https://doi.org/10.4081/monaldi.2024.3069
Prevalence, risk factors and clinical impact of burnout in internal medicine units: a call to action
Submitted: May 28, 2024
Accepted: September 9, 2024
Published: October 9, 2024
Accepted: September 9, 2024
Abstract Views: 351
PDF_EARLY VIEW: 71
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Health workers, and in particular doctors and nurses working in internal medicine units (IMU), are at high risk of burnout. Overcrowding, complexity and severity of clinical cases, patients’ social and family issues, impact of death, and “workload" are all aspects that are specific risk factors that might lead to the development of burnout in this scenario. People suffering from burnout may face several psychological problems (including extreme physical and mental fatigue, emotional exhaustion, loss of enthusiasm concerning work, feelings of cynicism, and a low sense of personal accomplishment) and are also at risk of developing some somatic diseases. Furthermore, the quality of care delivered by a worker in burnout seems to worsen and slip down. In this review, we analyzed the main risk factors and consequences of burnout in IMUs, and we propose individual and organizational measures that may be applied to be able to prevent burnout in this setting.
Webwer A, Reinhard JA. Burn-out syndrome: a disease of modern society? Occup Med 2000;50:512-7.
DOI: https://doi.org/10.1093/occmed/50.7.512
Gundersen L. Physician burnout. Ann Int Med 2001;135:145-8.
DOI: https://doi.org/10.7326/0003-4819-135-2-200107170-00023
Chen Z, Foo ZST, Tang JY, et al. Sleep quality and burnout: a Singapore study. Sleep Med 2023;102:205-12.
DOI: https://doi.org/10.1016/j.sleep.2022.12.026
Freudenberger H, Richelson G. Burnout: the high cost of high achievement. New York, NY, USA: Bantam Books; 1980.
Von Känel R, Princip M, Holzgang SA, et al. Relationship between job burnout and somatic diseases: a network analysis. Sci Rep 2020;10:18438.
DOI: https://doi.org/10.1038/s41598-020-75611-7
Linzer M, Manwell LB, Williams ES, et al. Working conditions in primary care: physician reactions and care quality. Ann Intern Med 2009;151:28-36.
DOI: https://doi.org/10.7326/0003-4819-151-1-200907070-00006
Robinson KE, Kersey JA. Novel electronic health record (EHR) education intervention in large healthcare organization improves quality, efficiency, time, and impact on burnout. Medicine 2018;97:e12319.
DOI: https://doi.org/10.1097/MD.0000000000012319
de Lima Garcia C, de Abreu LC, Souza Ramos JL, et al. Influence of burnout on patient safety: systematic review and meta-analysis. Medicina 2019;55:553.
DOI: https://doi.org/10.3390/medicina55090553
Medscape. Medscape physician burnout & depression report 2023
Verma AA, Guo Y, Kwan JL, et al. Patient characteristics, resource use and outcomes associated with general internal medicine hospital care: the General Medicine Inpatient Initiative (GEMINI) retrospective cohort study. CMAJ Open 2017;5:E842-9.
DOI: https://doi.org/10.9778/cmajo.20170097
La Regina M, Guarneri F, Romano E, et al. What quality and safety of care for patients admitted to clinically inappropriate wards: a systematic review. J Gen Intern Med 2019;34:1314-21.
DOI: https://doi.org/10.1007/s11606-019-05008-4
Shanafelt T, Hasan O, Dyrbye L.N. Changes in burnout and satisfaction with work-life balance in physicians and the general US working population between 2011 and 2014. Mayo Clin Proc 2015;90:1600-13.
DOI: https://doi.org/10.1016/j.mayocp.2015.08.023
Low ZX, Yeo KA, Sharma VK, et al. Prevalence of burnout in medical and surgical residents: a meta-analysis. Int J Environ Res Public Health 2019;16:1479.
DOI: https://doi.org/10.3390/ijerph16091479
Kok N, van Gurp J, Teerenstra S, et al. Coronavirus disease 2019 immediately increases burnout symptoms in ICU professionals: a longitudinal cohort study. Crit Care Med 2021;49:419-27.
DOI: https://doi.org/10.1097/CCM.0000000000004865
Macía-Rodríguez C, de Oña AA, Martín-Iglesias D, et al. A. Burn-out syndrome in Spanish internists during the COVID-19 outbreak and associated factors: a cross-sectional survey. BMJ Open 2021;11:e042966.
DOI: https://doi.org/10.1136/bmjopen-2020-042966
Montagnani A, Pieralli F, Gnerre P, et al. COVID-19 pandemic and internal medicine units in Italy: a precious effort on the front line. Intern Emerg Med 2020;15:1595-7.
DOI: https://doi.org/10.1007/s11739-020-02454-5
WHO. State of the world's nursing 2020: investing in education, jobs and leadership. 2020. Available from: https://iris.who.int/bitstream/handle/10665/331677/9789240003279-eng.pdf?sequence=1.
Woo T, Ho R, Tang A, Tam W. Global prevalence of burnout symptoms among nurses: a systematic review and meta-analysis. J Psychiatr Res 2020;123:9-20.
DOI: https://doi.org/10.1016/j.jpsychires.2019.12.015
Sahraian A, Fazelzadeh A, Mehdizadeh AR, Toobaee SH. Burnout in hospital nurses: a comparison of internal, surgery, psychiatry and burns wards. Int Nurs Rev 2008;55:62-7.
DOI: https://doi.org/10.1111/j.1466-7657.2007.00582.x
Kelly LA, Lefton C, Fischer SA. Nurse leader burnout, satisfaction, and work-life balance. J Nurs Adm 2019;49:404-10.
DOI: https://doi.org/10.1097/NNA.0000000000000784
Magtibay DL, Chesak SS, Coughlin K, Sood A. Decreasing stress and burnout in nurses: efficacy of blended learning with stress management and resilience training program. J Nurs Adm 2017;47:391-5.
DOI: https://doi.org/10.1097/NNA.0000000000000501
Sasso L, Bagnasco A, Zanini M, et al. The general results of the RN4CAST survey in Italy. J Adv Nurs 2017;73:2028-30.
DOI: https://doi.org/10.1111/jan.13066
Sasso L, Bagnasco A, Catania G, et al. Push and pull factors of nurses' intention to leave. J Nurs Manag 2019;27:946-54.
DOI: https://doi.org/10.1111/jonm.12745
Wei H, Roberts P, Strickler J, et al. Nurse leaders' strategies to foster nurse resilience. J Nurs Manag 2019;27:681-7.
DOI: https://doi.org/10.1111/jonm.12736
De Simone S, Vargas M, Servillo G. Organizational strategies to reduce physician burnout: a systematic review and meta-analysis. Aging Clin Exp Res 2021;33:883-94.
DOI: https://doi.org/10.1007/s40520-019-01368-3
Maslach C, Jackson SE, Leiter MP. Maslach burnout inventory. In: Zalaquett CP, Wood RJ, eds. Evaluating stress: a book of resources. Lanham, MD, USA: Scarecrow Education; 1997. pp. 191-218.
Raes F. Rumination and worry as mediators of the relationship between self-compassion and depression and anxiety. Pers Individ Dif 2010;22:757-61.
DOI: https://doi.org/10.1016/j.paid.2010.01.023
Mathad MD, Pradhan B, Sasidharan RK. Effect of yoga on psychological functioning of nursing students: a randomized wait list control trial. J Clin Diagn Res 2017;11:KC01-5.
DOI: https://doi.org/10.7860/JCDR/2017/26517.9833
Axén I, Follin G. Medical yoga in the workplace setting-perceived stress and work ability -a feasibility study. Complement Ther Med 2017;30:61-6.
DOI: https://doi.org/10.1016/j.ctim.2016.12.001
Brubaker JR, Swan A, Beverly EA. A brief intervention to reduce burnout and improve sleep quality in medical students. BMC Med Educ 2020;20:345.
DOI: https://doi.org/10.1186/s12909-020-02263-6
Maslach C, Leiter MP. New insights into burnout and health care: strategies for improving civility and alleviating burnout. Med Teach 2017;39:160-3.
DOI: https://doi.org/10.1080/0142159X.2016.1248918
Panagioti M, Panagopoulou E, Bower P, et al. Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis. JAMA Intern Med 2017;177:195-205.
DOI: https://doi.org/10.1001/jamainternmed.2016.7674
Osatuke K, Mohr D, Ward C, et al. Civility, respect, engagement in the workforce (CREW): nationwide organization development intervention at veterans health administration. J Appl Behav Sci 2009;45:384-410.
DOI: https://doi.org/10.1177/0021886309335067
Leiter MP, Laschinger HKS, Day A, Gilin-Oore D. The impact of civility interventions on employee social behavior, distress, and attitudes. J Appl Psychol 2011;96:1258-74.
DOI: https://doi.org/10.1037/a0024442
NICE. Workplace health: management practices. 2015. Available from: https://www.nice.org.uk/guidance/ng13.
Wood D. Average Time Doctors Spend With Patients. 2023. Available from: https://www.staffcare.com/locum-tenens-blog/advice/which-physicians-spend-most-time-with-patients/.
Collier R. Rethinking EHR interfaces to reduce click fatigue and physician burnout. CMAJ 2018;190:E994-5.
DOI: https://doi.org/10.1503/cmaj.109-5644
Tran BD, Rosenbaum K, Zheng K. An interview study with medical scribes on how their work may alleviate clinician burnout through delegated health IT tasks. J Am Med Inform Assoc 2021;28:907-14.
DOI: https://doi.org/10.1093/jamia/ocaa345
Irish LA, Kline CE, Gunn HE, et al. The role of sleep hygiene in promoting public health: A review of empirical evidence. Sleep Med Rev 2015;22:23-36.
DOI: https://doi.org/10.1016/j.smrv.2014.10.001
Poon EG, Trent Rosenbloom S, Zheng K. Health information technology and clinician burnout: Current understanding, emerging solutions, and future directions. J Am Med Inform Assoc 2021;28:895-8.
DOI: https://doi.org/10.1093/jamia/ocab058
Ferri P, Guadi M, Marcheselli L, et al. The impact of shift work on the psychological and physical health of nurses in a general hospital: a comparison between rotating night shifts and day shifts. Risk Manag Healthc Policy 2016;14:203-11.
DOI: https://doi.org/10.2147/RMHP.S115326
Salyers MP, Bonfils KA, Luther L, et al. The relationship between professional burnout and quality and safety in healthcare: a meta-analysis. J Gen Intern Med 2017;32:475-82.
DOI: https://doi.org/10.1007/s11606-016-3886-9
How to Cite
Gnerre, Paola, Ombretta Para, Dino Stefano Di Massimo, Tiziana Marcella Attardo, Dario Manfellotto, and Francesco Dentali. 2024. “Prevalence, Risk Factors and Clinical Impact of Burnout in Internal Medicine Units: A Call to Action”. Monaldi Archives for Chest Disease, October. https://doi.org/10.4081/monaldi.2024.3069.
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