Keywords
Medical Residency
Burnout Syndrome
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: To perform an integrative literature review about the prevalence of Burnout Syndrome (BS) in resident physicians from several specialties, as well as its associated risk factors. Methods: Integrative literature review, in which the research was based on review articles about the prevalence of BS in resident physicians. Studies were collected from the electronic databases Medical Literature Analysis and Retrieval System Online (MedLine/PubMed), The Scientific Electronic Library Online (SciELO) and Acervo + Index Base from November 20-25, 2022. The indexers used were "burnout and residents or trainees", "burnout among residents or trainees" and "residency and burnout". Results: The final sample consisted of 14 articles, of which nine were cross-sectional studies (64.28%), one randomized clinical trial (7.14%), and four systematic reviews (28.57%). All articles included in this review used the Maslach Burnout Inventory as the method of BS assessment. Final considerations: There are still few conclusions regarding the relationship between BS and marital status of resident physicians. Pediatric residents present the highest prevalence of BS, especially those working in the public health system. Several practices have been implemented aiming at reducing the conditions that cause BS.
References
BITONTE RA, DESANTO DJ. Mandatory physical exercise for the prevention of mental illness in medical students. Mental Illness, 2014; 6(2): 43-44.
BOND MMK, et al. Prevalência de Burnout entre Médicos Residentes de um Hospital Universitário. Revista Brasileira de Educação Médica, 2018; 42(3): 97-107.
CAÑADAS-DE LA FUENTE G, et al. Gender, Marital Status, and Children as Risk Factors for Burnout in Nurses: A Meta-Analytic Study. International Journal of Environmental Research and Public Health, 2018; 15(10): 1-13.
CHAN MK, et al. Burnout and associated factors in psychiatry residents: a systematic review. International Journal of Medical Education, 2019; 10: 149-160.
COSTA JA, et al. Síndrome de Burnout: uma análise da saúde mental dos médicos residentes de um hospital escola. Revista Brasileira de Educação Médica, 2022; 46(1): 1-10.
Dewa CS, et al. The relationship between resident burnout and safety-related and acceptability-related quality of healthcare: a systematic literature review. BMC Medical Education, 2017; 17(1): 1-16.
GASTON-HAWKINS, Lauren A. et al. The silent epidemic: causes and consequences of medical learner burnout. Current Psychiatry Reports, 2020; 22(12): 1-9.
GOUVEIA PAC, et al. Factors associated with burnout syndrome in medical residents of a university hospital. Revista Associação Médico Brasileira, 2017; 63(6): 504-511.
GOVÊIA CS, et al. Associação entre síndrome de burnout e ansiedade em residentes e anestesiologistas do Distrito Federal. Revista Brasileira de Anestesiologia, 2018; 68(5): 442-446.
Halbesleben JRB, et al. Burnout in organizational life. Journal of Management, 2004; 30(6): 859-879.
Hodkinson A, et al. Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis. BMJ, 2022; 378: 1-15.
Kristensen TS, et al. The Copenhagen Burnout Inventory: A new tool for the assessment of burnout. Work and Stress, 2005; 19(3): 192-207.
LAWLOR SK, et al. Burnout and well-being in otolaryngology trainees: A systematic review. World Journal of Otorhinolaryngology – Head and Neck Surgery, 2022; 8(2): 118-125.
LEITER MP. Conceptual implications of two models of burnout. Group & Organization Studies, 1999; 14(1): 15-22.
LLERA J, DURANTE E. Correlation between the educational environment and burnout syndrome in residency programs at a university hospital. Archivos Argentinos de Pediatría, 2014; 112(1): 6-11.
LOURENÇÃO LG, et al. Saúde e qualidade de vida de médicos residentes. Revista Associação Médico Brasileira, 2010; 56(1): 81-91.
LOW ZX, et al. Prevalence of Burnout in Medical and Surgical Residents: A Meta-Analysis. International Journal of Environmental Research and Public Health, 2019; 16(9): 1-22.
Malach-Pines A. The Burnout Measure, Short Version. International Journal of Stress Management, 2005; 12(1): 78-88.
MARTINS AE, et al. Impact of a brief intervention on the burnout levels of pediatric residents. Jornal da Pediatria, 2011; 87(6): 493-498.
MASLACH C, JACKSON SE. The measurement of experienced burnout. Journal of Occupational Behavior, 1998; 2: 99-113.
MASLACH C, et al. Job burnout. Annual Review of Psychology, 2001; 52: 397-422.
MELAMED S, et al. Burnout and risk factors for cardiovascular diseases. Journal of Behavioral Medicine, 1992; 18(2): 53-60.
NAJI L, et al. Global prevalence of burnout among postgraduate medical trainees: a systematic review and meta-regression. CMAJ Open, 2021; 9(1): 189-200.
NAVARRO JMR, et al. Association between Burnout Syndrome and medical training by specialty in first year residents. Salud Mental, 2020; 43(5): 227-233.
NORTH AC. Residency and burnout: are we so different from other training programs? Canadian Urological Association Journal, 2021; 15(6 Suppl 1): 31-32.
PARSONS M, et al. Evidence-Based Interventions that Promote Resident Wellness from the Council of Emergency Residency Directors. Western Journal of Emergency Medicine, 2020; 21(2): 412-422.
PASTURA PSVC, et al. Do Burnout à Estratégia de Grupo na Perspectiva de Balint: Experiência com Residentes de Pediatria de um Hospital Terciário. Revista Brasileira de Educação Médica, 2019; 43(2): 32-39.
RAJ KS, et al. Well-Being in Residency: A Systematic Review. Journal of Graduate Medical Education, 2016; 8(5): 674-684.
RIBEIRO RVE, et al. Prevalence of Burnout among Plastic Surgeons and Residents in Plastic Surgery: a Systematic Literature Review and Meta-analysis. Plastic and Reconstructive Surgery, 2018; 6(8): 1-5.
RODRIGUES H, et al. Burnout syndrome among medical residentes: A systematic review and meta-analysis. PLoS One, 2018; 13(11): 1-17.
SILVEIRA FF, et al. Prevalência da Síndrome de Burnout entre Médicos Residentes. Psicologia: Ciência e Profissão 2021; 41(221076): 1-16.
SOARES LR, et al. Burnout e Pensamentos Suicidas em Médicos Residentes de um Hospital Universitário. Revista Brasileira de Educação Médica, 2012; 36(1): 77-82.
SOLIMAN LAP, et al. Burnout em residentes de Anestesiologia – uma revisão de literatura. Boletim Curso Medicina UFSC, 2021; 7(1): 2-7.
VIEIRA I. Conceito(s) de Burnout: questões atuais de pesquisa e a contribuição clínica. Revista Brasileira Saúde Ocupacional, 2010; 35(122): 269-276.
ZAED I, et al. Burnout among Neurosurgeons and Residents in Neurosurgery: A Systematic Review and Meta-Analysis of the Literature. World Neurosurgery, 2020; 143: 529-534.