School of Social Work, University of Haifa.
The Department of Human Services, University of Haifa.
Health Psychol. 2022 Jan;41(1):53-64. doi: 10.1037/hea0001155.
Significant proportions of burnout have been reported among both oncologists and oncology nurses. However, these groups have not been compared in a meta-analytic design. It is important to compare how burnout affects different types of health professionals to understand its individual implications and devise ways of minimizing and treating it.
The current meta-analysis study aimed to systematically compare burnout prevalence between oncologists and oncology nurses.
Authors assessed 34 studies (four included nurses and oncologists and 30 focused either on oncologists or oncology nurses) that used the Maslach Burnout Inventory (MBI) to measure burnout. Both fixed- and random-effects models were used to calculate meta-analytic estimates of the burnout subscales: emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA).
The pooled sample size was 4,705 oncologists and 6,940 oncology nurses. The average proportions of EE, DP, and PA were 32%, 26%, and 25%, respectively, among oncologists and 32%, 21%, and 26%, respectively, among oncology nurses. Higher DP was found among oncologists compared with oncology nurses, only in the analysis of studies that included samples of both oncologists and oncology nurses. The subgroup analysis showed higher levels of DP in Europe and Asia and lower PA in Asia and Canada. No evidence of publication bias was found.
Findings suggest differences in burnout between oncologists and oncology nurses and among geographic regions. This highlights the need for tailored interventions for different professions and regions. Hospitals should provide support and encourage teamwork to improve oncology professionals' well-being and provide optimal care for patients. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
在肿瘤学家和肿瘤科护士中,均有相当比例的人出现 burnout 现象。然而,这些群体尚未在荟萃分析设计中进行比较。比较 burnout 如何影响不同类型的卫生专业人员,以了解其个体影响并制定最小化和治疗方法非常重要。
本项荟萃分析旨在系统比较肿瘤学家和肿瘤科护士之间 burnout 的患病率。
作者评估了 34 项研究(其中 4 项研究同时纳入了护士和肿瘤学家,30 项研究则分别侧重于肿瘤学家或肿瘤科护士),这些研究使用 Maslach 倦怠量表(MBI)来衡量 burnout。采用固定效应和随机效应模型来计算 burnout 亚量表的荟萃分析估计值:情绪衰竭(EE)、去人格化(DP)和个人成就感(PA)。
合并样本量为 4705 名肿瘤学家和 6940 名肿瘤科护士。肿瘤学家中 EE、DP 和 PA 的平均比例分别为 32%、26%和 25%,肿瘤科护士中分别为 32%、21%和 26%。仅在同时纳入肿瘤学家和肿瘤科护士样本的研究分析中,发现肿瘤学家的 DP 高于肿瘤科护士。亚组分析显示,欧洲和亚洲的 DP 水平较高,亚洲和加拿大的 PA 水平较低。未发现发表偏倚的证据。
研究结果表明,肿瘤学家和肿瘤科护士之间以及不同地理区域之间存在 burnout 差异。这突显了为不同职业和地区量身定制干预措施的必要性。医院应为肿瘤科专业人员提供支持并鼓励团队合作,以改善他们的福祉并为患者提供最佳护理。