Prevalence Of Burnout Research Articles

Burnout in Australian sport and exercise physicians and registrars: A cross-sectional study

ObjectivesTo determine the prevalence and factors associated with the risk of burnout among sport and exercise physicians and registrars in Australia. DesignCross-Sectional Study. MethodAustralian based sport and exercise physicians and registrars of the Australasian college of sport and exercise physicians were invited to complete a survey. Demographic data and response to a questionnaire utilising the Maslach Burnout Inventory (MBI) tool were collected. Descriptive analysis was conducted to assess the prevalence of burnout. Multivariable logistic regression models were used to determine factors associated with the risk of burnout whilst adjusting for covariates. Results25 registrars (25/52 ​= ​48%) and 31 physicians (31/172 ​= ​18%) completed the survey. The risk of overall burnout in all three MBI parameters or in at least one parameter was 25% and 34%, respectively. Findings of the primary analysis showed that higher working hours (AOR 50.59; 95% CI 1.81–141.33; p ​= ​0.021) and higher level of job dissatisfaction (AOR 262.68; 95% CI 4.98–13857.50; p ​= ​0.006) were associated with increased odds of burnout. ConclusionsBurnout poses a significant risk to sport and exercise physicians and registrars in Australia. The small size of this specialty group and unique nature of their work requires specific interventions to reduce risks of burnout.

ASPECTOS EMOCIONAIS E DESAFIOS NA PRÁTICA DOS PROFISSIONAIS DE SAÚDE

Introduction: The emotional challenges faced by healthcare professionals are frequent and significantly impact the quality of care provided and individual well-being. This study addresses factors such as workload, constant exposure to suffering, and the stigmatization of emotional care, highlighting the effects exacerbated by the COVID-19 pandemic. Material and Methods: A literature review was conducted based on PRISMA guidelines, covering articles published between 2016 and 2024. The consulted databases included PubMed, Scopus, Web of Science, and Google Scholar. Articles analyzing emotional aspects and coping strategies related to healthcare professionals were included, while studies outside the scope or duplicates were excluded. Results and Discussion: The review highlighted the prevalence of burnout, anxiety, and other stress-related disorders among healthcare professionals. Psychological support strategies, resilience training, and practices such as mindfulness proved effective in reducing emotional impacts. However, barriers such as stigma and the lack of adequate institutional policies limit the implementation of preventive and corrective interventions. Conclusions: Promoting the emotional well-being of healthcare professionals is an ethical and strategic priority. Public policies and integrated institutional actions, combined with the use of psychological monitoring technologies, can mitigate the identified challenges, strengthening the sustainability of healthcare systems and the quality of care provided.

Emergency Services During the SARS-CoV-2 Pandemic: A Gender Comparison of Burnout Risk and Personality Traits in the Kharkiv City Sample

Introduction: The SARS-CoV-2 pandemic presented unique challenges to the health-care system and prehospital emergency medical services. An increasing prevalence of burnout has been described, which in turn is associated with mental illness. The aim of this paper was to evaluate burnout through a sex comparison and to analyze associations of burnout with personality traits during the SARS-CoV-2 pandemic. Methods: Eighty-eight emergency physicians and field shearers of Kharkiv City (Ukraine) emergency medical services (52% women) participated in the quantitative cross-sectional study. In addition to sociodemographic and occupational data, the Maslach Burnout Inventory (MBI) and the Freiburg Personality Inventory (FPI) were applied and analyzed in the sex comparison. Correlation analyses were performed to describe the relationships between the MBI dimensions and FPI traits. Results: The average age of the respondents was 35.1 ± 13.5 years. The prevalence of burnout during the pandemic was 6.5% in women and 2.4% in men. Only the scores on the MBI dimension cynicism were significantly (p = 0.027) higher in women than in men. Two personality traits differed between sexes: inhibition and male/female self-reports. Predominantly moderate correlations were found between the FPI traits and the MBI dimensions. Conclusions: Although the prevalence of burnout in this occupational group during the pandemic was similar to prepandemic figures reported in the literature, more than half of the male and female paramedics showed average-to-high scores on the three MBI dimensions. Because burnout is associated with other mental illnesses and prolonged incapacity, workplace-based interventions should be implemented.

Level of job burnout among employees of King Khalid University

This study aimed at measuring the level of job burnout among King Khalid University staff. The descriptive-analytical approach was employed to describe job burnout, determine its prevalence, identify its causes, and propose ways to address it. This method was used for comparison, interpretation, and generating information to assist in understanding the phenomena of job burnout and to devise recommendations for mitigating its prevalence. The results showed that the overall mean estimation of the dimensions of the level of occupational burnout from the perspective of university staff was (2.28), with a standard deviation of (0.81), indicating a low degree. The arithmetic means of the study sample responses to the dimensions ranged from (1.98–2.66). This provides a good indicator of the prevalence of occupational burnout. The findings showed that individuals in higher ranks experience higher levels of job burnout compared to the rest of the ranks classified in the study.

Association between physician burnout and patient safety: study protocol for an overview of systematic reviews and meta-analyses

IntroductionBurnout, a disorder caused by chronic stress at work, involves emotional exhaustion, depersonalisation and reduced professional efficacy. The prevalence of burnout appears to be high among physicians worldwide. Burnout may...

Assessing contributing and mediating factors of telemedicine on healthcare provider burnout

ObjectiveThe prevalence of burnout among healthcare providers has been steadily increasing, with a call to action issued in 2019. Immediately following this call to action, the COVID-19 pandemic drastically changed demand. Use of telemedicine expanded in response to COVID-19 and changed the experience of care delivery for healthcare providers. The impact of telemedicine use during COVID-19 on provider well-being is less well known. This study aims to assess the prevalence of burnout in providers who used telemedicine and to better understand which aspects of telemedicine exacerbate or alleviate provider burnout. MethodsProviders in urgent care clinics were invited to participate in a burnout assessment survey using the Maslach Burnout Inventory questionnaire. The prevalence of burnout, burnout profiles, and correlations were analyzed in the resulting data. Follow-up interviews provided further insight on contributing and mediating factors of telemedicine on provider burnout. ResultsSurvey results showed that 25 % of the respondents reported one or more burnout manifestations. Contributing and mediating factors were categorized to provide a framework to understand the risk and benefits this technology can pose to workplace stress. DiscussionThe findings from this study provide technology- and organizational-level recommendations to prevent increased risk of burnout among telemedicine providers. Future research recommendations to better quantify the relationship between burnout and telemedicine use and to effectively design intervention and implementation strategies are discussed. Public interest summaryConsidering the high rates of burnout in the healthcare industry prior to the pandemic, the severe demands the COVID-19 pandemic had on healthcare workers, and the drastic workflow changes due to the widespread adoption of telemedicine, it is important to assess current provider burnout levels and collect frontline clinician insights on how telemedicine positively or negatively influences workplace stress. A survey was administered to assess burnout in healthcare workers who provided care via telemedicine. Interviews provided additional insight on how telemedicine affected workplace stress. Survey results showed that 25 % of the respondents reported one or more manifestations of burnout. A correlation was found between personal accomplishment scores and reported months of telemedicine use. Interview and literature findings identified telemedicine design and use characteristics that contributed to and/or alleviated burnout. Results address how organizations can best support their employees who administer care via telemedicine and recommend future studies for research.

Prevalence of Professional Burnout Among Anesthesiologists During the War in Ukraine: An Observational Study

Prevalence of Professional Burnout Among Anesthesiologists During the War in Ukraine: An Observational Study

The dual roles of empathy in mediating structural empowerment and compassion fatigue among Chinese nurses

BackgroundNurses in dynamic healthcare environments face escalating challenges that impact their efficacy and well-being. These challenges arise from both the increasing complexity of medical procedures and the intense emotional demands of caregiving, often leading to compassion fatigue. A global prevalence of burnout at 30.0% was observed over the past decade. This study examines the relationship between structural empowerment, empathy (cognitive and affective), and compassion fatigue among Chinese nurses. Understanding these relationships is crucial for developing strategies to mitigate compassion fatigue. It also contributes to enhancing nurses’ well-being.MethodsConducted at a public hospital in Shanghai, this cross-sectional study surveyed 305 nurses, with 277 valid responses. Structural empowerment was measured using the Conditions for Work Effectiveness Questionnaire-II, empathy with the Kiersma-Chen Empathy Scale, and compassion fatigue with the Compassion Fatigue Short Scale. We performed correlation and mediation analyses to explore the direct and indirect effects of structural empowerment on compassion fatigue through empathy.ResultsA significant negative direct effect of structural empowerment on compassion fatigue was evidenced by a coefficient of -0.165 (confidence interval: [-0.311, -0.013]). Further analysis revealed a negative indirect effect through cognitive empathy, indicated by an effect of -0.103 (confidence interval: [-0.220, -0.008]). Increased structural empowerment was linked to higher levels of cognitive empathy, which correlated with decreased compassion fatigue. Conversely, the mediation through affective empathy showed a positive indirect effect, indicated by an effect of 0.126 (confidence interval: [0.047, 0.229]). This suggests that higher structural empowerment was associated with increased affective empathy, leading to higher levels of compassion fatigue.ConclusionThe study illuminates the dual role of empathy within the framework of structural empowerment and its impact on compassion fatigue. Cognitive empathy serves as a protective factor, reducing susceptibility to compassion fatigue, while affective empathy appears to heighten vulnerability. These findings provide direct evidence supporting the dual processing pathways of empathy. It is recommended that healthcare policies integrate organizational support with targeted empathy training, such as cognitive reappraisal, emotion regulation, and peer support, to effectively counteract compassion fatigue among nurses. However, due to the cross-sectional nature and the single-hospital setting, the findings should be interpreted cautiously.

Academic Physician and Trainee Occupational Well-Being by Sexual and Gender Minority Status

Few studies have explored the association between sexual and gender minority (SGM) status and occupational well-being among health care workers. To assess the prevalence of burnout, professional fulfillment, intent to leave, anxiety, and depression by self-reported SGM status. This cross-sectional survey study collected data from October 2019 to July 2021, from 8 academic medical institutions participating in the Healthcare Professional Well-Being Academic Consortium. The survey, including questions on SGM status, was administered to attending physicians and trainees. Statistical analyses were performed from June 1, 2023, to February 29, 2024. SGM status was determined via self-reported sexual orientation and gender identity. Primary outcomes measured were the Professional Fulfillment Index (burnout and professional fulfillment), intent to leave, and self-reported anxiety and depression using the Patient-Reported Outcomes Measurement Information System short-form 4-item measure. Of 20 541 attendings and 6900 trainees, 8376 attendings and 2564 trainees responded and provided SGM status. Of these respondents, 386 attendings (4.6%) and 212 trainees (8.3%) identified as SGM. Compared with their non-SGM peers, SGM attendings had a lower prevalence of professional fulfillment (133 of 386 [34.5%] vs 3200 of 7922 [40.4%]) and a higher prevalence of burnout (181 of 382 [47.4%] vs 2791 of 7883 [35.4%]) and intent to leave (125 of 376 [33.2%] vs 2433 of 7873 [30.9%]) (all P < .001). Compared with their non-SGM peers, SGM trainees had a lower prevalence of professional fulfillment (63 of 211 [29.9%] vs 833 of 2333 [35.7%]) and a higher prevalence of burnout (108 of 211 [51.2%] vs 954 of 2332 [40.9%]) (both P < .001). After adjusting for age and race and ethnicity, SGM attendings had higher odds of burnout than their non-SGM peers (adjusted odds ratio, 1.57 [95% CI, 1.27-1.94]; P < .001). Results for burnout were similar among the SGM trainees compared with their non-SGM peers (adjusted odds ratio, 1.47 [1.10-1.96]; P = .01). In this cross-sectional survey study of academic physicians and trainees, SGM attendings and trainees had higher levels of burnout and lower levels of professional fulfillment. SGM attendings had greater intent to leave than their non-SGM peers, but trainees did not. These disparities represent an opportunity for further exploration to retain SGM health care workers.

Relationship between Burnout and Type A Behavior Pattern in Spanish Social Workers.

The aims of this study were to establish the prevalence of burnout and type A behavior pattern (TABP) among social workers in Spain and to examine their relationship with sociodemographic variables in a sample of 442 members of professional social workers' associations in Spain. The Spanish version of the Jenkins Activity Survey, form H (JASE-H) and the Maslach Burnout Inventory were used as instruments to measure TABP and burnout, respectively. Bivariate correlation test, analysis of variance, and logistic regression were carried out to analyze the data. The results showed that variables associated with TABP (competitiveness, hostility, impatience, and workload) increase the risk of burnout, with hostility and workload being identified as predictive risk factors. Gender differences impacted burnout, with women experiencing greater emotional exhaustion, while age and time in the job influenced type A behavior, with older age associated with heightened hostility and decreased workload, and longer time in the job linked to reduced competitiveness. Conducting this study was crucial to determine whether there are aspects of TABP that impact the development of burnout, in order to design interventions and prevention strategies that promote the health and well-being of affected individuals.

Relationship between sexual dysfunction and burnout among physicians in primary hospital: a cross-sectional study.

The relationship between sexual dysfunction and burnout among physicians remains unclear. To investigate the frequency of sexual dysfunction among physicians in primary hospital and explore the association between sexual dysfunction and burnout. This study was a cross-sectional survey conducted through a questionnaire. We used the Arizona Sexual Experience Scale and the Chinese version of the Maslach Burnout Inventory-Human Service Survey to assess sexual function and burnout among physicians in primary hospital. Considering the working environment of physicians, we also evaluated the doctor-patient relationship and sleep quality. Over one-third of physicians experience sexual dysfunction. Burnout is a significant factor to sexual dysfunction among medical professionals. A total of 382 doctors participated in this survey, and the prevalence of sexual dysfunction was 33.51%. Sexual arousal and orgasm were the main sexual dysfunctions faced by male and female doctors, respectively. The prevalence of burnout among physicians was 43.72%. The prevalence of sexual dysfunction among physicians experiencing burnout (45.51%) was higher than that observed in physicians without burnout (24.19%). Physicians with burnout exhibited significantly higher total and individual scores on the Arizona Sexual Experience Scale as compared with physicians without burnout (all P values <.05). There was a significant positive correlation between depersonalization and sexual drive (r = 0.508, P < .001), sexual arousal (r = 0.521, P < .001), lubrication (r = 0.432, P < .001), orgasm/erection (r = 0.420, P < .001), and sexual satisfaction (r = 0.434, P < .001). Logistic regression analysis confirmed that-in addition to burnout-older age, dissatisfaction with income, a poor doctor-patient relationship, and poor sleep were significant contributors to sexual dysfunction among physicians in primary hospitals. Sexual health is an integral aspect of well-being. Prioritizing the sexual health of medical professionals can significantly contribute to improving their productivity. First, our sample size was small, and the impact of different specialties on sexual functioning was somewhat overlooked. Second, we lacked laboratory data (eg, testosterone and prolactin levels) that could provide substantial support to sexual identification. Finally, although we used logistic regression to establish causality, the relationship between sexual dysfunction and certain factors may be bidirectional. The issue of sexual dysfunction among doctors needs more attention. We should make targeted efforts to improve the quality of physicians' sexual lives.

COMPARATIVE STUDY OF PREVALENCE OF DEPRESSION, ANXIETY, AND STRESS AMONG UNDERGRADUATE MEDICAL STUDENTS IN LONGITUDINAL CURRICULUM OF MEDICAL COLLEGE

Objective: Medical education is long and stressful due to academic demands, frequent examinations, excessive workload, chronic exposure to human suffering and death and vast extensive syllabus, and increased psychological pressure due to multiple reasons, all of which can cause burnout, leading to mental disorders such as depression and anxiety. The aim of the study is to estimate the prevalence of depression, anxiety, and stress among undergraduate medical students of Rama Medical College, Kanpur, and its correlation with year of medical education. Methods: A cross-sectional study was conducted by providing self-administered questionnaire containing sociodemographic datasheet and depression, anxiety, and stress scale (DASS 42). Descriptive statistics were used to analyze participants’ sociodemographic characteristics and the prevalence of academic burnout using SPSS. The association of academic burnout with academic year was determined using the Pearson correlation coefficient. The data were also analyzed using analysis of variance. Results: Using DASS 42, it was found that 11.8%, 16.8%, and 19% experienced mild, moderate, and severe depression, respectively. 32.5% had mild and 16.6% had moderate anxiety. 17.9%, 22.1%, 9.0%, and 2.0% of students experienced mild, moderate, severe, and extremely severe stress, respectively. The percentages of students experiencing depression, anxiety, and stress increased as the academic year progressed. Conclusion: High prevalence of depression, anxiety, and stress was found among undergraduate medical students. One out of every three students is found to be depressed and about half of the students were reported experiencing anxiety and stress. A clear progression of depression, anxiety, stress, and burnout was observed as the academic year progressed.

Team and Electronic Health Record Features and Burnout Among Family Physicians

In the context of a growing volume of electronic health record (EHR)-based work and post-COVID-19 pandemic staffing pressures, health system leaders need an up-to-date understanding of changes in family physicians' experiences of burnout, determinants of burnout, and how to enhance the family physicians' experience. To evaluate the association of family physicians' perceptions of team structure and EHR experiences with burnout and identify modifiable practice structure factors associated with team and EHR experiences. A serial cross-sectional survey study was conducted from December 1, 2016, to October 24, 2023. Participants included family physicians seeking continuous certification through the American Board of Family Medicine. Yearly prevalence of burnout, perceived team efficiency, perceived EHR proficiency, and perceived EHR time were the outcomes. Multivariable logistic regression models subsequently assessed associations of team- and EHR-related experiences with burnout and the association between practice structure and staffing features in team efficiency and EHR time. The study included 10 315 physicians who answered the subset of questions related to burnout on the American Board of Family Medicine's Continuous Certification Questionnaire between 2017 and 2023. Among the sample, 5584 respondents (54.1%) were male, and the median age was 50 (IQR, 43-58) years. The proportion of physicians reporting burnout ranged from 37.9% in 2017 to a peak of 42.8% in 2022, which did not represent a significant temporal trend (P = .91). Appropriate home EHR use was associated with 0.58 (95% CI, 0.53-0.64; P < .001) times the odds of burnout, while high team efficiency was associated with 0.61 (95% CI, 0.56-0.67; P < .001) times the odds of burnout. Physician collaboration with a registered nurse was associated with greater odds of high team efficiency (odds ratio [OR], 1.35; 95% CI, 1.22-1.50). Collaboration with a physician assistant was associated with greater odds of appropriate home EHR time (OR, 1.13; 95% CI, 1.03-1.24). In this national cross-sectional study of US family physicians, appropriate time spent on the EHR at home and primary care team efficiency were associated with lower odds of burnout. These findings suggest that clinical leaders and policymakers should focus on optimizing primary care team support and family physicians' EHR experiences to enhance the sustainability of primary care practice.

Nurse Burnout and Patient Safety, Satisfaction, and Quality of Care

Occupational burnout syndrome is characterized by emotional exhaustion, depersonalization, and a diminished sense of personal accomplishment and is prevalent among nurses. Although previous meta-analyses have explored the correlates of nurse burnout, none have estimated their association with health care quality and safety and patient morbidity and mortality. To evaluate the magnitude and moderators of the association between nurse burnout and patient safety, patient satisfaction, and quality of care. The Web of Science, Scopus, MEDLINE, Embase, PsycINFO, CINAHL, and ProQuest databases were searched from January 1, 1994, to February 29, 2024. Two reviewers independently identified studies that reported a quantifiable association between nurse burnout and any of the outcomes of patient safety, patient satisfaction, or quality of health care. The PRISMA 2020 guideline was followed. Two reviewers independently extracted the standardized mean difference (SMD) (Cohen d) estimates for a random-effects meta-analysis. Subgroup analyses and meta-regressions were conducted using prespecified variables. Any measure of patient safety, patient satisfaction, or quality of health care previously associated with nurse burnout. A total of 85 studies (81 cross-sectional and 4 longitudinal) involving 288 581 nurses from 32 countries (mean [SD] age, 33.9 (2.1) years; 82.7% female; mean [SD] burnout prevalence rate with study-specific ascertainments, 30.7% [9.7%]) were included. Nurse burnout was associated with a lower safety climate or culture (SMD, -0.68; 95% CI, -0.83 to -0.54), lower safety grade (SMD, -0.53; 95% CI, -0.72 to -0.34), and more frequent nosocomial infections (SMD, -0.20; 95% CI, -0.36 to -0.04), patient falls (SMD, -0.12; 95% CI, -0.22 to -0.03), medication errors (SMD, -0.30; 95% CI, -0.48 to -0.11), adverse events or patient safety incidents (SMD, -0.42; 95% CI, -0.76 to -0.07), and missed care or care left undone (SMD, -0.58; 95% CI, -0.91 to -0.26) but not with the frequency of pressure ulcers. Nurse burnout was also associated with lower patient satisfaction ratings (SMD, -0.51; 95% CI, -0.86 to -0.17) but not with the frequencies of patient complaints or patient abuse. Finally, nurse burnout was associated with lower nurse-assessed quality of care (SMD, -0.44; 95% CI, -0.57 to -0.30) but not with standardized mortality rate. The associations were consistent across nurses' age, sex, work experience, and geography and persistent over time. For patient safety outcomes, the association was smaller for the low personal accomplishment subcomponent of burnout than for emotional exhaustion or depersonalization, as well as for nurses with a college education. In this systematic review and meta-analysis, nurse burnout was found to be associated with lower health care quality and safety and lower patient satisfaction. This association was consistent across nurse and study characteristics.

Artificial Intelligence and Radiologist Burnout

Understanding the association of artificial intelligence (AI) with physician burnout is crucial for fostering a collaborative interactive environment between physicians and AI. To estimate the association between AI use in radiology and radiologist burnout. This cross-sectional study conducted a questionnaire survey between May and October 2023, using the national quality control system of radiology in China. Participants included radiologists from 1143 hospitals. Radiologists reporting regular or consistent AI use were categorized as the AI group. Statistical analysis was performed from October 2023 to May 2024. AI use in radiology practice. Burnout was defined by emotional exhaustion (EE) or depersonalization according to the Maslach Burnout Inventory. Workload was assessed based on working hours, number of image interpretations, hospital level, device type, and role in the workflow. AI acceptance was determined via latent class analysis considering AI-related knowledge, attitude, confidence, and intention. Propensity score-based mixed-effect generalized linear logistic regression was used to estimate the associations between AI use and burnout and its components. Interactions of AI use, workload, and AI acceptance were assessed on additive and multiplicative scales. Among 6726 radiologists included in this study, 2376 (35.3%) were female and 4350 (64.7%) were male; the median (IQR) age was 41 (34-48) years; 3017 were in the AI group (1134 [37.6%] female; median [IQR] age, 40 [33-47] years) and 3709 in the non-AI group (1242 [33.5%] female; median [IQR] age, 42 [34-49] years). The weighted prevalence of burnout was significantly higher in the AI group compared with the non-AI group (40.9% vs 38.6%; P < .001). After adjusting for covariates, AI use was significantly associated with increased odds of burnout (odds ratio [OR], 1.20; 95% CI, 1.10-1.30), primarily driven by its association with EE (OR, 1.21; 95% CI, 1.10-1.34). A dose-response association was observed between the frequency of AI use and burnout (P for trend < .001). The associations were more pronounced among radiologists with high workload and lower AI acceptance. A significant negative interaction was noted between high AI acceptance and AI use. In this cross-sectional study of radiologist burnout, frequent AI use was associated with an increased risk of radiologist burnout, particularly among those with high workload or lower AI acceptance. Further longitudinal studies are needed to provide more evidence.

Healthcare Provider Burnout: Red Flag for a Rising Epidemic.

This article aims to broaden the understanding of burnout in healthcare providers, its causes, and its reduction strategies. The objectives are to raise awareness, facilitate early intervention, and, ultimately, improve the overall well-being of healthcare providers and the quality of patient care. The study investigated healthcare-provision-associated burnout, an often-unrecognized syndrome affecting professionals worldwide, and its prevalence. It also examined the impact of burnout on patient outcomes, safety, and provider health and well-being. Here, we delve into the triad of burnout attributes: emotional exhaustion, depersonalization, and decreased personal accomplishment. Specific causes, such as work-life balance, workplace environment, and communication/teamwork, are investigated. The existing literature and studies we report explore the pathophysiological effects of burnout, including its impact on health, sleep patterns, and the alarming correlation with suicide. The prevalence of burnout among healthcare providers is between 30% and 50%. Burnout is a significant factor contributing to poor patient outcomes and threatening patient safety. Furthermore, burnout can induce physical symptoms, including psychological, cardiovascular, and gastrointestinal disorders. We emphasize the importance of identifying and preventing burnout to maintain the overall integrity of healthcare providers and eliminate vulnerabilities for harm to their patients. Burnout awareness should be a priority from the early stages of healthcare providers' careers because it is crucial for maintaining their well-being, preventing medical errors, and sustaining high-quality patient care. The identification and prevention of burnout are deemed vital not only for the well-being of healthcare providers but also to safeguard against potential harm to patients. This article calls for increased awareness of burnout, its underlying causes, and the implementation of effective reduction strategies in the healthcare profession.

STOPTHEBURN: A Randomized Controlled Trial of Death Cafés for Burnout Prevention in Intensive Care Unit Employees.

Rationale: Effective interventions to prevent burnout among intensive care unit (ICU) clinicians are urgently needed. Death cafés, group discussions about death, build a sense of community and create a space for reflection on distressing events. Objective: To assess whether participation in regular death cafés can prevent burnout in ICU clinicians (physicians, nurses, pharmacists, therapists). Methods: A randomized clinical trial was conducted from July 2020 to December 2022 in 10 ICUs in Louisiana. Subjects were randomized to attend four psychotherapist-facilitated virtual death cafés or to a control arm. The primary outcome was burnout defined by the Maslach Burnout Inventory-Human Services Survey at 6 months. Depression and anxiety scores were measured, as were qualitative data on stressors, coping, and death café experience. Results: Among 340 clinicians who were screened and gave consent (171 physicians, 169 nonphysicians), 251 participated (mean age, 31.0 ± 6.8 years; 63% female; 72% White; 37% nurses, 27% residents, 25% interns, 11% other). Burnout prevalence was 19% at baseline. Of 136 participants who completed the 6-month follow-up, no significant differences were found between intervention and control for the primary outcome (18% vs. 25%; unadjusted odds ratio, 0.64; 95% confidence interval, 0.26-1.57; P = 0.33). There were no differences in anxiety or depression. Notably, the study was limited by an inability to achieve target enrollment and a high attrition rate (46%). Conclusions: Virtual death cafés were unable to reduce burnout, although the study was underpowered to detect differences between groups. Clinical trial registered with clinicaltrials.gov (NCT04347811).

Burnout among emergency and surgery residents: An exploration of contributing factors and implications.

To assess the prevalence of burnout among emergency and surgical residents and explore the associated factors. This study was carried out at King Faisal University, Al Hofuf, Saudi Arabia, through the period from January to march 2024. A cross-sectional survey design was employed, utilizing the Maslach burnout inventory-human services survey and the resilience scale-14 to measure burnout and resilience. The survey included demographic information, health-related questions, and specific burnout-related items. Descriptive statistics, frequency distributions, and inferential analyses were carried out to explore the relationships between burnout, demographic factors, and resilience. The study revealed a diverse representation across demographic factors, with variations in burnout prevalence. Approximately 63% of participants reported experiencing burnout, with high levels of emotional exhaustion (55%) and depersonalization (28%). Resilience levels varied across different demographic characteristics. Significant associations were found between burnout and factors such as gender, marital status, having children, specialty, length of experience, and enrollment in postgraduate programs. The findings underscore the urgent need for targeted interventions to address burnout in healthcare professionals. The nuanced relationships between burnout, resilience, and demographic factors highlight the importance of tailored strategies to mitigate burnout effectively. Addressing burnout is crucial not only for the well-being of healthcare professionals but also for maintaining high-quality patient care.

The Impact of the Beirut Explosion on the Mental Health of Lebanese Healthcare Providers: A Scoping Review.

Lebanon has faced a series of crises, starting with the economic collapse in 2019, followed by the COVID-19 pandemic, and the Beirut blast on August 4, 2020. These events have left the population vulnerable to psychological distress. Our study aims to assess the psychological impact of the Beirut explosion on Lebanese healthcare providers. We conducted an electronic database search, resulting in the inclusion of 21 relevant manuscripts. Various psychological issues were reported among healthcare workers (HCWs), with burnout prevalence rates of 37.2% for disengagement and 51.5% for exhaustion. Additionally, feelings of heaviness, fear, exhaustion, and anxiety were common. Approximately 60% of HCWs experienced moderate to severe stress, and half reported moderate to severe anxiety and depression. Furthermore, 44% were at high risk of developing post-traumatic stress symptoms. Lebanese HCWs have faced significant psychological trauma in recent years, underscoring the need for mental health awareness campaigns and targeted training for HCWs.

Resident physician burnout and association with working conditions, psychiatric determinants, and medical errors: A cross-sectional study.

Burnout has become a significant occupational concern for resident physicians, primarily attributed to chronic workplace stressors, inadequate work-life balance, high expectation from attending staffs, steep learning curve, and limited patient care experience. The study aimed to investigate the prevalence and associated factors of burnout in medical residents. This cross-sectional study was conducted online questionnaire of all specialists in a university hospital from September to October 2022. Burnout was assessed using the Maslach Burnout Inventory-Human Services Survey for Medical Personnel. The data collection encompassed information on socio-demographics, working conditions, psychiatric issues, and medical errors as potential predictive variables. To analyze the association between these factors and burnout, a confounder summary score model was employed in four separate models utilizing multivariable logistic regression. A total of 238 participants, the average age of participants was 28.1 years (SD 2.7), and 56.2% of them were female. Weekly working hours averaged 75 (SD 21.8). Burnout prevalence was 46.3%. This prevalence was characterized by high levels of emotional exhaustion (57.1%) and depersonalization (36.1%), along with low levels of personal accomplishment (52.4%). Summary of association in each domain with burnout were as follow: demographic determinants, (adjusted odds ratio (aOR) 2.80, 95% CI 1.68-4.64), working conditions (aOR 2.97, 95% CI 1.54-5.71), psychiatric determinants (aOR 2.47, 95% CI 1.77-3.45) medical errors (aOR 2.14, 95% CI 1.05-4.34). Medical residency training programs should provide a supportive system that actively monitors and addresses depressive symptoms. Implementing preventive measures, such as increasing pay rates, can play a role in mitigating burnout.