Addressing Burnout in Urology: A Qualitative Assessment of Interventions

Shoureshi, Poone; Guerre, Megan; Seideman, Casey A.; Callejas, David G.; Amling, Christopher L.; Bassale, Solange; Chouhan, Jyoti D.

doi:10.1097/upj.0000000000000282

Cited by 7 publications

(3 citation statements)

References 25 publications

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“…Interestingly, institutional stress and burnout seminars are likely minimally effective compared to practice interventions, such as using a scribe, to create an efficient and low-frustration work environment. 28 While these prevention strategies are exceedingly important, the data presented here may suggest the need for more discussion and focus on a macroscopic level before widespread enaction of these strategies may be seen.…”

Section: Discussionmentioning

confidence: 91%

Burnout: A Call to Action From the AUA Workforce Workgroup

et al. 2023

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Purpose:We hypothesize burnout has failed to improve and certain demographics may be disproportionately affected. Materials and Methods: The AUA Workforce Workgroup examined work from the annual AUA Census over the past several years. Particular to this study, relevant burnout-related data were examined from the past 5 years. Results: In 2021, 36.7% of urologists reported burnout compared to 36.2% in 2016. Burnout in men decreased from 36.3% to 35.2%, but increased in women from 35.3% to 49.2%. When examined by age, the largest increases in burnout were seen in those <45 years old, increasing from 37.9% to 44.8%, followed by 45-54 years old, increasing from 43.4% to 44.6%. When asked about the effect of COVID-19 on burnout, 54% of urologists didn't feel COVID-19 impacted burnout. Beyond burnout, only 25.0% of men and 4.6% of women reported no conflict between work and personal responsibilities, while 25.7% of men and 44.7% of women resolved these conflicts in favor of work or were unable to resolve them. Of respondents, 22.5% of men and 37.1% of women were "dissatisfied" with worklife balance. Similarly, 33.6% of men reported their work schedule does not leave enough time for personal/family life, compared to 57.5% of women. Conclusions: Overall, urologists have higher burnout now when compared to 2016. The gender discrepancy has vastly widened with women experiencing burnout at an increased rate of 14% compared to 2016, while burnout in men decreased by 1%. Burnout has increased the most in those <45 years old. Further action is needed to substantiate the causes of burnout.

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Section: Discussionmentioning

confidence: 91%

Burnout: A Call to Action From the AUA Workforce Workgroup

et al. 2023

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“…These records were disregarded as they did not address physical activity, burnout, or health care personnel or because they were conference proceedings, reviews, or nonoriginal research (eg, letters or commentaries). Of the 88 studies selected for potential inclusion, 3 (3%) were not retrieved as they were published in journals not accessible through our organizations even after writing to the authors to request the accepted versions of their manuscripts [ 46 - 48 ]. Following full-text screening, 75% (64/85) of the records were excluded.…”

Section: Resultsmentioning

confidence: 99%

Association Between Physical Activity and the Risk of Burnout in Health Care Workers: Systematic Review

Mincarone,

Bodini,

Tumolo

et al. 2024

JMIR Public Health Surveill

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Background Burnout is a multidimensional psychological syndrome that arises from chronic workplace stress. Health care workers (HCWs), who operate in physically and emotionally exhausting work contexts, constitute a vulnerable group. This, coupled with its subsequent impact on patients and public economic resources, makes burnout a significant public health concern. Various self-care practices have been suggested to have a positive effect on burnout among HCWs. Of these, physical activity stands out for its ability to combine psychological, physiological, and biochemical mechanisms. In fact, it promotes psychological detachment from work and increases self-efficacy by inhibiting neurotransmitters and neuromodulators, increasing endorphin levels, enhancing mitochondrial function, and attenuating the hypothalamic pituitary-adrenal axis response to stress. Objective Our objective was to conduct a systematic review of the evidence on the association between physical activity and burnout among HCWs. Methods We considered HCWs, physical activity, and burnout, framing them as population, exposure, and outcome, respectively. We searched APA PsycArticles, MEDLINE, and Scopus until July 2022. We extracted relevant data on study design, methods to measure exposure and outcome, and statistical approaches. Results Our analysis encompassed 21 independent studies. Although 10% (2/21) of the studies explicitly focused on physical activity, the remaining investigations were exploratory in nature and examined various predictors, including physical activity. The most commonly used questionnaire was the Maslach Burnout Inventory. Owing to the heterogeneity in definitions and cutoffs used, the reported prevalence of burnout varied widely, ranging from 7% to 83%. Heterogeneity was also observed in the measurement tools used to assess physical activity, with objective measures rarely used. In total, 14% (3/21) of the studies used structured questionnaires to assess different types of exercise, whereas most studies (18/21, 86%) only recorded the attainment of a benchmark or reported the frequency, intensity, or duration of exercise. The reported prevalence of physically active HCWs ranged from 44% to 87%. The analyses, through a variety of inferential approaches, indicated that physical activity is often associated with a reduced risk of burnout, particularly in the domains of emotional exhaustion and depersonalization. Furthermore, we compiled and classified a list of factors associated with burnout. Conclusions Our comprehensive overview of studies investigating the association between physical activity and burnout in HCWs revealed significant heterogeneity in definitions, measurements, and analyses adopted in the literature. To address this issue, it is crucial to adopt a clear definition of physical activity and make thoughtful choices regarding measurement tools and methodologies for data analysis. Our considerations regarding the measurement of burnout and the comprehensive list of associated factors have the potential to improve future studies aimed at informing decision-makers, thus laying the foundation for more effective management measures to address burnout.

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“…Physician burnout is a growing concern in the modern era, with stressors such as increased non-direct patient care, clerical burden related to electronic medical records, longer working hours, and decreased work–life balance contributing to the problem [ 50 ]. US urologists have also described factors such as insurance and reimbursement, government regulations, and high medical and patient expectations as contributing to burnout [ 51 ].…”

Section: Introductionmentioning

confidence: 99%

Digitalization in Urology—A Multimethod Study of the Relationships between Physicians’ Technostress, Burnout, Work Engagement and Job Satisfaction

Bail,

Harth,

Mache

2023

Healthcare

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The potential influences of digitization on the mental health of personnel in the healthcare sector are increasingly coming into the scientific focus in the healthcare sector, especially in terms of the use of information and communication technologies. To date, there have been no German studies of the effects of technostress in healthcare. This cross-sectional study examined the relationships between technostress, burnout, work engagement, and job satisfaction among physicians in the field of urology. Data were collected via an online survey based on the job demands–resources model and the concept of technostress. The survey was sent to German urologists working in inpatient clinics. The participating physicians experienced moderate levels of technostress (M = 2.67, SD = 0.69). The results, based on a general linear model analysis, showed that technostress is significantly positively associated with burnout (β = 0.293; p < 0.001) and negatively associated with work engagement (β = −0.175; p < 0.001) and job satisfaction (β = −0.206; p < 0.001). This study also identified stress and strain factors associated with the use of ICT and assessed institutional support offers as coping mechanisms. The results of this study and its formulated practical implications can serve as a basis for discussing sustainable digitalization strategies in hospitals, taking into consideration technostress and its impact on physicians’ burnout, work engagement and job satisfaction.

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Addressing Burnout in Urology: A Qualitative Assessment of Interventions

Cited by 7 publications

References 25 publications

Burnout: A Call to Action From the AUA Workforce Workgroup

Burnout: A Call to Action From the AUA Workforce Workgroup

Association Between Physical Activity and the Risk of Burnout in Health Care Workers: Systematic Review

Digitalization in Urology—A Multimethod Study of the Relationships between Physicians’ Technostress, Burnout, Work Engagement and Job Satisfaction

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