Scientific Basis for Information on Burnout

Doctors and Burnout

In this article, I will discuss the factors that lead to burnout in doctors.

Factors 1)

Work factors include

Excessive workload

Long working hours

Special choices

Frequent phone calls (night calls or weekend calls)

Comprehensive documentation of electronic medical records

Time at home for work-related factors

Medical malpractice lawsuits

Methods used by physicians to deal with patient deaths and illnesses

and these are considered to be work-related factors.

Most studies consider physicians' loss of autonomy in the workplace, loss of control over the work environment, inefficient use of time due to administrative demands, and loss of support from colleagues to be central factors.

A national survey conducted in 2014 among physicians across all specialties found that physicians using electronic health records (EHR's) and computerized physician order entry (CPOE) were at higher risk for time spent on administrative tasks and for less satisfying professionalism. Because for every hour spent interacting with a patient, a physician is said to take one to two hours to finish filling out progress notes, ordering labs, prescribing medications, and reviewing results without additional compensation

These factors often have to be physically addressed.

Factor 2.

Personality includes

Self-criticism

Engaging in inappropriate coping strategies

Lack of sleep

Over-commitment

Perfectionism

Idealism

Imbalance between work and life

Inadequate support system (spouse, partner, or children)

The risk of burnout is considered to be a result of the self-characterization of the following

Although burnout was once thought to be a late-career phenomenon, recent studies suggest that younger physicians are at almost twice the risk of stress as their older colleagues, and its onset is getting earlier.

Gender is not an independent predictor of burnout, but

After adjusting for age and other factors, some studies have found female physicians to have 20%-60% increased odds of fatigue compared to men.

Because emotional depletion has a strong impact on depersonalization, women are more likely to experience burnout.

This can further lead to a decline in personal achievement.

A Norwegian study reporting risk factors for physician burnout found that higher depletion levels among women were attributed to conflict in the workplace, while for men, fatigue was strongly predicted by workload.

Other factors include having children under the age of 21 increases the probability of burnout by 54% and having a non-professional co-worker or spouse increases it by 23%. Personality types such as neurotic individuals can be certain to be at higher risk for burnout, while reversed, conscientious, and agreeable individuals are less likely to exhibit symptoms of burnout.

Factor 3)

In the work environment

Negative leadership behaviors

Workload expectations

Inadequate compensation

Limited interpersonal relationships

Opportunities for physician advancement and social support

Organizational factors can also influence burnout.

Some studies have suggested that providing physicians with more control over workplace issues and

More "physician-friendly" and "family-friendly" organizations and leaders are associated with

more likely to hire physicians with higher career satisfaction and lower reported stress.

Consequences of burnout

The consequences of physician burnout are

Interpersonal disorders occur

Increased incidence of medical errors

Increased risk of malpractice

Decreased patient satisfaction

Decreased quality of patient care

Doctors suffering from burnout are

Lower productivity

Higher likelihood of leaving the workforce

Among physicians, the degree of perceived control over workplace stressors can have both behavioral and physiological effects, which is one of the strongest predictors of burnout. A decreased sense of control over the work environment is thought to be associated with anxiety, decreased motivation and persistence, depression, longer time needed to solve problems, and a tendency to give up easily.

This is a personal problem, but the factors can be considered personal and work environment. And the impact it has is full of disadvantages.

From this research paper, the countermeasures include promoting relaxation in individuals and improving the environment in the workplace.

In the background of these factors, there seem to be major issues such as personal benefits, honor, the importance of the job of doctor, and social background.

Patel RS, Bachu R, Adikey A, Malik M, Shah M Factors associated with burnout in physicians and its impact: a review. Behav Science (Basel). 2018; 8(11): 98. published October 25, 2018: doi: 10.3390 / bs8110098

Causes of Medical Malpractice

What are the root causes of medical errors, even though countermeasures have been taken physically? I will introduce a paper that psychologically studies this part of the problem.

In conclusion, I found that medical errors and burnout are related.

Burnout syndrome is a condition in which a person who has devoted himself or herself to a certain way of life or interest

Burnout is a feeling of exhaustion or frustration that a person who has dedicated himself to a certain way of life or interest feels as a result of not achieving the expected results. The research team found that this condition is not caused by the environment, such as long working hours.

The research team found that this condition is not caused by the environment, such as long working hours, but by the medical team and other factors.

The study was conducted on surgeons, internists, and pediatricians.

The internal reliability coefficients were high for all three checklists.

For both pediatricians and internists, gender, age, clinical experience, and hours worked were associated with higher rates of

We found that gender, age, clinical experience, and work hours were not associated with medical errors in any medical specialty.

Teamwork and depersonalization were the only predictors of malpractice frequency.

In surgeons, medical errors were negatively related to involvement.

(R 2 = 0.210, p = 2 = 0.306 p < 0.001)

The important question here is, what are the countermeasures? That's what researchers have been trying to figure out.

This is what the researchers suggested.

The findings of this study can be used as a reference to develop training programs for healthcare professionals. Providing safe health care depends on highly trained professionals in a variety of roles working together in the best interest of the patient. To accomplish this, health care professionals need to be able to work effectively in teams.

In fact, team training programs that address teamwork and communication for health care professionals are becoming more and more numerous, more heterogeneous, and more frequently evaluated.

In addition, the survey results underscore the importance of leadership.

Ultimately, physician leaders are responsible for leading the medical care and

have a direct impact on the quality of care provided to our patients.

Evangelia Tsiga aEfharis Panagopoulou aAnthony Montgomery b

The study suggested that medical errors occur from medical staff burnout and that the cause of burnout is caused by the teamwork of the medical team.

This study was conducted at the municipal hospital in the Thessaloniki area of Greece. 231 people were surveyed and 48.9% responded.

They also worked 56.37 hours per week and had 7.89 years of work experience.

The conclusion of the study was that it is not only important to have an educational program, but also to have leadership to lead the team.

The Relationship between Burnout and Empathy

Burnout is a feeling of exhaustion or frustration that a person who has devoted himself or herself to a certain way of life or interest feels as a result of not achieving the expected results. And empathy is the feeling of being completely in agreement with another person's thoughts and arguments.

At first glance, there seems to be no connection between the two. Depending on your psychological situation, you may think, "I can't empathize! But in some psychological situations, you might think, "I can't relate to that!

In this article, the relevance of empathy was studied in a research paper for medical professionals. The results concluded that there is no relationship between empathy and burnout.

What is burnout syndrome?

Burnout in the medical profession can be felt when one's way of life or thoughts are not accepted by the medical team. Due to the bias caused by the qualifications and years of experience you have in the team, you are likely to feel burnout when you repeatedly fail to get your point across even when you insist on matters that really need to be considered. Depending on your qualifications, this syndrome may be one of the factors why some medical professionals are said to change jobs frequently.

And about empathy, which is essential if you are a medical professional.

Empathy. Empathy is a feeling that is very useful in building relationships with patients and medical teams.

I have experienced firsthand the importance of empathy.

What is the nature of your research?

The research will be conducted by

1) Participants who are nurses or health care professionals

2) A manuscript written in English

3) Evaluation using the Maslach Burnout Inventory.

4) An exclusively quantitative methodology.

and four methods were validated, and 10 eligible studies were reviewed.

Seven of the studies were conducted in countries where English was not the first language. Eight of the studies provided empirical support for a negative relationship between empathy and burnout.

One study provided support for a positive relationship between burnout and empathy. One study reported conflicting evidence on positive and negative correlations between different subscales of empathy and burnout.

In general, the quality of the studies was rated as good.

However, several studies failed to provide information on sample size, and data were not adequately reported from one study.

Helen Wilkinson a1Richard Whittington a bc Lorraine Perry d Katrin Eames a

In this study taken by questionnaire method.

empathy with and without an association with burnout.

Eight studies had derived no association from the results, but

I think there is a good chance that this will change with future research.

As for the burnout syndrome, what measures should be taken? It sounds more difficult to solve than to improve empathy.

Physicians Experiencing the COVID-19 Pandemic

This study was published in.

Medline, EMBASE, and PsycINFO, and was searched for major studies through November 17, 2020. Titles, abstracts, and full text were screened, and article screening and data abstraction were performed by three reviewers.

Results.

193 studies (90,499 physicians) were included in the review, and

Severe acute respiratory syndrome [SARS].

Three strains of influenza A viruses [H1N1, H5N1, and H7N9].

Ebola

Middle East Respiratory Syndrome [MERS] - COVID-19

COVID-19

Studies reported on the psychological symptoms and management of physicians during outbreaks of seven infectious diseases were covered.

Anxiety (14.3-92.3%)

Stress (11.9-93.7%)

Depression (17-80.5%)

Post-traumatic stress disorder (13.2-75.2%)

Burnout syndrome (14.7-76%)

Psychological symptoms such as the following were commonly reported and were found regardless of occurrence or country. They also found that younger age, women, singles, first-year physicians, and physicians who directly care for infected patients were associated with worse psychological symptoms.

Fiest, K.M., Parsons Leigh, J., Krewulak, K.D. et al. Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review. BMC Psychiatry 21, 91 (2021). Available at: https://doi.org/10.1186/s12888-021-03090-9