Occupational Medicine acaba de publicar artigo interessante a propósito da investigação de Burn out em cirurgiões.
Referências citadas mostram que a estratégia já foi usada em outras profissões da saúde, e que foi validada nos EUA. Parece interessante como medida de screening que pode ser posteriormente completada.
Vejam abaixo título, resumo e destaques
Título:
Identification of Surgeon Burnout via a Single-Item Measure
Abstract:
Background Burnout is endemic in surgeons in the UK and linked with poor patient safety and quality of care, mental health problems, and workforce sustainability. Mechanisms are required to facilitate the efficient identification of burnout in this population. Multi-item measures of burnout may be unsuitable for this purpose owing to assessment burden, expertise required for analysis, and cost.
Aims To determine whether surgeons in the UK reporting burnout on the 22-item Maslach Burnout Inventory (MBI) can be reliably identified by a single-item measure of burnout.
Methods Consultant (n = 333) and trainee (n = 217) surgeons completed the MBI and a single-item measure of burnout. We applied tests of discriminatory power to assess whether a report of high burnout on the single-item measure correctly classified MBI cases and non-cases.
Results The single-item measure demonstrated high discriminatory power on the emotional exhaustion burnout domain: the area under the curve was excellent for consultants and trainees (0.86 and 0.80), indicating high sensitivity and specificity. On the depersonalisation domain, discrimination was acceptable for consultants (0.76) and poor for trainees (0.69). In contrast, discrimination was acceptable for trainees (0.71) and poor for consultants (0.62) on the personal accomplishment domain.
Conclusions A single-item measure of burnout is suitable for the efficient assessment of emotional exhaustion in consultant and trainee surgeons in the UK. Administered regularly, such a measure would facilitate the early identification of at-risk surgeons and swift intervention, as well as the monitoring of group-level temporal trends to inform resource allocation to coincide with peak periods.
Destaques:
"The single-item measure of burnout was developed and validated for use with doctors in the United States [6, 7] and is used extensively in international physician burnout research [8]. T
he stem question ‘Overall, based on your definition of burnout, how would you rate your level of burnout?’ is followed by five response options:
(1) I enjoy my work. I have no symptoms of burnout;
(2) Occasionally, I am under stress, and I don’t always have as much energy as I once did, but I don’t feel burned out;
(3) I am definitely burning out and have one or more symptoms of burnout, such as physical and emotional exhaustion;
(4) The symptoms of burnout that I’m experiencing won’t go away. I
think about frustration at work a lot and
(5) I feel completely burned out and often wonder if I can go on. I am at the point where I may need some changes or may need to seek some sort of help. Consistent with previous studies, burnout was defined as a response of ≥3."
We also used the ‘gold standard’ 22-item Maslach Burnout
Inventory (MBI-HSS (MP)) [9] that is widely used in surgeon research
OBS:
O texto Validation of a single-item measure of burnout against the Maslach Burnout Inventory among physicians. está disponível online em versões pagas e tb no Research Gate
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