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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 c...

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Autores principales: Jyothindran, Revathi, d’Etienne, James P, Marcum, Kevin, Ho, Amy F, Robinson, Richard D, Tijerina, Aubre, Graca, Clare, Knowles, Heidi C, Zenarosa, Nestor R, Wang, Hao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Emergency Medicine 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8041580/
https://www.ncbi.nlm.nih.gov/pubmed/33845524
http://dx.doi.org/10.15441/ceem.20.074
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author Jyothindran, Revathi
d’Etienne, James P
Marcum, Kevin
Ho, Amy F
Robinson, Richard D
Tijerina, Aubre
Graca, Clare
Knowles, Heidi C
Zenarosa, Nestor R
Wang, Hao
author_facet Jyothindran, Revathi
d’Etienne, James P
Marcum, Kevin
Ho, Amy F
Robinson, Richard D
Tijerina, Aubre
Graca, Clare
Knowles, Heidi C
Zenarosa, Nestor R
Wang, Hao
author_sort Jyothindran, Revathi
collection PubMed
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.
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spelling pubmed-80415802021-04-19 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 C Zenarosa, Nestor R Wang, Hao Clin Exp Emerg Med Original Article 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. The Korean Society of Emergency Medicine 2021-03-31 /pmc/articles/PMC8041580/ /pubmed/33845524 http://dx.doi.org/10.15441/ceem.20.074 Text en Copyright © 2021 The Korean Society of Emergency Medicine https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ).
spellingShingle Original Article
Jyothindran, Revathi
d’Etienne, James P
Marcum, Kevin
Ho, Amy F
Robinson, Richard D
Tijerina, Aubre
Graca, Clare
Knowles, Heidi C
Zenarosa, Nestor R
Wang, Hao
Association between burnout and wellness culture among emergency medicine providers
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 Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8041580/
https://www.ncbi.nlm.nih.gov/pubmed/33845524
http://dx.doi.org/10.15441/ceem.20.074
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