Browsing by Author "Auernaruemonsuk N."

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    Examining Burnout Among Intern Physicians During the COVID-19 Pandemic: Insights and Solutions from Qualitative Research
    (2025-02-01) Surawattanasakul V.; Kiratipaisarl W.; Phetsayanavin V.; Pholvivat C.; Auernaruemonsuk N.; Lamlert C.; Soonthornvinit W.; Hengboriboon L.; Siviroj P.; Surawattanasakul V.; Mahidol University
    Background/Objectives: The extensive exposure of physicians to the COVID-19 pandemic has contributed to occupational stress and burnout in their daily lives. This study aimed to explore the lived experiences of intern physicians who experienced burnout during the COVID-19 pandemic and to identify potential solutions to enhance clinical practices in future pandemics. Methods: This study employed a qualitative, phenomenological study utilizing in-depth interviews. The participants were 19 first-year intern physicians from public hospitals in Thailand, selected through a purposeful sampling approach who had experienced burnout. Semi-structured interviews were conducted face-to-face and via online platforms. A thematic narrative analysis approach was used. Results: Phenomenological explorations included two parts: the first explored physicians’ workplace conditions while providing patient care, and the second focused on their proposed solutions for policy changes in clinical practices and hospital management. Four main themes in the first part were derived: (1) emotional suffering and burnout; (2) engaging with a high-intensity workplace; (3) hostile work environments; and (4) deterioration of relationships with staff and colleagues. The second part identified three main themes: (1) changes in policy of clinical practices; (2) effective hospital management; and (3) building interpersonal skills. Conclusions: The COVID-19 pandemic has exacerbated challenges faced by intern physicians, such as high-pressure working conditions, deteriorated relationships with colleagues, and ineffective management, all of which contribute to burnout. These challenges require targeted policy changes in clinical practices, effective hospital management, and building interpersonal skills. Recommendations include improved clinical practices, increased academic support, comprehensive orientation programs, effective communication, teamwork assistance, stress management, and transforming organizational culture to value physicians during internships.
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    Families' experiences with adolescents and young adults exhibiting non-suicidal self-injury (NSSI): a qualitative study in Thailand
    (2025-01-01) Auernaruemonsuk N.; Thongpan M.; Auernaruemonsuk N.; Mahidol University
    Purpose: Non-suicidal self-injury (NSSI), which is often associated with emotional distress, depression, and anxiety, is a significant mental health issue among adolescents and young adults. Research on the role of family in addressing NSSI in Thailand is limited. This qualitative study examined familial perspectives on NSSI to identify systemic and relational factors influencing this behavior. Methods: In-depth semi-structured interviews were conducted at a hospital in Bangkok, with 20 parents of adolescents and young adults aged 10−24 years who had engaged in NSSI within the past three years. Thematic analysis was used to analyze the responses. Results: Five key themes were extracted: (1) NSSI as a trigger for changing relationships between family and patients, often rooted in emotional neglect and high expectations; (2) negative impacts on families and strategies for adjustment and solutions; (3) school’s response to NSSI, from support to stigmatization; (4) other perspectives about NSSI characterized by both encouragement and stigma; and (5) mental health professionals’ assistance in providing psychoeducation and fostering communication to help families manage NSSI. Conclusion: This study underscores the significant impact of NSSI on families and emphasizes the need for collaborative approaches involving families, schools, and communities to support the mental health of affected adolescents and young adults.
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    Physician burnout, associated factors, and their effects on work performance throughout first-year internships during the COVID-19 pandemic in Thailand: a cross-sectional study
    (2025-12-01) Surawattanasakul V.; Siviroj P.; Kiratipaisarl W.; Sirikul W.; Phetsayanavin V.; Pholvivat C.; Auernaruemonsuk N.; Lamlert C.; Surawattanasakul V.; Mahidol University
    Background: Burnout has become a significant occupational concern for physicians who have recently graduated, attributed to their prolonged exposure to workplace stressors, poor work-life balance, and limited patient care experience. These challenges posed during the COVID-19 pandemic, placed unprecedented stress on healthcare systems and first-year interns navigating their careers. This study aimed to assess the prevalence of burnout among first-year intern physicians (1st IPs), investigate the factors contributing to burnout, and explore potential correlations between burnout and work performance. Methods: This cross-sectional study was carried out between June and July 2022, enrolling 412 1st IPs in Thailand. These participants completed a questionnaire through an online web-based platform. The questionnaire included the Maslach Burnout Inventory-Human Services Survey for Medical Personnel to assess burnout, as well as items addressing factors related to working conditions. These factors included colleague support, academic counselling, professional satisfaction, income and workload balance, medical errors, work performance, resignation thoughts, and suicidal ideation. Data were analysed using multivariable logistic regression. Results: Among the participants, 58.5% were female, with an average age of 25.59 years (SD 2.18). A significant proportion (81.2%) worked more than 80 h per week. Nearly half, 48.1% experienced burnout, characterized by high levels of emotional exhaustion (83.5%), depersonalization (74.8%), and low personal accomplishment (66.5%). In the adjusted model, physicians lacking support from their colleagues had higher levels of burnout (adjusted odds ratio [aOR] 2.56, 95% CI 1.18 to 5.58). Those dissatisfied with their professional life were more likely to experience burnout compared to those who were satisfied (aOR 4.52, 95% CI 2.31 to 8.84). Burnout was also significantly associated with poor work performance (aOR 2.14, 95% CI 1.08 to 4.21), while no association was found between burnout and suicidal ideation. Conclusions: Our findings revealed a significantly high prevalence of burnout among 1st IPs in Thailand. This burnout was associated with inadequate colleague support and professional dissatisfaction, ultimately resulting in poor work performance. To address these issues, mentorship programs and buddy support systems, along with adherence to recommended work-hour guidelines, are crucial to mitigate burnout and improve work performance.