Burnout among Japanese emergency medicine physicians: A multicentric questionnaire study

Morikawa, Miki; Uechi, Takahiro; Hanaki, Nao; Goto, Yukari; Funakoshi, Hiraku; Takeuchi, Shinya; Mizobe, Michiko; Yajima, Tsukasa; Kondo, Yutaka; Tanaka, Hiroshi

doi:10.1002/ams2.848

Cited by 4 publications

(4 citation statements)

References 14 publications

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“…[8][9][10]25 Moreover, factors such as heavy workloads, frequent burnout episodes, and scant sleep among emergency physicians in Japan add to the challenge of securing adequate research time. 13 Consequently, there is a pressing need for profound reforms in the working environment.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, it is vital to establish additional support structures through the collaborative efforts of multiple stakeholders to secure funding from academic societies, corporations, and government‐based clinical research support systems 8‐10,25 . Moreover, factors such as heavy workloads, frequent burnout episodes, and scant sleep among emergency physicians in Japan add to the challenge of securing adequate research time 13 . Consequently, there is a pressing need for profound reforms in the working environment.…”

Section: Discussionmentioning

confidence: 99%

“…10 Moreover, reports indicate a high rate of burnout among Japan's emergency physicians, potentially hampering clinical research participation. 13 Recent findings underscore the struggles of Japanese university-affiliated physicians in setting aside adequate research time. 14 With the impending work style reform law set to be implemented on April 1, 2024, the challenges related to research time allocation may intensify.…”

Section: Backgrou N Dmentioning

confidence: 97%

“…Unlike other nations, Japan lacks the presence of Clinical Trial Groups that consistently produce multicenter clinical trial results 10 . Moreover, reports indicate a high rate of burnout among Japan's emergency physicians, potentially hampering clinical research participation 13 . Recent findings underscore the struggles of Japanese university–affiliated physicians in setting aside adequate research time 14 .…”

Section: Introductionmentioning

confidence: 99%

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Challenges hindering emergency physicians; involvement in multicenter collaborative studies in Japan: A nationwide survey analysis

Yasuda,

Saito,

Goto

et al. 2023

Acute Medicine & Surgery

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AimMulticenter collaborative research accelerates patient recruitment and strengthens evidence. Nevertheless, the factors influencing emergency and critical care physicians’ involvement in such research in Japan remain unclear.MethodsA nationwide web‐based survey conducted in early 2023 targeted emergency physicians working a minimum of 3 days per week in Japan. The survey descriptively assessed their backgrounds, work and research environments, experiences, and perceived impediments and motivators for multicenter research.ResultsOf the 387 respondents, 348 were included in the study, yielding a 5.1% response rate. Women comprised 11% of the participants; 33% worked in university hospitals, 65% served in both emergency departments and intensive care units, and 54% did shift work. Only 12% had designated research time during working hours, with a median of 1 hour per week (interquartile range 0–5 h), including time outside of work. While 73% had participated in multicenter research, 58% noted barriers to participation. The key obstacles were excessive data entry (72%), meeting time constraints (59%), ethical review at each facility (50%), and unique sample collection, such as bronchoalveolar lavage specimens or pathological tissues (51%). The major incentives were networking (70%), data sets reuse (65%), feedback on research results (63%), and recognition from academic societies (63%). Financial rewards were not highly prioritized (38%).ConclusionsWhile valuing clinical research, emergency physicians face barriers, especially data entry burden and limited research time. Networking and sharing research findings motivate them. These insights can guide strategies to enhance collaborative research in emergency and critical care in Japan.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Backgrou N Dmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Challenges hindering emergency physicians; involvement in multicenter collaborative studies in Japan: A nationwide survey analysis

Yasuda,

Saito,

Goto

et al. 2023

Acute Medicine & Surgery

Self Cite

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Working hours of full-time hospital physicians in Japan: a cross-sectional nationwide survey

Koike,

Wada,

Ohde

et al. 2024

BMC Public Health

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Background The culture of excessively long overtime work in Japan has not been recently addressed. New legislation on working hours, including a limitation on maximum overtime work for physicians, will be enforced in 2024. This study was performed to elucidate the working conditions of full-time hospital physicians and discuss various policy implications. Methods A facility survey and a physician survey regarding physicians’ working conditions were conducted in July 2022. The facility survey was sent to all hospitals in Japan, and the physician survey was sent to all physicians working at half of the hospitals. The physicians were asked to report their working hours from 11 to 17 July 2022. In addition to descriptive statistics, a multivariate logistic regression analysis on the factors that lead to long working hours was conducted. Results In total, 11,466 full-time hospital physicians were included in the analysis. Full-time hospital physicians worked 50.1 h per week. They spent 45.6 h (90.9%) at the main hospital and 4.6 h (9.1%) performing side work. They spent 43.8 h (87.5%) on clinical work and 6.3 h (12.5%) on activities outside clinical work, such as research, teaching, and other activities. Neurosurgeons worked the longest hours, followed by surgeons and emergency medicine physicians. In total, 20.4% of physicians were estimated to exceed the annual overtime limit of 960 h, and 3.9% were estimated to exceed the limit of 1860 h. A total of 13.3% and 2.0% exceeded this level only at their primary hospital, after excluding hours performing side work. Logistic regression analysis showed that male, younger age, working at a university hospital, working in clinical areas of practice with long working hours, and undergoing specialty training were associated with long working hours after controlling for other factors. Conclusions With the approaching application of overtime regulations to physicians, a certain reduction in working hours has been observed. However, many physicians still work longer hours than the designated upper limit of overtime. Work reform must be further promoted by streamlining work and task-shifting while securing the functions of university hospitals such as research, education, and supporting healthcare in communities.

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Exploring Burnout, Work Addiction, and Stress-Related Growth among Prehospital Emergency Personnel

Puticiu,

Grecu,

Rotaru

et al. 2024

Behavioral Sciences

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Burnout and stress-related issues are significant concerns among medical personnel involved in emergency situations due to the high demands of their work. A cross-sectional descriptive and comparative study was conducted on 266 prehospital emergency personnel across five Romanian counties, comprising 41 physicians, 74 nurses, and 151 paramedics. Data were collected through an online form, including demographic and professional characteristics, and five validated scales. This study revealed moderate (49.3%) to high (25.9%) burnout rates, with 35% showing signs of work addiction. Despite these challenges, the personnel demonstrated high levels of stress-related growth (61.2%), strong self-discipline (74.1%), and low to moderate responsive distress (100%). Physicians exhibited higher work addiction and job satisfaction, whereas paramedics faced higher burnout, self-discipline, and distress levels. Nurses showed lower burnout and self-discipline levels. These findings highlight the prevalence of burnout and work addiction among emergency medical personnel, while also underscoring the presence of protective factors like higher self-discipline, good level of stress-related growth, and low to moderate responsive distress. The distinct differences in experiences among physicians, nurses, and paramedics emphasize the need for tailored strategies to address these issues within each group.

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Burnout among Japanese emergency medicine physicians: A multicentric questionnaire study

Cited by 4 publications

References 14 publications

Challenges hindering emergency physicians; involvement in multicenter collaborative studies in Japan: A nationwide survey analysis

Challenges hindering emergency physicians; involvement in multicenter collaborative studies in Japan: A nationwide survey analysis

Working hours of full-time hospital physicians in Japan: a cross-sectional nationwide survey

Exploring Burnout, Work Addiction, and Stress-Related Growth among Prehospital Emergency Personnel

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