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Shanafelt, T. Professional burnout: Does the current culture of health care foster professional burnout? Presented at: Annual Dialysis Conference. March 5-7, 2021 (virtual meeting).
Read nextIntervention, discussions essential to reducing burnout, increased fulfillment in work
Published by:
Shanafelt, T. Professional burnout: Does the current culture of health care foster professional burnout? Presented at: Annual Dialysis Conference. March 5-7, 2021 (virtual meeting).
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Physicians who engaged in discussions about the “virtues and challenges” of their specialties and in organizations with wellness-centered leadership experienced decreased burnout and increased fulfilment in work, according to a speaker.
“When you have a work unit where things are operating well, colleagues support each other and have each other’s back, and they’ve optimized the unit, even when the macro-organization has challenges, they will often do well,”Tait Shanafelt，医学博士,chief wellness officer at Stanford Medicine, said during his keynote speech at the virtual 2021 Annual Dialysis Conference.
For the intervention, Shanafelt and colleagues included 74 practicing physicians from the department of medicine at the Mayo Clinic in Minnesota in a facilitated discussion group focused on reflection and shared experiences as physicians. The group met biweekly for 9 months.
然后，研究人员使用一系列尺度评估了参与者的工作满意度，授权工作质量和疲劳。评估在整个干预过程中每3个月进行一次，此后三个月。
研究结果确定了研究后3个月的工作中赋权和参与度增加了5.3分，而与倦怠有关的人格化减少了15.5％。
In an additional study on work unit leadership, Shanafelt and colleagues included 2,400 physicians and utilized a12-point behavior scale, leading to a 60-point leader score, to evaluate the behavior of 129 unit chiefs.
“Every one-point improvement in that 60-point scale was associated with a 4% lower burnout rate and 9% higher professional fulfillment rate in the physician team members,” Shanafelt said. “About 10% of the variability in burnout was explained by the leader behavior score, with half of the variation in professional fulfillment across the 2,400 physicians explained by the behavior of the chief.”
Treating physicians with respect, informing physicians about what is happening in the organization, listening to the opinions of others and recognizing a job well done were among the behaviors measured by the physicians.
“We have to think about the seven driver domains: workload, work efficiency, flexibility, control, meaning in work, values, community and support and work life integration,” Shanafelt said. “To the extent those are suboptimal, the environment is leading to burnout. More optimal, it’s leading to engagement.”
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