Burnout safety over a short period of time.

Burnout and Stress in Healthcare Professionals: An Annotated
Bibliography

Salyers, M. P., Bonfils, K. A., Luther, L., Firmin, R. L., White,
D. A., Adams, E. L., & Rollins, A. L. (2017). The relationship between
professional burnout and quality and safety in healthcare: A meta-analysis. Journal
of general internal medicine, 32(4), 475-482. doi:
10.1007/s11606-016-3886-9.

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This study analyzes the effects of burnout and healthcare quality
across different disciplines of healthcare professions. The authors hypothesized that burnout in healthcare providers can
have a negative effect on the quality of care that is given to the patient.

With a systemic review, eight-two studies, including 210, 669 healthcare
providers, were involved in data synthesis and analysis. Through a quantitative
approach, the author’s found a statistical significance between burnout,
quality, and safety. In other words, when engagement, care efficiency and well-being
are impeded, they can adversely impact patient care.  While this study brings strong evidence, we
cannot rule-out other factors that other factors, such as organizational
culture, can increase burnout and poor quality. With this being a
cross-sectional study, the authors are examining the relationship of burnout,
quality, and safety over a short period of time. This may limit the ability to
understand any delayed consequences of burnout. Overall, this study is presents
findings that are important for future research as well as target interventions
for healthcare systems to implement.

 

Dharmawardene, M., Givens, J., Wachholtz, A., Makowski, S., &
Tjia, J. (2016). A systematic review and meta-analysis of meditative
interventions for informal caregivers and health professionals. BMJ Supportive & Palliative Care,
6(2), 160-169. doi: 10.1136/bmjspcare-2014-000819.

This study reviews the current state of the published peer-reviewed
literature related to meditative interventions for healthcare professionals as
well as informal caregivers. By conducting a systemic literature review, the
authors hope to provide evidence for the interventions to improve the
well-being of health care professionals. Cognitively based meditation
interventions were examined. This includes, mantra mediation and mindfulness
meditations. By examining the full text of 68 studies, they constructed a data analysis
that grouped same caregivers (healthcare professionals and informal caregivers)
as well as positive and negative domains. Through combined analysis,
self-efficacy was statistically significant for both healthcare professionals
and informal caregivers. The other outcome measures differed among each group.

For informal caregivers, meditative interventions showed statistically
significant improvements in mood. For healthcare professionals, emotional
exhaustion and personal accomplishment shows improvements after meditative
interventions. There were numerous limitations to the study, including strict
eligibility rules and small sample of studies to review. While there are
multiple gaps to this study, there is a benefit to meditative inventions in
relation to stress reduction.

 

Schroeder, D. A., Stephens, E., Colgan, D., Hunsinger, M.,
Rubin, D., & Christopher, M. S. (2016). A brief mindfulness-based intervention
for primary care physicians: A pilot randomized controlled trial. American
Journal of Lifestyle Medicine. doi:10.1177/155982761662912.

                        This
study examines the how mindfulness-based intervention (MBI) can impact the
levels of burnout, stress, and resilience among physicians. Through this
randomized controlled trial, 33 physicians were to complete baseline assessment
and were then randomly assigned to a curriculum group that taught
mindfulness-based techniques or control group. Self-report measures were given
at baseline, within 7 days of the conclusion of the study, and 3 months later. Various
measures were used to analyze the data quantitatively, including the Brief
Resilience Scale (BRS), Perceived Stress Scale-10 (PSS-10), and Masalach
Burnout Inventory (MASL). Overall, results showed that participants in the mindfulness
training reported significant improvements on mindfulness, stress, and
emotional exhaustion. In the control group, there were no significant
improvement on any of the self-reports. Many physicians who were part of the
training group maintained mindfulness practice at the 3-month follow-up. Limitations
include small sample size, possible selection bias, and the uncontrolled
variable of social support. This study shows that burnout is prevalent in
healthcare professionals and promotes mindfulness training as one of the
potential remedies.

 

 

 

 

 

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