Burnout Among Healthcare Workers: A Literature Review of Contributing Factors and Prevention Strategies
DOI:
https://doi.org/10.53089/medula.v16i2.1737Keywords:
burnout, healthcare workers, preventionAbstract
Burnout is a common work-related stress syndrome among healthcare workers, characterized by emotional exhaustion, depersonalization, and reduced professional achievement. This condition has a negative impact on service quality, worker health, and patient safety. Factors contributing to burnout include personal characteristics, sociodemographic factors, work environment conditions, high workload, and lack of organizational support. This study aims to review the literature on the factors that trigger burnout in healthcare workers and effective prevention strategies at the individual and organizational levels. The study used a literature review design with a search of articles in the PubMed, ScienceDirect, and Google Scholar databases using the keywords “burnout,” “healthcare workers,” “risk factors,” and “prevention strategies.” The articles included were publications from the last ten years, in Indonesian and English, and relevant to the research objectives. Data were synthesized narratively to identify risk factors and prevention strategies for burnout. Factors contributing to burnout included individual factors (age, gender, personality type), working conditions (high workload, overtime, interaction with patients), and organizational environment (managerial support, work culture). Effective prevention strategies combine individual interventions, such as mindfulness, CBT, and coping training, with organizational interventions, including supportive leadership, flexible policies, open communication, and empowerment of healthcare workers. Preventing burnout in healthcare workers requires a holistic approach that integrates individual and organizational strategies. Management and leadership support that emphasizes employee well-being is key to reducing burnout and improving the quality of healthcare services.
References
De Hert S. Burnout in Healthcare workers: Prevalence, Impact and Preventative Strategies. Local Reg Anesth. 2020 Oct 28;13:171–83. doi: 10.2147/LRA.S240564. PMID: 33149664; PMCID: PMC7604257.
Schaufeli WB. Burnout in Europe: relations with national economy, governance, and culture. KU Leuven, Belgium; 2018. Available from: https://www.wilmarschaufeli.nl/publications/Schaufeli/500.pdf
Medscape National Physician Burnout & Suicide Report 2020. Available from: https://www.medscape.com/slideshow/2020-lifestyle-burnout-6012460
Novena OD, Andarusito N, Marliana T. Analisis Faktor Penyebab Burnout Pada Tenaga Kesehatan di Rumah Sakit Umum Kasih Ibu Denpasar. J Manajemen Adm Rumah Sakit. 2025;9(4):1077–93.
Montero-Marin J, Zubiaga F, Cereceda M, Marcelo Marcos Piva D, Trenc P, Garcia-Campayo J. Burnout Subtypes and Absence of Self-Compassion in Primary Healthcare Professionals: A Cross Sectional Study. PLoS One. 2016;11(6).
Maslach C, Leiter MP. New insights into burnout and health care: Strategies for improving civility and alleviating burnout. Med Teach. 2017;39(2):160–3.
Kim MH, Mazenga AC, Yu X, Simon K, Nyasulu P, Kazembe PN, et al. Factors associated with burnout amongst healthcare workers providing HIV care in Malawi. PLoS One. 2019;14(9).
Afonso AM, Cadwell JB, Staffa SJ, Zurakowski D, Vinson AE. Burnout rate and risk factors among anesthesiologists in the United States. Anesthesiology. 2021;134(5):683–96.
O’Connor K, Neff DM, Pitman S. Burnout in mental health professionals: A systematic review and meta-analysis of prevalence and determinants. Eur Psychiatry. 2018;53:74–99.
Velana M, Rinkenauer G. Individual-level interventions for decreasing job-related stress and enhancing coping strategies among nurses: a systematic review. Front Psychol. 2021;12:708696.
Zhang XJ, Song Y, Jiang T, Ding N, Shi TY. Interventions to reduce burnout of physicians and nurses: an overview of systematic reviews and meta-analyses. Medicine (Baltimore). 2020;99:e20992.
Palmer J, Ku M, Wang H, Crosse K, Bennett A, Lee E, et al. Public health emergency and psychological distress among healthcare workers: a scoping review. BMC Public Health. 2022;22:1396.
Zhou AY, Panagioti M, Esmail A, Agius R, Van Tongeren M, Bower P. Factors Associated with Burnout and Stress in Trainee Physicians: A Systematic Review and Meta-analysis. JAMA Netw Open. 2020;3:e2013761. doi: 10.1001/jamanetworkopen.2020.13761
Taranu SM, Ilie AC, Turcu AM, Stefaniu R, Sandu IA, Pislaru AI, et al. Factors Associated with Burnout in Healthcare Professionals. Int J Environ Res Public Health. 2022 Nov 9;19(22):14701. doi: 10.3390/ijerph192214701. PMID: 36429420; PMCID: PMC9691101.
Dong M, Zhou FC, Xu SW, Zhang Q, Ng CH, Ungvari GS, Xiang YT. Prevalence of suicide-related behaviors among physicians: A systematic review and meta-analysis. Suicide Life Threat Behav. 2020;50:1264–75. doi: 10.1111/sltb.12690
El-Menyar A, Ibrahim WH, El Ansari W, Gomaa M, Sathian B, Hssain AA, et al. Characteristics and predictors of burnout among healthcare professionals: A cross-sectional study in two tertiary hospitals. Postgrad Med J. 2021;97:583–9.
Iorga M, Dascalu N, Soponaru C, Ioan B. Burnout Syndrom among Public Ambulance Staff. Rev Med Chir Soc Med Nat Iasi. 2015;119:1128–32.
Głębocka A. The Relationship Between Burnout Syndrome among the Medical Staff and Work Conditions in the Polish Healthcare System. Adv Exp Med Biol. 2017;968:61–70.
Głębocka A. Stress and Dehumanizing Behaviors of Medical Staff Toward Patients. Adv Exp Med Biol. 2019;1133:97–104.
Grace MK, VanHeuvelen JS. Occupational variation in burnout among medical staff: Evidence for the stress of higher status. Soc Sci Med. 2019;232:199–208.
Jarzynkowski P, Piotrkowska R, Mędrzycka-Dąbrowska W, Książek J. Areas of Work Life as Predictors of Occupational Burnout of Nurses and Doctors in Operating Theaters in Poland-Multicenter Studies. Healthcare. 2021;10:26.
Balwi MKM, Yee DW, Thukiman K, Haziqah A. The Relationship between Workload and Burnout among the Medical Staff in Hospital. Sains Hum. 2021;13:1891.
Messias E, Gathright MM, Freeman ES, Flynn V, Atkinson T, Thrush CR, et al. Differences in burnout prevalence between clinical professionals and biomedical scientists in an academic medical centre: A cross-sectional survey. BMJ Open. 2019;9:e023506.
Okuda Y, Iwasaki S, Deguchi Y, Nitta T, Mitake T, Sakaguchi A, Niki A, Inoue K. Burnout and occupational stressors among non-medical occupational health staff. Occup Med. 2020;70:45–51.
Maslach C, Leiter MP. Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry. 2016;15:103–11. doi: 10.1002/wps.20311
Gold KJ, Andrew LB, Goldman EB, Schwenk TL. “I would never want to have a mental health diagnosis on my record”: a survey of female physicians on mental health diagnosis, treatment, and reporting. Gen Hosp Psychiatry. 2016;43:51–7. doi: 10.1016/j.genhosppsych.2016.09.004
Hofmeyer A, Taylor R, Kennedy K. Fostering compassion and reducing burnout: How can health system leaders respond in the Covid-19 pandemic and beyond? Nurse Educ Today. 2020;94:104502.
Lown BA, Shin A, Jones RN. Can organizational leaders sustain compassionate, patient centered care and mitigate burnout? J Healthc Manag. 2019;64(6):398–412.
Yang M, Fry L. The role of spiritual leadership in reducing healthcare worker burnout. J Manag Spiritual Relig. 2018;15(4):305–24.
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