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Provider Burnout

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1. Evidence Relating Health Care Provider Burnout and Quality of Care: A Systematic Review and Meta-analysis. (PubMed)

Evidence Relating Health Care Provider Burnout and Quality of Care: A Systematic Review and Meta-analysis. Whether health care provider burnout contributes to lower quality of patient care is unclear.To estimate the overall relationship between burnout and quality of care and to evaluate whether published studies provide exaggerated estimates of this relationship.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.Peer-reviewed publications, in any language, quantifying health care provider burnout in relation to quality of patient care.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.A total of 11 703 citations were identified, from which 123

2019 Annals of Internal Medicine

2. Workforce, Workload, and Burnout Among Intensivists and Advanced Practice Providers: A Narrative Review. (PubMed)

Workforce, Workload, and Burnout Among Intensivists and Advanced Practice Providers: A Narrative Review. To assess-by literature review and expert consensus-workforce, workload, and burnout considerations among intensivists and advanced practice providers.Data were synthesized from monthly expert consensus and literature review.Workforce and Workload section workgroup of the Academic Leaders in Critical Care Medicine Task Force.Multidisciplinary care teams led by intensivists are an essential (...) to reduce burden on the ICU provider workforce. Prospective studies to assess and avoid the burnout syndrome among intensivists and advanced practice providers are needed.

2019 Critical Care Medicine

3. Systematic review of burnout among healthcare providers in sub-Saharan Africa. (PubMed)

Systematic review of burnout among healthcare providers in sub-Saharan Africa. Burnout is characterized by physical and emotional exhaustion from long-term exposure to emotionally demanding work. Burnout affects interpersonal skills, job performance, career satisfaction, and psychological health. However, little is known about the burden of burnout among healthcare providers in sub-Saharan Africa.Relevant articles were identified through a systematic review of PubMed, Web of Science (Thomson (...) Reuters), and PsycINFO (EBSCO). Studies were selected for inclusion if they examined a quantitative measure of burnout among healthcare providers in sub-Saharan Africa.A total of 65 articles met our inclusion criteria for this systematic review. Previous studies have examined burnout in sub-Saharan Africa among physicians (N = 12 articles), nurses (N = 26), combined populations of healthcare providers (N = 18), midwives (N = 2), and medical or nursing students (N = 7). The majority of studies assessed

2019 BMC Public Health

4. Don’t let burnout impact our ability to provide selfless love

Don’t let burnout impact our ability to provide selfless love Don't let burnout impact our ability to provide selfless love Don’t let burnout impact our ability to provide selfless love | | February 15, 2018 253 Shares The ancient Greeks were one of the first groups of philosophers to recognize and describe the complexity of love. Eros: an intense, passionate form of love. Philia: a deep friendship or affection. Philautia: love for one’s self. Agape: an unconditional love for humanity (...) and selflessness and the purest form of altruism. It recognizes the ability to dedicate oneself sacrificially to the service of humanity. As medical staff members seeing patients day to day, we often allow our hectic schedules and the frequent antagonism we face to cause us severe burnout. We allow the negativity we may receive from patients demanding excessive pain medications or what we believe to be unnecessary medical care, the anger of suffering or their loved ones watching them suffering to impact us

2018 KevinMD blog

5. Prevalence and factors associated with burnout among frontline primary health care providers in low- and middle-income countries: A systematic review (PubMed)

Prevalence and factors associated with burnout among frontline primary health care providers in low- and middle-income countries: A systematic review Background: Primary health care (PHC) systems require motivated and well-trained frontline providers, but are increasingly challenged by the growing global shortage of health care workers. Burnout, defined as emotional exhaustion, depersonalization, and low personal achievement, negatively impacts motivation and may further decrease productivity (...) of already limited workforces. The objective of this review was to analyze the prevalence of and factors associated with provider burnout in low and middle-income countries (LMICs). Methods: We performed a systematic review of articles on outpatient provider burnout in LMICs published up to 2016 in three electronic databases (EMBASE, MEDLINE, and CAB). Articles were reviewed to identify prevalence of factors associated with provider burnout. Results: A total of 6,182 articles were identified, with 20

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2018 Gates Open Research

6. Association of Perceived Futile or Potentially Inappropriate Care With Burnout and Thoughts of Quitting Among Health-Care Providers. (PubMed)

Association of Perceived Futile or Potentially Inappropriate Care With Burnout and Thoughts of Quitting Among Health-Care Providers. Futile or potentially inappropriate care (futile/PIC) has been suggested as a factor contributing to clinician well-being; however, little is known about this association.To determine whether futile/PIC provision is associated with measures of clinician well-being.Cross-sectional, self-administered, online questionnaire.Two New York City Hospitals.Attending (...) surveys, 349 participated. Across all clinicians, 91% reported that they either had or had possibly provided futile/PIC to a patient. Overall, 43.4% of clinicians screened positive for burnout syndrome, 7.8% screened positive for depression, and 35.5% reported thoughts of leaving their job as a result of futile/PIC. The amount of perceived futile/PIC provided was associated with burnout (odds ratio [OR] 3.8 [16-30 patients vs 1-2 patients]; 95% confidence interval [CI]: 1.1-12.8) and having thoughts

2018 American Journal of Hospice and Palliative Medicine

7. A systematic review of the prevalence of reported occupational burnout in pharmacists and antecedents leading to observed burnout

A systematic review of the prevalence of reported occupational burnout in pharmacists and antecedents leading to observed burnout Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record (...) will correct the total number of control animals in the meta-analysis by dividing the number of animals in the control group by the number of treatment groups served. Where applicable, Holm-Bonferroni correction for testing multiple subgroup analyses will be performed. If one or more subgroup analyses cannot be performed due to insufficient data, the p-value will be adjusted accordingly. ">Other Subgroup analysis or meta-regression are used to explore between-study heterogeneity and can provide insight

2019 PROSPERO

8. Primary Care Tasks Associated with Provider Burnout: Findings from a Veterans Health Administration Survey. (PubMed)

Primary Care Tasks Associated with Provider Burnout: Findings from a Veterans Health Administration Survey. The patient-centered medical home (PCMH) is a primary care delivery model predicated on shared responsibility for patient care among members of an interprofessional team. Effective task sharing may reduce burnout among primary care providers (PCPs). However, little is known about the extent to which PCPs share these responsibilities, and which, if any, of the primary care tasks performed (...) burnout.Secondary data analysis of Veterans Health Administration (VHA) survey data from two time periods.327 providers from 23 VA primary care practices within one VHA regional network.The dependent variable was PCP report of burnout. Independent variables included PCP report of the extent to which they performed 14 discrete primary care tasks without reliance on team members; team functioning; and PCP-, clinic-, and system-level variables.In adjusted models, PCP reports of intervening on patient lifestyle

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2017 Journal of General Internal Medicine

9. Factors Associated With Provider Burnout in the NICU. (PubMed)

Factors Associated With Provider Burnout in the NICU. NICUs vary greatly in patient acuity and volume and represent a wide array of organizational structures, but the effect of these differences on NICU providers is unknown. This study sought to test the relation between provider burnout prevalence and organizational factors in California NICUs.Provider perceptions of burnout were obtained from 1934 nurse practitioners, physicians, registered nurses, and respiratory therapists in 41 California (...) NICUs via a validated 4-item questionnaire based on the Maslach Burnout Inventory. The relations between burnout and organizational factors of each NICU were evaluated via t-test comparison of quartiles, univariable regression, and multivariable regression.Overall burnout prevalence was 26.7% ± 9.8%. Highest burnout prevalence was found among NICUs with higher average daily admissions (32.1% ± 6.4% vs 17.2% ± 6.7%, P < .001), higher average occupancy (28.1% ± 8.1% vs 19.9% ± 8.4%, P = .02

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2017 Pediatrics

10. Burnout and its Influencing Factors among Primary Health Care Providers in the North East of Iran. (PubMed)

Burnout and its Influencing Factors among Primary Health Care Providers in the North East of Iran. Burnout is a popular research topics in service providing jobs, including the health care field. This study aimed at assessing the level of job burnout and to consider the important antecedents which might be related to job burnout among primary health care providers in Iran.The participants in this applied cross-sectional study which was conducted in 2013 were 548 primary health care providers (...) , housing status, having a second job and place of residence (p ≥0.05).Lack of personal accomplishment was highly prevalent among the participating primary health care providers. Lack of career advancement and job transfer opportunities may play a role in the burnout of primary health care providers. Therefore, paying attention to this aspect may help to reduce burnout and even increase job engagement.

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2016 PLoS ONE

11. Electronic Health Record Alert-Related Workload as a Predictor of Burnout in Primary Care Providers (PubMed)

Electronic Health Record Alert-Related Workload as a Predictor of Burnout in Primary Care Providers Electronic health records (EHRs) have been shown to increase physician workload. One EHR feature that contributes to increased workload is asynchronous alerts (also known as inbox notifications) related to test results, referral responses, medication refill requests, and messages from physicians and other health care professionals. This alert-related workload results in negative cognitive (...) outcomes, but its effect on affective outcomes, such as burnout, has been understudied.To examine EHR alert-related workload (both objective and subjective) as a predictor of burnout in primary care providers (PCPs), in order to ultimately inform interventions aimed at reducing burnout due to alert workload.A cross-sectional questionnaire and focus group of 16 PCPs at a large medical center in the southern United States.Subjective, but not objective, alert workload was related to two of the three

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2017 Applied clinical informatics

12. Secondary Traumatic Stress and Burnout of North Korean Refugees Service Providers (PubMed)

Secondary Traumatic Stress and Burnout of North Korean Refugees Service Providers The current study investigated the burnout and secondary traumatic stress of service providers for North Korean (NK) refugees based on the conceptual framework of theJob Demands-Resources (JD-R) model of workplace burnout.A cross-sectional self-administered survey was conducted with a national sample consisting of all 63 organizations in direct services to North Korean refugees. Of the estimated total number (...) of 230 service providers comprising of social workers, psychotherapists, job counselors and paraprofessional counselors, 179 completed the survey, a 77.8% return rate.While job resources such as personal commitment to work and organizational support indicated inverse relations to burnout, job demands such as workload, work environment and secondary traumatic stress (STS) showed a positive relationship to worker burnout. The STS were present in more than half of the respondents (51.3%), of which 20.7

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2017 Psychiatry investigation

13. Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout (PubMed)

Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout There is a poorly understood relationship between Leadership WalkRounds (WR) and domains such as safety culture, employee engagement, burnout and work-life balance.This cross-sectional survey study evaluated associations between receiving feedback about actions taken as a result of WR and healthcare worker assessments of patient safety culture (...) , employee engagement, burnout and work-life balance, across 829 work settings.16 797 of 23 853 administered surveys were returned (70.4%). 5497 (32.7% of total) reported that they had participated in WR, and 4074 (24.3%) reported that they participated in WR with feedback. Work settings reporting more WR with feedback had substantially higher safety culture domain scores (first vs fourth quartile Cohen's d range: 0.34-0.84; % increase range: 15-27) and significantly higher engagement scores for four

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2017 BMJ quality & safety

14. Moral distress and its contribution to the development of burnout syndrome among critical care providers (PubMed)

Moral distress and its contribution to the development of burnout syndrome among critical care providers Burnout appears to be common among critical care providers. It is characterized by three components: emotional exhaustion, depersonalization and personal accomplishment. Moral distress is the inability of a moral agent to act according to his or her core values and perceived obligations due to internal and external constraints. We aimed to estimate the correlation between moral distress (...) and burnout among all intensive care unit (ICU) and the step-down unit (SDU) providers (physicians, nurses, nurse technicians and respiratory therapists).A survey was conducted from August to September 2015. For data collection, a self-administered questionnaire for each critical care provider was used including basic demographic data, the Maslach Burnout Inventory (MBI) and the Moral Distress Scale-Revised (MDS-R). Correlation analysis between MBI domains and moral distress score and regression analysis

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2017 Annals of intensive care

15. The Effect of Patient-Centered Medical Homes on Provider Satisfaction and Burnout

The Effect of Patient-Centered Medical Homes on Provider Satisfaction and Burnout "The Effect of Patient-Centered Medical Homes on Provider Satisfactio" by Mallory Danielson < > > > > > Title Author Date of Graduation Summer 8-9-2014 Degree Type Capstone Project Degree Name Master of Science in Physician Assistant Studies Rights . Abstract Background: This promise of a patient centered medical home (PCMH) is being embraced by many, in hopes that it will improve healthcare in the United States (...) by decreasing costs and improving patient outcomes. However, as important as cost and patient outcomes are, another integral part of the PCMH equation isn’t discussed very often: the providers. How will PCMHs impact providers? This systematic review of literature will investigate the use of PCMHs and its affect on the satisfaction and burnout of providers. Methods: An exhaustive search of current medical literature was performed on Medline-OVID, EBMR-Cochrane Review, and CINAHL, using the keyword patient

2014 Pacific University EBM Capstone Project

16. Cross-sectional study: Paediatric intensive care nurses report higher empathy but also higher burnout than other health professionals

study Paediatric intensive care nurses report higher empathy but also higher burnout than other health professionals Free Gillian Colville Statistics from Altmetric.com Commentary on: Latimer M, Jackson PL, Eugène F, et al . Empathy in paediatric intensive care nurses part 1: behavioural and psychological correlates. J Adv Nurs 2017;73:2676–85. Implications for practice and research Intensive care nurses should be provided with advice on how to care for their own psychological well-being at work (...) burnout and secondary traumatic stress. In addition, their pain ratings (both for video cases and for themselves) were significantly higher than those provided by the AHPs. However, the hypothesis that pain exposure would be inversely related to empathy was not found, with nurses reporting higher levels of empathy than AHPs, but also reporting more burnout and secondary traumatic stress. Commentary These findings are consistent with the hypothesis that intensive care nurses become sensitised to pain

2018 Evidence-Based Nursing

17. Cross-sectional study: Personality and interpersonal behaviour may impact on burnout in nurses

. The work also overlooked organisational or other variables that might influence burnout; a longitudinal design may also have provided a more detailed insight into the phenomenon of nurse burnout. These limitations aside, the study provides a useful addition to the evidence base. Burnout needs a base from which it can be constructed, and personality is a good point to start from. The interaction between the mechanisms that produce burnout in nurses is complex, and must be contemplated from a long-term (...) Cross-sectional study: Personality and interpersonal behaviour may impact on burnout in nurses Personality and interpersonal behaviour may impact on burnout in nurses | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional

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2018 Evidence-Based Nursing

18. Burnout- The Hot Topic in Medicine

residents completing the Maslach Burnout Inventory met criteria for burnout. Furthermore, those who met criteria for burnout were significantly more likely to report providing at least one type of suboptimal patient care at least monthly. 2 A 2011 JAMA article from the Mayo Clinic surveying 16,934 residents (74.1% of all internal medicine residents from 2008-2009) demonstrated that 51.5% reported burnout. More significantly, it demonstrated that low quality of life and emotional exhaustion were (...) Burnout- The Hot Topic in Medicine Burnout- The Hot Topic in Medicine – Clinical Correlations Search Burnout- The Hot Topic in Medicine December 8, 2017 7 min read By Monica Gupta, MD and Alice Tang, MD Peer reviewed Physician burnout is a phenomenon that is becoming recognized as widespread in both trainees and in practicing doctors. Long taxing hours, insurmountable educational debt, the burden of daily decisions affecting patients’ lives, and the routine sacrifice of self-care are just a few

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2017 Clinical Correlations

19. Provider perceptions of burnout while engaging in end-of-life care conversations: A pilot study using the Serious Illness Conversation Guide. (PubMed)

Provider perceptions of burnout while engaging in end-of-life care conversations: A pilot study using the Serious Illness Conversation Guide.

2016 Journal of Clinical Oncology

20. Job Burnout in Mental Health Providers: A Meta-Analysis of 35 Years of Intervention Research. (PubMed)

Job Burnout in Mental Health Providers: A Meta-Analysis of 35 Years of Intervention Research. Burnout is prevalent among mental health providers and is associated with significant employee, consumer, and organizational costs. Over the past 35 years, numerous intervention studies have been conducted but have yet to be reviewed and synthesized using a quantitative approach. To fill this gap, we performed a meta-analysis on the effectiveness of burnout interventions for mental health workers. We (...) but positive effect on provider burnout (Hedges' g = .13, p = .006). Moderator analyses suggested that person-directed interventions were more effective than organization-directed interventions at reducing emotional exhaustion (Qbetween = 6.70, p = .010) and that job training/education was the most effective organizational intervention subtype (Qbetween = 12.50, p < .001). Lower baseline burnout levels were associated with smaller intervention effects and accounted for a significant proportion of effect

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2016 Journal of occupational health psychology

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