Evaluation of interventions to reduce burnout syndrome of healthcare workers with AHP and COPRAS methods
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https://doi.org/10.26900/hsq.2846Keywords:
Burnout, health management, multi-criteria decision making method, AHP, COPRASAbstract
The aim of this study was to identify the most beneficial interventions to reduce burnout in healthcare professionals. The interventions and the criteria to be evaluated were identified as a result of the literature review and their weights were determined by 7 experts from the fields of health management, organizational behaviour, health communication and psychology using the AHP (Analytic Hierarchy Process) method. According to the criteria weights, the most beneficial interventions were ranked using the COPRAS (Complex Proportional Assessment) method. According to the results of the analysis, the most beneficial interventions for reducing burnout were found to be workload management and job sharing, regulation of working hours, and employee recognition and reward programmes. Healthcare organizations should establish clear guidelines to determine appropriate staffing levels and develop evidence-based workforce planning models to reduce excessive workload. Governments and policymakers should enforce working time regulations in line with international occupational health and safety standards and act as monitors to ensure fair working conditions. It is also important to integrate into organizational culture initiatives that recognize and value the contributions of health workers.
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Pirrolas OAC, Correia PMAR. Human resources’ burnout. Encyclopedia. 2024;4(1):488-96. doi: 10.3390/encyclopedia4010032. DOI: https://doi.org/10.3390/encyclopedia4010032
Schult TM, Mohr DC, Osatuke K. Examining burnout profiles in relation to health and well-being in the Veterans Health Administration employee population. Stress Health. 2018;34(4):490-9. doi: 10.1002/smi.2809. DOI: https://doi.org/10.1002/smi.2809
Leiss U, Schiller A, Fries J, Voitl P, Peyrl A. Self-care strategies and job satisfaction in pediatricians: What we can do to prevent burnout—Results of a nationwide survey. Front Pediatr. 2021;9. doi: 10.3389/fped.2021.722356. DOI: https://doi.org/10.3389/fped.2021.722356
Khosravi M, Ghiasi Z, Ganjali A. A narrative review of research on healthcare staff’s burnout during the COVID-19 pandemic. Proc Singapore Healthc. 2021;31. doi: 10.1177/20101058211040575. DOI: https://doi.org/10.1177/20101058211040575
Hwang S, Kwon K, Lee S, Kim S, Chang H, Kim Y, et al. Correlates of burnout among healthcare workers during the COVID-19 pandemic in South Korea. Sci Rep. 2023;13(1). doi: 10.1038/s41598-023-30372-x. DOI: https://doi.org/10.1038/s41598-023-30372-x
Chemali Z, Ezzeddine F, Gelaye B, Dossett M, Salameh J, Bizri M, et al. Burnout among healthcare providers in the complex environment of the Middle East: A systematic review. BMC Public Health. 2019;19:7713. doi: 10.1186/s12889-019-7713-1. DOI: https://doi.org/10.1186/s12889-019-7713-1
Zakaria M, Remeli R, Shahamir M, Yusuf M, Ariffin M, Azhar A. Assessment of burnout among emergency medicine healthcare workers in a teaching hospital in Malaysia during COVID-19 pandemic. Hong Kong J Emerg Med. 2021;28(4):254-9. doi: 10.1177/1024907921989499. DOI: https://doi.org/10.1177/1024907921989499
Tawfik D, Sexton J, Kan P, Sharek P, Nisbet C, Rigdon J, et al. Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections. J Perinatol. 2016;37(3):315-20. doi: 10.1038/jp.2016.211. DOI: https://doi.org/10.1038/jp.2016.211
Douplat M. Long‐term psycho‐traumatic consequences of the COVID‐19 health crisis among emergency department healthcare workers. Stress Health. 2024;40(5). doi: 10.1002/smi.3478. DOI: https://doi.org/10.1002/smi.3478
Oluwole L, Obadeji A, Dada M. Givers feel the heat, too: Experience of burning out under fire of psychological distress among healthcare workers during COVID-19 pandemic. Int Neuropsychiatr Dis J. 2021:36-45. doi: 10.9734/indj/2021/v16i230172. DOI: https://doi.org/10.9734/indj/2021/v16i230172
Khouri M, Lassri D, Cohen N. Job burnout among Israeli healthcare workers during the first months of COVID-19 pandemic: The role of emotion regulation strategies and psychological distress. PLOS ONE. 2022;17(3):e0265659. doi: 10.1371/journal.pone.0265659. DOI: https://doi.org/10.1371/journal.pone.0265659
Maunder R, Heeney N, Hunter J, Strudwick G, Jeffs L, Ginty L, et al. Trends in burnout and psychological distress in hospital staff over 12 months of the COVID-19 pandemic: A prospective longitudinal survey. J Occup Med Toxicol. 2021;17(1):11. doi: 10.21203/rs.3.rs-1065169/v1. DOI: https://doi.org/10.1186/s12995-022-00352-4
Basnet S. Prevalence of burnout among healthcare workers in a tertiary care hospital, its contributing factors, and strategies to overcome challenges during the COVID-19 pandemic. J KIST Med Coll. 2024;6(11):11-9. doi: 10.61122/jkistmc269. DOI: https://doi.org/10.61122/jkistmc269
Alwhaibi M, Alhawassi TM, Balkhi B, Al Aloola N, Almomen AA, Alhossan A, et al. Burnout and depressive symptoms in healthcare professionals: A cross-sectional study in Saudi Arabia. Healthcare. 2022;10(12):2447. doi: 10.3390/healthcare10122447. DOI: https://doi.org/10.3390/healthcare10122447
Golparvar M, Parsakia K. Building resilience: Psychological approaches to prevent burnout in health professionals. KMAN Couns Psychol Nexus. 2023;1(1):159-66. doi: 10.61838/kman.psynexus.1.1.18. DOI: https://doi.org/10.61838/kman.psynexus.1.1.18
Igbokwe UL, Nwokenna EN, Eseadi C, Ogbonna CS, Nnadi EM, Ololo KO, et al. Intervention for burnout among English education undergraduates: Implications for curriculum innovation. Medicine (Baltimore). 2019;98(26):e16219. doi: 10.1097/MD.0000000000016219. DOI: https://doi.org/10.1097/MD.0000000000016219
El-Said Hassan El-Sol A, Abd El-Salam EA, Ali Riad N. Multidimensional nursing interventions: Its effect on reducing risk of infection and burnout syndrome among nurses caring for COVID-19 patients. Egypt J Health Care. 2021;12(2):816-29. DOI: https://doi.org/10.21608/ejhc.2021.172051
Gómez-Urquiza JL, Velando-Soriano A, Membrive-Jiménez MJ, Ramírez-Baena L, Aguayo-Estremera R, Ortega-Campos E, et al. Prevalence and levels of burnout in nursing students: A systematic review with meta-analysis. Nurse Educ Pract. 2023;72:103753. doi: 10.1016/j.nepr.2023.103753. DOI: https://doi.org/10.1016/j.nepr.2023.103753
Guerrero-Barona E, Guerrero-Molina M, García-Gómez A, Moreno-Manso JM, García-Baamonde ME. Quality of working life, psychosocial factors, burnout syndrome and emotional intelligence. Int J Environ Res Public Health. 2020;17(24):9550. doi: 10.3390/ijerph17249550. DOI: https://doi.org/10.3390/ijerph17249550
Kumar S. Burnout and doctors: Prevalence, prevention and intervention. Healthcare. 2016;4(3):37. doi: 10.3390/healthcare4030037. DOI: https://doi.org/10.3390/healthcare4030037
Fraboni F, Paganin G, Mazzetti G, Guglielmi D, Pietrantoni L. The intricate pathways from empowering leadership to burnout: A deep dive into interpersonal conflicts, work-home interactions, and supportive colleagues. Informing Sci. 2023;26:149-72. doi: 10.28945/5178. DOI: https://doi.org/10.28945/5178
Gaughan A, Walker DM, DePuccio MJ, MacEwan SR, McAlearney AS. Rewarding and recognizing frontline staff for success in infection prevention. Am J Infect Control. 2021;49(1):123-5. doi: 10.1016/j.ajic.2020.06.208. DOI: https://doi.org/10.1016/j.ajic.2020.06.208
Bocean CG, Rotea CC, Vărzaru AA, Ploscaru A, Rotea C. A two-stage SEM—artificial neural network analysis of the rewards effects on self-perceived performance in healthcare. Int J Environ Res Public Health. 2021;18(23):12387. doi: 10.3390/ijerph182312387. DOI: https://doi.org/10.3390/ijerph182312387
Ali Z, Sabir S, Mehreen A. Predicting engagement and performance through firm’s internal factors. J Adv Manag Res. 2019;16(5):763-80. doi: 10.1108/JAMR-11-2018-0098. DOI: https://doi.org/10.1108/JAMR-11-2018-0098
Ghosh P, Rai A, Chauhan R, Baranwal G, Srivastava D. Rewards and recognition to engage private bank employees: Exploring the “obligation dimension”. Manag Res Rev. 2016;39(12):1738-51. doi: 10.1108/MRR-09-2015-0219. DOI: https://doi.org/10.1108/MRR-09-2015-0219
Dijxhoorn AFQ, Brom L, van der Linden YM, Leget C, Raijmakers NJ. Prevalence of burnout in healthcare professionals providing palliative care and the effect of interventions to reduce symptoms: A systematic literature review. Palliat Med. 2021;35(1):6-26. doi: 10.1177/0269216320956825. DOI: https://doi.org/10.1177/0269216320956825
Affleck E, Wagner JE. Structural determinants of health workforce burnout. HMC. 2022;35(4):243-7. doi: 10.1177/0840470422109388. DOI: https://doi.org/10.1177/08404704221093889
Burleson S, Thomas L, DeBoor S. Effective interventions for nursing student burnout: A scoping review. Nurse Educ. 2023;48(3):E85-9. doi: 10.1097/NNE.0000000000001348. DOI: https://doi.org/10.1097/NNE.0000000000001348
Kabunga A, Kigongo E, Okalo P, Udho S, Grace AA, Tumwesigye R, et al. Burnout and coping mechanisms among healthcare professionals in central Uganda. Front Psychiatry. 2024;15. doi: 10.3389/fpsyt.2024.1373743. DOI: https://doi.org/10.3389/fpsyt.2024.1373743
Parker G, Kastner M, Born K, Berta W. Development of an implementation process model: A Delphi study. BMC Health Serv Res. 2021;21(1). doi: 10.1186/s12913-021-06501-5. DOI: https://doi.org/10.1186/s12913-021-06501-5
DeChant PF, Acs A, Rhee KB, Boulanger TS, Snowdon JL, Tutty MA, et al. Effect of organization-directed workplace interventions on physician burnout: A systematic review. Mayo Clin Proc Innov Qual Outcomes. 2019;3(4):384-408. doi: 10.1016/j.mayocpiqo.2019.07.006. DOI: https://doi.org/10.1016/j.mayocpiqo.2019.07.006
Baumann H, Heuel L, Bischoff LL, Wollesen B. mHealth interventions to reduce stress in healthcare workers (Fitcor): Study protocol for a randomized controlled trial. Trials. 2023;24(1):163. doi: 10.1186/s13063-023-07182-7. DOI: https://doi.org/10.1186/s13063-023-07182-7
Chidi R, Adeniyi AO, Okolo CA, Babawarun O, Arowoogun JO. Psychological resilience in healthcare workers: A review of strategies and interventions. World J Biol Pharm Health Sci. 2024;17(2):387-95. doi: 10.30574/wjbphs.2024.17.2.0088. DOI: https://doi.org/10.30574/wjbphs.2024.17.2.0088
Klooster E, Koenders N, Vermeulen-Holsen J, Vos L, van der Wees PJ, Hoogeboom TJ. Healthcare professionals feel empowered by implementing a hospital-based multifaceted intervention: A qualitative study using inductive thematic analysis. BMC Health Serv Res. 2022;22(1). doi: 10.1186/s12913-022-08310-w. DOI: https://doi.org/10.1186/s12913-022-08310-w
Low LL, Rahim IA, Johari MZ, Abdullah Z, Aziz SHA, Suhaimi NA, et al. Assessing receptiveness to change among primary healthcare providers by adopting the Consolidated Framework for Implementation Research (CFIR). BMC Health Serv Res. 2019;19(1). doi: 10.1186/s12913-019-4312-x. DOI: https://doi.org/10.1186/s12913-019-4312-x
Chong ST, Thrall JH, Fessell D. Addressing burnout: A model-based approach. J Am Coll Radiol. 2021;18(5):669-74. doi: 10.1016/j.jacr.2021.01.008. DOI: https://doi.org/10.1016/j.jacr.2021.01.008
Saaty TL. Decision making with the analytic hierarchy process. Int J Serv Sci. 2008;1(1):83-98. doi: 10.1504/IJSSCI.2008.017590. DOI: https://doi.org/10.1504/IJSSCI.2008.017590
Esen H. Analytical hierarchy process problem solution. In: Felice FD, Petrillo A, editors. Analytic hierarchy process-models, methods, concepts, and applications. IntechOpen; 2023. doi: 10.5772/intechopen.1001072. DOI: https://doi.org/10.5772/intechopen.1001072
Uslu Y, Yılmaz E, Hancıoğlu Y, Gedikli E. Evaluation of risk management in healthcare organization with the Analytic HierarchyProcess (AHP) Method from the perspective of health managers [in Turkish]. Third Sector Soc Econ Rev. 2022;57(3):1508-27. doi: 10.15659/3.sektor-sosyal-ekonomi.22.07.1805. DOI: https://doi.org/10.15659/3.sektor-sosyal-ekonomi.22.07.1805
Zhang X, Liao H. Intuitionistic fuzzy analytic hierarchy process. IEEE Trans Fuzzy Syst. 2014;22(4):749-61. doi: 10.1109/TFUZZ.2013.2272585. DOI: https://doi.org/10.1109/TFUZZ.2013.2272585
Taherdoost H, Mohebi A. A comprehensive guide to the COPRAS method for multi-criteria decision making. J Manag Sci Eng Res. 2024;7(2):1-14. doi: 10.30564/jmser.v7i2.6280. DOI: https://doi.org/10.30564/jmser.v7i2.6280
Kaklauskas A, Zavadskas EK, Binkyte-Veliene A, Kuzminske A, Cerkauskas J, Cerkauskiene A, et al. Multiple criteria evaluation of the EU country sustainable construction industry lifecycles. Appl Sci. 2020;10(11):3733. doi: 10.3390/app10113733. DOI: https://doi.org/10.3390/app10113733
Sarıçalı G, Kundakçı N. Evaluation of hotel alternatives with AHP and COPRAS methods [in Turkish]. Int Rev Econ Manag. 2016;4(1):45-66. doi: 10.18825/irem.00736. DOI: https://doi.org/10.18825/irem.00736
Dobešová Cakirpaloglu S, Cakirpaloglu P, Skopal O, Kvapilová B, Schovánková T, Vévodová Š, et al. Strain and serenity: Exploring the interplay of stress, burnout, and well-being among healthcare professionals. Front Psychol. 2024;15:1415996. doi: 10.3389/fpsyg.2024.1415996. DOI: https://doi.org/10.3389/fpsyg.2024.1415996
Hertzum M. How demanding is healthcare work? A meta-analytic review of TLX scores. In: Context sensitive health informatics: The role of informatics in global pandemics. Amsterdam: IOS Press; 2021. 55-9 p. doi: 10.3233/SHTI210637. DOI: https://doi.org/10.3233/SHTI210637
Warshawsky NE. Building nurse manager well-being by reducing healthcare system demands. J Nurs Adm. 2022;52(4):189-91. doi: 10.1097/NNA.0000000000001127. DOI: https://doi.org/10.1097/NNA.0000000000001127
Lin R, Lin Y, Hsia Y, Kuo C. Long working hours and burnout in healthcare workers: Non-linear dose-response relationship and the effect mediated by sleeping hours—A cross-sectional study. J Occup Health. 2021;63(1). doi: 10.1002/1348-9585.12228. DOI: https://doi.org/10.1002/1348-9585.12228
Parola V, Coelho A, Neves H, Bernardes RA, Sousa JP, Catela N. Burnout and nursing care: A concept paper. Nurs Rep. 2022;12(3):464-71. doi: 10.3390/nursrep12030044. DOI: https://doi.org/10.3390/nursrep12030044
Karataş KS, Karataş Y, Telatar TG. Assessment of burnout syndrome and smartphone addiction in healthcare workers actively working during the COVID-19 pandemic. J Organ Behav Res. 2022;7(1):156-69. doi: 10.51847/3uq2seahxf. DOI: https://doi.org/10.51847/3Uq2sEahxf
Eltorki Y, Abdallah O, Riaz S, Mahmoud S, Saad M, Ez-Eldeen N, et al. Burnout among pharmacy professionals in Qatar: A cross-sectional study. PLOS ONE. 2022;17(5):e0267438. doi: 10.1371/journal.pone.0267438. DOI: https://doi.org/10.1371/journal.pone.0267438
Fond G, Lucas GL, Boyer L. Health-promoting work schedules among nurses and nurse assistants in France: Results from nationwide AMADEUS survey. BMC Nurs. 2023;22:1403. doi: 10.1186/s12912-023-01403-9. DOI: https://doi.org/10.1186/s12912-023-01403-9
Johnson T, Newman M. Experiences of burnout among health systems’ employees: A mixed-methods study. J Hum Resour Sustain Stud. 2023;11(3):537-59. doi: 10.4236/jhrss.2023.113031. DOI: https://doi.org/10.4236/jhrss.2023.113031
Doğan A, Ertuğrul B, Akin K. Examination of workload perception, burnout, and perceived organizational support in emergency healthcare professionals: A structural equation model. Nurs Health Sci. 2024;26(1). doi: 10.1111/nhs.13092. DOI: https://doi.org/10.1111/nhs.13092
Kesti R, Kanste O, Konttila J, Oikarinen A. Quality of working life of employees in public healthcare organization in Finland: A cross‐sectional study. Nurs Open. 2023;10(9):6455-64. doi: 10.1002/nop2.1896. DOI: https://doi.org/10.1002/nop2.1896
Adekanmbi F, Ukpere W. Sustainable employee performance in the 4IR: Intra-organizational social capital, job burnout and organizational reward as correlates. Int J Res Bus Soc Sci. 2023;12(8):143-50. doi:10.20525/ijrbs.v12i8.2893 DOI: https://doi.org/10.20525/ijrbs.v12i8.2893
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