Unisanté, Department of occupational and environmental health, Route de la Corniche, 2, 1066 Epalinges-Lausanne, Switzerland.
Scand J Work Environ Health. 2021 Mar 1;47(2):95-107. doi: 10.5271/sjweh.3935. Epub 2020 Dec 1.
Objective A consensual definition of occupational burnout is currently lacking. We aimed to harmonize the definition of occupational burnout as a health outcome in medical research and reach a consensus on this definition within the Network on the Coordination and Harmonisation of European Occupational Cohorts (OMEGA-NET). Methods First, we performed a systematic review in MEDLINE, PsycINFO and Embase (January 1990 to August 2018) and a semantic analysis of the available definitions. We used the definitions of burnout and burnout-related concepts from the Systematized Nomenclature of Medicine Clinical Terms (SNOMED-CT) to formulate a consistent harmonized definition of the concept. Second, we sought to obtain the Delphi consensus on the proposed definition. Results We identified 88 unique definitions of burnout and assigned each of them to 1 of the 11 original definitions. The semantic analysis yielded a first proposal, further reformulated according to SNOMED-CT and the panelists` comments as follows: "In a worker, occupational burnout or occupational physical AND emotional exhaustion state is an exhaustion due to prolonged exposure to work-related problems". A panel of 50 experts (researchers and healthcare professionals with an interest for occupational burnout) reached consensus on this proposal at the second round of the Delphi, with 82% of experts agreeing on it. Conclusion This study resulted in a harmonized definition of occupational burnout approved by experts from 29 countries within OMEGA-NET. Future research should address the reproducibility of the Delphi consensus in a larger panel of experts, representing more countries, and examine the practicability of the definition.
目的 目前缺乏职业倦怠的共识定义。我们旨在协调职业倦怠作为医学研究中健康结果的定义，并在欧洲职业队列协调与协调网络（OMEGA-NET）内就这一定义达成共识。
方法 首先，我们在 MEDLINE、PsycINFO 和 Embase 中进行了系统回顾（1990 年 1 月至 2018 年 8 月），并对现有定义进行了语义分析。我们使用来自医学术语系统命名法临床术语（SNOMED-CT）的倦怠和与倦怠相关概念的定义，制定了一个一致的、协调的概念定义。其次，我们寻求就拟议定义获得 Delphi 共识。
结果 我们确定了 88 个独特的倦怠定义，并将每个定义分配给 11 个原始定义之一。语义分析得出了第一个建议，根据 SNOMED-CT 和小组成员的意见进一步重新制定如下：“在工人中，职业倦怠或职业身心衰竭状态是由于长时间暴露于与工作相关的问题而导致的衰竭。”一个由 50 名专家（对职业倦怠感兴趣的研究人员和医疗保健专业人员）组成的小组在 Delphi 的第二轮中就该建议达成了共识，82%的专家表示同意。
结论 本研究在 OMEGA-NET 内的 29 个国家的专家中达成了一项协调的职业倦怠定义。未来的研究应该在更多国家的更大专家小组中检验 Delphi 共识的可重复性，并研究该定义的实用性。
