The professional staff in human service institutions are often required to spend considerable time in intense involvement with other people. Frequently, the staff–client interaction is centered around the client’s current problems (psychological, social, and/or physical) and is therefore charged with feelings of anger, embarrassment, fear, or despair. Solutions for these problems are not always obvious and easily obtained, thus adding ambiguity and frustration to the situation. For the helping professional who works continuously with people under such circumstances, the chronic stress can be emotionally draining and poses the risk of burnout. Extensive literature highlighted that healthcare professionals’ work is relentlessly overloaded, emotionally overwhelming, escalating their private life, and thus favoring burnout development. In the present research, there was found a significant difference (p < 0.001) between the burnout level (Maslach HSS) of staff working in state hospitals and staff working in private hospitals. None of the other differences were significant: age (p = 0.155), gender (p = 0.083), work experience (p = 0.480), and job (p = 0.015).
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Ahola Kirsi Hakanen Jari. 2007. Job Strain Burnout and Depressive Symptoms: A Prospective Study among Dentists. Journal of Affective Disorders 104: 103–110.
Ahola Kirsi Vänäänen Ari Koskinen Aki Kouvonen Anne Shirom Arie. 2010. Burnout as a Predictor of All-Cause Mortality among Industrial Employees: A 10-year Prospective Register-Link Age Study. Journal of Psychosomatic Research 69: 51–57.
Alarcon Gene M. 2011. A Meta-Analysis of Burnout with Job Demands Resources and Attitudes. Journal of Vocational Behaviour 79: 549–562.
Băban Adriana Balázsi Robert Bradley Janet Rusu Camelia Szentágotai Aurora Tătaru Raluca. 2005. Psychosocial and Health System Dimensions of Cervical Screening in Romania. Cluj-Napoca: Romanian Association of Health Psychology Engender-Health.
Bakker Arnold B. Demerouti Evangelia. 2007. The Job Demands–Resources Model: State of the Art. Journal and Managerial Psychology 22: 309–328.
Bakker Arnold B. Demerouti Evangelia Sanz-Vergel Ana I. 2014. Burnout and Work-Engagement: The JD-R Approach. Annual Review of Organizational Psychology and Organizational Behaviour 1: 389–411.
Bakker Arnold B. Demerouti Evangelia Verbeke Wim 2004. Using the Job Demands–Resources Model to Predict Burnout Performance. Human Resource Management 43(1): 83–104.
Bakker Arnold B. Schaufeli Wilmar B. Demerouti Evangelia Janssen Peter. P. M. Van der Hulst Reneé Brouwer Janneke. 2000. Using Equity Theory to Examine the Difference between Burnout and Depression. Anxiety Stress & Coping: An International Journal 13: 247–268.
Bakker Arnold B. Schaufeli Wilmar B. Sixma Herman Bosveld Willem Van Diedendonck Dirk. 2000. Patient Demands Lack of Reciprocity and Burnout: A Five-Year Longitudinal Study among General Practitioners. Journal of Organizational Behaviour 21: 425–441.
Bakker Arnold B. Ten Brummelhuis Lieke I. Prins Jelle T. Van der Heijden Frank M. M. A. 2011. Applying the Job Demands–Resources Model to the Work-Home Interface: A Study among Medical Residents and Their Partners. Journal of Vocational Behaviour 79: 170–180.
Bergman Lars R. Lundh Lars-Gunnar. 2015. Introduction: the Person-Oriented Approach. Roots and Roads to the Future. Journal for Person-Oriented Research 1: 1–6.
Bergman Lars R. Magnusson David El-Khouri Bassam M. 2003. Studying Individual Development in an Interindividual Context: A Person-Oriented Approach. Mahwah: Lawrence Erlhaum Associates.
Blegen Mary A. 1993. Nurses’ Job Satisfaction: A Meta-Analysis of Related Variables. Nursing Research 42: 36–44.
Bria Mara Băban Adriana Aucheica Sorin Dumitraşcu Dan L. 2013. Burnout and Turnover Intentions among Romanian ambulance personnel. Procedia – Social and Behavioral Sciences 84: 801–805.
Bria Mara Băban Adriana Dumitraşcu Dan L. 2012. Systematic Review of Burnout Risk Factors among European Healthcare Professionals. Cognition Brain Behaviour. An Interdisciplinary Journal 16: 423–452.
Cooper Cary. 1996. Hot Under the Collar. Times Higher Education Supplement June 21.
Davey Manfy M. Cummings Greta Newburn-Cook Christine V. Lo Eliza A. 2009. Predictors of Nurse Absenteeism in Hospitals: A Systematic Review. Journal of Nursing Management 17: 312–330.
de Jonge Jan LeBlanc Pascale M. Peeters Maria C. W. Noordam Hanneke. 2008. Emotional Job Demands and the Role of Matching Job Resources: A Cross-Sectional Study among Health Care Workers. International Journal of Nursing Studies 45: 1460–1469.
de Jonge Jan van Vegchel Natasja Shimazu Akihito Schaufeli Wilmar Dormann Christian. 2010. A Longitudinal Test of the Demand–Control Model Using Specific Job Demands and Specific Job Control. International Journal of Behavioral Medicine 17: 125–133.
Demerouti Evangelia Le Blanc Pascale M. Bakker Arnold B. Schaufeli Wilmar B. Hox Joop. 2009. Present but Sick: A Three-Wave Study on Job Demands Presentism and Burnout. Career Development International 14: 50–68.
Demerouti Evangelia Nachreimer Friedhelm Bakker Arnold Schaufeli Wilmar. 2001. The Job Demands–Recourses Model of Burnout. Journal of Applied Psychology 86 (3): 499–512.
Epp Kirstin. 2012. Burnout in Critical Care Nurses: A Literature Review. Dynamics 23: 25–31.
Escriba Agüir Vicenta MartinüBaena David Perez Hoyos Santiago. 2006. Psychosocial Work Environment and Burnout among Emergency Medical and Nursing Staff. International Archives of Occupational and Environmental Health 80: 127–133.
Geurts Sabine A. E. Rutte Christel Peeters Maria. 1999. Antecedents and Consequences of Work–Home Interference among Medical Residents. Social Science and Medicine 48 (9): 1135–1148.
Gunnarsdottir Sigrun Clarke Sean P. Rafferty Anne M. Nutbeam Don. 2009. Front-Line Management Staffing and Nurse Doctor Relationships as Predictors of Nurse and Patient Outcomes. A Survey of Icelandic Hospital Nurses. International Journal of Nursing Studies 46: 920–927.
Hakanen Jari J. Bakker Arnold B. Jokisaari Markku. 2011. A 35-Year Follow-Up Study on Burnout among Finnish Employees. Journal of Occupational Health Psychology 16: 345–360.
Hakanen Jari J. Schaufeli Wilmar B. 2012. Do Burnout and Work Engagement Predict Depressive Symptoms and Life Satisfaction? Three-Wave Seven-Year Perspective Study. Journal of Affective Disorders 141: 415–424.
Hanish Kathy A. 1995. Behavioral Families and Multiple Causes: Matching the Complexity of Responses to the Complexity of Antecedents. Current Directions in Psychological Science 1: 156–162.
Kiekkas Panagiotis Spyratos Fotis Lampa Efstathia Aretha Diamanto Sakellaropoulos George C. 2010. Level and Correlates of Burnout among Orthopaedic Nurses in Greece. Orthopaedic Nursing 29: 203–209.
Kim Hansung Ji Juye Kao Dennis. 2011. Burnout and Physical Health among Social Workers: A Three-Year Longitudinal Study. Social Work 6: 258–268.
Lashiger Heather K. S. Wong Carol A. Grau Ashley L. 2013. Authentic Leadership Empowerment and Burnout: A Comparison in New Graduates and Experienced Nurses. Journal of Nursing Management 21: 541–552.
Laursen Brett Hoff Erika. 2006. Person-Centered and Variable-Centered Approaches to Longitudinal Data. Merril-Palmer Quarterly 52: 377–389.
Le Blanc Pascale M. Bakker Arnold B. Peeters Maria C. W. van Heesch Nicolette C. A. Schaufeli Wilmar B. 2001. Emotional Job Demands and Burnout among Oncology Care Providers. Anxiety Stress & Coping: An International Journal 14: 243–263.
Lee Raymond T. Ashforth Blake E. 1996. A Meta-Analytic Examination of the Correlates of the Three Dimensions of Job Burnout. Journal of Applied Psychology 81: 123–136.
Leiter Michael P. Maslach Christina. 2009. Nurse Turnover: The Mediating Role of Burnout. Journal of Nursing Management 17: 331–339.
Maslach Christina. 1976. Burned-Out. Human Behaviour 5(9): 16–22.
Maslach Christina Jackson Susan 1997. The Maslach Burnout Inventory Manual. Evaluating Stress: A Book of Resources. 191–218.
Maslach Christina Jackson Susan 1981. The Measurement of Experienced Burnout. Journal of Occupational Behaviour 2: 99–113.
Maslach Christina Schaufeli Wilmar B. Leiter Michael P. 2001. Job Burnout. Annual Review of Psychology 52: 397–422.
Melamed Samuel Shirom Arie Toker Sharon Shapira Itzhak. 2006. Burnout and Risk of Type 2 Diabetes: A Prospective Study of Apparently Healthy Employed Persons. Psychosomatic Medicine 68: 863–869.
Mohren Danielle C. L. Swaen Gerard H. M. Kant Ijmert Van Amelswoort Ludo G. P. M. Borm Paul J. A. Galama Jochem. 2003. Common Infections and the Role of Burnout in a Dutch Working Population. Journal of Psychosomatic Research 55: 201–208.
Moustou Ioanna Montgomery Anthony Panagoupoulou Efharis Benos Alexis. 2010. Burnout Predicts Health Behaviours in Ambulance Workers. The Open Occupational Health & Safety Journal 2: 16–18.
Oreskovich Michael R. et al. 2012. Prevalence of Alcohol Use Disorders among American Surgeons. Archives of Surgery 147: 168–174.
Ortega Cristina López Francesca. 2004. El burnout o sindrome de estar quemado en los profesionales sanitarios: revisión y perspectivas. International Journal of Clinical and Health Psychology 4: 137–160.
Paris Manuel Hoge Michael A. 2010. Burnout in the Mental Health Workforce: A Review. The Journal of Behavioral Health Services & Research 37: 519–528.
Peterson Ulla Demerouti Evangelia Bergström Gunnar Âsberg Marie Nygren Âke. 2008. Work Characteristics and Sickness Absence in Burnout and Non-Burnout Groups: A Study of Swedish Health Care Workers. International Journal of Stress Management. 15: 153–172.
Pisanti Renato van der Doef Margot Maes Stan Lazzari David Bertini Mario. 2011. Job Characteristics Organizational Conditions and Distress/Well-Being among Italian and Dutch Nurses: A Cross-Sectional Comparison. International Journal of Nursing Studies 48: 829–837.
Plieger Thomas Melchers Martin Montag Christian Meermann R. Reuter Martin 2015. Life Stress as Potential Risk Factor for Depression and Burnout. Burnout Research 2: 12–25.
Popa Adela E. 2013. Hospital Decentralisation in Romania: Stakeholders’ Perspectives in the News Print Media. International Journal of Health Planning and Management 29(1): 70–89.
Popa Florian Arafat Raed Purcărea Victor L. Lală Adrian Popa-Valea Ovidiu Bobirnac George. 2010. Occupational Burnout Levels in Emergency Medicine – A Stage 2 Nationwide Study and Analysis. Journal of Medicine and Life 3(4): 445–453.
Prins Jelle T. Gazendam-Donofrio Stacey M. Tubben Ben J. Van der Heijden Frank M. M. A. Van de Wiel Harry B. M. Hoekstra-Weebers Josette E. H. M. 2007. Burnout in Medical Residents: A Review. Medical Education 41: 788– 800.
Reber Arthur S. 1985. Dictionary of Psychology. New York: Penguin.
Schafer Willemijn Kroneman Madelon Boerma Wienke Van Der Berg Michael Westert Gert. Deville Walter Van Ginneken Ewout. 2010. The Netherlands. Health System Review. Health Systems in Transition 12: 1.
Schanafelt Tait D. et al. 2012. Burnout and Satisfaction with Work-Life Balance among US Physicians Relative to the General US Population. Archives of Internal Medicine 172: 1377–1385.
Schanafelt Tait D. et al. 2011. Special Report: Suicidal Ideations among American Surgeons. Archives of Surgery 146: 54–62.
Schanafelt Tait D. et al. 2010. Burnout and Medical Errors among American Surgeons. Annals of Surgery 251: 995–1000
Schaufeli Wilmar B. Bakker Arnold B. van der Heijden Frank M. M. A. Prins Jelle T. 2009. Workaholism Burnout and Well-Being among Junior Doctors: The Mediating Role of Role Conflict. Work & Stress 23(2): 155–172.
Schaufeli Wilmar B. Bradley Katharine A. Wipf Joyce E. Back Anthony L. 2002. Burnout and Self-Reported Patient Care in an Internal Medicine Residency Program. Annals of Internal Medicine 136: 358–367.
Schaufeli Wilmar B. Maasen Gerard H. Bakker Arnold B. Sixma Herman J. 2011. Stability and Change in Burnout. A Ten-Year Follow-Up Study among Primary Care Physicians. Journal of Occupational and Organizational Psychology 84: 248–267.
Schirom Arie Nirel Nurit. 2006. Overload Autonomy and Burnout as Predictors of Physicians’ Quality of Care. Journal of Occupational Health Psychology 11: 328–342.
Spânu Florina Băban Adriana Bria Mara Dumitraşcu Dan L. 2012. What Happens to Health Professionals When the Ill Patient is the Healthcare System? [ORCAB Special Series]. British Journal of Health Psychology 8: 663–679.
Swider Brian W. Zimmerman Ryan D. 2010. Born to Burnout: A Meta-Analytic Model of Personality Job Burnout and Work Outcomes. Journal of Vocational Behaviour 76(3): 487–506.
ten Brummelhuis Lieke L. Ter Hoeven Claartje L. Bakker Arnold B. Peper Bram. 2011. Breaking through the Loss Cycle of Burnout: The Role of Motivation. Journal of Occupational and Organizational Psychology 84: 268–287.
Todorova Irina Băban Adriana Alexandrova-Karamanova Anna Bradley Janet. 2009. Inequalities in Cervical Cancer Screening in Eastern Europe: Perspectives from Bulgaria to Romania. International Journal of Public Health 54: 1–11.
Van der Heijden Frank Dillingh Gea Bakker Arnold Prins Jelle. 2008. Suicidal Thoughts among Medical Residents with Burnout. Archives of Suicide Research 12: 344–346.
Van der Ploeg Eleonore Kleber Rolf J. 2003. Acute and Chronic Job Stressors among Ambulance Personnel: Predictors of Health Symptoms. Occupational & Environmental Medicine 60(1): i40–i46.
Vela Bueno Antonio et al. 2008. Insomnia and Sleep Quality among Primary Care Physicians with Low and High Burnout Levels. Journal of Psychosomatic Research 64: 435–442.
Vlădescu Cristian Scîntee Gabriela Olsavszky Victor Alin Sara Molodovsky Philipa. 2008. Romania: Health System Review. Health Systems in Transition 10(3): 1–172.
Voicu Bogdan. 2006. Work and Life Balance. In: I. Mărginean (ed.) First European Quality of Life Survey: Quality of Life in Bulgaria and Romania. Luxembourg: Office for Official Publications of the European Communities. 43–48.
Witkin Stanley Harrison W. David. 2001. Whose Evidence and for What Purpose? Social Work 46(4): 293–296.
World Health Organization. 2009. The European Health Report. Health and Health Systems.
Xantopoulou Despoina et al. 2007. When Do Job Demands Particularly Predict Burnout? The Moderating Role of Job Resources. Journal of Managerial Psychology 22: 766–786.
Zangaro George A. Soeken Karen L. 2007. A Meta-Analysis of Studies of Nurses’ Job Satisfaction. Research in Nursing & Health 30: 445–458.