Occupational stress and burnout among healthcare professionals

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Abstract

The article presents the data of modern foreign studies on occupational stress and burnout among medical workers. It gives an analysis of modern scientific discussions concerning the concept of burnout and the search for criteria for its differentiation from other similar psychoemotional and physiological states. Special emphasis is placed on data on the extremely high risk of professional burnout among emergency medical workers. Recent studies of the level of burnout among physicians are presented as containing the information about increase of these indicators in the modern healthcare system in different countries. The analysis of the latest data on extremely serious consequences of burnout for the mental and physical health of physicians is also introduced. A review of modern diagnostic methods, as well as professional, psychological, organizational and social factors of a steady increase in the level of professional burnout, including continuous intensification of work and the introduction of new electronic systems for maintaining medical records, is given. The necessity of developing and implementing methods for the prevention of professional burnout in modern medicine is substantiated.

General Information

Keywords: professional stress; professional burnout; medical workers; professional, psychological, organizational and social risk factors; negative consequences; prevention of professional burnout.

Journal rubric: Medical Psychology

Article type: review article

DOI: https://doi.org/10.17759/jmfp.2020090104

For citation: Matyushkina E.Y., Roy A.P., Rakhmanina A.A., Kholmogorova A.B. Occupational stress and burnout among healthcare professionals [Elektronnyi resurs]. Sovremennaia zarubezhnaia psikhologiia = Journal of Modern Foreign Psychology, 2020. Vol. 9, no. 1, pp. 39–49. DOI: 10.17759/jmfp.2020090104. (In Russ., аbstr. in Engl.)

References

  1. Govorin N.V., Bodagova E.A. Psikhicheskoe zdorov'e i kachestvo zhizni vrachei [Mental health and quality of life of doctors]. Tomsk, Chita: Ivan Fedorov, 2013. 126 p. (In Russ.).
  2. Leonova A.B. Stress i psikhicheskoe zdorov'e professionalov [Stress and mental health of professionals]. In Tkhostov A.Sh., Rasskazova E.I. (eds.), Rukovodstvo po psikhologii zdorov'ya [Guide to the Psychology of Health]. Moscow: MGU, 2019, pp. 638–691. (In Russ.).
  3. Aronsson G. et al. A systematic review including meta-analysis of work environment and burnout symptoms. BMC Public Health, 2017. Vol. 17, Article Number 738. 13 p. DOI:10.1186/s12889-017-4153-7
  4. Strote J. et al. Academic emergency physicians’ experiences with patient death. Academic Emergency Medicine, 2011. Vol. 18, no. 3, pp. 255–260. DOI:10.1111/j.1553-2712.2011.01004.x
  5. Eckleberry-Hunt J. et al. An exploratory study of resident burnout and wellness. Academic Medicine, 2009. Vol. 84, no. 2, pp. 269–277. DOI:10.1097/acm.0b013e3181938a45
  6. Panagioti M. et al. Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction A Systematic Review and Meta-analysis. JAMA International Medicine, 2018. Vol. 178, no. 10, pp. 1317–1331. DOI:10.1001/jamainternmed.2018.3713
  7. Krasner M.S. et al. Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA, 2009. Vol. 302, no. 12, pp. 1284–1293. DOI:10.1001/jama.2009.1384
  8. Wright A.A. et al. Beyond Burnout – Redesigning Care to Restore Meaning and Sanity for Physicians [Elektronnyi resurs]. The New England Journal of Medicine, 2018. Vol. 378, no. 4, pp. 309–311. http://medicine.emory.edu/documents/burnout-NEJM-2018.pdf (Accessed 16.03.2020).
  9. Bianchi R., Schonfeld I. S., Laurent E. Is it time to consider the "burnout syndrome" a distinct illness? Front public health, 2015. Vol. 3, 3 p. DOI:10.3389/fpubh.2015.00158
  10. Dyrbye L.N. et al. Burnout among health care professionals: A call to explore and address this under recognized threat to safe, high-quality care. NAM Perspectives, Washington, DC, 2017. 11 p.
  11. Toker S. et al. Burnout and risk of coronary heart disease: a prospective study of 8838 employees. Psychosomatic Medicine, 2012. Vol. 74, no. 8, pp. 840–847. DOI:10.1097/psy.0b013e31826c3174
  12. Shanafelt T.D. et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Archive of Internal Medicine, 2012. Vol. 172, no. 18, pp. 1377–1385. DOI:10.1001/archinternmed.2012.3199
  13. Stehman C.R. et al. Burnout, Drop Out, Suicide: Physician Loss in Emergency Medicine, Part I. Western Journal of Emergency Medicine, 2019. Vol. 20, no. 3, pp. 485–494. DOI:10.5811/westjem.2019.4.40970
  14. Shanafelt T.D. et al. Changes in burnout and satisfaction with work-life integration in physicians and the general US working population between 2011 and 2017. Mayo Clinic Proceedings, 2019. Vol. 94, no. 9, pp. 1681–1694. DOI:10.1016/j.mayocp.2018.10.023
  15. Magtibay D.L. et al. Decreasing Stress and Burnout in Nurses: Efficacy of Blended Learning With Stress Management and Resilience Training Program. The Journal of Nurse Administration, 2017. Vol. 47, no. 7–8, pp. 391–395. DOI:10.1097/nna.0000000000000501 23
  16. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Washington DC, London: American Psychiatric Publishing, 2013. 970 p. DOI:10.1176/appi.books.9780890425596
  17. Huerta-Franco M.-R et al. Effects of occupational stress on the gastrointestinal tract. World Journal Gastrointestinal Pathophysiology, 2013. Vol. 4, no. 4, pp. 108–118. DOI:10.4291/wjgp.v4.i4.108
  18. Erren T.C., Reiter R.J. Defining chronodisruption. Journal of pineal research, 2009. Vol. 46, no. 3, pp. 245–247. DOI:10.1111/j.1600-079X.2009.00665.x
  19. Han S. et al. Estimating the Attributable Cost of Physician Burnout in the United States. Medicine and public issues, 2019. Vol. 170, no. 11, pp. 784–790. DOI:10.7326/M18-1422
  20. Frank E., Breyan J., Elon L. Physician disclosure of healthy personal behaviors improves credibility and ability to motivate. Archives of Family Medicine, 2000. Vol. 9, no. 3, pp. 287–290. DOI:10.1001/archfami.9.3.287
  21. Friberg T. Burnout: from popular culture to psychiatric diagnosis in Sweden. Culture, Medicine, and Psychiatry, 2009. Vol. 33, pp. 538–558. DOI:10.1007/s11013-009-9149-z
  22. Shanafelt T.D. et al. Healing the Professional Culture of Medicine. Mayo Clinic Proceedings, 2019. Vol. 94, no. 8, pp. 1556–1566. DOI:10.1016/j.mayocp.2019.03.026
  23. Hudson M.J., Moore G.P. Defenses to malpractice: What every emergency physician should know. Journal of Emergency Medicine, 2011. Vol. 41, no. 6, pp. 598–606. DOI:10.1016/j.jemermed.2010.07.001
  24. Shanafelt T.D. et al. Impact of organizational leadership on physician burnout and satisfaction. Mayo Clinic Proceedings, 2015. Vol. 90, no. 4, pp. 432–440. DOI:10.1016/j.mayocp.2015.01.012
  25. Kakiashvili T., Leszek J., Rutkowski K. The medical perspective on burnout. International Journal of Occupy Medicine Environment Health, 2013. Vol. 26, no. 3, pp. 401–412. DOI:10.2478/s13382-013-0093-3
  26. Van Dam A. et al. Level and appraisal of fatigue are not specific in burnout. Clinical Psychology and Psychotherapy, 2015. Vol. 22, no. 2, pp. 133–141. DOI:10.1002/cpp.1869
  27. Zhang M. et al. Longitudinal associations of burnout with heart rate variability in patients following acute coronary syndrome: A one-year follow-up study. General Hospital Psychiatry, 2018. Vol. 53, pp. 59–64. DOI:10.1016/j.genhosppsych.2018.05.008
  28. Maher E.L. Burnout and commitment: A theoretical alternative. Personnel and Guidance Journal, 1983. Vol. 61, no. 7, pp. 390–393. DOI:10.1111/j.2164-4918.1983.tb00051.x
  29. Maslach C., Jackson S.E. Maslach Burnout Inventory (MBI): Manual. Palo Alto: Consulting Psychologists Press, 1986. 112 p.
  30. Maslach С., Leiter M.P. Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry, 2016. Vol. 15, no. 2, pp. 103–111. DOI:10.1002/wps.20311
  31. Verhaeghe J. et al. Neuro-endocrine correlates of burnout. Tijdschr Psychiatry, 2012. Vol. 54, no. 6, pp. 517–526.
  32. Taher A. et al. Position Statement on Resident. Canadian Journal of Emergency Medicine, 2018. Vol. 20, no. 5, pp. 671–684. DOI:10.1017/cem.2018.8
  33. Rajan S., Engelbrecht A. A cross-sectional survey of burnout amongst doctors in a cohort of public sector emergency centres in Gauteng, South Africa. African Journal of Emergency Medicine, 2018. Vol. 8, no. 3, pp. 95–99. DOI:10.1016/j.afjem.2018.04.001
  34. Shanafelt T.D. et al. Relationship Between Clerical Burden and Characteristics of the Electronic Environment With Physician Burnout and Professional Satisfaction. Mayo Clinic Proceedings, 2016. Vol. 91, no. 7, pp. 836–848. DOI:10.1016/j.mayocp.2016.05.007
  35. Rongińska T. The prevention of the managers’ professional burnout syndrome. Management, 2011. Vol. 15, no. 1, pp. 101–114.
  36. Friganović A. et al. Stress and burnout syndrome and their associations with coping and job satisfaction in critical care nurses: a literature review [Elektronnyi resurs]. Psychiatric Danub, 2019. Vol. 6, no. 1–2, pp. 21–31. URL: https://bib.irb.hr/datoteka/1039497.Friganovic_et_al_PD_2019.pdf (Accessed 16.03.2020).
  37. World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: World Health Organization, 1992. 364 p.
  38. Langballe E.M. et al. The predictive value of individual factors, work-related factors, and work-home interaction on burnout in female and male physicians: A longitudinal study. Stress and Health, 2011. Vol. 27, no. 1, pp. 73–87. DOI:10.1002/smi.1321
  39. Verougstraete D., Hachimi Idrissi S. The impact of burn-out on emergency physicians and emergency medicine residents: a systematic review. Acta Clinica Belgica, 2020. Vol. 75, no. 1, pp. 57–79. DOI:10.1080/17843286.2019.1699690

Information About the Authors

Elena Y. Matyushkina, PhD in Psychology, Assistant Professor at the Clinical Psychology and Psychotherapy Chair, Moscow State University of Psychology & Education, Moscow, Russia, ORCID: https://orcid.org/0000-0002-6027-1510, e-mail: Elena.matyushkina@gmail.com

Anita P. Roy, Medical Psychologist, Junior Researcher, The N.V. Sklifosovsky Research Institute of Emergency medicine, Moscow, Russia, ORCID: https://orcid.org/0000-0002-7070-4973, e-mail: anita010101@yandex.ru

Anastasiia A. Rakhmanina, senior medical psychologist, junior researcher, N.V. Sklifosovsky Research Institute of Emergency Medicine, Moscow, Russia, ORCID: https://orcid.org/0000-0002-7870-402X, e-mail: rakhmanina.a@mail.ru

Alla B. Kholmogorova, Doctor of Psychology, Professor, Dean of the Faculty of Counseling and Clinical Psychology, Moscow State University of Psychology & Education, Leading Researcher, Moscow Research Institute of Psychiatry (A Branch of the National Medical Research Centre for Psychiatry and Narcology), Moscow, Russia, ORCID: https://orcid.org/0000-0001-5194-0199, e-mail: kholmogorova@yandex.ru

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