Burnout and engagement among physiotherapists

Martinussen, Monica; Borgen, Per-Christian; Richardsen, Astrid M.

doi:10.12968/ijtr.2011.18.2.80

Cited by 21 publications

(12 citation statements)

References 16 publications

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“…A study of physiotherapists 289 found that type A behaviour, including high levels of achievement striving and low levels of impatience-irritability, were associated with higher levels of engagement. Sonnentag et al, 96 in a two-wave survey of workers in a non-profit organisation offering services to people with special needs, found that low negative affectivity and low levels of engagement at time 1 were associated with work engagement at time 2 but that levels of psychological detachment did not contribute to the prediction of engagement.…”

Section: Individual Psychological Statesmentioning

confidence: 99%

“…Hu et al 203 ) but others found no association 284 or a positive association. 289 Single studies have been conducted on other aspects of job design: Bamford et al 113 found a positive link between areas of work life and engagement; Gorter and Freeman 284 found that perceptions of doing the job well for patients, the joy of working and results were linked with engagement for dentists; Hornung et al 110 found that task-idiosyncratic deals were indirectly linked with engagement through complexity, control and hindrance; Taipale et al 115 found autonomy and engagement to be linked; and Weigl et al's 300 time-lagged survey found job control, working relationships and active coping were linked with engagement. In two cross-sectional studies, 145,236 structural empowerment was linked with engagement.…”

Section: Individual Psychological Statesmentioning

confidence: 99%

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Evaluating the evidence on employee engagement and its potential benefits to NHS staff: a narrative synthesis of the literature

Bailey

Madden

Alfes

et al. 2015

Health Services and Delivery Research

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BackgroundRecent studies have suggested engagement is linked with beneficial outcomes for individuals and organisations. Despite growing demand for resources and advice on engagement within the NHS, there has been no systematic evaluation of how engagement strategies can be developed and operationalised within the NHS.Objectives and research questionsTo evaluate evidence and theories of employee engagement within the NHS and the general workforce to inform policy and practice. Four research questions focused on definitions and models of engagement; the evidence of links between engagement and staff morale and performance; approaches and interventions that have the greatest potential to create and embed high levels of engagement within the NHS; and the most useful tools and resources for NHS managers in order to improve engagement.Review methodsEvidence was evaluated using a narrative synthesis approach involving a structured search of relevant academic databases and grey literature. The search yielded a final data set of 217 items, comprising 172 empirical papers, 38 theoretical articles, four meta-analyses and three books. From the grey literature, only 14 items were used in the analysis.Main findingsThere is no one agreed definition or measure of engagement. Existing approaches were grouped under three headings: a psychological state; a composite attitudinal and behavioural construct; and employment relations practice. Most fell under the first category, with the Utrecht Work Engagement Scale being the most prevalent. Most theorising around engagement used the job demands–resources framework. Thirty-five studies considered engagement and morale, and the most consistent finding was a positive link between engagement and life satisfaction, and a negative link between engagement and burnout. Some studies suggested that engagement was positively associated with organisational commitment and job satisfaction and negatively linked to turnover intentions. Of 42 studies that looked at performance and engagement, the strongest support was found for a link between engagement and individual in-role performance and a negative link between engagement and counterproductive performance outcomes. A link between engagement and higher-level performance outcomes was also found. Of 155 studies that explored approaches and interventions that promote engagement, the strongest support was found for the following: positive psychological states including resilience; job-related resources and job design features; positive leadership; perceived organisational support; team-level engagement; training and development. Only a small proportion of studies were based in health-care settings, making the application of evidence to wider contexts limited. Studies identified in the grey literature suggested that the focus of practitioner material was more on wider managerial issues than on psychological factors.ConclusionsThe synthesis highlights the complex nature of the engagement evidence base. The quality of evidence was mixed. Most studies were cross-sectional, self-report surveys, although the minority of studies that used more complex methods such as longitudinal study designs or multiple respondents were able to lend more weight to inferences of causality. The evidence from the health-care sector was relatively sparse. Only a few studies used complex methods and just two had taken place in the UK. The evidence synthesis suggests that employers might consider several factors in efforts to raise levels of engagement including development and coaching to raise levels of employee resilience, the provision of adequate job resources, and fostering positive and supportive leadership styles.FundingThis project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research (HSDR) programme.

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Section: Individual Psychological Statesmentioning

confidence: 99%

Section: Individual Psychological Statesmentioning

confidence: 99%

Evaluating the evidence on employee engagement and its potential benefits to NHS staff: a narrative synthesis of the literature

Bailey

Madden

Alfes

et al. 2015

Health Services and Delivery Research

View full text Add to dashboard Cite

show abstract

“…However, previous studies have not shown consistent results, and it is difficult to distinguish specific factors that cause therapist burnout. Working hours is one such organisational factor, with inconsistent results that have shown positive relations with burnout (Martinussen, Borgen, & Richardsen, ) but also negative relations with burnout (Rosenberg & Pace, ). Caseload and income also showed both negative and positive relationships with burnout, but the strength of the relationships was weak, usually ranging from −0.20 to 0.09 (Acker, ; Wallace, Lee, & Lee, ; Wilkerson, ).…”

Section: Introductionmentioning

confidence: 99%

Relationship between environmental factors and burnout of psychotherapists: Meta‐analytic approach

Lee

Kim

Paik

et al. 2019

Couns and Psychother Res

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The present study aims to extend the scope of understanding on the relationships between environmental factors and burnout symptoms by targeting and including more extensive occupational demanding variables related to therapist burnout. The present study includes not only common occupational stressors (e.g., working hours, role overload and role conflict) but also variables reflecting the quality of relationship with clients (e.g., case load and negative clientele) that have not been dealt with before in meta‐analytic studies. A meta‐analysis was conducted on 27 original studies published from the year 2006 to 2018. The findings showed that, among environmental factors, role overload had the most significant positive correlations with exhaustion. In addition, negative clientele had the most significant positive correlations with depersonalisation and reduced accomplishment. Furthermore, caseload and low income had relatively weak relations with therapist burnout. Based on these results, implications and limitations of the study are discussed.

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“…There are some studies underlining physiotherapists' susceptibility to burnout syndrome (4,(10)(11)(12)(13)(14).…”

mentioning

confidence: 99%

Burnout Syndrome in Physical Therapists – Demographic and Organizational Factors

Pustułka-Piwnik¹,

Ryn²,

Krzywoszański³

et al. 2014

Med Pr

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Background: Professional burnout results from prolonged exposure to chronic, job-related stressors. According to Christina Maslach, professional burnout is a syndrome of emotional exhaustion, depersonalization and reduced personal accomplishment. Literature includes a number of reports on burnout syndrome within health service, but hardly ever do they make any references to physiotherapists. The purpose of this study is assessment of the level of professional burnout in a group of physiotherapists and investigating relationships between the indices of burnout syndrome and selected demographic as well as organizational variables. Material and Methods: The study group consisted of 151 physiotherapists with at least 3 years of experience, employed in various health service outposts in Krakow, Poland. The Maslach Burnout Inventory (MBI) was used to measure emotional exhaustion, depersonalization and personal accomplishment. A questionnaire for the description of socio-demographic and work characteristics was used as well. Results: Job burnout among the physiotherapists was manifested by an increased emotional exhaustion and decreased sense of personal achievement. Emotional exhaustion was significantly higher among physical therapists working with adults and employed in hospitals, depersonalization was higher among men, hospital workers and employees with seniority from 15 to 19 years, personal accomplishment was decreased among men and less-educated therapists. Conclusions:The study confirmed that indicators of burnout in physiotherapists are significantly associated with selected demographic and organizational variables. It is necessary to undertake a more exhaustive study of burnout in this group of employees, and implement elements of prevention. Med Pr 2014;65(4): [453][454][455][456][457][458][459][460][461][462]

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Burnout and engagement among physiotherapists

Cited by 21 publications

References 16 publications

Evaluating the evidence on employee engagement and its potential benefits to NHS staff: a narrative synthesis of the literature

Evaluating the evidence on employee engagement and its potential benefits to NHS staff: a narrative synthesis of the literature

Relationship between environmental factors and burnout of psychotherapists: Meta‐analytic approach

Burnout Syndrome in Physical Therapists – Demographic and Organizational Factors

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