Zusammenfassung
Vor dem Hintergrund der zunehmenden Thematisierung von Burn-out wird der Frage nachgegangen, inwieweit präventive Maßnahmen wirksam sind. Eine systematische Recherche von Interventionsstudien zur Prävention von Burn-out wurde in den Datenbanken Medline, PsycINFO und PSYNDEX für den Zeitraum von 1995 bis 2011 durchgeführt und über eine Handsuche ergänzt. Insgesamt wurden 33 Studien (34 Publikationen) identifiziert und gereviewed. Davon befassten sich 24 (71%) mit individuumsbezogenen Interventionen, zehn (29%) mit kombinierten (individuums- und arbeitsorganisationsbezogenen) Interventionen. 76% aller Interventionen führten zu positiven Effekten bei Burn-out oder seinen Subkomponenten. 16% der Studien umfassen einen Nacherhebungszeitraum von über zwölf Monaten, das Maximum beträgt drei Jahre. Von diesen zeigen drei positive Effekte auf Burn-out-bezogene Outcomes. Burn-out-Interventionen sind tendenziell wirksam. Ihr Nutzen könnte über Refresherangebote verstärkt werden. Zentral ist die Identifikation wirksamer Elemente präventiver Interventionen. Die weitere Forschung sollte sich auf kombinierte Interventionsprogramme beziehen, nach Risikogruppen differenzieren und langfristig angelegt sein.
Abstract
Burnout has become an increasing topic of discussion in recent years. Against this background, it is important to evaluate the effectiveness of intervention programs aimed at preventing burnout. Using the databases Medline, PsycINFO, and PSYNDEX, we conducted a systematic search of burnout intervention studies from 1995–2011, completing this by a hand search. A total of 33 primary intervention studies (34 publications) were identified and reviewed. Twenty-four (71%) were person-centered interventions, while 10 (29%) were combined individual and organizational interventions. Of the interventions, 76% had a positive effect on burnout or its subcomponents; 16% of the studies were followed for periods ranging from more than 12 months to 3 years. In three of these studies, the intervention had a positive effect on burnout outcome measures. Burnout intervention programs tend to be effective, and their effects can be enhanced in refresher courses. Future research should focus on combined (person-centered and organization-based) intervention programs, include different risk groups, and provide long-term follow-up.
Literatur
Meckel M (2010) Briefe an mein Leben: Erfahrungen mit einem Burnout. Rowohlt, Hamburg
Voltmer P, Schwappach DLB, Frank E et al (2010) Work-related behavior and experience patterns and predictors of mental health in German physicians in medical practice. Fam Med 42(6):433–439
Kowalski C, Ommen O, Driller E et al (2010) Burnout in nurses – the relationship between social capital in hospitals and emotional exhaustion. J Clin Nurs 19:1654–1663
Schaarschmidt U (Hrsg) (2005) Halbtagsjobber? Psychische Gesundheit im Lehrerberuf – Analyse eines veränderungsbedürftigen Zustandes. Beltz, Weinheim
Awa WL (2007) Prevention of the burnout wyndrome: a literature analysis. Magisterarbeit im Rahmen des Ergänzungsstudiengangs Bevölkerungsmedizin und Gesundheitswesen (Public Health). Hannover
Maslach C, Jackson SE (1997) The truth about burnout. Jossey-Bass, San Francisco
Maslach C, Schaufeli WB, Leiter MP (2001) Job burnout. Annu Rev Psychol 52:397–422
Büssing A, Glaser J (2000) Four-stage process model of the core factors of burnout: the role of work stressors and work-related resources. Work Stress 14(4):329–346
Leiter MP, Maslach (2005) Banishing burnout. Six strategies for improving your relationsship with work. Jossey-Bass, San Francisco
Maslach C, Goldberg J (1998) Prevention of burnout: new perspectives. Appl Prev Psychol 7:63–74
Leone SS, Huibers MJH, Knottnerus JA, Kant IJ (2008) The prognosis of burnout and prolongued fatigue in the working population: a comparison. J Occup Environ Med 50:1195–1202
Awa WL, Plaumann M, Walter U (2010) Burnout prevention: a review of intervention programs. Patient Educ Couns 78(2):184–190
Ruotsalainan J, Serra C, Marine A, Verbeek J (2008) Systematic review of interventions for reducing occupational stress in health care workers. Scand J Work Environ Health 34(3):169–178
McCray LW, Cronholm PF, Bogner HR et al (2008) Resident physician burnout: is there hope? Fam Med 40(9):626–632
Van de Voorde C, Léonard C (2007) Search for evidence and critical appraisal: health services research brussels, belgian health care knowledge centre (KCE). Process Notes 10:273–339
Harris RP, Helfand M, Woolf SH et al (2001) Current methods of the US Preventive Services Task Force: a review of the process. Am J Prev Med 20:21–35
Ewers P, Bradshaw T, McGovern J, Ewers B (2002) Does training in psychosocial interventions reduce burnout rates in forensic nurses. J Adv Nurs 27:470–476
Bittman B, Bruhn KT, Stevens C et al (2003) Recreational music-making: a cost-effective group interdisciplinary strategy for reducing burnout and improving mood states in long-term care workers. Adv Mind Body Med 19:4–15
Lange A, Ven JP van de, Schrieken B, Smit M (2004) „Interapy“ Burn-out: Prävention und Behandlung von Burn-out über das Internet. Verhaltenstherapie 14:190–199
Salmela-Aro K, Nataanen P, Nurmi JE (2004) The role of work-related personal projects during two burnout interventions: a longitudinal study. Work Stress 18:208–230
Cohen-Katz J, Wiley S, Capuano T (2005) The effects of mindfulness-based stress reduction on nurse stress and burnout: a qualitative and quantitative study, part III. Holist Nurs Pract 19:78–86
Dierendonck D van, Garssen B, Visser A (2005) Burnout prevention through personal growth. Int J Stress Manag 12:62–77
Van Rhenen W, Blonk RWB, Van der Klink JJL et al (2005) The effect of a cognitive and a physical stress-reducing programme on psychological complaints. Int Arch Occup Environ Health 78:139–148
Żołnierczyk-Zreda D (2005) An intervention to reduce work-related burnout in teachers. Int J Occup Saf Ergon 11:423–430
Blonk RW, Brenninkmeijer V, Lagerveld SE, Houtman ILD (2006) Return to work: a comparison of two cognitive behavioural interventions in cases of work-related psychological complaints among the self-employed. Work Stress 20:129–144
Kanji N, White AR, Ernst E (2006) Autogenic training to reduce anxiety in nursing students: randomized controlled trial. J Adv Nurs 53:729–735
Butow P, Cockburn J, Girgis A et al (2008) Increasing oncologists‘ skills in eliciting and responding to emotional cues: evaluation of a communication skills training program. Psychooncology 17:209–218
Vente W de, Kamphuis JH, Emmelkamp PMG, Blonk RWB (2008) Individual and group-cognitive behavioural treatment for work-related stress complaints and sickness absence: a randomised controlled trial. J Occup Health Psychol 13(3):214–231
Peterson U, Bergström G, Samuelsson M et al (2008) Reflecting peer-support groups in the prevention of stress and burnout: randomized controlled trial. J Adv Nurs 63(5):506–516
Straten A van, Cuijpers P, Smits N (2008) Effectiveness of a web-based self-help intervention for symptoms of depression, anxiety, and stress: randomized controlled trial. J Med Internet Res 10(1):e7
Redhead K, Bradshaw T, Braynion P, Doyle M (2011) An evaluation of the outcomes of psychosocial intervention training for qualified and unqualified nursing staff working in a low-secure mental health unit. J Psychiatr Ment Health Nurs 18:59–66
Bragard I, Etienne AM, Merckaert I et al (2010) Efficacy of a communication and stress management training on medical residents‘ self-efficacy, stress to communicate and burnout: a randomized controlled study. J Health Psychol 15:1075–1081
Günüşen NP, Üstün B (2010) An RCT of coping and support groups to reduce burnout among nurses. Int Nurs Rev 57(4):485–492
Rowe MM (2000) Skills training in the long-term management of stress and occupational burnout. Curr Psychol 19:215–228
Pålsson M, Hallberg IR, Norberg A, Björvell H (1996) Burnout, empathy and sense of coherence among Swedish district nurses before and after systematic clinical supervision. Scand J Caring Sci 10:19–26
Dierendonck D van, Schaufeli WB, Buunk BP (1998) The evaluation of an individual burnout intervention program: the role of inequity and social support. J Appl Psychol 83:392–407
Ossebaard HC (2000) Stress reduction by technology? An experimental study into the effects of brainmachines on burnout and state anxiety. Appl Psychophysiol Biofeedback 25:93–101
Te Brake JHM, Gorter RC, Hoogstraten J, Eijkman MAJ (2001) Burnout intervention among Dutch dentists: long-term effects. Eur J Oral Sci 109:380–387
Gorter RC, Eijkman MAJ, Hoogstraten J (2001) A career counselling program for dentists: effects on burnout. Patient Educ Couns 43:23–30
Cohen M, Gagin R (2005) Can skill-development training alleviate burnout in hospital social workers? Soc Work Health Care 40:83–97
Boumans NPG, Landeweerd JA (1996) A Dutch study of the effects of primary nursing on job characteristics and organizational processes. J Adv Nurs 24:16–23
Melchior MEW, Philipsen H, Abu-Saad HH et al (1996) The effectiveness of primary nursing on burnout among psychiatric nurses in long-stay settings. J Adv Nurs 24:694–702
Le Blanc PM, Hox JJ, Schallfeli WB (2007) Take care! The evaluation of a team-based burnout intervention program for oncology care providers. J Appl Psychol 92:213–227
Duijts SFA, Kant IJ, Brandt PA van den, Swaen GMH (2008) Effectiveness of a preventive coaching intervention for employees at risk for sickness absence due to psychosocial health complaints: results of a randomized controlled trial. J Occup Environ Med 50:765–776
Visser SM, Mccabe MP, Hudgson C et al (2008) Managing behavioural symptoms of dementia: effectiveness of staff education and peer support. Aging Ment Health 12(1):47–55
Chen S, Westman M, Eden D (2009) Impact of enhanced resources on anticipatory stress and adjustment to new information technology: a field-experimental test of conservation of resources theory. J Occup Health Psychol 14(3):219–230
Innstrand ST, Espnes GA, Mykletun R (2004) Job stress, burnout and job satisfaction: an intervention study for staff working with people with intellectual disabilities. J Appl Res Intellect Disabil 17:119–126
Bourbonnais R, Brisson C, Vinet A et al (2006) Effectiveness of a participative intervention on psychosocial work factors to prevent mental health problems in a hospital setting. Occup Environ Med 63:335–342
Bourbonnais R, Brisson C, Vézina M (2011) Long-term effects of an intervention on psychosocial work factors among healthcare professionals in a hospital setting. Occup Environ Med 68:479–486
Sluiter JK, Bos AP, Tol D (2005) Is staff well-being and communication enhanced by multidisciplinary work shift evaluations? Intensive Care Med 31:1409–1414
Halbesleben JRB, Osburn HK, Mumford MD (2006) Action research as a burnout intervention: reducing burnout in the Federal Fire Service. J Appl Behav Sci 42:244–266
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Walter, U., Krugmann, C. & Plaumann, M. Burn-out wirksam prävenieren?. Bundesgesundheitsbl. 55, 172–182 (2012). https://doi.org/10.1007/s00103-011-1412-0
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DOI: https://doi.org/10.1007/s00103-011-1412-0