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Professional burnout and its correlates in Lithuanian neurosurgeons

  • Experimental Research -Neurosurgery Training
  • Published:
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Abstract

Background

This study aimed to evaluate prevalence and severity of professional burnout in a sample of Lithuanian neurosurgeons and to analyze its personal, interpersonal, and organizational correlates.

Method

Thirty-one out of 79 (response rate 39 %) Lithuanian neurosurgeons participated in the study. Professional burnout was evaluated using the Maslach Burnout Inventory – General Survey. Participants also answered questions about professional stressors, sources of professional dissatisfaction, life–style factors, sickness absenteeism/presenteeism, and professional practice.

Results

The majority of neurosurgeons were between 41 and 60 years of age (48 %), were married (97 %), had children (84 %). Most neurosurgeons had 20 or more years of professional experience (54.9 %), worked from 41 to 60 h per week (58 %), and performed up to 150 surgeries per year (77.4 %). Eight (26 %) neurosurgeons reported a high level of emotional exhaustion, five (16 %) reported high level of cynicism, and eight (26 %) reported low professional efficacy. Correlation analyses revealed that higher number of surgeries per year, more hours devoted to clinical work, opportunities for professional development, intellectual challenges at work, appreciation by the patients and prestige of the profession were related to lower level of burnout. Greater general workload, unpredictability of the work schedule, lack of necessary technical equipment, dissatisfaction with colleagues, and uncertainty about the future were related to a higher level of burnout.

Conclusions

Burnout was reported by one-quarter of neurosurgeons who chose to participate in the study. Personal, interpersonal, and organizational factors arising while fulfilling professional duties were important correlates of neurosurgeons’ burnout. Due to the moderate response rate, our results should be interpreted with caution. Larger studies evaluating burnout among European neurosurgeons are needed.

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References

  1. Ahola K, Kivimäki M, Honkonen T, Virtanen M, Koskinen S, Vahtera J, Lönnqvist J (2008) Occupational burnout and medically certified sickness absence: a population-based study of Finnish employees. J Psychosom Res 64(2):185–193

    Article  PubMed  Google Scholar 

  2. Ahola K, Väänänen A, Koskinen A, Kouvonen A, Shirom A (2010) Burnout as a predictor of all-cause mortality among industrial employees: a 10-year prospective register-linkage study. J Psychosom Res 69(1):51–57

    Article  PubMed  Google Scholar 

  3. Anagnostopoulos F, Liolios E, Persefonis G, Slater J, Kafetsios K, Niakas D (2012) Physician burnout and patient satisfaction with consultation in primary health care settings: evidence of relationships from a one-with-many design. J Clin Psychol Med Settings 19(4):401–410

    Article  PubMed  Google Scholar 

  4. Balch CM, Shanafelt T (2010) Combating stress and burnout in surgical practice: a review. Adv Surg 44(1):29–47

    Article  PubMed  Google Scholar 

  5. Bertges Yost W, Eshelman A, Raoufi M, Abouljoud MS (2005) A national study of burnout among American transplant surgeons. Transplant Proc 37(2):1399–1401

    Article  CAS  PubMed  Google Scholar 

  6. Bria M, Spânu F, Băban A, Dumitraşcu DL (2014) Maslach Burnout Inventory – General Survey: factorial validity and invariance among Romanian healthcare professionals. Burn Res 1(3):103–111

    Article  Google Scholar 

  7. Bunevicius A, Bilskiene D, Macas A, Tamasauskas A (2016) Hemodynamic response during aneurysm clipping surgery among experienced neurosurgeons. Acta Neurochir (Wien) 158(2):221–227

    Article  Google Scholar 

  8. Campbell DA, Sonnad SS, Eckhauser FE, Campbell KK, Greenfield LJ (2001) Burnout among American surgeons. Surgery 130(4):696–702, discussion 702–705

    Article  PubMed  Google Scholar 

  9. Cappabianca P (2006) Advice for a young neurosurgeon. Surg Neurol 65(1):35–37

    Article  PubMed  Google Scholar 

  10. Chyi P, Tan M, Robinson G, Jayathissa S, Weatherall M (2014) Coming to work sick: s survey of hospital doctors in New Zealand. N Z Med J 127(1399):23–35

    Google Scholar 

  11. Dewa CS, Loong D, Bonato S, Thanh NX, Jacobs P (2014) How does burnout affect physician productivity? A systematic literature review. BMC Health Serv Res 14:325. doi:10.1186/1472-6963-14-325

    Article  PubMed  PubMed Central  Google Scholar 

  12. Garcia HA, McGeary CA, Finley EP, Ketchum NS, McGeary DD, Peterson AL (2015) Burnout among psychiatrists in the Veterans Health Administration. Burn Res 2(4):108–114

    Article  Google Scholar 

  13. Genevičiūtė-Janonienė G, Skučaitė R, Endriulatienė A (2015) Įsipareigijomas organizacijai - darbuotojų profesinio perdegimo rizikos ar saugos veiksnys? [Employees’ organizational commitment - risk or preventive factor in professional burnout at work]. Psichologija (Vilnius Univ) 52:77–90

    Article  Google Scholar 

  14. Gustafsson Sendén M, Løvseth LT, Schenck-Gustafsson K, Fridner A (2013) What makes physicians go to work while sick: a comparative study of sickness presenteeism in four European countries (HOUPE). Swiss Med Wkly 143:w13840. doi:10.4414/smw.2013.13840

    PubMed  Google Scholar 

  15. Hakanen JJ, Schaufeli WB (2012) Do burnout and work engagement predict depressive symptoms and life satisfaction? A three-wave seven-year prospective study. J Affect Disord 141(2–3):415–424

    Article  PubMed  Google Scholar 

  16. Halbesleben JRB, Whitman MV, Crawford WS (2014) A dialectical theory of the decision to go to work: bringing together absenteeism and presenteeism. Hum Resour Manag Rev 24(2):177–192

    Article  Google Scholar 

  17. Hansen CD, Andersen JH (2008) Going ill to work: what personal circumstances, attitudes and work-related factors are associated with sickness presenteeism? Soc Sci Med 67(6):956–964

    Article  PubMed  Google Scholar 

  18. Honkonen T, Ahola K, Pertovaara M, Isometsä E, Kalimo R, Nykyri E, Aromaa A, Lönnqvist J (2006) The association between burnout and physical illness in the general population: results from the Finnish health 2000 study. J Psychosom Res 61(1):59–66

    Article  PubMed  Google Scholar 

  19. Kat A, Mallory B, Gilbert JC, Bethel C, Hayes-Jordan AA, Saito JM, Tomita SS, Walsh DS, Shin CE, Wesley JR, Farmer D (2010) State of the practice for pediatric surgery: career satisfaction and concerns. A report from the American Pediatric Surgical Association Task Force on family issues. J Pediatr Surg 45(10):1975–1982

    Article  Google Scholar 

  20. Klein J (2013) Präsentismus, Absentismus und psychosoziale Arbeitsbelastungen bei chirurgisch tätigen Krankenhausärzten [Presenteeism, absenteeism and psychosocial stress at work among German clinicians in surgery]. Das Gesundheitswes 75(10):e139–e148

    Article  CAS  Google Scholar 

  21. Klimo P, DeCuypere M, Ragel BT, McCartney S, Couldwell WT, Boop FA (2013) Career satisfaction and burnout among U.S. neurosurgeons: a feasibility and pilot study. World Neurosurg 80(5):e59–e68

    Article  PubMed  Google Scholar 

  22. Knox ADC, Reddy S, Mema B, DeMoya M, Cilli-Turner E, Harris I (2014) “Back in the day”… what are surgeon bloggers saying about their careers? J Surg Educ 71(1):21–31

    Article  PubMed  Google Scholar 

  23. Langballe EM, Innstrand ST, Aasland OG, Falkum E (2011) The predictive value of individual factors, work-related factors, and work-home interaction on burnout in female and male physicians: a longitudinal study. Stress Heal 27(1):73–87

    Article  Google Scholar 

  24. Lee RT, Seo B, Hladkyj S, Lovell BL, Schwartzmann L (2013) Correlates of physician burnout across regions and specialties: a meta-analysis. Hum Resour Health 11:48. doi:10.1186/1478-4491-11-48

    Article  PubMed  PubMed Central  Google Scholar 

  25. Mache S, Vitzthum K, Klapp BF, Danzer G (2014) Surgeons’ work engagement: influencing factors and relations to job and life satisfaction. Surgeon 12(4):181–190

    Article  PubMed  Google Scholar 

  26. Maslach C, Jackson SE (1981) The measurement of experienced burnout. J Organ Behav 2(2):99–113

    Article  Google Scholar 

  27. Maslach C, Leiter MP, Schaufeli WB (2009) Measuring burnout. In: Cartwright C, Cooper CL (eds) The Oxford handbook of organizational well-being. Oxford University Press, Oxford, pp 86–108

    Google Scholar 

  28. McAbee JH, Ragel BT, McCartney S, Jones GM, Michael LM 2nd, DeCuyper M, Cheng JS, Boop FA, Klimo P Jr (2015) Factors associated with career satisfaction and burnout among US neurosurgeons: results of a nationwide survey. J Neurosurg 123:161–173

    Article  PubMed  Google Scholar 

  29. Mikalauskas A, Macas A, Benetis R (2012) Burnout among Lithuanian cardiac surgeons and cardiac anesthesiologists. Medicina (Kaunas) 48(9):478–484

    Google Scholar 

  30. Montgomery A (2014) The inevitability of physician burnout: implications for interventions. Burn Res 1(1):50–56

    Article  Google Scholar 

  31. Pinto A, Faiz O, Bicknell C, Vincent C (2014) Acute traumatic stress among surgeons after major surgical complications. Am J Surg 208(4):642–647

    Article  PubMed  Google Scholar 

  32. Pit SW, Hansen V (2014) Factors influencing early retirement intentions in Australian rural general practitioners. Occup Med (Lond) 64(4):297–304

    Article  CAS  Google Scholar 

  33. Rantanen I, Tuominen R (2011) Relative magnitude of presenteeism and absenteeism and work-related factors affecting them among health care professionals. Int Arch Occup Environ Health 84:225–230

    Article  PubMed  Google Scholar 

  34. Reulen H-J, Hide RAB, Bettag M, Bodosi M, Cunha E Sa M (2009) A report on neurosurgical workforce in the countries of the EU and associated states. Acta Neurochir 151:715–721

    Article  PubMed  Google Scholar 

  35. Rhodes SM, Collins SK (2015) The organizational impact of presenteeism. Radiol Manag 37(5):27–32

    Google Scholar 

  36. Schaufeli W, Bakker A, Hoogduin K, Schaap C, Kladler A (2001) On the clinical validity of the Maslach Burnout Inventory and the Burnout Measure. Psychol Health 16:565–582

    Article  CAS  PubMed  Google Scholar 

  37. Schaufeli WB, Greenglass ER (2001) Introduction to special issue on burnout and health. Psychol Health 16(5):501–510

    Article  CAS  PubMed  Google Scholar 

  38. Schauffeli WB, Leiter MP, Maslach C, Jackson SE (1996) MBI-general survey. In: Maslach C, Jackson SE, Leiter MP (eds) Maslach Burnout Inventory manual. Consulting Psychologists Press, Palo Alto, pp 19–26

    Google Scholar 

  39. Schutte N, Toppinen S, Kalimo R, Schaufeli WB (2000) The factorial validity of the Maslach Burnout Inventory-General Survey (MBI-GS) across occupational groups and nations. J Occup Organ Psychol 73:53–66

    Article  Google Scholar 

  40. Stelter K, Theodoraki MN, Becker S, Tsekmistrenko V, Olzowy B, Ledderose G (2015) Specific stressors in endonasal skull base surgery with and without navigation. Eur Arch Otorhinolaryngol 272(3):631–638

    Article  CAS  PubMed  Google Scholar 

  41. Upton D, Mason V, Doran B, Solowiej K, Shiralkar U, Shiralkar S (2012) The experience of burnout across different surgical specialties in the United Kingdom: a cross-sectional survey. Surgery 151(4):493–501

    Article  PubMed  Google Scholar 

  42. Vijendren A, Yung M, Sanchez J (2014) The ill surgeon: a review of common work-related health problems amongst UK surgeons. Langenbecks Arch Surg 399(8):967–979

    Article  PubMed  Google Scholar 

  43. Wall M, Schenck-Gustafsson K, Minucci D, Sendén MG, Løvseth LT, Fridner A (2014) Suicidal ideation among surgeons in Italy and Sweden - a cross-sectional study. BMC Psychol 2(1):53. doi:10.1186/s40359-014-0053-0

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgments

The authors are grateful to Indre Sulskyte for her assistance with data gathering process.

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Authors and Affiliations

  1. Neuroscience Institute, Lithuanian University of Health Sciences, Eiveniu g. 4, 50009, Kaunas, Lithuania

    Aiste Pranckeviciene, Arimantas Tamasauskas, Vytenis Pranas Deltuva & Adomas Bunevicius

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  1. Aiste Pranckeviciene
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  2. Arimantas Tamasauskas
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  3. Vytenis Pranas Deltuva
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  4. Adomas Bunevicius
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Correspondence to Aiste Pranckeviciene.

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No funding was received for this research.

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The author(s) declare that they have no competing interests.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Pranckeviciene, A., Tamasauskas, A., Deltuva, V.P. et al. Professional burnout and its correlates in Lithuanian neurosurgeons. Acta Neurochir 158, 1437–1445 (2016). https://doi.org/10.1007/s00701-016-2869-2

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  • DOI: https://doi.org/10.1007/s00701-016-2869-2

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