Severe Burnout Is Common Among Critical Care Physician Assistants: Retracted

Bhatt, M.; Lizano, Danny; Carlese, Anthony; Kvetan, Vladimír; Gershengorn, Hayley B.

doi:10.1097/ccm.0000000000002689

Cited by 16 publications

(8 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Burn out was largely driven by emotional exhaustion with inciting factors including too many nonclinical duties and inadequate administrative and teaching time . Bhatt and colleagues evaluated rates of burn out in critical care physician assistants and found a similar rate of burn out (55.6%) that was directly related to patient volume …”

Section: Discussionmentioning

confidence: 99%

A survey of critical care pharmacists to patient ratios and practice characteristics in intensive care units

Newsome

Smith

Jones

et al. 2019

J Am Coll Clin Pharm

View full text Add to dashboard Cite

Introduction Pharmacists are widely recognized members of the critical care health care team. However, unlike other health care professions, critical care pharmacists do not have standardized pharmacist to patient ratios that establish maximal cost‐efficiency while maintaining optimal patient safety. Though many prior recommendations claim a ratio of 1:15 for safe pharmacy practice, recommendations have ranged as low as 1:8 to as high as 1:30. Objectives To determine critical care pharmacists' perceptions of pharmacist to patient ratios within the intensive care unit (ICU) and qualitatively and quantitatively describe critical care pharmacist work environments. Methods A cross‐sectional survey of pharmacists was conducted to identify current pharmacist to patient ratios and identify pharmacist perceptions of the safety of these ratios. Responses were presented using descriptive statistics. Multiple linear regression was conducted to determine factors associated with perceptions of workload and patient safety. Results The response rate was 11% (n = 185). The majority of respondents reported participating in activities beyond patient care. The majority of pharmacists cared for more than 15 patients daily (n = 155, 84%), and 16% took care of 15 or fewer patients. About 30% of pharmacists did not feel the pharmacist to patient ratio optimized patient safety, and over half reported perceptions overwork. A majority of participants (n = 130, 76%) expressed a need for additional critical care pharmacists at their institutions. Higher pharmacist to patient ratios were associated with increased perception of unsafe patient care −.343 (−.507 to −.180, P < .001). Conclusions Heterogeneity exists among critical care pharmacy activities that may influence pharmacists' perceptions of workload and patient safety. Critical care pharmacists report that their institutions should have more critical care pharmacists. Pharmacists' perceptions of workload vary based on differences in their activities outside of patient care.

show abstract

Section: Discussionmentioning

confidence: 99%

A survey of critical care pharmacists to patient ratios and practice characteristics in intensive care units

Newsome

Smith

Jones

et al. 2019

J Am Coll Clin Pharm

View full text Add to dashboard Cite

show abstract

“…(9) Unfortunately, there is a paucity of current ICU staffing data from LMICs and its relationship with outcomes. Previous information has demonstrated the association between both nurse staffing (26) and the intensivist-patient ratio (27) with hospital mortality and severe burnout, (28) but these data are mainly from high-income countries. In Brazil, Tironi et al observed a burnout prevalence of 61.7% in intensivists and the lack of resources as a stressor during ICU shifts in 47.4% of staff.…”

Section: Discussionmentioning

confidence: 99%

Availability of resources to treat sepsis in Brazil: a random sample of Brazilian institutions

Taniguchi¹,

Azevedo²,

Bozza³

et al. 2019

Revista Brasileira De Terapia Intensiva

View full text Add to dashboard Cite

Objective To characterize resource availability from a nationally representative random sample of intensive care units in Brazil. Methods A structured online survey of participating units in the Sepsis PREvalence Assessment Database (SPREAD) study, a nationwide 1-day point prevalence survey to assess the burden of sepsis in Brazil, was sent to the medical director of each unit. Results A representative sample of 277 of the 317 invited units responded to the resources survey. Most of the hospitals had fewer than 500 beds (94.6%) with a median of 14 beds in the intensive care unit. Providing care for public-insured patients was the main source of income in two-thirds of the surveyed units. Own microbiology laboratory was not available for 26.8% of the surveyed intensive care units, and 10.5% did not always have access to blood cultures. Broad spectrum antibiotics were not always available in 10.5% of surveyed units, and 21.3% could not always measure lactate within three hours. Those institutions with a high resource availability (158 units, 57%) were usually larger and preferentially served patients from the private health system compared to institutions without high resource availability. Otherwise, those without high resource availability did not always have broad-spectrum antibiotics (24.4%), vasopressors (4.2%) or crystalloids (7.6%). Conclusion Our study indicates that a relevant number of units cannot perform basic monitoring and therapeutic interventions in septic patients. Our results highlight major opportunities for improvement to adhere to simple but effective interventions in Brazil.

show abstract

“…Survey questions were developed by the research team from the evidence of prior studies. 4,[11][12][13][14][15][16][17][18][19][20][21][22] The responses were graded on the Likert rating scale (strongly agree, agree, undecided, disagree, and strongly disagree).…”

Section: Methodsmentioning

confidence: 99%

“…Intensive care professionals have the highest rate of BOS among all specialties, with 25% to 33% incidence of severe BOS among critical care nurses and up to 45% among critical care physicians. 4,[11][12][13][14][15][16][17][18][19][20][21][22] The critical care community has recognized that, in addition to providing care to patients and their families, it is essential to focus on emotional and psychosocial support for caregivers in the ICU. 4 "Closure" describes completion of a grieving process and may be achieved by attending funerals and services, sending condolence cards, or talking to bereaved families.…”

mentioning

confidence: 99%

“Sacred Pause” in the ICU: Evaluation of a Ritual and Intervention to Lower Distress and Burnout

Kapoor

Morgan

Siddique

et al. 2018

Am J Hosp Palliat Care

View full text Add to dashboard Cite

show abstract

Severe Burnout Is Common Among Critical Care Physician Assistants: Retracted

Abstract: Severe burnout is common in critical care medicine physician assistants. Higher patient-to-critical care medicine physician assistant ratios and provision of futile care are risk factors for severe burnout.

Cited by 16 publications

References 36 publications

A survey of critical care pharmacists to patient ratios and practice characteristics in intensive care units

A survey of critical care pharmacists to patient ratios and practice characteristics in intensive care units

Availability of resources to treat sepsis in Brazil: a random sample of Brazilian institutions

“Sacred Pause” in the ICU: Evaluation of a Ritual and Intervention to Lower Distress and Burnout

Contact Info

Product

Resources

About