ABSTRACT
Objective: To determine the frequency of burnout among Pakistani military female nursing students and to find out its association with demographic factors and common stressors during training
Study Design: Cross-sectional analytical study
Place and Duration of Study: This study was carried out at Combined Military Hospital [CMH] Lahore and CMH Lahore Medical and Dental College from Mar to Apr 2015
Material and Methods: Sample consisted of 84 female nursing students. Since it was a relatively small sample and participants were easily accessible so all 84 students available at the time of study were included. Mashlach Burnout Inventory [MBI] [which included 20 questions] was used to measure emotional exhaustion, and burnout. The questionnaire also elicited information about socio-demographic characteristics and various perceived stressors during their training. Data analysis was performed by using SPSS version 20.0
Results: On the MBI, 66 [78.6%] nurses showed mild emotional exhaustion, 17 [20.2%] showed moderate emotional exhaustion and only 1 [1.2%] showed high emotional exhaustion. Similarly no burnout was found in 29 [34.5%] nurses; whereas mild burnout was found in 30 [35.7%], moderate burnout in 19 [22.6%], severe burnout in 5 [6%], and only one nurse student [1.2%] showed extreme burnout. No significant association was found between various stressors and burnout [p>0.05]
Conclusion: There is low level of burnout in female military nursing students in this study. This is a favorable finding and may be considered helpful in increasing productivity, performance and quality of patient care
ABSTRACT
To determine the frequency of factors contributing to burnout among military Physicians in Lahore, Pakistan. Cross-sectional analytical study. Combined Military Hospital [CMH] Lahore and CMH Lahore Medical and Dental College from March 2014 to September 2014. Sample consisted of 133 physicians [n=66] males and n=67 females]. Convenient sampling procedure was used. Mashlach Burnout Inventory [MBI] which included 22 questions was used to measure emotional exhaustion, depersonalization and personal accomplishment. The questionnaire also elicited information about socio-demographic and work characteristics. Data was entered and analyzed by using Statistical Package for Social Sciences [SPSS version 20.0]. Chi-square test of significance was used to see the significance of association between age, gender, duration of service in years and working hours per week. p value <0.05 was considered statistically significant. On the MBI, 29 [21.8%] physicians showed high emotional exhaustion, 22 [16.6%] showed high depersonalization and 34 [25.6%] showed low personal accomplishment. Thirty-seven physicians [27.8%] were identified as experiencing a high degree of burnout [high emotional exhaustion and depersonalization and low personal accomplishment]. The frequency of high degree of burnout was higher among males [36.4%] as compared to females [17.9%] and this difference was statistically borderline significant [p = 0.057]. However, there was statistically significant difference [p = 0.03] of burnout between those working >/= 41 hours per week as compared to working
ABSTRACT
To determine the impact of constructive feedback, during clinical attachment, on the undergraduate medical students' attitude towards psychiatry. Quasi-experimental study. CMH Lahore Medical College, Lahore, Pakistan from December 2012 to October 2013. Participants were 107 students of final year MBBS. They were divided into study and control groups. Demographic data was recorded and attitude towards psychiatry [ATP-30] questionnaire was administered to all the students before the clinical attachment. Both the groups underwent 3 weeks clinical attachment. However, only the students in study group received constructive feedback. ATP-30 was re-administered to students of both groups soon after completion of attachment. Because of errors and omissions in data, forms of two students were excluded. Statistical analysis was carried out on data of 105 students, which consisted of 53 students in the study group and 52 in control groups. The mean age of study group was 22.21 years [SD=0.885], while that of control group was 22.19 years [SD=0.886]; with 32.1% and 34.6% males in the study and control group respectively. Both the groups had comparable demographic features. Pre-attachment ATP30 scores of both groups were comparable i.e. 84.47 +/- 5.29 versus 84.56 +/- 5.30 [p-value < 0.934]. However, post-attachment scores of both groups increased i.e. 103.11 +/- 5.98 versus 85.85 +/- 4.31 [p-value < 0.001]. This increase in score was statistically highly significant in the study group. Constructive feedback during clinical attachment has a significantly positive impact on the undergraduate medical students' attitude towards psychiatry
ABSTRACT
To describe the socio-demographic and service characteristics, of the active duty servicemen, of Pakistan Armed Forces, presenting with depression. Descriptive study [cross-sectional survey]. The study was conducted at Combined Military Hospital Multan from Septernber2006 to April 2009. Servicemen [n=305] meeting [DSM-IV-TR] criteria for depression were included in the study. Socio-demographic characteristics [age, education, marital status, duration of marriage, No of kids, monthly income] and service data [rank, service bracket, arm, trade, exposure to hard area and duration of exposure to hard area, service and non-service factors and working hours] were recorded with the help of proforma designed for this purpose. Out of 305 depressed servicemen 208 [68.2%] were in the age group 18-35 years. Two hundred and fifty three [83.0%] were married while 52[17%] were single. One hundred and one [39.9%] were married for the last 5-15 years. One Hundred and eighty four [60.3%] were receiving monthly income PKR6000-10000 and 207[67.9%] were having educational level Matric /FA. One hundred and sixty six [54.4%] were Soldiers [Sepoy / Lnk] and 224[73.4%] had technical trades. One hundred thirty four [43.9%] had service bracket 1-10 years. Two hundred and four [66.9%] had no exposure to hard area. Two hundred and five [67.2%] had working hours more than 8 hours. Fifty nine [19.3%] reported inadequate rehabilitation while 140 [45.9%] had family related stressors. Most of the depressed servicemen in this study were relatively young, married personnel from junior ranks, technical trades, having Matric/ FA level education and low monthly income. However there is a need to conduct further studies to establish association of depression with various socio-demographic and service factors