A systematic review and meta analysis on burnout in physicians during the COVID-19 pandemic: A hidden healthcare crisis

Macaron, Marie Michele; Segun-Omosehin, Omotayo A; Matar, Reem; Beran, Azizullah; Nakanishi, Hayato; Than, Christian A.; Abulseoud, Osama A.

doi:10.3389/fpsyt.2022.1071397

Cited by 50 publications

(30 citation statements)

References 96 publications

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“…Our findings align with the literature, highlighting poor working conditions and work intensification due to megatrends in the German healthcare sector (Bundesärztekammer, 2009; Hasselhorn and Müller, 2005; Osterloh, 2017; Weskamm, 2013). Furthermore, extant scholarly literature elucidates the augmented workload experienced by healthcare practitioners amidst the Covid-19 crisis, manifesting in heightened levels of mental distress and, in more critical circumstances, the onset of burnout (Macaron et al. , 2022; Voltmer et al.…”

Section: Discussionmentioning

confidence: 99%

Physician assistants in the German inpatient care: barriers and enablers of integration

Ringel,

Fouda

2024

JICA

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PurposeVarious health systems are challenged by a multifaceted crisis of increased service demand and workforce shortages. The effects are devastating and may end up in decreased access to care, poor quality of patient care and extreme demands on the workforce. The introduction of the physician assistant (PA) profession provided an avenue to address such challenges in several countries. In Germany, the integration of PAs has been proceeding slowly.Design/methodology/approachTo understand the integration of the profession in Germany, we conducted 15 expert interviews to reveal how the PA profession is perceived among healthcare experts as well as the barriers and facilitators of integration in inpatient care.FindingsOur results highlight a generally positive perception of PAs, particularly in terms of workload relief and bridging the gap between healthcare professionals. Nonetheless, barriers include resistance from healthcare workers unfamiliar with the PA role, while workforce shortages and collaborative teamwork facilitate integration.Originality/valueThese findings lay the groundwork for potential integration-enhancing strategies in Germany.

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Section: Discussionmentioning

confidence: 99%

Physician assistants in the German inpatient care: barriers and enablers of integration

Ringel,

Fouda

2024

JICA

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“…The pandemic made things worse for many physicians. Emotional exhaustion, depersonalization, and disengagement among physicians increased significantly from 2020 to 2021 (Macaron et al, 2023). Two‐thirds of physicians reported having at least one manifestation of burnout (a doubling of this figure from one‐third the year before).…”

Section: Physician Scarcity: Increasing Rates Of Demoralization Withd...mentioning

confidence: 99%

“Not what we signed up for”: Nurse shortages, physician scarcity, and time for collective bargaining?

Mayes

Muir

Pingali

2023

World Med & Health Policy

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The amount of distress and disengagement among many nurses and physicians has reached concerning levels in recent years. The result has been acute nurse shortages, significant increases in travel nursing, more physicians working fewer hours and retiring early, and urgent calls for change and reform. This analysis surveys many of the leading systemic contributors to nurse and physician demoralization. As the healthcare sector continues to experience more consolidation and increased investment by private equity and other corporate interests, physicians are increasingly becoming employees with similar forms of employment arrangements and pressures that nurses have had for decades. They are also becoming employees of the same larger health systems, hospitals, and corporate employers. These trends are leading to a convergence in the kind and intensity of pressures and problems that nurses and physicians face. As more medical residents and fellows increasingly turn to unionization and as growing numbers of nurses have gone on strike, both professions should consider the potential benefits of joining forces for the purposes of maintaining the autonomy they have left and to push for better conditions both for themselves and the patients for whom they care.

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“…COVID-19 pandemic has had a tremendous impact on physical and mental health of healthcare workers increasing their burnout. [11][12][13] High levels of burnout among healthcare workers is an occupational hazard since burnout is related with decreased healthcare workers productivity and patients satisfaction, and worsening quality of care and safety. 14,15 Several questionnaires, tools, and scales are available for measuring burnout, such as the Maslach Burnout Inventory, the Oldenburg Burnout Inventory, the Copenhagen Burnout Inventory, the Shirom-Melamed Burnout Measure, and the Burnout Clinical Subtype Questionnaire.…”

Section: Introductionmentioning

confidence: 99%

“…COVID-19 pandemic has had a tremendous impact on physical and mental health of healthcare workers increasing their burnout. 11–13 High levels of burnout among healthcare workers is an occupational hazard since burnout is related with decreased healthcare workers productivity and patients satisfaction, and worsening quality of care and safety. 14,15…”

Section: Introductionmentioning

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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A systematic review and meta analysis on burnout in physicians during the COVID-19 pandemic: A hidden healthcare crisis

Cited by 50 publications

References 96 publications

Physician assistants in the German inpatient care: barriers and enablers of integration

Physician assistants in the German inpatient care: barriers and enablers of integration

“Not what we signed up for”: Nurse shortages, physician scarcity, and time for collective bargaining?

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

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