Background: Burnout disproportionately affects professionals who spend much of their time in direct patient care. The physical and emotional demands of pelvic floor therapists, coupled with identity-based stressors, may place Black women pelvic floor therapists at an increased risk for experiencing burnout.
Objective: The purpose of this study was to explore the experiences of burnout among Black women pelvic floor therapists in the United States.
Design: This is a short-form qualitative study with data collected from an online survey.
Methods: We recruited Black women pelvic floor therapists from November 2023 to February 2024 to complete an online survey comprised of open-ended questions about their experiences of burnout. The coding team analyzed the short-form qualitative data using inductive structural tabular thematic analysis.
Results: Of the 59 participants in the total sample, 37 reported experiencing professional burnout. Main themes were: (1) contributors to burnout, (2) signs of burnout, and (3) consequences of burnout. Notably, contributors to burnout were predominantly structural and included workplace factors, such as unrealistic productivity standards and experiences of discrimination and microaggressions. Signs of burnout were primarily emotional. Consequences of burnout included leaving the current work setting, a strong desire to transition to a different setting, or taking a break from the profession overall.
Conclusion: This study revealed that it is not only the intensity of Black women pelvic floor therapists' workload but also the nature of their tasks and the contexts within which they operate that contribute to burnout.
Keywords: Black women; burnout; pelvic floor therapy; physical therapy; workplace.
Why is this study important?Pelvic floor therapy (PFT) is an increasingly popular medical treatment for genito-pelvic pain/penetration disorder (GPPPD). Black women pelvic floor therapists’ are at a high risk of experiencing professional burnout due to the limited number of PFTs in general and the desire for Black women patients to have Black doctors. The current study sought to understand Black pelvic floor therapists’ experiences of burnout.What did the researchers do?The research team surveyed Black women pelvic floor therapists and anticipated that these women would report burnout from the demands of their jobs, being overworked, and experiencing gendered racism within their workplaces.What did the researchers find?Out of a total of 59 Black women PFTs, 37 reported professional burnout. The main sources of burnout for participants were structural issues within the workplace, such as inadequate time for administrative duties, limited support for patients, unrealistic workloads and productivity standards, and workplace discrimination. Burnout manifested for participants through a lack of motivation and passion towards their work, emotional disengagement, and fatigue. As a result, some participants left their jobs or experienced health issues. Healthcare fields should consider ways to promote wellness and work–life balance, especially for Black women with physically and emotionally demanding roles.