The Impact of Sleep and Circadian Disorders on Physician Burnout
| Autor: | Vineet M. Arora, Nancy H. Stewart |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Pulmonary and Respiratory Medicine
Physician burnout medicine.medical_specialty health care facilities manpower and services education Psychological intervention Burnout Burnout Psychological Critical Care and Intensive Care Medicine Sleep medicine Surveys and Questionnaires Intervention (counseling) health services administration Physicians Health care Medicine Humans Circadian rhythm Wakefulness Psychiatry Burnout Professional Contemporary Reviews in Sleep Medicine business.industry Sleep in non-human animals Circadian Rhythm Nap Sleep deprivation Sleep Deprivation Observational study medicine.symptom Cardiology and Cardiovascular Medicine business Sleep psychological phenomena and processes Clinical psychology |
| Zdroj: | Chest |
| Popis: | Nearly 50% of physicians report symptoms of clinical burnout. Occupational factors and personal health play substantial roles in physician burnout. The role of sleep in physician burnout is not well understood. Burnout is at epidemic levels in health care, with research suggesting nearly one in two physicians experience clinical burnout as defined according to the Maslach Burnout Index. Sleep deprivation, burnout, and clinician health are intricately intertwined. The relation between sleep deprivation and burnout is not only suggested in hypothetical models but also confirmed in observational studies of workers of all types. Models describing the relation between burnout and sleep suggest as potential causative mechanisms of sleep disturbances the following: (1) a chronic depletion of energy stores; or (2) activation of the hypothalamic-pituitary-adrenal axis and increasing levels of bodily stress. Sleep deprivation and burnout are widespread in health-care workers, affecting not only nurses but also medical students, physicians-in-training, and practicing physicians. Although sleep deprivation is associated with clinical burnout, direct studies showing that sleep extension can improve burnout recovery are lacking. Early detection and early intervention to improve both sleep deprivation and burnout are warranted in health-care professionals. Interventions should be directed not only at individuals but also at the entire health system. This review highlights the latest developments and emerging concepts concerning the role of sleep and circadian disorders in physician burnout. |
| Databáze: | OpenAIRE |
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