Point prevalence of burnout in Switzerland: a systematic review and meta-analysis

Al-Gobari, Muaamar; Shoman, Yara; Blanc, Solenne; Canu, Irina Guseva

doi:10.4414/smw.2022.w30229

Cited by 10 publications

(7 citation statements)

References 44 publications

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“…A study in the USA from 2010 examined the correlation between burnout and medical errors and reported that major medical errors by surgeons are strongly related to a surgeon’s degree of burnout and mental quality of life [ 7 ]. In the current survey, the numbers and burnout rates among hand surgeons (29.1%) are similar to those reported by Pulcrano et al [ 8 ] and higher in comparison to the general Swiss population (18%) [ 9 ]. A lack of control over one’s work life can contribute as a crucial factor to burnout [ 10 ].…”

Section: Discussionsupporting

confidence: 89%

Quality of Life and Working Conditions of Hand Surgeons—A National Survey

et al. 2023

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Background and Objectives: Providing high-quality care for patients in hand surgery is an everyday endeavor. However, the quality of life (QoL) and working conditions of hand surgeons ensuring these high-quality services need to be investigated. The aim of this study was to evaluate the QoL and working conditions of Swiss hand surgeons. Materials and Methods: A national survey with Swiss hand surgeons was conducted. Standardized questionnaires were completed anonymously online. Core topics included working conditions, QoL, satisfaction with the profession, and aspects of private life. Results: A total of 250 hand surgeons were invited to participate, of which 110 (44.0%) completed the questionnaire. Among all participants, 43.6% stated that they are on call 4–7 days per month, versus 8.2% never being on call. Overall, 84.0% of the residents, 50.0% of the senior physicians, 27.6% of the physicians in leading positions, and 40.6% of the senior consultants/practice owners, as well as 55.1% of the female and 44.3% of the male respondents, felt stressed by their job, even during holidays and leisure time. Out of all participants, 85.4% felt that work affects private relationships negatively. Despite the reported stress, 89.1% would choose hand surgery as a profession again. Less on-call duty (29.1%) and better pay (26.4%) are the most prioritized factors for attractiveness of a position at a hospital. Conclusions: The QoL of Swiss hand surgeons is negatively affected by their workload and working hours. Residents, senior physicians and female surgeons suffer significantly more often from depression, burnout or chronic fatigue in comparison to leading positions, senior consultants/practice owners and male surgeons. Better pay or less on-call duty would make the work more attractive in acute care hospitals.

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Section: Discussionsupporting

confidence: 89%

Quality of Life and Working Conditions of Hand Surgeons—A National Survey

et al. 2023

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“…However, work-related stressors, particularly those with moral challenges, can negatively impact mental health 3. Occupational mental health issues like burnout, compassion fatigue and moral distress (MD) have been studied in healthcare workers but less so in other professions facing similar stressors, such as animal care workers 4–6. Animal care workers, including laboratory technicians and veterinarians, are at risk of mental ill health and suicide, particularly due to unique stressors like euthanasia 4 5 7–9.…”

Section: Introductionmentioning

confidence: 99%

Moral distress measurement in animal care workers: a systematic review

Baysal,

Goy,

Hartnack

et al. 2024

BMJ Open

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ObjectivesThe mental health of veterinary and other animal health professionals is significantly impacted by the psychological stressors they encounter, such as euthanasia, witnessing animal suffering and moral distress. Moral distress, initially identified in nursing, arises when individuals are aware of the right action but are hindered by institutional constraints. We aimed to review existing research on moral distress scales among animal care workers by focusing on the identification and psychometric validity of its measurement.DesignTwo-step systematic review. First, we identified all moral distress scales used in animal care research in the eligible original studies. Second, we evaluated their psychometric validity, emphasising content validity, which is a critical aspect of patient-reported outcome measures (PROMs). This evaluation adhered to the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN). The results were reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses.Data sourcesPubMed, EMBASE and PsycINFO to search for eligible studies published between January 1984 and April 2023.Eligibility criteria for selecting studiesWe included original (primary) studies that (1) were conducted in animal care workers; (2) describing either the development of a moral distress scale, or validation of a moral distress scale in its original or modified version, to assess at least one of the psychometric properties mentioned in COSMIN guidelines.Data extraction and synthesisTwo independent reviewers used standardised methods to search, screen and code included studies. We considered the following information relevant for extraction: study reference, name and reference of the moral distress scale used, psychometric properties assessed and methods and results of their assessments. The collected information was then summarised in a narrative synthesis.ResultsThe review identified only one PROM specifically adapted for veterinary contexts: the Measure of Moral Distress for Animal Professionals (MMD-AP), derived from the Measure of Moral Distress for Healthcare Professionals (MMD-HP). Both MMD-HP and MMD-AP were evaluated for the quality of development and content validity. The development quality of both measures was deemed doubtful. According to COSMIN, MMD-HP’s content validity was rated as sufficient, whereas MMD-AP’s was inconsistent. However, the evidence quality for both PROMs was rated low.ConclusionThis is the first systematic review focused on moral distress measurement in animal care workers. It shows that moral distress is rarely measured using standardised and evidence-based methods and that such methods should be developed and validated in the context of animal care.PROSPERO registration numberCRD42023422259.

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“…A recent Delphi consensus statement also highlights burnout as an occupational phenomenon: "In a worker, occupational burnout or occupational physical and Emotional Exhaustion state is an exhaustion due to prolonged exposure to work-related problems" (2). As a professional group, physicians have about twice the risk of burnout as the general workforce (3,4). In a systematic review of 182 studies comprising 109,628 practicing physicians across 45 countries, the prevalence of symptoms of clinical burnout was about 50% (4).…”

Section: Introductionmentioning

confidence: 99%

Association Between Global Sleep Quality and Coronary Microvascular Function in Male Physicians With Occupational Burnout

von Känel,

Princip,

Holzgang

et al. 2023

Psychosom Med

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Objective Occupational burnout has been associated with an increased risk of coronary heart disease, although the mechanisms involved are elusive. We investigated whether poor global sleep quality is associated with impaired coronary microvascular function in male physicians, a professional group at increased risk for burnout. Methods Study participants were 30 male physicians with clinical burnout and 30 controls without burnout defined by the Maslach Burnout Inventory. Global sleep quality was measured with the Pittsburgh Sleep Quality Index (PSQI). Endothelium-dependent (cold pressor test) and endothelium-independent (adenosine challenge) coronary microvascular function were quantified with myocardial perfusion positron emission tomography. In multivariable analyses, the interaction between burnout and the PSQI global score was regressed on measures of coronary microvascular function, adjusting for age, body mass index, physical activity, alcohol consumption, and main effects of burnout and PSQI score. Results The prevalence of poor sleepers (PSQI score > 5) was 40% in the burnout group and 10% in the control group. Adjusting for covariates, burnout-by-global PSQI score interactions were observed for myocardial blood flow (MBF) at rest (r partial = -.30, p = .025), endothelium-dependent coronary flow reserve (r partial = -.26, p = .062), MBF response (r partial = -.30, p = .028), and hyperemic MBF (r partial = -.34, p = -.012). The global PSQI score was inversely associated with these MBF measures in the burnout group relative to the control group. No significant interactions emerged for endothelium-independent MBF. Conclusions In male physicians with occupational burnout, poor global sleep quality was associated with reduced endothelium-dependent coronary microvascular function, suggesting a mechanism by which burnout may affect cardiovascular health.

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Point prevalence of burnout in Switzerland: a systematic review and meta-analysis

Cited by 10 publications

References 44 publications

Quality of Life and Working Conditions of Hand Surgeons—A National Survey

Quality of Life and Working Conditions of Hand Surgeons—A National Survey

Moral distress measurement in animal care workers: a systematic review

Association Between Global Sleep Quality and Coronary Microvascular Function in Male Physicians With Occupational Burnout

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