Less work: More burnout? A comparison of working conditions and the risk of burnout by German physicians before and after the implementation of the EU working time directive

International Archives of Occupational and Environmental Health

Volumn 87, Issue 2, 2014, Pages 205-215

  Richter, Astrid ^a   Kostova, Petya ^a   Baur, Xaver ^a   Wegner, Ralf ^b  

^a UNIVERSITY MEDICAL CENTER HAMBURG EPPENDORF   (Germany)

^b MARTIN LUTHER KRANKENHAUS   (Germany)

Author keywords

Hospital physicians; Shortage of physicians; Strain Burnout; Stress

Indexed keywords

ADULT; ARTICLE; BURNOUT; COMPARATIVE STUDY; EMERGENCY; EMOTION; EUROPEAN UNION; FEMALE; GERMANY; HUMAN; LEGAL ASPECT; MALE; MEDICAL LEAVE; MEDICAL STAFF; MIDDLE AGED; OCCUPATIONAL DISEASE; PERSONNEL MANAGEMENT; PHYSICIAN; PSYCHOLOGICAL ASPECT; PSYCHOLOGICAL RATING SCALE; RISK ASSESSMENT; SLEEP; STATISTICS; TIME; WORKLOAD; WORKPLACE;

ADULT; BURNOUT, PROFESSIONAL; EMERGENCIES; EMOTIONS; EUROPEAN UNION; FEMALE; GERMANY; HUMANS; MALE; MEDICAL STAFF, HOSPITAL; MIDDLE AGED; OCCUPATIONAL DISEASES; PERSONNEL STAFFING AND SCHEDULING; PHYSICIANS; PSYCHIATRIC STATUS RATING SCALES; RISK ASSESSMENT; SICK LEAVE; SLEEP; TIME FACTORS; WORKLOAD; WORKPLACE;

EID: 84896866795     PISSN: 03400131     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00420-013-0849-x     Document Type: Article

References (43)

1. Ahola K, Gould R, Virtanen M, Honkonen T, Aromaa A, Lönnqvist J (2009) Occupational burnout as a predictor of disability pension: a population-based cohort study. Occup Environ Med 66(5):284-290. doi:10.1136/oem.2008.038935
2. Bakker AB, Demerouti E (2007) The job demands-resources model: state of the art. J Manag Psychol 22(3):309-328. doi: 10.1108/02683940710733115
3. Bakker AB, Demerouti E, Euwema MC (2005) Job resources buffer the impact of job demands on burnout. J Occup Health Psychol 10(2):170-180. doi:10.1037/1076-8998.10.2.170
4. Barth A (1985) Das MBI-D: Erste Untersuchung mit einer deutschen U? bersetzung des, Maslach Burnout Inventory'bei klientenzentrierten Gesprächstherapeuten und Hochschullehrern. Zulassungsarbeit zur staatlichen Ergänzungsprüfung im Fach Psychologie mit Schulpsychologischem Schwerpunkt, Universita?t Nürnberg
5. Buddeberg-Fischer B, Klaghofer R, Buddeberg C (2005) Stress at work and well-being in junior residents. Z Psychosom Med Psychother 51(2):163-178
6. Buddeberg-Fischer B, Stamm M, Buddeberg C, Klaghofer R (2010) Chronic stress experience in young physicians: impact of personand workplace-related factors. Int Arch Occup Environ Health 83:373-379
7. Bundesärztekammer (2011) Tätigkeitsbericht 2010 der Bundesärztekammer. http://www.bundesaerztekammer.de/downloads/Taetig keit2010.pdf. Accessed 5 Dec 2011
8. Cubrilo-Turek M, Urek R, Turek S (2006) Burnout syndrome: assessment of a stressful job among intensive care staff. Coll Antropol 30:131-135
9. Fletcher KE, Underwood W 3rd, Davis SQ, Mangrulkar RS, McMahon LF Jr, Saint S (2005) Effects of work hour reduction on residents' lives: a systematic review. JAMA 294(9):1088-1100
10. Friedrich M, Popov A, Schmitto J, Bireta C, Emmert A, Tirilomis T (2011) Meeting the needs of the European Working Time Directive in German medical profession. Dtsch Med Wochenschr 136:1377-1383
11. Greenhaus JH, Beutell NJ (1985) Sources of conflict between work and family roles. Acad Manag Rev 10(1):76-88. doi:10.5465/amr. 1985.4277352
12. Gundersen L (2001) Physician burnout.Ann InternMed 135(2):145-148
13. Hallsten L, Voss M, Stark S, Josephson M (2011) Job burnout and job wornout as risk factors for long-term sickness absence. Work 38(2):181-192. doi:10.3233/WOR201101120
14. Hutter M, Kellogg K, Ferguson C, Abbott W, Warshaw A (2006) The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Ann Surg 243(6):864-875. doi: 10.1097/01.sla.0000220042.48310.66
15. Isikhan V, Comez T, Danis MZ (2004) Job stress and coping strategies in health care professionals working with cancer patients. Eur J Oncol Nurs 8:234-244. doi:10.1016/j.ejon.2003.11.004
16. Karasek RA (1979) Job demands, job decision latitude, and mental strain: implications for job design. Admin Sci Quart 24:285-308
17. Kopetsch T (2009) Arztzahlentwicklung: Hohe Abwanderung ins Ausland - sehr geringe Arbeitslosigkeit. Dtsch Arztebl 106(16): A757-A766
18. Kuhn G (2001) Circadian rhythm, shift work, and emergeny medicine. Ann Emerg Med 37:88-98
19. Maslach C, Jackson S (1981) The measurement of experienced burnout. J Occup Behav 2:99-113
20. Maslach C, Jackson S (1986) Maslach burnout inventory manual, 2nd edn. Consulting Psychologists Press, Palo Alto
21. Maslach C, Schaufeli WB, Leiter MP (2001) Job burnout. Annu Rev Psychol 52:397-422. doi:0066 4308/01/0201-0397$14.00
22. McManus IC, Winder BC, Gordon D (2002) The causal links between stress and burnout in a longitudinal study of UK doctors. Lancet 359:2089-2090
23. Michalsen A, Hillert A (2011a) Burn-out in anesthesia and intensive care medicine. Part 1. Clarification and critical evaluation of the term. Anaesthesist 60(1):23-30. doi:10.1007/s00101-009-1659-0
24. Michalsen A, Hillert A (2011b) Burnout in anesthesia and intensive care medicine. Part 2: Epidemiology and importance for the quality of care. Anaesthesist 60(1):31-38. doi:10.1007/s00101- 010-1805-8
25. Nurminen T (1998) Shift work and reproductive health. Scand J Work Environ Health 24(suppl 3):28-34
26. Nyssen AS, Hansez I, Baele P, Lamy M, De Keyser V (2003) Occupational stress and burnout in anaesthesia. Br J Anaesth 90(3):333-337. doi:10.1093/bja/aeg058
27. Parshuram CS, Dhanani S, Kirsh JA, Cox PN (2004) Fellowship training, workload, fatigue and physical stress: a prospective observational study. CMAJ 170(6):965-970. doi:10.1053/cmaj. 1030442
28. Prins JT, Gazendam-Donofrio SM, Tubben BJ, Van Der Heijden FM, Van De Wiel HB, Hoekstra-Weebers JE (2007) Burnout in medical residents: a review. Med Educ 41(8):788-800. doi: 10.1111/j.1365-2923.2007.02797.x
29. Robeznieks A (2011) Shift work. Mod Healthc 41(30):6-7
30. Rupert PA (2009) Work-family conflict and burnout among practicing psychologists. Prof Psychol Res Pr 40(1):54-61. doi:10.1027/ 1614-0001.30.1.6
31. Sharma A, Sharp D, Walker L, Monson J (2008) Stress and burnout in colorectal and vascular surgical consultants working in the UK national health service. Psychooncology 17:570-576
32. Siegrist J (1996) Adverse health effects of high effort-low reward conditions. J Occup Health Psych 1(1):27-41
33. Simoens S, Hurst J (2006) The supply of physician services in OECD countries OECD health working papers, 21
34. Spielberg P (2011) EU-Arbeitszeitrecht. Kein einheitliches Bild. Dtsch Arztebl 108(14):A807-A808
35. SVR (2009) Qualifikation und Migration: Potenziale und Personalpolitik in der Firma Deutschland. http://www.svr-migration. de/content/wp-content/uploads/ 2009/05/090528-druckfassung-qualifikation-und-migration.pdf. Accessed 12 Jan 2012
36. Tan P, Hogle NJ, Widmann WD (2012) Limiting PGY 1 residents to 16 hours of duty: review and report of a workshop. J Surg Educ 69(3):355-359. doi:10.1016/j.jsurg.2011.10.013
37. Thomas NK (2004) Resident burnout. JAMA 292(23):2880-2889
38. Voltmer E (2009) Abwanderung von A? rzten ins Ausland: Psychosoziale Belastungen werden zu wenig thematisiert. Dtsch Arztebl 106(8):A365-A366
39. Wegner R (2007) Die beruflichen Belastungen von Hamburger Krankenhausärzten. Hamb Arztebl 31:314-318
40. Wegner R, Wein C (2002) Zur Eignung des Maslach-Burnout- Inventory (MBI) bei arbeitsmedizinischen Erhebungen. In: Rindt (ed) DokBd DGAUM 42, Fulda, pp 319-321
41. Wegner R, Kostova P, Poschadel B, Baur X (2007) Arbeitsbelastung und Beanspruchung von Hamburger Krankenhausärzten. Weniger Stunden, mehr Arbeit. Hamb Arztebl 11:515-518
42. Wegner R, Kostova P, Poschadel B, Manuwald U, Baur X (2009) Belastungen und Beanspruchungen von Krankenhausa?rzten/- innen: Ergebnisse einer aktuellen Erhebung. Arbeitsmed Sozialmed Umweltmed 44(7):389-398
43. Wismar M et al (2011) Health professional mobility and health systems: evidence from 17 European countries. Euro Observer 13(2):1-4