Association between burnout and religiosity/spirituality in Primary Care physicians
DOI:
https://doi.org/10.5712/rbmfc18(45)3859Keywords:
Burnout, professional, Spirituality, Religion, Family practice, Cross-sectional studies.Abstract
Introduction: Burnout, a common condition among family physicians, arises in response to work-related stressors, resulting in negative consequences for individuals and the healthcare system. Despite this, there are still few studies investigating this in Primary Care (PC) in Brazil. Religiousness/spirituality (R/S) is one of the “tools” that can be used to cope with burnout, with some studies demonstrating an inverse relationship. Objective: To test the correlation between burnout and R/S and to evaluate the relationships between burnout and sociodemographic and occupational variables in primary care physicians. Methods: Cross-sectional research carried out between September and December 2021 through a virtual survey directed at all active primary care physicians in Florianópolis. Burnout and R/S were assessed using the validated Portuguese versions of the OLBI and DSES instruments. Results: 102 responses were obtained (equivalent to a response rate of 68.9%). No correlation between burnout and R/S (0.06; p=0.57) and between burnout and team affiliation duration (-0.11; p=0.26) were found. A weak negative correlation was found between the burnout score and age (-0.23; p<0.05) and years since graduation (-0.23; p<0.05), meaning that an increase in age or years since graduation was accompanied by a slight reduction in the OLBI score. There was no association between burnout and gender (Pearson, p=0.54) or between burnout and marital status (Pearson, p=0.35). Conclusions: No correlation was found between burnout and R/S. Factors directly related to work, which were less explored in this research, likely had a greater impact on burnout levels compared to more personal characteristics such as religiousness/spirituality. Future studies, with longitudinal and qualitative approaches, should take into account the investigation of such variables.
Downloads
Metrics
References
Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol 2001;52(1):397-422. https://doi.org/10.1146/annurev.psych.52.1.397 DOI: https://doi.org/10.1146/annurev.psych.52.1.397
Gusso G, Lopes JMC, Dias LC. Tratado de Medicina de Família e Comunidade: princípios, formação e prática. 2a ed. Porto Alegre: Artmed; 2018.
Demerouti E. Measurement of burnout (and engagement) 1 running head : measurement of burnout and engagement the oldenburg burnout inventory : a good alternative to measure burnout (and engagement) [Internet]. 2007 [citado 1 fev. 2022]. Disponível em: https://www.semanticscholar.org/paper/Measurement-of-Burnout-(-and-Engagement-)-1-Running-Demerouti/7cb5c694cb9ad8c38e63db5d6458e34cd4fef5ce
Morelli SGS, Sapede M, Silva ATC. Burnout em médicos da Atenção Primária: uma revisão sistemática. Rev Bras Med Fam Comunidade. 2015;10(34):1-9. https://doi.org/10.5712/rbmfc10(34)958 DOI: https://doi.org/10.5712/rbmfc10(34)958
Creager J, Coutinho AJ, Peterson LE. Associations between burnout and practice organization in family physicians. Ann Fam Med. 2019;17(6):502-9. https://doi.org/10.1370/afm.2448 DOI: https://doi.org/10.1370/afm.2448
Karr S. Avoiding physician burnout through physical, emotional, and spiritual energy. Curr Opin Cardiol. 2019;34(1):94-7. https://doi.org/10.1097/HCO.0000000000000574 DOI: https://doi.org/10.1097/HCO.0000000000000574
Moura EC, Furtado L, Sobral F. The burnout epidemic during the COVID-19 pandemic: the role of LMX in alleviating physicians’ burnout. RAE 2020;60(6):426-36. https://doi.org/10.1590/S0034-759020200606 DOI: https://doi.org/10.1590/s0034-759020200606
Lee FJ, Stewart M, Brown JB. Stress, burnout, and strategies for reducing them: what's the situation among Canadian family physicians?. Can Fam Physician 2008;54(2):234-5. PMID: 18272641
Yilmaz A. Burnout, job satisfaction, and anxiety-depression among family physicians: a cross-sectional study. J Family Med Prim Care 2018;7(5):952-6. https://doi.org/10.4103/jfmpc.jfmpc_59_18 DOI: https://doi.org/10.4103/jfmpc.jfmpc_59_18
Carneiro EM, Navinchandra SA, Vento L, Timóteo RP, Borges MF. Religiousness/spirituality, resilience and burnout in employees of a public hospital in Brazil. J Relig Health 2019;58(2):677-85. https://doi.org/10.1007/s10943-018-0691-2 DOI: https://doi.org/10.1007/s10943-018-0691-2
Rushton CH, Batcheller J, Schroeder K, Donohue P. Burnout and resilience among nurses practicing in high-intensity settings. Am J Crit Care 2015;24(5):412-20. https://doi.org/10.4037/ajcc2015291 DOI: https://doi.org/10.4037/ajcc2015291
Koenig HG. Religion, spirituality, and health: the research and clinical implications. ISRN Psychiatry 2012;1012:278730. https://doi.org/10.5402/2012/278730 DOI: https://doi.org/10.5402/2012/278730
Kimura M, Oliveira AL, Mishima LS, Underwood LG. Cultural adaptation and validation of the Underwood’s Daily Spiritual Experience Scale--Brazilian version. Rev Esc Enferm USP 2012;46(spe):99-106. https://doi.org/10.1590/s0080-62342012000700015 DOI: https://doi.org/10.1590/S0080-62342012000700015
Schuster MS, Dias VV. Oldenburg Burnout Inventory – validação de uma nova forma de mensurar Burnout no Brasil. Ciênc Saúde Coletiva 2018;23(2):553-62. https://doi.org/10.1590/1413-81232018232.27952015 DOI: https://doi.org/10.1590/1413-81232018232.27952015
Dutheil F, Parreira LM, Eismann J, Lesage F-X, Balayssac D, Lambert C, et al. Burnout in French general practitioners: a nationwide prospective study. Int J Environ Res Public Health 2021;18(22):12044. https://doi.org/10.3390/ijerph182212044 DOI: https://doi.org/10.3390/ijerph182212044
Hall LH, Johnson J, Watt I, O’Connor DB. Association of GP wellbeing and burnout with patient safety in UK primary care: a cross-sectional survey. Br J Gen Pract 2019;69(684):e507-14. https://doi.org/10.3399/bjgp19X702713 DOI: https://doi.org/10.3399/bjgp19X702713
Soler JK, Yaman H, Esteva M, Dobbs F, Asenova RS, Katic M, et al. Burnout in European family doctors: the EGPRN study. Fam Pract 2008;25(4):245-65. https://doi.org/10.1093/fampra/cmn038 DOI: https://doi.org/10.1093/fampra/cmn038
Forti S, Serbena CA, Scaduto AA. Spirituality/religiousity measurement and health in Brazil: a systematic review. Cien Saude Colet 2020;25(4):1463-74. https://doi.org/10.1590/1413-81232020254.21672018 DOI: https://doi.org/10.1590/1413-81232020254.21672018
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Marilia Duarte, Diogo Scalco
This work is licensed under a Creative Commons Attribution 4.0 International License.
By submitting a manuscript to the RBMFC, authors retain ownership of the copyright in the article, and authorize RBMFC to publish that manuscript under the Creative Commons Attribution 4.0 license and identify itself as the vehicle of its original publication.