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Chapter 1 - The Psychology of Burnout

Published online by Cambridge University Press:  08 July 2022

John E. Kello
Affiliation:
Davidson College, North Carolina
Joseph A. Allen
Affiliation:
University of Utah
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Summary

Burnout is a specific work-related syndrome resulting from chronic workplace stress that has not been successfully managed. Sufferers experience physical and mental exhaustion, cynicism and a sense of depersonalization, and reduced feelings of efficacy; these are the defining facets of burnout. The syndrome shows itself in a variety of dysfunctional emotions, thought processes, and behaviors. The primary culprit is stress. While the “natural” response to a stressor (the fight-or-flight reaction) is adaptive in the short term, prolonged activation of that response can eventually result in burnout. Research over the last several decades has highlighted the risk for physicians and other healthcare providers, and recent studies have shown that the risk has been dramatically enhanced during the coronavirus pandemic. This book will explore the syndrome in detail, the specific risks that healthcare providers incur, and the relation between burnout and medical error. As our ultimate goal is to provide support for those healthcare workers and those affected by their work, we explore a range of critical approaches to reducing burnout (our proposed evidence-based “solutions”).

Type
Chapter
Information
The Burned Out Physician
Managing the Stress and Reducing the Errors
, pp. 1 - 27
Publisher: Cambridge University Press
Print publication year: 2022

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References

Ackermann, S., & Rasch, B. (2014). Differential effects of non-REM and REM sleep on memory consolidation. Current Neurology and Neuroscience Reports, 14(2), 110.Google Scholar
Alessandri, G., Perinelli, E., De Longis, E., Schaufeli, W. B., Theodorou, A., Borgogni, L., … & Cinque, L. (2018). Job burnout: The contribution of emotional stability and emotional self‐efficacy beliefs. Journal of Occupational and Organizational Psychology, 91(4), 823851.Google Scholar
Allen, J. A., Pugh, S. D., Grandey, A. A., & Groth, M. (2010). Following display rules in good or bad faith?: Customer orientation as a moderator of the display rule-emotional labor relationship. Human Performance, 23(2), 101115.Google Scholar
Amoafo, E., Hanbali, N., Patel, A., & Singh, P. (2015). What are the significant factors associated with burnout in doctors? Occupational Medicine, 65(2), 117121.CrossRefGoogle ScholarPubMed
Aydemir, O., & Icelli, I. (2013). Burnout: Risk factors. In Burnout for Experts, ed. Bahrer-Kohler, S. (pp. 119143). Boston: Springer.Google Scholar
Bianchi, R., & Schonfeld, I. S. (2016). Burnout is associated with a depressive cognitive style. Personality and Individual Differences, 100, 15.CrossRefGoogle Scholar
Brotheridge, C. M., & Grandey, A. A. (2002). Emotional labor and burnout: Comparing two perspectives of “people work.” Journal of Vocational Behavior, 60(1), 1739.Google Scholar
De Vente, W., Olff, M., Van Amsterdam, J. G. C., Kamphuis, J. H., & Emmelkamp, P. M. G. (2003). Physiological differences between burnout patients and healthy controls: Blood pressure, heart rate, and cortisol responses. Occupational and Environmental Medicine, 60(suppl. 1), i54i61.Google Scholar
Ekstedt, M., Söderström, M., Åkerstedt, T., Nilsson, J., Søndergaard, H. P., & Aleksander, P. (2006). Disturbed sleep and fatigue in occupational burnout. Scandinavian Journal of Work, Environment & Health, 32(2), 121131.Google Scholar
Erks, R., Allen, J. A., Harland, L. K., & Prange, K. (2020). Do volunteers volunteer to do more at work? The relationship between volunteering, engagement, and OCBs. VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations, 32, 12851298.Google Scholar
Freudenberger, H. J. (1975). The staff burn-out syndrome in alternative institutions. Psychotherapy: Theory, Research & Practice, 12(1), 73.Google Scholar
Grandy, A. (2000). Understanding emotional labour: Surface acting and deep acting as predictors of burnout and effective customer service. Presented at the annual conference of the Society for Industrial and Organizational Psychology, New Orleans, LA.Google Scholar
ICD-11. (2019). QD85 Burn-out. Retrieved April 9, 2020, from https://icd.who.int/browse11/l-m/en#/http://id.who.int/icd/entity/129180281.Google Scholar
Linden, D. V. D., Keijsers, G. P., Eling, P., & Schaijk, R. V. (2005). Work stress and attentional difficulties: An initial study on burnout and cognitive failures. Work & Stress, 19(1), 2336.Google Scholar
Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Organizational Behavior, 2(2), 99113.Google Scholar
Maslach, C., & Schaufeli, W. B. (1993). Historical and conceptual development of burnout. In Professional Burnout: Recent Developments in Theory and Research, ed. Schaufeli, W., Maslach, C., & Marek, T. (pp. 116). Routledge.Google Scholar
Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual Review of Psychology, 52(1), 397422.Google Scholar
McCarty, R. (2016). The fight-or-flight response: A cornerstone of stress research. In Stress: Concepts, Cognition, Emotion, and Behavior, ed. Fink, G. (pp. 3337). Cambridge, MA: Academic Press.Google Scholar
Montanez, R. (2021). The 7 industries where people experience burnout the fastest. Ivy Exec. Retrieved from www.ivyexec.com/career-advice/2019/the-industries-where-people-experience-burnout-the-fastest/.Google Scholar
Peterson, U., Demerouti, E., Bergström, G., Samuelsson, M., Åsberg, M., & Nygren, Å. (2008). Burnout and physical and mental health among Swedish healthcare workers. Journal of Advanced Nursing, 62(1), 8495.Google Scholar
Sandström, A., Rhodin, I. N., Lundberg, M., Olsson, T., & Nyberg, L. (2005). Impaired cognitive performance in patients with chronic burnout syndrome. Biological Psychology, 69(3), 271279.CrossRefGoogle ScholarPubMed
Schaufeli, W. B., Bakker, A. B., & Van Rhenen, W. (2009). How changes in job demands and resources predict burnout, work engagement, and sickness absenteeism. Journal of Organizational Behavior: The International Journal of Industrial, Occupational and Organizational Psychology and Behavior, 30(7), 893917.Google Scholar
Schaufeli, W. B., Leiter, M. P., & Maslach, C. (2009). Burnout: 35 years of research and practice. Career Development International, 14(3), 204220.Google Scholar
Selye, H. (1950). Stress and the general adaptation syndrome. British Medical Journal, 1(4667), 1383.Google Scholar
Shoji, K., Cieslak, R., Smoktunowicz, E., Rogala, A., Benight, C. C., & Luszczynska, A. (2016). Associations between job burnout and self-efficacy: A meta-analysis. Anxiety, Stress, & Coping, 29(4), 367386.Google Scholar
Shumski Thomas, J., Olien, J., Allen, J. A., Rogelberg, S. G., & Kello, J. (2018) Faking it for the higher-ups: Status and surface acting in workplace meetings. Group and Organization Management, 43(1), 72100. doi: 10.1177/1059601116687703.CrossRefGoogle Scholar
Stahl, A. (2020). 3 career paths known to cause burnout. Forbes. Retrieved from www.forbes.com/sites/ashleystahl/2020/07/08/3-career-paths-known-to-cause-burnout/?sh=573e77f363a4.Google Scholar
World Health Organization. (2019). Burn-out an “occupational phenomenon”: International Classification of Diseases. Retrieved April 9, 2020, from www.who.int/mental_health/evidence/burn-out/en/.Google Scholar
Zellars, K. L., Hochwarter, W. A., Perrewe, P. L., Hoffman, N., & Ford, E. W. (2004). Experiencing job burnout: The roles of positive and negative traits and states. Journal of Applied Social Psychology, 34(5), 887911.Google Scholar

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