Abstract
Introduction
Burnout syndrome (BOS) affects up to 50% of healthcare practitioners. Limited data
exist on BOS in paramedics/firstresponders, or others whose practice involves trauma.
We sought to assess the impact of BOS in practitioners of rural healthcare systems
involved in the provision of trauma care within West Virginia.
Methods: A 3-part survey was distributed at two regional trauma conferences in 2018.
The survey consisted of 1) Demographic/occupational items, 2) The Mini Z Burnout Survey,
and 3) elements measuring the impact, and supportive infrastructure to prevent and/or
manage BOS.
Results: Response rate was 74.7% (127/170 attendees). Respondents included emergency
medical services (EMS) (44.9%), nurses (37.8%), and physicians (9.4%). Overall, 31%
reported BOS - physicians (45.5%), EMS (35.1%), and nurses (25.0%). Most agreed that
BOS impacts the health of medical professionals (99.2%) and presents a barrier to
patient care (97.6%). Those with BOS reported higher stress (p < 0.001), chaos at
work (p < 0.001), and excessive documentation time at home (p < 0.001). Fewer respondents
with BOS reported job satisfaction (p < 0.001), control over workload (p = 0.001),
sufficient time for documentation (p ≤0.001), value alignment with institutional leadership
(p = 0.001), and team efficiency (p = 0.004). Unique factors for BOS in EMS included:
lack of control over workload (p = 0.032), poor value alignment with employer (p = 0.002),
lack of efficient teamwork (p = 0.006), and excessive time documenting at home (p = 0.003).
Conclusions
Burnout syndrome impacts rural healthcare practitioners, regardless of discipline.
These data highlight a need to address the entire team and implement occupation-specific
approaches for prevention and treatment. Further prospective study of these findings
is warranted.
Keywords
To read this article in full you will need to make a payment
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D; use, select 'Corporate R&D; Professionals'
Subscribe:
Subscribe to The American Journal of Emergency MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- An official critical care societies collaborative statement: burnout syndrome in critical care health care professionals: a call for action.Am J of Crit Care. 2016; 25: 368-376https://doi.org/10.4037/ajcc2016133
- Burnout syndrome in critical care nursing staff.Am J Respir Crit Care Med. 2007; 175: 698-704https://doi.org/10.1164/rccm.200606-806OC
- The presence of resilience is associated with a healthier psychological profile in intensive care unit (ICU) nurses: results of a national survey.Int J Nurs Stud. 2012; 49: 292-299https://doi.org/10.1016/j.ijnurstu.2011.09.015
- High level of burnout in intensivists: prevalence and associated factors.Am J Respir Crit Care Med. 2007; 175: 686-692https://doi.org/10.1164/rccm.200608-1184OC
- Prevalence of burnout in pediatric intensivists: an observational comparison with general pediatricians.Pediatr Crit Care Med. 2014; 15: e347-e353https://doi.org/10.1097/PCC.0000000000000218
- Mini Z burnout survey.in: Stepsforward. American Medical Association, 2019
- Worklife and wellness in academic general internal medicine: results from a national survey.J Gen Intern Med. 2016; 31 (Sep. (Epub 2016 May 2)): 1004-1010https://doi.org/10.1007/s11606-016-3720-4
- The truth about burnout.Josset-Bass Publishers, San Francisco, CA1997
- STRESI+ Group: burnout in ICU caregivers: a multicenter study of factors associated to centers.Am J Respir Crit Care Med. 2011; 184: 1140-1146https://doi.org/10.1164/rccm.201101-0068OC
- Trauma leadership strategies to prevent and reduce burnout in urban academic trauma centers.J Trauma Nurs. 2017; 24: 345-350https://doi.org/10.1097/JTN.0000000000000324
- Burnout syndrome among critical care healthcare workers.Curr Opin Crit Care. 2007; 13: 482-488https://doi.org/10.1097/MCC.0b013e3282efd28a
- Burnout syndrome among critical care professionals: a cause for alarm.Critical Care Alert. 2013; 21: 65-68
- Burnout and medical errors among American surgeons.Ann Surg. 2010; 251: 995-1000https://doi.org/10.1097/SLA.0b013e3181bfdab3
- Nurse staffing, burnout, and health care-associated infection.Am J Infect Control. 2012; 40: 486-490https://doi.org/10.1016/j.ajic.2012.02.029
- Nurse burnout and quality of care: cross-national investigation in six countries.Res Nurs Health. 2010; 33: 288-298https://doi.org/10.1002/nur.20383
- Nurse burnout and patient satisfaction.Med Care. 2004; 42: 1157-1166https://doi.org/10.1097/01.mlr.0000109126.50398.5a
- Relationship between ICU nurses' moral distress with burnout and anticipated turnover.Nurs Ethics. 2015; 22: 64-76https://doi.org/10.1177/0969733014534874
- Retention of critical care staff.Crit Care Med. 1993; 21 (PMID:8365251): S394-S395
- An official critical care societies collaborative statement: burnout syndrome in critical care healthcare professionals: a call for action.Crit Care Med. 2016; 44: 1414-1421https://doi.org/10.1097/CCM.0000000000001885
- Burnout, compassion fatigue, compassion satisfaction, and secondary traumatic stress in trauma nurses.J Trauma Nurs. 2014; 21: 160-169https://doi.org/10.1097/JTN.0000000000000055
- Burnout, perceived stress, and job satisfaction among trauma nurses at a level I safety-net trauma center.J Trauma Nurs. 2018; 25: 4-13https://doi.org/10.1097/JTN.0000000000000335
- Exposing compassion fatigue and burnout syndrome in a trauma team: a qualitative study.J Trauma Nurs. 2016; 23: 3-10https://doi.org/10.1097/JTN.0000000000000172
- Association of burnout with workforce reducing factors among EMS professionals.Prehosp Emerg Care. 2018; 22: 229-236https://doi.org/10.1080/10903127.2017.1356411
Article Info
Publication History
Published online: July 09, 2019
Accepted:
July 7,
2019
Received in revised form:
July 5,
2019
Received:
April 22,
2019
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.
