مداخلات فرسودگی شغلی: مروری بر مرورهای سیستماتیک

نوع مقاله : مقاله مروری

نویسندگان

1 MA. student in counseling, Department of Counseling, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran.

2 Professor, Department of Counseling, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran.

3 Associate professor, Department of Counseling, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran.

چکیده

مقدمه: مجموعه رو به رشدی از مرورهای سیستماتیک متمرکز بر مداخلاتی که به کارگران برای غلبه بر فرسودگی شغلی کمک می کند. هدف این بررسی اجمالی ترکیب نتایج مداخلات فرسودگی شغلی بود.
 
روش‌ کار: مرورهای سیستماتیک در پایگاه‌های اطلاعاتی PubMed، Web of Science، CINAHL، Embase، Google Scholar و Scopus) از ابتدا تا سال 2023 جستجو شدند و در صورت ذکر نتایج حداقل یک مداخله، جزئیات مربوط به مقالات بررسی شده، نمرات بالایی در مرحله ارزیابی کیفی دریافت کرده و متن کامل آنها به زبان انگلیسی موجود بود.
 
یافته‌ها: ده مرور سیستماتیک شناسایی شد که حدود 303 مقاله منحصر به فرد را بررسی کردند. حداقل 29 نوع مداخله با استفاده از روش سنتز روایی و تحلیل موضوعی شناسایی و دسته بندی شد. مداخلات را می توان در سه موضوع اصلی طبقه بندی کرد: مداخله متمرکز بر تسریع، تمرکز بر حالت عاطفی و مداخله متمرکز بر پیامد. هر موضوع بیشتر به مداخلات مبتنی بر تغییر یا پذیرش تقسیم می‌شود.
 
نتیجه‌گیری: یافته‌ها نشان می‌دهد که اغلب مداخلات بر تغییر موقعیت‌هایی که باعث فرسودگی شغلی می‌شوند یا منجر به فرسودگی شغلی می‌شوند، متمرکز بوده‌اند. با این حال، مداخلاتی که بر پذیرش جنبه‌های عاطفی فرسودگی شغلی متمرکز بودند، مؤثرترین برنامه‌ها بودند. هنوز نتایج غیرقطعی در مورد چندین مداخله وجود دارد و برخی از شکاف های تحقیقاتی که نیاز به توجه دارند مورد بحث قرار گرفت.

کلیدواژه‌ها


  1. WHO burn-out an “occupational phenomenon”: International classification of diseases. Available from: https://www.who.int/mental_health/evidence/burn-out/en/
  2. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Ann Rev Psychol 2001; 13: 25-37.
  3. Ching SM, Cheong AT, Yee A, Thurasamy R, Lim PY, Zarina II, et al. Prevalence and factors associated with burnout among healthcare providers in Malaysia: A web-based cross-sectional study. Ir J Med Sci 2024; 193(2): 851-63.
  4. Maslach C, Leiter MP. The truth about burnout. San Francisco: Jossey Bass; 1997: 257-373.
  5. Shoman Y, El May E, Marca SC, Wild P, Bianchi R, Bugge MD, et al. Predictors of occupational burnout: A systematic review. Int J Environ Res Public Health 2021; 18: 88-91.
  6. Salvagioni DA, Mesas AE, Melanda FN, González AD, de Andrade SM. Burnout and long-term sickness absence from the teaching function: A cohort study. Saf Health Work 2022; 13: 201-6.
  7. Rudman A, Arborelius L, Dahlgren A, Finnes A, Gustavsson P. Consequences of early career nurse burnout: A prospective long-term follow-up on cognitive functions, depressive symptoms, and insomnia. EClinicalMedicine 2020; 27: 100565.
  8. Chandawarkar A, Chaparro JD. Burnout in clinicians. Curr Probl Pediatr Adolesc Health Care 2021; 51(11): 101104.
  9. McFarland DC, Hlubocky F, Susaimanickam B, O’Hanlon R, Riba M. Addressing depression, burnout, and suicide in oncology physicians. Am Soc Clin Oncol Educ Book 2019; 39: 590-98.
  10. Salvagioni DAJ, Melanda FN, Mesas AE, González AD, Gabani FL, Andrade SMD. Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies. PLoS ONE 2017; 12: 45-90.
  11. Stehman CR, Testo Z, Gershaw RS, Kellogg AR. Burnout, drop out, suicide: Physician loss in emergency medicine part I. West J Emerg Med 2019; 20: 485-500.
  12. Wang QQ, Lv WJ, Qian RL, Zhang YH. Job burnout and quality of working life among Chinese nurses: A cross‐sectional study. J Nurs Manag 2019; 27: 1835-44.
  13. Smith V, Devane D, Begley CM, Clarke M. Methodology in conducting a systematic review of systematic reviews of healthcare interventions. BMC Med Res Methodol 2011; 11: 1-6.
  14. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med 2009; 6: 45-78.
  15. Ferrari R. Writing narrative-styles. Medical writing 2015; 24: 230-35.
  16. Shea BJ, Reeves BC, Wells G, Thuku M, Hamel C, Moran J, et al. AMSTAR 2: A critical appraisal tool for systematic reviews that include randomized or non-randomized studies of healthcare interventions, or both. BMJ 2017; 8: 358-400.
  17. Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, et al. Cochrane handbook for systematic reviews of interventions version 6.4 (updated August 2023). Cochrane; 2023. Available from: training. cochrane.org/handbook.
  18. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006; 3(2): 77-101.
  19. Moss SJ, Wollny K, Poulin TG, Cook DJ, Stelfox HT, des Ordons AR, et al. Bereavement interventions to support informal caregivers in the intensive care unit: A systematic review. BMC Palliat Care 2021; 20: 1-10.
  20. Forte AL, Hill M, Pazder R, Feudtner C. Bereavement care interventions: A systematic review. BMC Palliat Care 2004; 3: 3-14.
  21. Wiederhold BK, Cipresso P, Pizzioli D, Wiederhold M, Riva G. Intervention for physician burnout: A systematic review. Open Med (Wars) 2018; 13: 253-63.
  22. Aryankhesal A, Mohammadibakhsh R, Hamidi Y, Alidoost S, Behzadifar M, Sohrabi R, et al. Interventions on reducing burnout in physicians and nurses: A systematic review. Med J Islam Repub Iran 2019; 33: 77.
  23. Dijxhoorn A, Brom L, Linden Y, Leget C, Raijmakers N. Prevalence of burnout in healthcare professionals providing palliative care and the effect of interventions to reduce symptoms: A systematic literature review. Palliat Med 2021; 35: 6-26.
  24. Salvado M, Marques D, Pires I, Silva N. Mindfulness-based interventions to reduce burnout in primary healthcare professionals: A systematic review and meta-analysis. Healthcare 2021; 9: 70-98.
  25. Suleiman-Martos N, Gomez-Urquiza JL, Aguayo-Estremera R, Cañadas-De La Fuente GA, De La Fuente-Solana EI, Albendín-García L. The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis. J Adv Nurs 2020; 76(5): 1124-40.
  26. Busireddy K, Miller J, Ellison K, Ren V, Qayyum R, Panda M. Efficacy of interventions to reduce resident physician burnout: A systematic review. J Grad Med Educ 2017; 9: 294-301.
  27. Panagioti M, Panagopoulou E, Bower P, Lewith G, Kontopantelis E, Chew-Graham C, et al. Controlled interventions to reduce burnout in physicians: A systematic review and meta-analysis. JAMA Intern Med 2019; 177: 195-205.
  28. Klein A, Taieb O, Xavier S, Baubet T, Reyre A. The benefits of mindfulness-based interventions on burnout among health professionals: A systematic review. Explore (NY) 2020; 16(1): 35-43.
  29. Thomas Craig K, Willis V, Gruen D, Rhee K, Jackson G. The burden of the digital environment: A systematic review on organization-directed workplace interventions to mitigate physician burnout. J Am Med Inform Assoc 2021; 28: 985-97.
  30. DeChant PF, Acs A, Rhee KB, Boulanger TS, Snowdon JL, Tutty MA, et al. Effect of organization-directed workplace interventions on physician burnout: A systematic review. Mayo Clin Proc Innov Qual Outcomes 2019; 3(4): 384-408.
  31. Sinsky CA, Dyrbye LN, West CP, Satele D, Tutty M, Shanafelt TD. Professional satisfaction and the career plans of US physicians. Mayo Clin Proc 2017; 92(11): 1625-35.
  32. Penberthy JK, Chhabra D, Ducar DM, Avitabile N, Lynch M, Khanna S, et al. Impact of coping and communication skills program on physician burnout, quality of life, and emotional flooding. Saf Health Work 2018; 9(4):381-7.
  33. Sephien A, Reljic T, Jordan J, Prida X, Kumar A. Resident duty hours and resident and patient outcomes: Systematic review and meta-analysis. Med Educ 2023; 57(3): 221-32.
  34. Sawyer AT, Tao H, Bailey AK. The impact of a psychoeducational group program on the mental well-being of unit-based nurse leaders: A randomized controlled trial. Int J Environ Res Public Health 2023; 20(11): 6035. ‏
  35. Leiter MP, Harvie P. Condition of staff acceptance of organizational change: burnout as mediating construct. Anxiety Stress Coping 1998; 11: 1-25.
  36. Alexander GK, Rollins K, Walker D, Wong L, Pennings J. Yoga for self-care and burnout prevention among nurses. Workplace Health Saf 2015; 63(10): 462-470. ‏
  37. Agyapong B, Brett-MacLean P, Burback L, Agyapong VIO, Wei Y. Interventions to reduce stress and burnout among teachers: A scoping review. Int J Environ Res Public Health 2023; 20(9): 5625.
  38. Cheng ST, Tsui PK, Lam JH. Improving mental health in health care practitioners: Randomized controlled trial of a gratitude intervention. J Consult Clin Psychol 2015; 83(1): 177-86.
  39. Popa-Velea O, TruŢEscu CI, Diaconescu LV. The impact of Balint work on alexithymia, perceived stress, perceived social support and burnout among physicians working in palliative care: A longitudinal study. J Occup Environ Med 2019; 32: 53-63.
  40. Ghasemi F, Herman KC, Reinke WM. A cognitive-behavioral approach to teacher burnout: A randomized controlled trial of a group therapy program. Anxiety Stress Coping 2023; 36(4): 533-41.
  41. McMurray JE, Linzer M, Konrad TR, Douglas J, Shugerman R, Nelson K, et al. The work lives of women physicians: Results from the physician work life study. J Gen Intern Med 2000; 15: 372-80.