Over a third of palliative medicine physicians meet burnout criteria: Results from a survey study during the COVID-19 pandemic
Open accessAbstract
Background: Palliative medicine physicians may be at higher risk of burnout due to increased stressors and compromised resilience during the COVID-19 pandemic. Burnout prevalence and factors influencing this among UK and Irish palliative medicine physicians is unknown. Aim: To determine the prevalence of burnout and the degree of resilience among UK and Irish palliative medicine physicians during the COVID-19 pandemic, and associated factors. Design: Online survey using validated assessment scales assessed burnout and resilience: The Maslach Burnout Inventory Human Services Survey for Medical Personnel [MBI-HSS (MP)] and the Connor-Davidson Resilience Scale (CD-RISC). Additional tools assessed depressive symptoms, alcohol use, and quality of life. Setting/participants: Association of Palliative Medicine of UK and Ireland members actively practising in hospital, hospice or community settings. Results: There were 544 respondents from the 815 eligible participants (66.8%), 462 provided complete MBI-HSS (MP) data and were analysed. Of those 181/462 (39.2%) met burnout criteria, based on high emotional exhaustion or depersonalisation subscales of the MBI-HSS (MP). A reduced odds of burnout was observed among physicians who worked ⩽20 h/week (vs 31–40 h/week, adjusted odds ratio (aOR) 0.03, 95% confidence interval (CI) 0.002–0.56) and who had a greater perceived level of clinical support (aOR 0.70, 95% CI 0.62–0.80). Physicians with higher levels of depressive symptoms had higher odds of burnout (aOR 18.32, 95% CI 6.75–49.73). Resilience, mean (SD) CD-RISC score, was lower in physicians who met burnout criteria compared to those who did not (62.6 (11.1) vs 70.0 (11.3); p < 0.001). Conclusions: Over one-third of palliative medicine physicians meet burnout criteria. The provision of enhanced organisational and colleague support is paramount in both the current and future pandemics.
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Over one-third of palliative care physicians met the criteria for burnout during the COVID-19 pandemic.
“Over one-third of palliative care physicians met the criteria for burnout during the COVID-19 pandemic, further highlighting the need for interventions to support mental wellbeing amongst staff. 20”
From Acceptance and Commitment Therapy (ACT) for people with advanced progressive illness, their caregivers and staff involved in their care: A scoping review. (2023) · cites this paper as [20]
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- Authors
- Boland, J. W., Kabir, M., Spilg, E. G., Webber, C., Bush, S. H., Murtagh, F., & Lawlor, P. G.
- Affiliations
- University of Hull (GB)
- Bruyère (CA)
- University of Ottawa (CA)
- Ottawa Hospital Research Institute (CA)
- Corresponding author
- Boland, Jason W
- ORCID
- Venue
- Palliative Medicine
- Publisher
- SAGE Publications
- Published
- 2023-02-15
- Volume
- 37
- Issue
- 3
- Pages
- 343-354
- ISSN
- 0269-2163 (ISSN-L)
- 1477-030X
- PMC
- PMC9936168
- OpenAlex
- W4320858026
- Cited by
- 16
- References
- 57
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 4 · 2023: 4
- FWCI
- 5.67
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Palliative Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Repository@Hull (Worktribe) (University of Hull) (acceptedVersion, other-oa)
- Funders
- University of Ottawa
- National Institute for Health and Care Research (NIHR135115, NIHR201354)
- Department of Health and Social Care
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Keywords
- burnout, COVID-19 pandemic, resilience, emotional exhaustion, depersonalization, depressive symptoms, clinical support, working hours, alcohol consumption, quality of life, occupational stress
- MeSH terms
- COVID-19, Burnout, Professional, Humans, Physicians, Quality of Life, Surveys and Questionnaires, Pandemics, Palliative Medicine
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