Association between burnout and wellness culture among emergency medicine providers

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

doi:10.15441/ceem.20.074

Cited by 3 publications

(1 citation statement)

References 37 publications

(71 reference statements)

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“…Our findings also suggest that infusion of contingent rewards into operating conditions may improve CS. These findings are consistent with research conducted with medical providers, wherein those who felt appreciated were less likely to experience emotional exhaustion (Jyothindran et al, 2021 ). Fostering a culture of appreciation through contingent rewards may both enhance CS and reduce the effects of BO on workplace and life satisfaction (Travis et al, 2015 ).…”

Section: Discussionsupporting

confidence: 89%

Investigating Correlates of Home Visitor Burnout, Compassion Fatigue, and Compassion Satisfaction in New York State: Implications for Home Visiting Workforce Development and Sustainability

Ross

Rahman

Huang

et al. 2023

Matern Child Health J

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Introduction Home visitor well-being is integral to delivering effective home visiting services and a core component of successful home visiting program implementation. While burnout (BO), compassion fatigue (CF), and compassion satisfaction (CS) have been studied extensively in physicians, nurses, and other health providers, little is known about the correlates of these phenomena in home visitors. Methods This cross-sectional study examined demographic characteristics (age, race, gender), health and personal experiences (anxiety, physical health, and adverse childhood experiences), and job-related factors (caseload, role certainty, job satisfaction) as correlates of BO, CF and CS among a sample of 75 home visitors employed across six MIECHV-funded agencies in New York State. Descriptive statistics were used to characterize our sample; linear regressions were employed to investigate correlates with outcomes of interest. Results Anxiety was significantly and positively associated with BO (β = 2.5, p < 0.01) and CF (β = 3.08, p < 0.01). Overall job satisfaction was significantly and inversely associated with BO only (β = -0.11, p < 0.001). Participants who identified as white were less likely to report higher levels of CS relative to non-white counterparts (β = -4.65, p = 0.014). Examinations of specific aspects of job satisfaction revealed significant associations between satisfaction with workplace operating conditions, nature of the work, and contingent rewards and select outcomes of interest. Discussion Prioritizing preventive measures that target correlates of BO and CF, such as higher levels of anxiety and lower levels of job satisfaction – particularly operating conditions – may improve workforce well-being, continuity of service delivery, and ultimately quality of care provided to clients.

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Section: Discussionsupporting

confidence: 89%

Investigating Correlates of Home Visitor Burnout, Compassion Fatigue, and Compassion Satisfaction in New York State: Implications for Home Visiting Workforce Development and Sustainability

Ross

Rahman

Huang

et al. 2023

Matern Child Health J

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Factors influencing emergency medicine worker shift satisfaction: A rapid assessment of wellness in the emergency department

Senken,

Welch,

Sarmiento

et al. 2024

JACEP Open

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ObjectivesIn emergency medicine (EM), the interplay of wellbeing and burnout impacts not only patient care, but the health, productivity, and job satisfaction of EM healthcare workers. The study objective was to use a rapid assessment tool to identify factors that impact EM worker satisfaction, or “wellness,” while on shift in the emergency department (ED) and the association with role and level of satisfaction.MethodsThis prospective descriptive study utilized a QR‐code‐based electronic survey instrument that included a 7‐point Likert shift satisfaction score. A voluntary response sampling was obtained from EM workers at five EDs. Respondents self‐reported role and work site. Association and logistic regression analysis were performed.ResultsOf 755 responses, 467 were dissatisfied (score ≤ 5) and 288 were satisfied (score ≥ 6) with their shifts. Physicians reported higher satisfaction on shift than nurses (OR 2.77, 95% CL 2.01–3.81, p < 0.01). Factors associated with dissatisfied responses included: admission or transfer process (OR 0.40, CL 0.21–0.77, p < 0.01), boarding patients (OR 0.13, CL 0.06–0.27, p < 0.01), tools to do my job (OR 0.65, CL 0.46–0.90, p = 0.01), and patient flow (OR 0.72, CL 0.53–0.98, p = 0.04). Factors linked to a satisfied response included: teaching/learning (OR 2.85, CL 1.86–4.37, p < 0.01) and team/coworker interaction (OR 8.92, CL 6.14–12.96, p < 0.01).ConclusionsSatisfaction on shift for EM physicians, nurses, and staff differ and are associated with multiple identifiable factors. Focused attention to work environment and operations could help mitigate on‐shift dissatisfaction. Endeavors aimed at cultivating and enhancing a supportive teaching and learning environment with an emphasis on team member and coworker interaction could positively impact and improve wellness.

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Not just a figurehead: improved resident perception of training following the addition of Administrative Chief Residents in a general surgery residency program

et al. 2022

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Association between burnout and wellness culture among emergency medicine providers

Cited by 3 publications

References 37 publications

Investigating Correlates of Home Visitor Burnout, Compassion Fatigue, and Compassion Satisfaction in New York State: Implications for Home Visiting Workforce Development and Sustainability

Investigating Correlates of Home Visitor Burnout, Compassion Fatigue, and Compassion Satisfaction in New York State: Implications for Home Visiting Workforce Development and Sustainability

Factors influencing emergency medicine worker shift satisfaction: A rapid assessment of wellness in the emergency department

Not just a figurehead: improved resident perception of training following the addition of Administrative Chief Residents in a general surgery residency program

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