Impact of perceived inappropiate cardiopulmonary resuscitation on emergency clinicians’ intention to leave the job: Results from a cross-sectional survey in 288 centres across 24 countries

Druwé, Patrick; Monsieurs, Koenraad G.; Gagg, James; Nakahara, Shinji; Cocchi, Michael N.; Élő, Gábor; Schuppen, Hans van; Alpert, Evan Avraham; Truhlář, Anatolij; Huybrechts, Sofie; Mpotos, Nicolas; Paal, Peter; Bjørshol, Conrad Arnfinn; Xanthos, Theodoros; Joly, Luc‐Marie; Roeßler, Markus; Deasy, Conor; Svavarsdóttir, Hildigunnur; Nurmi, Jouni; Owczuk, Radosław; Piñera-Salmerón, Pascual; Cimpoeşu, Diana; Fuenzalida, Pablo Aguilera; Raffay, Violetta; Stéen, Johan; Decruyenaere, Johan; Paepe, Peter De; Piers, Ruth; Benoît, Dominique

doi:10.1016/j.resuscitation.2020.10.043

Cited by 21 publications

(36 citation statements)

References 39 publications

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“…This nationwide population-based cross-sectional study indicated that 55.18% of physicians, working in emergency department, intend to quit their position in China, which was obviously higher than that of an international multi-centre survey conducted in 24 countries (33.8%) [ 16 ] and another survey conducted in France (24%) [ 15 ]. This difference was possibly related to social environment, the level of economic development and the working environment among various countries.…”

Section: Discussionmentioning

confidence: 82%

“…Working under highly stressful and fast-paced working environment may be the contributors for physicians intend to leave emergency department [ 15 ]. An international multi-centre survey conducted in 24 countries showed that 33.8% of the physicians in emergency department were more likely to quit their jobs [ 16 ]. Furthermore, the higher the turnover intention among the physicians in emergency department, the more likely they are inclined to take actions to quit their positions.…”

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confidence: 99%

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The prevalence of turnover intention and influencing factors among emergency physicians: A national observation

Feng

Wang

et al. 2022

J Glob Health

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Background High turnover among physicians in emergency department is a great challenge in China. However, the rate and the reasons why physicians intend to leave have not been extensively studied yet. Therefore, this study aimed to identify the risk factors of turnover intention among physicians in emergency department. Methods A national cross-sectional survey was conducted from July to August 2018 in China. A total of 10 457 physicians in emergency department were investigated using a structured self-administered questionnaire, which included demographic characteristics, work-related factors, turnover intention, the Patient Health Questionnaire and Positive and Negative Affect Scale. The stepwise logistic regression analysis was applied to identify the risk factors of turnover intention among physicians. Results A total of 55.18% of the physicians in emergency department reported turnover intention in China. Turnover intention were more likely to be reported among physicians who were male (odds ratio (OR) = 1.25, 95% confidence interval (CI) = 1.13-1.38); who perceived medical errors (OR = 1.35, 95% CI = 1.23-1.47); who had a lower average monthly income; who provided out-of-hospital resuscitation services; who experienced physical violence (OR = 1.39, 95% CI = 1.26-1.54) and who reported higher score on negative affect and depressive tendency (OR = 1.06, 95% CI = 1.05-1.08; OR = 1.10, 95% CI = 1.09-1.12). Conversely, physicians who perceived shortage of manpower (OR = 0.74, 95% CI = 0.66-0.81), or reported higher score on positive affect (OR = 0.96, 95% CI = 0.94-0.97) were inclined to stay in emergency department. Conclusion This study shows that turnover intention among physicians in emergency department is high in China and was significantly associated with gender, average monthly income, perceived shortage of physicians, the times for provide out-of-hospital resuscitation services, exposure to workplace violence, depressive tendency, positive affect and negative affect. Targeted interventions are required to improve the retention rate among physicians in emergency department from the comprehensive aspects.

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Section: Discussionmentioning

confidence: 82%

mentioning

confidence: 99%

The prevalence of turnover intention and influencing factors among emergency physicians: A national observation

Feng

Wang

et al. 2022

J Glob Health

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“…Knowledge of the factors on which EPs make these decisions and the relevance of these criteria are therefore the first steps in developing decision support tools in this area. These tools can be very useful in helping EPs when making a decision not to attempt ALS in futile situations [34].…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Physician Decision Making to Attempt Advanced Resuscitation in Asystolic Out-of-Hospital Cardiac Arrest

Payot

Fehlmann

Suppan

et al. 2021

IJERPH

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The objective of this study was to identify the key elements used by prehospital emergency physicians (EP) to decide whether or not to attempt advanced life support (ALS) in asystolic out-of-hospital cardiac arrest (OHCA). From 1 January 2009 to 1 January 2017, all adult victims of asystolic OHCA in Geneva, Switzerland, were retrospectively included. Patients with signs of “obvious death” or with a Do-Not-Attempt-Resuscitation order were excluded. Patients were categorized as having received ALS if this was mentioned in the medical record, or, failing that, if at least one dose of adrenaline had been administered during cardiopulmonary resuscitation (CPR). Prognostic factors known at the time of EP’s decision were included in a multivariable logistic regression model. Included were 784 patients. Factors favourably influencing the decision to provide ALS were witnessed OHCA (OR = 2.14, 95% CI: 1.43–3.20) and bystander CPR (OR = 4.10, 95% CI: 2.28–7.39). Traumatic aetiology (OR = 0.04, 95% CI: 0.02–0.08), age > 80 years (OR = 0.14, 95% CI: 0.09–0.24) and a Charlson comorbidity index greater than 5 (OR = 0.12, 95% CI: 0.06–0.27) were the factors most strongly associated with the decision not to attempt ALS. Factors influencing the EP’s decision to attempt ALS in asystolic OHCA are the relatively young age of the patients, few comorbidities, presumed medical aetiology, witnessed OHCA and bystander CPR.

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“…Knowledge of the factors on which EPs make these decisions, and the relevance of these criteria, are therefore the first steps in developing decision support tools in this area. These tools could be very useful in helping EPs when taking a decision not to attempt ALS in futile situations [34].…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Physician Decision Making to Attempt Advanced Resuscitation in Asystolic Out-of-Hospital Cardiac Arrest

Payot¹,

Fehlmann²,

Suppan³

et al. 2021

Preprint

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The objective of this study was to identify the key elements used by prehospital emergency physicians (EP) to decide whether or not to attempt advanced life support (ALS) in asystolic out-of-hospital cardiac arrest (OHCA). From 01.01.2009 to 01.01.2017, all adult victims of asystolic OHCA in Geneva, Switzerland, were retrospectively included. Patients with signs of "obvious death" or with a Do-Not-Attempt-Resuscitation order were excluded. Patients were categorized as having received ALS if this was mentioned in the medical record, or, failing that, if at least one dose of adrenaline had been administered during cardio-pulmonary resuscitation (CPR). Prognostic factors known at the time of EP's decision were included in a multivariable logistic regression model. 784 patients were included. Factors favourably influencing the decision to provide ALS were witnessed OHCA (OR=2.14, 95%CI1.43–3.20) and bystander CPR (OR=4.10, 95%CI2.28–7.39). Traumatic aetiology (OR=0.04, 95%CI0.02–0.08), age >80 years (OR=0.14, 95%CI0.09–0.24) and a Charlson comorbidity index greater than 5 (OR=0.12, 95%CI0.06–0.27) were the factors most strongly associated with the decision not to attempt ALS. Factors influencing the EP’s decision to attempt ALS in asystolic OHCA are the relatively young age of the patients, few comorbidities, presumed medical aetiology, witnessed OHCA and bystander CPR.

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Impact of perceived inappropiate cardiopulmonary resuscitation on emergency clinicians’ intention to leave the job: Results from a cross-sectional survey in 288 centres across 24 countries

Cited by 21 publications

References 39 publications

The prevalence of turnover intention and influencing factors among emergency physicians: A national observation

The prevalence of turnover intention and influencing factors among emergency physicians: A national observation

Factors Influencing Physician Decision Making to Attempt Advanced Resuscitation in Asystolic Out-of-Hospital Cardiac Arrest

Factors Influencing Physician Decision Making to Attempt Advanced Resuscitation in Asystolic Out-of-Hospital Cardiac Arrest

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