Burnout in French physicians: A systematic review and meta-analysis

Kansoun, Ziad; Boyer, Laurent; Hodgkinson, Marianne; Villes, Virginie; Lançon, Christophe; Fond, Guillaume

doi:10.1016/j.jad.2018.12.056

Cited by 128 publications

(117 citation statements)

References 49 publications

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“…[2,23,24] In Europe, similar rates were documented among French and Swiss physicians, 49% and 70%, respectively. [25,26] Present data also con rm that younger medical doctors or residents have been reported to be exposed to an even higher risk. [27] The other important nding of our study is that, for the rst time, it documents signi cant associations between some self-e cacy patterns regarding communication to patients and the risk of burnout.…”

Section: Discussionsupporting

confidence: 70%

Investigating the association between Physicians self-efficacy regarding communication skills and risk of "Burnout".

Messerotti

Banchelli

Ferrari

et al. 2020

Preprint

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Background: Breaking bad news (BBN) may be associated with increasing risk of burnout in practising physicians. However, there is little research on the association between the way bad news is broken and burnout. We investigated the association between physicians' self-efficacy regarding communication to patients and risk of burnout.Methods: We performed a cross-sectional study by proposing an ad-hoc survey exploring attitudes and practice regarding BBN and the Maslach Burnout Inventory - Human Service Survey to 379 physicians from two University Hospitals in Italy. Associations were assessed by multivariable logistic regression models.Results: Two-hundred twenty-six (60%) physicians returned the questionnaires. 76% of physicians acquired communication skills by observing mentors or colleagues, 64% considered BBN as discussing a poor prognosis, 56% reported discussing prognosis as the most difficult task, 38% and 37% did not plan a BBN encounter and considered it stressful. The overall burnout rate was 59%. Considering BBN a stressful task was independently associated with high risk of burnout (OR 3.01; p=0.013). Planning the encounter (OR=0.43, p=0.037), mastering communication skills (OR=0.19, p=0.034) and the self-evaluation as good or very good at BBN (OR 0.32; 0.15 to 0.71; p=0.0) were associated with low risk of burnout.Conclusions: Our findings suggest that some physicians' BBN attitudes and knowledge of conceptual frameworks may influence the risk of burnout and support the notion that increasing knowledge about communication skills may protect clinicians from burnout. Further research is needed in this area.

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Section: Discussionsupporting

confidence: 70%

Investigating the association between Physicians self-efficacy regarding communication skills and risk of "Burnout".

Messerotti

Banchelli

Ferrari

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…This observation contributes more to explain the feeling of discomfort in the caregiver-patient relationship often reported by patients attending public hospitals (12) and forebodes the poor professional temperament in public hospitals (15). However, the prevalence of burnout symptoms in Gabon's medical community is close to the values reported in the French, American (United States of America) and Asian medical settings (8,14,(16)(17)(18).…”

Section: Burnout Prevalencementioning

confidence: 83%

“…We determined the minimum sample size required for our survey based on an acceptable margin error of 5%, a con dence level of 95% and an expected prevalence of severe burnout of approximately 7%, average prevalence reported in the literature (8). Thus, by applying the formula n = z² x p (1 -p) / m² (9) (z: for 95% = 1.96, p: assumed prevalence = 7% and m: acceptable margin error= 5%), a minimum of 100 practitioners were required.…”

Section: Sample Sizementioning

confidence: 99%

Burnout level and associated factors in a Sub-Saharan African medical setting: prospective cross-sectional survey.

Mackanga

Mouloungui

Ibaba

et al. 2020

Preprint

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Background: burnout in the hospital environment is a problem that affects care and training. Often explored in the high-income medical context, burnout is poorly studied in low and middle-income countries characterized by a precarious hospital situation and a high stake linked to the Millennium Development Goals. The aim of our study was to determine in medical practitioners, in a sub-Saharan African country’s medical context, the burnout level and associated factors. Methods: a prospective cross-sectional study by using a self-administered Likert-scale questionnaire addressed to doctors and doctoral medical students in Gabon. Maslach Burnout Inventory scale has been used. Burnout symptoms were defined by high level in at least one of the 3 dimensions. Severe burnout defined by high level in all dimensions. Explored factors: socio-demographic and psychometric. Multiple logistic regression has been performed. Results: among 104 participants, severe burnout prevailed at 1.9% (95% CI: 0.2% -6.8%) and burnout symptoms at 34.6% (95% CI: 25, 6% -44.6%). The associated factors with burnout symptoms: age (OR = 0.86, p = 0.004), clinical activity in a university hospital center (OR = 5.19, p = 0.006), the easy access to the hospital (OR = 0.59, p = 0.012), number of elderly dependents living with the practitioner (OR = 0.54, p = 0.012), place of residence (same borough where the hospital is located: OR = 4.09, p = 0.039) and to be favorable to traditional medicine (OR = 1.82, p = 0.087). Nagelkerke’s R-squared:53.1%. Conclusion: in Gabon, middle-income country, almost one practitioner in two has burnout symptoms. The young age, the university hospital center, the difficulty to access to hospital and to live in the borough where the hospital is located increase the probability of burnout symptoms. These results must put question to relevant authorities regarding health and medical education, to set up: a public transport for practitioners, an optimal primary health care system, a regulation of medical tasks in hospitals, a training in clinical supervision.

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“…French physicians struggle with burnout, at a rate of 49% [33]. A large meta-analysis reviewed 37 studies on burnout in France.…”

Section: Burnout Descriptionmentioning

confidence: 99%

Wellness Review 2019, Part 1

Huecker¹,

Ferguson²

2019

Jwellness

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Burnout in French physicians: A systematic review and meta-analysis

Cited by 128 publications

References 49 publications

Investigating the association between Physicians self-efficacy regarding communication skills and risk of "Burnout".

Investigating the association between Physicians self-efficacy regarding communication skills and risk of "Burnout".

Burnout level and associated factors in a Sub-Saharan African medical setting: prospective cross-sectional survey.

Wellness Review 2019, Part 1

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