Prevalence of burnout in pediatric intensivists: an observational comparison with general pediatricians
| Autor: | Pedro Celiny Ramos Garcia, Pedro Eugênio Ferreira, Tatiana Tedesco Garcia, Marizete Elisa Molon, Jefferson Pedro Piva, Ricardo Garcia Branco, Robert C. Tasker |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Multivariate analysis health care facilities manpower and services education Emotions Burnout Critical Care and Intensive Care Medicine Intensive Care Units Pediatric Pediatrics Physicians Depersonalization Prevalence Medicine Humans Single-Blind Method Prospective Studies Emotional exhaustion Psychiatry Prospective cohort study Burnout Professional business.industry Odds ratio Achievement Occupational Diseases Family medicine Pediatrics Perinatology and Child Health Observational study Female medicine.symptom business psychological phenomena and processes Cohort study |
| Zdroj: | Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies. 15(8) |
| ISSN: | 1529-7535 |
| Popis: | Objective: To study the prevalence of burnout in general pediatri cians and pediatric intensivists and to evaluate factors that may be associated with this syndrome. Design: Observational cohort study. Setting: Pediatric departments of two hospitals in south Brazil. Patients: Pediatric intensivists working in two regional PICUs and general pediatricians working in the outpatient departments in the same hospitals. Intervention: Two researchers, blinded to the workplace of the phy sicians, undertook the assessment of burnout using the Maslach Burnout Inventory scale. Burnout was defined as high score in the domains for “emotional exhaustion” or “depersonalization” or a low score in the “professional accomplishment” domain. Measurements and Main Results: The PICU and general pedia trician groups were similar demographically, and each had 35 recruits. Burnout was present in 50% of the study recruits and was more frequent among pediatric intensivists than general pediatricians (71% vs 29%, respectively, p < 0.01). In regard to the individual Maslach Burnout Inventory domains, the average score was higher for emotional exhaustion and depersonalization and lower for professional accomplishment in the PICU group (p < 0.01). A cluster analysis showed that pediatric intensivists were more likely to develop the burnout syndrome involving all Maslach Burnout Inventory domains. The multivariate analysis found that the odds ratio for burnout in pediatric intensivists was 5.7 (95% CI, 1.9–16.7; p < 0.01). Conclusions: Burnout is frequent among pediatric intensivists and characterized by cumulative involvement of emotional exhaustion, depersonalization, and professional accomplishment. Earlier recogni tion of emotional exhaustion may be important in preventing the devel opment of a complete burnout syndrome. Improvement in workplace characteristics and measures to improve physician resilience are entirely warranted. (Pediatr Crit Care Med 2014; 15:e347–e353) |
| Databáze: | OpenAIRE |
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