Intervention for physician burnout: A systematic review

Abstract

<jats:title>Abstract</jats:title><jats:p>Burnout is an important problem for physicians, with a strong impact on their quality of life and a corresponding decrease in the quality of care with an evident economical burden for the healthcare system. However, the range of interventions used to decrease this problem could be very fragmented and with the aim to shed some light on this issue, this study reviews and summarizes the currently available studies. We conducted a systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines to identify studies about intervention on physician burnout. Two authors independently searched into scientific databases to analyze and review the full papers that met the inclusion criteria. As a result, from an initial search of 11029 articles, 13 studies met full criteria and were included in this review. Of the 13 studies presented, only 4 utilized randomized controlled trials, therefore the results should be interpreted with caution. Future interventions should focus on a more holistic approach using a wider range of techniques. According to the studies selected in this review, it appears that a successful intervention for burnout should take into account the broad range of causes incorporating a variety of therapeutic tools.</jats:p>

Frenetic, under-Challenged, and Worn-out Burnout Subtypes among Brazilian Primary Care Personnel: Validation of the Brazilian “Burnout Clinical Subtype Questionnaire” (BCSQ-36/BCSQ-12)

“…It was observed that the frenetic was an engaged profile, and thus, it was opposed to both the under-challenged and worn-out, which shared a certain lack of engagement. This suggests the frenetic could be a prodrome that may end up being worn-out [95] while the under-challenged might follow a different-but not less relevant-way in the burnout development process. Finally, we have found the burnout subtypes were differentially related to sociodemographic and occupational variables (hypothesis 5).…”

Physician Workforce Disparities and Patient Care: A Narrative Review

“…Physician burnout is a public health crisis and the problem is growing. [55][56][57][58][59] ''Not only does the individual suffer decreased self-esteem and a sense of failure, but his or her ability to provide care can be diminished, as can the ability to work with staff and colleagues. Absenteeism, lower productivity, and higher turnover, with subsequent disruptions in patient care continuity and patient disenrollment, can occur.''…”

The effect of burnout on postgraduate year‐one pharmacy residents' pursuit of additional training

“…These differences in satisfaction may help to explain why PGY1 residents in the additional PGT group sought out additional training; overall, they were experiencing greater satisfaction at the midpoint of their PGY1 experience. While residents in the additional PGT group may be more commonly classified as feeling overextended, it is likely that the tiredness and stress found in those with high exhaustion were better managed because those residents remained proud of their accomplishments and were not detached from those they were interacting with during their training . This may help to validate the presence of the often‐seen trope: the busy and tired trainee continues to forge ahead toward additional training as long as their attitude and relationships remain adequate .…”

“…While residents in the additional PGT group may be more commonly classified as feeling overextended, it is likely that the tiredness and stress found in those with high exhaustion were better managed because those residents remained proud of their accomplishments and were not detached from those they were interacting with during their training . This may help to validate the presence of the often‐seen trope: the busy and tired trainee continues to forge ahead toward additional training as long as their attitude and relationships remain adequate . However, residency preceptors and program directors should be cognizant of shifts in these overextended residents' attitudes as they could move into becoming burned out without proper support.…”