Implementing complex interventions to mitigate burnout among qualified healthcare professionals: a realist review protocol

Introduction Reported burnout rates among qualified healthcare professionals (QHP) are alarming. Systematic reviews evaluating the effectiveness of burnout interventions for QHP exist; however, findings are contradictory. In addition, to date, there is no indication of how these interventions work a...

Full description

Bibliographic Details
Main Authors: Sabrina Figueiredo, Ulrich Koch, Eliezer Oliveira, Kathleen Ennis-Durstine
Format: Article
Language:English
Published: BMJ Publishing Group 2023-01-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/1/e067577.full
_version_ 1797938166860087296
author Sabrina Figueiredo
Ulrich Koch
Eliezer Oliveira
Kathleen Ennis-Durstine
author_facet Sabrina Figueiredo
Ulrich Koch
Eliezer Oliveira
Kathleen Ennis-Durstine
author_sort Sabrina Figueiredo
collection DOAJ
description Introduction Reported burnout rates among qualified healthcare professionals (QHP) are alarming. Systematic reviews evaluating the effectiveness of burnout interventions for QHP exist; however, findings are contradictory. In addition, to date, there is no indication of how these interventions work and what specific intervention elements mitigate burnout. This review aims to explain how burnout interventions work and the contextual factors that mediate the intended outcomes. Our ultimate goal is to formulate actionable recommendations to guide the implementation of complex burnout interventions for QHP working in the hospital setting.Methods and analysis In light of the heterogeneity and complexity of the interventions designed to address burnout, we will conduct a realist review using Pawson’s five iterative stages to explore and explain how burnout interventions work, for whom, and in what circumstances. We will search PubMed, CINAHL, Scopus, PsycINFO and Web of Science from inception to December 2022. Grey literature sources will also be considered. The results will be reported according to the Realist and Meta-Narrative Evidence Syntheses—Evolving Standards quality and publication standardsEthics and dissemination Findings will be disseminated in a peer-reviewed journal, conference presentations and through the development of infographics and relevant educational material to be shared with stakeholders and key institutions. This study is a secondary data analysis; thus, a formal ethics review is not applicable.PROSPERO registration number CRD42021293154.
first_indexed 2024-04-10T18:55:30Z
format Article
id doaj.art-2d013c4d99ba4495ac1bb85c84ba7d4f
institution Directory Open Access Journal
issn 2044-6055
language English
last_indexed 2024-04-10T18:55:30Z
publishDate 2023-01-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open
spelling doaj.art-2d013c4d99ba4495ac1bb85c84ba7d4f2023-01-31T21:00:09ZengBMJ Publishing GroupBMJ Open2044-60552023-01-0113110.1136/bmjopen-2022-067577Implementing complex interventions to mitigate burnout among qualified healthcare professionals: a realist review protocolSabrina Figueiredo0Ulrich Koch1Eliezer Oliveira2Kathleen Ennis-Durstine3Clinical Research and Leadership, School of Medicine and Health Sciences, The George Washington University, Washington, District of Columbia, USAClinical Research and Leadership, School of Medicine and Health Sciences, The George Washington University, Washington, District of Columbia, USAFamily Services, Children`s National Hospital, Washington, District of Columbia, USAFamily Services, Children`s National Hospital, Washington, District of Columbia, USAIntroduction Reported burnout rates among qualified healthcare professionals (QHP) are alarming. Systematic reviews evaluating the effectiveness of burnout interventions for QHP exist; however, findings are contradictory. In addition, to date, there is no indication of how these interventions work and what specific intervention elements mitigate burnout. This review aims to explain how burnout interventions work and the contextual factors that mediate the intended outcomes. Our ultimate goal is to formulate actionable recommendations to guide the implementation of complex burnout interventions for QHP working in the hospital setting.Methods and analysis In light of the heterogeneity and complexity of the interventions designed to address burnout, we will conduct a realist review using Pawson’s five iterative stages to explore and explain how burnout interventions work, for whom, and in what circumstances. We will search PubMed, CINAHL, Scopus, PsycINFO and Web of Science from inception to December 2022. Grey literature sources will also be considered. The results will be reported according to the Realist and Meta-Narrative Evidence Syntheses—Evolving Standards quality and publication standardsEthics and dissemination Findings will be disseminated in a peer-reviewed journal, conference presentations and through the development of infographics and relevant educational material to be shared with stakeholders and key institutions. This study is a secondary data analysis; thus, a formal ethics review is not applicable.PROSPERO registration number CRD42021293154.https://bmjopen.bmj.com/content/13/1/e067577.full
spellingShingle Sabrina Figueiredo
Ulrich Koch
Eliezer Oliveira
Kathleen Ennis-Durstine
Implementing complex interventions to mitigate burnout among qualified healthcare professionals: a realist review protocol
BMJ Open
title Implementing complex interventions to mitigate burnout among qualified healthcare professionals: a realist review protocol
title_full Implementing complex interventions to mitigate burnout among qualified healthcare professionals: a realist review protocol
title_fullStr Implementing complex interventions to mitigate burnout among qualified healthcare professionals: a realist review protocol
title_full_unstemmed Implementing complex interventions to mitigate burnout among qualified healthcare professionals: a realist review protocol
title_short Implementing complex interventions to mitigate burnout among qualified healthcare professionals: a realist review protocol
title_sort implementing complex interventions to mitigate burnout among qualified healthcare professionals a realist review protocol
url https://bmjopen.bmj.com/content/13/1/e067577.full
work_keys_str_mv AT sabrinafigueiredo implementingcomplexinterventionstomitigateburnoutamongqualifiedhealthcareprofessionalsarealistreviewprotocol
AT ulrichkoch implementingcomplexinterventionstomitigateburnoutamongqualifiedhealthcareprofessionalsarealistreviewprotocol
AT eliezeroliveira implementingcomplexinterventionstomitigateburnoutamongqualifiedhealthcareprofessionalsarealistreviewprotocol
AT kathleenennisdurstine implementingcomplexinterventionstomitigateburnoutamongqualifiedhealthcareprofessionalsarealistreviewprotocol