Contribution of a positive psychology-based conceptual framework in reducing physician burnout and improving well-being: a systematic review

Abstract Background The PERMA Model, as a positive psychology conceptual framework, has increased our understanding of the role of Positive emotion, Engagement, Relationships, Meaning, and Achievements in enhancing human potentials, performance and wellbeing. We aimed to assess the utility of PERMA...

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Autores principales:	Shahrzad Bazargan-Hejazi, Anaheed Shirazi, Andrew Wang, Nathan A. Shlobin, Krystal Karunungan, Joshua Shulman, Robert Marzio, Gul Ebrahim, William Shay, Stuart Slavin
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Well-being; burnout Physician Positive emotion Engagement Meaning Relationship Special aspects of education LC8-6691 Medicine R
Acceso en línea:	https://doaj.org/article/b811ccaafe9349e396d3d9fcb6596fee
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spelling	oai:doaj.org-article:b811ccaafe9349e396d3d9fcb6596fee2021-11-28T12:40:59ZContribution of a positive psychology-based conceptual framework in reducing physician burnout and improving well-being: a systematic review10.1186/s12909-021-03021-y1472-6920https://doaj.org/article/b811ccaafe9349e396d3d9fcb6596fee2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12909-021-03021-yhttps://doaj.org/toc/1472-6920Abstract Background The PERMA Model, as a positive psychology conceptual framework, has increased our understanding of the role of Positive emotion, Engagement, Relationships, Meaning, and Achievements in enhancing human potentials, performance and wellbeing. We aimed to assess the utility of PERMA as a multidimensional model of positive psychology in reducing physician burnout and improving their well-being. Methods Eligible studies include peer-reviewed English language studies of randomized control trials and non-randomized design. Attending physicians, residents, and fellows of any specialty in the primary, secondary, or intensive care setting comprised the study population. Eligible studies also involved positive psychology interventions designed to enhance physician well-being or reduce physician burnout. Using free text and the medical subject headings we searched CINAHL, Ovid PsychINFO, MEDLINE, and Google Scholar (GS) electronic bibliographic databases from 2000 until March 2020. We use keywords for a combination of three general or block of terms (Health Personnel OR Health Professionals OR Physician OR Internship and Residency OR Medical Staff Or Fellow) AND (Burnout) AND (Positive Psychology OR PERMA OR Wellbeing Intervention OR Well-being Model OR Wellbeing Theory). Results Our search retrieved 1886 results (1804 through CINAHL, Ovid PsychINFO, MEDLINE, and 82 through GS) before duplicates were removed and 1723 after duplicates were removed. The final review included 21 studies. Studies represented eight countries, with the majority conducted in Spain (n = 3), followed by the US (n = 8), and Australia (n = 3). Except for one study that used a bio-psychosocial approach to guide the intervention, none of the other interventions in this review were based on a conceptual model, including PERMA. However, retrospectively, ten studies used strategies that resonate with the PERMA components. Conclusion Consideration of the utility of PERMA as a multidimensional model of positive psychology to guide interventions to reduce burnout and enhance well-being among physicians is missing in the literature. Nevertheless, the majority of the studies reported some level of positive outcome regarding reducing burnout or improving well-being by using a physician or a system-directed intervention. Albeit, we found more favorable outcomes in the system-directed intervention. Future studies are needed to evaluate if PERMA as a framework can be used to guide system-directed interventions in reducing physician burnout and improving their well-being.Shahrzad Bazargan-HejaziAnaheed ShiraziAndrew WangNathan A. ShlobinKrystal KarununganJoshua ShulmanRobert MarzioGul EbrahimWilliam ShayStuart SlavinBMCarticleWell-being; burnoutPhysicianPositive emotionEngagementMeaningRelationshipSpecial aspects of educationLC8-6691MedicineRENBMC Medical Education, Vol 21, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Well-being; burnout Physician Positive emotion Engagement Meaning Relationship Special aspects of education LC8-6691 Medicine R
spellingShingle	Well-being; burnout Physician Positive emotion Engagement Meaning Relationship Special aspects of education LC8-6691 Medicine R Shahrzad Bazargan-Hejazi Anaheed Shirazi Andrew Wang Nathan A. Shlobin Krystal Karunungan Joshua Shulman Robert Marzio Gul Ebrahim William Shay Stuart Slavin Contribution of a positive psychology-based conceptual framework in reducing physician burnout and improving well-being: a systematic review
description	Abstract Background The PERMA Model, as a positive psychology conceptual framework, has increased our understanding of the role of Positive emotion, Engagement, Relationships, Meaning, and Achievements in enhancing human potentials, performance and wellbeing. We aimed to assess the utility of PERMA as a multidimensional model of positive psychology in reducing physician burnout and improving their well-being. Methods Eligible studies include peer-reviewed English language studies of randomized control trials and non-randomized design. Attending physicians, residents, and fellows of any specialty in the primary, secondary, or intensive care setting comprised the study population. Eligible studies also involved positive psychology interventions designed to enhance physician well-being or reduce physician burnout. Using free text and the medical subject headings we searched CINAHL, Ovid PsychINFO, MEDLINE, and Google Scholar (GS) electronic bibliographic databases from 2000 until March 2020. We use keywords for a combination of three general or block of terms (Health Personnel OR Health Professionals OR Physician OR Internship and Residency OR Medical Staff Or Fellow) AND (Burnout) AND (Positive Psychology OR PERMA OR Wellbeing Intervention OR Well-being Model OR Wellbeing Theory). Results Our search retrieved 1886 results (1804 through CINAHL, Ovid PsychINFO, MEDLINE, and 82 through GS) before duplicates were removed and 1723 after duplicates were removed. The final review included 21 studies. Studies represented eight countries, with the majority conducted in Spain (n = 3), followed by the US (n = 8), and Australia (n = 3). Except for one study that used a bio-psychosocial approach to guide the intervention, none of the other interventions in this review were based on a conceptual model, including PERMA. However, retrospectively, ten studies used strategies that resonate with the PERMA components. Conclusion Consideration of the utility of PERMA as a multidimensional model of positive psychology to guide interventions to reduce burnout and enhance well-being among physicians is missing in the literature. Nevertheless, the majority of the studies reported some level of positive outcome regarding reducing burnout or improving well-being by using a physician or a system-directed intervention. Albeit, we found more favorable outcomes in the system-directed intervention. Future studies are needed to evaluate if PERMA as a framework can be used to guide system-directed interventions in reducing physician burnout and improving their well-being.
format	article
author	Shahrzad Bazargan-Hejazi Anaheed Shirazi Andrew Wang Nathan A. Shlobin Krystal Karunungan Joshua Shulman Robert Marzio Gul Ebrahim William Shay Stuart Slavin
author_facet	Shahrzad Bazargan-Hejazi Anaheed Shirazi Andrew Wang Nathan A. Shlobin Krystal Karunungan Joshua Shulman Robert Marzio Gul Ebrahim William Shay Stuart Slavin
author_sort	Shahrzad Bazargan-Hejazi
title	Contribution of a positive psychology-based conceptual framework in reducing physician burnout and improving well-being: a systematic review
title_short	Contribution of a positive psychology-based conceptual framework in reducing physician burnout and improving well-being: a systematic review
title_full	Contribution of a positive psychology-based conceptual framework in reducing physician burnout and improving well-being: a systematic review
title_fullStr	Contribution of a positive psychology-based conceptual framework in reducing physician burnout and improving well-being: a systematic review
title_full_unstemmed	Contribution of a positive psychology-based conceptual framework in reducing physician burnout and improving well-being: a systematic review
title_sort	contribution of a positive psychology-based conceptual framework in reducing physician burnout and improving well-being: a systematic review
publisher	BMC
publishDate	2021
url	https://doaj.org/article/b811ccaafe9349e396d3d9fcb6596fee
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Contribution of a positive psychology-based conceptual framework in reducing physician burnout and improving well-being: a systematic review

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