Multipronged intervention for reducing burnout and increasing resiliency in an interdisciplinary care team
Open accessAbstract
The WHO classifies burnout as a syndrome ‘resulting from chronic workplace stress that has not been successfully managed’ and characterised by ‘feelings of energy depletion or exhaustion; increased mental distance from one’s job, or feelings of negativism or cynicism related to one’s job; and reduced professional efficacy’.1 Burnout is a significant factor in healthcare; it is estimated over half of the physicians experience burnout and the US health system loses US$4.6 billion a year in burnout-related turnover and loss of clinical hours.2 3 Resilience, ‘the ability to achieve an adequate and positive adjustment to adversity’,(p111)4 5 has been shown to be a protective factor against burnout and assist employees in continuing to work.4 6 Therefore, effective approaches to reducing burnout and increasing resilience can be of value to healthcare professionals and ultimately healthcare systems. Interventions found to be effective include meditation,7–9 mindfulness training,7 10–12 gratitude13 14 and increasing workflow efficiency.15 This programme evaluated the implementation of three interventions designed to reduce burnout and increase resilience among members of an interdisciplinary healthcare team. This team experienced substantial turnover over a year’s time, losing 5 of 10 members. There was a need for resiliency strategies for team members in an effort to reduce turnover and enhance professional fulfilment. This report summarises the results of these interventions. ### Interventions Three distinct interventions were administered to an eight-member interdisciplinary adult cystic fibrosis care team at an academic medical centre during weekly team meetings for 3 months. The first …
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A previous study demonstrated that video-based exercise programs were effective and had a low dropout rate.
“Moreover, a previous study demonstrated that video-based exercise programs were effective [70] and had a low dropout rate [71].”
From Development of an artificial intelligence-based tailored mobile intervention for nurse burnout: single-arm trial (2024) · cites this paper as [70]
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Cites
A Global Measure of Perceived Stress
Cohen, S., Kamarck, T., & Mermelstein, R. (1983) · Journal of Health and Social Behavior · doi:10.2307/2136404 · Cited by 32,807 · see citing works
(1988) · Cited by 4,111 · see citing works
Shanafelt, T. D., Hasan, O., Dyrbye, L. N., Sinsky, C., Satele, D., Sloan, J., & West, C. P. (2015) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2015.08.023 · Cited by 2,885 · see citing works
Psychological Resilience: A Review and Critique of Definitions, Concepts, and Theory
Fletcher, D., & Sarkar, M. (2013) · European Psychologist · doi:10.1027/1016-9040/a000124 · Cited by 2,547 · see citing works
Meditation Programs for Psychological Stress and Well-being: A Systematic Review and Meta-analysis
Goyal, M., Singh, S., Sibinga, E. M. S., Gould, N. F., Rowland-Seymour, A., Sharma, R., Berger, Z., Sleicher, D., Maron, D. D., Shihab, H. M., et al. (2014) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2013.13018 · Cited by 2,380 · see citing works
COHEN, S., & JANICKI‐DEVERTS, D. (2012) · Journal of Applied Social Psychology · doi:10.1111/j.1559-1816.2012.00900.x · Cited by 1,187 · see citing works
Estimating the Attributable Cost of Physician Burnout in the United States
Han, S., Shanafelt, T. D., Sinsky, C. A., Awad, K. M., Dyrbye, L. N., Fiscus, L. C., Trockel, M., & Goh, J. (2019) · Annals of Internal Medicine · doi:10.7326/m18-1422 · Cited by 939 · see citing works
Trockel, M., Bohman, B., Lesure, E., Hamidi, M. S., Welle, D., Roberts, L., & Shanafelt, T. (2018) · Academic Psychiatry · doi:10.1007/s40596-017-0849-3 · Cited by 602 · see citing works
A Mindfulness Course Decreases Burnout and Improves Well-Being among Healthcare Providers
Goodman, M. J., & Schorling, J. B. (2012) · The International Journal of Psychiatry in Medicine · doi:10.2190/pm.43.2.b · Cited by 453 · see citing works
Yates, S. W. (2019) · The American Journal of Medicine · doi:10.1016/j.amjmed.2019.08.034 · Cited by 374 · see citing works
Burnout and its association with resilience in nurses: A cross‐sectional study
Guo, Y., Luo, Y., Lam, L., Cross, W. M., Plummer, V., & Zhang, J. (2017) · Journal of Clinical Nursing · doi:10.1111/jocn.13952 · Cited by 310 · see citing works
Burnout and health among critical care professionals: The mediational role of resilience
Arrogante, Ó., & Aparicio-Zaldívar, E. G. (2017) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2017.04.010 · Cited by 205 · see citing works
Bohman, B. D., Dyrbye, L. N., Sinsky, C. A., Linzer, M., Olson, K. D., Babbott, S. F., Murphy, M. L., de Vries, P. P., Hamidi, M. S., & Trockel, M. (2017) · NEJM Catalyst · Cited by 180 · see citing works
An on-the-job mindfulness-based intervention for pediatric ICU nurses: a pilot
Gauthier, T., Meyer, R. M. L., Grefe, D., & Gold, J. I. (2015) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2014.10.005 · Cited by 177 · see citing works
The association of gratitude with perceived stress and burnout among male firefighters in Korea
Lee, J., Kim, S., Bae, K., Kim, J., Shin, I., Yoon, J., & Kim, S. (2017) · Personality and Individual Differences · doi:10.1016/j.paid.2017.11.010 · Cited by 90 · see citing works
A qualitative analysis of the Three Good Things intervention in healthcare workers
Rippstein-Leuenberger, K., Mauthner, O., Sexton, J. B., & Schwendimann, R. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-015826 · Cited by 80 · see citing works
Tawfik, D. S., Sexton, J. B., Adair, K. C., Kaplan, H. C., & Profit, J. (2017) · Clinics in Perinatology · doi:10.1016/j.clp.2017.04.004 · Cited by 59 · see citing works
van Wietmarschen, H., Tjaden, B., van Vliet, M., Battjes-Fries, M., & Jong, M. (2018) · BJGP Open · doi:10.3399/bjgpopen18x101621 · Cited by 36 · see citing works
Thimmapuram, J., Grim, R. D., Bell, T. D., Benenson, R. S., Lavallee, M. E., Modi, M., Noll, D., & Salter, R. (2019) · Global Advances in Health and Medicine · doi:10.1177/2164956118821056 · Cited by 36 · see citing works
Mindfulness‐based cognitive therapy: An efficacy study for mental health care staff
Askey‐Jones, R. (2018) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/jpm.12472 · Cited by 24 · see citing works
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Cited by
Sorted by citations
Cho, A., Cha, C., & Baek, G. (2024) · Journal of Medical Internet Research · doi:10.2196/54029 · Cited by 29 · see citing works
A Smartphone App to Reduce Burnout in the Emergency Department: A Pilot Randomized Controlled Trial
Monfries, N., Sandhu, N., & Millar, K. R. (2022) · Workplace Health & Safety · doi:10.1177/21650799221123261 · Cited by 18 · see citing works
Improving physician well‐being and reducing burnout using a peer‐to‐peer recognition program
Chang, J., Saggar, V., Cortijo‐Brown, A., Friedman, B. W., Jones, M., Li‐Sauerwine, S., Rebillot, K., & Corbo, J. (2023) · AEM Education and Training · doi:10.1002/aet2.10861 · Cited by 13 · see citing works
Bogaert, K. C., Lieb, W., Glazer, K. B., Wang, E., Stone, J. L., & Howell, E. A. (2022) · American Journal of Perinatology · doi:10.1055/s-0042-1748315 · Cited by 9 · see citing works
Dangal, R. K., Studer, E., Gupta, T. K., Nguyen, K., Suneja, A., Khadka, K., Shrestha, S. B., & Acharya, B. (2025) · BMC Health Services Research · doi:10.1186/s12913-025-12294-8 · Cited by 7 · see citing works
The Effect of Psychological Hotwash on Resilience of Emergency Medical Services Personnel
Ebrahimian, A., Esmaeili, S.-M., Seidabadi, A., & Fakhr‐Movahedi, A. (2021) · Emergency Medicine International · doi:10.1155/2021/4392996 · Cited by 4 · see citing works
Increasing Nurse Leader Compassion Satisfaction Through Gratitude
Chambers, R. S. (2022) · Nurse Leader · doi:10.1016/j.mnl.2022.10.005 · Cited by 3 · see citing works
The Introduction of Flow Facilitators: A Targeted Wellness Initiative in the Emergency Department
Subramony, R., Gieschen, J., Kreshak, A. A., Tolia, V. M., & Minns, A. B. (2025) · Journal of Emergency Medicine · doi:10.1016/j.jemermed.2025.03.008 · Cited by 2 · see citing works
A national survey of health professional student preceptors’ workplace mental health and well-being
Ambade, P., Hoffman, Z., Yi, M., & MacKinnon, N. J. (2025) · Electronic Journal of General Medicine · doi:10.29333/ejgm/16746 · Cited by 1 · see citing works
Ambujam, J. K., Francis, P. T., Olickal, J. J., Sarma, P. S., & Thankappan, K. R. (2026) · BMJ Open · doi:10.1136/bmjopen-2025-113120 · Cited by 1 · see citing works
Mumcu, E., Kılıç, O. H. T., & Başer, A. (2025) · PeerJ · doi:10.7717/peerj.19314 · Cited by 1 · see citing works
Gramma, R. (2023) · Journal of Intercultural Management and Ethics · doi:10.35478/jime.2023.2.01
BURNOUT EM DOCENTES DO ENSINO SUPERIOR PORTUGUÊS
Sanches, A., Crespo, D., & Durão, M. C. M. (2024) · RECIMA21 - Revista Científica Multidisciplinar · doi:10.47820/recima21.v5i1.5367
- Authors
- Bruschwein, H., & Gettle, L. S.
- Affiliations
- University of Virginia (US)
- University of Virginia Health System (US)
- Corresponding author
- Bruschwein, Heather
- Venue
- BMJ Open Quality
- Publisher
- BMJ
- Published
- 2020-11
- Volume
- 9
- Issue
- 4
- Pages
- e001015
- ISSN
- 2399-6641 (ISSN-L)
- PMC
- PMC7677337
- OpenAlex
- W3104098434
- Cited by
- 13
- References
- 20
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 1
- FWCI
- 1.57
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMJ Open Quality (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- HighWire Press Open Archive (submittedVersion)
- Funders
- University of Virginia
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Keywords
- burnout, resilience, interdisciplinary care teams, mindfulness training, gratitude interventions, meditation, occupational stress, team meetings
- MeSH terms
- Burnout, Psychological, Burnout, Professional, Humans, Patient Care Team, Interdisciplinary Studies
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