Cargando…
A systematic review including meta-analysis of work environment and burnout symptoms
BACKGROUND: Practitioners and decision makers in the medical and insurance systems need knowledge on the relationship between work exposures and burnout. Many burnout studies – original as well as reviews - restricted their analyses to emotional exhaustion or did not report results on cynicism, pers...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5356239/ https://www.ncbi.nlm.nih.gov/pubmed/28302088 http://dx.doi.org/10.1186/s12889-017-4153-7 |
_version_ | 1782515782671925248 |
---|---|
author | Aronsson, Gunnar Theorell, Töres Grape, Tom Hammarström, Anne Hogstedt, Christer Marteinsdottir, Ina Skoog, Ingmar Träskman-Bendz, Lil Hall, Charlotte |
author_facet | Aronsson, Gunnar Theorell, Töres Grape, Tom Hammarström, Anne Hogstedt, Christer Marteinsdottir, Ina Skoog, Ingmar Träskman-Bendz, Lil Hall, Charlotte |
author_sort | Aronsson, Gunnar |
collection | PubMed |
description | BACKGROUND: Practitioners and decision makers in the medical and insurance systems need knowledge on the relationship between work exposures and burnout. Many burnout studies – original as well as reviews - restricted their analyses to emotional exhaustion or did not report results on cynicism, personal accomplishment or global burnout. To meet this need we carried out this review and meta-analyses with the aim to provide systematically graded evidence for associations between working conditions and near-future development of burnout symptoms. METHODS: A wide range of work exposure factors was screened. Inclusion criteria were: 1) Study performed in Europe, North America, Australia and New Zealand 1990–2013. 2) Prospective or comparable case control design. 3) Assessments of exposure (work) and outcome at baseline and at least once again during follow up 1–5 years later. Twenty-five articles met the predefined relevance and quality criteria. The GRADE-system with its 4-grade evidence scale was used. RESULTS: Most of the 25 studies focused emotional exhaustion, fewer cynicism and still fewer personal accomplishment. Moderately strong evidence (grade 3) was concluded for the association between job control and reduced emotional exhaustion and between low workplace support and increased emotional exhaustion. Limited evidence (grade 2) was found for the associations between workplace justice, demands, high work load, low reward, low supervisor support, low co-worker support, job insecurity and change in emotional exhaustion. Cynicism was associated with most of these work factors. Reduced personal accomplishment was only associated with low reward. There were few prospective studies with sufficient quality on adverse chemical, biological and physical factors and burnout. CONCLUSION: While high levels of job support and workplace justice were protective for emotional exhaustion, high demands, low job control, high work load, low reward and job insecurity increased the risk for developing exhaustion. Our approach with a wide range of work exposure factors analysed in relation to the separate dimensions of burnout expanded the knowledge of associations, evidence as well as research needs. The potential of organizational interventions is illustrated by the findings that burnout symptoms are strongly influenced by structural factors such as job demands, support and the possibility to exert control. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12889-017-4153-7) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-5356239 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-53562392017-03-22 A systematic review including meta-analysis of work environment and burnout symptoms Aronsson, Gunnar Theorell, Töres Grape, Tom Hammarström, Anne Hogstedt, Christer Marteinsdottir, Ina Skoog, Ingmar Träskman-Bendz, Lil Hall, Charlotte BMC Public Health Research Article BACKGROUND: Practitioners and decision makers in the medical and insurance systems need knowledge on the relationship between work exposures and burnout. Many burnout studies – original as well as reviews - restricted their analyses to emotional exhaustion or did not report results on cynicism, personal accomplishment or global burnout. To meet this need we carried out this review and meta-analyses with the aim to provide systematically graded evidence for associations between working conditions and near-future development of burnout symptoms. METHODS: A wide range of work exposure factors was screened. Inclusion criteria were: 1) Study performed in Europe, North America, Australia and New Zealand 1990–2013. 2) Prospective or comparable case control design. 3) Assessments of exposure (work) and outcome at baseline and at least once again during follow up 1–5 years later. Twenty-five articles met the predefined relevance and quality criteria. The GRADE-system with its 4-grade evidence scale was used. RESULTS: Most of the 25 studies focused emotional exhaustion, fewer cynicism and still fewer personal accomplishment. Moderately strong evidence (grade 3) was concluded for the association between job control and reduced emotional exhaustion and between low workplace support and increased emotional exhaustion. Limited evidence (grade 2) was found for the associations between workplace justice, demands, high work load, low reward, low supervisor support, low co-worker support, job insecurity and change in emotional exhaustion. Cynicism was associated with most of these work factors. Reduced personal accomplishment was only associated with low reward. There were few prospective studies with sufficient quality on adverse chemical, biological and physical factors and burnout. CONCLUSION: While high levels of job support and workplace justice were protective for emotional exhaustion, high demands, low job control, high work load, low reward and job insecurity increased the risk for developing exhaustion. Our approach with a wide range of work exposure factors analysed in relation to the separate dimensions of burnout expanded the knowledge of associations, evidence as well as research needs. The potential of organizational interventions is illustrated by the findings that burnout symptoms are strongly influenced by structural factors such as job demands, support and the possibility to exert control. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12889-017-4153-7) contains supplementary material, which is available to authorized users. BioMed Central 2017-03-16 /pmc/articles/PMC5356239/ /pubmed/28302088 http://dx.doi.org/10.1186/s12889-017-4153-7 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Aronsson, Gunnar Theorell, Töres Grape, Tom Hammarström, Anne Hogstedt, Christer Marteinsdottir, Ina Skoog, Ingmar Träskman-Bendz, Lil Hall, Charlotte A systematic review including meta-analysis of work environment and burnout symptoms |
title | A systematic review including meta-analysis of work environment and burnout symptoms |
title_full | A systematic review including meta-analysis of work environment and burnout symptoms |
title_fullStr | A systematic review including meta-analysis of work environment and burnout symptoms |
title_full_unstemmed | A systematic review including meta-analysis of work environment and burnout symptoms |
title_short | A systematic review including meta-analysis of work environment and burnout symptoms |
title_sort | systematic review including meta-analysis of work environment and burnout symptoms |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5356239/ https://www.ncbi.nlm.nih.gov/pubmed/28302088 http://dx.doi.org/10.1186/s12889-017-4153-7 |
work_keys_str_mv | AT aronssongunnar asystematicreviewincludingmetaanalysisofworkenvironmentandburnoutsymptoms AT theorelltores asystematicreviewincludingmetaanalysisofworkenvironmentandburnoutsymptoms AT grapetom asystematicreviewincludingmetaanalysisofworkenvironmentandburnoutsymptoms AT hammarstromanne asystematicreviewincludingmetaanalysisofworkenvironmentandburnoutsymptoms AT hogstedtchrister asystematicreviewincludingmetaanalysisofworkenvironmentandburnoutsymptoms AT marteinsdottirina asystematicreviewincludingmetaanalysisofworkenvironmentandburnoutsymptoms AT skoogingmar asystematicreviewincludingmetaanalysisofworkenvironmentandburnoutsymptoms AT traskmanbendzlil asystematicreviewincludingmetaanalysisofworkenvironmentandburnoutsymptoms AT hallcharlotte asystematicreviewincludingmetaanalysisofworkenvironmentandburnoutsymptoms AT aronssongunnar systematicreviewincludingmetaanalysisofworkenvironmentandburnoutsymptoms AT theorelltores systematicreviewincludingmetaanalysisofworkenvironmentandburnoutsymptoms AT grapetom systematicreviewincludingmetaanalysisofworkenvironmentandburnoutsymptoms AT hammarstromanne systematicreviewincludingmetaanalysisofworkenvironmentandburnoutsymptoms AT hogstedtchrister systematicreviewincludingmetaanalysisofworkenvironmentandburnoutsymptoms AT marteinsdottirina systematicreviewincludingmetaanalysisofworkenvironmentandburnoutsymptoms AT skoogingmar systematicreviewincludingmetaanalysisofworkenvironmentandburnoutsymptoms AT traskmanbendzlil systematicreviewincludingmetaanalysisofworkenvironmentandburnoutsymptoms AT hallcharlotte systematicreviewincludingmetaanalysisofworkenvironmentandburnoutsymptoms |