physician burnout scholarly articles
A total of 1774 of 1850 (95.9%) and 1882 of 2031 (92.7%) of eligible physicians completed the 2014 and 2017 Massachusetts General Physicians Organization survey, respectively. Author Contributions: Dr del Carmen and Mr Hidrue had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. K,
[43] Coping refers to the “cognitive and behavioral efforts to manage specific external and/or internal demands that are appraised as taxing or exceeding the resources of the person”.[44]. Folkman S. Personal control and stress and coping processes: a theoretical analysis. your express consent. Atkinson
Mayo Clin Proc 2015;90:1600–13. J, Kirkpatrick
Physician burnout is an under-recognized and under-reported problem. [28] Physicians and nurses constantly alternate between exhaustion and happiness, Resilience is the bridge from burnout to wellness. Administrative, technical, or material support: del Carmen, Herman, Rao, Ting, Lehrhoff, Lenz, Heffernan. Career fit and burnout among academic faculty. 2021 American Medical Association. Finally, the average time spent by a physician on administrative duties increased from 23.7% in 2014 to 27.9% in 2017 (difference, 4.2%; 95% CI, 3.0%-5.3%; P < .001) (Table 2). et al. Highlight selected keywords in the article text. Numerous systematic reviews and meta-analyses on the interventions to reduce burnout of physicians and nurses have been published nowadays. While we focus on our patients and their issues, our practice environment is filled with invisible stresses that constantly pull us toward the physician burnout end of the continuum and actively block our experience of engagement. [8]. West
symptoms near or exceeding 50% have been documented in national studies of both physi- CM, Bechamps
The title and abstract screening were undertaken by XJ. BMC Public Health 2019;19:1247. Brand SL, Thompson Coon J, Fleming LE, et al. Kivimaki M, Jokela M, Nyberg ST, et al. Previous studies have reported on the content, intensity, form, evaluation, and timepoint of follow-up of interventions to reduce the burnout of physician and nurses (Table 2 ). [45]. A, Kouvonen
Efforts to alleviate physician burnout and administrative burden require a combination of a shared commitment from physicians and organizations and central and locally implemented programs. Conceptual models for understanding physician burnout, professional fulfillment, and well-being. [3]. Shanafelt
Rao
Tables. With his usual diligence, among his many books since 1946, he ultimately emphasized that the profitability of information based companies. Burnout rates measured at 2 points and risk factors associated with burnout. LN, Sinsky
M, Schmitgen
The purpose of this study was to summarize the evidence and clarify a bundled strategy to reduce burnout of physicians and nurses. A total of 22 studies published from 2014 to 2019 were eligible for analysis. Incentive amount for completing the survey ranges from $166.67 to $833.34 depending on the percentage of time the participant spends on clinical activity. JAMA Netw Open. West CP, Dyrbye LN, Erwin PJ, et al. D. The use of modest incentives to boost adoption of safety practices and systems. CP, Sloan
XJZ, YQS and TTJ wrote the manuscript. The ROBIS[25] is a tool to assess RoB of SRs which comprised phase 2 (4 domains) and phase 3. Medical specialty, demographic characteristics, years in practice, and reported rates of burnout. MP. Burnout rates measured at 2 points and risk factors associated with burnout. [42]. The current overview clarified evidence to reduce burnout of physicians and nurses, which provide a basis for health policy makers or clinical managers to design simple and feasible strategies to reduce the burnout of physicians and nurses, and to ensure clinical safety. In 2017, 45.6% of physicians scored high in 2 of 3 of the Maslach burnout scales, compared with 40.6% in 2014 (Table 2). Not all submitted comments are published. Demographic distributions of respondents are presented in Table 1. According to the 2017 survey, compared with physicians in midcareer (11-20 years since training), early-career physicians (≤10 years since training) had an increased association with burnout (OR, 1.36; 95% CI, 1.05-1.77), while physicians in their late career (>30 years since training) had a decreased association (OR, 0.59; 95% CI, 0.40-0.88). Lo D, Wu F, Chan M, et al. Main Outcomes and Measures
XJZ, YQS and TYS designed, performed and analyzed the research. ROBIS: a new tool to assess risk of bias in, [26]. Exposures
© 2021 American Medical Association. Compared with midcareer physicians (11-20 years since training), early-career physicians (≤10 years since training) were more susceptible to burnout (odds ratio, 1.36; 95% CI, 1.05-1.77), while physicians in their late career (>30 years since training) were less vulnerable (odds ratio, 0.59; 95% CI, 0.40-0.88). Comparing Burnout and Satisfaction With Selected Domains of Physician Work Between 2014 and 2017 Surveys, Table 3. M, Innamorati
Only 8 studies rated low risk of bias. Med Care 2018;56:976–84. Work satisfaction decreased between the 2 surveys. Remember that our nation's health spending has annually increased faster than inflation and economic growth since 1965. Murali K, Makker V, Lynch J, et al. Effect of Exhaustion on Future Plan. et al. West CP. This is an important topic that requires a variety of interventions, both structural and cultural. Burnout intervention studies for inpatient elderly care nursing staff: systematic literature review. NR. Open Med (Wars) 2018;13:253–63. Medical specialty, demographic characteristics, years in practice, and reported rates of burnout. SE, Leiter
Continued research is necessary to establish the most effective initiatives to decrease physician burnout at the individual and organizational level. There were three types of interventions: individual-focused, structural or organizational, and combine interventions. A, Singh
Interventions for physician burnout: a systematic review of. et al. Question
All Rights Reserved, Challenges in Clinical Electrocardiography, Clinical Implications of Basic Neuroscience, Health Care Economics, Insurance, Payment, Scientific Discovery and the Future of Medicine, United States Preventive Services Task Force, Now 25 years ago, Peter Drucker described the best analysis about human capital within information based institutions. R, Stoller
[3] The highest levels of burnout were reported among nurses, although all healthcare providers showed high burnout,[4] and the prevalence has been increasing in recent years. Am J Med 2017;130:1211–9. TR, Williams
[2]. The impact on revenue of physician turnover: an assessment model and experience in a large healthcare center. You are in this together. The measurement instruments used in the literature are shown in Table 2 , and MBI is the most widely used questionnaire to evaluate burnout. Research has shown the prevalence of burnout to be more than 40%, with highest rates in frontline healthcare providers such as emergency medicine, primary care, and critical care. J,
Li H, Zhao M, Shi Y, et al. L,
Physician turnover is associated with patient and clinician distress, as well as financial cost to the system. Improving the health of mental health staff through exercise interventions: a systematic review. PloS one 2017;12:e0188418. et al; Society of General Internal Medicine Career Satisfaction Study Group. JAMA Intern Med 2018;178:1317–30. Med J Islam Repub Iran 2019;33:77–177. ª 2018 The Association for the Publication of the Journal of Internal Medicine 517 Journal of Internal Medicine, 2018, 283; 516â529. In: Henriksen K, Battles JB, Keyes MA, et al, eds. Oreskovich
Jackson-Koku G, Grime P. Emotion regulation and burnout in doctors: a systematic review. You may search for similar articles that contain these same keywords or you may
[21]. The survey, approved by the Partners human research committee, was most recently administered in 2017. M,
[26] 12 of the 16 items were reported over 60% of compliance, which were as followed: the research questions and inclusion criteria for the review include the components of PICO (item 1); explain their selection of the study designs for inclusion in the review (item 3); use a comprehensive literature search strategy (item 4); perform study selection in duplicate (item 5); perform data extraction in duplicate (item 6); provide a list of excluded studies and justify the exclusions (item 7); describe the included studies in adequate detail (item 8); use a satisfactory technique for assessing the RoS in individual studies that were included in the review (item 9); account for RoB in individual studies when interpreting/ discussing the results of the review (item 13); provide a satisfactory explanation for, and discussion of, any heterogeneity observed in the results of the review (item 14); carry out an adequate investigation of publication bias (small study bias) and discuss its likely impact on the results of the review (item 15) and report any potential sources of conflict of interest, including any funding they received for conducting the review (item 16). [5]. To measure trends and identify factors associated with physician burnout. These include administrative support (from 30.4% to 34.8%; difference, 4.4%; 95% CI, 1.4%-7.5%; P = .004) and having a trusted advisor (from 46.7% to 49.7%; difference, 3.0%; 95% CI, −0.2% to 6.2%; P = .07). A data extraction spreadsheet was developed and initially piloted in 3 randomly selected studies. 17 studies were of low risk while 5 studies were graded as high risk. CP, Dyrbye
Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Canadas-De la Fuente GA, Ortega E, Ramirez-Baena L, et al. J Ment Health 2018;27:184–91. Customize your JAMA Network experience by selecting one or more topics from the list below. [12]. Similarly, physicians who had completed training in the previous 21 to 30 years had a decreased association (OR, 0.84; 95% CI, 0.61-1.16). Shanafelt TD, Bradley KA, Wipf JE, et al. A, Koskinen
Privacy Policy| By continuing to use our site, or clicking "Continue," you are agreeing to our, Table 1. Chen Q, Liang M, Li Y, et al. http://creativecommons.org/licenses/by-nc/4.0. JE, Boyle
burnout; meta-analyses; nurses; overview; physicians; systematic reviews. Aspirations to attain an administrative role in the organization and to retire from practice were less associated with level of exhaustion. Conflict of Interest Disclosures: None reported. After adjusting for potential relevant factors, we found physicians with more than 30 years of experience demonstrated lower rates of burnout, while early-career physicians (<10 years in practice) demonstrated higher rates of burnout. et al. © 2019 del Carmen MG et al. Objectives . Table 4 presents the association of emotional exhaustion and physicians’ plan. All registration fields are required. JAMA 2011;305:2009–10. CF, Powe
Cross-sectional studies have consistently found physician specialty to be an independent predictor of burnout, with some specialties associated with 40 percent lower odds of burnout (e.g., dermatology) and others associated with up to 300 percent increased odds of burnout (e.g., emergency medicine, general internal medicine, neurology) in comparison with other specialties [1, 2, 27, 35, 55, ⦠[22] However, due to the limited database and literature, no schemes have been proposed, which can be popularized and applied in real life. A systematic review of burnout among doctors in China: a cultural perspective. The quality of included studies was assessed by AMSTAR 2 (Table 4 ), which is not designed to generate an overall ‘score’ to avoid disguising critical weaknesses in specific domains, such as an inadequate literature search or are a failure to assess risk of bias with individual studies that were included in an overview. Meyer
S, Tan
[34] Training and follow-up were conducted by face-to-face,[27,31] phone,[20,31,35] e-mail,[27] video[20,31] or online,[18,20] and the timepoint of follow-up ranged from 0 to 7 years (Table 2 ). LN,
The PubMed, Science Direct, PsycInfo, SciELO, LILACS and Web of Science databases were searched ⦠Demographic factors associated with burnout, including sex, ethnicity/race, years of experience, and specialty, were evaluated using multivariate analyses. Z and YQ. You may be trying to access this site from a secured browser on the server. del Carmen MG, Herman J, Rao S, et al. Lancet . [45,46] Based on previous theories and studies, physicians and nurses experience a dynamic change between burnout and wellness. Titles and abstracts of the studies were screened and subsequently full texts of the selected studies were accessed and further screened against the eligibility criteria. LN,
Conservation of resources theory in nurse burnout and patient safety. JH. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Shanafelt
To compare demographic distribution, level of burnout, and level of satisfaction between the 2014 and 2017 surveys, we used χ2 tests and t tests, as appropriate. J Adv Nurs 2017;73:2558–65. This overview analyzed the contents of 22 papers with results that physician-directed interventions are associated with small reductions in symptoms of common mental health disorders among physicians. JK. ES, Linzer
On other measures, we observed lower rates of satisfaction with modest improvements from 2014 to 2017. Therefore, a qualitative synthesis of the included studies was conducted instead. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Therefore, based on theories and studies, when physicians and nurses face stressors caused by work, they will make different coping strategies. This systematic review aimed to summarize the evidence of the physical, psychological and occupational consequences of job burnout in prospective studies. Physician burnout is common, and prevalence may differ throughout a clinician’s career. The effectiveness of aromatherapy and massage on stress management in nurses: a systematic review. Consequences of Burnout. Prapanjaroensin A, Patrician PA, Vance DE. Table 3 presents results of multivariate analysis predicting likelihood of burnout for both the 2014 and 2017 surveys. A review of physician turnover: rates, causes, and consequences. Controlled interventions to reduce burnout in physicians a systematic review and meta-analysis. [29]. Physician burnout is common, and prevalence may differ throughout a clinician’s career. The highest rates of burnout are reported among primary care physicians, including family physicians, general internists, and emergency medicine physicians. doi:10.1001/jamanetworkopen.2019.0554. MP, Bonfils
[46]. All statistical tests were 2-sided and P values less than .05 were considered statistically significant. According to ROBIS, 12 research were in low risk in domain 1, 8 in domain 2, 17 in domain 3, and 8 in phase 3. Pompili
Lancet Psychiatry 2020;7:e15–6. Maslach C, Schaufeli WB, Leiter MP. For information on cookies and how you can disable them visit our Privacy and Cookie Policy. TD, Mungo
[19,20,42] Other interventions such as yoga,[16,32,33] massage,[15] mindfulness[16,18,20,31,37,39,42] and meditation[16,19,35,40] have been reported. [31]. [37]. 2020;99:26(e20992). W, Van den Heede
JAMA 2018;320:1131–50. 800-638-3030 (within USA), 301-223-2300 (international). Most physicians were satisfied with the quality of care they provide (≥89%), relationship with their colleagues (≥84%), opportunities for consulting with their peers (≥85%), and their practice’s call and coverage schedule (≥71%). A,
Objective
[27]. Findings indicated that burnout syndrome in RNs can be analyzed in terms of 4 clusters of characteristics: individual, management, organizational, and work. Respondents included 1027 men (57.9%) and 747 women (42.1%) in 2014 and 962 men (51.1%) and 759 women (40.3%) in 2017, with 161 participants (8.5%) declining to specify their sex. The top 3 duties requiring more faculty engagement between the 2 survey periods included time spent on prior authorizations, time spent on specialty recertification, and time spent on compliance regulations related to opioid prescribing. Studies show that the cost of replacing a physician, irrespective of practice, is 2 to 3 times the individual’s annual salary.25-29 Primary care physicians in our survey were more likely to report high levels of exhaustion when compared with medical specialists, suggesting they represent a population requiring targeted interventions to address exhaustion. Although we highlight the 2017 survey results, most of the factors’ association with burnout remained stable on both surveys. 1 Introduction. Shin S, Park J-H, Bae S-H. Nurse staffing and nurse outcomes: a systematic review and meta-analysis. For example, we do not have data on specific actions physicians intending to address their burnout undertook, or the specific effect exhaustion had on their practice.