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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.

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Authors

Laura Cottey

Tom Roberts

Blair Graham

Daniel Horner

Jos M. Latour

Doyo Enki

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.

Citation

Cottey, L., Roberts, T., Graham, B., Horner, D., Latour, J. M., Enki, D., …Stevens, K. N. (2021). Need for recovery and physician well-being in emergency departments: National survey findings. European Journal of Emergency Medicine, 28(5), 386-393. https://doi.org/10.1097/mej.0000000000000850

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 Mar 28, 2024
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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