Background: Professional quality of life greatly impacts wellbeing and performance of professionals working in the field of caring. The study aims at assessing the components of professional quality of life and their predictors.
Design and Methods: The cross-sectional study was performed on 167 physicians enrolled by using stratified random sampling from tertiary care hospitals, Ismailia, Egypt. It was conducted by a structured interview questionnaire which included Maslach Burnout Inventory to assess burnout syndrome, and Professional Quality of Life version 5 (Pro QOL- 5) subscale to assess compassion fatigue and satisfaction.
Results: Among participants, 78.9% had high burnout, 76% had moderate potential compassion satisfaction and 82% had moderate potential compassion fatigue. The correlation between scales of professional quality of life scores showed significant results (p < 0.05). The multiple linear regression analysis showed that marital status, frequency of dealing with critical patients, and compassion fatigue score (B= -6.959, B= 3.573, B= 1.115) were significant predictors of burnout score (p < 0.05). Marital status (B= 2.280, p = 0.024), and burnout score (B = 0.179, p = 0.000) were significant positive predictors of compassion fatigue. While compassion satisfaction score was negative predictor (B= -2.804, p = 0.006). The predictors of compassion satisfaction were the marital status (B = 5.039, p = 0.000), and compassion fatigue score (B = -0.254, p = 0.006).
Conclusion: High prevalence rates of burnout, compassion fatigue and satisfaction indicate poor professional quality of life were detected among physicians in tertiary care hospitals.
Kim K, Han Y, Kwak Y, Kim JS. Professional quality of life and clinical competencies among Korean nurses. Asian Nurs Res (Korean Soc Nurs Sci) 2015;9:200–6. DOI: https://doi.org/10.1016/j.anr.2015.03.002
Koh MYH, Chong PH, Neo PSH, et al. Burnout, psychological morbidity and use of coping mechanisms among palliative care practitioners: A multi-centre cross-sectional study. Palliat Med 2015;29:633–42. DOI: https://doi.org/10.1177/0269216315575850
Abdo SAM, El-Sallamy RM, El-Sherbiny AAM, Kabbash IA. Burnout among physicians and nursing staff working in the emergency hospital of Tanta university, Egypt. East Mediterr Health J 2015;21:906–15. DOI: https://doi.org/10.26719/2015.21.12.906
Chan AO, Chan YH, Chuang KP, et al. Addressing physician quality of life: understanding the relationship between burnout, work engagement, compassion fatigue and satisfaction. J Hosp Adm 2015;4:46. DOI: https://doi.org/10.5430/jha.v4n6p46
AbdAllah M, El-Hawy L. Burnout and health related quality of life among resident physicians in Zagazig University Hospitals. Egypt J Occup Med 2019;43:189–204. DOI: https://doi.org/10.21608/ejom.2019.31413
Abbas A, Ali A, Bahgat S, Shouman W. Prevalence, associated factors, and consequences of burnout among ICU healthcare workers: An Egyptian experience. Egypt J Chest Dis Tuberc 2019;68:514–25.
Mathieu F. Occupational hazards: compassion fatigue, vicarious trauma and burnout. Can Nurse 2014;110:12–3.
Peate I. Compassion fatigue: The toll of emotional labour. Br J Nurs 2014;23:251. DOI: https://doi.org/10.12968/bjon.2014.23.5.251
El-bar N, Levy A, Wald HS, Biderman A. Compassion fatigue, burnout and compassion satisfaction among family physicians in the Negev area – a cross-sectional study. Isr J Health Policy Res 2013;2:1. DOI: https://doi.org/10.1186/2045-4015-2-31
Stamm BH. The concise ProQOL manual. Pocatello, ID: ProQOL. 2010. Available from: http://proqol.org/uploads/ProQOL_Concise_2ndEd_12-2010.pdf
Haber Y, Palgi Y, Hamama-Raz Y, Shrira A B-EM. Predictors of professional quality of life among physicians in a conflict setting: the role of risk and protective factors. Isr J Psychiatry Relat Sci 2013;50:174-80.
Maslach C, Jackson SE, Leiter MP. The Maslach Burnout Inventory Manual. 3rd ed. Consulting Psychologists Press Inc.; 1996.
Schutte N, Toppinen S, Kalimo R, Schaufeli WB. The factorial validity of the Maslach Burnout Inventory-General Survey (MBI-GS) across occupational groups and nations. J Occup Organ Psychol 2000;73:53–66. DOI: https://doi.org/10.1348/096317900166877
Yousef EM, Husni A, Elsayed O, Aly E. Burnout syndrome among resident physicians in Suez Canal University Hospital. Curr Psychiatry Ain Shams Univ 2007;13:24–43.
De Oliveira GS, Ahmad S, Stock MC, et al. High Incidence of burnout in academic chairpersons of anesthesiology. Surv Anesthesiol 2011;55:124. DOI: https://doi.org/10.1097/SA.0b013e318218e604
Yoon JD, Hunt NB, Ravella KC, et al. Physician burnout and the calling to care for the dying: A national survey. Am J Hosp Palliat Med 2017;34:931–7. DOI: https://doi.org/10.1177/1049909116661817
Ghazanfar H, Chaudhry MT, Asar ZU, Zahid U. Compassion satisfaction, burnout, and compassion fatigue in cardiac physicians working in tertiary care cardiac hospitals in Pakistan. Cureus 2018;10:e3416. DOI: https://doi.org/10.7759/cureus.3416
Gribben JLB, Kase SMB, Waldman ED, Weintraub AS. A cross-sectional analysis of compassion fatigue, burnout, and compassion satisfaction in pediatric critical care physicians in the United States. Pediatr Crit Care Med 2019;20:213–22. DOI: https://doi.org/10.1097/PCC.0000000000001803
Rossi A, Cetrano G, Pertile R, et al. Burnout, compassion fatigue, and compassion satisfaction among staff in community-based mental health services. Psychiatry Res 2012;200:933–8. DOI: https://doi.org/10.1016/j.psychres.2012.07.029
Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med 2012;172:1377–85. DOI: https://doi.org/10.1001/archinternmed.2012.3199
Carta M, Preti A, Portoghese I, et al. Risk for depression, burnout and low quality of life among personnel of a university hospital in Italy is a consequence of the impact one economic crisis in the welfare system? Clin Pract Epidemiol Ment Health 2017;13:156–67. DOI: https://doi.org/10.2174/1745017901713010156
Wang J, Okoli CTC, He H, et al. Factors associated with compassion satisfaction, burnout, and secondary traumatic stress among Chinese nurses in tertiary hospitals: A cross-sectional study. Int J Nurs Stud 2020;102:103472. DOI: https://doi.org/10.1016/j.ijnurstu.2019.103472
Biksegn A, Kenfe T, Matiwos S, Eshetu G. Burnout status at work among health care professionals in atertiary hospital. Ethiop J Health Sci 2016;26:101–8. DOI: https://doi.org/10.4314/ejhs.v26i2.3
Kobayashi Y, Oe M, Ishida T, et al. Workplace violence and its effects on burnout and secondary traumatic stress among mental healthcare nurses in japan. Int J Environ Res Public Health 2020;17:4–8. DOI: https://doi.org/10.3390/ijerph17082747
Miranda Alvares ME, Fonseca Thomaz EBA, Lamy ZC, et al.Burnout syndrome among healthcare professionals in intensive care units: A cross-sectional population-based study. Rev Bras Ter Intens 2020;32:251–60. DOI: https://doi.org/10.5935/0103-507X.20200036
Schuch FB, Vancampfort D, Richards J, et al. Exercise as a treatment for depression: A meta-analysis adjusting for publication bias. J Psychiatr Res 2016;77:42–51. DOI: https://doi.org/10.1016/j.jpsychires.2016.02.023
Sonnentag S. Psychological detachment from work during leisure time: the benefits of mentally disengaging from work. Curr Dir Psychol Sci 2012;21:114–8. DOI: https://doi.org/10.1177/0963721411434979
Ruiz-Fernández MD, Pérez-García E, Ortega-Galán ÁM. Quality of life in nursing professionals: Burnout, fatigue, and compassion satisfaction. Int J Environ Res Public Health 2020;17:1253. DOI: https://doi.org/10.3390/ijerph17041253
Adeyemo S, Omoaregba J, Aroyewun B, et al. Experiences of violence, compassion fatigue and compassion satisfaction on the professional quality of life of mental health professionals at a tertiary psychiatric facility in Nigeria. Open Sci J Clin Med 2015;3:69–73.
Hunsaker S, Chen HC, Maughan D, Heaston S. Factors that influence the development of compassion fatigue, burnout, and compassion satisfaction in emergency department nurses. J Nurs Scholarsh 2015;47:186–94. DOI: https://doi.org/10.1111/jnu.12122