Burnout: A Review of the Literature

2021 ◽  
pp. 875512332110376
Author(s):  
Jessica Nápoles
Keyword(s):  
Interpersonal Relationships ◽  
Personal Accomplishment ◽  
Three Dimensions ◽  
Review Of Literature ◽  
Review Of The Literature ◽  
Prevention Strategies ◽  
Life Balance ◽  
School Interventions ◽  
Lack Of Control ◽  
Mitigating Factors

In this review of literature related to burnout, I compiled definitions of the term, discussed factors contributing to burnout, effects of burnout, and prevention/possible remedies for burnout. Although there is no consensus on the term’s definition, it is well understood that burnout has three dimensions: emotional exhaustion, depersonalization/cynicism, and personal accomplishment. There are personal (internal) and organizational (external) factors that contribute to burnout. When teachers feel lack of control, overloaded, and underresourced, the potential for burnout is amplified. Burnout is manifested in physical (poor health) and psychological ways (detachment, boredom, and rigidity). Prevention strategies generally fall into the categories of (a) in-school interventions (including being more prepared and developing high quality interpersonal relationships), (b) out of school interventions (better work–life balance), and (c) mentoring. Given that engagement is the antithesis of burnout, keeping teachers engaged and feeling valued are mitigating factors for burnout.

Meconium peritonitis: review of literature and own clinical observations

2020 ◽  
Author(s):  
E.N. Glavatskaya , O.V. Pribushenya , N.A. Venchikova
Keyword(s):  
Prenatal Diagnosis ◽  
Premature Birth ◽  
Surgical Care ◽  
Intestinal Wall ◽  
Meconium Peritonitis ◽  
Review Of Literature ◽  
Review Of The Literature ◽  
Clinical Observations ◽  
Loop Expansion ◽  
The Impact

Two clinical cases of meconium peritonitis in the fetuses are presented. The diagnosis was made prenatally at 30+5 and 20+1 weeks of gestation. The main ultrasound signs were ascites, loop expansion and thickening of the intestinal wall, peritoneal calcifications, meconium pseudocysts. In one case, pregnancy was complicated by polyhydramnios. In both cases, the pregnancy ended in premature birth, followed by surgical treatment during the first days of life. A review of the literature on the topic are discussed the etiology, the spectrum and frequency of ultrasound signs suggesting this condition in the fetus, the effectiveness of prenatal diagnosis, the prognosis for the life and health of the newborn, as well as the impact of the quality and timeliness of the prenatal diagnosis on the management of pregnancy and timeliness of surgical care for the newborn.

scholarly journals Women in surgery: a systematic review of 25 years

BMJ Leader ◽  
2020 ◽  
pp. leader-2019-000199
Author(s):  
Charleen Singh ◽  
Caitlin Loseth ◽  
Noordeen Shoqirat
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Work Life ◽  
Current Status ◽  
Leadership Roles ◽  
Review Of The Literature ◽  
Life Balance ◽  
Surgical Residency ◽  
Meta Analyses

The number of women entering medicine significantly increased over the last decades. Currently, over half of the medical students are women but less than half are applying to surgery and even less go on to surgical specialties. Even fewer women are seen in leadership roles throughout the profession of surgery and surgical residency. Our purpose of the literature review is to identify any themes, which would provide insight to the current phenomenon. We used the Preferred Reporting Items for Systemic Reviews and Meta-Analyses method for a systematic review of the literature over a 20-year period (1998–2018). Five broad themes were identified: education and recruitment, career development, impact of/on life around the globe and surgical subspecialties as areas of barriers for women entering or considering surgery. The systematic review suggests there are opportunities to improve and encourage women entering the profession of surgery as well as the quality of life for surgeons. Creating systems for mentorship across programmes, having policies to support work–life balance and recognising surgical training overlaps with childbearing years are key opportunities for improvement. Improving the current status in surgery will require direction from leadership.

scholarly journals Pancreatic Cancer Exposome Profile to Aid Early Detection and Inform Prevention Strategies

2021 ◽  
Vol 10 (8) ◽  
pp. 1665
Author(s):  
Maria J. Monroy-Iglesias ◽  
Saoirse Dolly ◽  
Debashis Sarker ◽  
Kiruthikah Thillai ◽  
Mieke Van Hemelrijck ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Early Detection ◽  
Immune Responses ◽  
Inflammatory Markers ◽  
Poor Prognosis ◽  
Associated Factors ◽  
Review Of The Literature ◽  
Prevention Strategies ◽  
Factors Influencing ◽  
Detection Strategies

Pancreatic cancer (PCa) is associated with a poor prognosis and high mortality rate. The causes of PCa are not fully elucidated yet, although certain exposome factors have been identified. The exposome is defined as the sum of all environmental factors influencing the occurrence of a disease during a life span. The development of an exposome approach for PCa has the potential to discover new disease-associated factors to better understand the carcinogenesis of PCa and help with early detection strategies. Our systematic review of the literature identified several exposome factors that have been associated with PCa alone and in combination with other exposures. A potential inflammatory signature has been observed among the interaction of several exposures (i.e., smoking, alcohol consumption, diabetes mellitus, obesity, and inflammatory markers) that further increases the incidence and progression of PCa. A large number of exposures have been identified such as genetic, hormonal, microorganism infections and immune responses that warrant further investigation. Future early detection strategies should utilize this information to assess individuals’ risk for PCa.

scholarly journals Medical Adjuvants in the Treatment of Surgically Refractory Arteriovenous Malformations of the Head and Face: Case Report and Review of Literature

2021 ◽  
pp. 1-7
Author(s):  
Vaidya Govindarajan ◽  
Joshua D. Burks ◽  
Evan M. Luther ◽  
John W. Thompson ◽  
Robert M. Starke
Keyword(s):  
Arteriovenous Malformations ◽  
Mtor Inhibitors ◽  
Molecular Target ◽  
Review Of Literature ◽  
Review Of The Literature ◽  
Early Results ◽  
Number Of Patients ◽  
Initiation Of Therapy ◽  
The Brain ◽  
Radiographic Improvement

<b><i>Background:</i></b> Arteriovenous malformations (AVMs) of the brain and face present unique challenges for clinicians. Cerebral AVMs may induce hemorrhage or form aneurysms, while facial AVMs can cause significant disfigurement and pain. Moreover, facial AVMs often draw blood supply from arteries providing critical blood flow to other important structures of the head which may make them impossible to treat curatively. Medical adjuvants may be an important consideration in the management of these patients. <b><i>Summary:</i></b> We conducted a systematic review of the literature to identify other instances of molecular target of rapamycin (mTOR) inhibitors used as medical adjuvants for the treatment of cranial and facial AVMs. We also present 2 cases from our own institution where patients were treated with partial embolization, followed by adjuvant therapy with rapamycin. After screening a total of 75 articles, 7 were identified which described use of rapamycin in the treatment of inoperable cranial or facial AVM. In total, 21 cases were reviewed. The median treatment duration was 12 months (3–24.5 months), and the highest recorded dose was 3.5 mg/m<sup>2</sup>. 76.2% of patients demonstrated at least a partial response to rapamycin therapy. In 2 patients treated at our institution, symptomatic and radiographic improvement were noted 6 months after initiation of therapy. <b><i>Key Messages:</i></b> Early results have been encouraging in a small number of patients with inoperable AVM of the head and face treated with mTOR inhibitors. Further study of medical adjuvants such as rapamycin may be worthwhile.

scholarly journals Different Reasons for Different Responses: A Review of Incumbents’ Adaptation in Carbon-Intensive Industries

2020 ◽  
pp. 108602661989399 ◽  
Author(s):  
Franziska Sump ◽  
Sangyoon Yi
Keyword(s):  
Carbon Emissions ◽  
Organizational Adaptation ◽  
Three Dimensions ◽  
External Shocks ◽  
Review Of The Literature ◽  
Organizational Responses ◽  
Environmental Pressure ◽  
One Dimensional ◽  
And Performance ◽  
Performance Heterogeneity

Organizations often respond in different ways to common external shocks. To advance theories on organizational adaptation and performance heterogeneity, it is essential to understand different reasons for different organizational responses. We examine how incumbents in carbon-intensive industries adapt to heightened environmental pressure to reduce carbon emissions. Based on a review of the literature, we propose three dimensions along which diverse organizational responses can be efficiently mapped out: goal, timing, and scope. Building on our proposed dimensions, we develop a typology of five different organizational responses. With this, we show that organizational responses are more diverse than a one-dimensional scale could show but that the heterogeneity is somehow limited as the positions on the dimensions are not independent but correlated. To understand this observed limited heterogeneity, we proceed by identifying reasons behind different organizational responses. Furthermore, we discuss the theoretical implications of our findings for research on organizational adaptation and sustainability.

Physician Burnout and the Electronic Health Record Leading up to and During The First Year of COVID-19: A Systematic Review (Preprint)

2022 ◽  
Author(s):  
Clemens Scott Kruse ◽  
Michael Mileski ◽  
Gevin Dray ◽  
Zakia Johnson ◽  
Cameron Shaw ◽  
...  
Keyword(s):  
Empirical Evidence ◽  
Human Subjects ◽  
First Year ◽  
Physician Burnout ◽  
Life Balance ◽  
Loss Of Autonomy ◽  
Lack Of Control ◽  
Two Factors ◽  
The Hours ◽  
Design Experiments

BACKGROUND Physician burnout was first identified in 1974, and it has been particularly prevalent during the first year of the pandemic. OBJECTIVE To objectively analyze the literature over the last five years for empirical evidence of burnout incident to the EHR and to identify barriers, facilitators, associated patient satisfaction to using the EHR to improve symptoms of burnout. METHODS No human subjects were used in this review, however 100% of participants in studies analyzed were adult physicians. Four research databases and one targeted journal were queried for studies commensurate with the objective statement from January 1, 2016 through January 31st 2021 (n=25). RESULTS The hours spent in documentation and workflow are responsible for the sense of loss of autonomy, lack of work-life balance, lack of control of one’s schedule, cognitive fatigue, a general loss of autonomy and poor relationships with colleagues. Researchers have identified training, local customization of templates and workflow, and the use of scribes to alleviate the administrative burden of the EHR and decreased symptoms of burnout. CONCLUSIONS The solutions provided in the literature only addressed two of the three factors, workflow and documentation time, but not the third, usability. Practitioners and administrators should focus on the former two factors because they are within their sphere of control. EHR vendors should focus on empirical evidence to identify usability features with the greatest impact to improve. Researchers should design experiments to explore solutions that address all three factors of the EHR that contribute to burnout. INTERNATIONAL REGISTERED REPORT RR2-10.2196/15490

scholarly journals TRENDS OF CONTEMPORARY LEPTOSPIROSIS (REVIEW OF LITERATURE)

2018 ◽  
Vol 23 (2) ◽  
pp. 93-100
Author(s):  
Vladimir N. Gorodin ◽  
D. L. Moysova ◽  
V. A. Bakhtina ◽  
S. V. Zotov
Keyword(s):  
Organ Dysfunction ◽  
Clinical Features ◽  
Review Of Literature ◽  
Review Of The Literature ◽  
Disease Complex ◽  
Modern Information ◽  
Clinically Significant

A review of the literature is devoted to one of the most common and clinically significant zoonoses - leptospirosis. The article summarizes modern information on prevalence, epidemiology, etiopathogenesis and clinical features, diagnosis of leptospirosis infection over the last 10 years. The particular attention is paid to the characterization of severe forms of the disease, complex approaches to the treatment of the disease, correction of organ dysfunction and hemostasis disorders; review.

scholarly journals Proximal and Distal Influences on Fresh Management Graduate’s Employability: A Review of Literature and Orientations

Webology ◽  
2020 ◽  
Vol 17 (2) ◽  
pp. 118-127
Author(s):  
Frederick Sidney Correa ◽  
Pawan Kumar Chand ◽  
Amit Mittal ◽  
Ruchi Mittal
Keyword(s):  
Institutional Support ◽  
Review Of Literature ◽  
Review Of The Literature ◽  
Comprehensive Review ◽  
Employer Satisfaction ◽  
Support Mechanisms ◽  
Career Enhancement ◽  
Organization Support

The paper explores the factors that affect proximal and distal employability behavior within the employer satisfaction perspective a vis recruitment of the fresh management graduates. The study undertakes a comprehensive review of the literature and categories the literature as divided across three broad streams: individual preparedness, institutional support mechanisms and organization support to career enhancement. The ‘determinants’ of employer satisfaction in recruiting the fresh management post graduates and their effective operationalization is indeed challenging. The paper attempts to explore and bring together the divergent pieces of literature under the proximal and distal perspectives as shaping ‘employability’ prospects.

Preventing Burnout

2015 ◽  
pp. 50-62
Author(s):  
Irene H. Johnson
Keyword(s):  
Interpersonal Relationships ◽  
Work Life ◽  
Chronic Illnesses ◽  
Stressful Events ◽  
Work Life Balance ◽  
Health Issues ◽  
Life Balance ◽  
Occupational Success ◽  
Healthy Work ◽  
Number Of Publications

The essential administrator in higher education must maintain a healthy work-life balance. The process of attempting to balance the demands and expectations of career, personal life, interpersonal relationships, partnerships, and family has been explored extensively over the last decade. Achieving a sense of work-life balance is both physically and psychologically necessary to promote life satisfaction, wellness, and occupational success. Many challenges and responsibilities confront administrators daily, some of which they have little or no control over and are commonly labeled as stressors. A large number of publications and media address the topics of stress and burnout-related health issues which may lead to chronic illnesses. This chapter explores stress and strategies to help individuals in administrative careers cope with the day-to-day stressful events and/or situations in their personal or work-life. The information included will dispel the idea, take two aspirins and call the doctor in the morning!

scholarly journals Evaluation of the Biases in the Studies that Assess the Effects of the Great Recession on Health. A Systematic Review

2019 ◽  
Vol 16 (14) ◽  
pp. 2479 ◽  
Author(s):  
Marc Saez ◽  
Maria Antònia Barceló ◽  
Carme Saurina ◽  
Andrés Cabrera ◽  
Antonio Daponte
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
High Risk ◽  
Great Recession ◽  
Risk Of Bias ◽  
Review Of The Literature ◽  
The Great Recession ◽  
Self Rated Health ◽  
Evaluation Time ◽  
Lack Of Control

Background: Our main objective was to evaluate the fundamental biases detected in studies assessing the effects the Great Recession had on health for the case of Spain. As secondary objectives we presented methods to control these biases and to discuss the results of the studies in question if they had controlled for them. Methods: We carried out a systematic review of the literature published up to June 2018. We evaluated the biases that could have happened in all the eligible studies. Results: From the review, we finally selected 53 studies. Of the studies we reviewed, 60.38% or 32 out of 53, were evaluated as having a high risk of bias. The main biases our review revealed were problems with evaluation, time bias, lack of control of unobserved confounding, and non-exogeneity when defining the onset of the Great Recession. Conclusions: The results from the studies that controlled the biases were quite consistent. Summing up, the studies reviewed found that the Great Recession increased the risk of declaring poor self-rated health and the deterioration of mental health. Both the mortality rate and the suicide rate may well have increased after the Great Recession, probably after a three- to four-year delay.

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