PREVALENCE OF BURNOUT SYNDROME IN HEALTHCARE WORKERS IN NORTH AND SOUTH AMERICA, AND ASIA FROM 2018 TO 2022
DOI:
https://doi.org/10.21802/artm.2023.2.26.205Ключові слова:
burnout syndrome, healthcare workers, physician, North and South America, AsiaАнотація
The article explores issues concerning prevalence of burnout syndrome in healthcare workers in North and South America, and Asia from 2018 to 2022. Thus for this purpose, a great number of scientific sources that are related to the topic of the research were examined.
Healthcare professionals face a tremendous strain during the performing of their activities that often may lead to stress and burnout syndrome. In particular, duties of healthcare workers include high responsibility for life and health of a patient, self-discipline, urgent decision-making, empathy, high productivity during extreme conditions, constant psychological and intellectual tension.
During the past 30+ years, burnout syndrome was studied by scientists, practitioners, and also by general public all around the world. It should be noted, that nowadays a lot of employees (in particular, healthcare workers) are faced with rapid changes in our modern working life, namely, time pressure, pressure of higher productivity/quality of work, need to learn new skills, increasing demands of adaptation to new types of work, hectic jobs, etc., that in result may cause burnout syndrome.
Burnout syndrome of healthcare workers is usually associated with poor quality of medical care and may lead to medical errors, exhaustion, inefficiency, and conflicts. High levels of burnout syndrome among medical professionals of different countries around the world vary from 7,4% to 66%.
The issues concerning prevalence of burnout syndrome in healthcare workers in North and South America, and Asia from 2018 to 2022 have not been sufficiently identified and also require more detailed research.
Research of scientists that used the Maslach Burnout Inventory (hereinafter – the MBI), and the Copenhagen Burnout Inventory (hereinafter – the CBI) to research the burnout syndrome in healthcare workers of different specialties (including "Family Medicine") were included in this article.
Based on the conducted research, the following conclusions can be reached: the research carried out to identify prevalence of burnout syndrome in healthcare workers in North and South America, and Asia from 2018 to 2022 found out the presence of burnout syndrome in healthcare workers ranging from 1,3% to 82,1%. Moreover, prevalence of burnout syndrome in healthcare workers in North and South America varied from 1,3% to 73,5%, whereas in Asia it varied from 5,2% to 82,1%. Factors that associated with burnout in healthcare workers in North and South America, and Asia were examined. The majority of scientific studies on the identification of the prevalence of burnout syndrome in healthcare workers from 2018 to 2022: a) in North and South America have been conducted in Canada, the United States of America, the Federative Republic of Brazil, and the Argentine Republic, etc., whereas b) in Asia have been conducted in China, Japan, India, Pakistan, Iran, Lebanon, Saudi Arabia, Turkey, Oman, Cyprus, Israel, Jordan, and Kazakhstan, etc. Intensivists, physiatrists, resident physicians, oncologists, general surgeons, internal medicine physicians, and emergency medicine physicians are special categories of healthcare workers who are at a high risk of formation of burnout syndrome that may develop due to the specific of professional activity.
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Appiani FJ, Rodríguez Cairoli F, Sarotto L, Yaryour C, Basile ME, Duarte JM. Prevalence of stress, burnout syndrome, anxiety and depression among physicians of a teaching hospital during the COVID-19 pandemic. Arch Argent Pediatr [Internet]. 2021 Oct. [cited 2023 Mar. 23]; 119(5):317-24. Available from: https://doi.org/10.5546/aap.2021.eng.317
Rovenska V, Sarzhevska Е. Osoblyvosti rozvytku ta proiaviv syndromu emotsiinoho vyhorannia u likariv [Features of Development and Manifestations of Emotional Burnout Syndrome in Physicians]. Ekonomichnyi visnyk Donbasu [Internet]. 2020 [cited 2023 Mar. 23]; (1(59)):123-9. Available from: http://www.evd-journal.org/download/2020/1(59)/18-Rovenska.pdf DOI: 10.12958/1817-3772-2020-1(59)-123-129 [in Ukrainian]
Maslach C, Jackson SE. The measurement of experienced burnout. J Occup Behaviour [Internet]. 1981 Apr. [cited 2023 Mar. 23]; 2(2):99-113. Available from: https://doi.org/10.1002/job.4030020205
Maslach С, Leiter MP, Jackson SE, et al. Mind Garden [Internet]. Manual - Maslach Burnout Inventory; [cited 2023 Mar. 23]. Available from: https://www.mindgarden.com/maslach-burnout-inventory-mbi/685-mbi-manual.html#horizontalTab1
World Health Organization. Lexicon of psychiatric and mental health terms [Internet]. 2nd ed. Geneva. 1994 [cited 2023 Mar. 23]:108. Available from: https://apps.who.int/iris/handle/10665/39342
World Health Organization [Internet]. ICD-11 for Mortality and Morbidity Statistics (version 01/2023): QD85 Burnout [cited 2023 Mar. 23]. Available from: https://icd.who.int/browse11/l-m/en#/http%3a%2f%2fid.who.int%2ficd%2fentity%2f129180281
Freudenberger HJ, Richelson G. Burn-out: The High Cost of High Achievement. 1st ed., Anchor Press ed. Garden City, N.Y., Anchor Press, 1980. 214 p.
Maher EL. Burnout and Commitment: A Theoretical Alternative. The Personnel and Guidance Journal [Internet]. 1983 Mar. [cited 2023 Mar. 23]; 61(7):390-3. Available from: https://doi.org/10.1111/j.2164-4918.1983.tb00051.x
Tawfik DS, Scheid A, Profit J, Shanafelt T, Trockel M, Adair KC, et al. Evidence Relating Health Care Provider Burnout and Quality of Care: A Systematic Review and Meta-analysis. Ann Intern Med [Internet]. 2019 Oct. 15 [cited 2023 Mar. 23]; 171(8):555-67. Available from: https://doi.org/10.7326/M19-1152
Commander SJ, Ellis D, Williamson H, et al. Predictors of Burnout and Depression in Surgeons Practicing in East, Central, and Southern Africa. J Surg Res [Internet]. 2020 Nov. [cited 2023 Mar. 23]; 255:536-48. Available from: https://doi.org/10.1016/j.jss.2020.04.038
Botiakova VV. Burnout Syndrome Takes Over the World. In: Koenig L, editor. Proceedings of the 11th International conference Science and society – Methods and problems of practical application; 2021 Mar. 15; Vancouver, Canada. Vancouver: Accent Graphics Communications & Publishing; 2021. P. 29-31.
Karuna C, Palmer V, Scott A, Gunn J. Prevalence of burnout among GPs: a systematic review and meta-analysis. Br J Gen Pract [Internet]. 2022 [cited 2023 Mar. 23]; 72(718):e316-e324. Available from: https://doi.org/10.3399/BJGP.2021.0441
Wright T, Mughal F, Babatunde OO, Dikomitis L, Mallen CD, Helliwell T. Burnout among primary health-care professionals in low- and middle-income countries: systematic review and meta-analysis. Bull World Health Organ [Internet]. 2022 Jun. 1 [cited 2023 Mar. 23]; 100(6):385-401A. Available from: https://doi.org/10.2471/blt.22.288300
Kane L. Medscape US Physician Burnout & Depression Report 2023: "I Cry and No One Cares". Medscape [Internet]. 2023 Jan. 27 [cited 2023 Mar. 23]:1-30. Available from: https://www.medscape.com/slideshow/2023-lifestyle-burnout-6016058?faf=1#1
Maslach C, Leiter MP. Understanding Burnout: New Models. In: Cooper CL, Quick JC, eds. The Handbook of Stress and Health: A Guide to Research and Practice [Internet]. Chichester, UK: John Wiley & Sons, Ltd. 2017 [cited 2023 Mar. 23]. P. 36-56. Available from: https://doi.org/10.1002/9781118993811.ch3
Kristensen TS, Borritz M, Villadsen E, Christensen KB. The Copenhagen Burnout Inventory: A new tool for the assessment of burnout. Work & Stress [Internet]. 2005 [cited 2023 Mar. 23]; 19(3):192-207. Available from: https://doi.org/10.1080/02678370500297720
Schaufeli WB, Leiter MP, Maslach C. Burnout: 35 years of research and practice. Career Dev Int [Internet]. 2009 Jun. 19 [cited 2023 Mar. 23]; 14(3):204-20. Available from: https://doi.org/10.1108/13620430910966406
Mercuri M, Clayton N, Archambault P, et al. Canadian emergency medicine physician burnout: a survey of Canadian emergency physicians during the second wave of COVID-19 pandemic. Can J Emerg Med [Internet]. 2022 [cited 2023 Mar. 23]; 24(3):288-92. Available from: https://doi.org/10.1007/s43678-021-00259-9
Khan N, Palepu A, Dodek P, et al. Cross-sectional survey on physician burnout during the COVID-19 pandemic in Vancouver, Canada: the role of gender, ethnicity and sexual orientation. BMJ Open [Internet]. 2021 May 10 [cited 2023 Mar. 23]; 11(5):e050380. Available from: https://doi.org/10.1136/bmjopen-2021-050380
Singh S, Farrelly A, Chan C, et al. Prevalence and Workplace Drivers of Burnout in Cancer Care Physicians in Ontario, Canada. JCO Oncol Pract [Internet]. 2022 [cited 2023 Mar. 23]; 18(1):e60-e71. Available from: https://doi.org/10.1200/op.21.00170
Brunsberg KA, Landrigan CP, Garcia BM, et al. Association of Pediatric Resident Physician Depression and Burnout With Harmful Medical Errors on Inpatient Services. Acad Med [Internet]. 2019 Aug. [cited 2023 Mar. 23]; 94(8):1150-6. Available from: https://doi.org/10.1097/acm.0000000000002778
Afonso AM, Cadwell JB, Staffa SJ, Zurakowski D, Vinson AE. Burnout Rate and Risk Factors among Anesthesiologists in the United States. Anesthesiology [Internet]. 2021 May [cited 2023 Mar. 23]; 134(5):683-96. Available from: https://doi.org/10.1097/aln.0000000000003722
Hughes F, Francis AP, Sciscione AC. Physician Burnout among Members of the Society for Maternal-Fetal Medicine. Am J Perinatol [Internet]. 2019 Jun. 6 [cited 2023 Mar. 23]; 37(11):1115-22. Available from: https://doi.org/10.1055/s-0039-1692185
Intriago M, Maldonado G, Guerrero R, Soriano E, Moreno L, Rios C. POS0302 BURNOUT IN RHEUMATOLOGISTS IN LATIN AMERICA. Annals of the Rheumatic Diseases [Internet]. 2021 [cited 2023 Mar. 23]; 80(Suppl 1):376.2-77. Available from: https://doi.org/10.1136/annrheumdis-2021-eular.4078
Intriago M, Maldonado G, Soriano E, Toro C, Moreno L, Ríos C. Burnout in Rheumatologists in Latin America. JCR: Journal of Clinical Rheumatology [Internet]. 2022 Jan. [cited 2023 Mar. 23]; 28(1):1-6. Available from: https://doi.org/10.1097/rhu.0000000000001795
De la Cerda-Vargas MF, Stienen MN, Campero A, Pérez-Castell AF, Soriano-Sánchez JA, Nettel-Rueda B, et al. Burnout, Discrimination, Abuse, and Mistreatment in Latin America Neurosurgical Training During the Coronavirus Disease 2019 Pandemic. World Neurosurg [Internet]. 2022 Feb. [cited 2023 Mar. 23]; 158:e393-e415. Available from: https://doi.org/10.1016/j.wneu.2021.10.188
Medeiros AIC, Mesquita RB, Macêdo FS, Matos AGC, Pereira ED. Prevalence of burnout among healthcare workers in six public referral hospitals in northeastern Brazil during the COVID-19 pandemic: a cross-sectional study. Sao Paulo Med J [Internet]. 2022 Jul-Aug. [cited 2023 Mar. 23]; 140(4):553-8. Available from: https://doi.org/10.1590/1516-3180.2021.0287.r1.291021
Paiva BSR, Mingardi M, Valentino TCO, de Oliveira MA, Paiva CE. Prevalence of burnout and predictive factors among oncology nursing professionals: a cross-sectional study. Sao Paulo Med J [Internet]. 2021 Jul-Aug. [cited 2023 Mar. 23]; 139(4):341-50. Available from: https://doi.org/10.1590/1516-3180.2020.0606.r1.1202021
Aguilar-Nájera O, Zamora-Nava LE, Grajales-Figueroa G, Valdovinos-Díaz MÁ, Téllez-Ávila FI. Prevalence of burnout syndrome in gastroenterologists and endoscopists: results of a national survey in Mexico. Postgrad Med [Internet]. 2020 Jan. 10 [cited 2023 Mar. 23]; 132(3):275-81. Available from: https://doi.org/10.1080/00325481.2019.1707486
Ong J, Ong AML, Ong S, et al. The impact of the coronavirus disease 2019 pandemic on gastroenterologists in Southeast Asia: A mixed-methods study. J Gastroenterol Hepatol [Internet]. 2021 Nov. [cited 2023 Mar. 23]; 36(11):3056-68. Available from: https://doi.org/10.1111/jgh.15594
See KC, Zhao MY, Nakataki E, et al. Professional burnout among physicians and nurses in Asian intensive care units: a multinational survey. Intensive Care Med [Internet]. 2018 Dec. [cited 2023 Mar. 23]; 44(12):2079-90. Available from: https://doi.org/10.1007/s00134-018-5432-1
Xiao Y, Dong D, Zhang H, et al. Burnout and Well-Being among Medical Professionals in China: A National Cross-Sectional Study. Front Public Health [Internet]. 2022 Jan. 17 [cited 2023 Mar. 23]; 9:761706. Available from: https://doi.org/10.3389/fpubh.2021.761706
Feng J, Sang W, Lei Z, et al. The impact of burnout on turnover intention among Chinese general practitioners: The mediating effect of job satisfaction and the moderating effect of professional identity. International Journal of Social Psychiatry [Internet]. 2022 Nov. 9 [cited 2023 Mar. 23]:00207640221133939. Available from: https://doi.org/10.1177/00207640221133939
Wang J, Hu B, Peng Z, et al. Prevalence of burnout among intensivists in mainland China: a nationwide cross-sectional survey. Critical Care [Internet]. 2021 Jan. 5 [cited 2023 Mar. 23]; 25:8. Available from: https://doi.org/10.1186/s13054-020-03439-8
Morisawa F, Nishizaki Y, Irie Y, et al. Association between physiotherapists burnout and working environment during the coronavirus disease 2019 pandemic in Japan: A multicenter observational study. PLOS ONE [Internet]. 2022 Sep. 29 [cited 2023 Mar. 23]; 17(9):e0275415. Available from: https://doi.org/10.1371/journal.pone.0275415
Kawamura Y, Takayashiki A, Ito M, Maeno T, Seo E, Maeno T. Stress Factors Associated with Burnout among Attending Physicians: A Cross-Sectional Study. J Clin Med Res [Internet]. 2018 [cited 2023 Mar. 23]; 10(3):226-32. Available from: https://doi.org/10.14740/jocmr3299w
Asghar MS, Yasmin F, Alvi H, et al. Assessing the Mental Impact and Burnout among Physicians during the COVID-19 Pandemic: A Developing Country Single-Center Experience. Am J Trop Med Hyg [Internet]. 2021 Apr. 22 [cited 2023 Mar. 23]; 104(6):2185-9. Available from: https://doi.org/10.4269/ajtmh.21-0141
Khasne RW, Dhakulkar BS, Mahajan HC, Kulkarni AP. Burnout among Healthcare Workers during COVID-19 Pandemic in India: Results of a Questionnaire-based Survey. Indian J Crit Care Med [Internet]. 2020 Aug. [cited 2023 Mar. 23]; 24(8):664-71. Available from: https://doi.org/10.5005/jp-journals-10071-23518
Zarei E, Ahmadi F, Sial MS, Hwang J, Thu PA, Usman SM. Prevalence of Burnout among Primary Health Care Staff and Its Predictors: A Study in Iran. Int J Environ Res Public Health [Internet]. 2019 Jun. 25 [cited 2023 Mar. 23]; 16(12):2249. Available from: https://doi.org/10.3390/ijerph16122249
Vinnikov D, Dushpanova A, Kodasbaev A, et al. Occupational burnout and lifestyle in Kazakhstan cardiologists. Arch Public Health [Internet]. 2019 Apr. 10 [cited 2023 Mar. 23]; 77:13. Available from: https://doi.org/10.1186/s13690-019-0345-1
Youssef D, Youssef J, Abou-Abbas L, Kawtharani M, Hassan H. Prevalence and correlates of burnout among physicians in the developing country facing multi-layered crises: a cross-sectional study. Sci Rep [Internet]. 2022 Jul. 23 [cited 2023 Mar. 23]; 12(1):12615. Available from: https://doi.org/10.1038/s41598-022-16095-5
Youssef D, Abbound E, Abou-Abbas L, Hassan H, Youssef J. Prevalence and correlates of burnout among Lebanese health care workers during the COVID-19 pandemic: a national cross-sectional survey. J Pharm Policy Pract [Internet]. 2022 Dec. 16 [cited 2023 Mar. 23]; 15:102. Available from: https://doi.org/10.1186/s40545-022-00503-2
Alshreem RM, Baraja M, Almogbel ES. Prevalence of burnout and its impact on self-reported patient care among primary health care physicians at King Abdul-Aziz medical City in Riyadh region. J Family Med Prim Care [Internet]. 2022 Aug. [cited 2023 Mar. 23]; 11(8):4624-30. Available from: https://journals.lww.com/jfmpc/Fulltext/2022/08000/Prevalence_of_burnout_and_its_impact_on.79.aspx DOI: 10.4103/jfmpc.jfmpc_1622_21
Alwashmi AH, Alkhamees AA. Burnout and the Psychological Impact among Physiatrists in Saudi Arabia during COVID-19. Int J Environ Res Public Health [Internet]. 2021 Sep. 13 [cited 2023 Mar. 23]; 18(18):9621. Available from: https://doi.org/10.3390/ijerph18189621
Celik SU, Aslan A, Coskun E, et al. Prevalence and associated factors for burnout among attending general surgeons: a national cross-sectional survey. BMC Health Serv Res [Internet]. 2021 Jan. 7 [cited 2023 Mar. 23]; 21:39. Available from: https://doi.org/10.1186/s12913-020-06024-5
Al-Hashemi T, Al-Huseini S, Al-Alawi M, et al. Burnout Syndrome among Primary Care Physicians in Oman. Oman Med J [Internet]. 2019 [cited 2023 Mar. 23]; 34(3):205-11. Available from: https://doi.org/10.5001/omj.2019.40
Kapetanos K, Mazeri S, Constantinou D, Vavlitou A, Karaiskakis M, Kourouzidou D, et al. Exploring the factors associated with the mental health of frontline healthcare workers during the COVID-19 pandemic in Cyprus. PLoS One [Internet]. 2021 Oct. 14 [cited 2023 Mar. 23]; 16(10):e0258475. Available from: https://doi.org/10.1371/journal.pone.0258475
Uziel N, Meyerson J, Birenzweig Y, Eli I. Professional burnout and work stress among Israeli dental assistants. Psychol Health Med [Internet]. 2018 May 16 [cited 2023 Mar. 23]; 24(1):59-67. Available from: https://doi.org/10.1080/13548506.2018.1475679
Nimer A, Naser S, Sultan N, Alasad RS, Rabadi A, Abu-Jubba M, et al. Burnout Syndrome during Residency Training in Jordan: Prevalence, Risk Factors, and Implications. Int J Environ Res Public Health [Internet]. 2021 Feb. 6 [cited 2023 Mar. 23]; 18(4):1557. Available from: https://doi.org/10.3390/ijerph18041557
Kust D, Murgic J, Vukovic P, Kruljac I, Prpic M, Zilic A, et al. Oncologist Burnout Syndrome in Eastern Europe: Results of the Multinational Survey. JCO Oncol Pract [Internet]. 2020 Apr. [cited 2023 Mar. 23]; 16(4):e366-76. Available from: https://doi.org/10.1200/jop.19.00470
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