Discussion topic for Seminar 4 (Presented by Sippapas)

[SIPPAPAS WANGSRI]

Title: The Burden and Burnout in Documenting Patient Care: An Integrative Literature Review
Authors: Emily Gesner, Priscilla Gazarian, Patricia Dykes
Citation: Gesner E, Gazarian P, Dykes P. The Burden and Burnout in Documenting Patient Care: An Integrative Literature Review. Stud Health Technol Inform. 2019 Aug 21;264:1194-1198.

doi: 10.3233/SHTI190415. PMID: 31438114.

Discussion Point
1. In your opinion, or based on your health care/workplace settings, what are factors that you think would contribute to the burnout syndrome?

2. If those factors were addressed, are there any measures or solutions from the authority? Do they work?
You can freely discuss your own idea or solutions.

[Zarni Lynn Kyaw]

This is also an interesting paper, so for discussion I write mainly from the point of view of house office, which I myself have to go through,

1) In Myanmar,
Lack of recognition: This is likely because house officers in Myanmar are the most junior doctors in the hospital, and they tend to receive less attention and recognition. This can lead to feelings of isolation and devaluation, which can contribute to burnout.

Work overload: Myanmar has a rapidly growing population, and the healthcare system is struggling to keep up. This means that house officers are often overworked, with long hours and heavy workloads. This can lead to feelings of stress and fatigue, which can contribute to burnout.

Lack of control: House officers in Myanmar often have little control over their work. They may be assigned to tasks that they are not qualified to do. This can lead to feelings of frustration and helplessness, which can contribute to burnout.

Conflicting values: The healthcare system in Myanmar is still developing, and there is often a conflict between traditional and modern approaches to medicine. This can lead to feelings of uncertainty and ambiguity.

Difficult working conditions: The working conditions in Myanmar’s hospitals can be difficult. There is often a shortage of resources, and the environment can be noisy and chaotic. This can lead to feelings of stress and anxiety.

2) If those factors are addressed
Improving recognition: The government could implement policies that recognize the contributions of house officers. This could include providing them with more opportunities for professional development, or giving them more responsibility in the workplace.

Reducing work overload: The government could also implement policies that reduce the workload of house officers. This could include reducing the number of hours they work, or providing them with more support staff.

Giving house officers more control: The government could also give house officers more control over their work. This could include allowing them to have a say in their assignments, or giving them more flexibility in their work hours.

Resolving conflicting values: The government could also work to resolve the conflict between traditional and modern approaches to medicine. This could involve providing more training for house officers on traditional medicine, or creating a more supportive environment for both traditional and modern approaches.

Improving working conditions: The government could also improve the working conditions in Myanmar’s hospitals. This could include providing more resources, or creating a more peaceful and orderly environment.

[PREUT ASSAWAWORRARIT]

The burnout syndrome in healthcare workers is a very interesting topic.

1. There are several factors contributing to burnout syndrome. Work overload, for example, excessive night shifts, continuous work with inappropriate time to relax is one of the major factors. Unnecessary documentation or redundant documents is a common factor in many hospitals. Pressure from leaders or colleagues may exist in some corporate culture.
2. The problem of burnout syndrome in healthcare workers is recognized and addressed. Leaders would like to get rid of this problem with some intervention in each problem. For burnout syndrome resulting from excessive or redundant documentation, good information technology can minimize the problem. We must ensure that this technology substitute the previous paper work. Moreover, the redundant work must be zero. For example, the volume of urine output is recorded by practical nurses. This number must be validated only once and must be auto-filled in other documents, for instance, graphic chart, progress note, nurse note, etc.

[ABDILLAH FARKHAN]

1) Many factors influence burnout syndrome in the workplace when it comes to jobs related to document records. Factors affecting burnout in the workplace may different between people, but I resume three critical aspects based on my point of view:
– Workload and staffing: this is an immediate cause as the workload must be in line with staffing support. Burnout appears when the workload is high but the staff number is inadequate.
– Lack of support, in terms of computerized infrastructure: when the supply of available IT facilities does not match our demands while we have to carry out tasks routinely, it can affect the mood of workers which leads to burnout.
– Perfectionism: some employees have this character, so they always ensure the process and results run as well as possible. Dissatisfaction may arise when processes or results, or both aspects are less than what they expect.

2) The organization should ensure that the workload should be balanced with an adequate number of employees. To address the infrastructure issue, good planning and budgeting are important to support the run of work among employees. Encouraging support from colleagues, supervisors, and organizations to work as a team is needed to embrace all people to focus on progress, not perfection.

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