Identification of exogenous and endogenous risk factors for the burnout syndrome in medical workers

Burnout syndrome is one of the most pressing psycho-emotional problems among healthcare professionals, affecting the quality of medical care, professional performance, and mental well-being. This issue has gained particular urgency under conditions of prolonged stress, caused by full-scale war, social instability, and healthcare system reform in Ukraine. The present study offers a comprehensive analysis of the combined influence of exogenous (organizational, social, administrative, geopolitical) and endogenous (individual psychological and physiological) risk factors on the development of emotional burnout among medical workers. The aim of the study was to identify and rank the most significant risk factors contributing to burnout and to substantiate the degree of their influence. The research was based on the results of a survey conducted among 206 healthcare professionals of various specialties. The questionnaire included sections addressing psycho-emotional state, physical well-being, social support, occupational workload, and interpersonal relations within the team. Descriptive statistics, correlation analysis, and one-way ANalysis Of Variance (ANOVA) were applied to process the collected data. The findings revealed that the most significant predictors of burnout included the combination of chronic fatigue, lack of rest breaks, interpersonal conflicts with management, insufficient social support, and low personal resilience. It was established that the synergistic impact of both endogenous and exogenous factors considerably increases the stress load index. These results are of practical importance for the development of targeted prevention programs and for improving work organization and psychological support systems in healthcare institutions, particularly in high-stress post-conflict settings.