Daniel S Tawfik1, Jochen Profit2. 1. Division of Pediatric Critical Care Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA. Electronic address: dtawfik@stanford.edu. 2. Perinatal Epidemiology and Health Outcomes Research Unit, Division of Neonatology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA; California Perinatal Quality Care Collaborative, 1265 Welch Road, Stanford, CA, USA.
Abstract
OBJECTIVE: To describe the syndrome of physician burnout within neonatology, its relation to neonatal quality of care, and outline potential solutions. FINDINGS: Burnout affects up to half of physicians, including up to one-third of neonatologists, at any given time. It is linked to suicidality, substance abuse, and intent to leave practice, and it is strongly associated with reduced quality of care in the published literature. Resilience and mindfulness interventions rooted in positive psychology may reduce burnout among individual providers. Because burnout is largely driven by organizational factors, system-level attention to leadership, teamwork, and practice efficiency can reduce burnout at the level of the organization. CONCLUSIONS: Burnout is common among neonatologists and consistently relates to decreased quality of patient care in a variety of dimensions. Personal resilience training and system-wide organizational interventions are needed to reverse burnout and promote high-quality neonatal care.
OBJECTIVE: To describe the syndrome of physician burnout within neonatology, its relation to neonatal quality of care, and outline potential solutions. FINDINGS: Burnout affects up to half of physicians, including up to one-third of neonatologists, at any given time. It is linked to suicidality, substance abuse, and intent to leave practice, and it is strongly associated with reduced quality of care in the published literature. Resilience and mindfulness interventions rooted in positive psychology may reduce burnout among individual providers. Because burnout is largely driven by organizational factors, system-level attention to leadership, teamwork, and practice efficiency can reduce burnout at the level of the organization. CONCLUSIONS: Burnout is common among neonatologists and consistently relates to decreased quality of patient care in a variety of dimensions. Personal resilience training and system-wide organizational interventions are needed to reverse burnout and promote high-quality neonatal care.
Authors: Tait D Shanafelt; Grace Gorringe; Ronald Menaker; Kristin A Storz; David Reeves; Steven J Buskirk; Jeff A Sloan; Stephen J Swensen Journal: Mayo Clin Proc Date: 2015-03-18 Impact factor: 7.616
Authors: Anastasia Pozdnyakova; Neda Laiteerapong; Anna Volerman; Lauren D Feld; Wen Wan; Deborah L Burnet; Wei Wei Lee Journal: J Gen Intern Med Date: 2018-04-26 Impact factor: 5.128
Authors: J Bryan Sexton; Kathryn C Adair; Michael W Leonard; Terri Christensen Frankel; Joshua Proulx; Sam R Watson; Brooke Magnus; Brittany Bogan; Maleek Jamal; Rene Schwendimann; Allan S Frankel Journal: BMJ Qual Saf Date: 2017-10-09 Impact factor: 7.418