Volume : 08, Issue : 12, December – 2021

Title:

40.BURNOUT AMONG EMERGENCY PHYSICIANS IN SAUDI ARABIA: A SYSTEMATIC REVIEW AND META-ANALYSIS

Authors :

DR. NAZIM FAISAL HAMED AHMED, ALGHAMDI SAUD ABDULRAHMAN S, ALRUWAILI TAIF NAIF R, ALJOHANI RAZAN FAISAL M, ALGHANNAMI, ALI KHALED A, Nawaf Musallam Salem Albalawi, FAISAL MOHAMMED HAMDAN ALBALAWI

Abstract :

Background: The department of emergency medicine is well-known for its mental and physical difficulties. Previous research has shown that emergency medicine physicians experience higher levels of burnout than the general population, which has detrimental consequences for both patients and physicians. Aim: This systematic review and meta-analysis aims to estimate the current burden of burnout syndrome among emergency physicians in Saudi Arabia.
Methods: This study followed the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020. Systematic search was conducted on 6 databases using keywords relevant to burnout syndrome among emergency professionals in Saudi Arabia. We used Rayyan-Qatar Computing Research Institute (QCRI) [18] for importing and managing search results, as well as for detection and removal of duplicates. Quantitative data synthesis was done using Review Manager 5.4. Random effects model was applied. Higgin’s I2 test has been used in order to detect heterogeneity.
Results: A total of 7 studies including a total population of 671 EMS professional have been enrolled for the pooled estimation of the prevalence of high emotional exhaustion (51% (95% CI: 33%-69%)), high depersonalization (37% (95% CI: 24%-50%)), low personal accomplishments (31% (95% CI: 25%-37%)), and overall burnout syndrome prevalence (28% (95% CI: -45%-101%)). Significant heterogeneity was evident in all pooled estimates except for low PA and prevalence of overall burnout.
Conclusion: This meta-analysis demonstrates high rates of high EE, high DP, and low PA among emergency physicians in Saudi Arabia. Evident from literature, our study suggests that EM physicians are more prone to burnout in comparison to physicians in other departments and other medical staffs.

Cite This Article:

Please cite this article in press Nazim Faisal Hamed Ahmed et al, Burnout Among Emergency Physicians In Saudi Arabia: A Systematic Review And Meta-Analysis., Indo Am. J. P. Sci, 2021; 08(12).

Number of Downloads : 10

References:

1. Stehman C, Testo Z, Gershaw R, Kellogg A. Burnout, drop out, suicide: physician loss in emergency medicine, part I. West J Emerg Med. 2019;20(3): 485–494. doi:10.5811/westjem.2019.4.40970
2. Bragard I, Dupuis G, Fleet R. Quality of work life, burnout, and stress in emergency department physicians. Eur J Emerg Med. 2015;22(4):227–234. doi:10.1097/MEJ.0000000000000194.
3. Johnston A, Abraham L, Greenslade J, et al. Staff perception of the emergency department working environment: Integrative review of the literature. Emerg Med Australas. 2016;28(1), 7-26. doi:1111/1742-6723.12522
4. Westbrook J, Raban M, Walter S, Douglas H. Task errors by emergency physicians are associated with interruptions, multitasking, fatigue and working memory capacity: a prospective, direct observation study. BMJ quality & safety. 2018;27(8), 655-663. doi:1136/bmjqs-2017-007333
5. Sanchez LD, Wolfe R. Physician Well-Being. Emerg Med Clin N Am. 2020; 38(2), 297-310. doi:1016/j.emc.2020.01.005
6. Estryn-Behar M, Doppia M, Guetarni K, et al. Emergency physicians accumulate more stress factors than other physicians–results from the French SESMAT study. J Emerg Med, 2011;28(5), 397-410. doi: http://dx.doi.org/10.1136/emj.2009.082594
7. Lall M, Gaeta T, Chung A, et al. Assessment of Physician Well-being, Part One: Burnout and Other Negative States. West J Emerg Med, 2019;20(2), 278 –290. doi:10.5811/westjem.2019.1.39665
8. Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012;172(18):1377-1385.
9. Shanafelt TD, Hasan O, Dyrbye LN, et al. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014. Mayo Clin Proc. 2015;90(12):1600-1613.
10. Peterson U, Bergström G, Demerouti E, Gustavsson P, Asberg M, Nygren A. Burnout levels and self-rated health prospectively predict future long-term sickness absence: a study among female health professionals. J Occup Environ Med. 2011;53(7):788-793.
11. Shanafelt TD, Sloan JA, Habermann TM. The well-being of physicians. Am J Med. 2003;114(6):513-519.
12. Maslach C. A Multidimensional Theory of Burnout. In: Cooper CL, ed. Theories of Organizational Stress. New York, NY: Oxford University Press; 1998.
13. Schaufeli W, Enzmann D. The burnout companion to study and practice : a critical analysis. London; Philadelphia, PA: Taylor & Francis; 1998.
14. Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory Manual. Palo Alto, California: Consulting Psychologists Press; 1996.
15. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372:n71.
16. Freudenberger HJ. Staff burn‐out. Journal of social issues. 1974 Jan;30(1):159-65.
17. Johns III MM, Ossoff RH. Burnout in academic chairs of otolaryngology: head and neck surgery. The Laryngoscope. 2005 Nov;115(11):2056-61.
18. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-a web and mobile app for systematic reviews. Systematic Reviews, 5, 210. 2016.
19. Agha A, Mordy A, Anwar E, Saleh N, Rashid I, Saeed M. Burnout among middle-grade doctors of tertiary care hospital in Saudi Arabia. Work. 2015 Jan 1;51(4):839-47.
20. Alaslani MH, Mufti MI, Alasmari MA. Are emergency medicine physicians at higher risk for burnout?: an experience from Saudi Arabia. International Journal of Advanced Research. 2016;4(10):1675-81.
21. Aldrees TM, Aleissa S, Zamakhshary M, Badri M, Sadat-Ali M. Physician well-being: prevalence of burnout and associated risk factors in a tertiary hospital, Riyadh, Saudi Arabia. Ann Saudi Med. 2013 Sep-Oct;33(5):451-6. doi: 10.5144/0256-4947.2013.451. PMID: 24188938; PMCID: PMC6074879.
22. ALmutairi MN, El Mahalli AA. Burnout and Coping Methods among Emergency Medical Services Professionals. J Multidiscip Healthc. 2020 Mar 16;13:271-279. doi: 10.2147/JMDH.S244303. PMID: 32214822; PMCID: PMC7083646.
23. Alqahtani AM, Awadalla NJ, Alsaleem SA, Alsamghan AS, Alsaleem MA. Burnout syndrome among emergency physicians and nurses in Abha and Khamis Mushait cities, Aseer region, southwestern Saudi Arabia. The Scientific World Journal. 2019 Oct;2019.
24. Alsaawi A, Alrajhi K, Albaiz S, Alsultan M, Alsalamah M, Qureshi S, Alanazi A. Risk of burnout among emergency physicians at a tertiary care centre in Saudi Arabia. J Hosp Adm. 2014 Feb 8;3(4):20-4.
25. Alsaawi A, Alrajhi K, AlRasheed N, AlSabhan A, AlTamimi D, Alsalamah M. Burnout among Emergency Physicians in Saudi Arabia: A Cross-sectional Study. Journal of Health Informatics in Developing Countries. 2019 Feb 3;13(1).
26. Alyaemni A. Measurement of experienced burnout among health care professionals in saudi hospitals a cross sectional study in riyadh. Adv Prev Med Health Care. 2019;2(2).
27. Ziad K, Laurent B, Marianne H, et al. Burnout in French physicians: a systematic review and meta-analysis. J Affect Disord 2019;246:132–47.
28. Yates M, Samuel V. Burnout in oncologists and associated factors: a systematic literature review and meta-analysis. Eur J Cancer Care 2019;28:e13094.
29. Gomez-Urquiza JL, De la Fuente-Solana EI, Albendin-Garcia L, et al. Prevalence of burnout syndrome in emergency nurses: a meta-analysis. Crit Care Nurse 2017;37:e1–9.
30. Durand AC, Bompard C, Sportiello J, et al. Stress and burnout among professionals working in the emergency department in a French University Hospital: prevalence and associated factors. Work 2019;63:57–67.
31. Moukarzel A, Michelet P, Durand AC, et al. Burnout syndrome among emergency department staff: prevalence and associated factors. Biomed Res Int 2019;4:1–0.
32. Bergmueller A, Zavgorodnii I, Zavgorodnia N, et al. Relationship between burnout syndrome and personality characteristics in emergency ambulance crew. Neurosci Behav Physiol 2018;48:404–8.