Evidence map›Paper›PMID 39946385›Full record

ArticlePloS one2025

Exploring burnout, perfectionism, and moral injury among UK physiotherapists: A qualitative study on professional fulfilment and well-being.

Glykeria Skamagki, Laura Blackburn, Daniel Biggs, Maria Kolitsida, Cameron Black, Sivaramkumar Shanmugam

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Glykeria SkamagkiSchool of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0001-9543-1679
Laura BlackburnDepartment of Physiotherapy and Paramedicine, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, United Kingdom.
Daniel BiggsAcademy of Sport and Wellbeing, University of Highlands and Islands, UHI Perth, Perth, United Kingdom.
Maria KolitsidaSchool of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0003-1590-2800
Cameron BlackDivision of Occupational Health, Buckinghamshire Healthcare NHS Trust, Aylesbury, United Kingdom.ORCID 0000-0001-8140-9403
Sivaramkumar ShanmugamDepartment of Physiotherapy and Paramedicine, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, United Kingdom.ORCID 0000-0001-6431-4218

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBurnout, perfectionism, and moral injury are prevalent issues among healthcare professionals, including physiotherapists. The demanding nature of the profession, compounded by high workloads, emotional and physical exhaustion, and systemic challenges, has significant implications for the well-being and professional satisfaction of physiotherapists. This study aimed to explore these issues, by providing a qualitative exploration of UK physiotherapists' lived experiences.

objectivesTo explore the lived experiences of UK physiotherapists regarding burnout, perfectionism, and moral injury, and to develop a comprehensive understanding of the personal and professional impacts of these issues to inform the development of effective support systems and interventions.

methodsThis qualitative exploratory study involved semi-structured interviews with 12 UK physiotherapists. Framework approach was used to identify key themes and patterns in the data, providing a nuanced understanding of the challenges faced by physiotherapists.

resultsFour primary themes emerged: (1) Physiotherapy Under Pressure: Workload, Burnout, and Perfectionism, (2) Interpersonal Dynamics and Support Systems, (3) Professional Fulfilment and Identity, and (4) Work-Life Balance and Well-being. Physiotherapists reported high levels of burnout and exhaustion due to relentless workloads, exacerbated by and after the COVID-19 pandemic. Perfectionism further contributed to emotional exhaustion and feelings of inadequacy. Inconsistent management support, bureaucratic challenges, and a lack of career progression opportunities were significant stressors. Effective team dynamics and support systems were crucial in mitigating stress, yet many faced interpersonal challenges such as criticism and bullying. Achieving work-life balance was a persistent struggle, highlighting the need for organisational changes to support flexibility and well-being.

conclusionBurnout, perfectionism, and moral injury significantly impact physiotherapists' well-being and professional satisfaction. Addressing these issues requires systemic changes within healthcare organisations to provide robust support systems, flexible working conditions, and opportunities for professional development.

Indexed as

Burnout, ProfessionalMoralsPerfectionismPhysical TherapistsAdultCOVID-19FemaleHumansJob SatisfactionMaleMiddle AgedQualitative ResearchSARS-CoV-2United KingdomWork-Life BalanceWorkload

Identifiers

PMID39946385
PMCPMC11825001

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.