“Diagnosing” burnout among healthcare professionals: Can we find consensus?

Doulougeri, Karolina; Γεωργαντά, Κατερίνα; Montgomery, Anthony

doi:10.1080/2331205x.2016.1237605

Cited by 152 publications

(161 citation statements)

References 61 publications

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“…There are five versions of the MBI, each adaption for different work settings, with the MBI Human Services Survey (HSS) being the most frequently used for measuring health care professional burnout . In the literature, there are an array of score cutoffs for burnout based on MBI results . Thus, for the primary analysis of determining the proportion of pharmacists defined as burned out, we used high and low cutoff scores for the MBI subsets as defined by the original study authors.…”

Section: Methodsmentioning

confidence: 99%

Feeling the burn? A systematic review of burnout in pharmacists

McQuade

Reed

DiDomenico

et al. 2020

J Am Coll Clin Pharm

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Burnout is high among health care professionals. In physicians, burnout is linked to suboptimal well-being and patient care, but the overall landscape of pharmacist burnout is unknown. Synthesis of available data regarding pharmacist burnout is needed to better understand its effects on well-being and professional practice. This systematic review sought to determine the prevalence and intensity of burnout in pharmacists. The aim of the study was the systematic review of articles on pharmacist burnout. PubMed, Embase, Cochrane Central Register of Controlled Trials, and Psy-cINFO were searched for articles through February 13, 2019. Search strategies combined terms for pharmacists and burnout (including job satisfaction, stress, and resilience). The primary outcome was the proportion of pharmacists who met criteria for burnout. Secondary outcomes included the mean scores for Maslach Burnout Inventory (MBI) subscales, difference between pharmacist practice settings, and factors contributing to burnout. Raw scores and threshold proportions were pooled using a Hartung-Knapp random-effects model. Five articles reported the proportion of high emotional exhaustion (EE) and depersonalization (DP) and low personal accomplishment (PA), and nine articles reported individual MBI subscale scores, which were included for quantitative analysis. The proportion values of pharmacists with MBI subscale scores consistent with burnout were 41% (95% CI 27%-54%), 20% (95% CI 7%-32%), and 32% (95% 14%-50%) for high EE, high DP, and low PA, respectively. Mean MBI subscales scores were 23.53 (95% CI 21.68-25.39), 7.07 (95% CI 6.22-7.92), and 36.51 (95% CI 34.34-38.67) for EE, DP, and PA, respectively.Substantial heterogeneity was observed. The burnout prevalence among pharmacists is lower than previously reported, but notable. The average MBI subscale scores for high EE or DP or low PA in pharmacists did not meet criteria for burnout. K E Y W O R D S burnout, depersonalization, occupational health, pharmacists, pharmacy Burnout is a work-related syndrome defined by high emotional exhaustion and depersonalization, and a low sense of personal accomplishment. 1 In health care professionals, some of the factors contributing to burnout include a rapidly changing industry, declining reimbursement for services, increased clerical and documentation needs, and the emotionally intense role of patient care. 2 These

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Section: Methodsmentioning

confidence: 99%

Feeling the burn? A systematic review of burnout in pharmacists

McQuade

Reed

DiDomenico

et al. 2020

J Am Coll Clin Pharm

View full text Add to dashboard Cite

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“…Review of the literature shows that 79.5% of studies used ≥27 as a cut-off score for high EE. [19] For DP the recommendation is set at 10, although scores varying between 9 and 30 can be used. [19] In the present study, the recommendations in the Maslach guidelines were used ( Table 1).…”

Section: Data Collectionmentioning

confidence: 99%

“…[19] For DP the recommendation is set at 10, although scores varying between 9 and 30 can be used. [19] In the present study, the recommendations in the Maslach guidelines were used ( Table 1). [18] Respondents with burnout are defined as having a high score in either the EE category or the DP category.…”

Section: Data Collectionmentioning

confidence: 99%

The prevalence of burnout among registrars in the School of Clinical Medicine at the University of the Witwatersrand, Johannesburg, South Africa

Zeijlemaker

Moosa

2019

S Afr Med J

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Background. Burnout is a response to prolonged stress and consists of three elements: emotional exhaustion (EE), depersonalisation (DP), and feelings of personal accomplishment (PA). The existence of burnout in doctors is often not acknowledged but has major consequences for personal and professional life. Only limited research has been done on the prevalence of burnout among registrars in South Africa (SA). Objectives. To describe the prevalence of burnout in a cohort of SA registrars, and assess relationships between burnout and sociodemographic factors. Methods. A cross-sectional descriptive internet survey was conducted. Respondents were registrars in departments of the School of Clinical Medicine at the University of the Witwatersrand, Johannesburg, SA. The Maslach Burnout Inventory (MBI) was used to measure burnout. Relationships were assessed by the independent-samples t-test and analysis of variance. Results. A total of 585 emails were delivered to registrars, of whom 201 started the survey (response rate 34%); 170 questionnaires were analysed. The mean age of the respondents was 33 years, and the male/female ratio was 1:1.8. The mean (standard deviation) score for EE was 3.5 (1.2), for DP 2.7 (1.1) and for PA 4 .1 (1.1). The overall level of burnout was 84%. None of the respondents scored low over all categories. No significant association between sociodemographics (age, sex, discipline, year in the programme and experience) and MBI dimensions was found. Conclusions. The prevalence of burnout in this study was higher than that reported in the national and international literature. Levels of DP were extremely high and are worrying, as DP affects professionalism and engagement of doctors. In keeping with the literature, no associations were found between sociodemographic factors and burnout, suggesting that the cause of burnout should be sought in the work environment. Efforts to improve autonomy in the workplace, development opportunities and promoting peer collaboration are needed to prevent burnout. S Afr Med J 2019;109(9):668-672. https://doi.

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“…Historically, emotional exhaustion has been held to be the dominant domain of burnout , but depersonalization may actually align more strongly with the most negative consequences of burnout . Therefore, conceptions of burnout that address only emotional exhaustion are incomplete . Because research on physicians has often found the personal accomplishment domain of burnout to correlate only weakly with outcomes, however, one common approach has been to focus on the emotional exhaustion and depersonalization domains.…”

Section: Introductionmentioning

confidence: 99%