Burnout prevention: A review of intervention programs

Awa, Wendy L.; Plaumann, Martina; Walter, Ulla

doi:10.1016/j.pec.2009.04.008

Cited by 581 publications

(533 citation statements)

References 41 publications

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“…The majority of burnout intervention studies in health-care populations focus on individual risk factors [12]. Research on burnout measures in residents had a more balanced focus between individual and work-organizational measures [1,13–16] but burnout was seldom used as a dependent variable.…”

Section: Introductionmentioning

confidence: 99%

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Exploring the relative importance of work-organizational burnout risk factors in Belgian residents

Willems

Monten

Portzky

2018

Medical Education Online

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Previous research has shown that residents are at risk for developing burnout. Most burnout measures focus on individual risk factors, although work-organizational-focused measures might be beneficial as well. This study analyzed the relative importance of positive and negative work-organizational stressors, according to residents themselves, with NVivo11. Eleven work-organizational themes were found with deductive reasoning and two themes, recognition and success experiences, were found inductively. Main positive stressors are professional development, receiving feedback, experiencing success, autonomy and social support. Main negative stressors are high workloads, role conflicts/ambiguity, long work hours, and a lack of feedback, a lack of social support, and a lack of professional development. Measures to improve residents’ well-being should not only focus on reducing workload and work hours. Our results suggest to allocate resources to improve supervisors’ skills, such as providing social support, feedback, and recognition. A better match between internship obligations and residents’ studies could also contribute positively to this purpose.

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Section: Introductionmentioning

confidence: 99%

“…Only a small correlation was found between individual factors and burnout in Prins et al’s review [3]. Furthermore, both Awa et al [12] and Maslach et al [17] suggested that work-organizational measures are indispensable in reducing burnout.…”

Section: Introductionmentioning

confidence: 99%

Exploring the relative importance of work-organizational burnout risk factors in Belgian residents

Willems

Monten

Portzky

2018

Medical Education Online

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“…Burnout refers to a psychological syndrome which predominantly affects social and healthcare workers who have intense social contact and caring relationships with other individuals (Awa, Plaumann, & Walter, 2010). This syndrome, of a purely occupational nature, is characterized by: (a) the predominance of emotional dysphoric symptoms, such as emotional exhaustion and fatigue; (b) the predominance of emotional and behavioral symptoms rather than physical symptoms; (c) symptoms related to the occupational setting; (d) manifestations of symptoms in people with no diagnosis of other psychological disorders; and (e) a gradual reduction in occupational performance (Maslach & Leiter, 2008).…”

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confidence: 99%

“…These programs can be directed toward the individual, organization, community, or simultaneously toward personal and organizational factors (Awa et al, 2010;Carlotto, 2010). Interventions directed toward professionals usually aim to strengthen the abilities of the workers for coping with high levels of demand and stress, and include professional training, relaxation exercises, and increased social support.…”

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confidence: 99%

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Can a Cognitive-Behavioral Group-Therapy Training Program for the Treatment of Child Sexual Abuse Reduce Levels of Burnout and Job-Strain in Trainees? Initial Evidence of a Brazilian Model

Damásio

Habigzang

Freitas

et al. 2014

Paidéia (Ribeirão Preto)

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This study evaluated the extent to which a professional training program of an evidence-based intervention for the treatment of child and adolescent victims of sexual abuse could reduce strain and burnout levels in trainees. Participants were 30 psychologists, 19 of whom composed the experimental group (G1) and 11 the comparison group (G2). Data collection occurred before and after the training. The results showed that the 'work demand' increased for G1 and remained stable for G2, whereas the 'control at work' remained stable for G1 while decreasing for G2. Regarding burnout levels, there was a decrease in depersonalization and stabilization in the levels of emotional exhaustion and reduced professional efficacy for G1, whereas for G2, all the burnout indicators significantly increased. These results partially support the perspective that the training program would have an indirect protective effect on the occupational psychopathology levels of the trainees.Keywords: professional education, occupational stress, occupational health, sexual abuse, stress Pode um Programa de Treinamento em Grupoterapia Cognitivo-Comportamental Para o Tratamento de Abuso Sexual Infantil Reduzir os Níveis de Burnout e Estresse no Trabalho dos Treinandos? Evidências Iniciais de um Modelo BrasileiroResumo: Este estudo avaliou em que medida um treinamento profissional em uma intervenção empiricamente-baseada voltada para o tratamento de crianças e adolescentes vítimas de violência sexual poderia reduzir os níveis de tensão ocupacional e burnout dos profissionais capacitados. Os participantes foram 30 psicólogos, sendo que 19 compuseram o grupo experimental (G1) e 11 o grupo de comparação (G2). A coleta de dados ocorreu antes e depois da capacitação. Os resultados mostraram que os níveis de demanda ocupacional aumentaram para G1 e se mantiveram estáveis para G2. Em relação aos níveis de burnout, houve redução da despersonalização e estabilização nos níveis de exaustão emocional e de baixa eficácia profissional para G1, enquanto que para G2 todos os indicadores aumentaram. Os resultados suportam parcialmente a hipótese que o treinamento profissional pode apresentar um efeito protetor indireto nos níveis de psicopatologia ocupacional dos profissionais capacitados.Palavras-chave: formação profissional, estresse ocupacional, saúde ocupacional, abuso sexual, estresse ¿Puede un Programa de Formación en Grupoterapia Cognitivo-Conductual Para el Tratamiento del Abuso Sexual Infantil Reducir los Niveles de Burnout y Estrés en el Trabajo de los Cursillistas? Evidencias Iniciales de un Modelo BrasileñoResumen: Este estudio evaluó hasta qué punto un entrenamiento profesional para uso de una intervención empíricamente basada para el tratamiento de niños y adolescentes víctimas de abuso sexual podría reducir los niveles de tensión laboral y burnout de los profesionales capacitados. Participaron 30 psicólogos, 19 en el grupo experimental (G1) y 11 en el grupo de comparación (G2). Los datos fueran recolectados antes y después del entrenamiento...

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Controlled Interventions to Reduce Burnout in Physicians

et al. 2017

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IMPORTANCE: Burnout is prevalent in physicians and can have a negative influence on performance, career continuation and patient care. Existing evidence does not allow clear recommendations for the management of burnout in physicians. OBJECTIVE: To evaluate the effectiveness of interventions to reduce burnout in physicians. We also examined whether different types of interventions (physician-directed or organization-directed interventions), physician characteristics (length of experience) and healthcare setting characteristics (primary or secondary care) were associated with improved effects. DATA SOURCES: Medline, Embase, PsycINFO, Cinahl, and Central, were searched from inception to May 2016. The reference lists of eligible studies and other relevant systematic reviews were hand-searched. STUDY SELECTION: Randomized controlled trials and controlled before-after studies of interventions targeting burnout in physicians. DATA EXTRACTION AND SYNTHESIS: Two independent reviewers extracted data and assessed the risk of bias. The main meta-analysis was followed by a number of pre-specified subgroup and sensitivity analyses. All analyses were performed using random-effects models and heterogeneity was quantified using I 2. MAIN OUTCOME AND MEASURES: The core outcome was burnout scores focused on emotional exhaustion, reported as standardized mean differences and their 95% confidence intervals. RESULTS: Twenty independent comparisons from 19 studies were included in the metaanalysis (n=1,550 physicians). Interventions were associated with small significant reductions in burnout (SMD=-0.29, 95% CI=-0.42 to-0.16; equal to a drop of 3-points on the emotional exhaustion domain of the Maslach Burnout Inventory above change in the controls). Subgroup analyses suggested significantly improved effects for organization-5 directed interventions (SMD=-0.45, 95% CI=-0.62 to-0.28) compared to physician-directed interventions (SMD=-0.18, 95% CI=-0.32 to-0.03). Interventions delivered in experienced physicians and in primary care were associated with higher effects compared to interventions delivered in inexperienced physicians and in secondary care, but these differences were not significant. The results were not influenced by the risk of bias ratings. CONCLUSION: Evidence from this meta-analysis suggests that current intervention programs for burnout in physicians are associated with small benefits which may be boosted by adoption of organization-directed approaches. This finding provides support for the view that burnout is a problem of the whole healthcare organization, rather than individuals.

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Burnout prevention: A review of intervention programs

Cited by 581 publications

References 41 publications

Exploring the relative importance of work-organizational burnout risk factors in Belgian residents

Exploring the relative importance of work-organizational burnout risk factors in Belgian residents

Can a Cognitive-Behavioral Group-Therapy Training Program for the Treatment of Child Sexual Abuse Reduce Levels of Burnout and Job-Strain in Trainees? Initial Evidence of a Brazilian Model

Controlled Interventions to Reduce Burnout in Physicians

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