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Physicians' Perspectives About Burnout: a Systematic Review and Metasynthesis
Jordan Sibeoni1,2, Laura Bellon-Champel3, Antoine Mousty4
1Service Universitaire de Psychiatrie de l'Adolescent, Argenteuil Hospital Centre, 69 rue du LTC Prud'hon, 95107, Argenteuil, France. Jordan.sibeoni@ch-argenteuil.fr.
Journal of General Internal Medicine
|June 1, 2019
Summary
Physicians experiencing burnout often cite organizational and individual stressors. Addressing relational factors is key for interventions to protect doctors from burnout.
Area of Science:
- Medical research
- Public health
- Qualitative research
Background:
- Physician burnout is a significant public health concern impacting healthcare systems and doctors' well-being.
- Qualitative studies offer valuable insights into physicians' lived experiences and understanding of burnout.
Purpose of the Study:
- To explore physicians' perspectives on burnout using a metasynthesis approach.
- To systematically review and analyze qualitative studies on physician burnout.
Main Methods:
- A metasynthesis of qualitative studies was conducted.
- Systematic literature searches of Medline, PsycINFO, EMBASE, and SSCI databases were performed.
- Thematic synthesis and analysis were employed to identify and synthesize key themes.
Main Results:
- Thirty-three qualitative studies involving 1589 physicians were analyzed.
- Key themes identified were: (1) stress factors (organizational, contextual, relational, individual) and (2) protective factors (individual, relational, organizational).
- Organizational factors were primary stressors, while individual factors were primary protective measures.
Conclusions:
- Physicians identify numerous organizational factors contributing to burnout but focus on individual coping mechanisms.
- Relational factors represent a crucial, yet underexplored, area for burnout intervention and protection strategies.
- Addressing relational dynamics is essential for effectively combating physician burnout.