Clinical Research and Leadership, School of Medicine and Health Sciences, The George Washington University, Washington, District of Columbia, USA
Clinical Research and Leadership, School of Medicine and Health Sciences, The George Washington University, Washington, District of Columbia, USA.
BMJ Open. 2023 Jan 30;13(1):e067577. doi: 10.1136/bmjopen-2022-067577.
Reported burnout rates among qualified healthcare professionals (QHP) are alarming. Systematic reviews evaluating the effectiveness of burnout interventions for QHP exist; however, findings are contradictory. In addition, to date, there is no indication of how these interventions work and what specific intervention elements mitigate burnout. This review aims to explain how burnout interventions work and the contextual factors that mediate the intended outcomes. Our ultimate goal is to formulate actionable recommendations to guide the implementation of complex burnout interventions for QHP working in the hospital setting.
In light of the heterogeneity and complexity of the interventions designed to address burnout, we will conduct a realist review using Pawson's five iterative stages to explore and explain how burnout interventions work, for whom, and in what circumstances. We will search PubMed, CINAHL, Scopus, PsycINFO and Web of Science from inception to December 2022. Grey literature sources will also be considered. The results will be reported according to the Realist and Meta-Narrative Evidence Syntheses-Evolving Standards quality and publication standards ETHICS AND DISSEMINATION: Findings will be disseminated in a peer-reviewed journal, conference presentations and through the development of infographics and relevant educational material to be shared with stakeholders and key institutions. This study is a secondary data analysis; thus, a formal ethics review is not applicable.
CRD42021293154.
报告称，合格医疗保健专业人员（QHP）的倦怠率令人震惊。已经有系统评价评估了针对 QHP 的倦怠干预措施的有效性；然而，结果却相互矛盾。此外，迄今为止，尚无迹象表明这些干预措施是如何发挥作用的，以及哪些具体的干预要素可以减轻倦怠。本综述旨在解释倦怠干预措施的作用以及调节预期结果的情境因素。我们的最终目标是制定切实可行的建议，为在医院环境中工作的 QHP 实施复杂的倦怠干预措施提供指导。
鉴于旨在解决倦怠问题的干预措施具有异质性和复杂性，我们将使用 Pawson 的五个迭代阶段进行现实主义审查，以探索和解释倦怠干预措施如何为谁以及在什么情况下发挥作用。我们将从创建到 2022 年 12 月在 PubMed、CINAHL、Scopus、PsycINFO 和 Web of Science 上进行搜索。还将考虑灰色文献来源。结果将根据现实主义和元叙事证据综合-不断发展的标准质量和出版标准进行报告。
研究结果将发表在同行评议的期刊上，会议演示，并通过开发信息图表和相关教育材料进行传播，以便与利益相关者和主要机构分享。本研究是二次数据分析；因此，不需要正式的伦理审查。
PROSPERO 注册号：CRD42021293154。
