Contributors to Burnout
| Factor | Quotation from Survey |
|---|---|
| Volume of Work | |
| Unpaid work | Was working too much on uncompensated work |
| Virtual work | Virtual work and meetings have completely taken over my life. There is an unspoken expectation to work remotely, respond to e-mails, attend zoom meetings, etc., at all times, even while not being paid for that time. |
| Bureaucracy and administration | Incredible bureaucracy in hospitals (mandatory training, inefficient EMR, etc.) Lack of autonomy for physicians within the provincial health care system. The provincial health care system is increasing the level of bureaucracy in the system without improving patient care. Lack of opportunities to do the work I want to and feeling “stuck in the system.” |
| Leadership and culture | Lack of say in decisions made by management…. We get told to “put your head down and do your job” when concerns are raised. Relationships with some negative colleagues Hospitals never take physician input |
| SARS-CoV-2 (COVID-19)–related factors | The pandemic and other current social issues and crises make my work seem less meaningful in comparison. I have serious ethical and moral qualms regarding the restrictions we have placed on inpatient [provincial review board] patients over the course of the pandemic. It seems like an abuse of power that’s not related to forensic risk and I struggle with my participation and complicity in it. Constant adaptation during pandemic |
| Non–work-related stressors | High demands and difficulty to conjugate life with young children Factors outside of work (grief, illness…) |
| Factors inherent to the nature of the work in forensic psychiatry | Responsibility for decisions regarding therapeutic risks |