High-level burnout in physicians and nurses working in adult intensive care unit (ICUs): a systematic review and meta-analysis
Authors' conclusion
According to this meta-analysis, the prevalence of high-level burnout is higher than 40% in all ICU professionals. However, there is a great heterogeneity in the results.
Study context
- Population
- Physicians and nurses working in adult ICUs; studies using the Maslach Burnout Inventory (MBI) and involving at least 3 different ICUs
- Participants
- 20,723 physicians · 25 studies
- Comparison
- ICU physicians vs ICU nurses
- ICU physiciansn = 8,187
- ICU nursesn = 12,536
- Outcome
- Prevalence of high-level burnout (MBI)
Methodological detailsmultivariable metaregression
- Multivariable metaregression
Pooled result
As reported in the abstract
Prevalence of high-level burnout
Prevalence of high-level burnout ICU physicians prevalence 0.41 (95% CI [0.33; 0.5]) · ICU nurses prevalence 0.44 (95% CI [0.34; 0.55])
Range ICU physicians 0.15-0.71 · ICU nurses 0.14-0.74
I2
Studies ICU physicians 18 · ICU nurses 20
Further pooled results
Proportion
| Outcome | ICU physicians | ICU nurses | P value |
|---|---|---|---|
| High-level burnout in ICU nurses, during vs before COVID-19 pandemic (subgroup) | P = 0.003 | ||
| High level of emotional exhaustion | 0.28 (95% CI 0.2–0.39) | 0.42 (95% CI 0.37–0.48) | P = 0.022 |
- High-level burnout in ICU nurses, during vs before COVID-19 pandemic (subgroup): During COVID-19 prevalence 0.61 (95% CI 0.46–0.75)
- High-level burnout in ICU nurses, during vs before COVID-19 pandemic (subgroup): Before COVID-19 prevalence 0.37 (95% CI 0.26–0.49)
High-level burnout in ICU physicians by study period, country income, Healthcare Access and Quality (HAQ) index (subgroup)
- No significant difference
Original publication
High-level burnout in physicians and nurses working in adult ICUs: a systematic review and meta-analysis. Intensive Care Med. Published 27 March 2023. doi:10.
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