Evaluation of Burnout Syndrome in Medical Residents Following a “Rest after Shift” Intervention
Open accessAbstract
Background: The burnout syndrome generates a negative impact on professional performance, patient´s safety and resident´s life.Despite this problem has become important in the residency programs in Argentina, effective measures to prevent burnout among residents have not been evaluated yet.Objective: The aim of this study was to evaluate the prevalence of the burnout syndrome before and after the implementation of rest after shift in cardiology residents.Methods: An analytic and prospective study was conducted using the Maslach burnout questionnaire in cardiology residents of an institution in the city of Buenos Aires, before and after the implementation of a day of rest (DOR) after a 24-hour shift.Results: The survey was responded by 42 residents (2014: 19; 2015: 23).There was a trend towards lower prevalence of burnout in the DOR group (26.1% vs. 47.4% p=0.152) and better outcomes in the depersonalization scale [19 (11-21) vs. 10 (1-17) p=0.023].Women and residents who had moved to Buenos Aires presented lower degrees of exhaustion and depersonalization.Conclusions: The implementation of DOR after a 24-hour shift was associated with a reduction in the depersonalization scale, particularly among women.We emphasize the importance of creating prevention strategies aimed at improving residents' working conditions and quality of life.
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Organizational interventions showed no statistically significant association with any burnout domain (EE, DP, PA).
“In organizational intervention studies [44, 45, 47–49, 73, 76], pooling of post-intervention intervention Cohen’s d SMD yielded non-statistically significant resulted in all outcomes, EE (-0.22, 95% CI -0.47 to 0.04, p = 0.10, I2 = 62.6%) (Fig. 3A), DP (-0.15, 95% CI -0.38 to 0.08, p = 0.21, I2 = 53.0%) (Fig. 3B), and PA (0.12, 95% CI -0.01 to 0.25, p = 0.07; I2 = 0%) (Fig. 3C).”
From Individual and organizational interventions to reduce burnout in resident physicians: a systematic review and meta-analysis (2024) · cites this paper as [44]
In the organizational work-hour intervention subgroup, there was no significant post-intervention effect across all outcome domains: EE -0.20 (95% CI -0.58 to 0.17, p = 0.29, I2 = 67.1%), DP -0.16 (95% CI -0.48 to 0.16, p = 0.33, I2 = 55.8%), and PA 0.04 (95% CI -0.12 to 0.20, p = 0.60, I2 = 0%).
“Subgroup analyses revealed no post-intervention Cohen’s d SMD in work-hour interventions [44, 45, 47, 73, 76] across all outcome domains: EE (-0.20, 95% CI -0.58 to 0.17, p = 0.29, I2 = 67.1%), DP (-0.16, 95% CI -0.48 to 0.16, p = 0.33, I2 = 55.8%), and PA (0.04, 95% CI -0.12 to 0.20, p = 0.60, I2 = 0%).”
From Individual and organizational interventions to reduce burnout in resident physicians: a systematic review and meta-analysis (2024) · cites this paper as [44]
Outcome measurements were conducted using various versions of the validated Maslach Burnout Inventory (MBI): 26 studies used the 22-item MBI, 5 used the 9-item MBI, 1 used the 20-item Dutch version, and 1 used the 16-item MBI.
“Outcome measurements were conducted using various versions of the validated MBI. Specifically, 26 studies (78.7%) used the 22-item MBI [44, 45, 47–49, 51, 52, 54, 56, 58, 60–65, 67, 68, 70–76], 5 studies (15.2%) employed the 9-item MBI [50, 53, 55, 59, 69], 1 study (3.0%) used the 20-item Dutch version of the MBI [57], and 1 study (3.0%) utilized the 16-item MBI [66].”
From Individual and organizational interventions to reduce burnout in resident physicians: a systematic review and meta-analysis (2024) · cites this paper as [44]
The majority of studies employed non-randomized, non-concurrent designs, with 9 using historical controls, 13 utilizing self-control studies, and 11 randomized controlled concurrent trials.
“The majority of studies employed non-randomized, non-concurrent designs, with 9 (27.2%) using historical controls [44, 48, 49, 56, 59, 68, 71, 75, 76] and 13 (39.4%) utilizing self-control studies [47, 50, 53, 54, 58, 61, 65–67, 69, 70, 72, 73]. Eleven (33.3%) studies were randomized, controlled, concurrent trials [45, 51, 52, 55, 57, 60–64, 74].”
From Individual and organizational interventions to reduce burnout in resident physicians: a systematic review and meta-analysis (2024) · cites this paper as [44]
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Kiratipaisarl, W., Surawattanasakul, V., & Sirikul, W. (2024) · BMC Medical Education · doi:10.1186/s12909-024-06195-3 · Cited by 37 · see citing works
“Subgroup analyses revealed no post-intervention Cohen’s d SMD in work-hour interventions [44, 45, 47, 73, 76] across all outcome domains: EE (-0.20, 95% CI -0.58 to 0.17, p = 0.29, I 2 = 67.1%), DP (-0.16, 95% CI -0.48 to 0.16, p = 0.33, I 2 = 55.8%), and PA (0.04, 95% CI -0.12 to 0.20, p = 0.60, I…”
BackgroundMethodInfluential
- Authors
- Burgos, L. M., Battioni, L., Costabel, J. P., & Alves de Lima, A.
- Affiliations
- Instituto Cardiovascular de Buenos Aires (AR)
- Venue
- Revista Argentina de Cardiologia
- Publisher
- Revista Argentina de Cardiologia
- Published
- 2018-04-30
- Volume
- 86
- Issue
- 2
- Pages
- 123-126
- OpenAlex
- W4235927085
- Cited by
- 3
- References
- 0
- Citations by year
- 2024: 1 · 2023: 2
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Dialnet (Universidad de la Rioja) (submittedVersion)
- Conicet (submittedVersion, cc-by-nc-sa)
- Revista Argentina de Cardiología
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Keywords
- burnout, medical residents, shift work, physician well-being, occupational stress, intervention evaluation
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