Examining How Gender, Race/Ethnicity, and Clinical Roles Moderate the Association Between Sleep and Burnout.

Area of Science:

• Occupational Health
• Sleep Medicine
• Emergency Medicine

Background:

• Sleep disturbance and burnout are prevalent issues among emergency department healthcare workers (HCWs).
• A significant link exists between poor sleep quality and burnout in this population.
• Understanding moderating factors is crucial for targeted interventions.

Purpose of the Study:

• To investigate the association between sleep quality and burnout in emergency department HCWs.
• To examine if gender, race/ethnicity, or clinical role moderates the sleep-burnout relationship.
• To identify specific subgroups of HCWs at higher risk.

Main Methods:

• Cross-sectional study of 129 emergency department HCWs.
• Assessed sleep quality using the Pittsburgh Sleep Quality Index and Insomnia Severity Index.
• Burnout was measured using the Maslach Burnout Inventory-9.
• Logistic regression analyses were performed to explore moderation effects.

Main Results:

• Poor sleep quality (64%), insomnia (59%), and burnout (24%) were common.
• Black, Indigenous, and People of Color (BIPOC) HCWs reported poorer sleep quality compared to non-BIPOC HCWs.
• Poor sleep was associated with burnout (OR, 3.14).
• This association was significant in women (OR, 4.52) and attending physicians (OR, 6.92) but not in men or registered nurses.

Conclusions:

• The relationship between sleep quality and burnout is moderated by gender and clinical role in emergency department HCWs.
• BIPOC HCWs experience worse sleep quality.
• Personal-level factors significantly influence the sleep-burnout dynamic, necessitating tailored support strategies.