Rehabilitation Care Services, VA Puget Sound Health Care System, Everett, WA, 98213, USA.
Rehabilitation Care Services, VA Puget Sound Health Care System, Tacoma, WA, 98493, USA.
Chiropr Man Therap. 2024 Oct 7;32(1):29. doi: 10.1186/s12998-024-00550-3.
The purpose of this scoping review was to summarize the literature pertaining to burnout and chiropractic.
A literature review was performed in accordance with Preferred Reporting of Systematic Reviews and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR). A literature review was performed by combining the term "chiropractic" with terms relevant to professional burnout (e.g., "work-related stress," "emotional exhaustion"). We included all publications addressing burnout within the chiropractic profession, including all study designs in only peer-reviewed literature.
Our search yielded 126 citations and 10 met the inclusion criteria. The studies identified consisted of eight surveys and two narrative reviews published from 2011 to 2024. Six of the studies utilized the Maslach Burnout Inventory to assess burnout. Chiropractic students reported greater burnout than the general population. Factors reported to increase burnout risk include higher workload, insurance mandates, and physical demands of daily practice. Factors reported to be protective against burnout included longer duration in clinical practice and philosophy-based practices.
Research on burnout within the chiropractic profession is limited and may not be generalizable. However, the reported factors contributing to burnout are well-documented. Future research should be conducted to improve understanding of the prevalence and causes of burnout in chiropractic.
本次范围综述的目的是总结与脊医相关的职业倦怠文献。
根据系统评价和荟萃分析扩展的首选报告（PRISMA-ScR）进行文献综述。通过将“脊医”一词与与专业倦怠相关的术语（例如，“工作相关压力”、“情绪耗竭”）相结合，进行文献综述。我们纳入了所有涉及脊医职业倦怠的出版物，包括仅在同行评审文献中发表的所有研究设计。
我们的搜索产生了 126 条引文，其中 10 条符合纳入标准。确定的研究包括 2011 年至 2024 年发表的八项调查和两项叙述性评论。其中六项研究使用 Maslach 职业倦怠量表评估倦怠。脊医学生报告的倦怠程度高于一般人群。报告的增加倦怠风险的因素包括更高的工作量、保险要求和日常实践的身体需求。报告的对倦怠有保护作用的因素包括更长的临床实践时间和基于哲学的实践。
脊医职业倦怠的研究有限，可能不具有普遍性。然而，报告的导致倦怠的因素有充分的记录。未来应开展研究，以提高对脊医倦怠的普遍性和原因的理解。
