Interventions on reducing burnout in physicians and nurses: A systematic review

Aryankhesal, Aidin; Mohammadibakhsh, Roghayeh; Hamidi, Yadollah; Alidoost, Saeideh; Behzadifar, Masoud; Sohrabi, Rahim; Farhadi, Zeynab

doi:10.47176/mjiri.33.77

Cited by 67 publications

(90 citation statements)

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“…When compared with other recently published systematic reviews [17][18][19]28,50,51], this paper is unique, as, to our knowledge, it is the only review with PIMs as an intervention, which is an added value, compared with those solely focusing on the duration of MBSR's effects.…”

Section: The Sustained Effect Of Psychological Interventions With Elements Of Mindfulnessmentioning

confidence: 98%

The Impact of Psychological Interventions with Elements of Mindfulness (PIM) on Empathy, Well-Being, and Reduction of Burnout in Physicians: A Systematic Review

Tement

Ketiš

Miroševič

et al. 2021

IJERPH

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Introduction: Physician’s burnout has been recognized as an increasing and significant work-related syndrome, described by the combination of emotional exhaustion (EE) and depersonalization (D), together with low personal accomplishment (PA). It has many negative consequences on personal, organizational, and patient care levels. This systematic review aimed to analyze research articles where psychological interventions with elements of mindfulness (PIMs) were used to support physicians in order to reduce burnout and foster empathy and well-being. Methods: Systematic searches were conducted in May 2019, within six electronic databases PubMed, EBSCOhost MEDLINE, PsycArticles, Cochrane Library, JSTOR, and Slovenian national library information system. Different combinations of boolean operators were used—mindfulness, empathy, medicine/family medicine/general practice/primary care, burnout, doctors/physicians, intervention, and support group. Additional articles were manually searched from the reference list of the included articles. Studies with other healthcare professionals (not physicians and residents) and/or medical students, and those where PIMs were applied for educational or patient’s treatment purposes were excluded. Results: Of 1194 studies identified, 786 screened and 139 assessed for eligibility, there were 18 studies included in this review. Regardless of a specific type of PIMs applied, results, in general, demonstrate a positive impact on empathy, well-being, and reduction in burnout in participating physicians. Compared with other recent systematic reviews, this is unique due to a broader selection of psychological interventions and emphasis on a sustained effect measurement. Conclusions: Given the pandemic of COVID-19, it is of utmost importance that this review includes also interventions based on modern information technologies (mobile apps) and can be used as an awareness-raising material for physicians providing information about feasible and easily accessible interventions for effective burnout prevention and/or reduction. Future research should upgrade self-reported data with objective psychological measures and address the question of which intervention offers more benefits to physicians.

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Section: The Sustained Effect Of Psychological Interventions With Elements Of Mindfulnessmentioning

confidence: 98%

The Impact of Psychological Interventions with Elements of Mindfulness (PIM) on Empathy, Well-Being, and Reduction of Burnout in Physicians: A Systematic Review

Tement

Ketiš

Miroševič

et al. 2021

IJERPH

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“…(21,23) However, no study in our systematic review used interventions such as yoga or cognitive therapy to improve junior doctor wellbeing, as documented in earlier systematic reviews including studies performed in other countries. (21,24) It is widely recognised that Randomised Control Trials (RCTs) are the gold standard to demonstrate effectiveness of an intervention. (41) However, we acknowledge that RCT may not always be plausible.…”

Section: Discussionmentioning

confidence: 99%

“…(19,23) Additionally, organisational changes in other countries have been identi ed as more effective in improving physician wellbeing when compared to the interventions documented in UK-based studies. (19,24) Some authors are now recommending that in addition to wellbeing interventions, other organisational protective strategies such as increasing departmental sta ng, good leadership and diversi cation of activities (including teaching and research) should be considered. (42) Moreover, the recent COVID-19 pandemic has also demonstrated that wellbeing interventions need to be holistic because factors impacting on the wellbeing of newly-quali ed doctors are not only inherent in the FY and CT training programmes, but may equally be organisationally-related.…”

Section: Discussionmentioning

confidence: 99%

“…(18) Furthermore, other systematic reviews performed in the UK and other countries which investigated physician wellbeing interventions did not identify any studies from the UK on junior doctors. (19)(20)(21)(22)(23)(24) Also, other reviews which focused on wellbeing amongst staff in particular specialties did not distinguish newly-quali ed doctors in their analyses. (25,26) The lack of existing literature in this area, and the necessity of this topic in ensuring wellbeing of newlyquali ed junior doctors demand this review to be performed.…”

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confidence: 98%

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A Systematic Review of Interventions Aiming To Improve Newly-Qualified Doctors’ Psychological Wellbeing in The United Kingdom

Krishnan¹,

Odejimi²,

Bertram³

et al. 2021

Preprint

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BackgroundNewly-qualified doctors in the United Kingdom experience a great deal of stress and have poor wellbeing when compared to more senior counterparts. A number of interventions have been put in place to boost healthcare professionals’ wellbeing, but little is known about interventions aimed to improve the wellbeing of newly-qualified doctors in the United Kingdom. This study aims to systematically review current evidence of interventions which improved the wellbeing of newly-qualified junior doctors in the United Kingdom.MethodsFive key electronic databases were searched. Subsequently, reference scanning and citation search was performed. Studies were included if they were conducted from the commencement of the Foundation Programme in 2004, until 2019. In addition, studies had to be performed on junior doctors: working in the United Kingdom and within their first five years post-qualification and have a quantitative outcome. Studies which did not meet these criteria were excluded. ResultsSeven papers met the inclusion criteria and identified three main types of interventions: mentorship, mindfulness and clinical preparation interventions. The majority of included studies reported a positive result from the performed intervention, suggesting these to be beneficial in improving junior doctor wellbeing, and thereby reducing anxiety and stress levels. However, most of the studies used small sample sizes. Conclusions This review reveals that there is dearth of evidence on the effectiveness of intervention to improve the wellbeing of newly-qualified doctors in the United Kingdom. Most of the identified interventions focused on relieving stress and anxiety inherent within newly-qualified doctors’ training programmes. However, wellbeing interventions need to take into cognisance all the factors which impact on wellbeing, particularly job-related factors. We recommend that future researchers implement large-scale holistic interventions using appropriate research methods. Systematic review registration: PROSPERO CRD42019127341

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“…Interventions and a burnout prevention model must be established to mitigate nursing personnel burnout (Aryankhesal et al, 2019). The objective of this study is to establish a model that illustrates the relationships among WFC, burnout, and the supervisor support received by nursing personnel, which have been supported by much literature (Lee, Kim, Park, & Yun, 2013; Yang, Liu, Liu, Zhang, & Duan, 2017).…”

Section: Introductionmentioning

confidence: 99%

Causes of nursing staff burnout: Exploring the effects of emotional exhaustion, work–family conflict, and supervisor support

Yeh

Chang

Hsu

et al. 2020

Japan Journal Nursing Sci

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Aim Nursing staff burnout threatens not only nurses' health but also the safety and health of their patients. Organizations should be aware of how work‐related conflict can affect this burnout. This study examined the effect of supervisor support and work–family conflict on resource loss and burnout. Methods A cross‐sectional method and quantitative approach were adopted. A total of 300 questionnaires were distributed to clinical nursing staff in two regional teaching hospitals, and 239 valid questionnaires were returned. Results Work–family conflict had a mediating effect on the relationship between supervisor support and emotional exhaustion. Emotional exhaustion fully mediated the relationships between depersonalization, work–family conflict, and reduced professional efficacy. Conclusion The mediating effect of emotional exhaustion in work–family conflict results from depersonalization and reduced professional efficacy, whereas work–family conflict mediated the effect of supervisor support on emotional exhaustion. The findings indicate that the medical industry should implement supervisor support strategies to reduce nursing staff work–family conflict and improve interventions for emotional exhaustion.

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Interventions on reducing burnout in physicians and nurses: A systematic review

Abstract: Background interventions c The present stu physicians and Methods: St Randomized cl were included. excluded. Results: Bas included studie approach, and Nevertheless, s Conclusion: teamwork, par interventions c interventions.

Cited by 67 publications

References 0 publications

The Impact of Psychological Interventions with Elements of Mindfulness (PIM) on Empathy, Well-Being, and Reduction of Burnout in Physicians: A Systematic Review

The Impact of Psychological Interventions with Elements of Mindfulness (PIM) on Empathy, Well-Being, and Reduction of Burnout in Physicians: A Systematic Review

A Systematic Review of Interventions Aiming To Improve Newly-Qualified Doctors’ Psychological Wellbeing in The United Kingdom

Causes of nursing staff burnout: Exploring the effects of emotional exhaustion, work–family conflict, and supervisor support

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