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Zhao S, Li Y, Ma Y, Xie Y, Lu W, Liang C. Impact mechanism of social-related social media use on the job performance of caregivers of older adults. Geriatr Nurs 2024; 58:191-199. [PMID: 38824881 DOI: 10.1016/j.gerinurse.2024.05.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2024] [Revised: 05/06/2024] [Accepted: 05/13/2024] [Indexed: 06/04/2024]
Abstract
This study investigated the impact mechanism of social-related social media use on the job performance of caregivers of older adults through mental health and analyzed gender differences. A total of 358 valid questionnaires were collected and analyzed using SPSS and Smart PLS. The results showed that mental health plays an important role in the relationship between social-related social media use and job performance. Such social media use can improve psychological well-being and reduce psychological distress by promoting relaxation experience. Psychological well-being has a significant positive impact on job performance. In addition, significant differences exist in the impact path of social-related social media use on psychological distress among different gender groups. The findings of this study can assist nursing homes in assessing the use of social media within their organizations and provide methodological references for enhancing the job performance of caregivers of older adults.
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Affiliation(s)
- Shuping Zhao
- School of Management, Hefei University of Technology, Hefei, Anhui 230009, China
| | - Yongyan Li
- School of Management, Hefei University of Technology, Hefei, Anhui 230009, China
| | - Yiming Ma
- School of Management, Anhui University of Finance and Economics, Bengbu, Anhui 233030, China.
| | - Yuguang Xie
- School of Management, Hefei University of Technology, Hefei, Anhui 230009, China
| | - Wenxing Lu
- School of Management, Hefei University of Technology, Hefei, Anhui 230009, China
| | - Changyong Liang
- School of Management, Hefei University of Technology, Hefei, Anhui 230009, China; Key Laboratory of Process Optimization and Intelligent Decision-making, Ministry of Education, Hefei, Anhui 230009, China
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Batanda I. Prevalence of burnout among healthcare professionals: a survey at fort portal regional referral hospital. NPJ MENTAL HEALTH RESEARCH 2024; 3:16. [PMID: 38710834 DOI: 10.1038/s44184-024-00061-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Accepted: 02/29/2024] [Indexed: 05/08/2024]
Abstract
The work environment in most hospitals is characterised by activities that are strenuous both physically and mentally. These can result in physical and mental exhaustion, which can lead to burnout if not adequately addressed. Burnout among healthcare professionals can negatively affect their clinical decision-making, quality of communication with patients and colleagues as well as their ability to cope with work-related pressure, and ultimately affect the quality of care and patient outcomes. The inclusion of burnout in the 11th revision of the International Classification of Diseases (ICD-11) as an occupational phenomenon indicates that it is an issue of concern in the workplace for which people may need professional attention. This descriptive cross-sectional survey aimed to determine the point prevalence of burnout among healthcare professionals at Fort Portal Regional Referral Hospital and the factors contributing to burnout. The study also evaluated the linear relationship between the age of workers, their work duration at the hospital, and their burnout score, in addition to the possible impact on patient care. Participants were selected from the hospital WhatsApp group and invitations to participate were sent to their individual accounts. Burnout was assessed using the Copenhagen Burnout Inventory. Generally, burnout scores ranged from 16% to 86%, with an overall mean burnout score of 57.4%. The notable factors contributing to burnout included imbalances in duty allocation, physically strenuous work, and resource constraints. Burnout of varying levels was found to be prevalent across all carders in the hospital, although the results indicate that most healthcare professionals experience moderate burnout. Most of the factors contributing to burnout are within the scope of hospital leadership to address. The possible impact on staff performance and patients' clinical outcomes is speculative, and additional studies are required.
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Affiliation(s)
- Ian Batanda
- Fort Portal Regional Referral Hospital, Fort Portal, Uganda.
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Jelen A, Goldfarb R, Rosart J, Graham L, Rubin BB. A qualitative co-design-based approach to identify sources of workplace-related distress and develop well-being strategies for cardiovascular nurses, allied health professionals, and physicians. BMC Health Serv Res 2024; 24:246. [PMID: 38408946 PMCID: PMC10897985 DOI: 10.1186/s12913-024-10669-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2023] [Accepted: 01/31/2024] [Indexed: 02/28/2024] Open
Abstract
OBJECTIVE Clinician distress is a multidimensional condition that includes burnout, decreased meaning in work, severe fatigue, poor work-life integration, reduced quality of life, and suicidal ideation. It has negative impacts on patients, providers, and healthcare systems. In this three-phase qualitative investigation, we identified workplace-related factors that drive clinician distress and co-designed actionable interventions with inter-professional cardiovascular clinicians to decrease their distress and improve well-being within a Canadian quaternary hospital network. METHODS Between October 2021 and May 2022, we invited nurses, allied health professionals, and physicians to participate in a three-phase qualitative investigation. Phases 1 and 2 included individual interviews and focus groups to identify workplace-related factors contributing to distress. Phase 3 involved co-design workshops that engaged inter-professional clinicians to develop interventions addressing drivers of distress identified. Qualitative information was analyzed using descriptive thematic analysis. RESULTS Fifty-one clinicians (24 nurses, 10 allied health professionals, and 17 physicians) participated. Insights from Phases 1 and 2 identified five key thematic drivers of distress: inadequate support within inter-professional teams, decreased joy in work, unsustainable workloads, limited opportunities for learning and professional growth, and a lack of transparent leadership communication. Phase 3 co-design workshops yielded four actionable interventions to mitigate clinician distress in the workplace: re-designing daily safety huddles, formalizing a nursing coaching and mentorship program, creating a value-added program e-newsletter, and implementing an employee experience platform. CONCLUSION This study increases our understanding on workplace-related factors that contribute to clinician distress, as shared by inter-professional clinicians specializing in cardiovascular care. Healthcare organizations can develop effective interventions to mitigate clinician distress by actively engaging healthcare workers in identifying workplace drivers of distress and collaboratively designing tailored, practical interventions that directly address these challenges.
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Affiliation(s)
- Ahlexxi Jelen
- Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network, 585 University Avenue LPMB 119 K, M5G 2N2, Toronto, ON, Canada.
| | | | - Jennifer Rosart
- Healthcare Human Factors, Toronto General Hospital, University Health Network, Toronto, Canada
| | - Leanna Graham
- Office of Professional Practice & Policy, Toronto General Hospital, University Health Network, Toronto, Canada
| | - Barry B Rubin
- Division of Vascular Surgery, Peter Munk Cardiac Centre, University Health Network, Toronto, Canada
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Jelen A, Rodin G, Graham L, Goldfarb R, Mah K, Satele DV, Elliot M, Krzyzanowska MK, Rubin BB. Prevalence and drivers of nurse and physician distress in cardiovascular and oncology programmes at a Canadian quaternary hospital network during the COVID-19 pandemic: a quality improvement initiative. BMJ Open 2024; 14:e079106. [PMID: 38346886 PMCID: PMC10862283 DOI: 10.1136/bmjopen-2023-079106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Accepted: 01/16/2024] [Indexed: 02/15/2024] Open
Abstract
OBJECTIVES To assess the prevalence and drivers of distress, a composite of burnout, decreased meaning in work, severe fatigue, poor work-life integration and quality of life, and suicidal ideation, among nurses and physicians during the COVID-19 pandemic. DESIGN Cross-sectional design to evaluate distress levels of nurses and physicians during the COVID-19 pandemic between June and August 2021. SETTING Cardiovascular and oncology care settings at a Canadian quaternary hospital network. PARTICIPANTS 261 nurses and 167 physicians working in cardiovascular or oncology care. Response rate was 29% (428 of 1480). OUTCOME MEASURES Survey tool to measure clinician distress using the Well-Being Index (WBI) and additional questions about workplace-related and COVID-19 pandemic-related factors. RESULTS Among 428 respondents, nurses (82%, 214 of 261) and physicians (62%, 104 of 167) reported high distress on the WBI survey. Higher WBI scores (≥2) in nurses were associated with perceived inadequate staffing (174 (86%) vs 28 (64%), p=0.003), unfair treatment, (105 (52%) vs 11 (25%), p=0.005), and pandemic-related impact at work (162 (80%) vs 22 (50%), p<0.001) and in their personal life (135 (67%) vs 11 (25%), p<0.001), interfering with job performance. Higher WBI scores (≥3) in physicians were associated with perceived inadequate staffing (81 (79%) vs 32 (52%), p=0.001), unfair treatment (44 (43%) vs 13 (21%), p=0.02), professional dissatisfaction (29 (28%) vs 5 (8%), p=0.008), and pandemic-related impact at work (84 (82%) vs 35 (56%), p=0.001) and in their personal life (56 (54%) vs 24 (39%), p=0.014), interfering with job performance. CONCLUSION High distress was common among nurses and physicians working in cardiovascular and oncology care settings during the pandemic and linked to factors within and beyond the workplace. These results underscore the complex and contextual aspects of clinician distress, and the need to develop targeted approaches to effectively address this problem.
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Affiliation(s)
- Ahlexxi Jelen
- Peter Munk Cardiac Centre, University Health Network, Toronto, Ontario, Canada
| | - Gary Rodin
- Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada
| | - Leanna Graham
- Office of Professional Practice & Policy, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada
| | | | - Kenneth Mah
- Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada
| | - Daniel V Satele
- Quantitative Health Sciences, Mayo Clinic, Rochester, New York, USA
| | - Mary Elliot
- Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada
| | - Monika K Krzyzanowska
- Division of Medical Oncology & Hematology, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada
| | - Barry B Rubin
- Division of Vascular Surgery, Peter Munk Cardiac Centre, University Health Network, Toronto, Ontario, Canada
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Hedlund Å. Martha Rogers' science of unitary human beings in relation to workers health and well-being: A scoping review. Work 2023; 76:953-968. [PMID: 37182858 PMCID: PMC10657656 DOI: 10.3233/wor-220681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Accepted: 03/08/2023] [Indexed: 05/16/2023] Open
Abstract
BACKGROUND Workers' health and well-being are topics on the rise within occupational research. Rogers' science of unitary human beings can potentially contribute to increased knowledge in the area. However, no previous review has investigated how the theory has been used in relation to workers in working life. OBJECTIVE The aim of this scoping review was to provide an overview of studies that have used Rogers' science of unitary human beings to study workers health and well-being in working life. METHODS A literature search was conducted in CINAHL and PubMed, and other relevant sources in May-June 2022. RESULTS The results showed that there seems to be a lack of use of Rogers' science of unitary human beings regarding workers health and well-being in working life. The overarching theme was: Well-being as an essential phenomenon in working life in all dimensions of existing. CONCLUSION The theory has potential to contribute more to research regarding workers' health and well-being in working life.
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Affiliation(s)
- Åsa Hedlund
- Department of Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden
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Tiagi R. The impact of COVID-19 on relative health outcomes among healthcare workers in Canada. Healthc Manage Forum 2022; 35:349-355. [PMID: 35830293 PMCID: PMC9280119 DOI: 10.1177/08404704221112288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Although the COVID-19 pandemic increased stress and anxiety for most people, frontline workers have been particularly vulnerable. This article focuses on doctors and nurses and analyzes their perceived mental and life stress relative to allied healthcare workers. The study uses data from Statistics Canada's crowdsource initiative, analyzed within a multinomial logistic regression framework. Results point to increased stress among these workers. More specifically, results suggest that compared with pre-COVID-19, mental stress increased for doctors. In contrast, although mental stress did not increase for nurses, it remained poor, similar to that experienced pre-COVID-19.
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Affiliation(s)
- Raaj Tiagi
- Vancouver Community College, Vancouver, British Columbia, Canada
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Yuan D, Gazi MAI, Rahman MA, Dhar BK, Rahaman MA. Occupational stress and health risk of employees working in the garments sector of Bangladesh: An empirical study. Front Public Health 2022; 10:938248. [PMID: 36052007 PMCID: PMC9424988 DOI: 10.3389/fpubh.2022.938248] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Accepted: 07/18/2022] [Indexed: 01/25/2023] Open
Abstract
The present study was conducted with a view to examining the impact of occupational stress on employees' health risk. A total number of 350 garment employees (114 supervisors and 236 workers) were selected from 25 readymade garment factories of Dhaka, Narayanganj, and Gazipur industrial areas of Bangladesh on a random sampling basis. Occupational stress was estimated using an ERIs modified questionnaire; when self-reported health problems, work related information and socio-demographic information were obtained using face-to-face interviews using a pre-formed questionnaire. The survey was conducted for 2 years from January 2020 to December 2021 in Dhaka, Narayanganj and Gazipur districts where most of the garment industries in Bangladesh are located. All data were processed by using Statistical Package for Social Sciences (SPSS) and Decision Analyst Stats, Version 2.0. For analyzing data, suitable statistical tools such as two-way ANOVA, z-test, chi-square test, Pearson's product-moment correlation, stepwise multiple regressions, and descriptive statistics were used. The results of the present study reveal that the occupational stress had a significant positive influence on health risk. The findings also reveal that both the male and female employees perceived garment job highly stressful and risky for their health causes many dies and sickness, but it was higher among the female employees than their counterparts. Study suggests that due to major illness and diseases garments' employees are lacks of sound health that have to consider remedying for reducing occupational stress and health risk.
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Affiliation(s)
- Deli Yuan
- School of Management, Jiujiang University, Jiujiang, China
| | - Md. Abu Issa Gazi
- School of Management, Jiujiang University, Jiujiang, China,*Correspondence: Md. Abu Issa Gazi
| | | | - Bablu Kumar Dhar
- Mahidol University International College, Mahidol University, Nakhon Pathom, Thailand
| | - Md. Atikur Rahaman
- School of Management, Jiujiang University, Jiujiang, China,Md. Atikur Rahaman
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Khoo E, Saeed SG, Chiu HY, Quach V, Janal M, Stewart K. Stress and anxiety in orthodontic residents during the coronavirus disease 2019 pandemic. Am J Orthod Dentofacial Orthop 2022; 162:e35-e43. [PMID: 35589506 PMCID: PMC9058028 DOI: 10.1016/j.ajodo.2022.04.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2021] [Revised: 04/04/2022] [Accepted: 04/04/2022] [Indexed: 12/14/2022]
Abstract
INTRODUCTION The coronavirus disease 2019 pandemic has had far-reaching effects on health care providers and health professional students; however, little is known about the factors related to stress and anxiety levels, specifically among orthodontic residents during this time. METHODS A 2-part questionnaire, which included modified stress and anxiety inventories, was disseminated electronically to U.S. orthodontic residents between June and July 2020. Descriptive and comparative statistics were used to analyze the data. RESULTS Overall, 261 participants responded (56% female), representing a response rate of 26.8%. Significant gender differences were found in 18 stress items, with female respondents expressing more stress than their male counterparts. Only 1 stress item (ie, fear of being unable to catch up if behind) varied as a function of the difference on the basis of respondents' stage in the program. First-year residents reported more stress in relation to this than more senior residents. Responses to all anxiety items but 1 item varied by gender, with females reporting higher scores. Residents in the middle stages of their program responded with higher anxiety scores with significant differences on 3 anxiety items. CONCLUSIONS Although financial responsibilities and travel plans were the most stressful and anxiety-inducing items for orthodontic residents during the early aspect of the coronavirus disease 2019 pandemic, multiple items contributed to their stress and anxiety. In addition, both gender and stage of progress in a residency program impacted the level of stress and anxiety reported by respondents.
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Affiliation(s)
- Edmund Khoo
- Department of Orthodontics and Oral Facial Genetics, Indiana University School of Dentistry, Indianapolis, Ind,Eastman Institute of Oral Health, University of Rochester, Rochester, NY,Address correspondence to: Edmund Khoo, 301 E 22nd St, Apt 9M, New York, NY 10010
| | - Sophia G. Saeed
- School of Dental Medicine, University of Connecticut, Farmington, Conn
| | - Hong-Yan Chiu
- Department of Orthodontics, College of Dentistry, New York University, New York, NY
| | - Vicky Quach
- College of Dentistry, New York University, New York, NY
| | - Malvin Janal
- Department of Epidemiology and Health Promotion, College of Dentistry, New York University, New York, NY
| | - Kelton Stewart
- Department of Orthodontics and Oral Facial Genetics, Indiana University School of Dentistry, Indianapolis, Ind
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Cross-sectional study to evaluate burnout among pharmacy staff in Saudi Arabia during COVID-19 pandemic. Saudi Pharm J 2022; 30:440-453. [PMID: 35125906 PMCID: PMC8801617 DOI: 10.1016/j.jsps.2022.01.017] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Accepted: 01/21/2022] [Indexed: 12/21/2022] Open
Abstract
Background Methods Results Conclusions
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10
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Lee SJ, Jung SI, Kim MG, Park E, Kim AR, Kim CH, Hwang JM, Jung TD. The Influencing Factors of Gender Differences on Mental Burdens in Young Physiotherapists and Occupational Therapist. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18062858. [PMID: 33799650 PMCID: PMC8000823 DOI: 10.3390/ijerph18062858] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Revised: 03/04/2021] [Accepted: 03/08/2021] [Indexed: 12/29/2022]
Abstract
Background: Gender differences in personal discrimination experience, burnout, and job stress among physiotherapists and occupational therapists are considered as associated factors of job loss, poor job quality, high turnover, and economic losses due to the outflow of medical personnel. Thus, the purpose of this study is to analyze the level of burnout, personal discrimination experience, and job stress according to gender differences for young physiotherapists and occupational therapists. Furthermore, we used regression analyses to determine the contribution of gender differences in personal discrimination experience and job stress to self-reported burnout, considering gender and two age groups (younger than 30 years old vs. 30 years old and over). Methods: A total of 325 professional physiotherapists and occupational therapists were part of this study (n = 325; male n = 131; female n = 194. Age: 20–29 years old, n = 178; ≥30 years old, n = 147). Data were collected using a questionnaire including our three study variables (scales: the Maslach Burnout Inventory (MBI), a modified version of the gender section of the Medical School Graduation Questionnaire from the Association of American Medical Colleges; and the Korean version of the Job Content Questionnaire (JCQ)). Further, data on socio-demographic factors, job-related factors, health-related factors, and subjective job satisfaction were also collected. Results: There were significant positive correlations between job stress and gender differences in personal discrimination experience and job stress and burnout in women 30 years old and over. Personal experience of gender discrimination (β = 0.179, p = 0.015) and job stress (β = 0.162, p = 0.028) explained a significant 42.4% of the variance in burnout in the case of younger female participants (20–29 years old). However, this model did not explain a significant amount of the variance in burnout in the case of younger male participants (R2 = 0.156, p = 0.072). Regarding participants aged 30 years and over, our results showed that only job stress (but no personal experience of gender discrimination) was a relevant predictor for both males (β = 0.471, p < 0.001) and females (β = 0.373, p = 0.001). Conclusion: In this study, female therapists showed higher levels of burnout than male therapists. In particular, personal discrimination experience and job stress significantly contributed to burnout in younger female therapists while job stress was the most relevant predictor variable of burnout for both males (under 30 years old and 30 years old and over) and females in their thirties and beyond. For young female physiotherapists and occupational therapists, safe working environments should be created to reduce work-related mental burdens. It is also necessary to consider policies and regulations that can prevent job stress for therapists and measures that can positively resolve the unavoidable job stress.
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Affiliation(s)
- Su-Jin Lee
- Graduate School of Public Health, Kyungpook National University, Daegu 41944, Korea; (S.-J.L.); (M.-G.K.)
| | - Sang In Jung
- Unit of Rehabilitation Therapy, Kyungpook National University Chilgok Hospital, Daegu 41404, Korea;
| | - Myung-Gwan Kim
- Graduate School of Public Health, Kyungpook National University, Daegu 41944, Korea; (S.-J.L.); (M.-G.K.)
- Clinical Omics Institute, School of Medicine, Hakjungdong Campus of Kyungpook National University, Daegu 41404, Korea
| | - Eunhee Park
- Department of Rehabilitation Medicine, Kyungpook National University Hospital, Daegu 41944, Korea; (E.P.); (A.-R.K.); (C.H.K.)
- Department of Rehabilitation Medicine, School of Medicine, Kyungpook National University, Jung-gu, Daegu 41944, Korea
| | - Ae-Ryoung Kim
- Department of Rehabilitation Medicine, Kyungpook National University Hospital, Daegu 41944, Korea; (E.P.); (A.-R.K.); (C.H.K.)
- Department of Rehabilitation Medicine, School of Medicine, Kyungpook National University, Jung-gu, Daegu 41944, Korea
| | - Chul Hyun Kim
- Department of Rehabilitation Medicine, Kyungpook National University Hospital, Daegu 41944, Korea; (E.P.); (A.-R.K.); (C.H.K.)
- Department of Rehabilitation Medicine, School of Medicine, Kyungpook National University, Jung-gu, Daegu 41944, Korea
| | - Jong-Moon Hwang
- Department of Rehabilitation Medicine, Kyungpook National University Hospital, Daegu 41944, Korea; (E.P.); (A.-R.K.); (C.H.K.)
- Department of Rehabilitation Medicine, School of Medicine, Kyungpook National University, Jung-gu, Daegu 41944, Korea
- Correspondence: (J.-M.H.); (T.-D.J.); Tel.: +82-10-4678-5400 (J.-M.H.); +82-10-8709-7161 (T.-D.J.); Fax: +82-53-423-0389 (J.-M.H. & T.-D.J.)
| | - Tae-Du Jung
- Department of Rehabilitation Medicine, Kyungpook National University Hospital, Daegu 41944, Korea; (E.P.); (A.-R.K.); (C.H.K.)
- Department of Rehabilitation Medicine, School of Medicine, Kyungpook National University, Jung-gu, Daegu 41944, Korea
- Correspondence: (J.-M.H.); (T.-D.J.); Tel.: +82-10-4678-5400 (J.-M.H.); +82-10-8709-7161 (T.-D.J.); Fax: +82-53-423-0389 (J.-M.H. & T.-D.J.)
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Rubin B, Goldfarb R, Satele D, Graham L. Burnout and distress among nurses in a cardiovascular centre of a quaternary hospital network: a cross-sectional survey. CMAJ Open 2021; 9:E19-E28. [PMID: 33436452 PMCID: PMC7843080 DOI: 10.9778/cmajo.20200058] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
Abstract
BACKGROUND Burnout and distress have a negative impact on nurses and the treatment they provide. Our aim was to measure the prevalence of burnout and distress among nurses in a cardiovascular centre at 2 quaternary referral hospitals in Canada, and compare these outcomes to those for nurses at academic health science centres (AHSCs) in the United States. METHODS We conducted a survey of nurses practising in a cardiovascular centre at 2 quaternary referral hospitals in Toronto, Ontario, between Nov. 27, 2018, and Jan. 31, 2019. The survey tool included the Well-Being Index (WBI), which measures fatigue, depression, burnout, anxiety or stress, mental and physical quality of life, work-life integration, meaning in work and distress; a score of 2 or higher on the WBI indicated high distress. We also evaluated nurses' perception of the adequacy of staffing levels and of fair treatment in the workplace, and satisfaction with the electronic health record. We carried out standard univariate statistical comparisons using the χ2, Fisher exact or Kruskal-Wallis test as appropriate to perform univariate comparisons in the sample of respondents. We assessed the relation between a WBI score of 2 or higher and demographic characteristics. We compared univariate associations among WBI data for nurses at AHSCs in the US who completed the WBI to responses from our participants. RESULTS The response rate to the survey was 49.1% (242/493). Of the 242 respondents, 188 (77.7%) reported burnout in the previous month; 189 (78.1%) had a WBI score of 2 or higher, and 132 (54.5%) had a score of 4 or higher (indicative of severe distress). Ordinal multivariable analysis showed that lower WBI scores were associated with satisfaction with staffing levels (odds ratio [OR] 0.33, 95% confidence interval [CI] 0.16-0.69) and the perception of fair treatment in the workplace (OR 0.41, 95% CI 0.23-0.74). Higher proportions of our respondents than nurses at AHSCs in the US reported burnout (77.7% v. 60.5%, p < 0.001) and had a WBI score of 2 or higher (78.1% v. 57.0%) or 4 or higher (54.5% v. 32.0%) (both p < 0.001). INTERPRETATION Although levels of burnout and distress were high among nurses, their perceptions of adequate staffing and fair treatment were associated with lower distress. Addressing inadequate staffing and unfair treatment may decrease burnout and other dimensions of distress among nurses, and improve their work experience and patient outcomes.
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Affiliation(s)
- Barry Rubin
- Division of Vascular Surgery (Rubin), Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network; Goldfarb Intelligence Marketing (Goldfarb), Toronto, Ont.; Division of Biomedical Statistics and Informatics (Satele), Mayo Foundation for Medical Education and Research, Rochester, Minn.; Office of Professional Practice & Policy (Graham), Toronto General Hospital, Toronto, Ont.
| | - Rebecca Goldfarb
- Division of Vascular Surgery (Rubin), Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network; Goldfarb Intelligence Marketing (Goldfarb), Toronto, Ont.; Division of Biomedical Statistics and Informatics (Satele), Mayo Foundation for Medical Education and Research, Rochester, Minn.; Office of Professional Practice & Policy (Graham), Toronto General Hospital, Toronto, Ont
| | - Daniel Satele
- Division of Vascular Surgery (Rubin), Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network; Goldfarb Intelligence Marketing (Goldfarb), Toronto, Ont.; Division of Biomedical Statistics and Informatics (Satele), Mayo Foundation for Medical Education and Research, Rochester, Minn.; Office of Professional Practice & Policy (Graham), Toronto General Hospital, Toronto, Ont
| | - Leanna Graham
- Division of Vascular Surgery (Rubin), Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network; Goldfarb Intelligence Marketing (Goldfarb), Toronto, Ont.; Division of Biomedical Statistics and Informatics (Satele), Mayo Foundation for Medical Education and Research, Rochester, Minn.; Office of Professional Practice & Policy (Graham), Toronto General Hospital, Toronto, Ont
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Rubin B, Goldfarb R, Satele D, Graham L. Burnout and distress among physicians in a cardiovascular centre of a quaternary hospital network: a cross-sectional survey. CMAJ Open 2021; 9:E10-E18. [PMID: 33436451 PMCID: PMC7843077 DOI: 10.9778/cmajo.20200057] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Burnout and distress have a negative impact on physicians and the treatment they provide. Our aim was to measure the prevalence of burnout and distress among physicians in a cardiovascular centre of a quaternary hospital network in Canada, and compare these outcomes to those for physicians at academic health science centres (AHSCs) in the United States. METHODS We conducted a survey of physicians practising in a cardiovascular centre at 2 quaternary referral hospitals in Toronto, Ontario, between Nov. 27, 2018, and Jan. 31, 2019. The survey tool included the Well-Being Index (WBI), which measures fatigue, depression, burnout, anxiety or stress, mental and physical quality of life, work-life integration, meaning in work and distress; a score of 3 or higher indicated high distress. We also evaluated physicians' perception of the adequacy of staffing levels and of fair treatment in the workplace, and satisfaction with the electronic health record. We carried out standard univariate statistical comparisons using the χ2, Fisher exact or Kruskal-Wallis test as appropriate to perform univariate comparisons in the sample of respondents. We assessed the relation between a WBI score of 3 or higher and demographic characteristics. We compared univariate associations among WBI data for physicians at AHSCs in the US who completed the WBI to responses from our participants. RESULTS The response rate to the survey was 84.1% (127/151). Of the 127 respondents, 83 (65.4%) reported burnout in the previous month, and 68 (53.5%) reported emotional problems. Sixty-nine respondents (54.3%) had a WBI score of 3 or higher. Respondents were more likely to have a WBI score of 3 or higher versus a score less than 3 if they perceived insufficient staffing levels (52/69 [75%] v. 26/58 [45%], p = 0.02) or unfair treatment (23/69 [33%] v. 8/58 [14%], p = 0.03), or were anesthesiologists (26/35 [74%] v. 43/92 [47%] for other specialists, p = 0.005). Compared to 21 594 physicians in practice at AHSCs in the US, our respondents had a higher mean WBI score (2.4 v. 1.8, p = 0.004) and reported a higher prevalence of burnout (65.4% v. 56.6%, p = 0.048). INTERPRETATION Physicians in this study had high levels of burnout and distress, driven by the perception of inadequate staffing levels and being treated unfairly in the workplace. Addressing these institutional factors may improve physicians' work experience and patient outcomes.
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Affiliation(s)
- Barry Rubin
- Division of Vascular Surgery (Rubin), Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network; Goldfarb Intelligence Marketing (Goldfarb), Toronto, Ont.; Division of Biomedical Statistics and Informatics (Satele), Mayo Foundation for Medical Education and Research, Rochester, Minn.; Office of Professional Practice & Policy (Graham), Toronto General Hospital, Toronto, Ont.
| | - Rebecca Goldfarb
- Division of Vascular Surgery (Rubin), Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network; Goldfarb Intelligence Marketing (Goldfarb), Toronto, Ont.; Division of Biomedical Statistics and Informatics (Satele), Mayo Foundation for Medical Education and Research, Rochester, Minn.; Office of Professional Practice & Policy (Graham), Toronto General Hospital, Toronto, Ont
| | - Daniel Satele
- Division of Vascular Surgery (Rubin), Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network; Goldfarb Intelligence Marketing (Goldfarb), Toronto, Ont.; Division of Biomedical Statistics and Informatics (Satele), Mayo Foundation for Medical Education and Research, Rochester, Minn.; Office of Professional Practice & Policy (Graham), Toronto General Hospital, Toronto, Ont
| | - Leanna Graham
- Division of Vascular Surgery (Rubin), Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network; Goldfarb Intelligence Marketing (Goldfarb), Toronto, Ont.; Division of Biomedical Statistics and Informatics (Satele), Mayo Foundation for Medical Education and Research, Rochester, Minn.; Office of Professional Practice & Policy (Graham), Toronto General Hospital, Toronto, Ont
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