Los cuidados paliativos buscan ofrecer una atención holística para brindar una mejor calidad de vida a los enfermos, especialmente cuando se aproximan al fin de su existencia. Profundizar en la dimensión espiritual de la persona humana resulta atractivo puesto que ofrece respuestas al sentido de la vida. Se ha constatado que la atención espiritual aporta grandes beneficios para el paciente. Es por eso que en este trabajo hemos querido profundizar en la importancia de la dimensión espiritual en los cuidados paliativos; (...) se destaca la actitud de la escucha como pieza clave de dicha atención espiritual, lo que evidencia que el burnout de los médicos es el principal obstáculo para potenciar la escucha como una adecuada disposición que resulte consoladora y sanadora. (shrink)

Palliative care seeks to provide holistic care to improve the quality of life for the sick, especially as they approach the end of their lives. Addressing the spiritual dimension of the human person is useful because it provides answers to the meaning of life. Spiritual care has been shown to be of great benefit to patients. Therefore, this paper explores the importance of the spiritual dimension in palliative care; highlight the act of listening as a key part of spiritual care, (...) showing that physician burnout is the main obstacle to improving listening as an appropriate service that is both comforting and healing. -/- Los cuidados paliativos buscan ofrecer una atención holística para brindar una mejor calidad de vida a los enfermos, especialmente cuando se aproximan al fin de su existencia. Profundizar en la dimensión espiritual de la persona humana resulta útil puesto que ofrece respuestas al sentido de la vida. Se ha constatado que la atención espiritual aporta grandes beneficios para el paciente. Es por eso que en este trabajo hemos querido profundizar en la importancia de la dimensión espiritual en los cuidados paliativos; se destaca la actitud de la escucha como pieza clave de dicha atención espiritual, lo que evidencia que el burnout de los médicos es el principal obstáculo para potenciar la escucha como una adecuada disposición que resulte consoladora y sanadora. (shrink)

This descriptive study gathers and questions general evidence on the quality of life experienced by medical residents during postgraduate training. The information was obtained from five databases during a period of four months in 2014. For the most part, it highlights dozens of studies that call attention to burnout as a condition that affects the quality of life of medical residents and health workers. The emphasis on deterioration in quality of life focuses on the symptoms of professional attrition that (...) negatively impact a person's health and their subjective sense of personal satisfaction. Although most quality-of-life scales are focused on patients, some of them could be used to assess the learning and working conditions of medical residents, so as to bring them in line with the objectives of legislation, ethics and the universal aspiration for health. The conclusion is that reconsideration is necessary, based on principles of ethics, health and organizational psychology that could benefit the physician in training and have an impact on the quality of health care. (shrink)

NOTA DEL EDITOR: La revista Persona y Bioética agradece al Comité de Bioética de España la autorización para publicar su "Informe sobre los aspectos bioéticos de la priorización de recursos sanitarios en el contexto de la crisis del coronavirus". Su Presidente, el Dr. Federico de Montalvo, y el Vicepresidente, el Dr. Rogelio Altisent, han accedido a que en la sección Bioética en práctica se publique el texto íntegro de este documento. La situación que vive el mundo y sobre todo la (...) respuesta sanitaria frente a la pandemia demanda una orientación bioética clara sobre cómo resolver los múltiples problemas éticos, que en muchos casos son inéditos. Otros organismos análogos han hecho intentos sobre el particular, pero el trabajo realizado por el Comité de Bioética de España es especialmente completo y profundo; un urgente llamado a un "ejercicio ejemplar de responsabilidad" para toda la sociedad y cada uno de sus miembros, incluyendo las autoridades públicas y los medios de comunicación. A la par con un decálogo de recomendaciones, el Comité envía un mensaje de esperanza sustentado en la capacidad que tenga la especie humana para mejorar individual y socialmente. Este documento fue publicado por el Comité de Bioética de España, en su portal web, el 29 de marzo de 2020. El CBE autorizó a la revista Persona y Bioética a publicarlo en su sección de Bioética en práctica. (shrink)

Counselling y cuidados paliativos es el título del libro escrito por la doctora Esperanza Santos y el profesor José Carlos Bermejo. En esta obra, de fácil lectura y con consejos muy prácticos y útiles, se presentan elementos fundamentales para brindar un acompañamiento de óptima calidad en el cuidado paliativo, así como la posibilidad de hacer un autoexamen de cómo los cuidadores de los pacientes prestan sus servicios e incluso para no caer en burnout. Este libro es de gran utilidad, (...) tanto para los profesionales de la salud que trabajan en las unidades de cuidados paliativos, como para personas que dedican gran parte de su tiempo al cuidado de familiares con enfermedades terminales, o que pasan por procesos prolongados de enfermedad. Con ejemplos de conversaciones de la vida real entre cuidadores y pacientes, la lectura del libro se hace, a la vez, agradable, divertida y profundamente reflexiva. (shrink)

Name der Zeitschrift: Jahrbuch für Wissenschaft und Ethik Jahrgang: 20 Heft: 1 Seiten: 385-412.

Counselling y cuidados paliativos es el título del libro que conjuntamente decidieron escribir la doctora Esperanza Santos y el profesor José Carlos Bermejo. En esta obra de fácil lectura y con consejos muy prácticos y útiles, se presentan elementos fundamentales para brindar un acompañamiento de óptima calidad en el cuidado paliativo, así como la posibilidad de hacer un autoexamen de cómo los cuidadores de los pacientes vienen prestando sus servicios e incluso para no caer en burnout. Este libro es (...) de gran utilidad, tanto para los profesionales de la salud que trabajan en las unidades de cuidados paliativos, como para personas que dedican gran parte de su tiempo al cuidado de familiares con enfermedades terminales o que pasan por procesos prolongados de enfermedad. Con ejemplos de conversaciones de la vida real entre cuidadores y pacientes, la lectura del libro se hace, a la vez, agradable, divertida y profundamente reflexiva. Para citar esta reseña / To cite this review / Para citar esta resenha Rosas-Jiménez CA. Esperanza Santos y José Carlos Bermejo. Counselling y cuidados paliativos. Bilbao: Desclée de Brouwer-Centro de Humanización de la Salud, 2015, 164 pp. ISBN: 978-84-330-2786-3. Pers Bioet. 2019; 23: 137-139. DOI: https://doi.org/10.5294/pebi.2019.23.1.9. (shrink)

The field of genetics has seen major advances in recent decades, particularly in research, prevention and diagnosis. One of the most recent developments, the genomic editing technique Clustered regularly interspaced short palindromic repeats (CRISPR)-Cas9, has opened the possibility for genetic therapies through genome modification. The technique marks an improvement on previous procedures but poses some serious ethical conflicts. Bioethics is the discipline geared at finding answers to ethical challenges posed by progress in medicine and biology and examining their repercussions for (...) society. It can also offer a conceptualization of these ethical dilemmas. The aim of this paper is to offer a map of the ethical dilemmas associated with this technique by way of a critical analysis of current literature. The main issues can be grouped in four areas: efficacy and security; the types of cells which can be targeted by the technique (somatic, embryonic and gametes); the goal of the therapy; and accessibility and justice. (shrink)

Burnout is a phenomenon characterized by fatigue and frustration, usually related to work stress and dedication to a cause, a way of life that does not match the person’s expectations. Although it seems to be associated with risk factors stemming from a professional environment, this problem may affect any person. Palliative care is provided in a challenging environment, where professionals often have to make demanding ethical decisions and deal with death and dying. This article reports on the findings of (...) a systematic review aimed at identifying described burnout levels in palliative care nurses and physicians, and the related risks and protective factors. The main findings indicate that burnout levels in palliative care, or in health care settings related to this field, do not seem to be higher than in other contexts. (shrink)

Although organizational and situational factors have been found to predict burnout, not everyone employed at the same workplace develops it, suggesting that becoming burnt out is a complex, multifaceted phenomenon. The aim of this study was to elucidate perceptions of conscience, stress of conscience, moral sensitivity, social support and resilience among two groups of health care personnel from the same workplaces, one group on sick leave owing to medically assessed burnout (n = 20) and one group who showed (...) no indications of burnout (n = 20). The results showed that higher levels of stress of conscience, a perception of conscience as a burden, having to deaden one’s conscience in order to keep working in health care and perceiving a lack of support characterized the burnout group. Lower levels of stress of conscience, looking on life with forbearance, a perception of conscience as an asset and perceiving support from organizations and those around them (social support) characterized the non-burnout group. (shrink)

: Burnout is a psychology syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment. The participants of this study are nurses who have been working at intensive care unit at least for one year. Data were obtained using questionnaire and processed using spearman correlation. Results indicate that are negative relationship between emotional exhaustion and depersonalization with perceived support from colleagues. However, this research finds no relationship between reduced personal accomplishment and perceived support from colleagues. Key words : Burnout, (...) perceived support from colleagues, intensive care nurses. (shrink)

It has often been asserted that burnout is primarily linked to occupational-context factors, and only secondarily to individual-level (e.g., personality) and non-work (or general) factors. We evaluated the validity of this view by examining the links between burnout and an array of 22 work-situated (effort-reward imbalance, unreasonable work tasks, unnecessary work tasks, weekly working hours, job autonomy, skill development, performance feedback, and support in work life), work-unrelated (sentimental accomplishment, familial accomplishment, number of child[ren], leisure activities, residential satisfaction, environmental (...) quality, security in daily life, and support in personal life), dispositional (neuroticism, sex, age, and physical condition), and intersecting (work–non-work conflict and non-work–work conflict) variables. The study involved schoolteachers from three different countries: France (N= 4,395), Spain (N= 611), and Switzerland (N= 514). Burnout was assessed with the Maslach Burnout Inventory for Educators. Most of our predictors were assessed based on widely used measures (e.g., neuroticism was assessed with the NEO-Five Factor Inventory). In order to assess sentimental accomplishment and familial accomplishment, we created two self-reported measures, namely, the Sentimental Accomplishment Inventory (SAI; 9 items) and the Familial Accomplishment Inventory (FAI; 9 items). The SAI and the FAI both showed strong reliability and high factorial validity. Exploratory structural equation modeling bifactor analysis and Mokken scaling suggested that both instruments could be considered essentially unidimensional. The study results showed that neuroticism, job strain, skill development, security in daily life, and work–non-work conflict were consistently associated with burnout across the three samples. Sample-specific predictors of burnout included sex, age, unreasonable work tasks, weekly working hours, job autonomy, support in work life, sentimental accomplishment, leisure activities, support in personal life, and non-work–work conflict. Relative weight analysis indicated that neuroticism was the best predictor of burnout in each sample. Our findings suggest that burnout’s nomological network may not be primarily job-related. We conclude that the tendency to de-emphasize individual-level and non-work factors in burnout research is unwise. This tendency may constitute a roadblock in the development of effective interventional strategies. The implications of our findings for burnout’s conceptual status are discussed. The neuroticism-burnout link should be further examined in longitudinal studies. (shrink)

Source: Author: Agnes F. Montalbo The aim of this study was to measure the exhaustion, cynicism and professional efficacy that would determine an individual’s level of burnout. A convenient sample of employees was obtained from different call centers in Metro Manila. The results indicated a high level of exhaustion for the age group of 18-29 years old and for the female respondents. More than half of the respondents were high in cynicism and those who reported a low professional efficacy (...) were mostly females. Age showed a significant relationship with exhaustion and cynicism while tenure at present job showed a significant relationship with professional efficacy. Results implied that working in a call center may lead to employee burnout especially for females and those who are new in their job. ]]>. (shrink)

Aunque la bioética surgió en un contexto de investigación biomédica y del ejercicio de las ciencias de la salud, no se limitó a este ámbito. V. R. Potter propuso una bioética global, en la cual el medio ambiente debía ser también protagonista. Una de las tareas fundamentales de la bioética, desde sus orígenes, es devolverle al ejercicio de la medicina el componente humano que los desarrollos biotecnológicos amenazan con erosionar. La bioética debe servir también para reconciliar al ser humano consigo (...) mismo, con los demás y con el medio ambiente del que forma parte, pues lo interviene y modifica con un saldo negativo para la naturaleza. Otro cometido principal de la bioética consiste en contribuir al reconocimiento del valor de la vida humana y fortalecer una cultura de la vida, frente a los desafíos que plantean los conflictos armados e intereses economicistas. Para alcanzar estos objetivos, es indispensable contar con un adecuado respaldo biojurídico, del que son especialmente garantes los cuerpos legislativos, quienes tienen una precisa y clara responsabilidad para legislar en conformidad con la Constitución Política de los Estados. Es crucial que las nuevas generaciones adquieran, desde tempranas edades, conceptos, hábitos y actitudes que garanticen una sabiduría de vida reflejada en la cotidianidad. Esta sabiduría debe articular bienes, virtudes y normas que garanticen la convivencia humana y la consolidación de sociedades justas, solidarias y verdaderamente libres. (shrink)

The research sought to determine the prevalence of Burnout Syndrome in health teachers at a university in north-eastern Peru. The universe was made up of 69 teachers, and 41 responded to the self-administered instrument called Maslach Burnout Inventory. The results show that 14.6% present this syndrome. The highest indicator was personal fulfillment, while depersonalization and emotional exhaustion were low. According to gender, in both it was similar. According to age group, it had a greater effect in ages between (...) 36 and 51 years. Marital status was more prevalent in singles. We conclude that the prevalence of Burnout Syndrome was low. (shrink)

Durante a formação, estudantes são constantemente expostos a estressores que, se persistentes, podem ocasionar a Síndrome de Burnout (SB). Considerando a importância dessa demanda, este estudo teve como objetivo identificar diferenças nas dimensões da SB em relação ao ano e turno em estudantes de Ps..

La investigación actual referida al "burnout" está ampliando su campo de estudio. De las primeras investigaciones centradas en profesionales de ayuda se ha pasado al estudio del burnout en otros profesionales. Por otro lado, la preocupación de las universidades por ofrecer una enseñanza de calidad s..

Research has demonstrated that policing is a stressful occupation and has a negative impact on police officers’ mental and physical health, performance, and interactions with citizens. Mental health at the workplace has become a concern due to the costs of depression, anxiety, burnout, and even suicide, which is high among police officers.To ameliorate occupational health, it is crucial therefore to identify stress and burnout levels on a regular basis. However, the instruments frequently used to measure stress have not (...) valorized the specificity of policing tasks. This study aims: i) conducting a literature review, to identify questionnaires used to assess occupational stress and burnout among police officers; ii) to analyze the psychometric characteristics of a Portuguese version of Operational Police Stress Questionnaire (PSQ-Op); and, using the PSQ-op and other questionnaires, iii) to identify operational stress, burnout, and distress levels among Portuguese police officers. The literature review identified 108 studies, which use a multiplicity of questionnaires to measure burnout or occupational stress among police officers, but few studies use specific police stress questionnaires. Sample sizes were mostly below 500 participants and studies were mainly developed in the last decade in the USA and Brazil, but also in another 24 countries, showing the extent of the interest in this topic. This study applied to 2057 police officers from National Portuguese Police, a force policing urban centers, the PSQ-Op, as well the Spanish Burnout Inventory and the Kessler Psychological Distress Scale.The results show that the psychometric properties of the Portuguese version of PSQ-Op are adequate. Factorial analysis revealed two dimensions defined as social and work issues, which were associated with measures of distress and burnout.Fit indices suggested a second-order solution called operational police stress. Overall, and considering the scale range of each questionnaire, the results showed moderate values of operational stress, distress, and burnout. However, considering their cut-off points, 85% of the sample presented high operational stress levels, 11% critical values for burnout, and 28% high distress levels, with 55% of the sample at risk of psychological disorder. These results reinforce the need to prevent stress and to invest in police officers’ occupational health. (shrink)

The purpose of the research. The main purpose of the study is to find out the experience of researching and solving the problem of professional burnout for physicians including family ones in the United States, by analyzing recent surveys and scientific papers of American and European scientists. Methodology. While working on the article, general scientific theoretical methods were used to accom-plish the tasks and achieve the purpose of the research. The methodological basis of the research was the structural-functional method, (...) which allowed considering the phenomenon of professional burnout as a whole with separate elements and their dependencies. Using a historical method, a brief overview of the research development by US scientists on the problem of professional burnout of physicians with a focus on key events that occurred at each of the stages highlighted in the scientific papers. A comparative method was used to compare the results of surveys of different years and topics, data presented in the proceedings of the scientists, and research approaches. Methods of systematization and generalization were used to formulate the paper’s conclusions, in particular, to highlight the essential features of the American research experience and practical problem solution of professional burnout of physicians. Results. It has been found that the professional burnout of physicians has been a matter of concern for the government, professional medical associations, and the general public for physicians of various US specialties for a long time. Although burnout affects physicians of all disciplines, it has been discovered that, among family physicians, this phenomenon exceeds the average level, especially compared to the general economically active population of the United States. Two approaches to identifying and reducing the risk of occupational burnout in the United States have been identified and characterized: the first approach covers measures aimed directly at a physician, that is, a specific individual, and the second, involves measures aimed at an organization, that is, a medical institution. It has been found that Ameri-can scientists have concluded that organizational measures are more effective, but the first approach should be applied as a first step in overcoming professional burnout. Practical meaning. The results of the research are applicable for further scientific exploration and practical problem solution of professional burnout of physicians, including family ones, in Ukraine. Prospects for further research. Meth-odology of surveys of physicians of various specialties on burnout, depression and professional satisfac-tion. Factors of professional burnout for family physicians in Ukraine. (shrink)

In the novel A Burnout-Out Case, Graham Greene argues for an intimate relationship between burnout and happiness. The novel claims that a life worth living is a continuous balancing between something painful, e.g. burnout and something desirable, e.g. happiness. In this essay, I try to make a case for the happiness of burnout. By examining the case story of a young artist, who suffered from burnout, I describe how such suffering might open up for a (...) necessary reevaluation of the values that actually make sense. Such creation of new values is what eventually leads to more happy moments, not happiness per se. This essay provides a philosophical reflection regarding the relationship between happiness and burnout in order to say something regarding which life is worth living. (shrink)

The research described in this article was a descriptive study for determining the relationship between the degree of burnout experienced by nurses working in Kocaeli (Turkey), and their personal and professional values. A questionnaire was developed by using information gained from the literature on this subject and from the Maslach Burnout Inventory. The questionnaire was delivered to nurses working in two different hospitals (State Hospital of I.zmit and the Gölçük Sea Hospital) in Kocaeli. The sample group was formed (...) from all nurses working in the two hospitals, of whom 160 participated in the study during December 1999 and January 2000. The results showed that nurses’ personal and professional values play an important role in the degree of burnout they experience. Equality, altruism and aesthetics were ranked first by those experiencing high levels of emotional exhaustion, and freedom was a priority value for those with a low degree of emotional exhaustion. Freedom, altruism and truth were ranked first by those with prominent feelings of personal accomplishment, and equality and aesthetics were priority values for those with less feeling of personal accomplishment. All nurses, therefore, need to identify and clarify their own personal values, beliefs and assumptions about basic truths. (shrink)

ObjectiveThe large-scale epidemic of Coronavirus Disease 2019 has triggered unprecedented physical and psychological stress on health professionals. This study aimed to investigate the prevalence and risk factors of burnout syndrome, and the relationship between burnout and depressive symptoms among frontline medical staff during the COVID-19 epidemic in China.MethodsA total of 606 frontline medical staff were recruited from 133 cities in China using a cross-sectional survey. The Maslach Burnout Inventory was used to assess the level of burnout. (...) Depressive symptoms were assessed by the Patient Health Questionnaire Depression.ResultsDuring the COVID-19 pandemic, 36.5% of the medical staff experienced burnout. Personal and work-related factors were independently associated with burnout, including age, family income, having physical diseases, daily working hours, and profession of nurse. The correlation coefficients between the scores of each burnout subscale and the scores of depressive symptoms were 0.57 for emotional exhaustion, 0.37 for cynicism, and −0.41 for professional efficacy.ConclusionsOur findings suggest that the prevalence rate of burnout is extremely high among medical staff during the COVID-19 pandemic, which is associated with other psychological disorders, such as depression. Psychological intervention for medical staff is urgently needed. Young and less experienced medical staff, especially nurses, should receive more attention when providing psychological assistance. (shrink)

Although the impact of job demands and work–family conflict (WFC) on burnout has been extensively discussed and analysed in the past literature, the role of WFC as a generative mechanism has been neglected. Therefore, the purpose of this study is to examine the mediating effects of WFC between job demands and burnout. The studied sample consisted of 713 Indian primary school government teachers who completed a self-report questionnaire assessing job demands, WFC and burnout. The results confirmed that (...) WFC partially mediates the adverse association of job demands with burnout. Primary schools should, therefore, be encouraged to provide effective practices to manage work–family interfaces. (shrink)

Empathy is crucial for the quality of social interactions and thus highly relevant in human service professions. At the same time, people belonging to this occupational group are especially vulnerable to developing burnout symptoms. With this study, we aimed to investigate the causal link between burnout symptoms and empathy by using a novel experimental design. Our participants (N = 355; 44.5% women; Mage = 36.37) filled out an online questionnaire; in an autobiographical memory task, the experimental group retrieved (...) previous burnout experiences, whereas one control group retrieved a neutral memory and another control group received no intervention. After measuring current burnout symptoms as a manipulation check, we measured the cognitive and affective empathy of all participants. Findings indicate that the experimental group reported significantly higher burnout symptoms compared to control groups, validating our intervention method. Furthermore, we found that the experimental group scored lower on one of the cognitive empathy measures, suggesting negative effects on the relational skills of burned-out individuals. Results are discussed with regard to ecological validity and implications. (shrink)

Background: Rising levels of burnout and decreasing job satisfaction can inhibit healthcare professionals from providing high-quality care due to a corresponding decrease in their ethical sensitivity. Aim: This study aimed to determine the relationship between the level of ethical sensitivity in emergency service nurses and their levels of burnout and job satisfaction. Research design: This research employed a descriptive and cross-sectional design. Participants and research context: This study was conducted with a sample of 236 nurses, all of whom (...) worked in emergency service between 24 July 2015 and 28 April 2016. Data were collected using the Moral Sensitivity Questionnaire, Maslach Burnout Inventory, and Minnesota Job Satisfaction Scale. Ethical considerations: This study was approved by the Institutional Ethics Review Board of Ondokuz Mayıs University. Findings: There was a weak and negative correlation (r = –0.158, p = 0.015) between Moral Sensitivity Questionnaire and Maslach Burnout Inventory scores. There was also a weak and negative correlation (r = –0.335, p < 0.001) between the Maslach Burnout Inventory and Minnesota Job Satisfaction Scale scores. Discussion and conclusion: Decreased job satisfaction and increased burnout levels among emergency service nurses might result in them indulging in improper practices, frequently facing ethical problems, and a decrease in the overall quality of service in hospitals. In order for emergency service nurses to recognize ethical problems and make the most accurate decisions, a high level of ethical sensitivity is critical. In this respect, it is suggested that continuing education after graduation and training programs should be organized. (shrink)

This study analyses for the first time whether and when moral distress may be related to work-family conflict and burnout. Additionally, this study examines whether resilience and positive refocusing might protect healthcare professionals from the negative effects of moral distress. A total of 153 Italian healthcare professionals completed self-report questionnaires. Simple and moderated mediation models revealed that moral distress was positively related to burnout, directly and indirectly, as mediated by work-family conflict. Highly resilient professionals experienced low work-family conflict, (...) regardless of moral distress levels. Moreover, professionals who frequently used positive refocusing were less vulnerable to burnout following moral distress. (shrink)

Parental burnout is a unique and context-specific syndrome resulting from a chronic imbalance of risks over resources in the parenting domain. The current research aims to evaluate the psychometric properties of the Spanish version of the Parental Burnout Assessment across Spanish-speaking countries with two consecutive studies. In Study 1, we analyzed the data through a bifactor model within an Exploratory Structural Equation Modeling on the pooled sample of participants obtaining good fit indices. We then attained measurement invariance across (...) both gender and countries in a set of nested models with gradually increasing parameter constraints. Latent means comparisons across countries showed that among the participants’ countries, Chile had the highest parental burnout score, likewise, comparisons across gender evidenced that mothers displayed higher scores than fathers, as shown in previous studies. Reliability coefficients were high. In Study 2, we tested the relations between parental burnout and three specific consequences, i.e., escape and suicidal ideations, parental neglect, and parental violence toward one’s children. The medium to large associations found provided support for the PBA’s predictive validity. Overall, we concluded that the Spanish version of the PBA has good psychometric properties. The results support its relevance for the assessment of parental burnout among Spanish-speaking parents, offering new opportunities for cross-cultural research in the parenting domain. (shrink)

Burnout and depression are no strangers to academics. For both students and faculty, these psychological phenomena can plague and even end careers. In this article, it is proposed that burnout and depression among both graduate students and faculty are a primary manifestation of the underlying discourse that is prevalent among many academic institutions. Through the lens of Lacanian discourse theory we will look at the unconscious communication within academia that may be perpetuating the modern dilemma of depression and (...) burnout for both students and professors. Initially, we will look at the concepts of burnout and depression in terms of their clinical manifestations and prevalence. From there, we will consider Lacan’s discourse theory, most notably the concept of the university discourse, and how the unconscious dimension of communication may be effectively propagating psychological distress in academia. Lastly, the article will conclude possible avenues that the academic field can take in order to avoid the pitfalls of such a discourse. (shrink)

Physician burnout is receiving more attention in the medical literature, and deservedly so. For example, in October of 2019, the National Academies of Sciences, Engineering, and Medicine published a lengthy report called Taking Action against Clinician Burnout: A Systems Approach to Professional Well‐Being. The report is comprehensive and well worth reading, and it offers a series of sound recommendations for addressing the burnout problem. However, the recommendations are quite ambitious, and implementing them would require a considerable investment (...) of time, staffing, and financial resources. The medical community should not be left to grapple with the phenomenon of physician burnout alone. The law has a significant role to play in addressing the problem. As a first step, it is useful to consider a few concrete interventions that regulators could realistically implement in the short term. (shrink)

Background: Burnout is a stress-induced syndrome considered to be closely related to work. Although social support could relief burnout syndrome, its effect on learning burnout in medical students remains unclear. The objectives of the study are to evaluate the association between learning burnout and social support in Chinese medical students.Methods: A cross-sectional online survey was distributed to students who participated in online learning in a medical college in Wuhan during the COVID-19 epidemic. We used the Lian (...) version of the Maslach Burnout Inventory to assess learning burnout and the Social Support Rating Scale to assess social support. Chi-square tests were used to analyze factors associated with burnout. Independent t-test and multiple logistic regression were explored to analyze the relationship between social support and burnout.Results: A total of 684 students have completed the survey, of which 315 met standard criteria for learning burnout. Multiple logistic regression analysis has revealed that seniors, low family income and low social support were significant predictors of learning burnout. After adjusting for the grade and family income, there was a significant and relevant association between social support and learning burnout.Conclusions: Learning burnout was highly prevalent in medical students at our college. Senior students and low family income might be risk factors for learning burnout. Social support, especially subjective support and utilization of support might play a protective role in reducing the risk of learning burnout. (shrink)

Our competitive, service-oriented societies are taking a toll on the late-modern individual. Rather than improving life, multitasking, "user-friendly" technology, and the culture of convenience are producing disorders that range from depression to attention deficit disorder to borderline personality disorder. Byung-Chul Han interprets the spreading malaise as an inability to manage negative experiences in an age characterized by excessive positivity and the universal availability of people and goods. Stress and exhaustion are not just personal experiences, but social and historical phenomena as (...) well. Denouncing a world in which every against-the-grain response can lead to further disempowerment, he draws on literature, philosophy, and the social and natural sciences to explore the stakes of sacrificing intermittent intellectual reflection for constant neural connection. (shrink)

Principialismo, bioética personalista y principios de acción en medicina y en servicios de salud Principialismo, bioética personalista e princípios de ação em medicina e serviços de saúde Since there is a gap and differences between bioethical concepts and other principles of action arising from the practice of modern medicine, their comparison is reasonable. Modern medicine has created principles of action based on evidence and principles of quality in medicine, and bioethical argumentation frequently resorts to principlism or personalist bioethics. This article (...) intends to illustrate the characteristics of the relationships between these concepts and their potential mutual enrichment. A simple, practical comparison matrix is proposed to compare the relationship between principles. These concepts have a significant overlap; however, both in the history of ideas and in their formulation, they are very dissimilar. Emphasis is placed on the contextual value of this analysis given by global health trends and some implications for medicine from personalist bioethics. Para citar este artículo / To reference this article / Para citar este artigo Insua JT. Principialismo, bioética personalista y principios de acción en medicina y en servicios de salud. pers. bioét. 2018; 22: 223-246. DOI: 10.5294/pebi.2018.22.2.3. (shrink)

Burnout is a phenomenon, commonly used to describe a state of mental exhaustion that thrives in the workplace nowadays. This syndrome is perceived as a consequence of a major mismatch between the nature of the job and the nature of the person who does the job. The mismatch happened since the organizations place the human value a distant second behind economic or profit. In order to gain a better comprehension about this syndrome, this article tries to describe burnout (...) from the beginning development of the syndrome, the differences from the others concepts, the sources (organization, personalities, work environment), the process and also the issues in empirical research. The reader is expected to explore this phenomenon with regarding those issues. (shrink)

Background: Moral distress and workplace bullying are important issues in the nursing workplace that appear to affect nurse’s burnout. Aim: To investigate the relationship between moral distress and burnout in Iranian nurses, as mediated by their perceptions of workplace bullying. Ethical considerations: The research was approved by the committee of ethics in research of the Urmia University of Medical Sciences. Method: This is a correlation study using a cross-sectional design with anonymous questionnaires as study instruments (i.e. Moral Distress (...) Scale-Revised, Maslach Burnout Inventory and The Negative Acts Questionnaire-Revised). Data were collected from 278 nurses from five teaching hospitals in Urmia, the capital of Western Azerbaijan, northwest of Iran. Structural equation modeling and bootstrapping procedures were employed to recognize the mediating role of their perceptions of workplace bullying. Results: The mean score of moral distress, burnout, and the Negative Acts Questionnaire-Revised Scale among the participants were 91.02 ± 35.26, 79.9 ± 18.27, and 45.4 ± 15.39, respectively. The results confirmed our hypothesized model. All the latent variables of study were significantly correlated in the predicted directions. The moral distress and bullying were significant predictors of burnout. Perception of bullying partially mediated the relationship between moral distress and burnout. The mediating role of the bullying suggests that moral distress increases burnout, directly and indirectly. Conclusion: Nursing administrators should be conscious of the role of moral distress and bullying in the nursing workplace in increasing burnout. (shrink)

This essay places contemporary efforts to understand and respond to the crisis of physician burnout in historical perspective, proposing that the origins of such efforts lie in nineteenth century concerns over “nervous exhaustion,” well before the term “physician burnout” was coined by social scientists in the early 1970s. Only very recently, however, have physician-scholars started to bring more sophisticated tools to bear in conceptualizing the problem, moving from a “systems approach” to the most recent efforts to frame the (...) issue as a problem of corporate culture. The essay proposes that these different approaches to physician burnout illustrate the changing self-images of the medical profession over the last century and a half. Because such self-images are embedded in normative assumptions, contextualizing physician burnout in these terms reveals the crisis to be as much social and political as professional. (shrink)

En la intersección entre la ética aplicada y los estudios sobre divulgación científica en los medios, este trabajo propone un concepto de «cultura bioética» y lo aplica a la exitosa serie de televisión House. Nuestro análisis de la serie muestra la relación existente entre la tensión entre autonomía del paciente y paternalismo médico presente en la teoría bioética y la práctica asistencial, por un lado, con el debate abierto en filosofía de la medicina entre posiciones naturalistas y normativistas sobre los (...) conceptos de salud y enfermedad, por el otro. Se propone también una ampliación del concepto de autonomía que permita avanzar en la resolución de esta tensión, tanto a nivel teórico como práctico. (shrink)

En la intersección entre la ética aplicada y los estudios sobre divulgación científica en los medios, este trabajo propone un concepto de «cultura bioética» y lo aplica a la exitosa serie de televisión House. Nuestro análisis de la serie muestra la relación existente entre la tensión entre autonomía del paciente y paternalismo médico presente en la teoría bioética y la práctica asistencial, por un lado, con el debate abierto en filosofía de la medicina entre posiciones naturalistas y normativistas sobre los (...) conceptos de salud y enfermedad, por el otro. Se propone también una ampliación del concepto de autonomía que permita avanzar en la resolución de esta tensión, tanto a nivel teórico como práctico. (shrink)

Para entrever el futuro de la bioética lo primero que tenemos que pensar es la propia noción de futuro y nuestra relación práctica con el mismo. Expongo aquí a la crítica la idea de un futuro que esté ya de algún modo presente y a la vista. Es esta una idea que desposee al futuro de toda futureidad, una idea, por lo tanto, incoherente. Propongo, a cambio, pensar el futuro como tarea, como agenda, como aquello que no está y ha (...) de ser libremente hecho. En este sentido, resulta inútil tratar de vislumbrar o adivinar el futuro de la bioética, y en cambio es preciso proponernos como tarea la creación de la bioética futura. Vistas así las cosas, la función principal de la bioética no será ya la de deliberar y elegir entre las opciones que se nos presentan, sino la de crear nuevos cursos de acción que protejan y favorezcan mejor la vida en general y la vida humana en particular. Abogo, pues, en este texto, por una bioética de la creatividad y de la laboriosidad, superadora de la bioética de dilemas. (shrink)

El presente trabajo corona la tercera parte de una trilogía en torno al Mundo islámico, tratando la “bioética jurídica islámica” como fenómeno jurídico regional frente a la occidental, autodenominada universal. (Anteriores partes fueron “Derechos humanos”, y “constitucionalismo” islámicos.) Aporta un glosario terminológico islámico sui generis con connotaciones específicas, similitudes y diferencias frente a la occidental al uso en España, en evitación de posibles confusiones o lapsos debidos al uso de términos de idéntico significante y homólogo significado. Analiza tensiones de todo (...) tipo producidas al asociar “bioética y derechos humanos en el mundo islámico”. Condensa en diez tesis finales la polémica y problemática resultante, que reproduce –según su autor– análoga situación de otrora entre “Derechos humanos universales versus Derechos humanos islámicos regionales”. La bibliografía selectiva abarca temas específicos de Derechos humanos, bioética islámica y constitucionalismo, reseñando in fine aportaciones del autor. (shrink)

El artículo aborda la relación entre la bioética y la ideología de género a partir de la noción de vulnerabilidad. Así, se afirma que la segunda pone a la persona en una situación de mayor vulnerabilidad al carecer de un fundamento ontológico que la sostenga y, por ende, pudieran desprenderse, de esto, prácticas poco éticas para con quienes se engloban dentro de alguno de los grupos residuales de la misma. Se parte, por tanto, del origen de la ideología de género (...) para, posteriormente, ubicar las problemáticas más frecuentes que se presentan, en el terreno de la Bioética, a partir de la vulnerabilidad antropológica y social. Por último se rescata el papel de la Bioética en la intervención de las poblaciones vulnerables y vulneradas en el marco del tema del género. (shrink)

En el campo de la intervención clínica en psicología existen diversos modelos psicoterapéuticos, cada uno de los cuales está apoyado de manera particular en una cosmovisión y en una concepción antropológica del hombre. La concepción antropológica influye directamente en la manera como se realiza la invención terapéutica. En el caso de la Logoterapia considerada como uno de los modelos más representativos de la psicoterapia existencial, es posible identificar claramente que tanto su concepción antropológica como su intervención clínica se fundamentan en (...) principios éticos ampliamente reconocidos y sostenidos por la bioética, como son: el respeto por la vida y la dignidad de la persona, la importancia de la dimensión espiritual en el hombre o el sentido trascendente de la existencia humana, entre otros. (shrink)

At the height of the COVID-19 pandemic, stringent lockdowns and sudden adjustments were enacted, both of which had a devastating effect on the economy of the Philippines and the method of education that was in place at the time. This resulted in shifts and serious challenges for everyone, particularly pupils from marginalized homes. Hence, this study employed a correlational design to determine if there is a significant relationship between academic burnout and academic procrastination among 150 grade 12 senior high (...) school students. The researchers used two instruments: Academic Procrastination Scale (APS) and Maslach Burnout Inventory (MBI) to measure the variables. Moreover, the statistical analysis reveals that the r coefficient of 0.80 indicates a high positive correlation between the variables. The p-value of 0.00, which is less than 0.05, leads to the decision to reject the null hypothesis. Hence, a significant relationship exists between procrastination and academic burnout among grade 12 senior high school students. (shrink)

The writer responds to the commentary “Physician Burnout Calls for Legal Intervention,” by Sharona Hoffman, in the November‐December 2019 issue of the Hastings Center Report.

Considerando que el transhumanismo es una particular deriva de la reflexión contemporánea, que sostiene la idea de que el actual estado de la humanidad no es el definitivo sino uno simplemente transitorio, que puede y debe ser intervenido tecnocientíficamente en procura de su mejoramiento, en este artículo se examinan las implicancias bioéticas y biopolíticas de tal presupuesto. Se atiende para ello a las complejas y dilemáticas circunstancias derivadas de la perspectiva transhumana, que están vinculadas con la probable trasgresión de los (...) derechos de las personas presentes o futuras y el eventual control absoluto de la vida como el que algunos de sus detractores afirman que inevitablemente se generaría a partir de semejante tipo de intervenciones biotecnológicas. Se intentará indagar críticamente en el ideario del transhumanismo tomando como referencia para el análisis la articulación indisoluble que en la modernidad se ha establecido entre el desarrollo de las tecnologías y aquella racionalidad política que sustenta las estrategias de la gubernamentalidad neoliberal. Se espera plantear con ello una inquietud y un conjunto de interrogantes respecto de los riesgos asociados a los modos hasta hora insospechados de producción, administración y control biopolítico de la subjetividad que podrían estar ligados inadvertidamente a la idea transhumanista. (shrink)

The challenges of adapting to this new world require universities to establish new actions that strengthen the preparation of their students. The objective of the research is to identify the degree of burnout that students of the Bachelor of Public Accounting (BPA) and Bachelor of Economics and Finance (BEF) programs of the Technological Institute of Sonora are experiencing. The research methodology is quantitative, non-experimental, with a cross-sectional design and descriptive scope. To collect the information, the Burnout Inventory-Student Survey (...) (MBISS) was used, developed by Schaufeli, Martínez, Salanova, GonzálezRomá and Bakker in 2002 in its Colombian adaptation and validation developed by Hederich and Caballero in 2016. The contribution is to determine the situation of the students of these academic programs in three major aspects: Exhaustion, Cynicism and Academic Efficiency, in such a way that interventions are established that support the academic transition of the student. (shrink)

Just as burnout is manifested through changes in behavioural and communication patterns, it is important to examine whether certain aspects of communication can affect student burnout development. Therefore, this study aims to investigate the relationship between communication and academic burnout. To achieve this, the study proposes an integrated model examining the effects of three communication dimensions – support from academic staff, support from colleagues, and participation in decision-making – on four different dimensions of academic burnout, as (...) well as students’ overall burnout. The model is tested using structural equation modelling (SEM) analysis. High coefficients of determination regarding particular burnout dimensions validate the strength of the proposed model. The results show that support from academic staff and support from fellow students significantly and negatively influence academic burnout, and might be instrumental in its reduction. Unexpectedly, participation in decision-making is shown to be positively related to academic burnout. (shrink)

Background Moral courage is the ability to defend and practice ethical and moral action when faced with a challenge, even if it means rejecting pressure to act otherwise. However, moral courage remains an unexplored concept among middle eastern nurses. Aim This study investigated the mediating role of moral courage in the relationship between burnout, professional competence, and compassion fatigue among Saudi Arabian nurses. Research design Correlational, cross-sectional design following the STROBE guidelines. Participants and research context Convenience sampling was used (...) to recruit nurses ( n = 684) for four government hospitals in Saudi Arabia. Four validated self-report questionnaires (Nurses’ Moral Courage Scale, Nurse Professional Competence Scale-Short Form, Maslach Burnout Inventory, and Nurses Compassion Fatigue Inventory) were used to collect data between May to September 2022. Spearman rho and structural equation modeling analyses were employed to analyze the data. Ethical considerations The ethics review committee of a government university in Ha’il region, Saudi Arabia, approval this study (Protocol no.: H-2021-012; Approved: 08/022,021). Participants were fully explained the study aims, and consent was voluntarily secured. Results The emerging model showed that burnout had a direct and positive influence on compassion fatigue, while professional competence had a direct, negative effect on compassion fatigue. Moral courage had a small and direct but negative influence on compassion fatigue. Mediation analyses also indicated that moral courage significantly mediated the indirect effects of burnout and professional competence on compassion fatigue. Conclusion Moral courage can be a crucial aspect in preserving the psychological and mental health of nurses, particularly under stressful conditions. Therefore, it is advantageous from an organizational and leadership standpoint to implement measures such as programs and interventions to foster moral courage among nurses. (shrink)

A síndrome de burnout é um fenómeno psicossocial que resulta de uma tensão emocional crónica, vivenciada pelos profissionais cujo trabalho envolve o relacionamento intenso e frequente com pessoas que necessitam de algum tipo de cuidado. O objectivo deste estudo foi comparar a prevalência e os factor..

BackgroundBurnout is a syndrome that results from stressors in the work environment that have not been successfully managed. The prevalence of burnout among schoolteachers was always controversial. COVID-19 pandemic added more stressors to teachers since they had to change their working styles in response to the pandemic lockdowns or curfews. In Saudi Arabia, the prevalence and determinants of burnout among school teachers were not measured by any other group during the COVID-19 pandemic stressors.MethodsA cross-sectional survey was conducted among (...) 879 teachers in the Jazan region, Saudi Arabia, using the Maslach Burnout Inventory, during April 2021. Multistage cluster random sampling was used.ResultsThe mean age of the participants was 41.4 years. Male teachers represented 52.6% of the participants while females represented 47.4%. Most teachers showed burnout symptoms. Consequences of burnout were observed, such as using psychotropic medications, absenteeism, lack of job satisfaction, and changing schools. Using the MBI scale, most teachers showed medium or high emotional exhaustion, low depersonalization, and low personal accomplishment.ConclusionMost teachers showed symptoms of burnout during the COVID-19 pandemic. Being an expert and ability to adapt to technology during the COVID-19 pandemic proved to effectively reduce burnout symptoms. Increasing incentives, early detection, and improving the work environment is recommended to diminish burnout consequences. (shrink)