Physiotherapy under pressure: A cross-sectional study on the interplay between perfectionism, moral injury, and burnout.

<h4>Background</h4>Given the escalating challenges for UK-based physiotherapists in workload pressures, budget constraints, staff shortages and patient wait times, the profession (of 65,000 registered physiotherapists) necessitates immediate attention to the health and well-being of the...

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Main Authors: Daniel Biggs, Laura Blackburn, Cameron Black, Sivaramkumar Shanmugam
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0299173
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author Daniel Biggs
Laura Blackburn
Cameron Black
Sivaramkumar Shanmugam
author_facet Daniel Biggs
Laura Blackburn
Cameron Black
Sivaramkumar Shanmugam
author_sort Daniel Biggs
collection DOAJ
description <h4>Background</h4>Given the escalating challenges for UK-based physiotherapists in workload pressures, budget constraints, staff shortages and patient wait times, the profession (of 65,000 registered physiotherapists) necessitates immediate attention to the health and well-being of the therapists. This pioneering study aims to examine perfectionism, moral injury, and burnout among UK-based physiotherapists across the NHS, private practice, sports, and academia.<h4>Method</h4>This cross-sectional study utilised an online survey and implementation of Structure Equation Modelling (SEM) to assess the interplay of perfectionism (Multidimensional Perfectionism Scale-Short Form), moral injury (Moral Injury Symptoms Scale-Healthcare Professionals), and burnout (Shirom-Melamed Burnout Questionnaire). Our sample size calculation represents the UK physiotherapy profession, utilising a 95% confidence interval with a 5% margin of error.<h4>Findings</h4>Our analysis conducted on (n = 402) UK-based physiotherapists reveals significant burnout levels, with 96% of participants presenting with moderate to high burnout scores. SEM revealed perfectionism and moral injury collectively accounted for a substantial 62% of burnout variability, highlighting their sequential impact on burnout manifestation.<h4>Interpretation</h4>With such high levels of burnout, urgent intervention is paramount. Elevated burnout presents challenges for the physiotherapy profession as staff retention, accurate and effective patient care, and overall health are severely impacted due to burnout. Recognising and addressing perfectionism and moral injury, such as through amendment or development of policy, becomes pivotal to mitigate its impact on individual and collective health.
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spelling doaj-art-60295e17816c4377b1e58d5f91e497262025-02-07T05:30:58ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01202e029917310.1371/journal.pone.0299173Physiotherapy under pressure: A cross-sectional study on the interplay between perfectionism, moral injury, and burnout.Daniel BiggsLaura BlackburnCameron BlackSivaramkumar Shanmugam<h4>Background</h4>Given the escalating challenges for UK-based physiotherapists in workload pressures, budget constraints, staff shortages and patient wait times, the profession (of 65,000 registered physiotherapists) necessitates immediate attention to the health and well-being of the therapists. This pioneering study aims to examine perfectionism, moral injury, and burnout among UK-based physiotherapists across the NHS, private practice, sports, and academia.<h4>Method</h4>This cross-sectional study utilised an online survey and implementation of Structure Equation Modelling (SEM) to assess the interplay of perfectionism (Multidimensional Perfectionism Scale-Short Form), moral injury (Moral Injury Symptoms Scale-Healthcare Professionals), and burnout (Shirom-Melamed Burnout Questionnaire). Our sample size calculation represents the UK physiotherapy profession, utilising a 95% confidence interval with a 5% margin of error.<h4>Findings</h4>Our analysis conducted on (n = 402) UK-based physiotherapists reveals significant burnout levels, with 96% of participants presenting with moderate to high burnout scores. SEM revealed perfectionism and moral injury collectively accounted for a substantial 62% of burnout variability, highlighting their sequential impact on burnout manifestation.<h4>Interpretation</h4>With such high levels of burnout, urgent intervention is paramount. Elevated burnout presents challenges for the physiotherapy profession as staff retention, accurate and effective patient care, and overall health are severely impacted due to burnout. Recognising and addressing perfectionism and moral injury, such as through amendment or development of policy, becomes pivotal to mitigate its impact on individual and collective health.https://doi.org/10.1371/journal.pone.0299173
spellingShingle Daniel Biggs
Laura Blackburn
Cameron Black
Sivaramkumar Shanmugam
Physiotherapy under pressure: A cross-sectional study on the interplay between perfectionism, moral injury, and burnout.
PLoS ONE
title Physiotherapy under pressure: A cross-sectional study on the interplay between perfectionism, moral injury, and burnout.
title_full Physiotherapy under pressure: A cross-sectional study on the interplay between perfectionism, moral injury, and burnout.
title_fullStr Physiotherapy under pressure: A cross-sectional study on the interplay between perfectionism, moral injury, and burnout.
title_full_unstemmed Physiotherapy under pressure: A cross-sectional study on the interplay between perfectionism, moral injury, and burnout.
title_short Physiotherapy under pressure: A cross-sectional study on the interplay between perfectionism, moral injury, and burnout.
title_sort physiotherapy under pressure a cross sectional study on the interplay between perfectionism moral injury and burnout
url https://doi.org/10.1371/journal.pone.0299173
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AT laurablackburn physiotherapyunderpressureacrosssectionalstudyontheinterplaybetweenperfectionismmoralinjuryandburnout
AT cameronblack physiotherapyunderpressureacrosssectionalstudyontheinterplaybetweenperfectionismmoralinjuryandburnout
AT sivaramkumarshanmugam physiotherapyunderpressureacrosssectionalstudyontheinterplaybetweenperfectionismmoralinjuryandburnout