Burnout prevalence among European physicians: a systematic review and meta-analysis

Hiver, Chloé; Villa, Antoine; Bellagamba, Gauthier; Lehucher-Michel, Marie-Pascale

doi:10.1007/s00420-021-01782-z

Cited by 37 publications

(27 citation statements)

References 98 publications

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“…To facilitate comparison of the survey results, the level of mental health consequences in our study was based on Maslach methodology: high burnout scores levels in the survey for DP, EE, and PA were 46%, 47%, and 48%, respectively. These high levels are significantly above those reported by European physicians during the pre-pandemic period, (EE 34.4%, DP 25.8%, and PA 23.5%) [ 36 ], and in the global systematic review during the pre-pandemic, with EE, DP, and low levels of PA (40%, 41%, and 35%) [ 38 ]. Our results are similar to those reported in other publications relative to HCPs working in EMS during the pandemic period, with DP and EE of 53%, 41%, respectively [ 39 ].…”

Section: Discussionmentioning

confidence: 98%

“…Together with the risk of COVID transmission, adverse effects on mental health in all categories of HPs with a consequent impact on their lives and families have been a major concern. Increased risk of burnout and mood disorders affects those in the first line more significantly (intensive care, emergency medicine, and family doctors) [ 36 , 37 ].…”

Section: Discussionmentioning

confidence: 99%

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Burnout in emergency medicine professionals after 2 years of the COVID-19 pandemic: a threat to the healthcare system?

Petrino

Riesgo

Yilmaz³

2022

European Journal of Emergency Medicine

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Background Burnout is a common problem among healthcare professionals (HCPs), in particular young doctors and nurses working in emergency medical services. The coronavirus disease 2019 (COVID-19) pandemic has generated a substantial increase in the workload of those working in front-line services, and there is evidence of physical and mental distress among professionals that may have caused an increase in burnout. Objective The objective of the study was to evaluate the level of burnout in the different professionals of emergency medical services. Design and participants In January and February 2022, we conducted an online survey based on the Abbreviate Maslach inventory with the addition of three questions focused on possible modifying factors. The survey was disseminated to HCP via the list of European Society for Emergency Medicine contacts. Outcome measures The analysis was based on two of the three elements of the Maslach burnout concept, ‘depersonalisation’, ‘emotional exhaustion’, and ‘personal accomplishment’. Overall burnout was defined when at least one of the two elements ‘depersonalisation’ or ‘emotional exhaustion’ reached the level of high burnout. Results The number of responders was 1925, 84% of which were physicians, 12% nurses, and 2% paramedics. Burnout was present in 62% of all responders. A high burnout level was reported for depersonalisation, emotional exhaustion, and personal accomplishment in 47%, 46%, and 48% of responders, respectively. Females reported a higher proportion of burnout compared with males 64% vs. 59%, difference −6% [95% confidence interval CI, −8 to −1.9], and nurses higher than physicians, 73% vs. 60%, difference −13 (95% CI, −18.8 to −6). Less experienced professionals reported higher levels of burnout: those with less than 5 years of experience the burnout level was 74% compared with the group with more than 10 years, 60%, difference −26% (95% CI, −32 to −19.5). Reported frequent understaffing situations were associated with a higher risk of burnout: 70% vs. 37%, difference −33% (95% CI, −41 to −25). Burnout was associated with a higher risk of desire to change the workplace: 87% vs. 40%, difference −47% (95% CI, −52 to −42). Survey responders reported having access to support programmes in 41% of cases. Conclusion In this study, there is a high reported level of burnout among emergency HCPs. Several risk factors were identified such as being understaffed, female, or having less experience. HCPs with burnout thought more frequently about leaving the workplace, posing a threat to healthcare systems.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Burnout in emergency medicine professionals after 2 years of the COVID-19 pandemic: a threat to the healthcare system?

Petrino

Riesgo

Yilmaz³

2022

European Journal of Emergency Medicine

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“…This study aimed to adapt the Italian version of the Burnout Assessment Tool [ 29 ] with data gathered from a sample of Italian for HCWs. According to Hiver et al [ 45 ], new procedures and tools concerning burnout evaluation are urgently required to detect burnout of physician workers. Before the pandemic, 39% of physicians reported depression in the USA, with about 400 physicians’ suicides per year, which is twice the rate of the general population [ 46 ].…”

Section: Discussionmentioning

confidence: 99%

A new tool to evaluate burnout: the Italian version of the BAT for Italian healthcare workers

et al. 2022

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Background Healthcare workers (HCWs) represents one of the highest-risk population to develop burnout symptoms. Recently, a new tool has been designed to measure several dimensions that capture an exhaustive expression of burnout symptoms by six dimensions (i.e., exhaustion; mental distance; cognitive impairment; emotional impairment; psychological distress; psychosomatic complaints). Methods The current study aims to adapt the Burnout Assessment Tool (BAT) to an Italian Healthcare workers’ sample confirming the original second-order factorial structure. Furthermore, we expected to find good indexes of reliability and validity tests. Participants were 697 Italian Health Care Workers (Female = 68.44%; mean age = 36.47; SD = 11.20). Data were collected by self-report questionnaires submitted by the snowball method. Results Findings show a good fit of the BAT’s structure, confirming the hypothesized second-order factorial model. Furthermore, good reliability has been established with the study’s measures. Conclusions The BAT for HCWs is eligible as a new tool to evaluate burnout in the at-risk HCWs as a multi-facet constellation of symptoms.

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“…Moral distress happens when healthcare workers feel forced to act against their values ( Jameton, 1964 ), and are unable to “preserve all interests and values at stake” ( Kälvemark et al., 2004 ). Burnout occurs when employees experience emotional exhaustion, lack of personal accomplishments, and depersonalization, which can include cynicism, detachment from the work and loss of idealism and withdrawal ( Hiver & et al., 2022 ; Maslach & Jackson, 1981 ; Maslach et al., 2008 ).…”

Section: Introductionmentioning

confidence: 99%

How hospital chaplains develop and use rituals to address medical staff distress

Klitzman

Al-Hashimi

Natarelli

et al. 2022

SSM - Qualitative Research in Health

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Burnout prevalence among European physicians: a systematic review and meta-analysis

Cited by 37 publications

References 98 publications

Burnout in emergency medicine professionals after 2 years of the COVID-19 pandemic: a threat to the healthcare system?

Burnout in emergency medicine professionals after 2 years of the COVID-19 pandemic: a threat to the healthcare system?

A new tool to evaluate burnout: the Italian version of the BAT for Italian healthcare workers

How hospital chaplains develop and use rituals to address medical staff distress

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