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Provider Burnout

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

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

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

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

2019 Academic Emergency Medicine

43. 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. (Abstract)

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

44. Burnout among doctors in China through 2018: A protocol of systematic review and meta-analysis. Full Text available with Trip Pro

, 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

45. A cross-sectional study of burnout and its associations with learning environment and learner factors among psychiatry residents within a National Psychiatry Residency Programme. Full Text available with Trip Pro

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

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

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

47. Orthopaedic Resident Burnout Is Associated with Poor In-Training Examination Performance. (Abstract)

; 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

48. Physician Stress and Burnout. Full Text available with Trip Pro

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

49. Registered Nurse Burnout, Job Dissatisfaction, and Missed Care in Nursing Homes. Full Text available with Trip Pro

% 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

50. The Use of Online Physician Training Can Improve Patient Experience and Physician Burnout. (Abstract)

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 Controlled trial quality: uncertain

51. Differences in burnout prevalence between clinical professionals and biomedical scientists in an academic medical centre: a cross-sectional survey. Full Text available with Trip Pro

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

2019 BMJ open

52. Burnout among obstetricians and paediatricians: a cross-sectional study from China. Full Text available with Trip Pro

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

2019 BMJ open

53. "Workplace Physical Activity Program" (WOPAP) study protocol: a four-arm randomized controlled trial on preventing burnout and promoting vigor. Full Text available with Trip Pro

"Workplace Physical Activity Program" (WOPAP) study protocol: a four-arm randomized controlled trial on preventing burnout and promoting vigor. WOPAP is a theoretically-grounded workplace physical activity intervention that aims to reduce work-related burnout and to improve vigor at work and other work-related outcomes. Using a randomized controlled trial, we investigate whether a 10-week program including two Nordic walking sessions per week is effective in improving employee well-being (...) at work, in comparison with another attractive leisure activity (Theatre condition) or a waiting list control condition. The design of the study makes it possible to test the effect on burnout and vigor of the instructor's style during physical activity (i.e., traditional vs. need-supportive style). Finally, this study is also interested in several possible psychological (i.e., detachment, relaxation, mastery, control, relatedness, and positive affects experiences) and physiological (i.e

2019 BMC Public Health Controlled trial quality: uncertain

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

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

55. Evaluating and Exploring Variations in Surgical Resident Emotional Intelligence and Burnout. (Abstract)

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

56. Work-related Mental Consequences: Implications of Burnout on Mental Health Status Among Health Care Providers Full Text available with Trip Pro

Work-related Mental Consequences: Implications of Burnout on Mental Health Status Among Health Care Providers Burnout can create problems in every aspect of individual's' human life. It may have an adverse effect on interpersonal and family relations and can lead to a general negative attitude towards life.The purpose of this study is to investigate whether burnout is associated with the mental health status of health care providers.The sample in this study consisted of 240 health care (...) employees. The Greek version of Maslach's Burnout Inventory (MBI) was used for measuring burnout levels and the Greek version of the Symptoms Rating Scale for Depression and Anxiety (SRSDA) questionnaire was used to evaluate health care providers' mental health status. Descriptive statistics were initially generated for sample characteristics. Normality was checked by the Kolmogorov-Smirnov test and data was processed with parametric tests. General linear models with MBI dimensions as independent

2015 Acta Informatica Medica

57. Burnout and consultants’ retirement plans

tended to be those which demanded structural changes to work patterns, which requires a high level of organisational commitment. Doctors are recognised to be reluctant retirees for a variety of reasons (see Silver & Williams., 2018). It is in the interests of healthcare providers to carefully monitor and accurately predict rates of retirement such that resourcing can be predicted and key training roles can be fulfilled. A recent study of burnout among consultants, published by Khan, Teoh, Islam (...) Burnout and consultants’ retirement plans Burnout and consultants’ retirement plans Search National Elf Service Search National Elf Service » » » » Burnout and consultants’ retirement plans Nov 9 2018 Posted by , , >, It is 8:56am. Larry has already wasted one of the five minutes he had allotted himself for checking emails. As he scrolls through, deleting happy birthdays from colleagues he seldom sees, his internal clock starts to count down the seconds until the clock hits the hour and he

2018 The Mental Elf

58. Mindful Self-Compassion Training Reduces Stress and Burnout Symptoms Among Practicing Psychologists: A Randomized Controlled Trial of a Brief Web-Based Intervention. Full Text available with Trip Pro

be more strongly related to self-coldness than self-compassion, a pattern seen in cross-sectional analyses and, for burnout, also in the longitudinal analyses. Conclusions: This training program appeared effective to increase self-compassion/reduce self-coldness, and to alleviate stress and symptoms of burnout and provide support of the distinction between self-compassion and self-coldness. Additional studies, preferably three-armed RCTs with long-term follow-up, are warranted to further evaluate (...) Mindful Self-Compassion Training Reduces Stress and Burnout Symptoms Among Practicing Psychologists: A Randomized Controlled Trial of a Brief Web-Based Intervention. Objective: The aims of this study were (a) to examine the effects of a 6 weeks web-based mindful self-compassion program on stress and burnout symptoms in a group of practicing psychologists, and (b) to examine relationships between changes in self-compassion and self-coldness and changes in stress and burnout symptoms. Method

2018 Frontiers in psychology Controlled trial quality: uncertain

59. Self-regulatory biofeedback training: an intervention to reduce school burnout and improve cardiac functioning in college students. Full Text available with Trip Pro

. Cardiovascular fitness (VO2max) improved pre to post-intervention for HIIT but not HRVCB or waitlist participants. Also, both HRVCB and HIIT training participants decreased heart rate from pre to post-intervention but not waitlist participants. Finally, all participants decreased cardiac sympathovagal tone from pre to post-intervention. These findings provide evidence that HRVCB training programs can decrease school burnout as well as improve components associated with cardiac health. Study limitations (...) Self-regulatory biofeedback training: an intervention to reduce school burnout and improve cardiac functioning in college students. With the detrimental relationship between school burnout and physiological and cognitive functioning now well documented, interventions to ameliorate school burnout symptomology are needed. This study examined the effectiveness of a self-regulatory biofeedback intervention program (Heart Rate Variability Coherence Biofeedback Training [HRVCB]) in contrast

2018 Stress (Amsterdam, Netherlands) Controlled trial quality: uncertain

60. Burnout in Nurses Working With Youth With Chronic Pain: A Pilot Intervention. Full Text available with Trip Pro

Burnout in Nurses Working With Youth With Chronic Pain: A Pilot Intervention. Nurse burnout is a significant issue, with repercussions for the nurse, patients, and health-care system. Our prior mixed-methods analyses helped inform a model of burnout in nurses working with youth with chronic pain. Our aims were to (a) detail the development of an intervention to decrease burnout; (b) evaluate the intervention's feasibility and acceptability; and (c) provide preliminary outcomes (...) -care practices. Measures provided assessment of feasibility, acceptability, and effectiveness at baseline and 3 months postintervention in a single group, repeated measures design.Data support the feasibility and acceptability of the intervention. Pilot outcome results demonstrated improvements in the target behaviors of education on psychosocial influences, self-care, and venting to coworkers as well as self-compassion, general health, and burnout. There were no changes in pain beliefs

2018 Journal of pediatric psychology Controlled trial quality: uncertain

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