Burnout among health care workers: a pressing problem for health care management
https://doi.org/10.47093/2713-069X.2023.4.2.40-46
Abstract
Healthcare professionals regularly face high levels of professional stress, which can have a negative impact on their mental health. As demands on healthcare systems increase both in terms of the quality of medical care and the level of service provided, it is important for decision-makers to give due consideration to the psychological well-being of healthcare workers. This article will discuss the reasons for growing concerns about the mental health of medical professionals, including the consequences of the COVID-19 pandemic, the importance of addressing this issue, and steps that regulators can take to ensure better working conditions for physicians and nurses. By paying attention to the mental health of healthcare workers, together we can create more resilient and stable healthcare systems. New approaches may include the implementation of mental health strengthening programs, providing access to phycological training, as well as a review of the policy of medical organizations management, with a priority on the well-being of medical professionals.
About the Authors
R. A. KhalfinRussian Federation
Ruslan A. Khalfin – Dr. of Sci. (Medicine), Professor, Director of the Institute of Leadership and Health Management
Trubetskaya str., 8, bld. 2, Moscow, 119991
P. S. Smolnikova
Russian Federation
Polina S. Smolnikova – Assistant Professor, Institute of Leadership and Health Management
Trubetskaya str., 8, bld. 2, Moscow, 119991
A. S. Stolkova
Russian Federation
Anastasia S. Stolkova – First Deputy Director for development, Head of the healthcare department
Krasnopresnenskaya emb., 12, Moscow, 123610
References
1. Lai J., Ma S., Wang Y., et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020; 3(3): e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976
2. Raudenská J., Steinerová V., Javůrková A., et al. Occupational burnout syndrome and post-traumatic stress among healthcare professionals during the novel coronavirus disease 2019 (COVID-19) pandemic. Best Pract Res Clin Anaesthesiol. 2020; 34(3): 553–560. https://doi.org/10.1016/j.bpa.2020.07.008
3. Greenberg N., Docherty M., Gnanapragasam S., Wessely S. Managing mental health challenges faced by healthcare workers during the COVID-19 pandemic. The British Journal of Psychiatry. 2020; 217(1): 20–25. https://doi.org/10.1136/bmj.m121
4. Wallace J.E., Lemaire J.B., Ghali W.A. Physician wellness: a missing quality indicator. Lancet. 2009; 14; 374(9702): 1714–1721. https://doi.org/10.1016/S0140- 6736(09)61424-0
5. Lacy B.E., Chan J.L. Physician Burnout: The Hidden Health Care Crisis. Clin Gastroenterol Hepatol. 2018; 16(3): 311–317. https://doi.org/10.1016/j.cgh.2017.06.043
6. Safonov A.L. The problem of professional burnout of health workers in the Russian Federation. Labour and Social Relations Journal. 2017; 3: 40–62 (In Russian).
7. Kobiakova O.S., Deev I.A., Kulikov E.S., et al. The medical nurses: the factors of professional burning-out. Problems of Social Hygiene, Public Health and History of Medicine. 2021; 29(2): 353–358 (In Russian). https://doi.org/10.32687/0869- 866X-2021-29-2-353-358
8. Kobiakova O.S., Deev I.A., Kulikov E.S., et al. The factors associated with development of professional burning-out in physicians. Problems of Social Hygiene, Public Health and History of Medicine 2019; 27(6): 967–971 (In Russian). https://doi.org/10.32687/0869- 866X-2019-27-6-967-971
9. Sibeoni J., Bellon-Champel L., Mousty A., et al. Physicians’ Perspectives About Burnout: a Systematic Review and Metasynthesis. J Gen Intern Med. 2019; 34(8): 1578–1590. https://doi.org/10.1007/s11606-019-05062-y
10. Maresca G., Corallo F., Catanese G., et al. Coping Strategies of Healthcare Professionals with Burnout Syndrome: A Systematic Review. Medicina (Kaunas). 2022; 58 (2): 327. https://doi.org/10.3390/medicina58020327
11. Harvey S.B., Epstein R.M., Glozier N., et al. Mental illness and suicide among physicians. Lancet. 2021; 398(10303): 920–930. https://doi.org/10.1016/S0140-6736(21)01596-8
12. Dyrbye L.N., West C.P., Satele D., et al. Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population. Acad Med. 2014; 89(3): 443–451. https://doi.org/10.1097/ACM.000000000 0000134. PMID: 24448053
13. Garcia C.L., Abreu L.C., Ramos J.L.S., et al. Influence of Burnout on Patient Safety: Systematic Review and Meta-Analysis. Medicina (Kaunas). 2019; 55(9): 553. https://doi. org/10.3390/medicina55090553
14. Kobyakova O.S., Deev I.A., Kulikov E.S. Emotional burnout in doctors and medical errors. Is there a connection? Social aspects of public health. 2016: 47(1): 5 (In Russian).
15. Oliveira A.M., Silva M.T., Galvão T.F., Lopes L.C. The relationship between job satisfaction, burnout syndrome and depressive symptoms: An analysis of professionals in a teaching hospital in Brazil. Medicine (Baltimore). 2018; 97(49): e13364. https://doi. org/10.1097/MD.0000000000013364
16. Goldman A.L., Barnett M.L. Changes in Physician Work Hours and Implications for Workforce Capacity and Work-Life Balance, 2001-2021. JAMA Intern Med. 2023; 183(2): 106–114. https://doi.org/10.1001/jamainternmed.2022.5792
17. Van Wyk B. E., Pillay‐Van Wyk V. Preventive staff‐support interventions for health workers. Cochrane Database of Systematic Reviews. 2010; 3: CD003541. https://doi. org/10.1002/14651858.CD003541.pub2
18. Tanja‐Dijkstra K., Pieterse M.E. The psychological effects of the physical healthcare environment on healthcare personnel. Cochrane Database of Systematic Reviews 2011; (1): CD006210. https://doi.org/10.1002/14651858.CD006210.pub3
19. Joyce K., Pabayo R., Critchley J.A., Bambra C. Flexible working conditions and their effects on employee health and wellbeing. Cochrane Database of Systematic Reviews 2010; (2): CD008009. https://doi.org/10.1002/14651858.CD008009.pub2
20. Busireddy K.R., Miller J.A., Ellison K., et al. Efficacy of Interventions to Reduce Resident Physician Burnout: A Systematic Review. J Grad Med Educ. 2017; 9(3): 294–301. https:// doi.org/10.4300/JGME-D-16-00372.1
21. 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(2): 195-205. https://doi.org/10.1001/jamainternmed.2016.7674
22. Sekhar P., Tee Q.X., Ashraf G., et al. Mindfulness‐based psychological interventions for improving mental well‐being in medical students and junior doctors. Cochrane Database of Systematic Reviews. 2021; 12: CD013740. https://doi.org/10.1002/14651858. CD013740.pub2
23. Tement S., Ketiš Z.K., Miroševič Š., et al. The Impact of Psychological Interventions with Elements of Mindfulness (PIM) on Empathy, Well-Being, and Reduction of Burnout in Physicians: A Systematic Review. Int J Environ Res Public Health. 2021; 18(21): 11181. https://doi.org/10.3390/ijerph182111181
24. Bazargan-Hejazi S., Shirazi A., Wang A., et al. Contribution of a positive psychologybased conceptual framework in reducing physician burnout and improving well-being: a systematic review. BMC Med Educ. 2021; 21(1): 593. https://doi.org/10.1186/s12909- 021-03021-y
25. Shevtsova Yu. V., Plotnova SV Trainings in balint groups as prevention of professional burnout among medical workers. Kant. 2019; 2(31): 151–154 (In Russian). EDN CKOQEI
26. McFarland D.C., Hlubocky F., Riba M. Update on Addressing Mental Health and Burnout in Physicians: What Is the Role for Psychiatry? Curr Psychiatry Rep. 2019; 21(11): 108. https://doi.org/10.1007/s11920-019-1100-6
Review
For citations:
Khalfin R.A., Smolnikova P.S., Stolkova A.S. Burnout among health care workers: a pressing problem for health care management. National Health Care (Russia). 2023;4(2):40-46. (In Russ.) https://doi.org/10.47093/2713-069X.2023.4.2.40-46