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      Burnout Syndrome among Emergency Department Staff: Prevalence and Associated Factors

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          Abstract

          Objectives

          Emergency department (ED) professionals are exposed to burnout syndrome due to excessive workload and high demands for care. The objective of our study was to assess the prevalence burnout among all ED staff and to determine associated factors.

          Methods

          A cross-sectional survey was conducted in 3 EDs. The data were collected using a standardized questionnaire. It included demographical and occupational data, general health questions, burnout level (Maslach Burnout Inventory), job strain (Karasek), and quality of life (Medical Outcome Study Short Form).

          Results

          Of the 529 professionals working in EDs, 379 responses were collected (participation rate of 71.6%). Emotional exhaustion (EE) and depersonalization (DP), the major components of burnout, were reported, respectively, by 15.8% and 29.6% of the professionals. Burnout prevalence was 34.6%, defined as a severely abnormal level of either EE or DP. The medical category was significantly more affected by the burnout compared with their colleagues: nearly one ED physician out of two had a burnout (50.7%). In the multivariate analysis of covariance, job strain and a low mental component score were the two main factors independently associated with burnout (p < 0.05).

          Conclusion

          The results of our study show that ED professionals are a vulnerable group. Preventive approaches to stress and burnout are needed to promote quality of work life.

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          Most cited references40

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          Determinants and prevalence of burnout in emergency nurses: a systematic review of 25 years of research.

          Burnout is an important problem in health care professionals and is associated with a decrease in occupational well-being and an increase in absenteeism, turnover and illness. Nurses are found to be vulnerable to burnout, but emergency nurses are even more so, since emergency nursing is characterized by unpredictability, overcrowding and continuous confrontation with a broad range of diseases, injuries and traumatic events.
            • Record: found
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            • Article: not found

            ED patients: how nonurgent are they? Systematic review of the emergency medicine literature.

            Nonurgent visits to emergency departments (ED) are a controversial issue; they have been negatively associated with crowding and costs. We have conducted a critical review of the literature regarding methods for categorizing ED visits into urgent or nonurgent and analyzed the proportions of nonurgent ED visits. We found 51 methods of categorization. Seventeen categorizations conducted prospectively in triage areas were based on somatic complaint and/or vital sign collection. Categorizations conducted retrospectively (n = 34) were based on the diagnosis, the results of tests obtained during the ED visit, and hospital admission. The proportions of nonurgent ED visits varied considerably: 4.8% to 90%, with a median of 32%. Comparisons of methods of categorization in the same population showed variability in levels of agreement. Our review has highlighted the lack of reliability and reproducibility. Copyright © 2011 Elsevier Inc. All rights reserved.
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              • Article: not found

              Burnout and its correlates in emergency physicians: four years' experience with a wellness booth.

              To measure the degree of burnout among emergency physicians (EPs) and to identify and rank predictive factors. Using the Maslach Burnout Inventory as well as a 79-item questionnaire, a cross-sectional survey was conducted for physician registrants at the Annual Scientific Assemblies of the American College of Emergency Physicians from 1992 to 1995. Degrees of burnout were stratified into low, moderate, and high ranges. Univariate and stepwise multiple regression analyses were conducted to identify and rank correlates to burnout scores. Of 1,272 registrants taking the inventory, 60% registered in the moderate to high burnout ranges. Twenty-one correlates were identified. These were classified broadly in terms of negative perceptions of self, negative practice habits and attitudes, and unhealthy lifestyles. The most highly ranked correlates were: self-recognition of burnout, lack of job involvement, negative self-assessment of productivity, dissatisfaction with career, sleep disturbances, increased number of shifts per month, dissatisfaction with specialty services, intent to leave the practice within 10 years, higher levels of alcohol consumption, and lower levels of exercise. Age and years of practice were not significant predictors of burnout. Projected attrition rates were 7.5% over 5 years and 25% over 10 years. Elevated levels of burnout exist among a substantial percentage of surveyed EPs. However, there is evidence for a "survivor" category of practitioners for whom burnout either does not develop or is a reversible process. The projected attrition rate over 5 and 10 years appears to be no greater than that of the average medical specialty.

                Author and article information

                Contributors
                Journal
                Biomed Res Int
                Biomed Res Int
                BMRI
                BioMed Research International
                Hindawi
                2314-6133
                2314-6141
                2019
                21 January 2019
                : 2019
                : 6462472
                Affiliations
                1Service d'Accueil des Urgences, Hôpital de la Timone 2, Assistance Publique des Hôpitaux de Marseille, 264 rue Saint Pierre, 13385 Marseille Cedex 5, France
                2Equipe de Recherche EA 3279 “Santé Publique, Maladies Chroniques et Qualité de Vie”, Faculté de Médecine, Aix-Marseille Université, 27 boulevard Jean Moulin, 13 385 Marseille Cedex 5, France
                3Département de Médecine d'Urgence, CHU Lapeyronie, Université Montpellier 1, 34295 Montpellier, France
                4Service d'Accueil des Urgences, Centre Hospitalier Henri-Duffaut, 305 rue Raoul Follereau, 84000 Avignon, France
                5Service d'Evaluation Médicale, Hôpital de La Conception, Assistance Publique des Hôpitaux de Marseille, 147 boulevard Baille, 13005 Marseille, France
                Author notes

                Academic Editor: Hideo Inaba

                Author information
                http://orcid.org/0000-0002-4346-5807
                Article
                10.1155/2019/6462472
                6360614
                30800675
                556dd664-9101-4c58-b1d3-4786e8ad44d9
                Copyright © 2019 Audrey Moukarzel et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 25 October 2018
                : 10 January 2019
                Categories
                Research Article

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