Association between burnout and wellness culture among emergency medicine providers

Revathi Jyothindran; James P d’Etienne; Kevin Marcum; Amy F Ho; Richard D. Robinson; Aubre Tijerina; Clare Graca; Heidi C Knowles; Nestor R. Zenarosa; Hao Wang

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자료유형: 학술저널

저자정보: Revathi Jyothindran (Integrative Emergency Services John Peter Smith Health Network Dallas TX USA) James P d’Etienne (Integrative Emergency Services John Peter Smith Health Network Dallas TX USA) Kevin Marcum (Integrative Emergency Services John Peter Smith Health Network Dallas TX USA) Amy F Ho (Integrative Emergency Services John Peter Smith Health Network Dallas TX USA) Richard D. Robinson (Integrative Emergency Services John Peter Smith Health Network Dallas TX USA) Aubre Tijerina (Integrative Emergency Services John Peter Smith Health Network Dallas TX USA) Clare Graca (Integrative Emergency Services John Peter Smith Health Network Dallas TX USA) Heidi C Knowles (Integrative Emergency Services John Peter Smith Health Network Dallas TX USA) Nestor R. Zenarosa (Integrative Emergency Services John Peter Smith Health Network Dallas TX USA) Hao Wang (Integrative Emergency Services John Peter Smith Health Network Dallas TX USA)

저널정보: 대한응급의학회 Clinical and Experimental Emergency Medicine Clinical and Experimental Emergency Medicine Vol.8 No.1

발행연도: 2021.1

수록면: 55 - 64 (10page)

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Objective Burnout is a common occurrence among healthcare providers and has been associated with provider wellness culture. However, this association has not been extensively studied among emergency medicine (EM) providers. We aim to determine the association between EM provider burnout and their culture of wellness, and to elicit the independent wellness culture domains most predictive of burnout prevention. Methods This was a multi-center observational study. We enrolled EM physicians and advanced practice providers from sixteen different emergency departments (EDs). Provider wellness culture and burnout surveys were performed. The wellness culture domains included in this study are personal/organizational value alignment, provider appreciation, leadership quality, self-controlled scheduling, peer support, and family support. Correlations between each wellness culture domain and burnout were analyzed by Pearson correlation co-efficiency, and their associations were measured by multivariate logistic regression with adjustments of other confounders. Results A total of 242 ED provider surveys were entered for final analysis. The overall burnout rate was 54% (130/242). Moderate correlations were found between burnout and two wellness culture domains (value alignment: r=-0.43, P<0.001 and provider appreciation: r=-0.49, P<0.001). The adjusted odds ratio of provider appreciation associated with burnout was 0.44 (95% confidence interval, 0.25–0.77; P=0.004), adjusted odds ratio of family support was 0.67 (95% confidence interval, 0.48–0.95; P=0.025). Conclusion ED providers have a relatively high burnout rate. Provider burnout might have certain associations with wellness culture domains. Provider appreciation and family support seem to play important roles in burnout protection.

#Emergency medicine #Burnout #psychological #Culture

참고문헌 (40)

참고문헌 신청

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