ward a correlation between lack of collaboration among different health categories and DE score was detected; in the Day Hospital the absence of solid working teams was related to higher EE scores.
Conclusion: The Oncology professional health care personnel are at the greatest risk of Burnout.
Our study in Oncology Department shows that specific intervention should be used to prevent and reduce Burnout.
Effective personal health care strategies should be incorporated into routine oncology care to prevent and treat Burnout.
2. Maslach C, Shaufeli WB, Leiter MP. Job Burnout. Ann Rev Psychol. 2001; 52: 397-422.
3. Fay J. Hlubocky, Anthony L. Back and Tait D. Shanafelt: Addressing burnout in Oncology: why Cancer Care Clinicians Are at Risk, what individulas Can Do, and How Organizations Can Respond. Asco Educational Book 2016.
4. Blanchard P, Truchot D, Albiges-Sauvin L, et al. Prevalence and causes of burnout amongst oncology residents: a comprehensive nationwide cross-sec tional study. Eur J Cancer. 2010;46:2708-2715.
5. Mordant P, Deneuve S, Rivera C, et al; European Society of Surgical Oncology Young Surgeons and Alumni Club (EYSAC). Quality of life of surgical oncology residents and fellows across Europe. J Surg Educ. 2014;71:222-228.
6.Glasberg J, Horiu L, Novais M, et al. Prevalence of the burnout syndrome among Brazilian medical oncologists. Rev Assoc Med Bras.2007;53:85-89.
7. Roth M, Morrone K, Moody K, et al. Career burnout among pediatric oncologists. Pediatr Blood Cancer. 2011;57:1168-117
8.Leung J, Rioseco P, Munro P. Stress, satisfaction and burnout amongst Australian and New Zealand radiation oncologists. J Med Imaging Radiat Oncol. 2015;59:115-124.
09. Shanafelt TD, Raymond M, Horn L, et al. Oncology fellows’ career plans, expectations, and well-being: do fellows know what they are getting into? J Clin Oncol. 2014;32:2991-2997.
10.Rath K, Huff man L, Phillips G, et al. Burnout and associated factors among members of the Society of Gynecologic Oncology. Am J Obstet Gynecol. 2015;213:e1-e9.
11.Mampuya WA, Matsuo Y, Nakamura A, et al. Evaluation of the prevalence of burnout and psychological morbidity among radiatio oncologist members of the Kyoto Radiatioon Oncology Study Group ( KROSG) . J Radiat Res ( Tokio). 2017;58:217-224
12. Allegra CJ, Hall R, Yothers G. Prevalence of burnout in the U.S.oncology community: results of a 2003 survey. J Oncol Pract. 2005;1:140-147
13. Medisauskaite A, Kamau C. Prevalence of oncologists in distress: Systematic review and meta-analysis. Psycho-Oncology 2017; 26: 1732-1740.
14. Yates M, Samuel V. Burnout in oncologists and ossociated factors: a systematic literature review and meta-analysis. Eur J Cancer Care 2019; 28: e13094
15. Banerjee S, Califano R, Corral J, et al. Professional burnout in European young oncologists: results of the European Society for MedicalOncology (ESMO) Young Oncologists Commi???? ee Burnout Survey. AnnOncol. 2017;28:1590-1596.
16. Bressi C, Manenti S, Cevales D, et all. Haemato-oncology and Burnout: an italian Survey British Journal of Cancer (2008) 98 1046-1052
17.Ramirez A J, Graham J, Richard MA Cull A et al. Burnout and pychiatric disorder among cancer clinicians. Br J cancer 1995; 71 (6):1263-9.
18. Honkonen T, Ahola K, Pertovara M, et al. The association between burnout and physical illness in the general population- results from the finish Health 2000 study. J Psychosom Res. 2006; 6159-66.
19. Shirom A, Melamed S. Does burnout affect physical health? A review of the evidence. Research Companion to Organizational Health Psychology: Edward Elgar Publishing, 2005: 599-622.
20. Parker Pa, Kulik JA. Burnout self and supervisor-rated job performance and absenteeism among nurses. Journal of Behaviour Medicine. 1995;18: 581-599.
21.Shanafelt TD, Balch CM, Bechamps G et al. Burnout and medical errors among American surgeons. Ann Surg 2011;
22. IC Mc Manus, A Keeling and E Paice. Stress, burnout and doctor’s attitudes to work are determined by personality and learning style: a twelve-year longitudinal study of UK medical graduates. BMC MED 2004; 2:29.
23. Alarcon G, Escheleman KJ, Bowling NA. Relationship between personality variables and burnout: a metanalysis. Work stress.2009; 23:244-263.
24.West CP, Liselotte N Dyrbye, Patricia J Erwin: Interventions to prevent and reduce physician burnout: a systemic review and meta-analysis. Lancet 2016: 2272-2281.