Burnout among psychosocial oncologists in Israel: The direct and indirect effects of job demands and job resources

Shinan-Altman, Shiri; Cohen, Miri; Rasmussen, Victoria; Turnell, Adrienne; Butow, Phyllis

doi:10.1017/s1478951517001006

Cited by 5 publications

(13 citation statements)

References 39 publications

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“…Of the identified nine studies, five exclusively evaluated burnout (or a related construct) in samples of psychosocial oncology clinicians, including psychologists, social workers, allied health workers, and nurses who provided psychosocial care (Simon et al, 2006; Joubert et al, 2013; Rasmussen et al, 2016; Turnell et al, 2016; Shinan-Altman et al, 2018). Of note, work role was initially omitted from the questionnaire used in two of these studies (Rasmussen et al, 2016; Turnell et al, 2016), which meant that work role was only available for half of the sample.…”

Section: Resultsmentioning

confidence: 99%

“…Mean age was only reported in three studies: 32.35 years (SD = 8.42) (Fisackerly et al, 2016), 42 years (Kadambi and Truscott, 2004), and 48 years (SD = 11) (Simon et al, 2006). Of the remaining six studies, five studies provided age ranges of the participants (Rasmussen et al, 2016; Turnell et al, 2016; Shinan-Altman et al, 2018) where the majority of participants were between 40 and 59 years of age, and one study did not report the age of the participants (Joubert et al, 2013).…”

Section: Resultsmentioning

confidence: 99%

“…Two measures assessed both burnout and compassion satisfaction — the Professional Quality of Life Scale (ProQOL) and the Compassion Fatigue and Satisfaction Self-Test for Helpers (CFS or CFST), the latter according to Nimmo and Huggard (2013) was re-developed and re-named the ProQOL, where the ProQOL-5 is the current version (). Four of the nine studies also measured constructs related to burnout using five different measures (Rasmussen et al, 2016; Turnell et al, 2016; Shinan-Altman et al, 2018; Neumann et al, 2018).…”

Section: Resultsmentioning

confidence: 99%

“…Burnout was measured by the MBI in six of the nine studies (Kadambi and Truscott, 2004; Eelen et al, 2014; Rasmussen et al, 2016; Turnell et al, 2016; Shinan-Altman et al, 2018; Neumann et al, 2018). Two of these studies used the same sample of clinicians (Rasmussen et al, 2016; Turnell et al, 2016).…”

Section: Resultsmentioning

confidence: 99%

“…The MBI comprises three subscales — EE, DP, and personal accomplishment (PA). Three of the six studies reported data on all three subscales (Kadambi and Truscott, 2004; Eelen et al, 2014; Neumann et al, 2018), while the other three reported data on EE and DP only (Rasmussen et al, 2016; Turnell et al, 2016; Shinan-Altman et al, 2018).…”

Section: Resultsmentioning

confidence: 99%

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Burnout in psychosocial oncology clinicians: A systematic review

et al. 2020

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Objective Few studies have examined burnout in psychosocial oncology clinicians. The aim of this systematic review was to summarize what is known about the prevalence and severity of burnout in psychosocial clinicians who work in oncology settings and the factors that are believed to contribute or protect against it. Method Articles on burnout (including compassion fatigue and secondary trauma) in psychosocial oncology clinicians were identified by searching PubMed/MEDLINE, EMBASE, PsycINFO, the Cumulative Index to Nursing and Allied Health Literature, and the Web of Science Core Collection. Results Thirty-eight articles were reviewed at the full-text level, and of those, nine met study inclusion criteria. All were published between 2004 and 2018 and included data from 678 psychosocial clinicians. Quality assessment revealed relatively low risk of bias and high methodological quality. Study composition and sample size varied greatly, and the majority of clinicians were aged between 40 and 59 years. Across studies, 10 different measures were used to assess burnout, secondary traumatic stress, and compassion fatigue, in addition to factors that might impact burnout, including work engagement, meaning, and moral distress. When compared with other medical professionals, psychosocial oncology clinicians endorsed lower levels of burnout. Significance of results This systematic review suggests that psychosocial clinicians are not at increased risk of burnout compared with other health care professionals working in oncology or in mental health. Although the data are quite limited, several factors appear to be associated with less burnout in psychosocial clinicians, including exposure to patient recovery, discussing traumas, less moral distress, and finding meaning in their work. More research using standardized measures of burnout with larger samples of clinicians is needed to examine both prevalence rates and how the experience of burnout changes over time. By virtue of their training, psychosocial clinicians are well placed to support each other and their nursing and medical colleagues.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Burnout in psychosocial oncology clinicians: A systematic review

et al. 2020

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Burnout among healthcare providers in the complex environment of the Middle East: a systematic review

et al. 2019

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Background: Burnout is a syndrome characterized by emotional exhaustion, increased depersonalization, and a diminished sense of personal accomplishment due to chronic emotional stress at work. Burnout impacts job satisfaction, job performance, vulnerability to illnesses, and interpersonal relationships. There is a gap in the systematic data on the burden of burnout among healthcare professionals from different sectors of healthcare in Middle Eastern countries. Our objective was to examine the burden of burnout among healthcare providers in the Middle East, how it was assessed, which sectors were included, and what interventions have been used. Methods: Articles were found through a systematic review of search results including PubMed, Web of Science (Thomson Reuters), and PsycINFO (EBSCO) using search terms reflecting burnout in Middle Eastern countries among populations of healthcare providers. Studies were included if they examined a quantitative measure of burnout among healthcare providers in the Middle East. Results: There were 138 articles that met our inclusion criteria for this systematic review. Studies focused on burnout in the Middle East among physicians (N = 54 articles), nurses (N = 55), combined populations of healthcare workers (N = 22), and medical students (N = 7). The Maslach Burnout Inventory was the most common tool to measure burnout. Burnout is common among physicians, nurses, and other healthcare professionals, with prevalence estimates predominantly ranging between 40 and 60%. Burnout among healthcare providers in the Middle East is associated with characteristics of their work environments, exposure to violence and terror, and emotional distress and low social support. Conclusions: Burnout is highly prevalent among healthcare providers across countries in the Middle East. Previous studies examining burnout in this region have limitations in their methodology. More thoroughly developed epidemiologic studies of burnout are necessary. Health system strengthening is needed in a region that has endured years of ongoing conflict, and there is an urgency to design and implement programs that tackle burnout among health professionals.

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Physicians’ Total Burden of Occupational Stressors: More than Threefold Increased Odds of Burnout

Goyal¹,

Rustagi²,

Belkić³

2021

Southern Medical Journal

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Objectives: To assess the relation between total job stressor burden and physician burnout, identifying potentially contributory modifiable stressors, using a comprehensive, theory-based instrument created for physicians by physicians.Methods: From 2018 to 2019, we conducted a cross-sectional study in a public teaching hospital in India. Of 305 clinically active physicians, 293 were reached and 42.7% participated. Job stressors were assessed via the physician-specific Occupational Stressor Index (OSI) and burnout by the Copenhagen Burnout Index (CBI). Results:The 76 fully participating physicians were 68% male, 84% residents, and 70% age 30 or younger, from various specialties. Mean scores for total OSI: 87 ± 7.8; personal burnout: 46.6 ± 18.2; work-related burnout: 41.4 ± 20.7; and patient-related burnout: 31.7 ± 22.4. Total OSI scores were significantly associated with personal and work-related burnout, adjusting for working-years as physicians and sex. Total OSI scores >88 showed adjusted odds ratios (±95% confidence intervals): 3.99 (1.31, 12.1) and 6.50 (1.85, 22.8) for personal and work-related burnout, respectively. The high demands aspect of the OSI showed significant multivariate relations to personal, work-related, and patient-related burnout. Patient-related burnout was significantly more likely among male physicians in these multivariate analyses. Physicians outside preventive/ diagnostic areas, with heavier burdens and more emergency cases were less likely to fully participate. Conclusions:The total burden of job stressors is powerfully associated with personal and work-related burnout. The clinically defined total OSI cutpoint >88 warranting urgent intervention is corroborated by >3-fold odds of personal and work-related burnout. Lowering total OSI scores is an immediate priority, starting with potentially modifiable stressors that are already maximum/near-maximum (inadequate rest breaks, nightshifts, work hours, insufficient work-free vacation time, and infection hazards). These issues affect patient care.

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Burnout among psychosocial oncologists in Israel: The direct and indirect effects of job demands and job resources

Cited by 5 publications

References 39 publications

Burnout in psychosocial oncology clinicians: A systematic review

Burnout in psychosocial oncology clinicians: A systematic review

Burnout among healthcare providers in the complex environment of the Middle East: a systematic review

Physicians’ Total Burden of Occupational Stressors: More than Threefold Increased Odds of Burnout

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