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      Art Interventions to Mitigate Burnout in Health Care Professionals: A Systematic Review

      research-article
      , MD 1 , , MD, MPH, MS 2 , , PhD 3 , , MD, MPH 1 , 3 ,
      The Permanente Journal
      The Permanente Press
      visual, art, burnout

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          Abstract

          Burnout in the medical workforce is a growing global concern. Visual arts–based interventions can be a novel way to mitigate burnout and bolster resilience in medicine. Improving tolerance of ambiguity and uncertainty has been associated with decreased rates of burnout in clinicians. No known systematic review exists summarizing the evidence behind the use of visual arts–based interventions to mitigate burnout in clinicians.

          The authors conducted a systematic literature review of PubMed, EMBASE, and CINAHL in November 2022 using the terms: art, medicine, burnout, and uncertainty. The authors review the evidence for the effects of visual arts–based interventions on clinician burnout.

          The search identified 58 articles, of which 26 met study inclusion criteria and were assessed by 2 reviewers. These studies reported mixed methods assessments of changes in burnout, empathy, and stress. Overall, visual arts–based interventions promoted empathy, connectedness, and tolerance of ambiguity and had positive effects on burnout; however, some results were mixed.

          Visual arts–based interventions to mitigate burnout show promise, and additional research should focus on feasibility and longer-term outcomes.

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          Most cited references38

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          The PRISMA 2020 statement: an updated guideline for reporting systematic reviews

          The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement, published in 2009, was designed to help systematic reviewers transparently report why the review was done, what the authors did, and what they found. Over the past decade, advances in systematic review methodology and terminology have necessitated an update to the guideline. The PRISMA 2020 statement replaces the 2009 statement and includes new reporting guidance that reflects advances in methods to identify, select, appraise, and synthesise studies. The structure and presentation of the items have been modified to facilitate implementation. In this article, we present the PRISMA 2020 27-item checklist, an expanded checklist that details reporting recommendations for each item, the PRISMA 2020 abstract checklist, and the revised flow diagrams for original and updated reviews.
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            Physician burnout: contributors, consequences and solutions

            Physician burnout, a work-related syndrome involving emotional exhaustion, depersonalization and a sense of reduced personal accomplishment, is prevalent internationally. Rates of burnout symptoms that have been associated with adverse effects on patients, the healthcare workforce, costs and physician health exceed 50% in studies of both physicians-in-training and practicing physicians. This problem represents a public health crisis with negative impacts on individual physicians, patients and healthcare organizations and systems. Drivers of this epidemic are largely rooted within healthcare organizations and systems and include excessive workloads, inefficient work processes, clerical burdens, work-home conflicts, lack of input or control for physicians with respect to issues affecting their work lives, organizational support structures and leadership culture. Individual physician-level factors also play a role, with higher rates of burnout commonly reported in female and younger physicians. Effective solutions align with these drivers. For example, organizational efforts such as locally developed practice modifications and increased support for clinical work have demonstrated benefits in reducing burnout. Individually focused solutions such as mindfulness-based stress reduction and small-group programmes to promote community, connectedness and meaning have also been shown to be effective. Regardless of the specific approach taken, the problem of physician burnout is best addressed when viewed as a shared responsibility of both healthcare systems and individual physicians. Although our understanding of physician burnout has advanced considerably in recent years, many gaps in our knowledge remain. Longitudinal studies of burnout's effects and the impact of interventions on both burnout and its effects are needed, as are studies of effective solutions implemented in combination. For medicine to fulfil its mission for patients and for public health, all stakeholders in healthcare delivery must work together to develop and implement effective remedies for physician burnout.
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              Prevalence of Burnout Among Physicians

              Burnout is a self-reported job-related syndrome increasingly recognized as a critical factor affecting physicians and their patients. An accurate estimate of burnout prevalence among physicians would have important health policy implications, but the overall prevalence is unknown.
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                Author and article information

                Journal
                Perm J
                tpj
                tpj
                The Permanente Journal
                The Permanente Press
                1552-5767
                1552-5775
                2023
                12 June 2023
                : 27
                : 2
                : 184-194
                Affiliations
                [1] 1Kaiser Permanente Oakland , Oakland, CA, USA
                [2] 2Kaiser Permanente School of Medicine , Pasadena, CA, USA
                [3] 3departmentSchool of Public Health , University of California Berkeley , Berkeley, CA, USA
                Author notes
                [*]Somalee Banerjee, MD, MPH Somalee.banerjee@ 123456kp.org
                Article
                TPJ-23-018
                10.7812/TPP/23.018
                10266839
                37303185
                55b3093a-b019-4ebb-a51b-9d346f7f3f6a
                © 2023 The Authors.

                Published by The Permanente Federation LLC under the terms of the CC BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/.

                History
                Page count
                Figures: 2, Tables: 1, Equations: 0, References: 41, Pages: 11
                Categories
                Review Article

                visual,art,burnout
                visual, art, burnout

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