Gender differences in career satisfaction, moral distress, and incivility: a national, cross-sectional survey of Canadian critical care physicians

Burns, Karen E. A.; Fox‐Robichaud, Alison; Lorens, Edmund; Martin, Claudio M.

doi:10.1007/s12630-019-01321-y

Cited by 35 publications

(21 citation statements)

References 39 publications

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“…In light of this perspective, the first aim of this study was to compare burnout in male and female practitioners specializing in palliative care. Past studies have shown inconsistent results [43,56], even though burnout was often associated with female gender [41,42]. In line with the initial hypothesis, the results clearly confirm that females do not have a higher burnout risk than males.…”

Section: Plos Onesupporting

confidence: 84%

“…The Bonferroni correction was applied to address type 1 errors. Gender differences were examined because burnout was often linked to female gender [42,43], even if these categorizations seem to be unfounded with respect to work-related burnout [44]. The one-sample t-test was used to compare the results of this sample with the cut-off score established by the Italian version of the MBI [40].…”

Section: Statistical Analysesmentioning

confidence: 99%

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Understanding the role of regulatory flexibility and context sensitivity in preventing burnout in a palliative home care team

Lenzo

Bordino²,

Bonanno

et al. 2020

PLoS ONE

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Although burnout syndrome has been investigated in depth, studies specifically focused on palliative home care are still limited. Moreover, there is still a lack of evidence regarding the interplay between emotional flexibility and sensitivity to context in preventing burnout in home care settings. For these reasons, the aims of this study were to examine burnout symptoms among practitioners specializing in palliative home care and to investigate the role of regulatory flexibility and sensitivity to context in understanding burnout. An exploratory cross-sectional design was adopted. A convenience sample (n = 65) of Italian specialist palliative care practitioners participated in this study. Participants were recruited between February and April 2019 from two palliative home care services that predominantly cared for end-of-life cancer patients. The Italian version of the Maslach Burnout Inventory (MBI), the Flexible Regulation of Emotional Expression (FREE) scale (a measure of emotional flexibility), and the Context Sensitivity Index (CSI) (a measure of sensitivity to context) were administered. Analyses of variance were conducted using the three MBI factors as dependent variables and profession as an independent variable. Subsequently, three identical analyses of covariance were conducted with age, work experience, flexibility and sensitivity to context as covariates. The results showed a low burnout risk for all three of the MBI factors, and there were no gender differences. An ANOVA revealed a significant effect of profession type and age on the emotional exhaustion factor of the MBI, and an ANCOVA indicated that these effects persisted after covariates were accounted for. The results also showed a significant effect of the FREE score on emotional exhaustion. These findings can help explain the differential contributions of profession type and age to the burnout symptoms investigated. In addition, the emotional flexibility component, as an aspect of resilience, represents a significant and specific factor of emotional exhaustion. Interventions to prevent burnout must consider these relationships.

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Section: Plos Onesupporting

confidence: 84%

Section: Statistical Analysesmentioning

confidence: 99%

Understanding the role of regulatory flexibility and context sensitivity in preventing burnout in a palliative home care team

Lenzo

Bordino²,

Bonanno

et al. 2020

PLoS ONE

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“…In a study comparing the predilection for burnout in physicians vs. individuals with a graduate or professional degree, burnout symptoms were significantly more common in physicians and persisted despite adjustment for age, sex, relationship status, and hours worked/week in multivariable analysis [ 31 ]. Although each of these factors was associated with greater burnout symptoms in our univariate analyses, these relationships were attenuated after controlling for measures of organizational culture [ 32 – 34 ]. One interpretation of these findings is that younger, female, and URM status faculty may be more likely to experience burnout due to differences in their perceptions or experiences of workplace culture.…”

Section: Discussionmentioning

confidence: 97%

The impact of organizational culture on professional fulfillment and burnout in an academic department of medicine

et al. 2021

Self Cite

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Physician wellness is vital to career satisfaction, provision of high quality patient care, and the successful education of the next generation of physicians. Despite this, the number of physicians experience symptoms of burnout is rising. To assess the impact of organizational culture on physicians’ professional fulfillment and burnout, we surveyed full-time Department of Medicine members at the University of Toronto. A cross-sectional survey assessed: physician factors (age, gender, minority status, disability, desire to reduce clinical workload); workplace culture (efforts to create a collegial environment, respectful/civil interactions, confidence to address unprofessionalism without reprisal, witnessed and/or personally experienced unprofessionalism); professional fulfillment and burnout using the Stanford Professional Fulfillment Index. We used multivariable linear regression to examine the relationship of measures of workplace culture on professional fulfillment and burnout (scores 0–10), controlling for physician factors. Of 419 respondents (52.0% response rate), we included 400 with complete professional fulfillment and burnout data in analyses (60% ≤ age 50, 45% female). Mean scores for professional fulfillment and burnout were 6.7±1.9 and 2.8±1.9, respectively. Controlling for physician factors, professional fulfillment was associated with satisfaction with efforts to create a collegial environment (adjusted beta 0.45, 95% CI 0.21 to 0.70) and agreement that colleagues were respectful/civil (adjusted beta 0.85, 95% CI 0.53 to 1.17). Lower professional fulfillment was associated with higher burnout scores. Controlling for professional fulfillment and physician factors, lower confidence in taking action to address unprofessionalism (adjusted beta -0.22, 95% CI -0.40 to -0.03) was associated with burnout. Organizational culture and physician factors had an impact on professional fulfillment and burnout. Professional fulfillment partially mediated the relationship between organizational culture and burnout. Strategies that promote inclusion, respect and civility, and safe ways to report workplace unprofessionalism are needed in academic medicine.

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“…The recent Medscape National Physician Burnout, Depression and Suicide Report (2019) on over 15,000 doctors showed that burnout was self-reported by 50% of women and 38% of men physicians. In the scientific literature, studies reporting either no significant differences between the sexes [60,61] as well as indications that female doctors are more sensitive to burnout [62][63][64] are also available. Among the studies included in this review results also varied.…”

Section: Gender and Bs In Physiciansmentioning

confidence: 99%

Occupational Burnout Syndrome in Polish Physicians: A Systematic Review

Zgliczyńska

Zgliczyński

Ciebiera

et al. 2019

IJERPH

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Due to the nature of their work, physicians are exposed to chronic stress. This may potentially lead to the widespread occurrence of occupational burnout syndrome (BS). The aim of this systematic review study was to summarize available published data concerning the prevalence of BS in Polish doctors. The literature search was performed using the following databases: PubMed/MEDLINE, Scopus, Cochrane Central Register of Controlled Trials (CENTRAL) and Google Scholar. The last search was performed on September 27th, 2019. Only articles in English or Polish on graduated doctors practicing in Poland were taken into account. All types of original research were considered eligible. However, review articles, book chapters, case reports, case series, conference papers, study protocols and articles in languages other than English and Polish were excluded. There were no restrictions on age, seniority or specialty of study participants. The literature search revealed a total of 21 studies that met the inclusion criteria. The results of individual studies were very diverse, which makes it difficult to draw specific conclusions. However, the problem of burnout among Polish doctors is valid and worth special attention from society, health policy leaders, and doctors themselves. High-quality research is essential to for a better understanding of this topic.

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Gender differences in career satisfaction, moral distress, and incivility: a national, cross-sectional survey of Canadian critical care physicians

Cited by 35 publications

References 39 publications

Understanding the role of regulatory flexibility and context sensitivity in preventing burnout in a palliative home care team

Understanding the role of regulatory flexibility and context sensitivity in preventing burnout in a palliative home care team

The impact of organizational culture on professional fulfillment and burnout in an academic department of medicine

Occupational Burnout Syndrome in Polish Physicians: A Systematic Review

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