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Cited by 233Healthcare professionals’ stress and burnoutStress and Burnout ResearchOccupational Health and Burnout

The DOI matches its Crossref record; 50 of the 50 references it cites were found in a registry or an index.

Interventions to reduce burnout of physicians and nurses: An overview of systematic reviews and meta-analyses

Open access
Zhang, Xiu-jie, Song, Yingqian, Jiang, Tongtong, Ding, Ning, Shi, Tie-ying·2020·Medicine
DOI 10.1097/md.0000000000020992PMC PMC7328917
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Abstract

Objective: Numerous systematic reviews and meta-analyses on the interventions to reduce burnout of physicians and nurses have been published nowadays. This study aimed to summarize the evidence and clarify a bundled strategy to reduce burnout of physicians and nurses. Methods: Researches have been conducted within Cochrane Library, PubMed, Ovid, Scopus, EBSCO, and CINAHL published from inception to 2019. In addition, a manual search for relevant articles was also conducted using Google Scholar and ancestral searches through the reference lists from articles included in the final review. Two reviewers independently selected and assessed, and any disagreements were resolved through a larger team discussion. A data extraction spreadsheet was developed and initially piloted in 3 randomly selected studies. Data from each study were extracted independently using a pre-standardized data abstraction form. The the Risk of Bias in Systematic reviews and assessment of multiple systematic reviews (AMSTAR) 2 tool were used to evaluate risk of bias and quality of included articles. Results: A total of 22 studies published from 2014 to 2019 were eligible for analysis. Previous studies have examined burnout among physicians (n = 9), nurses (n = 6) and healthcare providers (n = 7). The MBI was used by majority of studies to assess burnout. The included studies evaluated a wide range of interventions, individual-focused (emotion regulation, self-care workshop, yoga, massage, mindfulness, meditation, stress management skills and communication skills training), structural or organizational (workload or schedule-rotation, stress management training program, group face-to-face delivery, teamwork/transitions, Balint training, debriefing sessions and a focus group) and combine interventions (snoezelen, stress management and resiliency training, stress management workshop and improving interaction with colleagues through personal training). Based on the Risk of Bias in Systematic reviews and AMSTAR 2 criteria, the risk of bias and methodological quality included studies was from moderate to high. Conclusions: Burnout is a complicated problem and should be dealt with by using bundled strategy. The existing overview clarified evidence to reduce burnout of physicians and nurses, which provided a basis for health policy makers or clinical managers to design simple and feasible strategies to reduce the burnout of physicians and nurses, and to ensure clinical safety.

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Crossref · 10.1097/md.0000000000020992

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Figure 1 Flowchart of the literature selection process.
Figure 1 Flowchart of the literature selection process.CC BY-NC · PubMed Central
Figure 2 The path of bundle strategy to reduce burnout of physicians and nurses.
Figure 2 The path of bundle strategy to reduce burnout of physicians and nurses.CC BY-NC · PubMed Central

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Metadata

Authors
Zhang, X.-J., Song, Y., Jiang, T., Ding, N., & Shi, T.-Y.
Affiliations
  • Department of Nursing, The First affiliated Hospital of Dalian Medical University, Dalian, China
  • First Affiliated Hospital of Dalian Medical University (CN)
  • Chiba University (JP)
ORCID
Venue
Medicine
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2020-06-26
Volume
99
Issue
26
Pages
e20992
ISSN
  • 0025-7974 (ISSN-L)
  • 1536-5964
DOI
10.1097/md.0000000000020992
PMC
PMC7328917
OpenAlex
W3037962547
Cited by
233
References
50
Citations by year
2026: 22 · 2025: 34 · 2024: 59 · 2023: 52 · 2022: 36 · 2021: 24 · 2020: 6
FWCI
5.62
Type
journal article
Language
en
Open access
Licence
Locations
  • Medicine (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
Funders
Basic Research Project of Higher Learning Institution in Liaoning Province (LQ2017014)
Topics
  • Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
  • Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
Keywords
burnout, physicians, nurses, healthcare workers, burnout intervention, stress management training, mindfulness, yoga, self-care, workload, Balint groups, debriefing, teamwork, organizational interventions, bundled interventions
MeSH terms
Burnout, Professional, Humans, Nurses, Physicians, Workload

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