Harmonized definition of occupational burnout: A systematic review, semantic analysis, and Delphi consensus in 29 countries

OBJECTIVE: A consensual definition of occupational burnout is currently lacking. We aimed to harmonize the definition of occupational burnout as a health outcome in medical research and reach a consensus on this definition within the Network on the Coordination and Harmonisation of European Occupati...

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Main Authors: Irina Guseva Canu, Sandy Carla Marca, Francesca Dell'Oro, Ádám Balázs, Enrico Bergamaschi, Christine Besse, Renzo Bianchi, Jovanka Bislimovska, Adrijana Koscec Bjelajac, Merete Bugge, Carmen Iliana Busneag, Çiğdem Çağlayan, Mariana Cernițanu, Cristiana Costa Pereira, Nataša Dernovšček Hafner, Nadia Droz, Maija Eglite, Lode Godderis, Harald Gündel, Jari J Hakanen, Raluca Maria Iordache, Imane Khireddine-Medouni, Sibel Kiran, Francesca Larese-Filon, Catherine Lazor-Blanchet, Patrick Légeron, Tom Loney, Nicole Majery, Eda Merisalu, Ingrid Sivesind Mehlum, Laurent Michaud, Dragan Mijakoski, Jordan Minov, Alberto Modenese, Marija Molan, Henk van der Molen, Evangelia Nena, Dusan Nolimal, Marina Otelea, Elisabeta Pletea, Nurka Pranjic, David Rebergen, Jelena Reste, Eva Schernhammer, Anny Wahlen
Format: Article
Language:English
Published: Nordic Association of Occupational Safety and Health (NOROSH) 2021-03-01
Series:Scandinavian Journal of Work, Environment & Health
Subjects:
Online Access: https://www.sjweh.fi/show_abstract.php?abstract_id=3935
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author Irina Guseva Canu
Sandy Carla Marca
Francesca Dell'Oro
Ádám Balázs
Enrico Bergamaschi
Christine Besse
Renzo Bianchi
Jovanka Bislimovska
Adrijana Koscec Bjelajac
Merete Bugge
Carmen Iliana Busneag
Çiğdem Çağlayan
Mariana Cernițanu
Cristiana Costa Pereira
Nataša Dernovšček Hafner
Nadia Droz
Maija Eglite
Lode Godderis
Harald Gündel
Jari J Hakanen
Raluca Maria Iordache
Imane Khireddine-Medouni
Sibel Kiran
Francesca Larese-Filon
Catherine Lazor-Blanchet
Patrick Légeron
Tom Loney
Nicole Majery
Eda Merisalu
Ingrid Sivesind Mehlum
Laurent Michaud
Dragan Mijakoski
Jordan Minov
Alberto Modenese
Marija Molan
Henk van der Molen
Evangelia Nena
Dusan Nolimal
Marina Otelea
Elisabeta Pletea
Nurka Pranjic
David Rebergen
Jelena Reste
Eva Schernhammer
Anny Wahlen
author_facet Irina Guseva Canu
Sandy Carla Marca
Francesca Dell'Oro
Ádám Balázs
Enrico Bergamaschi
Christine Besse
Renzo Bianchi
Jovanka Bislimovska
Adrijana Koscec Bjelajac
Merete Bugge
Carmen Iliana Busneag
Çiğdem Çağlayan
Mariana Cernițanu
Cristiana Costa Pereira
Nataša Dernovšček Hafner
Nadia Droz
Maija Eglite
Lode Godderis
Harald Gündel
Jari J Hakanen
Raluca Maria Iordache
Imane Khireddine-Medouni
Sibel Kiran
Francesca Larese-Filon
Catherine Lazor-Blanchet
Patrick Légeron
Tom Loney
Nicole Majery
Eda Merisalu
Ingrid Sivesind Mehlum
Laurent Michaud
Dragan Mijakoski
Jordan Minov
Alberto Modenese
Marija Molan
Henk van der Molen
Evangelia Nena
Dusan Nolimal
Marina Otelea
Elisabeta Pletea
Nurka Pranjic
David Rebergen
Jelena Reste
Eva Schernhammer
Anny Wahlen
author_sort Irina Guseva Canu
collection DOAJ
description OBJECTIVE: A consensual definition of occupational burnout is currently lacking. We aimed to harmonize the definition of occupational burnout as a health outcome in medical research and reach a consensus on this definition within the Network on the Coordination and Harmonisation of European Occupational Cohorts (OMEGA-NET). METHODS: First, we performed a systematic review in MEDLINE, PsycINFO and Embase (January 1990 to August 2018) and a semantic analysis of the available definitions. We used the definitions of burnout and burnout-related concepts from the Systematized Nomenclature of Medicine Clinical Terms (SNOMED-CT) to formulate a consistent harmonized definition of the concept. Second, we sought to obtain the Delphi consensus on the proposed definition. RESULTS: We identified 88 unique definitions of burnout and assigned each of them to 1 of the 11 original definitions. The semantic analysis yielded a first proposal, further reformulated according to SNOMED-CT and the panelists` comments as follows: "In a worker, occupational burnout or occupational physical AND emotional exhaustion state is an exhaustion due to prolonged exposure to work-related problems”. A panel of 50 experts (researchers and healthcare professionals with an interest for occupational burnout) reached consensus on this proposal at the second round of the Delphi, with 82% of experts agreeing on it. CONCLUSION: This study resulted in a harmonized definition of occupational burnout approved by experts from 29 countries within OMEGA-NET. Future research should address the reproducibility of the Delphi consensus in a larger panel of experts, representing more countries, and examine the practicability of the definition.
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spelling doaj.art-3669320572f745f9a4ce6b03407721382022-12-21T23:47:14ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2021-03-014729510710.5271/sjweh.39353935Harmonized definition of occupational burnout: A systematic review, semantic analysis, and Delphi consensus in 29 countriesIrina Guseva Canu0Sandy Carla MarcaFrancesca Dell'OroÁdám BalázsEnrico BergamaschiChristine BesseRenzo BianchiJovanka BislimovskaAdrijana Koscec BjelajacMerete BuggeCarmen Iliana BusneagÇiğdem ÇağlayanMariana CernițanuCristiana Costa PereiraNataša Dernovšček HafnerNadia DrozMaija EgliteLode GodderisHarald GündelJari J HakanenRaluca Maria IordacheImane Khireddine-MedouniSibel KiranFrancesca Larese-FilonCatherine Lazor-BlanchetPatrick LégeronTom LoneyNicole MajeryEda MerisaluIngrid Sivesind MehlumLaurent MichaudDragan MijakoskiJordan MinovAlberto ModeneseMarija MolanHenk van der MolenEvangelia NenaDusan NolimalMarina OteleaElisabeta PleteaNurka PranjicDavid RebergenJelena ResteEva SchernhammerAnny WahlenUnisanté, Department of occupational and environmental health, Route de la Corniche, 2, 1066 Epalinges-Lausanne, Switzerland.OBJECTIVE: A consensual definition of occupational burnout is currently lacking. We aimed to harmonize the definition of occupational burnout as a health outcome in medical research and reach a consensus on this definition within the Network on the Coordination and Harmonisation of European Occupational Cohorts (OMEGA-NET). METHODS: First, we performed a systematic review in MEDLINE, PsycINFO and Embase (January 1990 to August 2018) and a semantic analysis of the available definitions. We used the definitions of burnout and burnout-related concepts from the Systematized Nomenclature of Medicine Clinical Terms (SNOMED-CT) to formulate a consistent harmonized definition of the concept. Second, we sought to obtain the Delphi consensus on the proposed definition. RESULTS: We identified 88 unique definitions of burnout and assigned each of them to 1 of the 11 original definitions. The semantic analysis yielded a first proposal, further reformulated according to SNOMED-CT and the panelists` comments as follows: "In a worker, occupational burnout or occupational physical AND emotional exhaustion state is an exhaustion due to prolonged exposure to work-related problems”. A panel of 50 experts (researchers and healthcare professionals with an interest for occupational burnout) reached consensus on this proposal at the second round of the Delphi, with 82% of experts agreeing on it. CONCLUSION: This study resulted in a harmonized definition of occupational burnout approved by experts from 29 countries within OMEGA-NET. Future research should address the reproducibility of the Delphi consensus in a larger panel of experts, representing more countries, and examine the practicability of the definition. https://www.sjweh.fi/show_abstract.php?abstract_id=3935 occupational healthjob stresssystematic reviewoccupational burnoutexhaustionsemantic analysisdelphi consensusepidemiology
spellingShingle Irina Guseva Canu
Sandy Carla Marca
Francesca Dell'Oro
Ádám Balázs
Enrico Bergamaschi
Christine Besse
Renzo Bianchi
Jovanka Bislimovska
Adrijana Koscec Bjelajac
Merete Bugge
Carmen Iliana Busneag
Çiğdem Çağlayan
Mariana Cernițanu
Cristiana Costa Pereira
Nataša Dernovšček Hafner
Nadia Droz
Maija Eglite
Lode Godderis
Harald Gündel
Jari J Hakanen
Raluca Maria Iordache
Imane Khireddine-Medouni
Sibel Kiran
Francesca Larese-Filon
Catherine Lazor-Blanchet
Patrick Légeron
Tom Loney
Nicole Majery
Eda Merisalu
Ingrid Sivesind Mehlum
Laurent Michaud
Dragan Mijakoski
Jordan Minov
Alberto Modenese
Marija Molan
Henk van der Molen
Evangelia Nena
Dusan Nolimal
Marina Otelea
Elisabeta Pletea
Nurka Pranjic
David Rebergen
Jelena Reste
Eva Schernhammer
Anny Wahlen
Harmonized definition of occupational burnout: A systematic review, semantic analysis, and Delphi consensus in 29 countries
Scandinavian Journal of Work, Environment & Health
occupational health
job stress
systematic review
occupational burnout
exhaustion
semantic analysis
delphi consensus
epidemiology
title Harmonized definition of occupational burnout: A systematic review, semantic analysis, and Delphi consensus in 29 countries
title_full Harmonized definition of occupational burnout: A systematic review, semantic analysis, and Delphi consensus in 29 countries
title_fullStr Harmonized definition of occupational burnout: A systematic review, semantic analysis, and Delphi consensus in 29 countries
title_full_unstemmed Harmonized definition of occupational burnout: A systematic review, semantic analysis, and Delphi consensus in 29 countries
title_short Harmonized definition of occupational burnout: A systematic review, semantic analysis, and Delphi consensus in 29 countries
title_sort harmonized definition of occupational burnout a systematic review semantic analysis and delphi consensus in 29 countries
topic occupational health
job stress
systematic review
occupational burnout
exhaustion
semantic analysis
delphi consensus
epidemiology
url https://www.sjweh.fi/show_abstract.php?abstract_id=3935
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