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Provider Burnout

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41. Mindfulness-based interventions to reduce burnout and stress in physicians: a systematic review and meta-analysis

Mindfulness-based interventions to reduce burnout and stress in physicians: a systematic review and meta-analysis 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, any associated (...) 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 into the relationship between study

2019 PROSPERO

42. A systematic review of the worldwide prevalence of burnout in anesthesiology residents.

A systematic review of the worldwide prevalence of burnout in anesthesiology residents. 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, any associated files or external websites (...) 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 into the relationship between study characteristics (e.g. species, sex

2019 PROSPERO

43. Inaction is driving our collective burnout

clinicians. Story by story, they’re telling us that our nation is in crisis. Too many people are dying too unnecessarily from too many treatable conditions by too many factors that we can control. Sure, no one likes the electronic medical record. But that’s not at the heart of burnout. Inaction is driving our collective burnout — not just in health care, but in all care. Again and again, providers across the country are put in a position of saying, “We did all we could.” They may have done all they could (...) Inaction is driving our collective burnout Inaction is driving our collective burnout Inaction is driving our collective burnout | | January 9, 2019 29 Shares I sat knee-to-knee with a nurse practitioner at a school-based clinic in rural Ohio. Choking back tears, she described a patient she couldn’t get out of her head: a middle-school girl, accompanied by her mother and a social worker. Just days prior, the girl was dropped off at her father’s home for the weekend. Before the promised Friday

2019 KevinMD blog

44. Burnout among medical students during the first years of undergraduate school: Prevalence and associated factors. (PubMed)

Burnout among medical students during the first years of undergraduate school: Prevalence and associated factors. To evaluate the prevalence and possible factors associated with the development of burnout among medical students in the first years of undergraduate school.A cross-sectional study was conducted at the Barretos School of Health Sciences, Dr. Paulo Prata. A total of 330 students in the first four years of medical undergraduate school were invited to participate in responding (...) to the sociodemographic and Maslach Burnout Inventory-Student Survey (MBI-SS) questionnaires. The first-year group consisted of 150 students, followed by the second-, third-, and fourth-year groups, with 60 students each.Data from 265 students who answered at least the sociodemographic questionnaire and the MBI-SS were analyzed (response rate = 80.3%). One (n = 1, 0.3%) potential participant viewed the Informed Consent Form but did not agree to participate in the study. A total of 187 students (187/265, 70.6

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2018 PLoS ONE

45. A psychiatrist’s attempt to stop burnout

. Crossroads provided a protected hour of self-reflection and discussion between PGY-1 internal medicine residents twice a month throughout the NYU health system. Guided by psychiatrists, discussions relating to burnout, depression, and suicide were just a few of the talking points that interns explored. Confidentiality and food were provided to fortify the idea that our colleagues’ thoughts were protected and that this hour could be a sense of reprieve from the ebb and flow of a chaotic workday (...) . Contingency planning was also established so that if trainees presented with thoughts of suicidal ideation or another psychiatric emergency, our psychiatrists could get them urgent help in a safe and confidential manner. While still in its youth, Crossroads has shown promising results. Attendance has risen, and trainees who are need have been referred to mental health providers for extra assistance. There is still much work to be done. Burnout is a system’s issue, and we do require systemic change to make

2019 KevinMD blog

46. Fixing physician burnout means changing the culture of medicine

. For instance, last fall Michigan Medicine began offering to new mothers, fathers, and guardians six weeks of paid leave after the birth or adoption of a child. We are expanding child-care support and reviewing scheduling procedures to provide more flexibility to our caregivers without compromising patient care. Recognizing that sharp increases in are a major contributor to burnout, Michigan Medicine is testing the effectiveness of using scribes to handle some paperwork chores as well as new approaches (...) Fixing physician burnout means changing the culture of medicine Fixing physician burnout means changing the culture of medicine Fixing physician burnout means changing the culture of medicine | | February 22, 2019 32 Shares A talented young physician was concerned about her job at Michigan Medicine, where we both work. She thought she might have to leave the organization because she could not meet mandatory early-morning start times for procedures or outpatient visits. She was especially

2019 KevinMD blog

47. Differences in burnout prevalence between clinical professionals and biomedical scientists in an academic medical centre: a cross-sectional survey. (PubMed)

Differences in burnout prevalence between clinical professionals and biomedical scientists in an academic medical centre: a cross-sectional survey. To determine the prevalence and associated factors for personal, work-related and patient/client-related burnout in clinical professionals and biomedical scientists in academic medicine.Prevalence survey using the Copenhagen Burnout Inventory.Mid-size academic health centre.Clinical providers (n=6489) and biomedical scientists (n=248) were invited (...) to complete the survey. 1646 completed responses (response rate 24.4%) were analysed.Prevalence estimates and adjusted ORs (AOR) were stratified for gender, age and professional category.Type of burnout varies across professional categories, with significant differences between clinicians and scientists. The prevalence of personal burnout was 52.7% (95%CI 50% to 55%), work-related burnout 47.5% (95%CI 45% to 49%) and patient/client-related burnout 20.3% (95%CI 18% to 22%). The prevalence of personal

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2019 BMJ open

48. Burnout among obstetricians and paediatricians: a cross-sectional study from China. (PubMed)

Burnout among obstetricians and paediatricians: a cross-sectional study from China. Hospitals devoted to maternal and child health represent unique healthcare institutions in China. Healthcare professionals in these hospitals attend to health services for women and children, and also provide technical services and support for district maternal and children's healthcare as well as family planning. However, few studies have examined occupational burnout among doctors employed in these hospitals (...) . This research addresses the gap in the literature.A cross-sectional survey of obstetricians and paediatricians from 11 maternal and child health hospitals across China was conducted May through June 2017. A total of 678 people completed a self-administered questionnaire. The survey included questions about demographics, doctor-patient relationships and networks of support as well as characteristics designed to capture the occurrence of burnout, such as emotional exhaustion, cynicism and professional

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2019 BMJ open

49. Evaluating and Exploring Variations in Surgical Resident Emotional Intelligence and Burnout. (PubMed)

temporally as a potential target for education. This may allow us to utilize objective measures to reduce burnout among our residents.A prospective study of general surgery residents at a single institution was performed via self-reporting assessments on personal demographics, the Maslach Burnout Inventory (MBI), and the Scale of Emotional Functioning: Health Service Provider at 3 separate time-points.A medium sized academic medical center in Tennessee approved to graduate 6 chief residents per year.All (...) Evaluating and Exploring Variations in Surgical Resident Emotional Intelligence and Burnout. Surgery resident burnout rates are on the rise, ranging from 50% to 69%. Burnout is associated with increased risk of error and poorer patient satisfaction. Emotional intelligence (EI) is defined as the capacity to be aware of, control, and express one's emotions, and to handle interpersonal relationships judiciously and empathetically. We seek to evaluate the correlation between EI and burnout

2019 Journal of Surgical Education

50. Occupational variation in burnout among medical staff: Evidence for the stress of higher status. (PubMed)

Occupational variation in burnout among medical staff: Evidence for the stress of higher status. Contemporary research highlights the serious mental health issues facing physicians and allied health professionals. Yet to date, much of this research has focused on these occupational groups in isolation. Drawing upon data collected from medical staff in a neonatal intensive care unit (N = 222), we address this gap by contrasting the mental health and workplace experiences of four groups (...) of healthcare workers: physicians, nurse practitioners, registered nurses, and respiratory therapists. We find evidence that higher status healthcare workers-physicians and nurse practitioners-are more likely than their colleagues to report work-life conflict, irregular work hours, and heavy work pressure. These stressors explain an appreciable amount of the higher levels of burnout found among physicians and nurse practitioners. Collectively, results lend support to "the stress of higher status" hypothesis

2019 Social Science & Medicine

51. Stress, burnout, depression and work satisfaction among UK anaesthetic trainees: a qualitative analysis of in-depth participant interviews in the Satisfaction and Wellbeing in Anaesthetic Training study. (PubMed)

Stress, burnout, depression and work satisfaction among UK anaesthetic trainees: a qualitative analysis of in-depth participant interviews in the Satisfaction and Wellbeing in Anaesthetic Training study. Anaesthetists experience unique stressors, and recent evidence suggests a high prevalence of stress and burnout in trainee anaesthetists. There has been no in-depth qualitative analysis to explore this further. We conducted semi-structured interviews to explore contributory and potentially (...) protective factors in the development of perceived stress, burnout, depression and low work satisfaction. We sampled purposively among participants in the Satisfaction and Wellbeing in Anaesthetic Training study, reaching data saturation at 12 interviews. Thematic analysis identified three overarching themes: factors enabling work satisfaction; stressors of being an anaesthetic trainee; and suggestions for improving working conditions. Factors enabling work satisfaction were patient contact

2019 Anaesthesia

52. A Cross-sectional Analysis of Compassion Fatigue, Burnout, and Compassion Satisfaction in Pediatric Emergency Medicine Physicians in the United States. (PubMed)

A Cross-sectional Analysis of Compassion Fatigue, Burnout, and Compassion Satisfaction in Pediatric Emergency Medicine Physicians in the United States. The objective was to determine the prevalence of compassion fatigue (CF), burnout (BO), and compassion satisfaction (CS) and identify potential personal and professional predictors of these phenomena in pediatric emergency medicine (PEM) physicians.A modified Compassion Fatigue and Satisfaction Self-Test for Helpers and a questionnaire (...) environment," and engaging in prayer/meditation were each significant determinants of higher CF scores, whereas "socializing with family/friends" was significantly associated with lower CF scores. CF score, emotional depletion, and distress due to "coworkers" were each significant determinants of higher BO scores, whereas CS score and "talking with a family member" as a means of self-care were significantly associated with lower BO scores. Socializing with family/friends and >20 years as PEM provider were

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2019 Academic Emergency Medicine

53. High Prevalence of Burnout Among US Emergency Medicine Residents: Results From the 2017 National Emergency Medicine Wellness Survey. (PubMed)

rates for this same sample were 18.2% (95% confidence interval 16.3% to 20.1%) with the more restrictive definition and 80.9% (95% confidence interval 78.9% to 82.9%) with the more inclusive definition.The majority of US emergency medicine residents responding to this survey reported symptoms consistent with burnout, highlighting that physician burnout in the emergency medicine profession seems to begin as early as residency training. These findings may provide a baseline against which future work (...) High Prevalence of Burnout Among US Emergency Medicine Residents: Results From the 2017 National Emergency Medicine Wellness Survey. Previous work shows that emergency medicine attending physicians have higher-than-average rates of burnout. Preliminary data suggest that emergency medicine residents are also at risk for burnout. The objective of this study was to conduct the first national survey assessment of US emergency medicine residents to determine the prevalence of burnout.This

2019 Annals of Emergency Medicine

54. A cross-sectional study of burnout and its associations with learning environment and learner factors among psychiatry residents within a National Psychiatry Residency Programme. (PubMed)

A cross-sectional study of burnout and its associations with learning environment and learner factors among psychiatry residents within a National Psychiatry Residency Programme. Multiple studies have reported high burnout rates among residents, including psychiatry. There is a paucity of studies examining the relationship between burnout and learning context, stress levels, resilience, stigma in healthcare providers and coping methods concurrently within the same cohort.We examined the rate (...) , greater perceived stress was correlated with poorer perception of learning environment (rs=-0.549) and greater use of active-avoidance coping (rs=0.450) versus additional use of problem-focussed coping within the non-burnout group.Burnout was related to both environment and learner factors. These findings viewed within the transactional, sequential and imbalance models of burnout suggest the need to address stressors, beef up coping, provide continual support and develop resilience among our learners

2019 BMJ open

55. Burnout among doctors in China through 2018: A protocol of systematic review and meta-analysis. (PubMed)

, timeline, and correlation between these factors in burnout; we expect our work may provide a scientific basis for further prevention and intervention of burnout in Chinese doctors, eventually to improve the quality of health care.CRD42018104249. (...) Burnout among doctors in China through 2018: A protocol of systematic review and meta-analysis. Burnout negatively impacts the mental and physical health doctors. More seriously, it leads to poor patient care. In China, the situation is severe and more efforts are needed to reveal the epidemiological characteristics of doctor burnout to develop improved strategies of alleviating it. Due to the large number of heterogeneous and sample size-restricted surveys currently published, meta-analysis

2019 Medicine

56. Physician Stress and Burnout. (PubMed)

Physician Stress and Burnout. Tens (or hundreds) of thousands of Americans die each year as a result of preventable medical errors. Changes in the practice and business of medicine have caused some to question whether burnout among physicians and other healthcare providers may adversely affect patient outcomes. A clear consensus supports the contention that burnout affects patients, albeit with low quality objective data. The psychological and physical impact on physicians and other providers (...) is quite clear however, and the impact on the physician workforce (where large shortages are projected) is yet another cause for concern. We have all heard the airplane safety announcement remind us to "please put on your own oxygen mask first before assisting others." But, like many airline passengers (very few of whom use oxygen masks correctly when they are needed), physicians often do not recognize symptoms of burnout or depression, and even less often do they seek help. We detail causes

2019 American Journal of Medicine

57. An empirical study of how emotion dysregulation and social cognition relate to occupational burnout in dentistry. (PubMed)

An empirical study of how emotion dysregulation and social cognition relate to occupational burnout in dentistry. Introduction Dentists are frequently exposed to occupational stressors, including emotionally tense interactions with patients who are experiencing pain, anxiety and fear. Unsurprisingly, dentists are also a group that experience particularly high levels of occupational burnout. The present study provides the first empirical test of whether occupational burnout is higher (...) , and general wellbeing is lower, for dental practitioners and students who have greater difficulties managing their own emotions (emotion dysregulation) and detecting and interpreting social cues from others (social cognitive difficulties).Materials and methods Ninety-six dental practitioners and 54 dental students completed validated measures of emotion regulation, social cognitive function, occupational burnout and wellbeing.Results Consistent with broader literature, rates of burnout were significantly

2019 British Dental Journal

58. The Use of Online Physician Training Can Improve Patient Experience and Physician Burnout. (PubMed)

The Use of Online Physician Training Can Improve Patient Experience and Physician Burnout. The authors tested the efficacy of an integrated approach to improving patient experience and physician burnout using a 24-week online training program coupled with a physician engagement strategy. Physicians from different disciplines were randomized to intervention (n = 30) and control (n = 33) groups. Patient experience, physician burnout, and satisfaction data were assessed using patient and provider (...) surveys. Comparisons were made pre and post intervention, and between the groups. Intervention group mean scores increased (+1.40 points) while control group scores dropped (-0.11 points; P = .039). Scores on physician burnout surveys for the intervention group improved in all areas and changes in 2 domains were statistically significant. In all, 73.5% of physicians felt the program was effective. This integrated intervention enhanced patient experience scores and positively affected physicians' level

2019 American Journal of Medical Quality

59. Orthopaedic Resident Burnout Is Associated with Poor In-Training Examination Performance. (PubMed)

; it was most prevalent during the second year of training. Increased levels of the 3 components of burnout were associated with worse performance on the OITE. While there is a lack of consensus in the existing literature, this study provides additional evidence that burnout is negatively associated with 1 aspect of overall resident performance.Orthopaedic surgery residency training is challenging; residents are tasked to acquire a considerable amount of knowledge, develop complex surgical skills, and hone (...) Orthopaedic Resident Burnout Is Associated with Poor In-Training Examination Performance. Resident burnout-the state of exhaustion, maladaptive detachment, and low sense of accomplishment-is a widely documented phenomenon that affects between 27% and 75% of residents in the United States. To our knowledge, no previous study has examined the relationship between resident burnout and performance on the Orthopaedic In-Training Examination (OITE). The current investigation sought to evaluate

2019 The Journal of Bone and Joint Surgery. American Volume

60. Registered Nurse Burnout, Job Dissatisfaction, and Missed Care in Nursing Homes. (PubMed)

% confidence interval [CI] = 2.56-9.66) than RNs without burnout. RNs who were dissatisfied were 2.6 times more likely to leave necessary care undone (OR = 2.56; 95% CI = 1.68-3.91) than RNs who were satisfied. Tasks most often left undone were comforting/talking with patients, providing adequate patient surveillance, patient/family teaching, and care planning.Missed nursing care due to inadequate time or resources is common in nursing homes and is associated with RN burnout and job dissatisfaction (...) Registered Nurse Burnout, Job Dissatisfaction, and Missed Care in Nursing Homes. To examine the relationship between registered nurse (RN) burnout, job dissatisfaction, and missed care in nursing homes.Cross-sectional secondary analysis of linked data from the 2015 RN4CAST-US nurse survey and LTCfocus.A total of 540 Medicare- and Medicaid-certified nursing homes in California, Florida, New Jersey, and Pennsylvania.A total of 687 direct care RNs.Emotional Exhaustion subscale of the Maslach

2019 Journal of the American Geriatrics Society

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