Laura Cottey
Need for recovery and physician well-being in emergency departments: National survey findings
Cottey, Laura; Roberts, Tom; Graham, Blair; Horner, Daniel; Latour, Jos M.; Enki, Doyo; Lyttle, Mark D.; Stevens, Kara N.
Authors
Tom Roberts
Blair Graham
Daniel Horner
Jos M. Latour
Doyo Enki
Mark Lyttle mark.lyttle@uwe.ac.uk
Kara N. Stevens
Abstract
Background and importance Need for recovery (NFR) describes an individual's need to physically and psychologically recuperate following a period of work. Physicians working in emergency departments (EDs) have higher NFR scores than other occupational groups. Increased NFR may precede occupational burnout and identification provides opportunities for early interventions. Objective To identify the incidence of well-being characteristics for ED physicians and to determine if NFR score is associated with these characteristics, whilst adjusting for potential confounders. Design This is a secondary analysis of a survey study. Responses to 11 items were summated into the NFR score, from 0 (lowest NFR) to 100. Additional items (n = 44) explored well-being, demographic and occupational characteristics. Setting and participants Physicians working within 112 EDs in the UK and Ireland were surveyed in June-July 2019. Outcome measure and analysis The outcome measure was self-perceptions of well-being including; current burnout, risk of future burnout and feeling overwhelmed at work. Descriptive statistics are presented alongside findings of a multiple regression analysis. Main results In 4365 participants, the self-perceived incidence of current burnout, high risk of future burnout and feeling overwhelmed at work more than once a week was 24.8, 62.7 and 45.1%, respectively. For every unfavourable response of the NFR scale there was an increase in odds of 34.0% (95% CI, 31.0-37.1) for frequency of feeling overwhelmed; 53.8% (95% CI, 47.5-60.4) for current burnout; 56.2% (95% CI, 51.1-61.6) for high risk of future burnout. Conclusion This study confirms an association between increased NFR score and self-perceived well-being characteristics. Factors previously reported to reduce NFR could therefore be important initiatives to improve well-being of the ED workforce.
Journal Article Type | Article |
---|---|
Acceptance Date | Jun 6, 2021 |
Online Publication Date | Jul 19, 2021 |
Publication Date | 2021-10 |
Deposit Date | Aug 24, 2021 |
Publicly Available Date | Jul 20, 2022 |
Journal | European Journal of Emergency Medicine |
Print ISSN | 0969-9546 |
Electronic ISSN | 1473-5695 |
Publisher | Lippincott, Williams & Wilkins |
Peer Reviewed | Peer Reviewed |
Volume | 28 |
Issue | 5 |
Pages | 386-393 |
DOI | https://doi.org/10.1097/mej.0000000000000850 |
Keywords | Emergency Medicine |
Public URL | https://uwe-repository.worktribe.com/output/7676325 |
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Need for recovery and physician well-being in emergency departments: national survey findings
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Copyright Statement
This is the author's accepted manuscript. The final published version is available here: http://dx.doi.org/10.1097/MEJ.0000000000000850
Need for recovery and physician well-being in emergency departments: National survey findings
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Licence
http://creativecommons.org/licenses/by-nc/4.0/
Publisher Licence URL
http://creativecommons.org/licenses/by-nc/4.0/
Copyright Statement
This is the author's accepted manuscript. The final published version is available here: http://dx.doi.org/10.1097/MEJ.0000000000000850
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