Kay Choong See1, Ming Yan Zhao2, Emiko Nakataki3, Kaweesak Chittawatanarat4,5, Wen-Feng Fang6, Mohammad Omar Faruq7, Bambang Wahjuprajitno8, Yaseen M Arabi9, Wai Tat Wong10, Jigeeshu V Divatia11, Jose Emmanuel Palo12, Babu Raja Shrestha13, Khalid M K Nafees14, Nguyen Gia Binh15, Hussain Nasser Al Rahma16, Khamsay Detleuxay17, Venetia Ong18, Jason Phua19. 1. Division of Respiratory and Critical Care Medicine, University Medicine Cluster, National University Hospital, National University Health System, 1E Kent Ridge Road, NUHS Tower Block Level 10, Singapore, 119228, Singapore. kay_choong_see@nuhs.edu.sg. 2. Department of Critical Care Medicine, Harbin Medical University 1st Hospital, Harbin, China. 3. Department of Emergency and Critical Care Medicine, Tokushima University Hospital, Tokushima, Japan. 4. Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. 5. The Thai Society of Critical Care Medicine, Bangkok, Thailand. 6. Division of Pulmonary and Critical Care Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, and Chang Gung University of Science and Technology, Kaohsiung, Taiwan. 7. Department of Critical Care Medicine, BIRDEM General Hospital, Dhaka, Bangladesh. 8. Department of Anesthesiology and Reanimation, University of Airlangga, Surabaya, Indonesia. 9. Intensive Care Department, King Saud bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Center, Riyadh, Saudi Arabia. 10. Department of Anesthesia and Intensive Care, The Chinese University of Hong Kong, Hong Kong, China. 11. Department of Anaesthesia, Critical Care and Pain, Tata Memorial Hospital, Mumbai, India. 12. Department of Medicine, The Medical City, Pasig, Philippines. 13. Department of Anaesthesiology and Intensive Care, Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal. 14. Department of Critical Care Medicine, RIPAS Hospital, Bandar Seri Begawan, Brunei. 15. Department of Intensive Care, Bach Mai Hospital, Hanoi, Vietnam. 16. Department of Intensive Care, Dubai Hospital, Dubai, United Arab Emirates. 17. Department of Intensive Care, Mahosot Hospital, Vientiane, Laos. 18. Medical Affairs-Education, National University Hospital, Singapore, Singapore. 19. Division of Respiratory and Critical Care Medicine, University Medicine Cluster, National University Hospital, National University Health System, 1E Kent Ridge Road, NUHS Tower Block Level 10, Singapore, 119228, Singapore.
Abstract
PURPOSE: Professional burnout is a multidimensional syndrome comprising emotional exhaustion, depersonalization, and diminished sense of personal accomplishment, and is associated with poor staff health and decreased quality of medical care. We investigated burnout prevalence and its associated risk factors among Asian intensive care unit (ICU) physicians and nurses. METHODS: We conducted a cross-sectional survey of 159 ICUs in 16 Asian countries and regions. The main outcome measure was burnout as assessed by the Maslach Burnout Inventory-Human Services Survey. Multivariate random effects logistic regression analyses of predictors for physician and nurse burnout were performed. RESULTS: A total of 992 ICU physicians (response rate 76.5%) and 3100 ICU nurses (response rate 63.3%) were studied. Both physicians and nurses had high levels of burnout (50.3% versus 52.0%, P = 0.362). Among countries or regions, burnout rates ranged from 34.6 to 61.5%. Among physicians, religiosity (i.e. having a religious background or belief), years of working in the current department, shift work (versus no shift work) and number of stay-home night calls had a protective effect (negative association) against burnout, while work days per month had a harmful effect (positive association). Among nurses, religiosity and better work-life balance had a protective effect against burnout, while having a bachelor's degree (compared to having a non-degree qualification) had a harmful effect. CONCLUSIONS: A large proportion of Asian ICU physicians and nurses experience professional burnout. Our study results suggest that individual-level interventions could include religious/spiritual practice, and organizational-level interventions could include employing shift-based coverage, stay-home night calls, and regulating the number of work days per month.
PURPOSE: Professional burnout is a multidimensional syndrome comprising emotional exhaustion, depersonalization, and diminished sense of personal accomplishment, and is associated with poor staff health and decreased quality of medical care. We investigated burnout prevalence and its associated risk factors among Asian intensive care unit (ICU) physicians and nurses. METHODS: We conducted a cross-sectional survey of 159 ICUs in 16 Asian countries and regions. The main outcome measure was burnout as assessed by the Maslach Burnout Inventory-Human Services Survey. Multivariate random effects logistic regression analyses of predictors for physician and nurse burnout were performed. RESULTS: A total of 992 ICU physicians (response rate 76.5%) and 3100 ICU nurses (response rate 63.3%) were studied. Both physicians and nurses had high levels of burnout (50.3% versus 52.0%, P = 0.362). Among countries or regions, burnout rates ranged from 34.6 to 61.5%. Among physicians, religiosity (i.e. having a religious background or belief), years of working in the current department, shift work (versus no shift work) and number of stay-home night calls had a protective effect (negative association) against burnout, while work days per month had a harmful effect (positive association). Among nurses, religiosity and better work-life balance had a protective effect against burnout, while having a bachelor's degree (compared to having a non-degree qualification) had a harmful effect. CONCLUSIONS: A large proportion of Asian ICU physicians and nurses experience professional burnout. Our study results suggest that individual-level interventions could include religious/spiritual practice, and organizational-level interventions could include employing shift-based coverage, stay-home night calls, and regulating the number of work days per month.
Entities:
Keywords:
Critical care; Intensive care units; Nurses; Physicians; Professional burnout
Authors: Tait D Shanafelt; Sonja Boone; Litjen Tan; Lotte N Dyrbye; Wayne Sotile; Daniel Satele; Colin P West; Jeff Sloan; Michael R Oreskovich Journal: Arch Intern Med Date: 2012-10-08
Authors: Naeem A Ali; Jeffrey Hammersley; Stephen P Hoffmann; James M O'Brien; Gary S Phillips; Mitchell Rashkin; Edward Warren; Allan Garland Journal: Am J Respir Crit Care Med Date: 2011-10-01 Impact factor: 21.405
Authors: Meredith Mealer; Jacqueline Jones; Julia Newman; Kim K McFann; Barbara Rothbaum; Marc Moss Journal: Int J Nurs Stud Date: 2011-10-05 Impact factor: 5.837
Authors: Dana M Womack; Edward J Miech; Nicholas J Fox; Linus C Silvey; Anna M Somerville; Deborah H Eldredge; Linsey M Steege Journal: Appl Clin Inform Date: 2022-08-31 Impact factor: 2.762
Authors: Dana M Womack; Michelle R Hribar; Linsey M Steege; Nancy H Vuckovic; Deborah H Eldredge; Paul N Gorman Journal: Appl Clin Inform Date: 2020-09-16 Impact factor: 2.342
Authors: Benjamin Y Q Tan; Abhiram Kanneganti; Lucas J H Lim; Melanie Tan; Ying Xian Chua; Lifeng Tan; Ching Hui Sia; Max Denning; Ee Teng Goh; Sanjay Purkayastha; James Kinross; Kang Sim; Yiong Huak Chan; Shirley B S Ooi Journal: J Am Med Dir Assoc Date: 2020-10-05 Impact factor: 4.669
Authors: Hian Liang Huang; Robert Chun Chen; Irene Teo; Isha Chaudhry; Ai Ling Heng; Kun Da Zhuang; Hiang Khoon Tan; Bien Soo Tan Journal: J Med Imaging Radiat Oncol Date: 2021-02-16 Impact factor: 1.667
Authors: Amit Kumar; Archana Sinha; Jagdish R Varma; Anusha M Prabhakaran; Ajay G Phatak; Somshekhar M Nimbalkar Journal: J Family Med Prim Care Date: 2021-01-30
Authors: Filippo Sanfilippo; Gaetano Joseph Palumbo; Alberto Noto; Salvatore Pennisi; Mirko Mineri; Francesco Vasile; Veronica Dezio; Diana Busalacchi; Paolo Murabito; Marinella Astuto Journal: Rev Bras Ter Intensiva Date: 2020 Jul-Sep