TY - JOUR T1 - Harmonized definition of occupational burnout: A systematic review, semantic analysis, and Delphi consensus in 29 countries JO - Scandinavian Journal of Work, Environment & Health PY - 2021/3VL - 47 IS - 2 SP - 95 EP - 107 AU - Guseva Canu, Irina AU - Marca, Sandy Carla AU - Dell'Oro, Francesca AU - Balázs, Ádám AU - Bergamaschi, Enrico AU - Besse, Christine AU - Bianchi, Renzo AU - Bislimovska, Jovanka AU - Koscec Bjelajac, Adrijana AU - Bugge, Merete AU - Busneag, Carmen Iliana AU - Çağlayan, Çiğdem AU - Cernițanu, Mariana AU - Costa Pereira, Cristiana AU - Dernovšček Hafner, Nataša AU - Droz, Nadia AU - Eglite, Maija AU - Godderis, Lode AU - Gündel, Harald AU - Hakanen, Jari J AU - Iordache, Raluca Maria AU - Khireddine-Medouni, Imane AU - Kiran, Sibel AU - Larese-Filon, Francesca AU - Lazor-Blanchet, Catherine AU - Légeron, Patrick AU - Loney, Tom AU - Majery, Nicole AU - Merisalu, Eda AU - Mehlum, Ingrid Sivesind AU - Michaud, Laurent AU - Mijakoski, Dragan AU - Minov, Jordan AU - Modenese, Alberto AU - Molan, Marija AU - van der Molen, Henk AU - Nena, Evangelia AU - Nolimal, Dusan AU - Otelea, Marina AU - Pletea, Elisabeta AU - Pranjic, Nurka AU - Rebergen, David AU - Reste, Jelena AU - Schernhammer, Eva AU - Wahlen, Anny M3 - doi: 10.5271/sjweh.3935 UR - https://www.sjweh.fi/show_abstract.php?abstract_id=3935 KW - Delphi consensus KW - epidemiology KW - exhaustion KW - job stress KW - occupational burnout KW - occupational health KW - semantic analysis KW - systematic review N2 - '

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OBJECTIVE ': 'A consensual definition of occupational burnout is currently lacking. We aimed to harmonize the definition of occupational burnout as a health outcome in medical research and reach a consensus on this definition within the Network on the Coordination and Harmonisation of European Occupational Cohorts (OMEGA-NET).

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METHODS ': 'First, we performed a systematic review in MEDLINE, PsycINFO and Embase (January 1990 to August 2018) and a semantic analysis of the available definitions. We used the definitions of burnout and burnout-related concepts from the Systematized Nomenclature of Medicine Clinical Terms (SNOMED-CT) to formulate a consistent harmonized definition of the concept. Second, we sought to obtain the Delphi consensus on the proposed definition.

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RESULTS ': 'We identified 88 unique definitions of burnout and assigned each of them to 1 of the 11 original definitions. The semantic analysis yielded a first proposal, further reformulated according to SNOMED-CT and the panelists` comments as follows: "In a worker, occupational burnout or occupational physical AND emotional exhaustion state is an exhaustion due to prolonged exposure to work-related problems”. A panel of 50 experts (researchers and healthcare professionals with an interest for occupational burnout) reached consensus on this proposal at the second round of the Delphi, with 82% of experts agreeing on it.

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CONCLUSION ': 'This study resulted in a harmonized definition of occupational burnout approved by experts from 29 countries within OMEGA-NET. Future research should address the reproducibility of the Delphi consensus in a larger panel of experts, representing more countries, and examine the practicability of the definition.

SN - 0355-3140 ER -