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Associations between job demands, job resources and patient-related burnout among physicians: results from a multicentre observational study.

ABSTRACT: OBJECTIVES:To investigate associations of job demands and resources with patient-related burnout among physicians. DESIGN:Multicentre observational study. SETTING:Fifty medical departments at 14 (academic and non-academic) hospitals in the Netherlands. PARTICIPANTS:Four hundred sixty-five physicians (71.6% response rate), comprising 385 (82.8%) medical specialists and 80 (17.2%) residents. MAIN OUTCOME MEASURES:Job demands (workload and bureaucratic demands), job resources (participation in decision making, development opportunities, leader's inspiration, relationships with colleagues and patients)-measured with the validated Questionnaire of Experience and Evaluation of Work and Physician Worklife Survey-and patient-related burnout, measured using the validated Copenhagen Burnout Inventory. RESULTS:Patient-related burnout was positively associated with workload (b=0.36; 95% CI, 0.25 to 0.48; p<0.001) and negatively associated with development opportunities (b=-0.18; 95% CI, -0.27 to -0.08; p<0.001) and relationships with patients (b=-0.12; 95% CI, -0.22 to -0.03; p=0.01). Relationships with patients moderated the association between bureaucratic demands and patient-related burnout (b=-0.15; 95% CI, -0.27 to -0.04; p=0.01). CONCLUSIONS:Physicians with high workloads and few development opportunities reported higher levels of patient-related burnout. Those with positive patient relationships were less likely to experience patient-related burnout, even in the presence of excessive bureaucracy. Therefore, positive physician-patient relationships may be supported to reduce the likelihood of physicians' patient-related burnout. However, the specific support needed to effectively reduce patient-related burnout may vary per healthcare context and thus requires intensified research across healthcare systems and settings.

SUBMITTER: Scheepers R

PROVIDER: S-EPMC7517563 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

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Associations between job demands, job resources and patient-related burnout among physicians: results from a multicentre observational study.

Scheepers Renée R Silkens Milou M van den Berg Joost J Lombarts Kiki K

BMJ open 20200924 9

<h4>Objectives</h4>To investigate associations of job demands and resources with patient-related burnout among physicians.<h4>Design</h4>Multicentre observational study.<h4>Setting</h4>Fifty medical departments at 14 (academic and non-academic) hospitals in the Netherlands.<h4>Participants</h4>Four hundred sixty-five physicians (71.6% response rate), comprising 385 (82.8%) medical specialists and 80 (17.2%) residents.<h4>Main outcome measures</h4>Job demands (workload and bureaucratic demands), ...[more]

PMID: 32973063

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Project description:ObjectiveAlthough burnout has been linked to negative workplace-level effects, prior studies have primarily focused on individuals rather than job-related characteristics. This study sought to evaluate variation in burnout between agencies and to quantify the relationship between burnout and job-related demands/resources among emergency medical services (EMS) professionals.MethodsAn electronic questionnaire was sent to all licensed, practicing EMS professionals in South Carolina. Work-related burnout was measured using the Copenhagen Burnout Inventory. Multivariable generalized estimating equations were used to estimate odds ratios (ORs) for specific job demands and resources while adjusting for confounding variables. Composite scores were used to simultaneously assess the relationship between burnout and job-related demands and resources.ResultsAmong 1271 EMS professionals working at 248 EMS agencies, the median agency-level burnout was 35% (interquartile range [IQR]: 13% to 50%). Job-related demands, including time pressure, were associated with increased burnout. Traditional job-related resources, including pay and benefits, were associated with reduced burnout. Less tangible job resources, including autonomy, clinical performance feedback, social support, and adequate training demonstrated strong associations with reduced burnout. EMS professionals facing high job demands and low job resources demonstrated nearly a 10-fold increase in odds of burnout compared with those exposed to low demands and high resources (adjusted OR [aOR]: 9.50, 95% confidence interval [CI]: 6.39-14.10). High job resources attenuated the impact of high job demands.ConclusionThe proportion of EMS professionals experiencing burnout varied substantially across EMS agencies. Job resources, including those reflective of organizational culture, were associated with reduced burnout. Collectively, these findings suggest an opportunity to address burnout at the EMS agency level.

Dataset Information

Associations between job demands, job resources and patient-related burnout among physicians: results from a multicentre observational study.

Publications

Associations between job demands, job resources and patient-related burnout among physicians: results from a multicentre observational study.

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