Burnout Intervention Strategies on Healthcare Provider Burnout (Cultural Differences): A Systematic Review and Meta-analysis

Search Strategy and Data SourcesThe Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria are adhered to in this study.A comprehensive search of several databases was conducted from March to May 2024 for relevant English-language publications from 1998 to 2021 in six electronic databases, namely Medline, CINAHL, the Cochrane Library, Embase, and Google Scholar.The search terms included comprehensive healthcare, health system, healthcare, long stay care, and healthcare, as well as coping ability, behavior, mechanism, skill, strategy, and style, with burnout, syndrome, psychological, and psychological.This study included randomized control trials (RCTs) and pre-posttest designs that used the MBI as a measurement tool and were prospectively registered with PROSPERO (CRD42024542128).28 ABSTRACT Burnout intervention strategies are related to reduced nurse burnout, but their effect is uncertain due to cultural differences.Thus, based on the cultural variations among healthcare workers, this study aimed to examine the impact of BIS on nurse burnout and job satisfaction.PRISMA guidelines and the Joanna Briggs Institution criteria were used as a guide in meta-analysis and studies were obtained from five databases.Moreover, a meta-analysis was performed with RevMan 5.3 software.The differences between the intervention and control groups were used Standardized mean differences and 95% confidence intervals.Nineteen studies met the criteria, consisting of 11 in Asia and 8 in Western cultures.The burnout intervention strategies significantly decreased nurse burnout, and increased job satisfaction.Analysis of the sub-group of Asian nurses showed that the coping strategies had a significant effect on decreasing emotional exhaustion, depersonalization, and personal accomplishment.In Western nurses, the BIS caused significant effects on emotional exhaustion, depersonalization, and personal accomplishment.This study showed the potential benefits of burnout intervention strategies in managing burnout problems of healthcare providers in Asian or Western cultures and should be considered a part of the burnout intervention.