Burnout safety over a short period of time.

Burnout and Stress in Healthcare Professionals: An AnnotatedBibliographySalyers, M. P., Bonfils, K.

A., Luther, L., Firmin, R. L., White,D. A., Adams, E. L.

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, & Rollins, A. L. (2017). The relationship betweenprofessional burnout and quality and safety in healthcare: A meta-analysis.

 Journalof general internal medicine, 32(4), 475-482. doi:10.1007/s11606-016-3886-9.This study analyzes the effects of burnout and healthcare qualityacross different disciplines of healthcare professions. The authors hypothesized that burnout in healthcare providers canhave a negative effect on the quality of care that is given to the patient.With a systemic review, eight-two studies, including 210, 669 healthcareproviders, were involved in data synthesis and analysis.

Through a quantitativeapproach, the author’s found a statistical significance between burnout,quality, and safety. In other words, when engagement, care efficiency and well-beingare impeded, they can adversely impact patient care.  While this study brings strong evidence, wecannot rule-out other factors that other factors, such as organizationalculture, can increase burnout and poor quality. With this being across-sectional study, the authors are examining the relationship of burnout,quality, and safety over a short period of time.

This may limit the ability tounderstand any delayed consequences of burnout. Overall, this study is presentsfindings that are important for future research as well as target interventionsfor healthcare systems to implement.  Dharmawardene, M., Givens, J., Wachholtz, A., Makowski, S.

, , J. (2016). A systematic review and meta-analysis of meditativeinterventions for informal caregivers and health professionals. BMJ Supportive & Palliative Care,6(2), 160-169. doi: 10.

1136/bmjspcare-2014-000819.This study reviews the current state of the published peer-reviewedliterature related to meditative interventions for healthcare professionals aswell as informal caregivers. By conducting a systemic literature review, theauthors hope to provide evidence for the interventions to improve thewell-being of health care professionals.

Cognitively based meditationinterventions were examined. This includes, mantra mediation and mindfulnessmeditations. By examining the full text of 68 studies, they constructed a data analysisthat grouped same caregivers (healthcare professionals and informal caregivers)as well as positive and negative domains. Through combined analysis,self-efficacy was statistically significant for both healthcare professionalsand informal caregivers. The other outcome measures differed among each group.

For informal caregivers, meditative interventions showed statisticallysignificant improvements in mood. For healthcare professionals, emotionalexhaustion and personal accomplishment shows improvements after meditativeinterventions. There were numerous limitations to the study, including stricteligibility rules and small sample of studies to review. While there aremultiple gaps to this study, there is a benefit to meditative inventions inrelation to stress reduction.

 Schroeder, D. A., Stephens, E., Colgan, D.

, Hunsinger, M.,Rubin, D., & Christopher, M. S. (2016). A brief mindfulness-based interventionfor primary care physicians: A pilot randomized controlled trial. AmericanJournal of Lifestyle Medicine. doi:10.

1177/155982761662912.                        Thisstudy examines the how mindfulness-based intervention (MBI) can impact thelevels of burnout, stress, and resilience among physicians. Through thisrandomized controlled trial, 33 physicians were to complete baseline assessmentand were then randomly assigned to a curriculum group that taughtmindfulness-based techniques or control group. Self-report measures were givenat baseline, within 7 days of the conclusion of the study, and 3 months later. Variousmeasures were used to analyze the data quantitatively, including the BriefResilience Scale (BRS), Perceived Stress Scale-10 (PSS-10), and MasalachBurnout Inventory (MASL). Overall, results showed that participants in the mindfulnesstraining reported significant improvements on mindfulness, stress, andemotional exhaustion. In the control group, there were no significantimprovement on any of the self-reports.

Many physicians who were part of thetraining group maintained mindfulness practice at the 3-month follow-up. Limitationsinclude small sample size, possible selection bias, and the uncontrolledvariable of social support. This study shows that burnout is prevalent inhealthcare professionals and promotes mindfulness training as one of thepotential remedies.      

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