Systematic review/Meta-analysis Universality of physicians’ burnout syndrome as a result of experiencing difficulty in relationship with patients

Sablik, Zbigniew; Samborska-Sablik, Anna; Dróżdż, Jarosław

doi:10.5114/aoms.2012.28658

Cited by 27 publications

(18 citation statements)

References 29 publications

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“…In addition, relationships and continued contact with patients and their families can be difficult, which fosters the development of chronic stress that can provoke burnout among healthcare staff [4]. …”

Section: Introductionmentioning

confidence: 99%

Burnout syndrome and its prevalence in primary care nursing: a systematic review and meta-analysis

Luis-Costas²,

et al. 2018

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Backgroundburnout syndrome is a significant problem in nursing professionals. Although, the unit where nurses work may influence burnout development. Nurses that work in primary care units may be at higher risk of burnout. The aim of the study was to estimate the prevalence of emotional exhaustion, depersonalization and low personal accomplishment in primary care nurses.MethodsWe performed a meta-analysis. We searched Pubmed, CINAHL, Scopus, Scielo, Proquest, CUIDEN and LILACS databases up to September 2017 to identify cross-sectional studies assessing primary care nurses’ burnout with the Maslach Burnout Inventory were included. The search was done in September 2017.ResultsAfter the search process, n = 8 studies were included in the meta-analysis, representing a total sample of n = 1110 primary care nurses. High emotional exhaustion prevalence was 28% (95% Confidence Interval = 22–34%), high depersonalization was 15% (95% Confidence Interval = 9–23%) and 31% (95% Confidence Interval = 6–66%) for low personal accomplishment.ConclusionsProblems such as emotional exhaustion and low personal accomplishment are very common among primary care nurses, while depersonalization is less prevalent. Primary care nurses are a burnout risk group.Electronic supplementary materialThe online version of this article (10.1186/s12875-018-0748-z) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Burnout syndrome and its prevalence in primary care nursing: a systematic review and meta-analysis

Luis-Costas²,

et al. 2018

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“…In particular, the transition from student to practicing physician and the early phases of postgraduate medical education have been identified as challenging and emotionally intense (Reddinbaugh et al, 2003;Austenfeld, Paolo and Stanton, 2006). Emotion regulation ability may have crucial consequences not only for doctors' own wellbeing, but also for their attentiveness to patient care and patient satisfaction (Sablik, Samborska-Sablik and Drozdz, 2013;Kafetsios et al, 2014;Ogundipe et al, 2014;Wu, Chen and Li, 2014). There are many reasons to use residents as teachers, such as lack of teaching personnel.…”

Section: Suggestion 2 Help To Cope With Stress and Develop Emotion Rmentioning

confidence: 99%

How can the training of medical residents be improved? Three suggestions

Vilppu¹,

Murtonen²,

Österholm³

et al. 2019

MedEdPublish

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Background:The requirements for the quality of postgraduate medical education (PGME) have been increasing recently, due to changing demographics, patient service pressures and evolving healthcare systems. Furthermore, changes in medical knowledge and practice, and multiple challenges inherent in residents' training make the development of PGME highly important. Aim:To explore the experiences of internal medicine residents in PGME programme and suggest key features for future training.Method: Twelve internal medicine residents were interviewed concerning their experiences with PGME. Datadriven analysis of the results was conducted, from which three themes regarding areas for development emerged. Results:The most crucial areas to develop in PGME appeared to be: 1) utilisation of feedback and collegial support; 2) support for residents' skills in coping with stress and developing emotion regulation strategies; and 3) fostering residents' teaching skills and pedagogical practices in clinics. Conclusions:The development of residents' training should be supported with curriculum and carefully planned pedagogical solutions. In addition, training for teachers of residents should be improved.

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“…Moreover, poor training in communicating outcomes to patients is likely to affect the levels of burnout in cardiologists and the quality of their relationships with patients [18]. Research from other specialties such as oncologists, where communication of bad news is common, suggests that poor training in communication skills is associated with higher rates of depersonalization, and lower personal accomplishment, whereas appropriate training in communication skills is associated with less burnout [19].…”

Section: Job Stress and Loss Of Connectednessmentioning

confidence: 99%

How to prevent burnout in cardiologists? A review of the current evidence, gaps, and future directions

Panagioti

Geraghty

Johnson

2018

Trends in Cardiovascular Medicine

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Burnout is rising in all physicians, and cardiologists are not an exemption. Cardiology is a very popular specialty among medical students as it is associated with outstanding training standards and high prestige and income. In this review, we critically summarize the evidence on consequences, causes, and evidence-based interventions for burnout with a view toward recommending the best strategies for promoting wellness in cardiologists. Only a handful of studies have examined burnout specifically in cardiologists. Evidence therefore was mainly extrapolated by larger studies in all physicians and other physician specialties. Burnout in cardiologists has serious negative personal and professional consequences and is associated with suboptimal healthcare outcomes for patients. Burnout in cardiologists is primarily driven by professional and healthcare system demands and inefficiencies such as excessive workload and role complexity, training and certification demands, inefficient compensation models and lack of resources, computerization, and loss of autonomy. Moreover, loss of connectedness with patients, difficulties in balancing work and personal life and overvaluing compulsiveness and perfectionism in medical practice further increase the risk for burnout. Burnout among cardiologists may be best mitigated by organizational strategies complemented by individual stress reduction and reflection techniques under the resilience-based approach. Large-scale strategies are needed to mitigate burnout and promote physician wellness as a shared responsibility of healthcare systems and individuals and be committed in creating a new culture in medicine.

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Systematic review/Meta-analysis Universality of physicians’ burnout syndrome as a result of experiencing difficulty in relationship with patients

Cited by 27 publications

References 29 publications

Burnout syndrome and its prevalence in primary care nursing: a systematic review and meta-analysis

Burnout syndrome and its prevalence in primary care nursing: a systematic review and meta-analysis

How can the training of medical residents be improved? Three suggestions

How to prevent burnout in cardiologists? A review of the current evidence, gaps, and future directions

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