Johannes Heinrich Alexander Piel, Anne-Sophie Biesalski, Robin Wolke, Annette Rogge, Helge Topka, Matthias Klein, Christoph Johannes Ploner, Frank Andres, Daniela Berg
{"title":"德国神经病学住院医师和专家所经历的与工作相关的压力事件和倦怠：来自全国调查的患病率、原因和应对策略。","authors":"Johannes Heinrich Alexander Piel, Anne-Sophie Biesalski, Robin Wolke, Annette Rogge, Helge Topka, Matthias Klein, Christoph Johannes Ploner, Frank Andres, Daniela Berg","doi":"10.1186/s42466-025-00415-x","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Burnout is an increasing challenge and highly prevalent among healthcare professionals. Time-critical emergencies, high workload, the second-victim phenomenon, and moral distress have been identified as key risk factors of burnout. However, measures to mitigate the impact of stressful events have not yet been fully utilized and data in Germany is still limited.</p><p><strong>Methods: </strong>To address this gap, the Young Neurology section of the German Neurological Society conducted a nationwide survey between October 7 and November 18, 2024, assessing 318 Neurology residents and 175 Neurology specialists. The study examined the frequency of stressful events, risk factors, coping mechanisms, and burnout severity.</p><p><strong>Results: </strong>Stressful events occurred monthly and most often in emergency rooms, intensive care units, and general wards. Most residents were at risk of burnout and often lacked direct supervision during critical incidents. Common training-independent causes were high patient numbers, the second-victim phenomenon, and poor communication. Knowledge and skill related causes were specific to residents. Burnout was independently correlated to the frequency of stressful events, job satisfaction, institutional factors, age, number of children, and debriefing offer. While job satisfaction was generally good, 30% of participants thought about changing the employer and 10% about leaving Neurology. Dysfunctional coping strategies including the use of alcohol and medication were common and significantly correlated with increased burnout risk. The most relevant mitigation strategies were structured onboarding, debriefing, and improvement of processes.</p><p><strong>Conclusion: </strong>Our findings confirm high burnout rates, particularly during residency, and highlight the urgent need for targeted intervention.</p><p><strong>Trial registration: </strong>The study was registered in the German Clinical Trial Register (DRKS-ID DRKS00035214) on 7 October 2024.</p>","PeriodicalId":94156,"journal":{"name":"Neurological research and practice","volume":"7 1","pages":"52"},"PeriodicalIF":3.2000,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306127/pdf/","citationCount":"0","resultStr":"{\"title\":\"Work-related stressful events and burnout experienced by residents and specialists in German neurology: prevalence, causes, and coping strategies derived from a nationwide survey.\",\"authors\":\"Johannes Heinrich Alexander Piel, Anne-Sophie Biesalski, Robin Wolke, Annette Rogge, Helge Topka, Matthias Klein, Christoph Johannes Ploner, Frank Andres, Daniela Berg\",\"doi\":\"10.1186/s42466-025-00415-x\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Burnout is an increasing challenge and highly prevalent among healthcare professionals. Time-critical emergencies, high workload, the second-victim phenomenon, and moral distress have been identified as key risk factors of burnout. However, measures to mitigate the impact of stressful events have not yet been fully utilized and data in Germany is still limited.</p><p><strong>Methods: </strong>To address this gap, the Young Neurology section of the German Neurological Society conducted a nationwide survey between October 7 and November 18, 2024, assessing 318 Neurology residents and 175 Neurology specialists. The study examined the frequency of stressful events, risk factors, coping mechanisms, and burnout severity.</p><p><strong>Results: </strong>Stressful events occurred monthly and most often in emergency rooms, intensive care units, and general wards. Most residents were at risk of burnout and often lacked direct supervision during critical incidents. Common training-independent causes were high patient numbers, the second-victim phenomenon, and poor communication. Knowledge and skill related causes were specific to residents. Burnout was independently correlated to the frequency of stressful events, job satisfaction, institutional factors, age, number of children, and debriefing offer. While job satisfaction was generally good, 30% of participants thought about changing the employer and 10% about leaving Neurology. Dysfunctional coping strategies including the use of alcohol and medication were common and significantly correlated with increased burnout risk. The most relevant mitigation strategies were structured onboarding, debriefing, and improvement of processes.</p><p><strong>Conclusion: </strong>Our findings confirm high burnout rates, particularly during residency, and highlight the urgent need for targeted intervention.</p><p><strong>Trial registration: </strong>The study was registered in the German Clinical Trial Register (DRKS-ID DRKS00035214) on 7 October 2024.</p>\",\"PeriodicalId\":94156,\"journal\":{\"name\":\"Neurological research and practice\",\"volume\":\"7 1\",\"pages\":\"52\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2025-07-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306127/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Neurological research and practice\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1186/s42466-025-00415-x\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neurological research and practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s42466-025-00415-x","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
Work-related stressful events and burnout experienced by residents and specialists in German neurology: prevalence, causes, and coping strategies derived from a nationwide survey.
Background: Burnout is an increasing challenge and highly prevalent among healthcare professionals. Time-critical emergencies, high workload, the second-victim phenomenon, and moral distress have been identified as key risk factors of burnout. However, measures to mitigate the impact of stressful events have not yet been fully utilized and data in Germany is still limited.
Methods: To address this gap, the Young Neurology section of the German Neurological Society conducted a nationwide survey between October 7 and November 18, 2024, assessing 318 Neurology residents and 175 Neurology specialists. The study examined the frequency of stressful events, risk factors, coping mechanisms, and burnout severity.
Results: Stressful events occurred monthly and most often in emergency rooms, intensive care units, and general wards. Most residents were at risk of burnout and often lacked direct supervision during critical incidents. Common training-independent causes were high patient numbers, the second-victim phenomenon, and poor communication. Knowledge and skill related causes were specific to residents. Burnout was independently correlated to the frequency of stressful events, job satisfaction, institutional factors, age, number of children, and debriefing offer. While job satisfaction was generally good, 30% of participants thought about changing the employer and 10% about leaving Neurology. Dysfunctional coping strategies including the use of alcohol and medication were common and significantly correlated with increased burnout risk. The most relevant mitigation strategies were structured onboarding, debriefing, and improvement of processes.
Conclusion: Our findings confirm high burnout rates, particularly during residency, and highlight the urgent need for targeted intervention.
Trial registration: The study was registered in the German Clinical Trial Register (DRKS-ID DRKS00035214) on 7 October 2024.
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