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      Burnout and its determinants among anaesthesia care providers in Switzerland: a multicentre cross‐sectional study

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          Summary

          The escalating epidemic of burnout in healthcare professionals affects provider well‐being, patient care and sustainability of healthcare systems. The objective of this study was to determine the prevalence of burnout among anaesthesia care providers (consultants, trainees or nurse anaesthetists) in Switzerland and identify risk factors to develop strategies for prevention. This multicentre cross‐sectional study was conducted at 22 anaesthesia departments in the German‐speaking part of Switzerland, using an online questionnaire. Burnout assessment was performed using the Maslach Burnout Inventory. Additionally, the questionnaire included questions on workplace and personal risk factors. Of 1630 anaesthesia care providers contacted, 688 (42%) completed the survey. Among respondents who specified their work positions (n = 676), 52% (149/287) of nurses and 59% (229/389) of physicians were at high risk of burnout; and 9% (26/287) of nurses and 18% (70/389) of physicians met the criteria for burnout syndrome. Logistic regression analysis found significant associations between burnout and perceived lack of support at work among physicians (odds ratio (95%CI) 2.66 (1.40–5.24), p = 0.004); being a trainee in the 1st and 2nd year of training (2.91 (1.14–7.41), p = 0.024); being a trainee with > 5 years of experience (2.78 (1.08–6.98), p = 0.031); and male gender among nurses (4.13 (1.62–11.2), p = 0.004) and physicians (2.32 (1.22–4.47), p = 0.011). Work‐related errors due to high workload or fatigue were reported by 65% (444/688) and consideration of leaving the profession due to working conditions was expressed by 46% (319/688) of respondents. Anaesthetic care providers in German‐speaking Switzerland experience a considerable prevalence of burnout, influenced mainly by workplace factors.

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          Burnout and satisfaction with work-life balance among US physicians relative to the general US population.

          Despite extensive data about physician burnout, to our knowledge, no national study has evaluated rates of burnout among US physicians, explored differences by specialty, or compared physicians with US workers in other fields. We conducted a national study of burnout in a large sample of US physicians from all specialty disciplines using the American Medical Association Physician Masterfile and surveyed a probability-based sample of the general US population for comparison. Burnout was measured using validated instruments. Satisfaction with work-life balance was explored. Of 27 276 physicians who received an invitation to participate, 7288 (26.7%) completed surveys. When assessed using the Maslach Burnout Inventory, 45.8% of physicians reported at least 1 symptom of burnout. Substantial differences in burnout were observed by specialty, with the highest rates among physicians at the front line of care access (family medicine, general internal medicine, and emergency medicine). Compared with a probability-based sample of 3442 working US adults, physicians were more likely to have symptoms of burnout (37.9% vs 27.8%) and to be dissatisfied with work-life balance (40.2% vs 23.2%) (P < .001 for both). Highest level of education completed also related to burnout in a pooled multivariate analysis adjusted for age, sex, relationship status, and hours worked per week. Compared with high school graduates, individuals with an MD or DO degree were at increased risk for burnout (odds ratio [OR], 1.36; P < .001), whereas individuals with a bachelor's degree (OR, 0.80; P = .048), master's degree (OR, 0.71; P = .01), or professional or doctoral degree other than an MD or DO degree (OR, 0.64; P = .04) were at lower risk for burnout. Burnout is more common among physicians than among other US workers. Physicians in specialties at the front line of care access seem to be at greatest risk.
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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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              Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis

              Physician burnout has reached epidemic levels, as documented in national studies of both physicians in training and practising physicians. The consequences are negative effects on patient care, professionalism, physicians' own care and safety, and the viability of health-care systems. A more complete understanding than at present of the quality and outcomes of the literature on approaches to prevent and reduce burnout is necessary.
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                Author and article information

                Journal
                Anaesthesia
                Anaesthesia
                Wiley
                0003-2409
                1365-2044
                February 2024
                November 16 2023
                February 2024
                : 79
                : 2
                : 168-177
                Affiliations
                [1 ]Institute of Anaesthesiology University Hospital Zurich Zurich Switzerland
                [2 ]Epidemiology, Biostatistics and Prevention Institute University of Zurich Zurich Switzerland
                [3 ]Simulation Centre University Hospital Zurich Zurich Switzerland
                [4 ]Director of Training and Faculty Development, Simulation Centre University Hospital Zurich Zurich Switzerland
                Article
                10.1111/anae.16171
                37970939
                8f8df505-e38a-46ed-a891-7f7829f4f817
                © 2024

                http://onlinelibrary.wiley.com/termsAndConditions#vor

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