School of Medicine, Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, PO Box 1627, FI-70211 Kuopio, Finland.
Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, PO Box 1627, FI-70211 Kuopio, Finland.
Occup Med (Lond). 2017 Aug 1;67(6):461-468. doi: 10.1093/occmed/kqx093.
Professional burnout predicts sick leave and even permanent withdrawal from the labour force. However, knowledge of the barriers to and facilitators of return to work (RTW) in such burnout is limited.
To identify factors associated with RTW of burned-out individuals to inform occupational health care (OHC) RTW policy.
A systematic search of peer-reviewed quantitative and mixed-method studies published from January 2005 to July 2016 in English and Finnish in ARTO, CINAHL (EBSCO), Medic, PsycINFO (ProQuest), PubMed, Scopus and Web of Science databases, followed by a manual search. We included studies that identify burnout with valid burnout measures and measure the degree of RTW or sick leave as outcomes. We excluded studies with heterogeneous samples without subgroup analyses of RTW in burnout cases.
We included 10 studies (three experimental and seven observational) of the initial 1345 identified. The studies reported work-related factors; enhanced communication (positive association) and low control at work (negative association) and individual-related factors; male gender (positive association), covert coping (negative association), high over-commitment to work (positive association) and burnout-related factors; unimpaired sleep (positive association), duration of sick leave over 6 months (negative association) and part-time sick leave (positive association) associated with RTW in burnout. Associations between burnout rehabilitation and RTW, and the level of symptoms and cognitive impairment and RTW remained unclear.
Few quantitative studies, of varied methodological quality, explore factors associated with RTW in burnout. Further research is needed to build an evidence base and develop guidelines for supportive OHC actions.
职业倦怠可预测员工请病假，甚至永久退出劳动力市场。然而，对于倦怠后重返工作岗位（RTW）的障碍和促进因素知之甚少。
确定与倦怠个体 RTW 相关的因素，为职业健康保健（OHC）的 RTW 政策提供信息。
对 2005 年 1 月至 2016 年 7 月在 ARTO、CINAHL（EBSCO）、Medic、PsycINFO（ProQuest）、PubMed、Scopus 和 Web of Science 数据库以英文和芬兰文发表的同行评审定量和混合方法研究进行系统检索，随后进行手工检索。我们纳入了使用有效倦怠测量方法识别倦怠并将 RTW 或病假程度作为结果进行测量的研究。我们排除了研究样本混杂且无倦怠病例 RTW 亚组分析的研究。
我们纳入了最初 1345 项研究中的 10 项（3 项实验研究和 7 项观察性研究）。这些研究报告了与工作相关的因素；增强的沟通（正相关）和工作中的低控制（负相关）以及个体相关的因素；男性（正相关）、隐性应对（负相关）、对工作的高度过度承诺（正相关）和倦怠相关的因素；未受影响的睡眠（正相关）、病假超过 6 个月（负相关）和兼职病假（正相关）与倦怠后的 RTW 相关。倦怠康复与 RTW 之间的关联，以及症状和认知障碍的严重程度与 RTW 之间的关联尚不清楚。
少数定量研究，方法学质量各异，探索了与倦怠后 RTW 相关的因素。需要进一步研究，以建立循证基础并制定支持 OHC 措施的指南。
