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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

Quadriplegic doctor obtains degree against all odds
2016-11-25

Description: Dr Swartbooi CUADS Tags: Dr Swartbooi CUADS

Dr Swartbooi faces each day with vigour and
resilience. Dr Swartbooi analyses images on
a screen in the Clinical Imaging Laboratory
at Universitas Academic Hospital.

Photo: Oteng Mpete

Life’s defining moments are when perseverance is rewarded. It is not easy to swim against the tide. However, for Dr Ambrotius Swartbooi from the University of the Free State’s Department of Clinical Imaging Sciences, it became his moment of glory. In 2006, Dr Swartbooi suffered a spinal injury from a near-fatal car accident which left him paralysed and a quadriplegic.

The strength to carry on

“You have one of two choices:
to lie down and give up,
or to pick yourself up”
—Dr Swartbooi

Dr Swartbooi spent close to six months, recovering from his injuries. “You have one of two choices: to lie down and give up or to pick yourself up,” said Dr Swartbooi. He would inspire other patients with similar injuries to reintegrate into society despite their new-found circumstances.

Fortunately, not all was doom and gloom; in 2007 Dr Swartbooi got married, and his wife has supported and inspired him to continue pursuing his dreams. Dr Swartbooi completed his undergraduate medical degree at the UFS, and in 2014 decided it was time to complete his studies and pursued an MMed specialising in Diagnostic Radiology.

To treat or not treat: that is the question

After all his trials and tribulations, Dr Swartbooi will be receiving his MMed Diagnostic Radiology degree at the UFS Summer Graduation ceremony in December 2016. His research focuses on intracranial aneurysm size interventions. He discovered that there were discrepancies between international standards for intervention and African standards for intervention.

The research inspects what should be treated and how it should be treated. He found there was a gap in African literature into the size of aneurysms.

Champion of survival: Where to from here?

“That’s a good question,” said Dr Swartbooi. “Slowly from here. I still need to work on getting my full accreditation from the Health Professions Council of South Africa (HPCSA).” He plans to continue fuelling his passion for teaching. “There is no place better to teach than at an academic hospital.”

Dr Swartbooi commended the efforts of the Centre for Universal Access and Disability Support (CUADS), which assisted him in writing all his exams. “I want to be able to make a fulfilling and lasting impact on people but also to give the best medical service that I can,” concluded Dr Swartbooi.

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