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Burnout syndrome in paediatricians working in paediatric emergency care settings. Prevalence and associated factors:
Arístides Rivas-García1, María Concepción Míguez-Navarro1, Clara Ferrero-García-Loygorri1
1Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain.
Insights
Burnout syndrome (BOS) affects over a third of pediatricians in emergency settings. Interventions targeting modifiable factors like social support and work environment can mitigate this widespread issue.
Area of Science:
- Pediatric Emergency Medicine
- Occupational Health
- Psychiatry
Background:
- Burnout syndrome (BOS) is a significant concern in healthcare.
- Paediatricians in emergency settings face unique stressors.
- Understanding BOS prevalence and risk factors is crucial for provider well-being.
Purpose of the Study:
- To determine the prevalence of burnout syndrome (BOS) in paediatricians.
- To identify individual and hospital-related risk factors associated with BOS.
- To explore potential modifiable factors for intervention.
Main Methods:
- A multicentre cross-sectional study surveyed paediatricians in emergency care.
- Data collected from September 2019 to January 2020.
- Multivariate and multilevel mixed-effects logistic regression models analyzed risk factors.
Main Results:
- The prevalence of BOS was 36.5%.
- Risk factors included lack of social support, work/life problems, less experience, and specific hospital structures (e.g., subdepartment status, 24/7 on-call specialists, high patient volume).
- Feeling acknowledged by colleagues and supervisors were protective factors.
Conclusions:
- Burnout syndrome is highly prevalent among paediatric emergency physicians.
- Modifiable factors related to social support and work environment present opportunities for intervention.
- Interventions can be implemented regardless of hospital or region.
Introduction:
The aim of our study was to describe the prevalence of burnout syndrome (BOS) in paediatricians working in paediatric emergency care settings and to analyse its association with potential risk factors.
Material And Methods:
Multicentre cross-sectional study through a survey of paediatricians working in paediatric emergency care settings in hospitals affiliated to the Research Network of the Spanish Society of Paediatric Emergency Medicine (SEUP) between September 2019 and January 2020. We analysed the association between social/family-related, demographic, occupational and satisfaction factors and the presence of BOS by means of multivariate and multilevel mixed-effects logistic regression models.
Results:
The estimated prevalence of BOS was 36.5% (95% confidence interval [CI], 31.7 %-41.2%). In the multivariate analysis, lacking a stable group of friends (OR, 2.57; 95% CI, 1.10-5.97), problems in and out of the work setting (OR, 3.06; 95% CI, 1.60-5.88) and a work experience of 9 years or less (OR, 2.31; 95% CI, 1.37-3.90) were identified as individual factors that increased the risk of SBO, while feeling acknowledged by coworkers (OR, 0.48; 95% CI, 0.30-0.79) and acknowledged by one's supervisor (OR, 0.62; 95% CI, 0.41-0.93) were protective factors. In relation to the hospital, the paediatric emergency unit being a subdepartment of the Department of Paediatrics (OR, 3.81; 95% CI, 1.85-7.85), the presence of an on-call emergency medicine specialist around the clock (OR, 3.53; 95% CI,1.62-7.73) and a volume of 28 or more paediatric emergency encounters a day to be managed per on-call physician (OR, 2.05; 95% CI, 1.01-4.16) were identified as independent risk factors for SBO. There was no variability in the prevalence of BOS attributable to differences between hospitals and autonomous communities, save for the described situations.
Conclusions:
The prevalence of SBO among these providers is high. There are modifiable factors that we can intervene on to address BOS, independently of the hospital or region.
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