|Title||Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections.|
|Publication Type||Journal Article|
|Year of Publication||2017|
|Authors||Tawfik DS, Sexton JB, Kan P, Sharek PJ, Nisbet CC, Rigdon J, Lee HC, Profit J|
|Date Published||2017 03|
|Keywords||Burnout, Professional, California, Cross Infection, Cross-Sectional Studies, Female, Humans, Infant, Newborn, Infant, Very Low Birth Weight, Intensive Care Units, Neonatal, Logistic Models, Male, Retrospective Studies, Shift Work Schedule, Surveys and Questionnaires|
OBJECTIVE: To examine burnout prevalence among California neonatal intensive care units (NICUs) and to test the relation between burnout and healthcare-associated infection (HAI) rates in very low birth weight (VLBW) neonates.
STUDY DESIGN: Retrospective observational study of provider perceptions of burnout from 2073 nurse practitioners, physicians, registered nurses and respiratory therapists, using a validated four-item questionnaire based on the Maslach Burnout Inventory. The relation between burnout and HAI rates among VLBW (<1500 g) neonates from each NICU was evaluated using multi-level logistic regression analysis with patient-level factors as fixed effects.
RESULTS: We found variable prevalence of burnout across the NICUs surveyed (mean 25.2±10.1%). Healthcare-associated infection rates were 8.3±5.1% during the study period. Highest burnout prevalence was found among nurses, nurse practitioners and respiratory therapists (non-physicians, 28±11% vs 17±19% physicians), day shift workers (30±3% vs 25±4% night shift) and workers with 5 or more years of service (29±2% vs 16±6% in fewer than 3 years group). Overall burnout rates showed no correlation with risk-adjusted rates of HAIs (r=-0.133). Item-level analysis showed positive association between HAIs and perceptions of working too hard (odds ratio 1.15, 95% confidence interval 1.04-1.28). Sensitivity analysis of high-volume NICUs suggested a moderate correlation between burnout prevalence and HAIs (r=0.34).
CONCLUSION: Burnout is most prevalent among non-physicians, daytime workers and experienced workers. Perceptions of working too hard associate with increased HAIs in this cohort of VLBW infants, but overall burnout prevalence is not predictive.
|Alternate Journal||J Perinatol|
|PubMed Central ID||PMC5334140|
|Grant List||K24 HD053771 / HD / NICHD NIH HHS / United States |
R01 HD084679 / HD / NICHD NIH HHS / United States