ArticleJournal of general internal medicine2024
A Model of Burnout Among Healthcare Professionals.
Article in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Are Difficult Inpatients Also Difficult Primary Care Patients?Journal of general internal medicine · 2026Article
- The mediating role of psychological resilience in the relationship between health anxiety and burnout among healthcare workers working in closed environments.BMC health services research · 2026Article
- Burnout in Japanese Internists and Primary Care Physicians in 2024: The Prevalence and Risk Factors Using Structural Equation Modeling.Internal medicine (Tokyo, Japan) · 2025Article
- Prevalence and predictors of burnout in critical care health workers in palestine.Scientific reports · 2025Article
- Mental Health Exploration and Variables Associated with Young Health Professionals in Early Childhood Care Centers: A Systematic Review.Healthcare (Basel, Switzerland) · 2025Review
- Factorial invariance of the Spanish version of the PHQ-9 by gender and country in Latin America and the Caribbean.Frontiers in psychiatry · 2025Article
- Knowledge, attitude, and practice towards occupational burnout among doctors and nurses in intensive care unit.Frontiers in public health · 2025Article
- A Burnt-Out Health: Stigma towards Mental Health Problems as a Predictor of Burnout in a Sample of Community Social Healthcare Professionals.Behavioral sciences (Basel, Switzerland) · 2024Article
- The "Difficult" Inpatient, a Qualitative Study of Physician Perspectives.Journal of general internal medicine · 2024Article
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Authors and funding
3 authors.
Funding
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Abstract
backgroundBurnout is common and can lead to worse outcomes for both healthcare workers and patients. Our study purpose was to assess the structural relationship among factors that protect against or worsen burnout. DATA SOURCES AND STUDY
settingWe surveyed healthcare professionals in 15 different Japanese intensive care units during the 3rd wave of the COVID-19 pandemic (March 2021). Surveys assessed burnout (Mini Z 2.0), resilience (Brief Resilience Scale), depressive (PHQ-9) and anxiety (GAD-7) symptoms, job and work environment characteristics, and personal experience with COVID. We explored survey domains with principal component factor analysis and modeled our results using structural equation modeling. PRINCIPAL
findingsAmong 936 ICU professionals, 24.3% met criteria for burnout. Our model suggested that resilience (β = - 0.26, 95% CI - 0.32 to - 0.20), teamwork (β = - 0.23, 95% CI - 0.30 to - 0.16), and feeling safe (β = - 0.11, 95% CI - 0.18 to - 0.04) reduced burnout. Depression (β = - 0.32, 95% CI - 0.41 to - 0.23) and anxiety (β = - 0.20, 95% CI - 0.29 to - 0.10) both decreased resilience as did COVID fear (β = 0.08, 95% CI - 0.14 to - 0.02). In addition to directly reducing resilience, anxiety also indirectly reduced resilience by increasing COVID fear (0.23, 95% CI 0.17 to 0.23), which decreased resilience (β - 0.08, 95% CI - 0.14 to - 0.02).
conclusionsBurnout is common among Japanese ICU professionals. Resilience, teamwork, and safety are all correlated with reduced burnout. Those who had depression or anxiety or COVID fear had higher degrees of burnout, an effect that appears to be mediated by reduced resilience. These are potential targets for interventions to reduce burnout.
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