Burnout Aspects Among Health Care Managers

Introduction. Burnout is emotional exhaustion caused by chronic stress at the workplace, which is not adequately managed. Health care managers face high requirements for professional level and stress-resistance, which can lead to problems in the emotional sphere. The data about burnout prevalence and its determinants among health care managers is contradictory that demands further studying.
Objective. To define prevalence of burnout syndrome and to identify factors associated factors among health care managers within Orenburg region.
Materials and methods. The study was conducted within the period from March 1 to April 30, 2023 by the specialists of the Institute of Leadership and Health Management of Sechenov University with the support of the Ministry of Health of the Orenburg region. A total of 119 participants took part in the study. The questionnaire MBI (Maslach Burnout Inventory version for managers, adapted into Russian by Vodopyanova N.E. and Starchenkova E.S.) was used for burnout diagnostics. The questionnaires were distributed electronically. Statistical data processing was conducted in IBM SPSS Statistics v. 26 and StatTech v. 3.1.1.
Results. Burnout was defined as a result of the MBI questionnaire high degree burnout and extremely high degree burnout. Burnout was diagnosed in 76 respondents, or 63.9%. There was a direct correlation ρ = 0.389 and ρ = 0.337 between the severity of burnout and depression, and burnout and anxiety, respectively. Meanwhile, there was an inverse correlation between the severity of burnout and leadership potential ρ = -0.494. The odds of having burnout were significantly influenced by the challenges of managing a healthcare organization and the health status of the respondents. Burnout influenced the respondents' plans to resign from the healthcare organization or leave their jobs in the healthcare system.
Conclusions. Burnout is common among the management personnel of the health care system and has the following specific feature: significant influence of manager's professional qualities and self-esteem on burnout presence. Burnout decreases adherence to the profession and increases the chances of wanting to resign from the current position or change the profession. Overall, participants demonstrated high adherence to the profession, awareness of the negative effects of burnout, and willingness to participate in measures to prevent burnout among medical professionals.

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