Burnout in the emergency department: Randomized controlled trial of an attention-based training program

Dunne, Pádraic J.; Lynch, Julie; Prihodová, Lucia; O'Leary, Caoimhe; Ghoreyshi, Atiyeh; Basdeo, Sharee A.; Cox, Dónal J.; Breen, Rachel; Sheikhi, Ali; Carroll, Áine; Walsh, Cathal; McMahon, Geraldine; White, Barry

doi:10.1016/j.joim.2019.03.009

Cited by 53 publications

(49 citation statements)

References 30 publications

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“…47 Studies of resilience training in EM have shown mixed results. [48][49] While personal resilience is important to prevent burnout and PTSD, a recent systematic review and metaanalysis of programs to reduce burnout in physicians suggests that focusing on adaptations to the work environment are more effective than interventions that target individual providers. 50 Noben et al found that an intervention to improve mental health among hospital staff was cost-effective.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Post-Traumatic Stress Disorder in Emergency Physicians in the United States

Delucia

Bitter

Fitzgerald

et al. 2019

WestJEM

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There is increasing concern about the effects of occupational stressors on the wellness of healthcare providers. Given high patient acuity, circadian rhythm disruption, and other workplace stressors, emergency physicians (EP) would be predicted to have high rates of occupational stress. We conducted this study to assess the prevalence of post-traumatic stress disorder (PTSD) in attending EPs practicing in the United States. Methods: A link to an electronic questionnaire was distributed through the emergency medicinecentric publication Emergency Medicine News. We compared the prevalence of PTSD in EPs to the general population using a chi-square goodness of fit test, and performed logistic regression to assess for significance of risk factors. Results: We received survey responses from 526 persons. In this study, EPs had a PTSD point prevalence of 15.8%. Being a victim of a prior trauma or abuse is the primary predictor of PTSD (odds ratio [OR] [95% confidence interval {CI}, 2.16 (1.21-3.86)], p = 0.009) and PTSD severity score (OR [95% CI, 1.16 (1.07-1.26)], p <0.001). Conclusion: Emergency physicians have a substantial burden of PTSD, potentially jeopardizing their own health and career longevity. Future studies should focus on identifying subgroups at higher risk for PTSD and modifiable risk factors. Prevention and treatment strategies should be developed and tested in healthcare providers. [

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Section: Discussionmentioning

confidence: 99%

Prevalence of Post-Traumatic Stress Disorder in Emergency Physicians in the United States

Delucia

Bitter

Fitzgerald

et al. 2019

WestJEM

View full text Add to dashboard Cite

show abstract

“…32 In line with the findings from that study, a study of an emergency department's multidisciplinary team from a single center demonstrated that two 20-minute sessions per week of focusing one's attention on repetition of a non-English phrase or word, such as maranatha, significantly decreased the levels of emotional exhaustion, which is 1 core dimension of burnout. 33 From this perspective, less than 1% of the week invested into an individual's well-being significantly alleviated burnout! e5 Equally important, increased resilience is widely recognized as an effective strategy to bounce back from workplace challenges.…”

Section: Individual Strategiesmentioning

confidence: 99%

Battling Burnout at the Frontlines of Health Care Amid COVID-19

Howell

2021

AACN Advanced Critical Care

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Nursing is a physically and emotionally demanding profession. Grueling job roles and challenging work environments, specifically in acute or critical care settings, place health care professionals at risk of burnout. Burnout in health care professionals results from a chronic negative work experience, leading to job dissatisfaction and, ultimately, poor patient outcomes. Symptoms and prevalence of burnout can be alleviated by implementing individual-focused strategies and minor modifications in work environments, job demands, and responsibilities. Currently, risk for burnout is increasing as COVID-19 challenges health care systems in which advanced practice nurses and other health care professionals struggle continuously to deliver high-quality patient care. In this article, the circumstances surrounding COVID-19 are considered and an overview is provided of burnout phenomenon, its causal factors, and its consequences. With consideration of current evidence in literature, I discuss some suggested strategies to improve resilience and facilitate well-being among health care professionals at individual and organizational levels.

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“…Timely support during stressful situations can prevent further worsening of burnout 23 , 27 ; however, burnout interventions during pandemics pose unique challenges for implementation. The objectives of this single‐arm pilot study were to examine whether training emergency clinicians in TM during the COVID‐19 pandemic was feasible and acceptable, and to explore whether TM had an impact on clinician burnout and psychological well‐being at 3 months after initial training.…”

Section: Introductionmentioning

confidence: 99%

Heal the Healers: A pilot study evaluating the feasibility, acceptability, and exploratory efficacy of a Transcendental Meditation intervention for emergency clinicians during the coronavirus disease 2019 pandemic

et al. 2021

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Objective Emergency clinicians face elevated rates of burnout that result in poor outcomes for clinicians, patients, and health systems. The objective of this single‐arm pilot study was to evaluate the feasibility of a Transcendental Meditation (TM) intervention for emergency clinicians during the coronavirus disease 2019 (COVID‐19) pandemic and to explore the potential effectiveness in improving burnout, sleep, and psychological health. Methods Emergency clinicians (physicians, nurses, and physician‐assistants) from 2 urban hospitals were recruited to participate in TM instruction (8 individual or group in‐person and remote sessions) for 3 months. Session attendance was the primary feasibility outcome (prespecified as attending 6/8 sessions), and burnout was the primary clinical outcome. Participant‐reported measures of feasibility and validated measures of burnout, depression, anxiety, sleep disturbance, and stress were collected at baseline and the 1‐month and 3‐month follow‐ups. Descriptive statistics and linear mixed‐effects models were used. Results Of the 14 physicians (46%), 7 nurses (22%), and 10 physician‐assistants (32%) who participated, 61% were female (n = 19/32). TM training and at‐home meditation practice was feasible for clinicians as 90.6% (n = 29/32) attended 6/8 training sessions and 80.6% self‐reported meditating at least once a day on average. Participants demonstrated significant reductions in burnout (P < .05; effect sizes, Cohen's d = 0.43–0.45) and in symptoms of depression, anxiety, stress, and sleep disturbance (P values < .001; Cohen's d = 0.70–0.87). Conclusion TM training was feasible for emergency clinicians during the COVID‐19 pandemic and led to significant reductions in burnout and psychological symptoms. TM is a safe and effective meditation tool to improve clinicians’ well‐being.

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Burnout in the emergency department: Randomized controlled trial of an attention-based training program

Cited by 53 publications

References 30 publications

Prevalence of Post-Traumatic Stress Disorder in Emergency Physicians in the United States

Prevalence of Post-Traumatic Stress Disorder in Emergency Physicians in the United States

Battling Burnout at the Frontlines of Health Care Amid COVID-19

Heal the Healers: A pilot study evaluating the feasibility, acceptability, and exploratory efficacy of a Transcendental Meditation intervention for emergency clinicians during the coronavirus disease 2019 pandemic

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