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24 October 2023 | Story Carmine Nieman | Photo SUPPLIED
Carmine Nieman
Carmine Nieman, Industrial Psychology Lecturer at the University of the Free State

Opinion article by Carmine Nieman, Industrial Psychology Lecturer at the University of the Free State.


Burnout – a widely recognised concept – has gained attention since its inception in the 1970s. Research has shown that burnout occurs when individuals exhaust their coping resources due to work and personal life demands, resulting in decreased job performance and extreme fatigue. Further review revealed that burnout often results from overworking and striving for perfection, particularly in high-pressure environments with challenging professional relationships. Though not officially recognised in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), the literature defines burnout as a combination of emotional exhaustion, depersonalisation, and reduced personal accomplishments due to chronic work-related stress. This condition is identifiable through symptoms such as profound fatigue, loss of motivation, cynicism towards one's work, and a sense of inadequacy. Recognising burnout as a contemporary societal challenge is vital; however, in many countries, the official statistics on this topic are not even available. 

According to the literature, there are two coping strategies: positive coping, involving problem-solving and constructive appraisal, and negative coping, which leans towards managing emotions and adopting less effective coping mechanisms. Research has identified a positive correlation between negative coping and burnout, contributing to the experience of burnout among staff members who are struggling to cope personally or professionally. Stress and anxiety have inevitably also been a challenge at the University of the Free State (UFS) for years. Recent research reveals a strong link between stress and burnout, with job burnout identified as a risk factor for anxiety and stress. Thus, addressing job burnout is essential to reduce anxiety and stress symptoms among staff at the UFS, especially as we commemorate World Mental Health Awareness Month.

Mitigating the risk of burnout

Implementing early detection methods is essential to alleviate the adverse effects of burnout. Research underscores the significance of well-being in the workplace, covering emotional, psychological, physical, and behavioural aspects, to effectively manage and prevent burnout. Additionally, burnout has repercussions on personal life, leading to family issues, work-life conflict, and a diminished quality of life, underlining the importance of social support. Preventing and managing burnout entails both individual and organisational strategies. While organisations bear some responsibility, it is unrealistic to expect employees to relinquish personal responsibilities entirely. 

There are numerous research outcomes based on individual strategies. Individual strategies encompass role and boundary management, cognitive restructuring, time management, lifestyle balance, coping strategies, work pattern adjustments, social resource utilisation, and overall well-being and self-assessment. Cognitive restructuring effectively prevents burnout by transforming negative and irrational thought patterns into positive and constructive ones. Time management and planning are core skills for managing a demanding job. Lifestyle management – the balance between work and non-work roles – is increasingly relevant. Moreover, effectively coping with stress by managing thoughts and controlling the interpretation of stressful experiences helps prevent and manage burnout symptoms. Furthermore, changing work patterns is recommended, such as taking regular breaks and avoiding excessive overtime. Leveraging social resources, including support from supervisors, colleagues, family, and friends, is also vital to prevent burnout.

The organisation’s social responsibility role

Research-based strategies on the organisational level are less than on the individual level but offer valuable advice and recommendations. Organisations can contribute to burnout prevention by implementing and developing policies and initiatives. Organisations should focus on transitioning individuals from burnout to engagement by fostering energy, resilience, involvement in work tasks, and job success. Regular well-being assessments also provide insights into individual and organisational well-being and coping. Supportive organisational strategies to prevent burnout entail role clarification, goal setting, nurturing supportive management relationships, eliminating unnecessary stressors, and offering flexible work schedules. Other organisational strategies include supportive practices, job design, coaching, and wellness programmes such as those offered by the Division of Organisational Development and Employee Well-being.

Based on the cumulative insights, an effective approach to addressing and preventing burnout on both individual and organisational levels involves enhancing personal and workplace coping skills. This can be achieved by replacing negative thought patterns with constructive patterns using rational emotive behaviour therapy techniques. Additionally, implementing constructive thinking techniques towards a model that focuses on various aspects of work life can assist in managing and preventing burnout. Furthermore, implementing early detection strategies is pivotal in identifying potential issues before they escalate.

Ultimately, a combined treatment plan involving collaboration between the organisation, industrial psychologists, and individuals is recommended. Such an approach ensures effective burnout management, focusing on well-being and minimising the impact of burnout.

In conclusion, burnout is a significant concern with implications for individuals and organisations. Effective interventions and treatment plans are pivotal for safeguarding well-being. Future research should continue to explore and develop treatment plans to enhance the success and well-being of individuals and organisations.

News Archive

Ethics at the heart of healthcare practice
2017-05-17

Description: Ethics at the heart of healthcare practice Tags: Ethics at the heart of healthcare practice

Prof Gert van Zyl during the launch of Health
Ethics for Healthcare Practitioners with
Prof Laetus Lategan at the Central
University of Technology.
Photo: Supplied

The Central University of Technology (CUT) in partnership with the University of the Free State (UFS) launched a newly published book: Health Ethics for Healthcare Practitioners that aims to raise awareness among healthcare practitioners and patients about various unethical challenges faced by healthcare services in both the private and public sectors.

Prof Laetus Lategan, Director of Research Development and Postgraduate Studies at CUT, and Prof Gert van Zyl, Dean of the UFS Faculty of Health Sciences, are the co-editors of the book intended to provide a moral guide to healthcare professionals when dealing with their patients. 

Holistic approach to healthcare practice

Their work places renewed emphasis on the importance of healthcare ethics. This is due to a diversifying range of healthcare services and the imminent collapse of the public healthcare service sector; most notably in developing countries. The authors particularly focus on how their findings can be integrated into real-life situations.  

The book looks at modern-day healthcare ethics and how they apply to both patients and healthcare practitioners including doctors, professional nurses and therapists. It is an elaborate reference book that will help healthcare practitioners to make informed decisions should they be faced with ethical dilemmas in their practices and assist them to gain a better understanding and devise solutions to problems faced by communities.

Academic journey and partnerships forged
Prof Van Zyl said the book had been a joyful journey of collaboration between the two universities, a journey of academic colleagues who become friends. He explained that they wanted to focus on creating new approaches to healthcare from an ethical perspective, to provide a guide and reference on ethics, not only to healthcare practitioners, but also to patients. “We hope this book will make a difference in healthcare delivery,” he concluded.

Prof Lategan said modern science needed to become more interdisciplinary, which would transcend the way science was conceived. “The essence of healthcare is to be of service to other people and have relationships with other people. I think it’s high time for us to start caring for one another, especially in the academic environment. If we are really looking after the health of other people, whether it is mental, spiritual or physical health, it starts with caring for other people.”

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