Colville et al.(3434 Colville GA, Smith JG, Brierley J, Citron K, Nguru NM, Shaunak PD, et al. Coping with staff burnout and work-related posttraumatic stress in intensive care. Pediatr Crit Care Med. 2017;18(7):e267-e273.) |
74 physicians (and 285 nurses) RR 51% overall, not available for categories |
Seven ICUs at two hospitals (pediatric, cardiac, neuro, general) United Kingdom |
Abbreviated MBI 9q Likert not specified |
High 49% |
Not reported |
EE (≥ 27 points), DP (≥ 10 points) and PA (≤ 33 points), calculated as weighted/prorated scores Burnout if high levels of EE or DP |
Lederer et al.(3535 Lederer W, Kinzl JF, Traweger C, Dosch J, Sumann G. Fully developed burnout and burnout risk in intensive care personnel at a university hospital. Anaesth Intensive Care. 2008;36(2):208-13.)
|
33 physicians (and 150 nurses) answered RR 59% overall |
5 ICUs Innsbrusk, Austria |
Modified MBI (25q: EE 9, DP 5, PA 7, and Consternation 4) 6-point scale (1 to 6) |
High in 45% (15/33) |
Not reported |
High risk burnout defined as EE mean value ≥ 4 or DP mean value ≥ 4, or PA mean value ≤ 4. |
See et al.(3636 See KC, Zhao MY, Nakataki E, Chittawatanarat K, Fang WF, Faruq MO, Wahjuprajitno B, Arabi YM, Wong WT, Divatia JV, Palo JE, Shrestha BR, Nafees KMK, Binh NG, Al Rahma HN, Detleuxay K, Ong V, Phua J; SABA Study Investigators and the Asian Critical Care Clinical Trials Group. Professional burnout among physicians and nurses in Asian intensive care units: a multinational survey. Intensive Care Med. 2018;44(12):2079-90.)
|
992 physician (out of 1296) and 3100 nurses (out of 4895, RR 63.3%) RR of 76.5% physicians |
Medical, surgical and mixed ICUs Asia |
Full MBI (22q: EE 9, DP 5, PA 8) Likert not specified |
50.3% |
EE high: 39.9% DP high: 35.2% PA low: 54.7% |
EE (≥ 28 points), DP (≥ 11 points) and PA (≤ 33 points) Overall high burnout if high score in EE or DP domain |
Barbosa et al.(3737 Barbosa FT, Leao BA, Tavares GM, Santos JG. Burnout syndrome and weekly workload of on-call physicians: cross-sectional study. Sao Paulo Med J. 2012;130(5):282-8.)
|
67 physicians RR not available |
Various types of ICUs (general, cardiac, pediatrics/neonatal, others) Brazil |
Full MBI (22q: EE 9, DP 5, PA 8) 5-point scale (1 to 5) |
High in at least 1 domain 70.1% High in all domains 17.9% |
EE high:41.8% DP high:37.3% PA low: 58.2% |
EE (≥ 27 points), DP (≥ 10 points) and PA (≤ 33 points) Burnout diagnosed if at least one domain altered |
Fumis et al.(3838 Fumis RR, Junqueira Amarante GA, de Fatima Nascimento A, Vieira Junior JM. Moral distress and its contribution to the development of burnout syndrome among critical care providers. Ann Intensive Care. 2017;7(1):71.)
|
283 ICU providers, 33 (out of 49) physicians, with a RR of 67.3% |
General and neuro ICUs + step-down ICU Brazil |
Full MBI (22q: EE 9, DP 5, PA 8) Likert not specified |
Severe 18.2% |
EE 27.3% |
EE (≥ 27 points), DP (≥ 10 points) and PA (≤ 33 points) Severe if all domains altered |
Garcia et al.(3939 Garcia TT, Garcia PC, Molon ME, Piva JP, Tasker RC, Branco RG, et al. Prevalence of burnout in pediatric intensivists: an observational comparison with general pediatricians. Pediatr Crit Care Med. 2014;15(8):e347-53.)
|
35 physicians (compared with 35 general pediatricians) RR 90% overall |
2 pediatric ICUs Brazil |
Full MBI (22q: EE 9, DP 5, PA 8) 7-point scale (0 to 6) |
High in 1: 71% High in 2: 51% High in 3: 17% |
EE high: 63% DP high: 40% PA low: 29% |
EE (≥ 27 points), DP (≥ 13 points) and PA (≤ 30 points) |
Tironi et al.(4040 Tironi MO, Teles JM, Barros DS, Vieira DF, Silva Filho CM, Martins Júnior DF, et al. Prevalence of burnout syndrome in intensivist doctors in five Brazilian capitals. Rev Bras Ter Intensiva. 2016;28(3):270-7.)
|
180 (out of 600 randomly selected) physicians RR 30% physicians |
60 ICUs (of responding physicians 70.6% worked in adult ICUs, 29.4% in pediatric/neonatal ICUs) Brazil |
Full MBI (22q: EE 9, DP 5, PA 8) 7-point scale (0 to 6) |
Overall High in 1: 36.7% High in 2: 20.0% High in 3: 38.3% Adult High in 1: 33.1% High in 2: 23.6% High in 3: 36.2% PED/Neonatal High in 1: 45.3% High in 2: 11.3% High in 3: 43.4% |
Overall EE high: 50.6% DP high: 26.1% PA low: 15.0% Adult EE high: 51.9% DP high: 30.7% PA low: 18.9% PED/Neonatal EE high: 47.2% DP high: 15.1% PA low: 5.7% |
EE (≥ 27 points), DP (≥ 13 points) and PA (≤ 31 points) |
Embriaco et al.(4141 Embriaco N, Azoulay E, Barrau K, Kentish N, Pochard F, Loundou A, et al. High level of burnout in intensivists: prevalence and associated factors. Am J Respir Crit Care Med. 2007;175(7):686-92.)
|
978 physicians (62% attending physicians, 14% fellows, 24% interns and residents) RR 82.3% |
189 of 318 various ICUs (59.4%) France |
Full MBI (22q: EE 9, DP 5, PA 8) 7-point scale (range unspecified) |
High 46.5% Moderate 30.2% Low 23.3% |
Overall: EE high: 19% DP high: 37% PA low: 39% |
EE (≥ 27 points), DP (≥ 10 points) and PA (≤ 33 points) High if global MBI score ≥ -8, moderate level -21 to - 9, low level -45 to -22 |
Garrouste-Orgeas et al.(4242 Garrouste-Orgeas M, Perrin M, Soufir L, Vesin A, Blot F, Maxime V, et al. The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. Intensive Care Med. 2015;41(2):273-84.)
|
330 physicians (out of 401) (and 1204/1587 nurses) RR 82% physicians |
31 mixed, surgical or medical ICUs France |
Full MBI (22q: EE 9, DP 5, PA 8) 7-point scale (0 to 6) |
Def 1: 2.5%Def 2: 40.3% |
EE high: 10.6% DP high: 24.5% PA low: 31.5% |
EE (≥ 30 points), DP (≥ 12 points) and PA (≤ 33 points) Definition 1 High if all domains altered Definition 2 High if global MBI score ≥ - 9 |
Malaquin et al.(4343 Malaquin S, Mahjoub Y, Musi A, Zogheib E, Salomon A, Guilbart M, et al. Burnout syndrome in critical care team members: A monocentric cross sectional survey. Anaesth Crit Care Pain Med. 2017;36(4):223-8.)
|
32 physicians (and 129 nurses or nursing assistants) RR 90% overall |
3 ICUs at single center (medical-surgical, cardiothoracic and vascular, and neurosurgical) France |
Full MBI (22q: EE 9, DP 5, PA 8) Likert not specified |
56% moderate 0% high |
EE severe: 6% EE moderate: 32% DP severe: 29% DP moderate: 29% PA severe: 48% PA moderate: 22% |
Low, 1 domain altered Moderate, 2 domains altered Severe, all domains altered |
Giannini et al.(4444 Giannini A, Miccinesi G, Prandi E, Buzzoni C, Borreani C; ODIN Study Group. Partial liberalization of visiting policies and ICU staff: a before-and-after study. Intensive Care Med. 2013;39(12):2180-7.)
|
71 physicians and 127 nurses (at baseline) RR 89% overall |
8 ICUs (7 mixed medical-surgical, 1 pediatric) Italy |
Full MBI (22q: EE 9, DP 5, PA 8) Likert not specified |
High 32.4% |
Not reported |
EE (≥ 24 points), DP (≥ 9 points) and PA (≤ 29 points) High if global MBI score ≥ -9 |
Raggio et al.(4545 Raggio B, Malacarne P. Burnout in intensive care unit. Minerva Anestesiol. 2007;73(4):195-200.)
|
Physicians (25) and nurses responding in total) RR not reported |
1 mixed and 1 post-transplant ICU Italy |
Full MBI (22q: EE 9, DP 5, PA 8) 7-point scale (0 to 6) |
Not reported |
EE high: 36% DP high: 56% PA high: 28% |
EE (≥ 24 points), DP (≥ 9 points) and PA (≤ 29 points) |
Shenoi et al.(4646 Shenoi AN, Kalyanaraman M, Pillai A, Raghava PS, Day S. Burnout and psychological distress among pediatric critical care physicians in the United States. Crit Care Med. 2018;46(1):116-22.)
|
275 (out of 686) physicians (20 excluded for questions unanswered) RR physicians 40% (37% excluding the 20) |
Pediatric ICU, non-random sample of physicians United States |
Full MBI (22q: EE 9, DP 5, PA 8) Likert not specified |
Severe 21.0% |
EE high: 34% DP high: 21% PA low: 20% |
EE (≥ 27 points), DP (≥ 10 points) and PA (≤ 32 points) Severe burnout defined as high EE associated with high DP or low PA scores |
Ntantana et al.(4747 Ntantana A, Matamis D, Savvidou S, Giannakou M, Gouva M, Nakos G, et al. Burnout and job satisfaction of intensive care personnel and the relationship with personality and religious traits: An observational, multicenter, cross-sectional study. Intensive Crit Care Nurs. 2017;41:11-7.)
|
149 (out of 221) physicians (and 320 nurses) RR physicians 67.4% |
21 multidisciplinary ICUs > 6 beds Greece |
Full MBI (22q: EE 9, DP 5, PA 8) Likert not specified |
Not reported |
EE high: 22.8% DP high: 42.3% PA low: 54.4% |
EE (≥ 27 points), DP (≥ 10 points) and PA (≤ 33 points) |
Teixeira et al.(4848 Teixeira C, Ribeiro O, Fonseca AM, Carvalho AS. Burnout in intensive care units - a consideration of the possible prevalence and frequency of new risk factors: a descriptive correlational multicentre study. BMC Anesthesiol. 2013;13(1):38.)
|
82 physicians and 218 nurses RR 78% physicians |
10 adult ICUs (of 13 invited) Portugal |
Full MBI (22q: EE 9, DP 5, PA 8) 7-point scale (range unspecified) |
High: 24.7% |
Not reported |
EE (≥ 25 points), DP (≥ 10 points) and PA (≤ 32 points) High burnout if all domains altered |
Merlani et al.(4949 Merlani P, Verdon M, Businger A, Domenighetti G, Pargger H, Ricou B; STRESI+ Group. Burnout in ICU caregivers: a multicenter study of factors associated to centers. Am J Respir Crit Care Med. 2011;184(10):1140-6.)
|
Physicians (465 of 678), nurses and nurse's assistants RR 69% physicians |
72 of 92 ICUs (RR 80%) Switzerland |
Full MBI (22q: EE 9, DP 5, PA 8) 4-point scale (range unspecified) |
High: 31% |
Not reported |
High if global MBI score ≥ -9 |
Galván et al.(5050 Galván ME, Vassallo JC, Rodríguez SP, Otero P, Montonati MM, Cardigni G, Buamscha DG, Rufach D, Santos S, Moreno RP, Sarli M; Members of Clinical and Epidemiological Research Group in Pediatric Intensive Care Units - Sociedad Argentina de Pediatría. Professional burnout in pediatric intensive care units in Argentina. Arch Argent Pediatr. 2012;110(6):466-73.)
|
162 (out of 270) physicians RR 60% physicians |
Pediatric ICU Argentina |
Full MBI (22q: EE 9, DP 5, PA 8) Likert not specified |
41% |
EE high: 25% DP high: 19% PA low: 6% |
EE (≥ 27 points), DP (≥ 10 points) and PA (≤ 32 points) Burnout high risk defined if at least one domain altered |