Burnout in clinicians

Chandawarkar, Aarti; Chaparro, Juan D.

doi:10.1016/j.cppeds.2021.101104

Cited by 20 publications

(19 citation statements)

References 64 publications

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Section: Discussionmentioning

confidence: 99%

“…Future studies should consider how population-level epidemics interact synergistically with the epidemic of burnout among mental health workers and their own vulnerability to psychological distress due to treating syndemic-burdened patients, being undervalued and exposed to more risk, having higher rates of suicide, alcoholism, quitting and a particularly acute cultural aversion to seeking help. 23 At a broader level, it could be argued that the syndemic nature of COVID-19 as experienced by the most economically precarious and marginalised, as well as the burnout crisis among consultant psychiatrists, are both driven by what Rose et al 24 describe as a hollowing out of community mental health services as a result of more than a decade of austerity-driven policy in the provisioning of healthcare and social protection in Ireland and elsewhere. 10 Therefore it is crucial that an understanding of the syndemic nature of health crises like COVID-19 is at the forefront of current debates regarding how to enhance the resilience of healthcare systems.…”

Section: Future Research and Implications For Policymentioning

confidence: 99%

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Work-related experiences of consultant psychiatrists during the COVID-19 response: qualitative analysis

et al. 2023

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Background Research has begun to draw attention to the challenges mental health professionals faced in delivering services during the COVID-19 pandemic response. However, few studies have examined the specific experiences of consultant psychiatrists. Aims To examine the work-related experiences and psychosocial needs of consultant psychiatrists situated in the Republic of Ireland arising from the COVID-19 response. Method We interviewed 18 consultant psychiatrists and analysed data using inductive thematic analysis. Results Work-related experience of participants was characterised by increased workload associated with assumption of guardianship of physical and mental health of vulnerable patients. Unintended consequences of public health restrictions increased case complexity, limited availability of alternative supports and hindered the practice of psychiatry, including inhibiting peer support systems for psychiatrists. Participants perceived available psychological supports as generally unsuitable for their needs given their specialty. Long-standing under-resourcing, mistrust in management and high levels of burnout exacerbated the psychological burden of the COVID-19 response. Conclusions The challenges of leading mental health services were evident in the increased complexity involved in caring for vulnerable patients during the pandemic, contributing to uncertainty, loss of control and moral distress among participants. These dynamics worked synergistically with pre-existing system-level failures, eroding capacity to mount an effective response. The longer-term psychological well-being of consultant psychiatrists – as well as the pandemic preparedness of healthcare systems – is contingent on implementation of policies addressing long-standing under-investment in the services vulnerable populations rely on, not least community mental health services.

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Section: Discussionmentioning

confidence: 99%

Section: Future Research and Implications For Policymentioning

confidence: 99%

Work-related experiences of consultant psychiatrists during the COVID-19 response: qualitative analysis

et al. 2023

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“…With an average face to face time spent with pediatricians of 15-20 min and average time physicians spend in the EHR reported of 16-45, the association between EHR satisfaction and burnout is clear [11][12][13][14][15][16]. Physician burnout is defined as a response to chronic occupational stress associated with a classic triad of emotional exhaustion, depersonalization, and a sense of reduced accomplishment [17]. Burnout has negative impacts for physicians, healthcare systems, and patient outcomes and ultimately can lead to loss of the physician workforce which further reduces access to care [17].…”

Section: Electronic Health Information the Electronic Health Record A...mentioning

confidence: 99%

“…Personal factors associated with burnout include perfectionism, altruism, and inadequate sleep. Physicians may also experience second victim www.co-pediatrics.com syndrome described as suffering related to patient adverse outcomes [17]. In addition to the personal factors, many physicians experience interpersonal stressors such as bullying and competitiveness.…”

Section: Key Pointsmentioning

confidence: 99%

How to make the electronic health record your friend

Lee

Patel²,

Taxter

2023

Current Opinion in Pediatrics

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Purpose of reviewThe electronic health record (EHR) has become ubiquitous among healthcare providers. It has revolutionized how we care for patients allowing for instant access to records, improved order entry, and improved patient outcomes. However, it has also been implicated as a source of stress, burnout, and workplace dissatisfaction among its users. The article provides an overview of factors associated with burnout focusing on the pediatrician and pediatric subspecialist workflows and will summarize practical tips based on clinical informatics principles for addressing these factors. Recent findingsSeveral metrics related to EHR including training, efficiency and lack of usability have been cited as factors associated with burnout. Organizational, personal, and interpersonal factors as well as work culture are more associated with burnout than EHR use.

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“…As the Agency for Healthcare Research and Quality (AHRQ) notes, “The rising prevalence of burnout among clinicians has led to questions on how it affects access to care, patient safety, and care quality” (AHRQ, 2017, p. 1). Around 42% of all U.S. physicians exhibit at least one symptom of burnout (Chandawarkar & Chaparro, 2021). Burned-out physicians may cut back on clinical care, pursue nonclinical career options in medicine, or take their talents outside the healthcare field altogether, thus exacerbating the U.S. physician shortage (Association of American Medical Colleges, 2020) and access-to-care problems (Dyrbye et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Implementation of a Virtual Asynchronous Scribe Program to Reduce Physician Burnout

Stephens¹,

Kieber-Emmons²,

Johnson³

et al. 2022

Journal of Healthcare Management

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Goal: Administrative burden is one of many potential root causes of physician burnout. Scribe documentation assistance can reduce this burden. However, traditional in-person scribe services are challenged by consistent staffing because the model requires the physical presence of a scribe and limits the team to a single individual. In addition, in-person scribes cannot provide the flexible support required for virtual care encounters, which can now pivot geographically and temporally. To respond to these challenges, our health network implemented an asynchronous virtual scribe model and evaluated the program's impact on clinician perceptions of burnout across multiple outpatient specialties. Methods: Using a mixed-methods, pre-/postdesign, this evaluation measured the impact of an asynchronous virtual scribe program on physician burnout. Physicians were given the Professional Fulfillment Index tool (to self-assess their mental state) and free-text comment surveys before virtual scribe initiation and again at 3-, 6-, and 12-month intervals after program implementation. Descriptive statistics of survey results and qualitative review of free-text entries were analyzed for themes of facilitation and barriers to virtual scribe use. Principal Findings: Of 50 physician participants in this study, 42 (84%) completed the preintervention survey and 15 (36%) completed all 4 surveys; 25 participants (50%) discontinued scribe use after 12 months. Burnout levels—as defined by dread, exhaustion, lack of enthusiasm, decrease in empathy, and decrease in colleague connection—all trended toward improvement during this study. Importantly, quality, time savings, burnout, and productivity moved in positive directions as well. Practical Application: The cost burden to physicians and the COVID-19 pandemic inhibited the continued use of asynchronous virtual medical scribes. Nevertheless, those who continued in the program have reported positive outcomes, which indicates that the service can be a viable and effective tool to reduce physician burnout.

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Burnout in clinicians

Cited by 20 publications

References 64 publications

Work-related experiences of consultant psychiatrists during the COVID-19 response: qualitative analysis

Work-related experiences of consultant psychiatrists during the COVID-19 response: qualitative analysis

How to make the electronic health record your friend

Implementation of a Virtual Asynchronous Scribe Program to Reduce Physician Burnout

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