Amiri Sohrab, Mahmood Nailah, Mustafa Halla, Javaid Syed Fahad, Khan Moien Ab
Spiritual Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran 17166, Iran.
Division of Health Research, Lancaster University, Lancaster LA1 4YW, UK.
Int J Environ Res Public Health. 2024 Nov 27;21(12):1583. doi: 10.3390/ijerph21121583.
Health professionals are disproportionately affected by burnout compared to other occupational groups. This study aims to systematically review and meta-analyze thirteen occupational risk factors related to burnout syndrome among health professionals globally. A comprehensive literature search was conducted in August 2023. The protocol was registered in The International Prospective Register of Systematic Reviews (PROSPERO), registration number CRD42023396081. Using a random-effects model, this meta-analysis assessed the association between occupational risk factors and burnout, reporting odds ratios (ORs) and 95% confidence intervals (CIs). The meta-analysis included 109 studies from diverse global locations. Key factors influencing burnout included workplace bullying, job stress, and poor communication, with protective factors such as supportive work environments, adequate staffing, and individual resilience. All risk factors examined showed a significant positive relationship with burnout incidence. Workplace bullying was strongly associated with increased burnout (OR 4.05-15.01, < 0.001). Similarly, low job satisfaction and high job stress were strongly associated with burnout, with ORs of 5.05 (95% CI 3.88-6.56, < 0.001) and 4.21 (95% CI 1.62-10.94, = 0.003), respectively. The review findings highlight the importance of addressing these risk factors through enhanced supportive work environments and promoting personal resilience strategies.
与其他职业群体相比,卫生专业人员受职业倦怠的影响更大。本研究旨在系统回顾和荟萃分析全球卫生专业人员中与职业倦怠综合征相关的13个职业风险因素。2023年8月进行了全面的文献检索。该方案已在国际系统评价前瞻性注册库(PROSPERO)中注册,注册号为CRD42023396081。本荟萃分析采用随机效应模型评估职业风险因素与职业倦怠之间的关联,报告优势比(OR)和95%置信区间(CI)。该荟萃分析纳入了来自全球不同地区的109项研究。影响职业倦怠的关键因素包括职场霸凌、工作压力和沟通不畅,而支持性的工作环境、充足的人员配备和个人复原力等则为保护因素。所有检测的风险因素均与职业倦怠发生率呈显著正相关。职场霸凌与职业倦怠增加密切相关(OR 4.05 - 15.01,< 0.001)。同样,低工作满意度和高工作压力与职业倦怠也密切相关,优势比分别为5.05(95% CI 3.88 - 6.56,< 0.001)和4.21(95% CI 1.62 - 10.94,= 0.003)。综述结果强调了通过改善支持性工作环境和推广个人复原力策略来应对这些风险因素的重要性。