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Factors Associated With Provider Burnout in the NICU.

Publication ,  Journal Article
Tawfik, DS; Phibbs, CS; Sexton, JB; Kan, P; Sharek, PJ; Nisbet, CC; Rigdon, J; Trockel, M; Profit, J
Published in: Pediatrics
May 2017

BACKGROUND: NICUs vary greatly in patient acuity and volume and represent a wide array of organizational structures, but the effect of these differences on NICU providers is unknown. This study sought to test the relation between provider burnout prevalence and organizational factors in California NICUs. METHODS: Provider perceptions of burnout were obtained from 1934 nurse practitioners, physicians, registered nurses, and respiratory therapists in 41 California NICUs via a validated 4-item questionnaire based on the Maslach Burnout Inventory. The relations between burnout and organizational factors of each NICU were evaluated via t-test comparison of quartiles, univariable regression, and multivariable regression. RESULTS: Overall burnout prevalence was 26.7% ± 9.8%. Highest burnout prevalence was found among NICUs with higher average daily admissions (32.1% ± 6.4% vs 17.2% ± 6.7%, P < .001), higher average occupancy (28.1% ± 8.1% vs 19.9% ± 8.4%, P = .02), and those with electronic health records (28% ± 11% vs 18% ± 7%, P = .03). In sensitivity analysis, nursing burnout was more sensitive to organizational differences than physician burnout in multivariable modeling, significantly associated with average daily admissions, late transfer proportion, nursing hours per patient day, and mortality per 1000 infants. Burnout prevalence showed no association with proportion of high-risk patients, teaching hospital distinction, or in-house attending presence. CONCLUSIONS: Burnout is most prevalent in NICUs with high patient volume and electronic health records and may affect nurses disproportionately. Interventions to reduce burnout prevalence may be of greater importance in NICUs with ≥10 weekly admissions.

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Published In

Pediatrics

DOI

EISSN

1098-4275

Publication Date

May 2017

Volume

139

Issue

5

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Prevalence
  • Physicians
  • Pediatrics
  • Nursing Staff, Hospital
  • Nurses
  • Intensive Care Units, Neonatal
  • Humans
  • Hospitals, High-Volume
  • Electronic Health Records
 

Citation

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Tawfik, D. S., Phibbs, C. S., Sexton, J. B., Kan, P., Sharek, P. J., Nisbet, C. C., … Profit, J. (2017). Factors Associated With Provider Burnout in the NICU. Pediatrics, 139(5). https://doi.org/10.1542/peds.2016-4134
Tawfik, Daniel S., Ciaran S. Phibbs, J Bryan Sexton, Peiyi Kan, Paul J. Sharek, Courtney C. Nisbet, Joseph Rigdon, Mickey Trockel, and Jochen Profit. “Factors Associated With Provider Burnout in the NICU.Pediatrics 139, no. 5 (May 2017). https://doi.org/10.1542/peds.2016-4134.
Tawfik DS, Phibbs CS, Sexton JB, Kan P, Sharek PJ, Nisbet CC, et al. Factors Associated With Provider Burnout in the NICU. Pediatrics. 2017 May;139(5).
Tawfik, Daniel S., et al. “Factors Associated With Provider Burnout in the NICU.Pediatrics, vol. 139, no. 5, May 2017. Pubmed, doi:10.1542/peds.2016-4134.
Tawfik DS, Phibbs CS, Sexton JB, Kan P, Sharek PJ, Nisbet CC, Rigdon J, Trockel M, Profit J. Factors Associated With Provider Burnout in the NICU. Pediatrics. 2017 May;139(5).

Published In

Pediatrics

DOI

EISSN

1098-4275

Publication Date

May 2017

Volume

139

Issue

5

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Prevalence
  • Physicians
  • Pediatrics
  • Nursing Staff, Hospital
  • Nurses
  • Intensive Care Units, Neonatal
  • Humans
  • Hospitals, High-Volume
  • Electronic Health Records