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May 08, · Systematic reviews (SRs) and meta-analyses (MAs) are commonly conducted to evaluate and summarize medical literature. This is especially useful in assessing in vitro studies for consistency. Our study aims to systematically review all available quality assessment (QA) tools employed on in vitro SRs/MAs. A search on four databases, including PubMed, Scopus, . We would like to show you a description here but the site won’t allow replace.me more. May 06, · Despite the increasing popularity of the theory of change (ToC) approach, little is known about the extent to which ToC has been used in the design and evaluation of public health interventions. This review aims to determine how ToCs have been developed and used in the development and evaluation of public health interventions globally. We searched for papers .
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Jun 26, · Search results were exported from Endnote X7 and duplicates were removed. Study selection was completed in 2 stages. Titles and abstracts of the studies were screened and subsequently full texts of the selected studies were accessed and further screened against the eligibility criteria. The title and abstract screening were undertaken by XJ. Jan 22, · 2. Material and methods. An electronic search was conducted in PubMed®, Scopus® and Web of science® databases (up to 28 November ) using the index terms “junk food”, “fast food”, “take away”, “alcohol”, “ethanol”, “covid”, “Sars-Cov-2” and the final search string as well as more info about our search strategy can be found in Supplementary File 1. May 06, · Despite the increasing popularity of the theory of change (ToC) approach, little is known about the extent to which ToC has been used in the design and evaluation of public health interventions. This review aims to determine how ToCs have been developed and used in the development and evaluation of public health interventions globally. We searched for papers .
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May 08, · Systematic reviews (SRs) and meta-analyses (MAs) are commonly conducted to evaluate and summarize medical literature. This is especially useful in assessing in vitro studies for consistency. Our study aims to systematically review all available quality assessment (QA) tools employed on in vitro SRs/MAs. A search on four databases, including PubMed, Scopus, . Journal Title Abbreviations & Endnote. 利用書目編輯軟體EndNote提供的Journal Term Lists來查找期刊全名或是縮寫皆難不倒。如果您已經安裝EndNote軟體，EndNote內已設有約12種主題領域的Journal Term Lists，存放的預設路逕為C:\\Program Files\Endnote X5\Term Lists，匯入的步 . Jun 26, · Search results were exported from Endnote X7 and duplicates were removed. Study selection was completed in 2 stages. Titles and abstracts of the studies were screened and subsequently full texts of the selected studies were accessed and further screened against the eligibility criteria. The title and abstract screening were undertaken by XJ.
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Federal government websites often end in. The site is secure. Numerous systematic reviews and meta-analyses on the interventions to reduce burnout of physicians and nurses have been published nowadays. This study aimed to summarize the evidence and clarify a bundled strategy to reduce burnout of physicians and nurses. In addition, a manual search for relevant articles was also conducted using Google Scholar and ancestral searches through the reference lists from articles included in the final review.
Two reviewers independently selected and assessed, and any disagreements were resolved through a larger team discussion. A data extraction spreadsheet was developed and initially piloted in 3 randomly selected studies. Data from each study were extracted independently using a pre-standardized data abstraction form. The the Risk of Bias in Systematic reviews and assessment of multiple systematic reviews AMSTAR 2 tool were used to evaluate risk of bias and quality of included articles.
A total of 22 studies published from to were eligible for analysis. The MBI was used by majority of studies to assess burnout. Burnout is a complicated problem and should be dealt with by using bundled strategy. The existing overview clarified evidence to reduce burnout of physicians and nurses, which provided a basis for health policy makers or clinical managers to design simple and feasible strategies to reduce the burnout of physicians and nurses, and to ensure clinical safety.
Burnout refers to a prolonged response to chronic emotional and interpersonal stressors caused by work, manifested as emotional exhaustion, depersonalization, and reduced personal accomplishment.
Burnout among healthcare providers is in relation to their gender, marital status, work environment, interpersonal and professional conflicts, emotional distress, and low social support. Recently, COVID has swept the world, which has drawn pay more attention to the mental health of human beings, [ 23 ] especially front-line health care workers. In addition, a manual search for relevant articles was also conducted using Google Scholar and ancestral searches through the reference lists of articles included in the final review.
The search strategy included combinations of 3 key blocks of terms burnout; physicians and nurses; interventions using medical subject headings MESH terms and text words. Consultation has been conducted between the project team and information specialists before finalizing the search strategy see Additional file 1.
Search results were exported from Endnote X7 and duplicates were removed. Study selection was completed in 2 stages. Titles and abstracts of the studies were screened and subsequently full texts of the selected studies were accessed and further screened against the eligibility criteria. The title and abstract screening were undertaken by XJ.
Z and YQ. Two reviewers independently selected and evaluated, and any disagreements were resolved through a larger team discussion. Four domains in phase 2 are study eligibility criteria, identification and selection of studies, data collection and study appraisal, and synthesis and findings. The results of each domain and phase 3 were rated as high risk, low risk, or unclear risk. A high score may disguise critical weaknesses in specific domains, such as an inadequate literature search or a failure to assess RoB within individual studies that were included in a systematic review.
In making an overall rating of systematic review, it is important to take account of flaws in critical domains, which may greatly weaken the confidence that can be placed in a systematic review. On the other hand, literature of different design types cannot be quantitatively synthesized. Therefore, a qualitative synthesis of the included studies was conducted instead.
Literature search results and data extraction results were summarized descriptively. A summary of efficacy outcomes was presented based on the different outcome measures, controls and interventions.
A narrative synthesis was therefore generated considering the total number of SRs that reported results, the methodological quality of SRs and RCTs, and the quality of evidence for the outcomes to yield final conclusions.
Ethics approval is not required in overview of SRs and meta-analyses. The search strategy yielded potential studies. The search period of included research was from the inception to The Follow-up time ranged from 0 to 7 years. The first domain aims to assess whether primary study eligibility criteria were prespecified, clear, and appropriate to the review question. The second domain aims to assess whether any primary studies that would have met the inclusion criteria were not included in the review.
The third domain aims to assess whether bias may have been introduced through the data collection or risk of bias assessment processes. The fourth domain aimed to assess whether the data was combined from the included primary studies. Only 8 studies rated low risk of bias. The final phase considers whether the systematic review as a whole is at risk of bias, 14 studies were rated high risk and 8 were low.
As a whole, the methodological quality and quality of included studies was from moderate to high. There were three types of interventions: individual-focused, structural or organizational, and combine interventions. Emotion regulation was an important psychological variable, which associated with burnout.
Combine individual-focused and structural or organizational interventions included Snoezelen, [ 21 ] stress management and resiliency training, [ 34 ] stress management workshops [ 18 , 20 ] and improving interaction with colleagues through personal training. The purpose of this study was to summarize the evidence and clarify a bundled strategy to reduce burnout of physicians and nurses.
According to ROBIS, 12 research were in low risk in domain 1, 8 in domain 2, 17 in domain 3, and 8 in phase 3. By using AMSTAR 2 to assess the methodological quality and quality of included research, most of those were considered as relatively good quality.
Burnout of physicians and nurses has become a global public health problem. This overview analyzed the contents of 22 papers with results that physician-directed interventions are associated with small reductions in symptoms of common mental health disorders among physicians.
Organizational interventions that ignore individual factors cannot really reducing burnout of physicians and nurses. Therefore, based on theories and studies, when physicians and nurses face stressors caused by work, they will make different coping strategies.
Emotional intelligence theory suggests that emotion regulation skills facilitate the maintenance of appropriate emotions, reducing or adapting undesirable emotions in oneself and others. If positive intervention strategies can be adopted to enhance resilience, the incidence of burnout of physicians and nurses is greatly reduced and the wellness improved Fig. This research included studies in different settings, which brought to light the range of interventions, which could provide the direction for further research.
The current overview clarified evidence to reduce burnout of physicians and nurses, which provide a basis for health policy makers or clinical managers to design simple and feasible strategies to reduce the burnout of physicians and nurses, and to ensure clinical safety. Considering partial databases selected and gray literature not included, the results are used only as an overview of the field.
This overview has included 22 systematic reviews and meta-analyses to summarize the relevant studies of interventions to reduce the burnout of physicians and nurses and form an evidence resource, which provides reliable evidence support for further intervention. It is an urgent need to implement and evaluate the long-term effect of bundle strategy. All authors read and approved the final manuscript.
Interventions to reduce burnout of physicians and nurses: an overview of systematic reviews and meta-analyses. This study is supported by Basic Research Project of Higher Learning Institution in Liaoning Province Code: LQ , which provided financial support during data analysis and manuscript preparation.
Data availability statement No additional data available. Patient and Public Involvement None. The authors have no conflicts of interest to disclose. Medicine Baltimore.
Published online Jun Find articles by Tongtong Jiang. Author information Article notes Copyright and License information Disclaimer. Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4. The work cannot be used commercially without permission from the journal. This article has been cited by other articles in PMC.
Abstract Objective: Numerous systematic reviews and meta-analyses on the interventions to reduce burnout of physicians and nurses have been published nowadays. Results: A total of 22 studies published from to were eligible for analysis. Conclusions: Burnout is a complicated problem and should be dealt with by using bundled strategy.
Keywords: burnout, meta-analyses, nurses, overview, physicians, systematic reviews. Introduction Burnout refers to a prolonged response to chronic emotional and interpersonal stressors caused by work, manifested as emotional exhaustion, depersonalization, and reduced personal accomplishment.
Table 1 Inclusion and exclusion criteria. Open in a separate window. Study Selection Search results were exported from Endnote X7 and duplicates were removed.
Data Extraction A data extraction spreadsheet was developed and initially piloted in 3 randomly selected studies. Ethics Ethics approval is not required in overview of SRs and meta-analyses. Results The search strategy yielded potential studies. Figure 1. Discussion 4. Summary of main findings The purpose of this study was to summarize the evidence and clarify a bundled strategy to reduce burnout of physicians and nurses.
Implication for future study Burnout of physicians and nurses has become a global public health problem. Figure 2. The path of bundle strategy to reduce burnout of physicians and nurses.
Strength and limitations This research included studies in different settings, which brought to light the range of interventions, which could provide the direction for further research. Conclusion This overview has included 22 systematic reviews and meta-analyses to summarize the relevant studies of interventions to reduce the burnout of physicians and nurses and form an evidence resource, which provides reliable evidence support for further intervention.