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A systematic review...
A systematic review including meta-analysis of work environment and burnout symptoms
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- Aronsson, Gunnar (författare)
- Stockholms universitet,Stockholm University,Arbets- och organisationspsykologi,University of Stockholm, Sweden
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- Theorell, Töres (författare)
- Karolinska Institutet,Stockholms universitet,Karolinska Institute,Stressforskningsinstitutet,University of Stockholm, Sweden; Karolinska Institute, Sweden
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- Grape, T. (författare)
- Norrtälje Health Care Centre,Health Care Centre, Sweden
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- Hammarström, Anne (författare)
- Uppsala universitet,Umeå universitet,Umeå University,Institutionen för folkhälsa och klinisk medicin,University of Umeå, Sweden,Folkhälsovetenskap
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- Hogstedt, C. (författare)
- Karolinska Institute,Karolinska Institute, Sweden
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- Marteinsdottir, Ina (författare)
- Linköpings universitet,Linköping University,Centrum för social och affektiv neurovetenskap,Medicinska fakulteten,Region Östergötland, Psykiatriska kliniken
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- Skoog, Ingmar, 1954 (författare)
- University of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi,Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry,University of Gothenburg, Sweden,Göteborg University
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- Träskman-Bendz, Lil (författare)
- Lund University,Lunds universitet,Psykiatri, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Psychiatry (Lund),Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund University, Sweden
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- Hall, C. (författare)
- Swedish Agency for Health Technology Assessment and Assessment of Social Services,Swedish Council Health Technology Assessment, Sweden,Karolinska Institute
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(creator_code:org_t)
- 2017-03-16
- 2017
- Engelska.
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Ingår i: Bmc Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; 17:264
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Abstract
Ämnesord
Stäng
- Background: Practitioners and decision makers in the medical and insurance systems need knowledge on the relationship between work exposures and burnout. Many burnout studies -original as well as reviews-restricted their analyses to emotional exhaustion or did not report results on cynicism, personal accomplishment or global burnout. To meet this need we carried out this review and meta-analyses with the aim to provide systematically graded evidence for associations between working conditions and near-future development of burnout symptoms. Methods: A wide range of work exposure factors was screened. Inclusion criteria were: 1) Study performed in Europe, North America, Australia and New Zealand 1990-2013. 2) Prospective or comparable case control design. 3) Assessments of exposure (work) and outcome at baseline and at least once again during follow up 1-5 years later. Twenty-five articles met the predefined relevance and quality criteria. The GRADE-system with its 4-grade evidence scale was used. Results: Most of the 25 studies focused emotional exhaustion, fewer cynicism and still fewer personal accomplishment. Moderately strong evidence (grade 3) was concluded for the association between job control and reduced emotional exhaustion and between low workplace support and increased emotional exhaustion. Limited evidence (grade 2) was found for the associations between workplace justice, demands, high work load, low reward, low supervisor support, low co-worker support, job insecurity and change in emotional exhaustion. Cynicism was associated with most of these work factors. Reduced personal accomplishment was only associated with low reward. There were few prospective studies with sufficient quality on adverse chemical, biological and physical factors and burnout. Conclusion: While high levels of job support and workplace justice were protective for emotional exhaustion, high demands, low job control, high work load, low reward and job insecurity increased the risk for developing exhaustion. Our approach with a wide range of work exposure factors analysed in relation to the separate dimensions of burnout expanded the knowledge of associations, evidence as well as research needs. The potential of organizational interventions is illustrated by the findings that burnout symptoms are strongly influenced by structural factors such as job demands, support and the possibility to exert control.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
Nyckelord
- Burnout
- Emotional exhaustion
- Cynicism
- Personal accomplishment
- Job control
- Job demands
- Social
- questionnaire
- population
- resources
- health
- Public
- Environmental & Occupational Health
- GRADE system
- Meta-analyses
- Review
- Social support
- Burnout
- Psychology
Publikations- och innehållstyp
- ref (ämneskategori)
- for (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Aronsson, Gunnar
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Theorell, Töres
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Grape, T.
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Hammarström, Ann ...
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Hogstedt, C.
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Marteinsdottir, ...
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Skoog, Ingmar, 1 ...
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Träskman-Bendz, ...
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Hall, C.
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Arbetsmedicin oc ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Folkhälsovetensk ...
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SAMHÄLLSVETENSKA ...
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och Psykologi
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- Av lärosätet
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Göteborgs universitet
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Lunds universitet
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Umeå universitet
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Stockholms universitet
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Karolinska Institutet
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Linköpings universitet
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Uppsala universitet
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