Burnout and Brownout in Intensive Care Physicians in the Era of COVID-19: A Qualitative Study

Background The occupational stress that contributes to the development of burnout syndrome remains one of the greatest scientific challenges. Despite years of research into burnout and its determinants, burnout continues to attract the attention of researchers, and healthcare workers (HCWs) continue to experience burnout in large numbers. Burnout has a significant impact on both the mental and physical well-being of HCWs and reduces patient-centered healthcare. This review aims to identify the factors affecting healthcare workers’ burnout (FAHCWB) and their conceptual models. Methods The review was conducted according to Arksey and O'Malley's framework using Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Searches were conducted in PubMed, Scopus, Wiley, ProQuest, Sage, Science Direct, and EBSCO using the following keywords: healthcare professionals, burnout, and internal/external factors. Empirical, qualitative, quantitative, and mixed-design research articles published in English with full-text access in peer-reviewed journals that investigated the FAHCWB were included. For an in-depth analysis of the included articles, the authors developed a data synthesis table, and thematic analysis was applied to the analysis. Results According to the inclusion criteria, 38 articles were selected for further data analysis. Six main themes were identified: (1) FAHCWB; (2) conceptual models of FAHCWB; (3) research tools for studying FAHCWB; (4) findings on FAHCWB in the context of different models; (5) differences between findings from different models; (6) what is known and not known about FAHCWB. The results of the review show that most researchers conduct research on factors affecting burnout (FAB) based on factors related to the work environment, with fewer studies based on individual factors, including personality factors. Most of the research is based on the model developed by Maslach et al. The Maslach Burnout Inventory (MBI) has been used in most studies. Conclusions Despite years of research, burnout continues to evolve rapidly, indicating that scientific research needs to be re-focused. Research should be conducted using different conceptual models and new research tools that allow the syndrome to be studied from a multidimensional perspective, including both the work environment and individual factors.

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Professional burnout syndrome among physicians of intensive care units

Ironosov,

Pshenisnov,

Aleksandrovich

2024

Vestn. anesteziol. reanimatol.

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Introduction. Professional burnout syndrome (PBS) in specialists in emergency medicine is one of the global problems of modern health systems, since its presence has a significant impact both on the health of individual employees and the quality of care in general.The objective was to analyze risk factors, peculiarities of the course of professional burnout syndrome and its prevention among physicians of intensive care units based on the data of world literature in order to eliminate them in domestic clinical practice.Materials and methods. The analysis includes 122 publications from abstract databases PubMed and e-library for the period from 2017 to 2023. The search was carried out using keywords: provider burnout syndrome, stress, personality, anesthesiologist, intensive care physician, intensive care unit. After the initial study of abstracts, 72 articles were excluded from the review, where there was no access to the full text or they were devoted to organizational preventive measures.Results. The frequency of professional burnout syndrome among specialists of intensive care units was about 40%, which was significantly higher compared to other medical specialists. It was revealed that PBS is a crisis period in middle-aged specialists due to functional changes in higher nervous activity. The main risk group with the highest probability of developing PBS is the intensive care unit nursing staff. A significant workload combined with a low level of motivation, dissatisfaction with professional activities and the lack of recognition of personal achievements by colleagues and management are key risk factors for the development of emotional burnout syndrome.Conclusion. A high level of professionalism in combination with the spiritual and moral component of the personal life of a specialist and the elimination of reversible negative factors of the medicine of critical conditions will allow with a high probability to prevent the development of professional burnout syndrome.

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Burnout and Brownout in Intensive Care Physicians in the Era of COVID-19: A Qualitative Study

Cited by 3 publications

References 60 publications

Factors affecting healthcare workers burnout and their conceptual models: scoping review

Factors affecting healthcare workers burnout and their conceptual models: scoping review

Factors affecting healthcare workers burnout and their conceptual models: a scoping review

Professional burnout syndrome among physicians of intensive care units

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