Topic
Burnout
About: Burnout is a research topic. Over the lifetime, 22650 publications have been published within this topic receiving 640232 citations.
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TL;DR: In this article, a longitudinal survey among 201 telecom managers supports the Job Demands-Resources (JD-R) model that postulates a health impairment process and a motivational process.
Abstract: The present longitudinal survey among 201 telecom managers supports the Job Demands-Resources (JD-R) model that postulates a health impairment process and a motivational process. As hypothesized, results of structural equation modeling analyses revealed that: (1) increases in job demands (i.e., overload, emotional demands, and work-home interference) and decreases in job resources (i.e., social support, autonomy, opportunities to learn, and feedback) predict burnout, (2) increases in job resources predict work engagement, and (3) burnout (positively) and engagement (negatively) predict registered sickness duration (“involuntary” absence) and frequency (“involuntary” absence), respectively. Finally, consistent with predictions results suggest a positive gain spiral: initial work engagement predicts an increase in job resources, which, in its turn, further increases work engagement. Copyright © 2009 John Wiley & Sons, Ltd.
1,727 citations
TL;DR: Major medical errors reported by surgeons are strongly related to a surgeon's degree of burnout and their mental QOL, and Burnout and depression remained independent predictors of reporting a recent major medical error on multivariate analysis that controlled for other personal and professional factors.
Abstract: Objective:To evaluate the relationship between burnout and perceived major medical errors among American surgeons.Background:Despite efforts to improve patient safety, medical errors by physicians remain a common cause of morbidity and mortality.Methods:Members of the American College of Surgeons we
1,570 citations
TL;DR: Considering that the treatment goal for burnout is usually to enable people to return to their job, and to be successful in their work, psychiatry could make an important contribution by identifying the treatment strategies that would be most effective in achieving that goal.
1,551 citations
TL;DR: In this paper, the authors found that high burnout was related to diminished organizational commitment, which was also related to aspects of the interpersonal environment of the organization, and that frequent contact with personnel in the organization is related to the development of burnout at each stage.
Abstract: Summary Organizational commitment and burnout were related to interpersonal relationships of nurses in a small general hospital. Regular communication contacts among personnel were differentiated as supervisor or coworker contact, and these categories were further differentiated into pleasant and unpleasant contacts. The results were consistent with a view of burnout in which emotional exhaustion leads to greater depersonalization which subsequently leads to diminished personal accomplishment. Interpersonal contact with personnel in the organization was related to the development of burnout at each stage. Patterns of pleasant and unpleasant contacts with supervisors and coworkers were related to the three aspects of burnout in a distinct manner. High burnout was related to diminished organizational commitment, which was also related to aspects of the interpersonal environment of the organization. The results are discussed in the context of a comprehensive approach to psychological adjustment to a worksetting.
1,461 citations
TL;DR: Participation in a mindful communication program was associated with short-term and sustained improvements in well-being and attitudes associated with patient-centered care, and these findings warrant randomized trials involving a variety of practicing physicians.
Abstract: Context Primary care physicians report high levels of distress, which is linked to burnout, attrition, and poorer quality of care. Programs to reduce burnout before it results in impairment are rare; data on these programs are scarce. Objective To determine whether an intensive educational program in mindfulness, communication, and self-awareness is associated with improvement in primary care physicians' well-being, psychological distress, burnout, and capacity for relating to patients. Design, Setting, and Participants Before-and-after study of 70 primary care physicians in Rochester, New York, in a continuing medical education (CME) course in 2007-2008. The course included mindfulness meditation, self-awareness exercises, narratives about meaningful clinical experiences, appreciative interviews, didactic material, and discussion. An 8-week intensive phase (2.5 h/wk, 7-hour retreat) was followed by a 10-month maintenance phase (2.5 h/mo). Main Outcome Measures Mindfulness (2 subscales), burnout (3 subscales), empathy (3 subscales), psychosocial orientation, personality (5 factors), and mood (6 subscales) measured at baseline and at 2, 12, and 15 months. Results Over the course of the program and follow-up, participants demonstrated improvements in mindfulness (raw score, 45.2 to 54.1; raw score change [Δ], 8.9; 95% confidence interval [CI], 7.0 to 10.8); burnout (emotional exhaustion, 26.8 to 20.0; Δ = −6.8; 95% CI, −4.8 to −8.8; depersonalization, 8.4 to 5.9; Δ = −2.5; 95% CI, −1.4 to −3.6; and personal accomplishment, 40.2 to 42.6; Δ = 2.4; 95% CI, 1.2 to 3.6); empathy (116.6 to 121.2; Δ = 4.6; 95% CI, 2.2 to 7.0); physician belief scale (76.7 to 72.6; Δ = −4.1; 95% CI, −1.8 to −6.4); total mood disturbance (33.2 to 16.1; Δ = −17.1; 95% CI, −11 to −23.2), and personality (conscientiousness, 6.5 to 6.8; Δ = 0.3; 95% CI, 0.1 to 5 and emotional stability, 6.1 to 6.6; Δ = 0.5; 95% CI, 0.3 to 0.7). Improvements in mindfulness were correlated with improvements in total mood disturbance (r = −0.39, P Conclusions Participation in a mindful communication program was associated with short-term and sustained improvements in well-being and attitudes associated with patient-centered care. Because before-and-after designs limit inferences about intervention effects, these findings warrant randomized trials involving a variety of practicing physicians.
1,442 citations