UNASSIGNED: Healthcare professionals\' psychological wellbeing at work affects patients\' experiences of care. However, the literature tends to focus on negative aspects of psychological wellbeing, such as stress and burnout, and interventions to support healthcare professionals\' wellbeing have limited effectiveness. The growing global concern over the psychological wellbeing of healthcare professionals has escalated following the COVID-19 pandemic. There is an urgent need to review the recent literature on healthcare professionals\' psychological wellbeing to identify gaps in our knowledge. This scoping review will help focus the future research to improve the psychological wellbeing of healthcare staff and thereby patients\' care experiences.
UNASSIGNED: This scoping review aims to answer two research questions: 1) What do we know about healthcare professionals\' and patients\' perceptions of healthcare professionals\' psychological wellbeing at work? 2) How does the psychological wellbeing of healthcare professionals at work affect patients\' experiences of care?
UNASSIGNED: We conducted a scoping review using frameworks developed by Arksey and O\'Malley (2005) and Levac, Colquhoun and O\'Brien (2010). Our comprehensive literature search covered publications dated 2011-2021 in PubMed, CINAHL, Scopus and PsychInfo, NIHR Journals, EThOS, Open Grey, Google Scholar, and the Department for Health and Social Care and Kings Fund websites. We also hand-searched the reference lists of included studies. Two independent reviewers assessed the eligibility of studies.
UNASSIGNED: We included 56 articles from 16 countries, most using qualitative methods. We identified five themes: 1) The definition of healthcare professional psychological wellbeing; 2) The relationship between healthcare professionals\' psychological wellbeing and nature of healthcare work; 3) The role of organisational culture in healthcare professionals\' psychological wellbeing and the importance of organisational culture; 4) The impact the COVID-19 pandemic on of healthcare professionals\' psychological wellbeing; and 5) The link between healthcare professionals\' psychological wellbeing and patients\' experiences of care. We found a complex relationship between organisational culture, healthcare professionals\' perceptions of psychological wellbeing, and patients\' experiences of care.
UNASSIGNED: While there is currently no consensus on the definition of psychological wellbeing in healthcare professionals, our review highlights its relation to organizational culture and its impact on patients\' experiences of care. Future research should include patients\' perspectives and develop meaningful ways to support, develop, and retain healthcare professionals.
UNASSIGNED: Scoping review: wellbeing of healthcare professionals is poorly understood. Basic needs must be met first to support staff to care @KathrynBamforth.

Background and Objectives: Medical students represent the ideal target group for promoting mental health and mental wellbeing, being exposed to specific risk factors, such as the content of medical training, the exposure to sickness and death, and a stressful academic routine. Medical students report high levels of cynicism and emotional exhaustion, which represent two of the essential features of burnout syndrome. In this systematic review, studies assessing the levels of burnout among medical students through validated tools worldwide were analyzed. Materials and Methods: A systematic review has been performed in order to identify studies: (1) focusing on samples of medical students; (2) evaluating burnout syndrome using validated tools; (3) providing prevalence data on burnout; and (4) written in English. Results: Out of the 5547 papers initially obtained, 64 were finally included in the analysis. The sample sizes ranged from 51 to 2682 participants. Almost all studies had a cross-sectional design; the Maslach Burnout Inventory and its related versions were the most frequently used assessment tools. The prevalence of burnout, which was stratified based on gender and academic stage, ranged from 5.6 to 88%. Burnout was mostly predicted by thoughts of stopping medical education, negative life events, lack of support, dissatisfaction, and poor motivation. Conclusions: The prevalence of burnout syndrome in medical students is quite heterogeneous, reaching a peak of 88% in some countries. However, several predictors have been identified, including negative life events or poor motivation. These findings highlight the need to develop preventive interventions targeting the future generation of medical doctors, in order to improve their coping strategies and resilience styles.

BACKGROUND: Research examining general practice supervisor wellbeing has often been conducted within the context of trainee wellbeing and educational outcomes.
OBJECTIVE: To consolidate the current literature regarding the wellbeing of GP supervisors through a \'supervisor-wellbeing\' lens.
METHODS: Literature review of original research studies on Embase, Ovid MEDLINE, and Ovid PsycINFO from inception to December 2022.
METHODS: The Embase, Ovid MEDLINE, and Ovid PsycINFO databases were systematically searched from inception to December 2022. Original research studies were eligible if they explored any aspect of wellbeing or burnout (that is, construct conceptualisations, risk and protective factors, implications, or interventions) among GPs involved in educating GP trainees. Reporting quality of included studies was assessed using the QualSyst tool. Results from included studies were narratively synthesised.
RESULTS: Data from 26 independent samples were reviewed. Burnout was generally conceptualised using the Leiter and Maslach model. Wellbeing was poorly defined in the literature, largely being conceptualised in personal psychological terms and, to a lesser extent, professional satisfaction. Risk and protective factors were identified and grouped as individual (for example, satisfaction with capacity to teach) and external (for example, autonomy, collegial relationships, resource availability) factors. GP supervisors\' wellbeing appeared to affect their job performance and retention. This review identified only two studies evaluating interventions to support GP supervisors\' wellbeing.
CONCLUSIONS: The present review highlights a lack of conceptual clarity and research examining interventions for GP supervisor wellbeing. It provides guidance for future research designed to maximise the wellbeing of GP supervisors and support the wellbeing of trainees.

This systematic review aimed to critically synthesis evidence to identify the impact that audit and feedback processes have on the professional role of the nurse and psychological well-being. Little is known about the extent to which audit and feedback processes can positively or negatively impact the professional role of the nurse and psychological well-being. An integrative systematic review was conducted. Covidence systematic review software was used to manage the screening process. Data extraction and methodological quality appraisal were conducted in parallel, and a narrative synthesis was conducted. Nurse participation and responsiveness to audit and feedback processes depended on self-perceived motivation, content, and delivery; and nurses viewed it as an opportunity for professional development. However, audit was reported to negatively impact nurses\' psychological well-being, with impacts on burnout, stress, and demotivation in the workplace. Targeting framing, delivery, and content of audit and feedback is critical to nurses\' satisfaction and successful quality improvement.

This manuscript examines using serenity rooms and similar tools to improve the workplace during COVID-19 for nurses and other practitioners. A rapid review of the literature was conducted and completed from four different databases, including PubMed, CINAHL, Science Direct, and Academic Search Complete. The literature review was completed with the use of a single-string Boolean search to maximize the number of articles returned. The resulting 14 germane articles yielded six facilitator themes and four barrier themes. Facilitator themes included: benefits, assistive adjuncts, places of relaxation, leadership required, availability, and other effects. Barrier themes included: lacking leadership, concerns regarding lack of space, holistic concerns, and negative perceptions. There is a significant lack of research in the literature in this area. Most of the literature reviewed showed widely positive results for institutions that utilized serenity rooms or similar tools for decreasing nurse and practitioner stress and burnout. The use of these tools improved nurse and practitioner compassion, retention, and resiliency.

Parenting is both a complex and stressful endeavor, so parents sometimes experience parenting burnout. The main objective of this study was to provide an overview of factors related to general parental burnout (PB) among parents with at least one child based on the Ecological Systems Theory (EST).
PubMed, Web of Science, EBSCO, CNKI and WanFang were systematically searched for studies published from 2010 to July 2023 for peer-reviewed articles using keywords extracted from Medical Subject Headings such as \"parenting\", \"parental\", \"burnout\", \"psychological burnout\", \"burn-out syndrome\". Studies were included if they described associations between factors and PB among parents of children aged 0-18 years old in the general population, and published in an English or Chinese language peer-reviewed journal. The Quality Assessment Tool for Studies with Diverse Designs (QATSDD) was employed to assess the risk of bias of included studies.
Of 2037 articles, 26 articles met the inclusion criteria. Based on the Ecological Systems Theory (EST), we found that microsystem-individual factors such as gender, educational level, income, parental personality, internalization of maternal parental motivation, unmitigated communion, self-compassion and concern for others, alexithymia, anxiety and depressive symptoms, parental perfectionism, resilience, low self-esteem and high need for control, mother\'s attachment style were identified as being associated with parenting burnout. Mesosystem-interpersonal factors involve parent-child relationship and marital satisfaction. The exosystem-organizational or community factors include the number of children in the household, neighborhood and the number of hours spent with children, child\'s illness, child\'s behavior problems and social support. The macrosystem-society/policy or culture factors are mainly personal values and cultural values.
This systematic review found several factors that have been investigated in relation to PB. However, the majority of the factors were reported by one or two studies often implementing a cross-sectional design. Nevertheless, we still recommend that health policymakers and administrators relieve parenting burnout among parents with children by adjusting these modifiable factors.

Generally, university students are at risk of burnout. This likely was exacerbated during the COVID-19 pandemic. We aimed to investigate burnout prevalence among university students during the COVID-19 pandemic and examine its distribution across countries, sexes, fields of study, and time-period. PubMed, EMBASE, PsycINFO, World Health Organization\'s Global COVID-19 database, Scopus, Epistemonikos, ERIC and Google Scholar were searched (protocol: https://doi.org/10.17605/OSF.IO/BYRXW ). Studies were independently screened and extracted. Random-effects meta-analysis was performed. Study quality was appraised, and certainty of evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation approach. We identified 44 primary studies comprising 26,500 students. Global prevalence rates were 56.3% for high emotional exhaustion (EE), 55.3% for high cynicism (CY) and 41.8% for low personal accomplishment (PA). Prevalence of EE, CY, and PA domains varied significantly across fields of study, countries and WHO and World Bank regions, but not sex. All studies demonstrated good internal validity, although substantial heterogeneity existed between studies. The certainty of evidence was rated as moderate. Considering its potentially severe consequences, burnout is a significant public health concern. The development and implementation of evidence-based localized interventions at organizational and individual levels are necessary to mitigate burnout.

In the absence of internationally recognised standardised criteria, several patient-reported outcome measures (PROMs) have been developed to measure occupational burnout. The aim of this study was to extend our 2021 review of the psychometric validity of five PROMs to the Shirom-Melamed Burnout Measure (SMBM) and the Burnout Assessment Tool (BAT). To do that we ran a systematic literature search in the MEDLINE, PsycINFO, and Embase databases following our previous methodological framework and the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN). We assessed the level of evidence using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) guideline. We identified 694 publications on SMBM and 421 on BAT, but the final review includes eight papers on SMBM and three on BAT. Of the seven psychometric properties assessed for SMBM, content, structural, and criterion validity were rated as insufficient, whereas the quality of evidence for construct and internal consistency was high and moderate, respectively. Of the nine psychometric properties assessed for BAT, content, structural, criterion, and construct validity was moderate and internal consistency was high. One limitation of this study is that we did not assess cross-cultural validity, because the number of studies reviewed is too small and content validity can only be assessed based on the original PROM version rather than translation. To conclude, BAT is superior to SMBM in terms of psychometric validity, but the quality of evidence for some properties is low or very low, suggesting a need for additional validation studies.
U nedostatku međunarodno priznatih standardiziranih kriterija osmišljeno je nekoliko mjera ishoda koje opisuje pacijent (engl. patient-reported outcome measures, krat. PROM) za mjerenje profesionalnog izgaranja. Cilj je ovog ispitivanja bio proširiti naš prethodni pregled psihometrijske valjanosti pet PROM-ova iz 2021. na upitnike Shirom-Melamed Burnout Measure (SMBM) i Burnout Assessment Tool (BAT). U tu smo svrhu sustavno pretražili literaturu dostupnu u bazama podataka MEDLINE, PsycINFO i Embase, služeći se metodološkim okvirom iz prethodnog ispitivanja te tzv. COSMIN standardima za odabir mjernih instrumenata temeljenima na konsenzusu (izv. COnsensus-based Standards for the selection of health Measurement Instruments). Razinu dokaza ocjenjivali smo pomoću smjernica Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). Pretragom su izdvojene 694 publikacije za SMBM te 421 za BAT, no ovaj konačni pregled obuhvaća osam članaka o SMBM-u i tri o BAT-u. Od sedam ocijenjenih psihometrijskih svojstava za SMBM, valjanost sadržaja i strukture kriterija ocijenjeni su nedovoljnom ocjenom, a kakvoća dokaza za konstrukt odnosno interna konzistencija ocijenjeni su kao snažni odnosno umjereni. Od devet psihometrijskih svojstava za BAT, valjanost sadržaja te strukture kriterija i konstrukta ocijenjeni su umjerenima, a interna konzistencija snažnom. Jedno od ograničenja ovoga ispitivanja svakako je činjenica da nismo ocjenjivali međukulturnu valjanost (engl. cross-cultural validity) budući da je količina pregledanih ispitivanja premalena, a valjanost sadržaja može se ocijeniti isključivo na temelju izvorne inačica PROM-a, a ne njezina prijevoda. Zaključno, BAT ima bolju psihometrijsku valjanost od SMBM-a, no kakvoća je dokaza za pojedina svojstva niska ili veoma niska, što upućuje na daljnja istraživanja valjanosti.

UNASSIGNED: First, to provide a synthesis and analysis of available scientific literature regarding the level of work stress and burnout among emergency physicians. Second, to identify the effect of the specific work situation-related factors.
UNASSIGNED: A systematic search was performed in NCBI PubMed and Embase. Comparative primary studies, both systematic review and cross-sectional, quantifying burnout in emergency physicians were included. Only studies published between 2011 and 2022 were retained. Synonym sets were compiled for the search key for \'burnout & stress\', \'emergency\', \'physician\' and \'burnout & posttraumatic stress disorder\'.
UNASSIGNED: Thirty-five papers were retained for further research. Emergency physicians scored significantly higher for all dimensions of burnout compared to other healthcare professions. Significant correlations for burnout were found with work characteristic and organizational factors. Critical incidents and aggression were identified as the most important acute work characteristics and organizational factors impacting emergency physician\'s mental wellbeing including the development of posttraumatic stress disorder. Moreover, personal factors such as age, personality, and coping strategies also play an important role in the development of burnout as well as work-related trauma.
UNASSIGNED: Available studies show that emergency physicians report higher scores of emotional exhaustion and depersonalization when compared to other healthcare professionals. Work characteristics contribute to this, but work-related traumatic incidents and aggression are important determinants. Personal characteristics such as age, personality type D, previous experiences and coping strategies seem to be determining factors likewise. Emergency physicians showed a high risk for developing burnout and work stress-related problems.

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