Emergency Medicine Physiciansʼ Opinions Regarding the Use of Physician Assistants in the Emergency Department Setting in Texas.

Elliott, Elizabeth; Erdman, Katherine M.; Waters, Vicki; Holcomb, David J.

doi:10.1097/01720610-200707000-00070

Cited by 1 publication

(2 citation statements)

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“…EM NPs/PAs are exposed to more severe stressors and higher levels of burnout than their col-leagues in other departments (Adriaenssens et al, 2015;Balmer & Pollina, 2020;Huang & Zhao, 2020;Nguyen et al, 2020). Our results demonstrated an average EM NP/PA burnout rate of 58.5%, which is consistent with prior studies in other providers (Ashooh, Barnette, Moran, OʼShea, & Lall, 2019, Bell et al, 2002Dyrbye et al, 2020;Kane, 2020;Lin et al, 2019;Shanafelt et al, 2015;Zdradzinski et al, 2020). Our results suggest that burnout rates among EM NPs/PAs have not meaningfully deviated from the prepandemic rates despite moderate stress as reported on the PSS.…”

Section: Discussionsupporting

confidence: 90%

“…Burnout is a syndrome defined by exhaustion, cynicism, and inefficiency that result from prolonged emotional and interpersonal stressors (Maslach, Schaufeli, & Leiter, 2001). Burnout is well documented in EM physicians (residents and attendings), NPs/PAs, and nurses, with rates between 25% and 76% (Bell, Davison, & Sefcik, 2002;Dyrbye et al, 2020;Kane, 2020;Lin et al, 2019;Shanafelt et al, 2015;Zdradzinski et al, 2020). Despite increasing EM NP/PA employment, very little is known about their burnout or perceived stress (Hoff, Carabetta, & Collinson, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Emergency Medicine Nurse Practitioner and Physician Assistant Burnout, Perceived Stress, and Utilization of Wellness Resources During 2020 in a Large Urban Medical Center

Seitz

Robertson

Moran

et al. 2022

Advanced Emergency Nursing Journal

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The objectives of this study were to measure perceived stress, burnout, and utilization and perceived benefit of wellness practices among emergency medicine (EM) nurse practitioners (NPs) and physician assistants (PAs). An additional aim was to evaluate attributions of stress to racism and the COVID-19 pandemic. A 28-item electronic survey of ED NPs/PAs at 3 hospitals was used to measure respondents' perceived stress (Perceived Stress Scale), stress attributed to COVID-19 and systemic racism, burnout (2-item measure), and utilization and helpfulness of wellness practices. The sample consisted of 53 ED NPs/PAs respondents (response rate 42.4%). More than one half (58.5%) reported burnout from their job, and a majority (58.5%) reported moderate to high stress. Burnout was reported by 70% of female respondents compared with 30.8% of male respondent (p = 0.002). A large majority (70%) of Black respondents reported concerns about experiencing racism at work, and 58.8% reported higher levels of stress attributed to racism. Respondents reported meals during shifts, community donated personal protective equipment, flexible work hours, and societal offerings of financial support (e.g., Internal Revenue Service stimulus check) as helpful. The COVID-19 pandemic and the impact of systemic racism are significant contributors to the stress and burnout of NPs/PAs. Female ED NPs/PAs disproportionally share the burden of burnout. Strategies to reduce burnout should be prioritized by institutional leadership. In addition, a majority of Black ED NPs/PAs are concerned about experiencing racism at work and report moderate to high stress associated with racism in general. There is an urgent need to address racism in the

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