Associations of job demands and patient safety event involvement on burnout among a multidisciplinary group of pediatric hematology/oncology clinicians
Background Workplace burnout can result in negative consequences for clinicians and patients. We assessed burnout prevalence and sources among pediatric hematology/oncology inpatient nurses, ambulatory nurses, physicians (MDs), and advanced practice providers (APPs) by evaluating effects of job dema...
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| Veröffentlicht in: | Pediatric blood & cancer 2021-11, Vol.68 (11), p.e29214-n/a |
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| creator | Dunn, Tyler J. Terao, Michael A. Blazin, Lindsay J. Spraker‐Perlman, Holly Baker, Justin N. Mandrell, Belinda Sellers, Janet Crabtree, Valerie McLaughlin Hoffman, James M. Burlison, Jonathan D. |
| description | Background
Workplace burnout can result in negative consequences for clinicians and patients. We assessed burnout prevalence and sources among pediatric hematology/oncology inpatient nurses, ambulatory nurses, physicians (MDs), and advanced practice providers (APPs) by evaluating effects of job demands and involvement in patient safety events (PSEs).
Methods
A cross‐sectional survey (Maslach Burnout Inventory) measured emotional exhaustion, depersonalization, and reduced personal accomplishment. The National Aeronautics and Space Administration Task Load Index measured mental demand, physical demand, temporal demand, effort, and frustration. Relative weights analyses estimated the unique contributions of tasks and PSEs on burnout. Post hoc analyses evaluated open‐response comments for burnout factors.
Results
Burnout prevalence was 33%, 20%, 34%, and 33% in inpatient nurses, ambulatory nurses, and MD, and APPs, respectively (N = 481, response rate 69%). Reduced personal accomplishment was significantly higher in inpatient nurses than MDs and APPs. Job frustration was the most significant predictor of burnout across all four cohorts. Other significant predictors of burnout included temporal demand (nursing groups and MDs), effort (inpatient nurses and MDs), and PSE involvement (ambulatory nurses). Open‐response comments identified time constraints, lack of administrator support, insufficient institutional support for self‐care, and inadequate staffing and/or turnover as sources of frustration.
Conclusions
All four clinician groups reported substantial levels of burnout, and job demands predicted burnout. The body of knowledge on job stress and workplace burnout supports targeting organizational‐level sources versus individual‐level factors as the most effective prevention and reduction strategy. This study elaborates on this evidence by identifying structural drivers of burnout within a multidisciplinary context of pediatric hematology/oncology clinicians. |
| doi_str_mv | 10.1002/pbc.29214 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2548906230</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2575723761</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3884-595b83d8d0c65b5c1a2d7f7e997983fef8162f4aac0144cd821d992941dcadf63</originalsourceid><addsrcrecordid>eNp1kc1u3CAUhVHVqEnTLvICFVI37WIygMHAMhn1J1KkdpGsLczPhJENrrEnmifp6_bOTJpFpGzgID6de-AgdEHJJSWELYfWXjLNKH-DzqjgYiEIlW-fNdGn6H0pG0BrItQ7dFpxxqRk-gz9vSol22immFPBOeBNbrHzvUmuYFjwAFc-TbiY4Kcd9tv9IaZt7ra-3-uccDuPKc8TNn1Oa2xwP3dTdLHYOHQxmXGH12Oeh7394B0MG6PFDzBkyl1e75Y52YPAFvAIaVL5gE6C6Yr_-LSfo_vv3-5WPxe3v37crK5uF7ZSii-EFq2qnHLE1qIVlhrmZJBea6lVFXxQtGaBG2MJ5dw6xajTmmlOnTUu1NU5-nL0Hcb8Z_ZlanrI7bvOJJ_n0jDBlSY1qwign1-gmwwPh3RASSFZJWsK1NcjZcdcyuhDM4yxhz9oKGn2bTXQVnNoC9hPT45z23v3TP6vB4DlEXiMnd-97tT8vl4dLf8B6CKh4w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2575723761</pqid></control><display><type>article</type><title>Associations of job demands and patient safety event involvement on burnout among a multidisciplinary group of pediatric hematology/oncology clinicians</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Dunn, Tyler J. ; Terao, Michael A. ; Blazin, Lindsay J. ; Spraker‐Perlman, Holly ; Baker, Justin N. ; Mandrell, Belinda ; Sellers, Janet ; Crabtree, Valerie McLaughlin ; Hoffman, James M. ; Burlison, Jonathan D.</creator><creatorcontrib>Dunn, Tyler J. ; Terao, Michael A. ; Blazin, Lindsay J. ; Spraker‐Perlman, Holly ; Baker, Justin N. ; Mandrell, Belinda ; Sellers, Janet ; Crabtree, Valerie McLaughlin ; Hoffman, James M. ; Burlison, Jonathan D.</creatorcontrib><description>Background
Workplace burnout can result in negative consequences for clinicians and patients. We assessed burnout prevalence and sources among pediatric hematology/oncology inpatient nurses, ambulatory nurses, physicians (MDs), and advanced practice providers (APPs) by evaluating effects of job demands and involvement in patient safety events (PSEs).
Methods
A cross‐sectional survey (Maslach Burnout Inventory) measured emotional exhaustion, depersonalization, and reduced personal accomplishment. The National Aeronautics and Space Administration Task Load Index measured mental demand, physical demand, temporal demand, effort, and frustration. Relative weights analyses estimated the unique contributions of tasks and PSEs on burnout. Post hoc analyses evaluated open‐response comments for burnout factors.
Results
Burnout prevalence was 33%, 20%, 34%, and 33% in inpatient nurses, ambulatory nurses, and MD, and APPs, respectively (N = 481, response rate 69%). Reduced personal accomplishment was significantly higher in inpatient nurses than MDs and APPs. Job frustration was the most significant predictor of burnout across all four cohorts. Other significant predictors of burnout included temporal demand (nursing groups and MDs), effort (inpatient nurses and MDs), and PSE involvement (ambulatory nurses). Open‐response comments identified time constraints, lack of administrator support, insufficient institutional support for self‐care, and inadequate staffing and/or turnover as sources of frustration.
Conclusions
All four clinician groups reported substantial levels of burnout, and job demands predicted burnout. The body of knowledge on job stress and workplace burnout supports targeting organizational‐level sources versus individual‐level factors as the most effective prevention and reduction strategy. This study elaborates on this evidence by identifying structural drivers of burnout within a multidisciplinary context of pediatric hematology/oncology clinicians.</description><identifier>ISSN: 1545-5009</identifier><identifier>EISSN: 1545-5017</identifier><identifier>DOI: 10.1002/pbc.29214</identifier><identifier>PMID: 34227729</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Burnout ; Burnout, Professional - epidemiology ; Burnout, Professional - etiology ; Child ; Cross-Sectional Studies ; Frustration ; Hematology ; Humans ; Job Satisfaction ; Medical Oncology ; Nurses ; Oncology ; Patient Safety ; Patients ; pediatric hospitals ; pediatric oncology ; Pediatrics ; Physicians ; Surveys and Questionnaires ; workload</subject><ispartof>Pediatric blood & cancer, 2021-11, Vol.68 (11), p.e29214-n/a</ispartof><rights>2021 Wiley Periodicals LLC</rights><rights>2021 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3884-595b83d8d0c65b5c1a2d7f7e997983fef8162f4aac0144cd821d992941dcadf63</citedby><cites>FETCH-LOGICAL-c3884-595b83d8d0c65b5c1a2d7f7e997983fef8162f4aac0144cd821d992941dcadf63</cites><orcidid>0000-0003-2315-5067 ; 0000-0001-7070-3666</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpbc.29214$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpbc.29214$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34227729$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dunn, Tyler J.</creatorcontrib><creatorcontrib>Terao, Michael A.</creatorcontrib><creatorcontrib>Blazin, Lindsay J.</creatorcontrib><creatorcontrib>Spraker‐Perlman, Holly</creatorcontrib><creatorcontrib>Baker, Justin N.</creatorcontrib><creatorcontrib>Mandrell, Belinda</creatorcontrib><creatorcontrib>Sellers, Janet</creatorcontrib><creatorcontrib>Crabtree, Valerie McLaughlin</creatorcontrib><creatorcontrib>Hoffman, James M.</creatorcontrib><creatorcontrib>Burlison, Jonathan D.</creatorcontrib><title>Associations of job demands and patient safety event involvement on burnout among a multidisciplinary group of pediatric hematology/oncology clinicians</title><title>Pediatric blood & cancer</title><addtitle>Pediatr Blood Cancer</addtitle><description>Background
Workplace burnout can result in negative consequences for clinicians and patients. We assessed burnout prevalence and sources among pediatric hematology/oncology inpatient nurses, ambulatory nurses, physicians (MDs), and advanced practice providers (APPs) by evaluating effects of job demands and involvement in patient safety events (PSEs).
Methods
A cross‐sectional survey (Maslach Burnout Inventory) measured emotional exhaustion, depersonalization, and reduced personal accomplishment. The National Aeronautics and Space Administration Task Load Index measured mental demand, physical demand, temporal demand, effort, and frustration. Relative weights analyses estimated the unique contributions of tasks and PSEs on burnout. Post hoc analyses evaluated open‐response comments for burnout factors.
Results
Burnout prevalence was 33%, 20%, 34%, and 33% in inpatient nurses, ambulatory nurses, and MD, and APPs, respectively (N = 481, response rate 69%). Reduced personal accomplishment was significantly higher in inpatient nurses than MDs and APPs. Job frustration was the most significant predictor of burnout across all four cohorts. Other significant predictors of burnout included temporal demand (nursing groups and MDs), effort (inpatient nurses and MDs), and PSE involvement (ambulatory nurses). Open‐response comments identified time constraints, lack of administrator support, insufficient institutional support for self‐care, and inadequate staffing and/or turnover as sources of frustration.
Conclusions
All four clinician groups reported substantial levels of burnout, and job demands predicted burnout. The body of knowledge on job stress and workplace burnout supports targeting organizational‐level sources versus individual‐level factors as the most effective prevention and reduction strategy. This study elaborates on this evidence by identifying structural drivers of burnout within a multidisciplinary context of pediatric hematology/oncology clinicians.</description><subject>Burnout</subject><subject>Burnout, Professional - epidemiology</subject><subject>Burnout, Professional - etiology</subject><subject>Child</subject><subject>Cross-Sectional Studies</subject><subject>Frustration</subject><subject>Hematology</subject><subject>Humans</subject><subject>Job Satisfaction</subject><subject>Medical Oncology</subject><subject>Nurses</subject><subject>Oncology</subject><subject>Patient Safety</subject><subject>Patients</subject><subject>pediatric hospitals</subject><subject>pediatric oncology</subject><subject>Pediatrics</subject><subject>Physicians</subject><subject>Surveys and Questionnaires</subject><subject>workload</subject><issn>1545-5009</issn><issn>1545-5017</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1u3CAUhVHVqEnTLvICFVI37WIygMHAMhn1J1KkdpGsLczPhJENrrEnmifp6_bOTJpFpGzgID6de-AgdEHJJSWELYfWXjLNKH-DzqjgYiEIlW-fNdGn6H0pG0BrItQ7dFpxxqRk-gz9vSol22immFPBOeBNbrHzvUmuYFjwAFc-TbiY4Kcd9tv9IaZt7ra-3-uccDuPKc8TNn1Oa2xwP3dTdLHYOHQxmXGH12Oeh7394B0MG6PFDzBkyl1e75Y52YPAFvAIaVL5gE6C6Yr_-LSfo_vv3-5WPxe3v37crK5uF7ZSii-EFq2qnHLE1qIVlhrmZJBea6lVFXxQtGaBG2MJ5dw6xajTmmlOnTUu1NU5-nL0Hcb8Z_ZlanrI7bvOJJ_n0jDBlSY1qwign1-gmwwPh3RASSFZJWsK1NcjZcdcyuhDM4yxhz9oKGn2bTXQVnNoC9hPT45z23v3TP6vB4DlEXiMnd-97tT8vl4dLf8B6CKh4w</recordid><startdate>202111</startdate><enddate>202111</enddate><creator>Dunn, Tyler J.</creator><creator>Terao, Michael A.</creator><creator>Blazin, Lindsay J.</creator><creator>Spraker‐Perlman, Holly</creator><creator>Baker, Justin N.</creator><creator>Mandrell, Belinda</creator><creator>Sellers, Janet</creator><creator>Crabtree, Valerie McLaughlin</creator><creator>Hoffman, James M.</creator><creator>Burlison, Jonathan D.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TO</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2315-5067</orcidid><orcidid>https://orcid.org/0000-0001-7070-3666</orcidid></search><sort><creationdate>202111</creationdate><title>Associations of job demands and patient safety event involvement on burnout among a multidisciplinary group of pediatric hematology/oncology clinicians</title><author>Dunn, Tyler J. ; Terao, Michael A. ; Blazin, Lindsay J. ; Spraker‐Perlman, Holly ; Baker, Justin N. ; Mandrell, Belinda ; Sellers, Janet ; Crabtree, Valerie McLaughlin ; Hoffman, James M. ; Burlison, Jonathan D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3884-595b83d8d0c65b5c1a2d7f7e997983fef8162f4aac0144cd821d992941dcadf63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Burnout</topic><topic>Burnout, Professional - epidemiology</topic><topic>Burnout, Professional - etiology</topic><topic>Child</topic><topic>Cross-Sectional Studies</topic><topic>Frustration</topic><topic>Hematology</topic><topic>Humans</topic><topic>Job Satisfaction</topic><topic>Medical Oncology</topic><topic>Nurses</topic><topic>Oncology</topic><topic>Patient Safety</topic><topic>Patients</topic><topic>pediatric hospitals</topic><topic>pediatric oncology</topic><topic>Pediatrics</topic><topic>Physicians</topic><topic>Surveys and Questionnaires</topic><topic>workload</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dunn, Tyler J.</creatorcontrib><creatorcontrib>Terao, Michael A.</creatorcontrib><creatorcontrib>Blazin, Lindsay J.</creatorcontrib><creatorcontrib>Spraker‐Perlman, Holly</creatorcontrib><creatorcontrib>Baker, Justin N.</creatorcontrib><creatorcontrib>Mandrell, Belinda</creatorcontrib><creatorcontrib>Sellers, Janet</creatorcontrib><creatorcontrib>Crabtree, Valerie McLaughlin</creatorcontrib><creatorcontrib>Hoffman, James M.</creatorcontrib><creatorcontrib>Burlison, Jonathan D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric blood & cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dunn, Tyler J.</au><au>Terao, Michael A.</au><au>Blazin, Lindsay J.</au><au>Spraker‐Perlman, Holly</au><au>Baker, Justin N.</au><au>Mandrell, Belinda</au><au>Sellers, Janet</au><au>Crabtree, Valerie McLaughlin</au><au>Hoffman, James M.</au><au>Burlison, Jonathan D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations of job demands and patient safety event involvement on burnout among a multidisciplinary group of pediatric hematology/oncology clinicians</atitle><jtitle>Pediatric blood & cancer</jtitle><addtitle>Pediatr Blood Cancer</addtitle><date>2021-11</date><risdate>2021</risdate><volume>68</volume><issue>11</issue><spage>e29214</spage><epage>n/a</epage><pages>e29214-n/a</pages><issn>1545-5009</issn><eissn>1545-5017</eissn><abstract>Background
Workplace burnout can result in negative consequences for clinicians and patients. We assessed burnout prevalence and sources among pediatric hematology/oncology inpatient nurses, ambulatory nurses, physicians (MDs), and advanced practice providers (APPs) by evaluating effects of job demands and involvement in patient safety events (PSEs).
Methods
A cross‐sectional survey (Maslach Burnout Inventory) measured emotional exhaustion, depersonalization, and reduced personal accomplishment. The National Aeronautics and Space Administration Task Load Index measured mental demand, physical demand, temporal demand, effort, and frustration. Relative weights analyses estimated the unique contributions of tasks and PSEs on burnout. Post hoc analyses evaluated open‐response comments for burnout factors.
Results
Burnout prevalence was 33%, 20%, 34%, and 33% in inpatient nurses, ambulatory nurses, and MD, and APPs, respectively (N = 481, response rate 69%). Reduced personal accomplishment was significantly higher in inpatient nurses than MDs and APPs. Job frustration was the most significant predictor of burnout across all four cohorts. Other significant predictors of burnout included temporal demand (nursing groups and MDs), effort (inpatient nurses and MDs), and PSE involvement (ambulatory nurses). Open‐response comments identified time constraints, lack of administrator support, insufficient institutional support for self‐care, and inadequate staffing and/or turnover as sources of frustration.
Conclusions
All four clinician groups reported substantial levels of burnout, and job demands predicted burnout. The body of knowledge on job stress and workplace burnout supports targeting organizational‐level sources versus individual‐level factors as the most effective prevention and reduction strategy. This study elaborates on this evidence by identifying structural drivers of burnout within a multidisciplinary context of pediatric hematology/oncology clinicians.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34227729</pmid><doi>10.1002/pbc.29214</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-2315-5067</orcidid><orcidid>https://orcid.org/0000-0001-7070-3666</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Burnout Burnout, Professional - epidemiology Burnout, Professional - etiology Child Cross-Sectional Studies Frustration Hematology Humans Job Satisfaction Medical Oncology Nurses Oncology Patient Safety Patients pediatric hospitals pediatric oncology Pediatrics Physicians Surveys and Questionnaires workload |
| title | Associations of job demands and patient safety event involvement on burnout among a multidisciplinary group of pediatric hematology/oncology clinicians |
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