Prior research has found that many genetic counselors (GCs) experience burnout. Studies of other clinicians have demonstrated that burnout can have significant detrimental consequences for clinicians, patients, and the healthcare system. We sought to explore the prevalence of, contributors to, and consequences of burnout among GCs. We performed a secondary data analysis of baseline data from Me-GC, a randomized controlled trial of meditation for GCs. We applied a systems model of burnout proposed by the National Academy of Medicine (NAM), which depicts burnout arising from a combination of contributors that include both work system and individual mediating factors, and then leading to consequences. Validated self-report scales were used to measure burnout and most contributors and consequences. Female and white GCs were over-represented in our sample. Over half (57.2%) of the 397 participants had Professional Fulfillment Index scores indicative of burnout. Multiple potential contributors were associated with burnout, consistent with its known multifactorial nature. Among work system factors, higher levels of burnout were associated with insufficient administrative support, lack of autonomy, and not feeling valued by non-GC colleagues. Individual mediating factors associated with greater burnout included higher levels of anxiety, depression, and stress. Participants with lower levels of burnout reported greater mindfulness, resilience, and use of professional self-care behaviors. Among variables categorized as consequences, higher levels of burnout were associated with lower levels of empathy, counseling alliance, and positive unconditional regard, as well as higher reactive distress, and a greater desire to reduce the amount of time spent on clinical care. Given the prevalence and potential consequences of burnout observed here, it is imperative that the field take steps to mitigate burnout risk.

中文翻译：

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美国临床遗传咨询师职业倦怠的贡献者和后果

先前的研究发现，许多遗传咨询师 (GC) 都经历过倦怠。其他临床医生的研究表明，倦怠会对临床医生、患者和医疗保健系统产生严重的不利影响。我们试图探索 GC 中职业倦怠的发生率、贡献者和后果。我们对 Me-GC 的基线数据进行了二次数据分析，Me-GC 是一项针对 GC 的随机冥想对照试验。我们应用了美国国家医学院 (NAM) 提出的倦怠系统模型，该模型描述了包括工作系统和个人中介因素在内的贡献者组合所产生的倦怠，然后导致后果。经过验证的自我报告量表用于衡量倦怠以及大多数贡献者和后果。在我们的样本中，女性和白人 GC 的比例过高。在 397 名参与者中，超过一半 (57.2%) 的专业成就指数得分表明已经精疲力尽。多个潜在贡献者与职业倦怠相关，与其已知的多因素性质一致。在工作系统因素中，更高程度的倦怠与行政支持不足、缺乏自主权以及感觉不到非 GC 同事的重视有关。与更严重的倦怠相关的个体中介因素包括更高水平的焦虑、抑郁和压力。倦怠程度较低的参与者报告说，他们的正念、适应力和专业自我护理行为的使用程度更高。在归类为后果的变量中，较高水平的倦怠与较低水平的同理心、咨询联盟、和积极的无条件关注，以及更高的反应性痛苦，以及减少花在临床护理上的时间的更大愿望。鉴于此处观察到的职业倦怠的普遍性和潜在后果，该领域必须采取措施降低职业倦怠风险。