Surgeon burnout, impact on patient safety and professionalism: A systematic review and meta-analysis

Al-Ghunaim, Tmam; Johnson, Judith; Biyani, Chandra Shekhar; Alshahrani, Khalid M.; Dunning, Alice; O’Connor, Daryl B.

doi:10.1016/j.amjsurg.2021.12.027

Cited by 46 publications

(37 citation statements)

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“…While the professionalism outcome factors were too varied for meta-analysis, a narrative synthesis of these revealed a relationship between high burnout and a higher likelihood of loss of temper, malpractice litigation, and a lack of empathy. 4 Taken together, these findings indicate that burnout in surgeons could have implications for patient care and that addressing surgeon burnout may be one route to delivering higher quality, safer patient care.…”

Section: Introductionmentioning

confidence: 85%

“…3 Concerningly, another recent systematic review and meta-analysis with a total of 27,248 surgeons found burnout was linked to a higher chance of making a surgical or medical error. 4 The review also investigated professionalism, which can be understood as the behaviours of professionals. While the professionalism outcome factors were too varied for meta-analysis, a narrative synthesis of these revealed a relationship between high burnout and a higher likelihood of loss of temper, malpractice litigation, and a lack of empathy.…”

Section: Introductionmentioning

confidence: 99%

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How UK surgeons experience burnout and the link between burnout and patient care: A qualitative investigation

et al. 2022

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Background and Aims Poor well-being affects the performance of all kinds of workers, including surgeons. This study aimed to answer two questions: (1) how does burnout affect surgeons personally, and what is their burnout experience like? (2) How does burnout affect the care that surgeons provide in the United Kingdom (UK)? Method This study conducted thematic analysis of semi-structured interviews with 14 surgeons recruited from the UK National Health Service (NHS). Result The study found three themes in surgeons’ experiences of burnout: first, burnout is common but frequently not recognised nor understood; second, burnout is a personal crisis; and third, burnout creates vulnerability at work. The study also revealed four themes related to burnout's effect on patient care: first, burnout reduces the quality of surgeon-patient relationships; second, burnout affects patient safety; third, burnout impairs staff relationships; and fourth, burnout makes surgeons less motivated to improve. Conclusion Burnout is common but not well recognised in surgeons. Improving understanding and treatment of burnout could have benefits for both surgeons themselves and the care they provide to patients.

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Section: Introductionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

How UK surgeons experience burnout and the link between burnout and patient care: A qualitative investigation

et al. 2022

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“…Burnout among physicians is associated with numerous negative ramifications, including medical error, 1 , 2 poor job satisfaction, 3 , 4 decreased professional fulfillment, 5 increased alcohol and drug use, 6 , 7 , 8 and increased depression and suicidal ideation. 9 The prevalence of burnout among emergency medicine residents varies widely, depending on the methods used and definitions of burnout.…”

Section: Introductionmentioning

confidence: 99%

Reliability and validity support for an abbreviated Copenhagen burnout inventory using exploratory and confirmatory factor analysis

et al. 2022

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Objective The Copenhagen Burnout Inventory (CBI) is an open‐access, valid, and reliable instrument measuring burnout that includes 19 items distributed across the following 3 domains (factors): personal burnout, work burnout, and patient burnout. The primary objective of this study was to determine the validity and reliability of an abbreviated CBI to assess burnout in emergency medicine residents. Methods This cross‐sectional study used data from the CBI that followed the 2021 American Board of Emergency Medicine In‐training Examination. Exploratory factor analysis (EFA) was followed by confirmatory factor analysis (CFA). Results Of the 8491 eligible residents, 7225 (85.1%) completed the survey; the EFA cohort included 3613 residents and the CFA cohort included 3612 residents. EFA showed 2 eigenvalues ≥1, an internal factor and an external factor. There were 6 CBI items that contributed to the 2 factors. The first factor was related to personal burnout and work‐related burnout and the second factor was related to working with patients. There were 4 CBI items that contributed to the internal factor and 2 CBI items that contributed to the external factor. Using the abbreviated CBI, the incidence of a resident having 1 or both types of burnout was 34.1%. Conclusions This study provides validity evidence and reliability support for the use of a 6‐item, 2‐factor abbreviated CBI. A shorter, reliable, valid, and publicly accessible burnout inventory provides numerous advantages for burnout research in emergency medicine.

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“…Метаанализ Al-Ghunaim T.A. и соавт., объединивший результаты 9 исследований, в которых приняли участие более 27 тысяч респондентов, показал 2,5-кратный риск вовлеченности выгоревших хирургов в ситуацию с медицинской ошибкой [8]. То есть, говоря об эмоциональном выгорании у врачей, мы говорим о снижении профессиональных квалификаций или о профессиональном выгорании.…”

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Risk factors of burnout among physicians (results of public survey)

Mingazov

Lukomskiy²,

Khabibullina

et al. 2022

Koloproktologiâ

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AIM: to identify risk factors for burnout of healthcare employees and to identify the most vulnerable category of practicing physicians.PATIENTS AND METHODS: an observational study based on a public survey started from June to August 2022. The validated Maslach Burnout Inventory questionnaire was used as a burnout assessment tool. An integral burnout index was calculated, on the basis of which significant risk factors were analyzed. The results obtained are presented in the form of a predictive nomogram.RESULTS: the high degree of emotional burnout in Russia among doctors reaches 32%. The most significant professional risk factors are relationships between colleagues (p = 0.0002), overtime work (p = 0.006), work in outpatient unit (p = 0.006), with severe patients (p = 0.008) and uneven planning of work activities (0.0004). The protective factors are: family (p = 0.001), sports (p = 0.001), meditation (p = 0.005) and talking about own problems (p = 0.01).CONCLUSION: burnout is a multifactorial problem. The proposed nomogram is useful for identification of the most vulnerable specialists.

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Surgeon burnout, impact on patient safety and professionalism: A systematic review and meta-analysis

Cited by 46 publications

References 47 publications

How UK surgeons experience burnout and the link between burnout and patient care: A qualitative investigation

How UK surgeons experience burnout and the link between burnout and patient care: A qualitative investigation

Reliability and validity support for an abbreviated Copenhagen burnout inventory using exploratory and confirmatory factor analysis

Risk factors of burnout among physicians (results of public survey)

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