Burnout among doctors

Lemaire, Jane B; Wallace, Jean E.

doi:10.1136/bmj.j3360

Cited by 117 publications

(99 citation statements)

References 18 publications

(52 reference statements)

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“…Professional burnout of doctors leads to psychosomatic problems, such as insomnia, irritability and problems with social relations [71,87]; increase in the risk of cardiovascular diseases [88], and increase in cholesterol, triglycerides, glucose and uric acid levels in blood [71]. A long-lasting burnout process leads to irreversible physiological changes [89] and even to post-traumatic stress disorder (PTSD), as well as predisposes to alcohol abuse and suicidal thoughts [90]. Doctors, who suffer burnout often decide to take early retirement [91,92].…”

Section: Discussionmentioning

confidence: 99%

Stress and occupational burnout in a population of Polish doctors – Organizational-professional and non-professional-social predictors

Makara‐Studzińska¹,

Wontorczyk²,

Izydorczyk³

2020

Ann Agric Environ Med.

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Introduction and objective. Numerous studies have found that doctors are exposed to stress and burnout at work. In consequence, these processes lead to a decrease in the quality of life. The study aimed to determine whether professional burnout, understood as a cognitive existential process, is related to stress at work and if any of the four dimensions of burnout are its predictor. The study also analyzed relations between organizational-professional and non-professionalsocial factors and burnout and stress at work. Materials and method. 318 doctors (210 women, 108 men), aged 27-8, participated in the study. Link Burnout Questionnaire (LBQ) was used to measure burnout, and the Perceived Stress Scale (PSS-10) to measure the variable describing the current level of stress. Results. Occupational burnout is related to stress. Two of its symptoms: exhaustion and lack of a sense of professional effectiveness, are important predictors for the sense of stress experienced by the examined group of doctors. The individuals who are in a partner relationship (but not marriage) experienced a stronger sense of non-professional effectiveness than those who were single. Being in an informal relationship is related to the level of stress and lack of a sense of professional effectiveness. The level of stress, as well as all burnout indicators, are connected with the function of a team leader and having passion. The frequency of taking leave and using social networks is related to the level of stress and burnout. Conclusions. Problems related to burnout in doctors, and therefore people professionally involved in helping and treating, must not be underestimated, as evidenced by the results of the presented study Professional burnout of doctors leads to somatic and psychological problems. Doctors suffering from occupational burnout need support and psychological assistance the same as any other professional group.

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Section: Discussionmentioning

confidence: 99%

Stress and occupational burnout in a population of Polish doctors – Organizational-professional and non-professional-social predictors

Makara‐Studzińska¹,

Wontorczyk²,

Izydorczyk³

2020

Ann Agric Environ Med.

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“…Exacerbating this, burnout rates among doctors are reportedly rising, and reaching epidemic levels [24]. Stress and fatigue highlight the problem of hospitals with too few resources and too many demands, which may cause staff to extend their pace beyond that which is sustainable.…”

Section: Introductionmentioning

confidence: 99%

The goldilocks effect: the rhythms and pace of hospital life

Braithwaite

Ellis

Churruca

et al. 2018

BMC Health Serv Res

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BackgroundWhile we have made gains in understanding cultures in hospitals and their effects on outcomes of care, little work has investigated how the pace of work in hospitals is associated with staff satisfaction and patient outcomes. In an era of efficiency, as speed accelerates, this requires examination.DiscussionOlder studies of pace in cities found that faster lifestyles were linked to increased coronary heart disease and smoking rates, yet better subjective well-being. In this debate we propose the Goldilocks hypothesis: acute care workplaces operating at slow speeds are associated with factors such as increased wait lists, poor performance and costly care; those that are too fast risk staff exhaustion, burnout, missed care and patient dissatisfaction. We hypothesise that hospitals are best positioned by being in the Goldilocks zone, the sweet spot of optimal pace.ConclusionTesting this hypothesis requires a careful study of hospitals, comparing their pace in wards and departments with measures of performance and patient outcomes.

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“…Calls for culture change abound in contemporary medical education literature. Challenges as diverse as adopting competency‐based medical education, strengthening patient safety initiatives, enhancing the exchange of meaningful feedback and reducing rates of burnout amongst physicians have been portrayed as hinging on culture change for their success. Such portrayals reflect an increasing acknowledgment of ‘culture’ as a key player in how educational strategies unfold, succeed or fail.…”

Section: Introductionmentioning

confidence: 99%

Approaching culture in medical education: Three perspectives

2019

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Background The notion of culture is increasingly invoked in the medical education literature as a key influence on how educational strategies unfold, and culture change is frequently identified as a necessary precursor to progress. A meaningful perspective on what culture means is often missing from these discussions, however. Without a theoretically grounded notion of culture, calls for culture change are challenging to interpret and to act upon. Objective In this cross‐cutting edge paper, we explore how culture has been defined and theorised using three lenses: the organisational perspective; the identity perspective, and the practice perspective. We consider what each perspective might offer to medical education researchers. Results Each of these perspectives draws on a range of disciplinary influences, and none represents a singular theory of culture. Broadly, the organisational perspective directs our attention to the shared assumptions and values that bind individuals within an organisation. It tends to view culture through a strategic lens; culture may be either a barrier to or a facilitator of the changes that are inevitably required of an organisation if it is to maintain its relevance. The identity perspective, particularly the notion of figured worlds, alerts us to the power of communal narratives to shape how individuals see themselves within particular cultural worlds. The practice perspective emphasises what actually occurs in practice, avoiding symbolic ideas about culture and shared values and instead privileging activity and human‐material networks or arrangements. Conclusions These diverse perspectives share a common thread— they shift our research gaze beyond the individual, allowing us instead to see how those individuals form organisations, inhabit cultural worlds and constitute practices. They afford substance and direction for explorations of culture, and thus offer the promise of a more nuanced understanding of some of medical education's most challenging problems.

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Burnout among doctors

Abstract: A system level problem requiring a system level response

Cited by 117 publications

References 18 publications

Stress and occupational burnout in a population of Polish doctors – Organizational-professional and non-professional-social predictors

Stress and occupational burnout in a population of Polish doctors – Organizational-professional and non-professional-social predictors

The goldilocks effect: the rhythms and pace of hospital life

Approaching culture in medical education: Three perspectives

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