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Environment and Culture, a Cross-Sectional Survey on Drivers of Burnout in Pediatric Intensive Care
Nupur N Dalal1, Laura M Gaydos2, Scott E Gillespie3
1Division of Pediatric Critical Care, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, Georgia, United States.
Insights
Burnout affects nearly 40% of pediatric intensive care unit healthcare workers. Supportive work environments with positive relationships and constructive cultures significantly reduce burnout risk.
Area of Science:
- Healthcare worker well-being
- Pediatric critical care
- Occupational health psychology
Background:
- Burnout among healthcare workers is a significant concern, particularly in high-stress environments like pediatric intensive care units (PICUs).
- Limited data exists on the specific drivers of burnout within this critical population.
- Understanding these drivers is crucial for developing effective interventions to support PICU staff.
Purpose of the Study:
- To identify the key factors associated with burnout among healthcare workers in a pediatric intensive care unit setting.
- To analyze the relationship between demographic factors, organizational attributes, and self-reported burnout.
- To provide data that can inform targeted interventions to mitigate burnout in PICU professionals.
Main Methods:
- A cross-sectional, point-prevalence survey was conducted within a children's health system.
- Data was collected from 383 respondents regarding demographics, organizational support, culture, relationships, conflict, work schedules, and burnout.
- Statistical analysis, including logistic regression, was used to determine the association between various factors and burnout.
Main Results:
- Burnout was reported by 39.7% of respondents (152 out of 383).
- Demographic factors and work schedules were not significantly related to burnout.
- A constructive organizational culture, strong organizational support, and positive staff relationships were associated with reduced odds of burnout.
- Increased conflict was associated with higher odds of burnout.
- Lack of organizational support emerged as the most significant factor linked to burnout.
Conclusions:
- A negative work environment characterized by defensive cultures, poor relationships, conflict, and lack of organizational support significantly increases burnout risk in pediatric critical care settings.
- Organizational support was identified as the most critical factor influencing burnout.
- Further research into targeted interventions promoting positive cultures, collegiality, and organizational support is warranted to address burnout in PICU healthcare workers.
Abstract:
Very little data is available to understand the drivers of burnout amongst health care workers in the pediatric intensive care unit. This is a survey-based, cross-sectional, point-prevalence analysis within a single children's health system with two free-standing hospitals (one academic and one private) to characterize the relationship of demographics, organizational support, organizational culture, relationship quality, conflict and work schedules with self-reported burnout. Burnout was identified in 152 (39.7%) of the 383 (38.7%) respondents. No significant relationship was identified between burnout and demographic factors or work schedule. A more constructive culture (odds ratio [OR], 0.84; 95% confidence interval [CI], 0.77-0.90; p < 0.001), more organizational support (OR, 0.94; 95% CI, 0.92-0.96; p <0 0.001), and better staff relationships (OR, 0.54, 95% CI, 0.43-0.69; p < 0.001) reduced odds of burnout. More conflict increased odds (OR, 1.25; 95% CI, 1.12-1.39; p < 0.001). Less organizational support ( Z β = 0.425) was the most important factor associated with burnout overall. A work environment where staff experience defensive cultures, poor relationships, more frequent conflict, and feel unsupported by the organization is associated with significantly higher odds of burnout in pediatric critical care. The effect of targeted interventions to promote constructive cultures, collegiality, and organizational support on burnout in pediatric intensive care should be studied.
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