Evidence map›Paper›PMID 30446797›Full record

ArticleIntensive care medicine2018

Professional burnout among physicians and nurses in Asian intensive care units: a multinational survey.

Kay Choong See, Ming Yan Zhao, Emiko Nakataki, Kaweesak Chittawatanarat, Wen-Feng Fang, Mohammad Omar Faruq, Bambang Wahjuprajitno, Yaseen M Arabi, Wai Tat Wong, Jigeeshu V Divatia and 9 more

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In one paragraph

Article in Intensive care medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 5 pooled it
22.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 5 syntheses or guidelines pooled it, 140 citations in OpenAlex.

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  7. Exploring the causes of work-related stress and burnout among doctors in Bangladesh: a qualitative study.International journal of qualitative studies on health and well-being · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 16 institutions in 15 countries.

Kay Choong SeeDivision of Respiratory and Critical Care Medicine, University Medicine Cluster, National University Hospital, National University Health System, 1E Kent Ridge Road, NUHS Tower Block Level 10, Singapore, 119228, Singapore. kay_choong_see@nuhs.edu.sg.
Ming Yan ZhaoDepartment of Critical Care Medicine, Harbin Medical University 1st Hospital, Harbin, China.
Emiko NakatakiDepartment of Emergency and Critical Care Medicine, Tokushima University Hospital, Tokushima, Japan.
Kaweesak ChittawatanaratDepartment of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Wen-Feng FangDivision of Pulmonary and Critical Care Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, and Chang Gung University of Science and Technology, Kaohsiung, Taiwan.
Mohammad Omar FaruqDepartment of Critical Care Medicine, BIRDEM General Hospital, Dhaka, Bangladesh.
Bambang WahjuprajitnoDepartment of Anesthesiology and Reanimation, University of Airlangga, Surabaya, Indonesia.
Yaseen M ArabiIntensive Care Department, King Saud bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
Wai Tat WongDepartment of Anesthesia and Intensive Care, The Chinese University of Hong Kong, Hong Kong, China.
Jigeeshu V DivatiaDepartment of Anaesthesia, Critical Care and Pain, Tata Memorial Hospital, Mumbai, India.
Jose Emmanuel PaloDepartment of Medicine, The Medical City, Pasig, Philippines.
Babu Raja ShresthaDepartment of Anaesthesiology and Intensive Care, Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal.
Khalid M K NafeesDepartment of Critical Care Medicine, RIPAS Hospital, Bandar Seri Begawan, Brunei.
Nguyen Gia BinhDepartment of Intensive Care, Bach Mai Hospital, Hanoi, Vietnam.
Hussain Nasser Al RahmaDepartment of Intensive Care, Dubai Hospital, Dubai, United Arab Emirates.
Khamsay DetleuxayDepartment of Intensive Care, Mahosot Hospital, Vientiane, Laos.
Venetia OngMedical Affairs-Education, National University Hospital, Singapore, Singapore.
Jason PhuaDivision of Respiratory and Critical Care Medicine, University Medicine Cluster, National University Hospital, National University Health System, 1E Kent Ridge Road, NUHS Tower Block Level 10, Singapore, 119228, Singapore.
SABA Study Investigators and the Asian Critical Care Clinical Trials Group
National University Hospital · SGAirlangga University · IDBạch Mai Hospital · VNBangladesh Institute of Research and Rehabilitation for Diabetes Endocrine and Metabolic Disorders · BDChang Gung University of Science and Technology · TWChinese University of Hong Kong · CNDubai Hospital · AEHarbin Medical University · CNKathmandu Medical College Teaching Hospital · NPKing Abdullah International Medical Research Center · SAMahosot Hospital · LARaja Isteri Pengiran Anak Saleha Hospital · BNTata Memorial Hospital · INThai Red Cross Society · THTokushima University Hospital · JPUniversity of Asia and the Pacific · PH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeProfessional burnout is a multidimensional syndrome comprising emotional exhaustion, depersonalization, and diminished sense of personal accomplishment, and is associated with poor staff health and decreased quality of medical care. We investigated burnout prevalence and its associated risk factors among Asian intensive care unit (ICU) physicians and nurses.

methodsWe conducted a cross-sectional survey of 159 ICUs in 16 Asian countries and regions. The main outcome measure was burnout as assessed by the Maslach Burnout Inventory-Human Services Survey. Multivariate random effects logistic regression analyses of predictors for physician and nurse burnout were performed.

resultsA total of 992 ICU physicians (response rate 76.5%) and 3100 ICU nurses (response rate 63.3%) were studied. Both physicians and nurses had high levels of burnout (50.3% versus 52.0%, P = 0.362). Among countries or regions, burnout rates ranged from 34.6 to 61.5%. Among physicians, religiosity (i.e. having a religious background or belief), years of working in the current department, shift work (versus no shift work) and number of stay-home night calls had a protective effect (negative association) against burnout, while work days per month had a harmful effect (positive association). Among nurses, religiosity and better work-life balance had a protective effect against burnout, while having a bachelor's degree (compared to having a non-degree qualification) had a harmful effect.

conclusionsA large proportion of Asian ICU physicians and nurses experience professional burnout. Our study results suggest that individual-level interventions could include religious/spiritual practice, and organizational-level interventions could include employing shift-based coverage, stay-home night calls, and regulating the number of work days per month.

Indexed as

AdultAgedAsiaAsian PeopleBurnout, ProfessionalCross-Sectional StudiesFemaleHumansIntensive Care UnitsLogistic ModelsMaleMedical Staff, HospitalMiddle AgedNursing Staff, HospitalPrevalenceSurveys and QuestionnairesCritical careIntensive care unitsNursesPhysiciansProfessional burnout

Identifiers

PMID30446797
OpenAlexW2901893146

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.