L:\PSA01\8. PERSONLIGE ARKIVER\LNA\Forskere\Tage

Burnout, job satisfaction and motivation: Results from the Danish PUMA Study of 1,914 human service workers.

27 th International Congress on Occupational Health Iguassu Falls, Brazil Tage S. Kristensen, Marianne Borritz & Ebbe Villladsen Psychosocial Department National Institute of Occupational Health Copenhagen, Denmark

PUMA

A five-year prospective intervention study.

Baseline: 1999. First follow-up: 2002-03.

Population: Baseline response rate: 78% Social workers in provincial town Hospital employees in county hospital (379) (456) Employees at institutions for chronically handicapped (307) Employees at state prison (196) Home helpers in two towns Total (292+284) 1,914

Copenhagen Burnout Inventory

All human beings Everyone at work Personal burnout Work burnout CBI Client burnout Everyone who works with clients

What is personal burnout, work burnout, and client burnout?

Personal burnout

is the degree of physical and psychological exhaustion

Work burnout

is the degree of physical and psychological exhaustion, which is perceived as related to the person’s work

Client burnout

is the degree of physical and psychological exhaustion, which is perceived as related to the person’s work with clients* *) patients, students, inmates, recipients, children etc.

Copenhagen Burnout Inventory

Part one: Personal burnout

(First edition. August 1999)

How often do you feel tired?

How often are you physically exhausted?

How often are you emotionally exhausted?

How often do you think: ”I can’t take it anymore”?

How often do you feel worn out?

How often do you feel weak and susceptible to illness?

(Response categories: Always, Often, Sometimes, Seldom, Never/almost never)

Copenhagen Burnout Inventory

Part two: Work burnout

(First edition. August 1999)

Is your work emotionally exhausting?

Do you feel burnt out because of your work?

Does your work frustrate you?

Do you feel worn out at the end of the working day?

Are you exhausted in the morning at the thought of another day at work?

Do you feel that every working hour is tiring for you?

Do you have enough energy for family and friends during leisure time?

(

Response categories: Three first questions:

To a very high degree, To a high degree, Somewhat, To a low degree, To a very low degree.

Last four questions:

Always, Often, Sometimes, Seldom, Never/almost never – reversed score for last question)

Copenhagen Burnout Inventory

Part three: Client burnout

(First edition. August 1999)

Do you find it hard to work with clients?

Do you find it frustrating to work with clients?

Does it drain you energy to work with clients?

Are you tired of working with clients?

Do you feel that you give more than you get back when you work with clients?

Do you somtimes wonder how long you will be able to continue working with clients?

(

Response categories: The four first questions:

To a very high degree, To a high degree, Somwhat, To a low degree, To a very low degree.

The last two questions:

Always, Often, Sometimes, Seldom, Never/almost never)

Work-related burnout and absence days

Absence days/year 16 14 12 10 8 6.0

2 0 6 4 Low 6.9

10.3

Below medium Above medium N = 1828 human service workers PUMA study. NIOH, Copenhagen.

13.9

High Work-related burnout (Quartiles)

Work-related burnout and absence spells

Absence spells/year 4 3 2 1.9

1.4

1.5

1 0 Low Below medium N = 1780 human service workers PUMA study. NIOH, Copenhagen.

Above medium 2.5

High Work-related burnout (Quartiles)

Work-related burnout and job satisfaction

Job satisfaction score 80 71.2

70 65.8

60.4

60 50.5

50 40 Low Below medium Above medium High Work-related burnout (Quartiles) N = 1894 human service workers PUMA study. NIOH, Copenhagen.

Work-related burnout and satisfaction with job choice

Would choose the same job again 90 % 81.2

78.2

80 70 60 50 40 30 Low Below medium N = 1864 human service workers PUMA study. NIOH, Copenhagen.

62.8

Above medium 42.4

High Work-related burnout (Quartiles)

Job satisfaction in the PUMA project Would choose the same job again % 90 80 70 60 50 Prison wards Chief doctors Institutions Ass. nurses Social workers Doctors Nurses Midwives Home helpers, Office workers Copenhagen Head nurses Home helpers, country town Leaders 40 Hospital secretaries 30 50 N = 20-255 in different jobs 60 70 Points Job satisfaction (scale)

Copenhagen Burnout Inventory

Client and Work Burnout in different occupational groups.

Client Burnout 45 35 25 Prison wards Institutions Nurses Midwives Home helpers, capital Social workers Ass. nurses Chief Doctors Doctors Home helpers, country town Head nurses 15 15 25 35 Hospital secretaries Work Burnout 45 Selected groups from the PUMA study on burnout.

All groups: 20-200 persons.

NIOH. 2000

Conclusions

Human service workers with high levels of burnout have More absence days More absence spells Lower job satisfaction Lower satisfaction with choice of profession Prospective analyses will shed further light on these associations

This presentation can be found at: www.ami.dk/presentations