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Beating Burnout: Straight from the Horse’s Mouth

Beating Burnout: Straight from the Horse’s Mouth

How does practitioner burnout impact care, and therefore clinical governance? As Dr Stephen Parnis put it, from his perspective - and in his words - it “laid siege to my energy and my empathy”; “[D]ecisions and procedures that are usually second nature to me, now require considerable effort and cause more angst than they should”; and “[W]e are less efficient, and we are much more likely to make mistakes.”

These are words that came straight from the horse’s mouth.

In one survey of over 9,500 frontline health care workers, conducted during the COVID-19 pandemic (between 27 August and 23 October 2020), over 70% reported moderate or severe burnout. Other research has demonstrated that burnout undermines the safety and quality of care, as well as patient satisfaction. Burnout also leads to workforce attrition, and hence, shortages. Burnout is therefore not an issue that is siloed to the practitioner – it has far broader implications.

What is the solution? Carers must not only learn to care for themselves, but realise the importance of this. Self-care is critical. In the words of Dr Parnis yet again, when healthcare workers prioritise their own care, “they are being professional and ethical, doing their best to be safe and effective in their work and making their careers sustainable.” There is a multitude of resources available to support practitioners in burnout (or at risk of burnout) – through medical colleges, medical defence organisations, benevolent societies, doctors’ health advisory services, and other supports, private providers - to name but a few avenues.   

However, caring for those who care is also an organisational responsibility, as part of clinical governance, and therefore corporate governance. Burnout must be addressed at an organisational level, and wider community - so understanding the causes of burnout and addressing these is paramount. Fostering a culture of psychological safety and an environment where people feel ‘heard’ will also mitigate the risk of burnout.

If we reduce burnout, we will deliver better care.


All accessed on 24/9/22:

S. Parnis. ‘My burnout is born of a health system that treats the emergency department as a panacea’. The Guardian, 16 May 2022. Accessed at: 
My burnout is born of a health system that treats the emergency department as a panacea | Health | The Guardian

N. Smallwood et al. ‘High levels of psychosocial distress among Australian frontline healthcare workers during the COVID-19 pandemic: a cross-sectional survey’.  General Psychiatry 2021;34:e100577.  doi: 10.1136/gpsych-2021-100577.  Accessed at: High levels of psychosocial distress among Australian frontline healthcare workers during the COVID-19 pandemic: a cross-sectional survey | General Psychiatry (bmj.com) 

J. Jun et al. ‘Relationship between nurse burnout, patient and organizational outcomes: Systematic review’. International Journal of Nursing Studies, July 2021, Volume 119, 2021, 103933. doi: 10.1016/j.ijnurstu.2021.103933. Accessed at: Relationship between nurse burnout, patient and organizational outcomes: Systematic review - ScienceDirect

J. L. Maple and N. Smallwood. ‘A burnt out workforce impacts patient care’.  News GP, 5 May 2022. Accessed at: RACGP - A burnt out workforce impacts patient care 

‘Caring for those who care’. AICG, 19 March 2022. Accessed at: AICG - Resources – Caring for those who care 

Avant (Doctors’ health and wellbeing), at Avant - Doctors health and wellbeing

MIGA (‘Doctors’ Health: Helping you prioritise and manage your health’), at MIGA - Doctor's Health 

MDA National, at Health & Wellbeing - MDA National

MIPS, at Wellbeing resources | MIPS Indemnity Insurance

TEGO, at Medico Legal Advice & Incident Support For Practitioners | Tego

The Victorian Medical Benevolent Association, at: THE VMBA | vmba.org.au

Medical Benevolent Association of NSW (Doctors’ Health Advisory Service), at:
Medical Benevolent Association of NSW | Doctors Health Advisory Service (dhas.org.au)

Key support services, at Avant - Key support services

The Burnout Project (Dr Amy Imms), at: https://theburnoutproject.com.au

DRS4DRS, at: DRS4DRS – Help doctors stay healthy

J. Moss.  ‘Burnout is about your workplace, not your people’.  Harvard Business Review, 11 December 2019.   Accessed at: Burnout Is About Your Workplace, Not Your People (hbr.org)

M. Panagioti et al.  ‘Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis’. JAMA Intern Med. 2017;177(2):195–205. doi:10.1001/jamainternmed.2016.7674. Accessed at: Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis | Occupational Health | JAMA Internal Medicine | JAMA Network 

R. G. Maunder 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 17, 11 (2022). DOI: 10.1186/s12995-022-00352-4. Accessed at: https://occup-med.biomedcentral.com/articles/10.1186/s12995-022-00352-4 

S. Duckett and E. Meehan. ‘How to tackle burnout among healthcare workers’. Grattan Institute, 23 March 2022. Accessed at: How to tackle burnout among healthcare workers - Grattan Institute

M. J. Kerrissey et al. ‘How psychological safety and feeling heard relate to burnout and adaptation amid uncertainty’. Health Care Management Review: 10/12 2022 - Volume 47 - Issue 4 - p 308-316 doi: 10.1097/HMR.0000000000000338. Accessed at: https://journals.lww.com/hcmrjournal/Fulltext/2022/10000/How_psychological_safety_and_feeling_heard_relate.6.aspx