1
|
Gargula S, Daval M, Tuset MP, Darrouzet V, Ayache D. Burnout in ENT France: Update and risk factors; a STROBE analysis. Eur Ann Otorhinolaryngol Head Neck Dis 2024:S1879-7296(24)00057-7. [PMID: 38705822 DOI: 10.1016/j.anorl.2024.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/07/2024]
Abstract
BACKGROUND Burnout can significantly impact practitioners and their co-workers, and hence patients. There are no data for the prevalence of burnout in French ENT specialists, or for associated risk factors. MATERIAL AND METHODS A French national cross-sectional online survey was performed on the initiative of the ENT National Professional Council (CNPORL), contacting all ENT specialists whose e-mail address was known to the French Society of ENT, the National Professional Council or the National ENT Union. The 22-question Maslach Burnout Inventory (MBI) was sent out, along with 16 extra questions on possible risk factors. OBJECTIVES The study sought to assess the prevalence and severity of burnout, using the MBI, and to analyze risk factors. RESULTS Among the 1936 physicians, 406 contacted responded to the questionnaire (21%). Mean age was 47±14 years (range, 25-77 years); 53% male, 47% female. 196 (48%) reported burnout, including 20 (5%) severe burnout. Independent risk factors for burnout of whatever severity, comprised social interaction issues, history of identified burnout, and medicolegal pressures. Social interaction issues were independently associated with specifically severe burnout. CONCLUSIONS Burnout affected almost half of respondents. There are identifiable risk factors, for which improvements could be implemented.
Collapse
Affiliation(s)
- S Gargula
- Service d'Otorhinolaryngologie, Hôpital La Conception, 147, boulevard Baille, 13004 Marseille, France.
| | - M Daval
- Service d'Otorhinolaryngologie, Hôpital Fondation Adolphe-de-Rothschild, 29, rue Manin, 75019 Paris, France
| | - M-P Tuset
- Service d'Otorhinolaryngologie, Hôpital Fondation Adolphe-de-Rothschild, 29, rue Manin, 75019 Paris, France
| | - V Darrouzet
- Service d'Otorhinolaryngologie, CHU Bordeaux, Université de Bordeaux, 33000 Bordeaux, France; Conseil National Professionnel d'ORL, France
| | - D Ayache
- Service d'Otorhinolaryngologie, Hôpital Fondation Adolphe-de-Rothschild, 29, rue Manin, 75019 Paris, France; Conseil National Professionnel d'ORL, France
| |
Collapse
|
2
|
Chahal K, Matwala K. A systematic review of the prevalence of burnout in orthopaedic surgeons. Ann R Coll Surg Engl 2024. [PMID: 38563052 DOI: 10.1308/rcsann.2024.0009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2024] Open
Abstract
INTRODUCTION Professional burnout is a syndrome of emotional exhaustion, depersonalisation and low sense of personal achievement related to the workplace. Orthopaedic surgeons train and practise in highly demanding environments. Understanding up-to-date trends in burnout, particularly following the COVID-19 pandemic, is vital. For this reason, we carried out a systematic review on this topic. METHODS A scoping literature review of two databases was conducted. Two authors independently screened articles and conflicts were resolved by panel discussion. Articles pertaining to orthopaedic surgeons that used validated scales and were peer reviewed research were included. Non-English or abstract-only results were excluded. RESULTS A total of 664 papers were identified in the literature search and 34 were included in the qualitative review. Among 8,471 orthopaedic surgeons, the mean burnout prevalence was 48.9%. The wide range in rate of burnout between the studies (15-90.4%) reflected the variety in setting, subspecialty and surgeon grade. Common protective factors comprised dedicated mentorship, surgeon seniority, sufficient exercise and family support. Substance abuse, malpractice claims, financial stress and onerous on-call responsibilities were risk factors. Burnout prevalence during the COVID-19 pandemic was not noticeably different; there were a number of pandemic-associated risk and protective factors. CONCLUSIONS Nearly one in two orthopaedic surgeons are burnt out. There is a paucity of data on the short and long-term impact of COVID-19 on burnout. Burnout has deep organisational, personal and clinical implications. Targeted organisational interventions are required to prevent burnout from irrevocably damaging the future of orthopaedic surgery.
Collapse
Affiliation(s)
- K Chahal
- Mid and South Essex NHS Foundation Trust, UK
| | - K Matwala
- Mid and South Essex NHS Foundation Trust, UK
| |
Collapse
|
3
|
Amaral MLDC, da Silva IM, Bello AF, da Silva FC, Romão GS, Trapani A. Prevalence and factors associated with anxiety, depression and burnout in gynecology and obstetrics residents during the COVID-19 pandemic. REVISTA BRASILEIRA DE GINECOLOGIA E OBSTETRÍCIA 2024; 46:e-rbgo17. [PMID: 38765522 PMCID: PMC11075398 DOI: 10.61622/rbgo/2024ao17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Accepted: 07/25/2023] [Indexed: 05/22/2024] Open
Abstract
Objective To determine the prevalence of anxiety, depression and burnout in residents of Gynecology and Obstetrics during COVID-19 pandemic in Brazil and its associated factors. Methods Cross-sectional study involving all regions of Brazil, through the application of a sociodemographic questionnaire, the Hospital Anxiety and Depression Scale (HAD) and the Maslach Burnout Inventory (MBI-HSS) instrument. Multivariate analysis was performed after adjusting the Poisson model. Results Among the 719 participating medical residents, screening was positive for anxiety in 75.7% and for depression in 49.8% of cases. Burnout syndrome was evidenced in 41.3% of the physicians studied. Those with depression are more likely to have anxiety (OR 0.797; 95%CI 0.687 - 0.925) and burnout syndrome (OR 0.847 95%CI 0.74 - 0.97). Residents with anxiety (OR 0.805; 95%CI 0.699 - 0.928) and burnout (OR 0.841; 95%CI 0.734 - 0.963) are more likely to have depression. Conclusion High prevalence of anxiety, depression and burnout were found in residents of Gynecology and Obstetrics in Brazil, in addition to important correlations between anxiety-depression and depression-burnout.
Collapse
Affiliation(s)
| | - Isabela Michel da Silva
- University of Southern Santa CatarinaPalhoçaSCBrazilUniversity of Southern Santa Catarina, Palhoça, SC, Brazil.
| | - Alexandre Ferreira Bello
- University of Southern Santa CatarinaPalhoçaSCBrazilUniversity of Southern Santa Catarina, Palhoça, SC, Brazil.
| | - Franciele Cascaes da Silva
- University of Southern Santa CatarinaPalhoçaSCBrazilUniversity of Southern Santa Catarina, Palhoça, SC, Brazil.
| | - Gustavo Salata Romão
- Univesity of Ribeirão PretoRibeirão PretoSPBrazilUnivesity of Ribeirão Preto, Ribeirão Preto, SP, Brazil.
| | - Alberto Trapani
- Federal University of Santa CatarinaFlorianýpolisSCBrazilFederal University of Santa Catarina, Florianýpolis, SC, Brazil.
| |
Collapse
|
4
|
Bischoff A, Solecruz E, Mainard N, Faivre G, Canavese F. How are French pediatric orthopedic surgeons affected by burnout? Results of a nationwide survey. Orthop Traumatol Surg Res 2023; 109:103628. [PMID: 37105385 DOI: 10.1016/j.otsr.2023.103628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 01/12/2023] [Accepted: 01/24/2023] [Indexed: 04/29/2023]
Abstract
INTRODUCTION Burnout is a syndrome that adversely affects those who work in roles designed to assist and aid others, such as healthcare professionals. There is a paucity of data available on this topic among French pediatric orthopedic surgeons, registrars and interns. Therefore, we conducted a national survey to: (1) assess the prevalence of burnout syndrome among French pediatric orthopedic surgeons; (2) determine the risks and protective factors associated with this syndrome. HYPOTHESIS The prevalence of burnout among French pediatric orthopedic surgeons is at least as high as in other medical and surgical specialties. MATERIALS AND METHODS We conducted a nationwide survey during the months of June and July 2022 by distributing a digitized questionnaire by e-mail. The burnout syndrome was assessed by the MBI (Maslach Burnout Inventory) score. Demographic and professional practice data were also collected. RESULTS Thirty-eight interns and 65 pediatric orthopedic registrars took part in the survey, i.e. a participation rate estimated at 65.5% and 44.4% respectively. Twenty-six percent (n=10) of interns and 13.9% (n=9) of registrars had MBI scores suggestive of moderate or severe burnout. Respectively 20.8% (n=9) and 9.2% (n=6) of interns and registrars reported suicidal thoughts in the past year. After statistical analysis, medical errors (OR: 3.4336; 95% CI: 1.7164-6.869; p<0.001) and suicidal ideation (OR: 2.3075; 95% CI: 1.0480-5.081; p=0.038) were associated with severe burnout. Having children (OR: 0.495; 95% CI: 0.2491-0.983; p=0.044) emerged as a protective factor. DISCUSSION With a high participation rate, this study reveals a high burnout rate among French pediatric orthopedic interns and registrars, even if slightly lower than those found in other surgical specialties. Interns seem more exposed to this risk than their seniors. The consequences of burnout are diverse but can be significant. These results necessitate a vigilant approach to the occurrence of burnout among health professionals, and the appropriate management of it. LEVEL OF EVIDENCE III; descriptive cross-sectional study without a control group.
Collapse
Affiliation(s)
- Aline Bischoff
- Service de chirurgie orthopédique et traumatologique pédiatrique, département universitaire, CHR de Lille, 2, avenue Oscar Lambret, 59000 Lille, France.
| | - Eva Solecruz
- Service de neurologie, département universitaire, CHU de Marseille/Timone, 264, rue Saint-Pierre, 13005 Marseille, France
| | - Nicolas Mainard
- Service de chirurgie orthopédique et traumatologique pédiatrique, département universitaire, CHR de Lille, 2, avenue Oscar Lambret, 59000 Lille, France
| | - Grégoire Faivre
- Service de chirurgie orthopédique et traumatologique, CH de Dunkerque, 130, avenue Louis Herbeaux, 59240 Dunkerque, France
| | - Federico Canavese
- Service de chirurgie orthopédique et traumatologique pédiatrique, département universitaire, CHR de Lille, 2, avenue Oscar Lambret, 59000 Lille, France
| |
Collapse
|
5
|
Al‐Ghunaim T, Johnson J, Biyani CS, Coleman R, Simms‐Ellis R, O'Connor DB. Evaluation of the reboot coaching workshops among urology trainees: A mixed method approach. BJUI COMPASS 2023; 4:533-542. [PMID: 37636204 PMCID: PMC10447217 DOI: 10.1002/bco2.249] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Revised: 03/16/2023] [Accepted: 04/05/2023] [Indexed: 08/29/2023] Open
Abstract
Background Urology trainees experience high burnout, and there is an urgent need for acceptable and effective interventions. The current study evaluated Reboot coaching workshops (Reboot-C), a tailored intervention based on cognitive-behavioural principles, with urology trainees. Objective Our primary objective was to evaluate the acceptability of Reboot-C among urology trainees. In addition, this study aimed to investigate whether there were changes in confidence, resilience, depression and burnout levels. Materials and method A single-arm design was used, including pre- and post-online questionnaires and semi-structured interviews. Result Twenty-one urology trainees replied to the survey, attended both Reboot-C workshops and responded to the post-intervention questionnaire. Thirteen of 21 (61%) urology trainees participated in the interview. Participating in Reboot-C was associated with significant improvements in resilience and confidence and a significant reduction in burnout. However, there was no significant reduction in depression. Qualitative data indicated that Reboot was acceptable and helped participants develop useful skills. Conclusion These findings pave the way for more conclusive studies on the efficacy of Reboot-C for surgeons.
Collapse
Affiliation(s)
| | - Judith Johnson
- School of PsychologyUniversity of LeedsLeedsUK
- Bradford Institute for Health ResearchBradford Royal InfirmaryBradfordUK
- School of Public Health and Community MedicineUniversity of New South WalesSydneyAustralia
| | | | | | - Ruth Simms‐Ellis
- School of PsychologyUniversity of LeedsLeedsUK
- Bradford Institute for Health ResearchBradford Royal InfirmaryBradfordUK
| | | |
Collapse
|
6
|
Ryan E, Hore K, Power J, Jackson T. The relationship between physician burnout and depression, anxiety, suicidality and substance abuse: A mixed methods systematic review. Front Public Health 2023; 11:1133484. [PMID: 37064688 PMCID: PMC10098100 DOI: 10.3389/fpubh.2023.1133484] [Citation(s) in RCA: 13] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Accepted: 02/09/2023] [Indexed: 04/03/2023] Open
Abstract
Introduction The World Health Organization defines burnout as a problem associated with employment, a category distinct from psychological disorders such as depression, anxiety, suicidality and disorders of substance abuse. Evaluating the association between burnout as an occupational exposure and psychological morbidity may indicate that burnout can act as an occupational risk factor for mental ill-health. The systematic review explores this relationship in physicians due to the increased risk in this population and the implications for healthcare delivery. Methods A mixed methods systematic review of the literature was conducted across Medline, Cinahl Plus, PsycInfo, Web of Science and The Cochrane Library. Databases were systematically searched using keywords relating to physician burnout and depression, anxiety, suicidality and substance abuse. Identified articles were screened for eligibility by two independent researchers. Data extraction was performed and studies assessed for risk of bias. Quantitative and qualitative results were integrated using a convergent segregated approach and results portrayed as a narrative synthesis. Results Sixty-one articles were included in the review. There was notable heterogeneity in the measurement and criteria used to define burnout limiting the assimilation of results. Despite this, all studies that measured the association between depression and burnout reported a significant association. Studies that reported association between burnout and anxiety were similarly uniformly consistent. Most studies that reported the association between burnout and suicidality indicated that a significant association exists however difficulty in measurement of suicidality may have influenced variability of results. The reported association between substance abuse and burnout was more variable, suggesting that any association is likely to be weak or influenced by other variables. Qualitative studies described the manifestations of chronic workplace stress as well as perceived links with psychological morbidity. These included lack of time for work-life balance, the contribution of professional relationships and a culture of invulnerability that exists among physicians. Conclusion The systematic review cannot conclude causality but suggests that physician burnout is associated with depression, anxiety and suicidality. Qualitative data provides insight into the nature of this association. The review indicates the need for longitudinal research and provides considerations for intervention strategies to prevent the development and progression of burnout. Systematic review registration https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020172938, identifier: CRD42020172938.
Collapse
Affiliation(s)
- Emer Ryan
- Department of Cardiothoracic Anaesthesia, Auckland City Hospital, Auckland, New Zealand
- Usher Institute, University of Edinburgh, Scotland, United Kingdom
- College of Anaesthesiologists of Ireland, Dublin, Ireland
| | - Kevin Hore
- College of Anaesthesiologists of Ireland, Dublin, Ireland
- Department of Anaesthesia, Great Ormonde Street Children's Hospital, London, United Kingdom
| | - Jessica Power
- Centre for Global Health, Trinity College, Dublin, Ireland
| | - Tracy Jackson
- Usher Institute, University of Edinburgh, Scotland, United Kingdom
| |
Collapse
|
7
|
Shah HP, Salehi PP, Ihnat J, Kim DD, Salehi P, Judson BL, Azizzadeh B, Lee YH. Resident Burnout and Well-being in Otolaryngology and Other Surgical Specialties: Strategies for Change. Otolaryngol Head Neck Surg 2023; 168:165-179. [PMID: 35133919 DOI: 10.1177/01945998221076482] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Accepted: 01/07/2022] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To perform a literature review on burnout prevalence, factors that affect burnout and well-being, and solutions to address burnout in otolaryngology-head and neck surgery (OTO-HNS) residents and residents in other surgical specialties. DATA SOURCES Ovid Medline, Embase, and article reference lists. REVIEW METHODS A literature search was performed to identify articles on resident burnout, distress, wellness, well-being, and quality of life. Articles deemed outside the scope of the current work were excluded. Search was limited to the past 5 years. CONCLUSIONS Moderate to high burnout has been reported in 35% to 86% of OTO-HNS residents. Among other surgical specialties, resident burnout ranges between 58% and 66% in plastics, 11% and 67% in neurosurgery, 38% and 68% in urology, and 31% and 56% in orthopedics. Highest burnout rates were seen in postgraduate year 2 residents. Factors significantly associated with burnout included hours worked (>80 h/wk), level of autonomy, exercise, and program support. Reported resident work hours have steadily increased: 8% of OTO-HNS residents in 2005 vs 26% in 2019 reported averaging >80 h/wk. Practical implications of resident burnout include decreased empathy, moral distress and injury, poor health, decreased quality of life, increased attrition, decreased desire to pursue fellowship, and increased likelihood of medical errors. Structured mentorship programs, wellness initiatives, and increased ancillary support have been associated with lower burnout rates and improvements in resident well-being across specialties. IMPLICATIONS FOR PRACTICE Addressing burnout, which is prevalent in OTO-HNS residents, is critical to improving patient care and physician well-being. Surgical specialties can share strategies to effectively address resident burnout through institutional interventions, which can be essential quality improvement initiatives, to promote well-being.
Collapse
Affiliation(s)
- Hemali P Shah
- Connecticut Department of Surgery, Otolaryngology-Head and Neck Surgery, Yale University School of Medicine, New Haven, Connecticut, USA
| | - Parsa P Salehi
- Connecticut Department of Surgery, Otolaryngology-Head and Neck Surgery, Yale University School of Medicine, New Haven, Connecticut, USA
| | - Jacqueline Ihnat
- Connecticut Department of Surgery, Otolaryngology-Head and Neck Surgery, Yale University School of Medicine, New Haven, Connecticut, USA
| | - David D Kim
- Connecticut Department of Surgery, Otolaryngology-Head and Neck Surgery, Yale University School of Medicine, New Haven, Connecticut, USA
| | - Pauniz Salehi
- College of Human Ecology, Department of Nutritional Sciences, Cornell University, Ithaca, New York, USA
| | - Benjamin L Judson
- Connecticut Department of Surgery, Otolaryngology-Head and Neck Surgery, Yale University School of Medicine, New Haven, Connecticut, USA
| | - Babak Azizzadeh
- Center for Advanced Facial Plastic Surgery, Beverly Hills, California, USA.,Department of Otolaryngology-Head and Neck Surgery, David Geffen School of Medicine at the University of California Los Angeles, Los Angeles, California, USA
| | - Yan Ho Lee
- Connecticut Department of Surgery, Otolaryngology-Head and Neck Surgery, Yale University School of Medicine, New Haven, Connecticut, USA
| |
Collapse
|
8
|
Wang S, Li L, Jin Y, Liao R, Chuang YC, Zhu Z. Identifying Key Factors for Burnout Among Orthopedic Surgeons Using the Analytic Hierarchy Process Method. Int J Public Health 2023; 68:1605719. [PMID: 37206094 PMCID: PMC10188929 DOI: 10.3389/ijph.2023.1605719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2022] [Accepted: 04/11/2023] [Indexed: 05/21/2023] Open
Abstract
Objectives: To develop an evaluation model for, and identify key factors contributing to, burnout in orthopedic surgeons, providing a reference for the management of burnout among orthopedic surgeons in hospitals. Methods: We developed an analytic hierarchy process (AHP) model with 3 dimensions and 10 sub-criteria based on an extensive literature review and expert assessment. We used expert and purposive sampling and 17 orthopedic surgeons were selected as research subjects. The AHP process was then used to obtain the weights and to prioritize the dimensions and criteria for burnout in orthopedic surgeons. Results: The dimension of C 1 (personal/family) was the key factor affecting burnout in orthopedic surgeons, and in the sub-criteria, the top four sub-criteria were C 11 (little time for family), C 31 (anxiety about clinical competence), C 12 (work-family conflict), and C 22 (heavy work load). Conclusion: This model was effective in analyzing the key factors contributing to job burnout risk, and the results can inform improved management of the levels of burnout affecting orthopedic surgeons in hospitals.
Collapse
Affiliation(s)
- Shiqian Wang
- Business School, Dongguan City University, Dongguan, China
| | - Lin Li
- Business School, Dongguan City University, Dongguan, China
| | - Yanjun Jin
- Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, China
| | - Rui Liao
- Business College, Taizhou University, Taizhou, Zhejiang, China
| | - Yen-Ching Chuang
- Business College, Taizhou University, Taizhou, Zhejiang, China
- Institute of Public Health and Emergency Management, Taizhou University, Taizhou, Zhejiang, China
- Key Laboratory of Evidence-Based Radiology of Taizhou, Linhai, Zhejiang, China
- *Correspondence: Yen-Ching Chuang, ; Zhong Zhu,
| | - Zhong Zhu
- Department of Orthopaedics, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, China
- *Correspondence: Yen-Ching Chuang, ; Zhong Zhu,
| |
Collapse
|
9
|
Al-Ghunaim T, Johnson J, Biyani CS, O'Connor DB. How UK surgeons experience burnout and the link between burnout and patient care: A qualitative investigation. Scott Med J 2022; 67:197-206. [PMID: 36069048 PMCID: PMC9643814 DOI: 10.1177/00369330221122348] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Background and Aims Poor well-being affects the performance of all kinds of workers, including
surgeons. This study aimed to answer two questions: (1) how does burnout
affect surgeons personally, and what is their burnout experience like? (2)
How does burnout affect the care that surgeons provide in the United Kingdom
(UK)? Method This study conducted thematic analysis of semi-structured interviews with 14
surgeons recruited from the UK National Health Service (NHS). Result The study found three themes in surgeons’ experiences of burnout: first,
burnout is common but frequently not recognised nor understood; second,
burnout is a personal crisis; and third, burnout creates vulnerability at
work. The study also revealed four themes related to burnout's effect on
patient care: first, burnout reduces the quality of surgeon-patient
relationships; second, burnout affects patient safety; third, burnout
impairs staff relationships; and fourth, burnout makes surgeons less
motivated to improve. Conclusion Burnout is common but not well recognised in surgeons. Improving
understanding and treatment of burnout could have benefits for both surgeons
themselves and the care they provide to patients.
Collapse
Affiliation(s)
| | - Judith Johnson
- School of Psychology, 4468University of Leeds, Leeds, UK.,Bradford Institute for Health Research, Bradford Royal Infirmary, Bradford, UK.,School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia
| | | | | |
Collapse
|
10
|
Psychometric properties of the Spanish version of the Copenhagen Burnout Inventory in Mexican medical residents. Arch Med Res 2022; 53:617-624. [PMID: 36030114 DOI: 10.1016/j.arcmed.2022.08.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Revised: 07/25/2022] [Accepted: 08/09/2022] [Indexed: 11/21/2022]
Abstract
BACKGROUND Studies on the psychometric properties of the Copenhagen Burnout Inventory (CBI) in medical residents are scarce despite their susceptibility to burnout. Moreover, none of these studies were conducted in Spanish. AIM OF THE STUDY To analyze the psychometric properties of the Spanish version of the CBI among Mexican medical residents. METHODS This cross-sectional study was conducted online on medical residents from a public medical institution (n = 525). The English version of the CBI (19 items organized into three domains: personal-related burnout, work-related burnout, and patient-related burnout) was translated into Spanish and again into English. Content, convergent, discriminant, and concurrent validity were assessed, along with reliability. RESULTS The CBI Spanish version showed acceptable content, convergent and concurrent validity. Exploratory factor analysis showed two factors, but confirmatory factor analysis showed three factors with adequate fit (Root Mean Square Error of Approximation = 0.08, Comparative Fit Index = 0.95, Tucker-Lewis Index = 0.94, and Standardized Root Mean Square Residual = 0.04). There was no good discrimination between personal-related and work-related burnout. Cronbach's alpha coefficients for the personal-related, work-related, and patient-related burnout domains were 0.94, 0.95, and 0.93, respectively. CONCLUSIONS The Spanish version of the CBI in Mexican medical residents is reliable, and it meets adequate content, convergent and concurrent validity. The construct validity was not consistent. This should not diminish the importance of the CBI.
Collapse
|
11
|
Jesuyajolu D, Nicholas A, Okeke C, Obi C, Aremu G, Obiekwe K, Obinna I. BURNOUT AMONG SURGEONS AND SURGICAL TRAINEES: A Systematic Review and Meta-analysis of the prevalence and associated factors. SURGERY IN PRACTICE AND SCIENCE 2022. [DOI: 10.1016/j.sipas.2022.100094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
|
12
|
Owoc J, Mańczak M, Jabłońska M, Tombarkiewicz M, Olszewski R. Association Between Physician Burnout and Self-reported Errors: Meta-analysis. J Patient Saf 2022; 18:e180-e188. [PMID: 34951608 DOI: 10.1097/pts.0000000000000724] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVES Burnout among physicians is an increasingly recognized phenomenon affecting different aspects of patient care and safety. This meta-analysis quantifies association of burnout and its subscales with self-reported medical errors among physicians. METHODS This meta-analysis followed the principles formulated in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and Meta-analyses of Observational Studies. The MEDLINE, PubMed, Web of Science, PsycInfo, and Eric databases were searched until February 5, 2019, using various combinations of key terms without any language restrictions: burnout, physicians, error, safety, and quality. Reference lists of selected studies were hand searched. Data were extracted from published reports. All quantitative studies reporting prevalence of burnout and its association with self-reported errors among physicians were considered. The analyses of heterogeneity (Cochran Q, I2), publication bias (Begg-Mazumdar and Egger), three subgroups, and sensitivity were performed. The effect of overall burnout and Maslach Burnout Inventory subscales on self-reported errors was calculated as odds ratios with 95% confidence interval. RESULTS Thirteen studies on 20,643 physicians and residents were included. The overall burnout among participants was associated with a significantly increased risk of self-reported errors (odds ratio = 2.72, 95% confidence interval = 2.19-3.37). Emotional exhaustion, depersonalization, and personal accomplishment were all independently predicting factors of self-reported errors. Cochran Q test and inconsistency index I2 were as follows: Q = 27.2; P = 0.0013, I2 = 67% (36%-83%). CONCLUSIONS The results provide evidence that not only overall burnout but also its subscales independently are to be associated with a significantly increased risk of self-reported errors among physicians. As self-reported errors may translate into different types of adverse events, this strong and unequivocal association should be of major concern to healthcare organizations.
Collapse
Affiliation(s)
- Jakub Owoc
- From the Department of Gerontology, Public Health and Didactics - National Institute of Geriatrics, Rheumatology and Rehabilitation in Warsaw
| | - Małgorzata Mańczak
- From the Department of Gerontology, Public Health and Didactics - National Institute of Geriatrics, Rheumatology and Rehabilitation in Warsaw
| | | | | | | |
Collapse
|
13
|
Messiaen M, Duba A, Boulangeat C, Boucekine M, Bourbon A, Viprey M, Auquier P, Lançon C, Boyer L, Fond G. Repeated bullying at the workplace in medical students and young doctors: the MESSIAEN national study. Eur Arch Psychiatry Clin Neurosci 2021; 271:1123-1131. [PMID: 32462290 DOI: 10.1007/s00406-020-01144-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/11/2019] [Accepted: 05/15/2020] [Indexed: 11/26/2022]
Abstract
Despite clues indicating high Bullying at the Work Place (BWP) rates in French hospitals, there has been no quantitative study so far. To determine the prevalence of repeated BWP in a national sample of French young physicians; its risk factors, and the mental health consequences of BWP. The study is a cross-sectional observational epidemiological national study addressed to young physicians. The online internet anonymous questionnaire was elaborated according to previous studies exploring BWP. In addition, we explored the quality of initial training. BWP was defined according to the French legal definition. Mental health was assessed by Hamilton Anxiety and Depression scale, psychotropic drug consumption and psychotherapy follow-up. A Structured Equation Modeling (SEM) was carried out to confirm our theoretical model. 2003 participants of the 37 French medical faculties were included. At least one history of BWP was identified in 41.7% of the participants. The SEM model showed good fit (RMSEA = 0.025, CFI = 0.93, TLI = 0.92, WRMR = 1.285). In the SEM model, BWP was associated with age and number of monthly night shifts and weekly worked hours. Obstetric gynecology, psychiatry, surgery, and medical specialties and low-quality initial training were associated with higher risk of BWP. BWP was associated with increased anxiety and depressive symptoms, daily antidepressant and anxiolytic consumption, and psychotherapy follow-up. Decreasing worked hours and night shifts and improving the quality of the initial training may help preventing BWP among medical students and young physicians. Obstetric gynecology, surgical and medical specialties, and psychiatry should be targeted with a focus on developing prevention programs.
Collapse
Affiliation(s)
- M Messiaen
- Hôpitaux Universitaires de Marseille, Faculté de Médecine-Secteur Timone, CEReSS-Centre d'Etude et de Recherche sur les Services de Santé et la Qualité de Vie, HUM, Aix-Marseille Univ, 27 Boulevard Jean Moulin EA 3279, 13005, Marseille, France
| | - A Duba
- Hôpitaux Universitaires de Marseille, Faculté de Médecine-Secteur Timone, CEReSS-Centre d'Etude et de Recherche sur les Services de Santé et la Qualité de Vie, HUM, Aix-Marseille Univ, 27 Boulevard Jean Moulin EA 3279, 13005, Marseille, France
| | - C Boulangeat
- Hôpitaux Universitaires de Marseille, Faculté de Médecine-Secteur Timone, CEReSS-Centre d'Etude et de Recherche sur les Services de Santé et la Qualité de Vie, HUM, Aix-Marseille Univ, 27 Boulevard Jean Moulin EA 3279, 13005, Marseille, France
| | - M Boucekine
- Hôpitaux Universitaires de Marseille, Faculté de Médecine-Secteur Timone, CEReSS-Centre d'Etude et de Recherche sur les Services de Santé et la Qualité de Vie, HUM, Aix-Marseille Univ, 27 Boulevard Jean Moulin EA 3279, 13005, Marseille, France
| | - A Bourbon
- Hôpitaux Universitaires de Marseille, Faculté de Médecine-Secteur Timone, CEReSS-Centre d'Etude et de Recherche sur les Services de Santé et la Qualité de Vie, HUM, Aix-Marseille Univ, 27 Boulevard Jean Moulin EA 3279, 13005, Marseille, France
| | - M Viprey
- Hôpitaux Universitaires de Marseille, Faculté de Médecine-Secteur Timone, CEReSS-Centre d'Etude et de Recherche sur les Services de Santé et la Qualité de Vie, HUM, Aix-Marseille Univ, 27 Boulevard Jean Moulin EA 3279, 13005, Marseille, France
| | - P Auquier
- Hôpitaux Universitaires de Marseille, Faculté de Médecine-Secteur Timone, CEReSS-Centre d'Etude et de Recherche sur les Services de Santé et la Qualité de Vie, HUM, Aix-Marseille Univ, 27 Boulevard Jean Moulin EA 3279, 13005, Marseille, France
| | - C Lançon
- Hôpitaux Universitaires de Marseille, Faculté de Médecine-Secteur Timone, CEReSS-Centre d'Etude et de Recherche sur les Services de Santé et la Qualité de Vie, HUM, Aix-Marseille Univ, 27 Boulevard Jean Moulin EA 3279, 13005, Marseille, France
| | - L Boyer
- Hôpitaux Universitaires de Marseille, Faculté de Médecine-Secteur Timone, CEReSS-Centre d'Etude et de Recherche sur les Services de Santé et la Qualité de Vie, HUM, Aix-Marseille Univ, 27 Boulevard Jean Moulin EA 3279, 13005, Marseille, France
| | - G Fond
- Hôpitaux Universitaires de Marseille, Faculté de Médecine-Secteur Timone, CEReSS-Centre d'Etude et de Recherche sur les Services de Santé et la Qualité de Vie, HUM, Aix-Marseille Univ, 27 Boulevard Jean Moulin EA 3279, 13005, Marseille, France.
| |
Collapse
|
14
|
Johnson J, Al-Ghunaim TA, Biyani CS, Montgomery A, Morley R, O’Connor DB. Burnout in Surgical Trainees: a Narrative Review of Trends, Contributors, Consequences and Possible Interventions. Indian J Surg 2021; 84:35-44. [PMID: 34341627 PMCID: PMC8319710 DOI: 10.1007/s12262-021-03047-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Accepted: 07/14/2021] [Indexed: 02/03/2023] Open
Abstract
Surgical disciplines are popular and training places are competitive to obtain, but trainees report higher levels of burnout than either their non-surgical peers or attending or consultant surgeons. In this review, we critically summarise evidence on trends and changes in burnout over the past decade, contributors to surgical trainee burnout, the personal and professional consequences of burnout and consider the evidence for interventions. There is no evidence for a linear increase in burnout levels in surgeons over the past decade but the impact of the COVID-19 pandemic has yet to be established and is likely to be significant. Working long hours and experiencing stressful interpersonal interactions at work are associated with higher burnout in trainees but feeling more supported by training programmes and receiving workplace supervision are associated with reduced burnout. Burnout is associated with poorer overall mental and physical well-being in surgical trainees and has also been linked with the delivery of less safe patient care in this group. Useful interventions could include mentorship and improving work conditions, but there is a need for more and higher quality studies.
Collapse
Affiliation(s)
- Judith Johnson
- School of Psychology, University of Leeds, Leeds, LS29JT UK
- Bradford Institute for Health Research, Bradford Royal Infirmary, Bradford, BD96RJ UK
- School of Public Health and Community Medicine, University of New South Wales, Sydney, 2052 Australia
| | | | - Chandra Shekhar Biyani
- Department of Urology, St James’s University Hospital, Beckett Street, Leeds, LS9 7TF UK
- Cadaveric Simulation Programme, Anatomy Department, School of Medicine, University of Leeds, Leeds, LS2 9JT UK
| | - Anthony Montgomery
- Department of Educational and Social Policy, University of Macedonia, Thessaloniki, Greece
| | - Roland Morley
- Imperial College Healthcare NHS Trust, London, W2 1NY UK
| | | |
Collapse
|
15
|
Boulier S, Baumann C, Rousseau H, Horrach P, Bourion-Bédès S. Burnout profiles among French workers in health units for inmates: results of the EHCAU study. BMC Health Serv Res 2021; 21:595. [PMID: 34158026 PMCID: PMC8218524 DOI: 10.1186/s12913-021-06600-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2020] [Accepted: 06/03/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Health care personnel who work in penitentiary environments are at risk of burnout due to a variety of factors. Latest research have brought forward a classification system consisting of five burnout profiles on a continuum between engagement and burnout. The objective of this study was to measure the prevalence of these profiles among professionals working in French health units providing health services for inmates according to the three levels of care and to investigate their characteristics to propose appropriate management and prevention approaches. METHODS This study involved a cross-sectional analysis of data from the Evaluation of Health CAre in Units for inmates (EHCAU) study, a multicentric cohort study of professionals practising in health units for inmates in eastern France. Burnout was assessed by the Maslach Burnout Inventory (MBI) at the levels of emotional exhaustion, depersonalization and personal accomplishment. Job conditions and characteristics were measured using the Karasek Job Content Questionnaire and the Effort-Reward Imbalance Questionnaire. Data on sociodemographic characteristics and self-reported health status were also collected. Differences between MBI profiles were identified using Fisher's exact test and the Wilcoxon test. RESULTS Of the 350 professionals surveyed, 150 responded (42.9%). The most frequent profiles were ineffective (36.9%) and engagement (34.8%). The burnout (7.8%), overextended (15.6%) and disengaged (5.0%) profiles made up the remaining quarter. Significant differences in the burnout profiles were observed in regard to professional occupation (p = 0.01), irregular eating hours (p = 0.04), history of complaint procedures (p = 0.05), anxiety (p < 0.0001), depression (p < 0.0001) and the mental component of self-reported quality of life (p < 0.0001). CONCLUSIONS These results confirm that special attention should be given to professionals working in these challenging settings. The results have important implications for theory and research and for more customized approach interventions. TRIAL REGISTRATION ID RCB: 2018-A03029-46.
Collapse
Affiliation(s)
| | - Cédric Baumann
- Unit of Methodology, Data Management and Statistics, University Hospital of Nancy, 54500 Vandoeuvre-lès, Nancy, France
- EA4360 APEMAC (Health adjustment, measurement and assessment, interdisciplinary approaches) MICS team, University of Lorraine, 54500 Vandoeuvre-lès, Nancy, France
| | - Hélène Rousseau
- Unit of Methodology, Data Management and Statistics, University Hospital of Nancy, 54500 Vandoeuvre-lès, Nancy, France
| | | | - Stéphanie Bourion-Bédès
- EA4360 APEMAC (Health adjustment, measurement and assessment, interdisciplinary approaches) MICS team, University of Lorraine, 54500 Vandoeuvre-lès, Nancy, France.
- Centre Hospitalier de Versailles, Service Universitaire de Psychiatrie de l'Enfant et de l'Adolescent, 78000, Versailles, France.
| |
Collapse
|
16
|
Dobroch J, Baczewska M, Szyłejko A, Chomicz K, Knapp P. Factors Predisposing to Burnout Syndrome among Medical Staff Participating in Complex Surgical Processes. Indian J Community Med 2021; 46:258-262. [PMID: 34321737 PMCID: PMC8281864 DOI: 10.4103/ijcm.ijcm_625_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Accepted: 03/17/2021] [Indexed: 11/04/2022] Open
Abstract
Background Burnout syndrome is a serious manifestation of distress among health-care professionals. Objective Due to the specific nature of work in operating theaters, factors that affect the staff performance and therefore predispose to burnout syndrome were assessed. Methods Based on the original questionnaire, 254 respondents working in the operating theaters of the university hospital, appraised levels of work satisfaction, sources of stress, and psychosocial burden. Work-related mental stress was assessed using the Meister's questionnaire. Burnout levels were evaluated in the group extended to 316 employees with Maslach Burnout Inventory. Results Work satisfaction analysis indicated unsatisfactory management and remuneration as the negative agents. The majority of the respondents emphasized the maintenance of medical records as a prominent stress factor. A large number of participants (n = 221; 87%) described work as emotionally burdensome. The results showed that the highest burden was related to the following variables: time pressure, responsibility, problems, and conflicts. The examined group was qualified to the second degree of mental load related to the work. Similarly, the entire group reached a high level of emotional exhaustion. Conclusions Presented data indicate the need of evaluation to minimize occupational burnout problem.
Collapse
Affiliation(s)
- Jakub Dobroch
- Department of Gynecology and Gynecologic Oncology, University Oncology Center, Medical University of Białystok, Poland
| | - Marta Baczewska
- Department of Gynecology and Gynecologic Oncology, University Oncology Center, Medical University of Białystok, Poland
| | - Alicja Szyłejko
- Main Operating Theater, University Hospital of Bialystok, Poland
| | | | - Paweł Knapp
- Department of Gynecology and Gynecologic Oncology, University Oncology Center, Medical University of Białystok, Poland
| |
Collapse
|
17
|
Messiaen M, Duba A, Boulangeat C, Boucekine M, Bourbon A, Viprey M, Auquier P, Lançon C, Boyer L, Fond G. [Exposure to professional violence by young physicians in the hospital: MESSIAEN national study]. Encephale 2020; 47:114-122. [PMID: 32928537 DOI: 10.1016/j.encep.2020.05.020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2020] [Revised: 04/23/2020] [Accepted: 05/16/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND Hospital professional violence is defined as hostile and aggressive behavior exerted by health professionals on other health professionals. No quantitative study has been carried out to date on French hospital professional violence among young physicians, while recent qualitative studies have suggested a potential high frequency. The main objective was to determine the prevalence of exposure of young doctors to hospital violence. The secondary objective was to determine their characteristics and consequences as well as to determine if students and young physicians (resident and young MD) differed. METHODS The study was a national cross-sectional observational epidemiological study that included 4th-year medical students and young physicians (MD for less than 2 years). Thirty-seven French faculties of medicine were contacted for email recruitment of participants. Social networks were used to increase the visibility of the study. The questionnaire was developed after exhaustive review of the international literature dealing with professional violence in hospitals, its characteristics and its consequences in terms of mental health, addiction, personal and professional life. The report of these events was also explored. RESULTS In total, 2003 participants have been included. More than nine out of ten participants were exposed to hospital violence at least once and nearly 42% to moral harassment as defined by the French law. This violence does not differ between the students and the residents/young MDs, suggesting that working time in the hospital does not seem to affect this risk. Nearly 80 % of interns and young MDs reported working more than the legal time. The perpetrators of violence include in almost all cases at least one man, often a senior doctor, but students reported the presence of at least one woman among the perpetrators in ¾ of cases. The victims are as often men as women. Compared to the undergraduate medical students, residents and young MDs more frequently reported poor outcomes on their mental health, addictive behavior, personal and professional lives. The majority of victims reported the event to a peer but fewer than 10% to the head of the department, a professor or an instance that could have acted. In almost all cases, participants reported the continuation of abusive behavior after the event. In total, 42% of students think that this is simple part of medical studies that they must endure. CONCLUSION These results suggest the need to develop specific information and prevention programs for professional hospital violence in France.
Collapse
Affiliation(s)
- M Messiaen
- Secteur Timone, EA 3279 : CEReSS - centre d'étude et de recherche sur les services de santé et la qualité de vie, faculté de médecine, Aix-Marseille Université, 27, boulevard Jean-Moulin, 13005 Marseille, France
| | - A Duba
- Secteur Timone, EA 3279 : CEReSS - centre d'étude et de recherche sur les services de santé et la qualité de vie, faculté de médecine, Aix-Marseille Université, 27, boulevard Jean-Moulin, 13005 Marseille, France
| | - C Boulangeat
- Secteur Timone, EA 3279 : CEReSS - centre d'étude et de recherche sur les services de santé et la qualité de vie, faculté de médecine, Aix-Marseille Université, 27, boulevard Jean-Moulin, 13005 Marseille, France
| | - M Boucekine
- Secteur Timone, EA 3279 : CEReSS - centre d'étude et de recherche sur les services de santé et la qualité de vie, faculté de médecine, Aix-Marseille Université, 27, boulevard Jean-Moulin, 13005 Marseille, France
| | - A Bourbon
- Secteur Timone, EA 3279 : CEReSS - centre d'étude et de recherche sur les services de santé et la qualité de vie, faculté de médecine, Aix-Marseille Université, 27, boulevard Jean-Moulin, 13005 Marseille, France
| | - M Viprey
- Secteur Timone, EA 3279 : CEReSS - centre d'étude et de recherche sur les services de santé et la qualité de vie, faculté de médecine, Aix-Marseille Université, 27, boulevard Jean-Moulin, 13005 Marseille, France
| | - P Auquier
- Secteur Timone, EA 3279 : CEReSS - centre d'étude et de recherche sur les services de santé et la qualité de vie, faculté de médecine, Aix-Marseille Université, 27, boulevard Jean-Moulin, 13005 Marseille, France
| | - C Lançon
- Secteur Timone, EA 3279 : CEReSS - centre d'étude et de recherche sur les services de santé et la qualité de vie, faculté de médecine, Aix-Marseille Université, 27, boulevard Jean-Moulin, 13005 Marseille, France
| | - L Boyer
- Secteur Timone, EA 3279 : CEReSS - centre d'étude et de recherche sur les services de santé et la qualité de vie, faculté de médecine, Aix-Marseille Université, 27, boulevard Jean-Moulin, 13005 Marseille, France
| | - G Fond
- Secteur Timone, EA 3279 : CEReSS - centre d'étude et de recherche sur les services de santé et la qualité de vie, faculté de médecine, Aix-Marseille Université, 27, boulevard Jean-Moulin, 13005 Marseille, France.
| |
Collapse
|
18
|
Sexual harassment exposure and impaired mental health in medical students. The MESSIAEN national study. J Affect Disord 2020; 274:276-281. [PMID: 32469816 DOI: 10.1016/j.jad.2020.05.100] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2020] [Revised: 03/16/2020] [Accepted: 05/15/2020] [Indexed: 11/23/2022]
Abstract
BACKGROUND A previous national study has suggested that around 20% of French working women reported sexual harassment (SH) at work but we lack of data in medical students of French hospitals to guide prevention programs. OBJECTIVES To determine SH prevalence in a national sample of French medical students and to validate a theoretical model explaining SH causes and its impact of mental health. METHODS The study is a cross-sectional observational epidemiological national study. SH was defined according to the French legal definition. We further explored other discriminations and their potential association with impaired mental health in medical students. Mental health was assessed by Hamilton Anxiety & Depression scale, psychotropic drug consumption and psychotherapy follow-up. A Structured Equation Modeling was carried out to confirm our theoretical model. RESULTS 2003 participants were recruited. SH was reported by 15.7% of the participants (19.8% of women and 5.2% of men). The SEM model showed good fit (RMSEA=0.024, CFI=0.90, TLI=0.87, WRMR=1.165). SH was associated with risk factors such as feminine gender and surgical and anesthesiology specialties. SH was also associated with exposure to discriminations based on the specialty choice and sexual orientation. SH was associated with impaired mental health. CONCLUSION French medical student women reported similar rates of SH than other working women, suggesting that SH prevention programs are needed in French hospitals. Surgery and anesthesiology should be targeted in priority. The prevention programs should also target other discriminations and should be evaluated in terms of potential mental health improvement.
Collapse
|
19
|
Galaiya R, Kinross J, Arulampalam T. Factors associated with burnout syndrome in surgeons: a systematic review. Ann R Coll Surg Engl 2020; 102:401-407. [PMID: 32326734 PMCID: PMC7388944 DOI: 10.1308/rcsann.2020.0040] [Citation(s) in RCA: 89] [Impact Index Per Article: 22.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/12/2020] [Indexed: 12/12/2022] Open
Abstract
INTRODUCTION To date, studies have shown a high prevalence of burnout in surgeons. Various factors have been found to be associated with burnout, and it has significant consequences personally and systemically. Junior doctors are increasingly placing their own health and wellbeing as the most important factor in their decisions about training. Finding ways to reduce and prevent burnout is imperative to promote surgical specialties as attractive training pathways. METHODS The MEDLINE, PsychInfo and EMBASE databases were searched using the subject headings related to surgery and burnout. All full text articles that reported data related to burnout were eligible for inclusion. Articles which did not use the Maslach Burnout Inventory or included non-surgical groups were excluded; 62 articles fulfilled the criteria for inclusion. FINDINGS Younger age and female sex tended to be associated with higher levels of burnout. Those further in training had lower levels of burnout, while residents suffered more than their seniors. Burnout is associated with a lower personal quality of life, depression and alcohol misuse. Academic work and emotional intelligence may be protective of burnout. Certain personality types are less likely to be burnt out. Mentorship may reduce levels of burnout. CONCLUSIONS Workload and work environment are areas that could be looked at to reduce job demands that lead to burnout. Intervening in certain psychological factors such as emotional intelligence, resilience and mindfulness may help to reduce burnout. Promoting physical and mental health is important in alleviating burnout, and these factors likely have a complex interplay.
Collapse
Affiliation(s)
- R Galaiya
- Barnet, Enfield and Haringey Mental Health NHS Trust
| | - J Kinross
- Department of Surgery and Cancer, Imperial College London, UK
| | - T Arulampalam
- School of Medicine, Anglia Ruskin University, Chelmsford
| |
Collapse
|
20
|
Kollias CM, Okoro T, Tufescu TV, Wadey V. Distress in orthopedic trainees and attending surgeons: a Canadian national survey. Can J Surg 2020; 63:E190-E195. [PMID: 32356949 DOI: 10.1503/cjs.004319] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Background Physician health is of increasing concern in health care systems. The purpose of this study was to determine the prevalence of distress among orthopedic surgeons and trainees and to identify factors associated with distress. Methods Voluntary, anonymous online surveys were sent to attending orthopedic surgeons and orthopedic trainees across Canada. The survey for attending surgeons used the Expanded Physician Well-Being Index, and the survey for trainees used the Resident/Fellow Well-Being Index. Demographic information was also collected. To look for predictors of physician distress, we evaluated the relationship between respondents' classification as "distressed" and "not distressed" against demographic factors. Results In total, 1138 attending orthopedic surgeons and 493 orthopedic trainees were invited to complete the survey. The survey response rate was 31.2% for attending orthopedic surgeons and 24.3% for orthopedic trainees. Overall, 55.4% of attending surgeons and 40.0% of trainees screened positive for distress. Among both attending surgeons and trainees, having dependents was not a risk factor for distress, nor was gender. Practice location was not a risk factor for distress among attending surgeons. Attending surgeons who were classified as distressed had spent significantly fewer years in practice (median 11 yr) than those who were classified as "not distressed" (median 16 yr) (p = 0.004). Conclusion We found a higher rate of distress among orthopedic surgeons than has been previously reported. The distress rate among orthopedic trainees in this population is similar to that reported in other international publications, although self-reported rates of burnout were higher. The findings from this study may indicate a need for continuing research to determine intrinsic and extrinsic risk factors for distress among orthopedic surgeons and trainees and for the evaluation of prescriptive, evidence-based initiatives to address this crisis.
Collapse
Affiliation(s)
- Carrie M Kollias
- From the Royal Children's Hospital Melbourne, Parkville, Victoria, Australia
| | - Tosan Okoro
- From the Royal Children's Hospital Melbourne, Parkville, Victoria, Australia
| | - Ted V Tufescu
- From the Royal Children's Hospital Melbourne, Parkville, Victoria, Australia
| | - Veronica Wadey
- From the Royal Children's Hospital Melbourne, Parkville, Victoria, Australia
| |
Collapse
|
21
|
Travers V. Burnout in orthopedic surgeons. Orthop Traumatol Surg Res 2020; 106:S7-S12. [PMID: 31740160 DOI: 10.1016/j.otsr.2019.04.029] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/11/2018] [Revised: 03/05/2019] [Accepted: 04/01/2019] [Indexed: 02/02/2023]
Abstract
Burnout corresponds to a state of exhaustion (emotional, physical, mental) that can result in complete psychological and/or physical breakdown. Burnout is a result of how our society has evolved. A recent phenomenon, it affects all strata of society, all corporations, and all countries. Physicians are not immune to it, whether they are in public or private practice and whether they are residents in training or seasoned practitioners. The orthopedic world is particularly affected because of multiple risk factors such as sustained work demands, increased malpractice lawsuits, patients no longer placing physicians on a pedestal, greater bureaucratic demands from hospitals and large practices, institutional control policies, reduced autonomy and aggressive media. This is a highly topical issue, hence this study. We sought to answer the following questions: What is burnout? Burnout has three components: emotional exhaustion, depersonalization, loss of personal accomplishment. Its manifestations are psychological, emotional and also physical. Six psychosocial risk factors have been described. The most relevant to our specialty are the intensity and complexity of the work, and the substantial emotional requirements. What is the frequency of burnout and the risk factors in the medical field? Burnout affects the healthcare sector, especially surgeons with a mean of 40% rate. All age groups, all types of practices and all countries are impacted. The mean suicide rate among surgeons (13.3%) is double that of the general population. The primary risk factors are physical and emotional overload, growing bureaucracy, the burden of malpractice lawsuits and regulatory bodies. How does burnout impact orthopedic and trauma surgery specifically? The burnout rate has been reported to be 30% to 40%, and greater than 50% in residents. The stress level is graded at more than 8/10 in 31% of us, with 40% of practitioners deeming this current stress level unacceptable. Administrative factors and the regulatory burden are said to be the most difficult to handle; consequently, orthopedic surgeons feel the best when they are operating. How can burnout be prevented and treated? The main elements of individual and collective prevention appear to be stress management seminars where surgeons can share their experiences, hear from others in the same situation and adjust their practices. We believe the priority should be placed on managing the work time and number of patients.
Collapse
Affiliation(s)
- Vincent Travers
- Clinique les Lauriers, 147, avenue Jean-Giono, 83600 Fréjus, France.
| |
Collapse
|
22
|
Kemper KJ, Schwartz A, Wilson PM, Mahan JD, Schubert CJ, Staples BB, McClafferty H, Serwint JR, Batra M. Burnout in Pediatric Residents: Three Years of National Survey Data. Pediatrics 2020; 145:peds.2019-1030. [PMID: 31843859 DOI: 10.1542/peds.2019-1030] [Citation(s) in RCA: 62] [Impact Index Per Article: 15.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/21/2019] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND We aimed to describe the national epidemiology of burnout in pediatric residents. METHODS We conducted surveys of residents at 34 programs in 2016, 43 programs in 2017, and 49 programs in 2018. Survey items included the Maslach Burnout Inventory, demographics, program characteristics, personal qualities, experiences, and satisfaction with support, work-life balance, and learning environment. Analyses included cross-sectional comparisons and cross-sectional and longitudinal regression. RESULTS More than 60% of eligible residents participated; burnout rates were >50% in all years and not consistently associated with any demographic or residency characteristics. Cross-sectional associations were significant between burnout and stress, sleepiness, quality of life, mindfulness, self-compassion, empathy, confidence in providing compassionate care (CCC), being on a high-acuity rotation, recent major medical error, recent time off, satisfaction with support and career choice, and attitudes about residency. In cross-sectional logistic regression analyses, 4 factors were associated with an increased risk of burnout: stress, sleepiness, dissatisfaction with work-life balance, and recent medical error; 4 factors were associated with lower risk: empathy, self-compassion, quality of life, and CCC. Longitudinally, after controlling for 2017 burnout and 2018 risk factors (eg, recent error, sleepiness, rotation, and time off), 2017 quality of life was associated with 2018 burnout; 2017 self-compassion was associated with lower 2018 stress; and 2017 mindfulness, empathy, and satisfaction with learning environment and career choice were associated with 2018 CCC. CONCLUSIONS A majority of residents met burnout criteria. Several identified factors (eg, stress, sleepiness, medical errors, empathy, CCC, and self-compassion) suggest targets for interventions to reduce burnout in future studies.
Collapse
Affiliation(s)
- Kathi J Kemper
- Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, Ohio;
| | - Alan Schwartz
- Departments of Medical Education and Pediatrics, College of Medicine, University of Illinois at Chicago, Chicago, Illinois
| | - Paria M Wilson
- Division of Emergency Medicine, Department of Pediatrics, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - John D Mahan
- Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, Ohio
| | | | - Betty B Staples
- Department of Pediatrics, Duke University Medical Center, Durham, North Carolina
| | - Hilary McClafferty
- Department of Medicine, College of Medicine, University of Arizona, Tucson, Arizona
| | - Janet R Serwint
- Depatrtment of Pediatrics, Johns Hopkins University, Baltimore, Maryland; and
| | - Maneesh Batra
- Division of Neonatology, Department of Pediatrics, School of Medicine, University of Washington, Seattle, Washington
| | | |
Collapse
|
23
|
Tawfik DS, Scheid A, Profit J, Shanafelt T, Trockel M, Adair KC, Sexton JB, Ioannidis JPA. Evidence Relating Health Care Provider Burnout and Quality of Care: A Systematic Review and Meta-analysis. Ann Intern Med 2019; 171:555-567. [PMID: 31590181 PMCID: PMC7138707 DOI: 10.7326/m19-1152] [Citation(s) in RCA: 250] [Impact Index Per Article: 50.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
BACKGROUND Whether health care provider burnout contributes to lower quality of patient care is unclear. PURPOSE To estimate the overall relationship between burnout and quality of care and to evaluate whether published studies provide exaggerated estimates of this relationship. DATA SOURCES MEDLINE, PsycINFO, Health and Psychosocial Instruments (EBSCO), Mental Measurements Yearbook (EBSCO), EMBASE (Elsevier), and Web of Science (Clarivate Analytics), with no language restrictions, from inception through 28 May 2019. STUDY SELECTION Peer-reviewed publications, in any language, quantifying health care provider burnout in relation to quality of patient care. DATA EXTRACTION 2 reviewers independently selected studies, extracted measures of association of burnout and quality of care, and assessed potential bias by using the Ioannidis (excess significance) and Egger (small-study effect) tests. DATA SYNTHESIS A total of 11 703 citations were identified, from which 123 publications with 142 study populations encompassing 241 553 health care providers were selected. Quality-of-care outcomes were grouped into 5 categories: best practices (n = 14), communication (n = 5), medical errors (n = 32), patient outcomes (n = 17), and quality and safety (n = 74). Relations between burnout and quality of care were highly heterogeneous (I2 = 93.4% to 98.8%). Of 114 unique burnout-quality combinations, 58 indicated burnout related to poor-quality care, 6 indicated burnout related to high-quality care, and 50 showed no significant effect. Excess significance was apparent (73% of studies observed vs. 62% predicted to have statistically significant results; P = 0.011). This indicator of potential bias was most prominent for the least-rigorous quality measures of best practices and quality and safety. LIMITATION Studies were primarily observational; neither causality nor directionality could be determined. CONCLUSION Burnout in health care professionals frequently is associated with poor-quality care in the published literature. The true effect size may be smaller than reported. Future studies should prespecify outcomes to reduce the risk for exaggerated effect size estimates. PRIMARY FUNDING SOURCE Stanford Maternal and Child Health Research Institute.
Collapse
Affiliation(s)
- Daniel S Tawfik
- Stanford University School of Medicine, Stanford, California (D.S.T., T.S., M.T.)
| | - Annette Scheid
- Brigham and Women's Hospital and Harvard Medical School, llBoston, Massachusetts (A.S.)
| | - Jochen Profit
- Stanford University School of Medicine, Stanford, California, and California Perinatal Quality Care Collaborative, Palo Alto, California (J.P.)
| | - Tait Shanafelt
- Stanford University School of Medicine, Stanford, California (D.S.T., T.S., M.T.)
| | - Mickey Trockel
- Stanford University School of Medicine, Stanford, California (D.S.T., T.S., M.T.)
| | - Kathryn C Adair
- Duke University School of Medicine, Duke University Health System, and Duke Patient Safety Center, Durham, North Carolina (K.C.A., J.B.S.)
| | - J Bryan Sexton
- Duke University School of Medicine, Duke University Health System, and Duke Patient Safety Center, Durham, North Carolina (K.C.A., J.B.S.)
| | - John P A Ioannidis
- Stanford University School of Medicine, Stanford University School of Humanities and Sciences, and Meta-Research Innovation Center at Stanford (METRICS), Stanford, California (J.P.I.)
| |
Collapse
|
24
|
Wong KP, Kaliya-Perumal AK, Oh J. Orthopaedic Resident Burnout: A Literature Review on Vulnerability, Risk Factors, Consequences and Management Strategies. Malays Orthop J 2019; 13:15-19. [PMID: 31467646 PMCID: PMC6702976 DOI: 10.5704/moj.1907.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2019] [Accepted: 05/01/2019] [Indexed: 11/10/2022] Open
Abstract
Introduction: Orthopaedic surgery is physically demanding. Surgeons may have to work long unpredictable hours especially during residency training. This arduous task comes with the risk of burnout leading to negative repercussions to the surgeon and the patient. In view of strategising peer support, we intend to review the literature and analyse whether orthopaedic resident burnout is a global issue. We also intend to derive common strategies to tackle burnout at individual and organisational levels. Materials and Methods: A literature search was carried out in the databases including PubMed, Scopus, SciELO, and Google Scholar to shortlist studies dealing with orthopaedic residency and related burnout. Those studies that used the Maslach Burnout Inventory (MBI) for quantifying burnout were collectively interpreted. Other studies were reviewed to analyse the vulnerability, risk factors, consequences and management strategies related to burnout. Results: Among a total of 72 titles shortlisted, eight studies independently reported burnout among orthopaedic surgery residents/trainees and used MBI as a tool for assessing burnout. Based on the three subscales of MBI, 37.2% had high degree of emotional exhaustion (EE), 48% had high degree of depersonalisation (DP) and 33.1% perceived low personal accomplishment. This signifies the high prevalence of burnout among orthopaedic residents/trainees. Conclusion: Burnout among orthopaedic surgery residents seems to be a universal problem. Risk factors could be multifactorial, influenced by clinical competency and work-home environment. This can be tackled at the individual level by being aware of burnout syndrome, involving in adequate physical activity and spending quality social time; and at the organisational level by duty hour limitation, professional appreciation and mentorship programme.
Collapse
Affiliation(s)
- K P Wong
- Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore
| | | | - Jyl Oh
- Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore
| |
Collapse
|
25
|
de Lima Garcia C, Bezerra IMP, Ramos JLS, do Valle JETMR, Bezerra de Oliveira ML, de Abreu LC. Association between culture of patient safety and burnout in pediatric hospitals. PLoS One 2019; 14:e0218756. [PMID: 31233543 PMCID: PMC6590886 DOI: 10.1371/journal.pone.0218756] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2019] [Accepted: 06/08/2019] [Indexed: 12/02/2022] Open
Abstract
INTRODUCTION Providing safety culture is the first and undoubtedly most important feature that patient care should have, as it is the basis for other measures. There are associations between Burnout Syndrome and lower perceptions of safety culture and greater risks in patient safety. OBJECTIVE To analyze the relationship between patient safety culture and burnout in pediatric hospitals. METHOD This is a cross-sectional study with a quantitative approach performed with health professionals who work in pediatric hospitals located in the Metropolitan Region of Cariri, Northeastern Brazil. The study enrolled 148 professionals who performed direct health care for the child in three different hospitals. For the evaluation of the Patient Safety Culture, the version, translated and validated for Brazil, of the Survey on Patient Safety Culture (HSOPSC) questionnaire was applied and to evaluate the occurrence of Burnout, we chose the Maslach Burnout Inventory (MBI). RESULTS Among the dimensions of burnout that presented the most moderate to high, depersonalization and low professional achievement stand out. When considering the syndrome with the professional who presented a "high" score in only one of the three dimensions, it was identified that 44.6% presented the disease. All patient safety dimensions studied correlated with some dimension of burnout. CONCLUSION The study evidenced the influence of all patient safety domains for the development of burnout syndrome in pediatric professionals. Also, it was identified that the organizational climate is the main determinant of burnout, especially in what refers to "teamwork between units".
Collapse
Affiliation(s)
- Cintia de Lima Garcia
- Setor de Pós-graduação, Pesquisa e Inovação, Centro Universitário Saúde ABC, FMABC, Santo André, SP, Brazil
- Faculdade de Medicina Estácio de Juazeiro do Norte, FMJ, Juazeiro do Norte, Ceará, Brazil
| | - Italla Maria Pinheiro Bezerra
- Setor de Pós-graduação, Pesquisa e Inovação, Centro Universitário Saúde ABC, FMABC, Santo André, SP, Brazil
- Programa de Pós-graduação em Políticas Públicas e Desenvolvimento Local, Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória, EMESCAM, Vitória, ES, Brazil
- Laboratório de Escrita Científica, Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória, EMESCAM, Vitória, ES, Brazil
| | - José Lucas Souza Ramos
- Laboratório de Escrita Científica, Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória, EMESCAM, Vitória, ES, Brazil
| | | | - Maryldes Lucena Bezerra de Oliveira
- Setor de Pós-graduação, Pesquisa e Inovação, Centro Universitário Saúde ABC, FMABC, Santo André, SP, Brazil
- Centro Universitário Doutor Leão Sampaio, Juazeiro do Norte, Ceará, Brazil
| | - Luiz Carlos de Abreu
- Setor de Pós-graduação, Pesquisa e Inovação, Centro Universitário Saúde ABC, FMABC, Santo André, SP, Brazil
- Programa de Pós-graduação em Políticas Públicas e Desenvolvimento Local, Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória, EMESCAM, Vitória, ES, Brazil
| |
Collapse
|
26
|
Faivre G, Marillier G, Nallet J, Nezelof S, Clment I, Obert L. Are French orthopedic and trauma surgeons affected by burnout? Results of a nationwide survey. Orthop Traumatol Surg Res 2019; 105:395-399. [PMID: 30819660 DOI: 10.1016/j.otsr.2018.12.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2018] [Revised: 12/12/2018] [Accepted: 12/17/2018] [Indexed: 02/02/2023]
Abstract
INTRODUCTION Burnout is a pathology that can affect care-giving professionals. It associates emotional exhaustion (EE), depersonalization (DP) and impaired personal accomplishment (PA). Surgery entails great responsibility and frequently heavy workloads, incurring risk of burnout. Data, however, are not available for French orthopedic and trauma surgeons. We therefore conducted a prospective survey to 1) assess burnout prevalence in French orthopedic surgeons, and 2) investigate risk factors and protective factors. HYPOTHESIS Burnout prevalence is at least as high in French orthopedic surgeons as in other medical and surgical specialties. MATERIALS AND METHODS A nationwide survey was conducted in France between February and April 2017, using a digitized questionnaire sent out by e-mail. Burnout was assessed on the MBI (Maslach Burnout Inventory), and depressive symptoms on the GHQ-12 (General Health Questionnaire-12). Demographic and occupational data were also collected. RESULTS Out of 1,900 surgeons contacted, 441 (23%) responded. Mean age was 50.2±10.1 years; 413 (93.7%) were male. Sixty one (14%) reported elevated EE, 100 (23%) elevated DP, and 82 (19%) impaired AP. One hundred and seventy two (39%) showed burnout symptomatology (e.g., pathologic score on one MBI scale), while 47 (10%) had pathologic scores on 2 or 3 scales, indicating severe burnout. One hundred and ninety three (43%) would not advise their children to take up orthopedic surgery. Thirty eight (8%) expressed suicidal ideation. Statistical analysis identified public-sector practice (OR=4.6; 95% CI: 2.1-10.7; p=0.0002) and pathologic GHQ-12 score (OR=6.3; 95% CI: 2.2-17.8; p=0.0006) as risk factors for burnout. Outside activity (OR=0.39; 95% CI: 0.1-0.9; p=0.0406) and male gender (OR=0.2; 95% CI: 0.05-0.7; p=0.0160) emerged as protective factors. DISCUSSION Despite a response rate of only 23% (n=441/1,900), the present study sheds light on burnout rates in French orthopedic surgeons, with 39% burnout symptoms and 10% severe burnout. Burnout impacts personal and occupational life, with increased suicidal ideation and impaired quality of life. The present results confirm the importance of screening and treatment in care-providers. TYPE OF STUDY Level IV, prospective descriptive transverse study without control group.
Collapse
Affiliation(s)
- Grégoire Faivre
- Service de Chirurgie Orthopédique, Département Universitaire, CHU de Besançon, 3, boulevard Alexandre-Fleming, 25000 Besançon, France.
| | - Guillaume Marillier
- Service de Chirurgie Orthopédique, Département Universitaire, CHU de Besançon, 3, boulevard Alexandre-Fleming, 25000 Besançon, France
| | - Jérémie Nallet
- Service de Chirurgie Orthopédique, Département Universitaire, CHU de Besançon, 3, boulevard Alexandre-Fleming, 25000 Besançon, France
| | - Sylvie Nezelof
- Service de Psychiatrie de l'Adulte, Département Universitaire, CHU de Besançon, 25000 Besançon, France
| | - Isabelle Clment
- Service de Médecine du Travail, CHU de Besançon, 3, boulevard Alexandre-Fleming, 25000 Besançon, France
| | - Laurent Obert
- Service de Chirurgie Orthopédique, Département Universitaire, CHU de Besançon, 3, boulevard Alexandre-Fleming, 25000 Besançon, France
| |
Collapse
|
27
|
Rangasamy V, Thampi Susheela A, Mueller A, F H Chang T, Sadhasivam S, Subramaniam B. The effect of a one-time 15-minute guided meditation (Isha Kriya) on stress and mood disturbances among operating room professionals: a prospective interventional pilot study. F1000Res 2019; 8:335. [PMID: 32665843 PMCID: PMC7327726 DOI: 10.12688/f1000research.18446.1] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/07/2019] [Indexed: 11/20/2022] Open
Abstract
Background: Operating room professionals are exposed to high levels of stress and burnout. Besides affecting the individual, it can compromise patient safety and quality of care as well. Meditation practice is getting recognized for its ability to improve wellness among various populations, including healthcare providers. Methods: Baseline stress levels of perioperative healthcare providers were measured via an online survey using a Perceived Stress Scale (PSS) questionnaire. An in-person meditation workshop was demonstrated during surgical grand rounds and an international anesthesia conference using a 15-minute guided Isha Kriya meditation. The participants were then surveyed for mood changes before and after meditation using a Profile of Mood States (POMS) questionnaire. Results: Surgeons and anesthesiologists were found to have higher median (interquartile range) Perceived Stress Scores as compared to nurses respectively (17 [12, 20] and 17 [12, 21] vs 14 [9, 19];
P = 0.01). Total mood disturbances were found to be significantly reduced after meditation in both the surgical grand rounds (pre-meditation median [IQR] 99 [85, 112] vs 87 [80, 93] post-meditation;
P < 0.0001) and anesthesia conference cohorts (pre-meditation 92 [86, 106] vs 87 [81, 92] post-meditation;
P < 0.0001). Conclusions: Isha Kriya, a guided meditation, is easy to learn and takes less than 15 minutes to complete. This meditation technique improves mood changes and negative emotions among operating room professionals and could be used as a potential tool for improving wellness.
Collapse
Affiliation(s)
- Valluvan Rangasamy
- Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, 02215, USA
| | - Ammu Thampi Susheela
- Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, 02215, USA
| | - Ariel Mueller
- Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, 02215, USA
| | - Tracy F H Chang
- Department of Labor Studies and Employment Relations (LSER),, Rutgers University, New Brunswick, NJ, USA
| | - Senthilkumar Sadhasivam
- Department of Anesthesiology, Riley's Hospital for Children, Indiana University School of Medicine,, Indianapolis,, IN, USA
| | - Balachundhar Subramaniam
- Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, 02215, USA
| |
Collapse
|