Predictors of burnout among US healthcare providers: a systematic review

Meredith, Lisa S.; Bouskill, Kathryn E.; Chang, Joan; Larkin, Jody; Hempel, Susanne

doi:10.1136/bmjopen-2021-054243

Cited by 34 publications

(37 citation statements)

References 68 publications

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“…Our results also suggested that many dialysis care providers feel a lack of autonomy, which is a recognized risk factor for healthcare worker burnout [31]. Fewer than half strongly agreed that it was their responsibility to decide how their job got done or that they had input into patient care planning.…”

Section: Discussionmentioning

confidence: 65%

Work Experiences of the Interdisciplinary Dialysis Workforce in the United States: A Cross-Sectional Survey

et al. 2023

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Introduction: Suboptimal dialysis care may be in part due to staff issues such as job dissatisfaction, burnout, work overload, high staff turnover, and inconsistent training. Here, we leveraged data collected in a recent national survey to provide an initial, comprehensive description of current work experiences of U.S. dialysis care providers. Methods: We conducted a cross-sectional survey of 1240 active U.S. dialysis clinic staff members (physicians, advanced practice providers, nurse managers/clinic coordinators, nurses, social workers, dietitians, and patient care technicians), who were recruited via emails to society membership lists. Respondents were asked about a wide variety of work experiences, including job satisfaction, professional fulfillment and burnout (Stanford Professional Fulfillment Index), work culture, experiences of hostility and violence, and self-reported medical errors. Responses were summarized overall and compared by clinic role. Results: Most of the survey respondents, representing all 50 U.S. states, were aged 35-49 (58.3%) or ≥50 (23.5%), female (60.7%), and white (59.8%; 23.1% Black and 10.0% Asian); 82.1% had been in their current role for at least 1 year. Most U.S. dialysis staff responding to our survey reported being generally satisfied with their jobs (mean rating of 7.9 on 0-10 scale), but only 54.4% met criteria for professional fulfillment, and 32.8% met criteria for burnout, driven by high scores in the work exhaustion domain. Related issues, including high workloads, lack of respect (including experiences of violence and hostility), lack of autonomy, and suboptimal patient environments (in terms of both safety and patient-centeredness), were commonly reported among dialysis care providers, although their prevalence often differed by provider type. Conclusion: Our results suggest that the dialysis workforce may be at a critical point. Preventing further staff burn out, which could lead to even greater staffing shortages and worse working conditions among those who continue to provide dialysis care, is essential.

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Section: Discussionmentioning

confidence: 65%

Work Experiences of the Interdisciplinary Dialysis Workforce in the United States: A Cross-Sectional Survey

et al. 2023

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“…Also, excessive bureaucracy in Portugal leads to the request of many medical reports and certificates that are not health care driven. Excessive workload should be a concern because it is one of the factors leading to professional burnout [35,36], and adverse patient outcomes [37]. Work overload is also associated with intention to leave the profession [38].…”

Section: Table 3 Characterization Of Participant Gps and Comparison T...mentioning

confidence: 99%

Access to General Practitioners during the second year of the COVID-19 pandemic in Portugal: a nationwide survey of doctors

2023

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Background The Portuguese National Health System (NHS) provides universal coverage and near-free health care, but the population has high out-of-pocket expenses and unmet care needs. This suggests impaired accessibility, a key dimension of primary care. The COVID-19 pandemic has further affected access to health care. Understanding General Practitioners’ (GP) experiences during the pandemic is necessary to reconfigure post-pandemic service delivery and to plan for future emergencies. This study aimed to assess accessibility to GPs, from their perspective, evaluating determinants of accessibility during the second pandemic year in Portugal. Methods All GPs working in NHS Family Practices in continental Portugal were invited to participate in a survey in 2021. A structured online self-administered anonymous questionnaire was used. Accessibility was assessed through waiting times for consultations and remote contacts and provision of remote access. NHS standards were used to assess waiting times. Descriptive statistics were used to characterize the study sample. Associations between categorical variables were tested using the χ2 statistic and the Student t-test was used to compare means of continuous variables. Results A total of 420 GPs were included (7% of the target population). Median weekly working hours was 49.0 h (interquartile range 42.0–56.8), although only 14% reported a contracted weekly schedule over 40 h. Access to in-person consultations and remote contacts was reported by most GPs to occur within NHS time standards. Younger GPs more often reported waiting times over these standards. Most GPs considered that they do not have enough time for non-urgent consultations or for remote contacts with patients. Conclusions Most GPs reported compliance with standards for waiting times for most in-person consultations and remote contacts, but they do so at the expense of work overload. A persistent excess of regular and unpaid working hours by GPs needs confirmation. If unpaid overtime is necessary to meet the regular demands of work, then workload and specific allocated tasks warrant review. Future research should focus on younger GPs, as they seem vulnerable to restricted accessibility. GPs’ preferences for more in-person care than was feasible during the pandemic must be considered when planning for the post-pandemic reconfiguration of service delivery.

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“…This finding is suggested from previous research where healthcare workers who suffered from several diseases such as depression, anxiety, stress. [28][29][30] Our study had several limitations. First, we assessed reliability and validity of the SIB using different methods and tools.…”

Section: Discussionmentioning

confidence: 95%

“…This finding is suggested from previous research where healthcare workers who suffered from several diseases such as depression, anxiety, stress. 28–30…”

Section: Discussionmentioning

confidence: 99%

The single item burnout measure is a reliable and valid tool to measure occupational burnout

Galanis

Katsiroumpa

Vraka

et al. 2023

Preprint

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OBJECTIVE To estimate the reliability and the validity of the single item burnout measure in a sample of nurses in Greece. METHOD We conducted an online cross-sectional study in Greece with 963 nurses. Data were collected during October 2022. We measured demographic and work-related variables of nurses, i.e. gender, age, chronic disease, self-rated health status, years of experience, and working in COVID-19 ward/intensive care unit. We used the single item burnout (SIB) and the Copenhagen Burnout Inventory (CBI) to measure occupational burnout. Moreover, we used the COVID-19 burnout scale (COVID-19-BS) to measure nurses burnout during the pandemic, and the Patient Health Questionnaire-4 (PHQ-4) to measure anxiety and depression among nurses. RESULTS Intraclass correlation coefficient between the two measurements of the SIB during the test-retest study was 0.986 indicating excellent reliability of the SIB. We found a high correlation between CBI factors and SIB (p<0.001), a moderate correlation between PHQ-4 and SIB (p<0.001), and a low to moderate correlation between COVID-19-BS and SIB (p<0.001). Therefore, concurrent validity of SIB was excellent. Moreover, SIB had high discriminant validity. In particular, nurses with a chronic disease, those with a very poor/poor/moderate health status, and those working in COVID-19 ward/intensive care unit had higher levels of burnout according to the SIB (p<0.001 in all cases). Moreover, we found a positive relationship between years of experience and SIB score (r=0.13, p<0.001). CONCLUSIONS The single item burnout measure is a brief, reliable, and valid tool that we can use as a screening measure to identify individuals at high risk of burnout.

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Predictors of burnout among US healthcare providers: a systematic review

Cited by 34 publications

References 68 publications

Work Experiences of the Interdisciplinary Dialysis Workforce in the United States: A Cross-Sectional Survey

Work Experiences of the Interdisciplinary Dialysis Workforce in the United States: A Cross-Sectional Survey

Access to General Practitioners during the second year of the COVID-19 pandemic in Portugal: a nationwide survey of doctors

The single item burnout measure is a reliable and valid tool to measure occupational burnout

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