Risk factors associated with physical therapist burnout: a systematic review

Burri, Sabrina D.; Smyrk, Kaleigh M.; Melegy, Mostafa S.; Mortham, Melanie M.; Hussein, Nadim I.; Tuttle, Brandi; Clewley, Derek

doi:10.1016/j.physio.2022.01.005

Cited by 17 publications

(16 citation statements)

References 57 publications

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“…This study's findings are consistent with those of Fairbrother et al, 23 who reported workload, staffing, workplace culture, effect on productivity, and reduced time as perceived barriers to student clinical placement for CE experiences. Similar to other studies, our results indicated that both clinical administrators and SCCEs acknowledged clinician burnout, 34,35 managing challenging students, 36 and maintaining productivity standards 26-29,37,38 as factors affecting clinicians volunteering to be a CI. It is important to note that these data were collected before the pandemic, and burnout may be an even greater factor at this current time.…”

Section: Discussionsupporting

confidence: 88%

Facilitators and Barriers to Providing Clinical Education Experiences Through the Lens of Clinical Stakeholders

Wilkinson

Myers

Bayliss

et al. 2023

JOPTE

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Introduction. Although the provision of clinical education (CE) experiences affords many benefits to clinical stakeholders, little published literature exists regarding the factors influencing decisions of site coordinators of CE (SCCE), clinical administrators, and clinical instructors (CI) to provide CE. Review of Literature. Site coordinators of CE and CIs navigate workplace expectations while making decisions about their engagement in CE experiences. The purpose of this study was to determine clinical stakeholders’ perceptions of facilitators and barriers to the provision of CE experiences for entry-level Doctor of Physical Therapy students. Subjects. This study used survey data from a previous study on perspectives related to payment for CE experiences. The survey questions analyzed included responses provided by 501 clinical administrators, 445 SCCEs, and 657 CIs. Methods. Retrospective analysis of survey data included frequencies and percentages of responses for nominal and categorical data. Open-ended survey questions underwent content analysis to identify overarching concepts and subordinate categories. Results. Clinicians are most motivated to serve as CIs by “enjoyment of teaching” (274, 49.4%) and a sense of “professional responsibility” (147, 26.5%). Site coordinators of CEs indicated that the top challenges faced in soliciting CIs were the ability to manage challenging students (347, 69.0%), lack of experience serving as a CI (227, 63.4%), ability to maintain productivity standards (220, 61.5%), and clinician burnout (219, 61.2%). Although all participants agreed that their organization promotes a culture of teaching, clinical administrators agreed at a higher percentage than SCCEs (97.8% vs 94.3%, respectively). Discussion and Conclusion. Clinical instructors identified values and benefits that were, at times, in contrast to the organizational culture. The discrepancies in perceptions among stakeholders that were uncovered by this research provide a unique lens that has not been addressed in the literature to date. To provide meaningful support for CIs, it is imperative that directors of CEs, clinical administrators, and SCCEs clearly understand the perceptions of the CI.

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Section: Discussionsupporting

confidence: 88%

Facilitators and Barriers to Providing Clinical Education Experiences Through the Lens of Clinical Stakeholders

Wilkinson

Myers

Bayliss

et al. 2023

JOPTE

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“…Organizations need to have strong qualities, such as community, values, fairness, and rewards, to reduce the prevalence of burnout (Leiter, 2011). A poor sense of community has been shown to be a significant emotional risk factor for burnout (Burri et al., 2022). Job satisfaction among physical therapists is strongly correlated with their sense of community (Arkwright et al., 2018).…”

Section: Discussionmentioning

confidence: 99%

“…The moderate to high levels of emotional exhaustion found in this study were significantly higher than those reported by physical therapists in sparsely populated counties and orthopaedic settings (Berry & Hosford, 2015; Wandling & Smith, 1997). The higher levels of emotional exhaustion in participants may be an example of an increasing trend in conversation and awareness of burnout seen within the healthcare profession, as it is becoming more known that practicing physical therapy can be emotionally and physically draining (Burri et al., 2022). The increased workload on physical therapists per our participants' responses seems to be increasing, while support both in the clinic and from an administrative level is declining.…”

Section: Discussionmentioning

confidence: 99%

“…There is evidence suggesting an increase in suboptimal patient‐perceived outcomes when physicians report higher levels of burnout (Panagioti et al., 2017). Patient safety and organizational liability may be at risk due to factors that contribute to burnout (Burri et al., 2022). Specific to the physical therapy profession, there is a greater chance of physical therapists leaving the profession due to burnout, causing increased strain on the healthcare system (Han et al., 2019).…”

Section: Discussionmentioning

confidence: 99%

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Feeling exhausted: How outpatient physical therapists perceive and manage job stressors

Ferguson

Fritsch

Rentmeester

et al. 2023

Musculoskeletal Care

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PurposeBurnout is identified as a workplace problem rather than a worker problem. However, it remains unclear what job stressors are associated with burnout among outpatient physical therapists. Thus, the primary objective of this study was to understand the burnout experiences of outpatient physical therapists. The secondary aim was to identify the relationship between physical therapist burnout and the work setting.MethodsOne‐on‐one interviews based on hermeneutics were used for qualitative analysis.Quantitative data was collected using the Maslach Burnout Inventory‐Health Services Survey (MBI‐HSS) and the Areas of Worklife Survey (AWS).ResultsQualitative analysis found participants interpreted an increased workload with no increase in wages, loss of control, and a mismatch between organizational culture and values as the main drivers of organizational stress. Professional issues such as high debt burden, low salaries, and declining reimbursement emerged as stressors. Participants showed moderate to high emotional exhaustion per the MBI‐HSS. There was a statistically significant association between emotional exhaustion and workload and control (p < 0.001). For every one‐point increase in workload, emotional exhaustion increased by 6.49 while for every one‐point increase in control, emotional exhaustion decreased by 4.17.ConclusionOutpatient physical therapists in this study felt that increased workload with a lack of incentives and inequity, coupled with a loss of control, and a mismatch between personal and organizational values were significant job stressors. Creating awareness of outpatient physical therapist's perceived stressors may play an important role in developing strategies to diminish or prevent burnout.

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“…More specifically, higher FAB from patients indicates that their estimation of threat will cause avoidance behaviors; while patients are aware of upcoming pain simulation, they tend to bear increasing and exaggerated PC [4,5]. Additionally, with high association between burnout and physical therapy, various manifestations, including both mentally fatigue, physically tiredness and impatience when facing patients, would lead to negative consequences to patients' rehabilitation and culminate into more medical errors [6]. To prevent subjective factors influencing rehabilitation performance, implementing adaptive scoring metrics with machine learning algorithms can be considered as an effective alternative in this case.…”

Section: Introductionmentioning

confidence: 99%

A Joint Network Based CNN for Yoga Pose Classification and Scoring

Yang¹

2022

HSET

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Comparing to traditional rehabilitation, rehabilitation at home becomes a need during pandemic. The technique brought up in this paper allows patients and yoga fans exercise at home with low cost and comfort while can also evaluate their postures. Previous works focus either on classifying poses or scoring on the sameness between the two input branches of patients’ poses and normative poses, but they ignore the combination of them in one single network. In this study, a residual block based Siamese CNN network with classification and scoring modules is proposed, aiming at providing accurate pose matching scores and classify pose types on yoga postures simultaneously. The Siamese network takes two inputs of learner’s pose and standard pose, which are preprocessed skeleton images by OpenPose. With the addition of residual block on the first convolutional module, back propagation is facilitated, which boosts up the process of updating parameters and optimization. The model calculates total loss by summing up cosine embedding loss and cross entropy loss in which the weight parameter lambda could be modified based on need. As for the scoring module, cosine similarity is used to calculate pose resemblance on batch level. The improvement in model performance is obvious when comparing the loss and accuracy between the Siamese network with residual block and VGG-16. Experimental results indicate that the residual block based Siamese network achieves competitive performance compared to the VGG-16 and can provide scoring feedback to learner’s yoga poses.

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Risk factors associated with physical therapist burnout: a systematic review

Cited by 17 publications

References 57 publications

Facilitators and Barriers to Providing Clinical Education Experiences Through the Lens of Clinical Stakeholders

Facilitators and Barriers to Providing Clinical Education Experiences Through the Lens of Clinical Stakeholders

Feeling exhausted: How outpatient physical therapists perceive and manage job stressors

A Joint Network Based CNN for Yoga Pose Classification and Scoring

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