Associations between job demands, job resources and patient-related burnout among physicians: results from a multicentre observational study

Abstract

ObjectivesTo investigate associations of job demands and resources with patient-related burnout among physicians.DesignMulticentre observational study.SettingFifty medical departments at 14 (academic and non-academic) hospitals in the Netherlands.ParticipantsFour hundred sixty-five physicians (71.6% response rate), comprising 385 (82.8%) medical specialists and 80 (17.2%) residents.Main outcome measuresJob demands (workload and bureaucratic demands), job resources (participation in decision making, development opportunities, leader’s inspiration, relationships with colleagues and patients)—measured with the validated Questionnaire of Experience and Evaluation of Work and Physician Worklife Survey—and patient-related burnout, measured using the validated Copenhagen Burnout Inventory.ResultsPatient-related burnout was positively associated with workload (b=0.36; 95% CI, 0.25 to 0.48; p<0.001) and negatively associated with development opportunities (b=–0.18; 95% CI, –0.27 to –0.08; p<0.001) and relationships with patients (b=–0.12; 95% CI, –0.22 to –0.03; p=0.01). Relationships with patients moderated the association between bureaucratic demands and patient-related burnout (b=–0.15; 95% CI, –0.27 to –0.04; p=0.01).ConclusionsPhysicians with high workloads and few development opportunities reported higher levels of patient-related burnout. Those with positive patient relationships were less likely to experience patient-related burnout, even in the presence of excessive bureaucracy. Therefore, positive physician–patient relationships may be supported to reduce the likelihood of physicians’ patient-related burnout. However, the specific support needed to effectively reduce patient-related burnout may vary per healthcare context and thus requires intensified research across healthcare systems and settings.

Job burnout and empathy among different healthcare professionals

“…Research by Gębska-Kuczerowska has shown that people with the shortest work experience are not immune to burnout, which is associated with high stress at work, for which young doctors are usually not ready [31][32].Both Yates and Lacy Chan in their research work emphasize the significant impact of the imbalance between work and private life, which has an impact on the occurrence of burnout. Additionally, Yates draws attention to overtime spent at work, related to, among others, filling out medical records, which contribute to burnout and lower job satisfaction [31,33].The research from 2020 by Nana K Ayisi-Boateng is also worth mentioning, as they indicate the lack of correlation between burnout and gender, years of practice and specialization among doctors [34].M. Kozłowiec in his research also proves that the length of service does not affect the level of burnout and shows that the group most exposed to burnout are people who cannot cope with stress [12,35].…”

Burnout Em Profissionais De Terapia Intensiva: Um Olhar Pré E Pós-Pandemia

“…Por fim, o nível de satisfação no trabalho também esteve relacionado ao nível de Burnout em diferentes estudos analisados, em proporções inversas. Longas horas de trabalho, baixo salário, turnos noturnos frequentes e manejo de pacientes graves eram fatores que se destacavam entre as insatisfações desses profissionais (MOREIRA, 2018;SCHEEPERS, 2020;CHUANG, 2016;SARAVANABAVAN, 2019).…”

“…de saúde, esse esgotamento físico e mental dos profissionais vem sendo relacionado a diferentes fatores, como as condições de trabalho às quais estão submetidos. O cenário de trabalho estressante, as altas cargas de trabalho, a precariedade de materiais, a burocracia excessiva, baixas oportunidades de desenvolvimento são alguns aspectos apontados por estudos que colaboram para o surgimento da síndrome(SCHEEPERS, 2020; MOREIRA, 2018). janeiro de 2021 a plataforma da Medscape -uma organização que oferece educação continuada para médicos e profissionais de saúde -lançou um relatório abordando o Burnout e o suicídio médico, avaliando como esses profissionais estão lidando com esses fatos.…”

What factors empower general practitioners for early cancer diagnosis? A 20-country European Delphi Study

“…Concerns about workload and bureaucracy, two areas that were prioritised by our panellists, have attracted attention to doctors' working conditions, especially in relation to their health and risk of burnout (Scheepers et al, 2020). A high level of bureaucracy takes GPs away from direct patient care (Schäfer, Berg and van der Groenewegen, 2020).…”