The role of aggressions suffered by healthcare workers as predictors of burnout

Gascon, Santiago, Leiter, Michael P, Andrés, Eva, Santed, Miguel A, Pereira, Joao P, Cunha, Maria J, Albesa, Agustin, Montero-Marín, Jesus, García-Campayo, Javier and Martínez-Jarreta, Begona 2013, The role of aggressions suffered by healthcare workers as predictors of burnout, Journal of clinical nursing, vol. 22, no. 21-22, pp. 3120-3129, doi: 10.1111/j.1365-2702.2012.04255.x.

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Title The role of aggressions suffered by healthcare workers as predictors of burnout
Author(s) Gascon, Santiago
Leiter, Michael PORCID iD for Leiter, Michael P
Andrés, Eva
Santed, Miguel A
Pereira, Joao P
Cunha, Maria J
Albesa, Agustin
Montero-Marín, Jesus
García-Campayo, Javier
Martínez-Jarreta, Begona
Journal name Journal of clinical nursing
Volume number 22
Issue number 21-22
Start page 3120
End page 3129
Total pages 10
Publisher Wiley
Place of publication Chichester, Eng.
Publication date 2013-11
ISSN 0962-1067
Keyword(s) aggression
healthcare relationship
healthcare workers
Burnout, Professional
Health Personnel
Professional Role
Retrospective Studies
Summary AIMS AND OBJECTIVES: To examine the prevalence of aggression against healthcare professionals and to determine the possible impact that violent episodes have on healthcare professionals in terms of loss of enthusiasm and involvement towards work. The objective was to analyse the percentage of occupational assault against professionals' aggression in different types of healthcare services, differentiating between physical and verbal aggression as a possible variable in detecting burnout in doctors and nursing professionals.
BACKGROUND: Leiter and Maslach have explored a double process model of burnout not only based on exhaustion by overload, but also based on personal and organisational value conflicts (community, rewards or values). Moreover, Whittington has obtained conclusive results about the possible relationship between violence and burnout in mental health nurses.
DESIGN: A retrospective study was performed in three hospitals and 22 primary care centres in Spain (n = 1·826).
METHODS: Through different questionnaires, we have explored the relationship between aggression suffered by healthcare workers and burnout.
RESULTS: Eleven percent of respondents had been physically assaulted on at least one occasion, whilst 34·4% had suffered threats and intimidation on at least one occasion and 36·6% had been subjected to insults. Both forms of violence, physical and non-physical aggression, showed significant correlations with symptoms of burnout (emotional exhaustion, depersonalisation and inefficacy).
CONCLUSIONS: The survey showed evidence of a double process: (1) by which excess workload helps predict burnout, and (2) by which a mismatch in the congruence of values, or interpersonal conflict, contributes in a meaningful way to each of the dimensions of burnout, adding overhead to the process of exhaustion-cynicism-lack of realisation.
RELEVANCE TO CLINICAL PRACTICE:  Studies indicate that health professionals are some of the most exposed to disorders steaming from psychosocial risks and a high comorbidity: anxiety, depression, etc. There is a clear need for accurate instruments of evaluation to detect not only the burnout but also the areas that cause it. Professional exhaustion caused by aggression or other factors can reflect a deterioration in the healthcare relationship.
Language eng
DOI 10.1111/j.1365-2702.2012.04255.x
Field of Research 170199 Psychology not elsewhere classified
1110 Nursing
1701 Psychology
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2012, Blackwell
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Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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