Prevalence of job strain among emergency physicians

Allain, Milena; Douillet, Delphine; Longo, Carlos Alberto; Jenvrin, J.; Batard, Éric

doi:10.1097/mej.0000000000000819

Cited by 5 publications

(8 citation statements)

References 15 publications

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“…Burnout is a problem that affects many healthcare providers (HPs) and has an important social and personal cost [ 9 ]. Several studies show that it is common in doctors in training and that it is more evident among residents in surgical or emergency specialties [ 10 , 11 ]. Early burnout seems to be a risk factor for developing the syndrome later in a professional career, [ 12 ] and emergency medicine residents are at particular risk [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Burnout in emergency medicine professionals after 2 years of the COVID-19 pandemic: a threat to the healthcare system?

Petrino

Riesgo

Yilmaz³

2022

European Journal of Emergency Medicine

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Background Burnout is a common problem among healthcare professionals (HCPs), in particular young doctors and nurses working in emergency medical services. The coronavirus disease 2019 (COVID-19) pandemic has generated a substantial increase in the workload of those working in front-line services, and there is evidence of physical and mental distress among professionals that may have caused an increase in burnout. Objective The objective of the study was to evaluate the level of burnout in the different professionals of emergency medical services. Design and participants In January and February 2022, we conducted an online survey based on the Abbreviate Maslach inventory with the addition of three questions focused on possible modifying factors. The survey was disseminated to HCP via the list of European Society for Emergency Medicine contacts. Outcome measures The analysis was based on two of the three elements of the Maslach burnout concept, ‘depersonalisation’, ‘emotional exhaustion’, and ‘personal accomplishment’. Overall burnout was defined when at least one of the two elements ‘depersonalisation’ or ‘emotional exhaustion’ reached the level of high burnout. Results The number of responders was 1925, 84% of which were physicians, 12% nurses, and 2% paramedics. Burnout was present in 62% of all responders. A high burnout level was reported for depersonalisation, emotional exhaustion, and personal accomplishment in 47%, 46%, and 48% of responders, respectively. Females reported a higher proportion of burnout compared with males 64% vs. 59%, difference −6% [95% confidence interval CI, −8 to −1.9], and nurses higher than physicians, 73% vs. 60%, difference −13 (95% CI, −18.8 to −6). Less experienced professionals reported higher levels of burnout: those with less than 5 years of experience the burnout level was 74% compared with the group with more than 10 years, 60%, difference −26% (95% CI, −32 to −19.5). Reported frequent understaffing situations were associated with a higher risk of burnout: 70% vs. 37%, difference −33% (95% CI, −41 to −25). Burnout was associated with a higher risk of desire to change the workplace: 87% vs. 40%, difference −47% (95% CI, −52 to −42). Survey responders reported having access to support programmes in 41% of cases. Conclusion In this study, there is a high reported level of burnout among emergency HCPs. Several risk factors were identified such as being understaffed, female, or having less experience. HCPs with burnout thought more frequently about leaving the workplace, posing a threat to healthcare systems.

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Section: Introductionmentioning

confidence: 99%

Burnout in emergency medicine professionals after 2 years of the COVID-19 pandemic: a threat to the healthcare system?

Petrino

Riesgo

Yilmaz³

2022

European Journal of Emergency Medicine

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“…The set of positive and negative stressors is different in each research study or healthcare facility evaluated ( 3 , 4 , 17 , 18 ). However, it is necessary to identify, as it creates the conditions for successful interventions in the work environment for better occupational health of the staff.…”

Section: Discussionmentioning

confidence: 99%

“…For working people to be physically and mentally healthy and to feel satisfied with their work, it is important to take care not only of occupational safety and health but also of wellbeing at work. The quality of work–life is a major issue for the sustainability of career tracks among physicians ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

“…There are some scientific publications examining job strain and burnout among physicians of different specialties. For example, among French emergency physicians, the job strain was 17–32% ( 4 ), the job strain among physicians in Germany of the specialty of psychiatry was 58.5% ( 6 ), and the job strain in primary care was 30% of GPs in the United Kingdom ( 7 ). In Turkey, ~24.5% of family physicians feel burnout ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of psychosocial work factors and stress and their associations with the physical and mental health of hospital physicians: A cross-sectional study in Lithuania

Žutautienė

Kalinienė

Ustinavičienė

et al. 2023

Front. Public Health

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BackgroundA negative psychosocial work environment causes stress to the physicians of healthcare institutions, which affect their physical and mental health. This study aimed to evaluate the prevalence of psychosocial work factors and stress and their associations with the physical and mental health of hospital physicians in the Kaunas region of Lithuania.Materials and methodsA cross-sectional study was performed. It was based on a questionnaire survey, which contained the Job Content Questionnaire (JCQ), three scales of Copenhagen Psychosocial Questionnaire (COPSOQ), and Medical Outcomes Study Short Form-36 (SF-36) health survey. The study was carried out in 2018. A total of 647 physicians completed the survey. Multivariate logistic regression models were performed by using the stepwise method. In the models potentially, confounding factors such as age and gender were controlled. In our study, the dependent variables were stress dimensions, and the independent variables were psychosocial work factors.ResultsThe analysis showed that a quarter of surveyed physicians were classified as having low job skill discretion and decision-making authority, and the support of supervisors was weak. Approximately one-third of the respondents had low decision latitude, low co-worker support, and high job demands, and felt insecure at work. Job insecurity and gender were found to be the strongest independent variables for general and cognitive stress. The support of the supervisor was found as a significant factor in the case of somatic stress. Better evaluation of mental health was related to job skill discretion and co-workers' and supervisors' support, but it did not affect physical health.ConclusionThe confirmed associations suggest that looking at work organization factors, reducing exposure to stress, and increasing perception of the psychosocial environment can be linked to better subjective health evaluation.

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“…That it has caused a prolonged increase in workload and stress is hardly surprising [2], but in Europe, to date, there has been little action taken to improve the situation, either at the national or local level. Allain et al [3] pointed out the high prevalence of job strain among emergency physicians and Cottey et al [4], in a recent survey, identified a clear need for well-being interventions for emergency medicine (EM) physicians. Yet, the chronic problems faced by EM specialists, such as understaffing, limited resources, overcrowding and lack of recognition of the speciality, have been greatly exacerbated by the pandemic [5].…”

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confidence: 99%

Burnout syndrome in emergency medicine: it’s time to take action

Khoury

2022

European Journal of Emergency Medicine

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Prevalence of job strain among emergency physicians

Cited by 5 publications

References 15 publications

Burnout in emergency medicine professionals after 2 years of the COVID-19 pandemic: a threat to the healthcare system?

Burnout in emergency medicine professionals after 2 years of the COVID-19 pandemic: a threat to the healthcare system?

Prevalence of psychosocial work factors and stress and their associations with the physical and mental health of hospital physicians: A cross-sectional study in Lithuania

Burnout syndrome in emergency medicine: it’s time to take action

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