Burnout syndrome among Thai intensivists and nurses in pre-COVID19 era
Burnout in pre-COVID19
Keywords:Burnout syndrome, Emotion exhaustion, Depersonalization, Personal accomplishment
Background: Burnout syndrome (BOS), a work-related constellation of symptoms and signs, causes individuals emotional stress and is associated with increasing job-related disillusionment. ICU-BOS among Thai intensivists and ICU nurses has never been clarified.
Methods & materials: We performed a multicenter, prospective cross-sectional study in 17 hospitals in Thailand. BOS-related data were collected from full-time ICU physicians and ICU nurses using electronic questionnaires. ICU-BOS was defined when participant exhibited at least 1 of 3 aspects (depersonalization, emotion exhaustion, and personal accomplishment) regarding the Maslach Burnout Inventory. Primary outcome was prevalence of ICU-BOS among intensivists and ICU nurses, and secondary outcomes were risk factors for ICU-BOS.
Results: After a total of 193 electronic surveys were sent, 171 responders (ICU physicians n=66, ICU nurses n=105) were included in this analysis (88.6%). Overall prevalence of ICU-BOS was 62.6%. Using multivariate analysis, the risk factors for ICU-BOS among intensivists were 1) income <20,000 THB, 2) feeling of quitting caring for patients in an ICU within the past 1 year, 3) need >2 holidays/wk. and 4) patient’s ICU-LOS >5 days (adjusted odd ratio (OR) of 31.5, 15.9, 7.4, 14.9; p =0.04, 0.007, 0.035, 0.004 respectively). Risk factors for ICU-BOS among ICU nurses were 1) age >40 years, 2) ICU experience >5 years, 3) patient’s ICU-LOS >5 days, 4) feeling assignments in the ICU were too much and 5) feeling of quitting caring for patients in an ICU within the past 1 year (adjusted OR of 15.7, 4.6, 10.0, 4.3, 5.3; p =0.009, 0.04, 0.004, 0.04, 0.007 respectively).
Conclusions: In this study, we found a high prevalence of ICU-BOS among Thai intensivists and ICU nurses. Co-independent risk factors for BOS were patient’s ICU-LOS >5 days and feeling of quitting caring for patients in an ICU within the past 1 year. Our findings supported further interventions to reduce the high prevalence of ICU-BOS among Thai ICU professionals.
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