Association between burnout and wellness culture among emergency medicine providers
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 cu...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Emergency Medicine
2021-03-01
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| Series: | Clinical and Experimental Emergency Medicine |
| Subjects: | |
| Online Access: | http://ceemjournal.org/upload/pdf/ceem-20-074.pdf |
| _version_ | 1797897162469670912 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Revathi Jyothindran |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-10T07:54:19Z |
| format | Article |
| id | doaj.art-8081d0a1b0f4403e9603ce8cbc048b4b |
| institution | Directory Open Access Journal |
| issn | 2383-4625 |
| language | English |
| last_indexed | 2024-04-10T07:54:19Z |
| publishDate | 2021-03-01 |
| publisher | The Korean Society of Emergency Medicine |
| record_format | Article |
| series | Clinical and Experimental Emergency Medicine |
| spelling | doaj.art-8081d0a1b0f4403e9603ce8cbc048b4b2023-02-23T07:00:11ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252021-03-0181556410.15441/ceem.20.074319Association between burnout and wellness culture among emergency medicine providersRevathi Jyothindran0James P d’Etienne1Kevin Marcum2Amy F Ho3Richard D Robinson4Aubre Tijerina5Clare Graca6Heidi C Knowles7Nestor R Zenarosa8Hao Wang Integrative Emergency Services, John Peter Smith Health Network, Dallas, TX, USA Integrative Emergency Services, John Peter Smith Health Network, Dallas, TX, USA Integrative Emergency Services, John Peter Smith Health Network, Dallas, TX, USA Integrative Emergency Services, John Peter Smith Health Network, Dallas, TX, USA Integrative Emergency Services, John Peter Smith Health Network, Dallas, TX, USA Integrative Emergency Services, John Peter Smith Health Network, Dallas, TX, USA Integrative Emergency Services, John Peter Smith Health Network, Dallas, TX, USA Integrative Emergency Services, John Peter Smith Health Network, Dallas, TX, USA Integrative Emergency Services, John Peter Smith Health Network, Dallas, TX, USAObjective 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.http://ceemjournal.org/upload/pdf/ceem-20-074.pdfemergency medicineburnout, psychologicalculture |
| spellingShingle | 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 Association between burnout and wellness culture among emergency medicine providers Clinical and Experimental Emergency Medicine emergency medicine burnout, psychological culture |
| title | Association between burnout and wellness culture among emergency medicine providers |
| title_full | Association between burnout and wellness culture among emergency medicine providers |
| title_fullStr | Association between burnout and wellness culture among emergency medicine providers |
| title_full_unstemmed | Association between burnout and wellness culture among emergency medicine providers |
| title_short | Association between burnout and wellness culture among emergency medicine providers |
| title_sort | association between burnout and wellness culture among emergency medicine providers |
| topic | emergency medicine burnout, psychological culture |
| url | http://ceemjournal.org/upload/pdf/ceem-20-074.pdf |
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