Degree of Burnout Among Emergency Healthcare Workers and Factors Influencing Level of Burnout: A Study Protocol

Das, Sambhunath; Barman, Sashibha; Bardhan, Navoneela; Baishya, Marami; Das, Bornali; Bujarbarua, Sakhee; Devee, Anjana; Bhagabati, Dipesh

doi:10.14260/jemds/2015/2378

Cited by 3 publications

(6 citation statements)

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“…One hundred seventy-six cross-sectional studies and 6 longitudinal studies involving 109 628 individuals in 45 countries published between 1991 and 2018 reporting on burnout in practicing physicians were identified (Figure 1). The number of participants per study ranged from 4 to 7830 (median, 200; interquartile range, 93-512; mean, 602). The characteristics of the full set of individual studies, the geographic regions in which they were conducted, and their Newcastle-Ottawa risk-of-bias scores appear in eTables 1 through 4 in Supplement 1.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of Burnout Among Physicians

Rotenstein

Torre

Ramos

et al. 2018

JAMA

1,360

1,215

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IMPORTANCE Burnout is a self-reported job-related syndrome increasingly recognized as a critical factor affecting physicians and their patients. An accurate estimate of burnout prevalence among physicians would have important health policy implications, but the overall prevalence is unknown. OBJECTIVE To characterize the methods used to assess burnout and provide an estimate of the prevalence of physician burnout. DATA SOURCES AND STUDY SELECTION Systematic search of EMBASE, ERIC, MEDLINE/PubMed, psycARTICLES, and psycINFO for studies on the prevalence of burnout in practicing physicians (ie, excluding physicians in training) published before June 1, 2018. DATA EXTRACTION AND SYNTHESIS Burnout prevalence and study characteristics were extracted independently by 3 investigators. Although meta-analytic pooling was planned, variation in study designs and burnout ascertainment methods, as well as statistical heterogeneity, made quantitative pooling inappropriate. Therefore, studies were summarized descriptively and assessed qualitatively. MAIN OUTCOMES AND MEASURES Point or period prevalence of burnout assessed by questionnaire. RESULTS Burnout prevalence data were extracted from 182 studies involving 109 628 individuals in 45 countries published between 1991 and 2018. In all, 85.7% (156/182) of studies used a version of the Maslach Burnout Inventory (MBI) to assess burnout. Studies variably reported prevalence estimates of overall burnout or burnout subcomponents: 67.0% (122/182) on overall burnout, 72.0% (131/182) on emotional exhaustion, 68.1% (124/182) on depersonalization, and 63.2% (115/182) on low personal accomplishment. Studies used at least 142 unique definitions for meeting overall burnout or burnout subscale criteria, indicating substantial disagreement in the literature on what constituted burnout. Studies variably defined burnout based on predefined cutoff scores or sample quantiles and used markedly different cutoff definitions. Among studies using instruments based on the MBI, there were at least 47 distinct definitions of overall burnout prevalence and 29, 26, and 26 definitions of emotional exhaustion, depersonalization, and low personal accomplishment prevalence, respectively. Overall burnout prevalence ranged from 0% to 80.5%. Emotional exhaustion, depersonalization, and low personal accomplishment prevalence ranged from 0% to 86.2%, 0% to 89.9%, and 0% to 87.1%, respectively. Because of inconsistencies in definitions of and assessment methods for burnout across studies, associations between burnout and sex, age, geography, time, specialty, and depressive symptoms could not be reliably determined. CONCLUSIONS AND RELEVANCE In this systematic review, there was substantial variability in prevalence estimates of burnout among practicing physicians and marked variation in burnout definitions, assessment methods, and study quality. These findings preclude definitive conclusions about the prevalence of burnout and highlight the importance of developing a consensus definition of burnout and of standardiz...

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Section: Resultsmentioning

confidence: 99%

Prevalence of Burnout Among Physicians

Rotenstein

Torre

Ramos

et al. 2018

JAMA

1,360

1,215

View full text Add to dashboard Cite

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“…The number of study participants ranged from 4501 in the largest study 33 to 7 in the smallest. 34 Twenty studies included other healthcare staff in addition to the medical staff participants. 9 34–52 Four studies included primary care physicians, 42 53–55 with most studies involving medical doctors from intensive or critical care, emergency departments and internal medicine ( figure 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…Twenty-one studies 34 35 39–41 46–48 50–53 56 57 60 64 66 67 69 71 74 used the complete Maslach Burnout Inventory (MBI) 75 ( online supplemental table 1 ). One study used a two-item ‘MBI’ 62 in an emergency department population that has been found to correlate with the full MBI in a similar population.…”

Section: Resultsmentioning

confidence: 99%

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Systematic review of the relationship between burn-out and spiritual health in doctors

et al. 2023

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ObjectiveTo investigate the relationship between burn-out and spiritual health among medical doctors.DesignSystematic literature review and narrative synthesis of cross-sectional studies.SettingAny setting, worldwide.Data sourcesFive databases were searched from inception to March 2022, including Medline, Embase, PsycINFO, Scopus and Web of Science.Eligibility criteriaAny study design that involved medical doctors (and other healthcare staff if assessed alongside medical doctors), that measured (in any way) both burn-out (or similar) and spiritual health (or similar) medical doctors.Data extraction and synthesisAll records were double screened. Data extraction was performed by one reviewer and a proportion (10%) checked by a second reviewer. Quality was assessed using the Appraisal of Cross-sectional Studies tool. Due to the heterogeneity of the included studies, a narrative review was undertaken without a meta-analysis.ResultsSearches yielded 1049 studies. 40 studies met eligibility criteria and were included in this review. Low reported levels of spirituality were associated with high burn-out scores and vice versa. Religion was not significantly associated with lower levels of burn-out. Few studies reported statistically significant findings, few used validated spiritual scores and most were vulnerable to sampling bias.ConclusionsPublished research suggests that burn-out is linked to spiritual health in medical doctors but not to religion. Robust research is needed to confirm these findings and develop effective interventions.PROSPERO registration numberCRD42020200145.

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“…18 Within this cohort 69.23% of Cataract, 55.93% Vitreoretinal and 54.54% of Glaucoma specialists indicated the highest level of burnout within this domain. With the majority aged between 31-60 79% (n = 87).…”

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confidence: 75%

Stress and cataract surgery: A nationwide study evaluating surgeon burnout

Ansari

Tung

Wright

et al. 2023

European Journal of Ophthalmology

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Background We aimed to evaluate the nationwide prevalence of stress induced burnout among cataract surgeons. We believe that knowledge of these factors can help formulate a solution to this underreported problem. Methods A three-part nationwide cross-sectional survey was disseminated with via the Royal College of Ophthalmologists (RCOphth) in the United Kingdom(UK). All consultants, trainees and specialty doctors and associate specialists(SAS) were invited to participate. We evaluated burnout using the Maslach Burnout Inventory (MBI). Logistic regression modelling was completed to look at factors linked to high level burnout in certain domains. Results A total of 406 respondents completed our survey. Prevalence of cataract surgery-related high burnout was estimated at 3.45% (Section A and/or B) and 40% within Personal Accomplishment (PA)(Section C of the MBI). Multiple factors were associated with increased burnout within PA: Increasing age: 61+ OR: 2.99 (1.02–8.78, p = 0.05), Number of cataract operations completed: >3000 OR 2.98 (1.03–8.64, p = 0.04), Lists per week: 2: OR 2.99 (1.38–6.47, p < 0.01), 2.5: OR 8.95 (2.58–31.02, p < 0.01), 3 or more: OR 2.64 (1.07–6.54, p = 0.04). Sleeping 8 h or more was found to be protective OR 0.52 (0.28–0.96, p = 0.04). 17% of respondents indicated they would be willing to give up cataract surgery if given the opportunity. Conclusion The prevalence of stress induced burnout by cataract surgery appears to be present in a minority of surgeons. There appears to be a significant reduction in the feeling of personal achievement within the profession. A large proportion of this cohort appears to be willing to give up surgical responsibilities.

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Degree of Burnout Among Emergency Healthcare Workers and Factors Influencing Level of Burnout: A Study Protocol

Cited by 3 publications

References 9 publications

Prevalence of Burnout Among Physicians

Prevalence of Burnout Among Physicians

Systematic review of the relationship between burn-out and spiritual health in doctors

Stress and cataract surgery: A nationwide study evaluating surgeon burnout

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