Burnout Syndrome

Introduction
A primary challenge in the COVID-19 pandemic has been to take care of infected patients, which
defines a serious risk to the workers at intensive care units (ICUs) because of the need for constant
contact with infected patients for extended periods of time. Widespread infection and fatalities among the
HCWs have been reported previously for MERS and SARS and currently for the COVID-19 disease,
imposing considerable amounts of social and mental pressures on the workers. During the outbreaks of
SARS and MERS, the HCWs reported concerns about themselves and their families’ health and explained
their painful experiences of fear, anxiety, and even social prejudice and stigma . Moreover, it has been
shown that HCWs tend to continue to undergo the job burnout, mental pressure, anxiety, and depression
symptoms even upon the mitigation of the outbrea. Previous researches have also shown that post-
traumatic stress disorder (PTSD) is pretty common among the survivors of infectious diseases
By definition, burnout syndrome (BOS) refers to the experience of fatigue for extended periods of
time and reduced levels of motivation and interest in the job, which lead to decreased job productivity.
This is a result of too much effort in the workplace with limited opportunities for recoveryStudies have
shown that highly stressful jobs are more likely to cause job burnout When the focus is on the nurses, job
burnout may lead to less willingess to undertake leadership, lower quality of medical care, reduced
satisfaction level of hospitalized patients, increased level of healthcare-related infections, and higher
mortality rates among the patients Previous studies have further indicated that nurses suffering job
burnout are more likely to be dissatisfied with their jobs and to look for opportunities to leave their jobs .
HCWs are very often susceptible to job burnout, with the highest levels of job burnout reported
among HCWs working in the emergency and ICU environment where they are exposed to an
overwhelming amount of job-related stress. Known factors contributing to the high risk of job burnout
include intensive patient care, high mortality rate, and inappropriate job conditions in terms of high
workload coupled with lack of time to adequately address the patient’s needs. Accordingly, the relevant
HCWs experience stress levels beyond their capacities, which may lead to job burnout. Job burnout has
been reportedly accompanied by reduced quality of care provided to patients and by a high rate of
absence and turnover among the HCWs, all of which is known to cause irrecoverable consequences for
the healthcare sector. The nurses in ICUs are further exposed to high-risk, unpredictable, and highly
variable conditions. Being engaged with a handful of diseases, highly traumatic incidents, and emergency
conditions, such nurses are provided with limited time for recovery and rather experience job-related
pressures constantly. Accordingly, reports indicate that the nurses in ICUs are likely to experience high
levels of job burnout compared to their counterparts in other units of a hospital.
Job burnout not only puts the individual’s health and wellbeing at risk, but also is associated with
the frequency of medical errors and quality of the healthcare services. Therefore, it is of paramount
importance to identify the factors contributing to the job-related stress and burnout among the HCWs.
Such knowledge can be devised to protect and preserve the workforce while improving the quality of
services provided to the patients. As of now, numerous studies have been performed to investigate the
states of stress and job burnout among the HCWs at hospitals, including the nurses and doctors, with a
handful of questionnaires, in original language, available in this respect
PROBLEM STATEMENT
"A descriptive Study To Assess burnout syndrome Among healthcare worker Working In COVID
Intensive Care Units At AIIMS JODHPUR
OBJECTIVES OF THE STUDY:
1. To assess the burnout syndrome Among healthcare worker Working In COVID Intensive Care
Units
2. To find out the association between burnout syndrome and selected demographic variables.
ASSUMPTION
1. Health care workers working in intensive care units may have some knowledge regarding the
management of stress
2. Health care workers working in intensive care units may have occupational stress
3. Health care workers working in intensive care units may improve their knowledge on
administering information booklet.

VARIABLES:
Research variables: burnout syndrome of health care workers working in COVID ICU .
Demographic variables : Age, Sex, Years of experience.
MATERIALS AND METHODS
 SOURCES OF DATA: The data will be collected from health care workers with a minimum of
_______day working experience in COVID intensive care units.
 RESEARCH DESIGN: The research design adopted for this study is descriptive survey design.
 RESEARCH APPROACH: Research approach is non-experimental survey (descriptive survey).
In this, researcher collects data and describes phenomena, as they exist.
 SETTING OF THE STUDY: The study will be conducted at COVID ICU of AIIMS JODHPUR
 POPULATION: All intensive care unit health care workers who meet all the inclusion criteria.
METHOD OF DATA COLLECTION:
The data collection procedure will be carried out for a period of one month. The study will be conducted
after obtaining permission from the concerned authorities. The investigator will collect the data by using
Stress Rating Scale.
Data Collection Instrument consists of following section:-
Section A: Demographic Variables.
Section B: Burn out syndrome assessment tool
SAMPLING TECHNIQUE: Sampling technique adopted for the selection of sample is non-probability
convenience sampling.
SAMPLE SIZE: The sample consists of _________healthcare worker working in Covid ICU AIIMS
jodhpur
SAMPLING CRITERIA:
INCLUSION CRITERIA
1. Health care workers, with a minimum of ______ day experience, who are working in COVID
intensive care units of AIIMS JODHPUR
2. healthcare worker who are willing to participate in the study.
3. Health care workers who are working in any of the shifts in ICU.
EXCLUSION CRITERIA
1. healthcare worker who are not willing to participate in the study.

BURNOUT SYNDROME ASSESSMENT TOOL
Instructions
For each question, mark the in the column that most applies. Then click the 'Calculate Total' button to add
up your score and check your result using the scoring table underneath.
Statements Not Rarely Sometime Often Very

at s Often
All
I feel run down and drained of physical or emotional
energy.
2I have negative thoughts about my job.
3I am harder and less sympathetic with people than
perhaps they deserve.
4I am easily irritated by small problems, or by my co-
workers and team.
5I feel misunderstood or unappreciated by my co-
workers.
6I feel that I have no one to talk to.
7I feel that I am achieving less than I should.
8I feel under an unpleasant level of pressure to succeed.
9I feel that I am not getting what I want out of my job.
10I feel that I am in the wrong organization or the wrong
profession.
11I am frustrated with parts of my job.
12I feel that organizational politics or bureaucracy
frustrate my ability to do a good job.
13I feel that there is more work to do than I practically
have the ability to do.
14I feel that I do not have time to do many of the things
that are important to doing a good quality job.
15I find that I do not have time to plan as much as I
would like to.
Not at All - 1
Rarely - 2
Sometimes - 3
Often - 4
Very Often - 5
Score Interpretation
 15-18 No sign of burnout here.
 19-32 Little sign of burnout here, unless some factors are particularly severe.
 33-49 Be careful – you may be at risk of burnout, particularly if several scores are high.
 50-59 You are at severe risk of burnout – do something about this urgently.
 60-75 You are at very severe risk of burnout – do something about this urgently

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Introduction

levels of job burnout compared to their counterparts in other units of a hospital.

handful of questionnaires, in original language, available in this respect

Intensive Care Units At AIIMS JODHPUR

OBJECTIVES OF THE STUDY:

administering information booklet.

Demographic variables : Age, Sex, Years of experience.

MATERIALS AND METHODS

_______day working experience in COVID intensive care units.

 RESEARCH APPROACH: Research approach is non-experimental survey (descriptive survey).

In this, researcher collects data and describes phenomena, as they exist.

METHOD OF DATA COLLECTION:

Stress Rating Scale.

Data Collection Instrument consists of following section:-

Section A: Demographic Variables.

Section B: Burn out syndrome assessment tool

intensive care units of AIIMS JODHPUR

2. healthcare worker who are willing to participate in the study.

1. healthcare worker who are not willing to participate in the study.

Statements Not Rarely Sometime Often Very

 15-18 No sign of burnout here.

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