The Impact of Work-Related Factors on Risk of Resident Burnout: A Global Neurosurgery Pilot Study

Jean, Walter C.; Ironside, Natasha; Felbaum, Daniel R.; Syed, Hasan R.

doi:10.1016/j.wneu.2020.02.115

Cited by 24 publications

(33 citation statements)

References 18 publications

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“…High level of burnout was not associated with sociodemographic variables such as gender, age, origin or marital status [ 43 ], but it was associated with work-related factors that depend on the structure and culture of the organization, as expected [ 19 , 41 ]. First, those who worked on-call shifts presented higher levels of burnout, which is in congruence with studies indicating that call-on shift workers may develop burnout syndrome due to, at least partly, the rapid response and efficiency necessary to save lives in emergencies, fatigue or lack of sleep and the legal and moral responsibility in decision making [ 44 , 45 ]. Second, the medical specialties and more specifically, surgical medical specialties were the most affected [ 46 ] possibly related to the stressful situations and increased daily risk involved in the surgical interventions they have to face [ 47 ].…”

Section: Discussionsupporting

confidence: 74%

The Role of Burnout in the Association between Work-Related Factors and Perceived Errors in Clinical Practice among Spanish Residents

Rionda

Cortés‐García

Jiménez

2021

IJERPH

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This study aimed to evaluate the prevalence of burnout syndrome in a sample of residents from different specialties, to determine the influence of work-related factors on the development of burnout, and to examine the mediating role of burnout in the relation between such work factors and perceived errors in clinical practice. A total of 237 Spanish residents participated (Mage = 28.87, SD = 3.84; 73.8% females). The Maslach Burnout Inventory and an ad hoc questionnaire were administered to assess burnout and work-related factors. Comparison analyses and mediational models were conducted. Half of the residents reported high levels of burnout (48.9%). Burnout was significantly associated with perceived errors in clinical practice. Significant differences were found between residents with lower and higher burnout levels, showing that those with higher burnout were less satisfied with the working conditions. Burnout mediated the associations between adjustment of responsibility, support among residents, satisfaction with teaching and rotations, general satisfaction, and perceived errors in the clinical practice. Adjusted levels of responsibility and workload, enhanced supervision, and more social support from colleagues predict lower levels of burnout, which may result in fewer errors in clinical practice. Consequently, such work-related factors should be taken into account as a preventive strategy for burnout and errors in the clinical practice so adequate patient care, good mental health of future specialists, and, therefore, higher quality of public health care can be ensured.

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Section: Discussionsupporting

confidence: 74%

The Role of Burnout in the Association between Work-Related Factors and Perceived Errors in Clinical Practice among Spanish Residents

Rionda

Cortés‐García

Jiménez

2021

IJERPH

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“…Another study was done on neurosurgery residents showed that long and multiple shifts associated with burnout risk [4]. Another research emphasized the effect of stressful on-call duties, and long duty hours on the increase in the incidence of burnout [5].…”

Section: Perceptions Of the Impact Of The Night Float Systemmentioning

confidence: 99%

“…Furthermore, an increase in incidence in burnout and suicide attempts among physicians have been reported. As a result, several countries have established a new system of work coverage called the Night Float (NF) shifts system and abandon the traditional 24-hours on-call system [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Pediatric Resident’s Perception of Night Float System Compared to 24 Hours System, a Prospective Study 

Alsohime

Alkhalaf

Almuzini

et al. 2020

Preprint

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Background:This study aims to evaluate the pediatric residents’ perceptions of the Night Float (NF) on-call system and its impact on their well-being, education and patient safety and compare it with the previous traditional 24-hour on-call system. Methods: This is a prospective study conducted in two pediatric residents training centers who applied the NF on call system as a pilot project. The senior residents (PGY-3 & PGY-4) enrolled in the two training centers were invited to participate in this study before changing the on-call system and 6 months after starting the new NF on-call system. A self-administered online questionnaire was distributed to them. A five-point Likert-type scale was used to rank the residents’ responses (1 means strongly disagree & 5 means strongly agree), covering three main domains; residents’ well-being, ability to deliver health care, and their medical education experience. Pre- and post-intervention scores were presented as means and compared using the t-test for paired samples.Results: A total of 42 residents participated in the survey. Of these, 24 (57.1%) were females. All participants were senior residents; 25 (59.6%) were third year residents while 17 (40.4%) were fourth year residents. Participants felt that most aspects of the three domains were improved by the introduction of the NF system. The NF system was perceived to have less adverse health effect on the residents (Mean 2.37±1.01), compared to the 24 hours on-call system (Mean 4.19±0.60), P ˂0.001. The NF system was perceived to have less exposure to personal harm, less negative impact on the quality of care, better work efficiency, reduced potential for medical error, more successful teaching and fewer disruptions to other rotations compared to the 24 hours on-call system, (P ˂0.001).Conclusion: The senior residents’ perception about the 24-hour on-call system has shown a negative impact on the residents’ well-being and education of residents and patient safety compared to an on-call system with more restrictive duty hours. The perception of the restricted duty hours was perceived to be less harmful, more useful from pedagogic aspect and has positive impact on the quality of delivered health care services.

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“…Furthermore, an increase in burnout and suicide attempt among physicians. As a result, several countries have established the Night Float (NF) shifts system [2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Pediatric Resident’s Perception of Night Float System Compared to 24 Hours System, a Prospective Study

Alsohime

Alkhalaf

Almuzini

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: This study aims to evaluate the pediatric residents’ perceptions of the Night Float (NF) on-call system and its impact on their well-being, education and patient safety and compare it with the previous traditional 24-hour on-call system. Methods: This is a prospective study conducted in two pediatric residents training centers who applied the NF on call system as a pilot project. The senior residents enrolled in the two training centers were invited to participate in this study before changing the on-call system and 6 months after starting the new NF on-call system. A self-administered online questionnaire was distributed to them. A five-point Likert-type scale was used to rank the residents’ responses, covering three main domains; residents’ well-being, ability to deliver health care, and their medical education experience. Pre- and post-intervention scores were presented as means and compared using the t-test for paired samples. Results: A total of 42 residents participated in the survey. Of these, 24 (57.1%) were females. All participants were senior residents; 25 (59.6%) were third year residents while 17 (40.4%) were fourth year residents. Participants felt that most aspects of the three domains were improved by the introduction of the NF system. The NF system had less adverse health effect on the residents (Mean 2.37±1.01), compared to the 24 hours on-call system (Mean 4.19±0.60), P ˂0.001. The NF system had less exposure to personal harm, less negative impact on the quality of care, better work efficiency, reduced potential for medical error, more successful teaching and fewer disruptions to other rotations compared to the 24 hours on-call system, (P ˂0.001). Conclusion: In this study, we found that the NF on-call system positively impacts residents’ well-being, education and patient care. This pilot study demonstrates that the restricted duty hours are useful from pedagogic aspect and sets the ground for Pediatric residency training programs in Saudi Arabia to consider resident duty hour reform. Trial registration: Not applicable

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The Impact of Work-Related Factors on Risk of Resident Burnout: A Global Neurosurgery Pilot Study

Cited by 24 publications

References 18 publications

The Role of Burnout in the Association between Work-Related Factors and Perceived Errors in Clinical Practice among Spanish Residents

The Role of Burnout in the Association between Work-Related Factors and Perceived Errors in Clinical Practice among Spanish Residents

Pediatric Resident’s Perception of Night Float System Compared to 24 Hours System, a Prospective Study

Pediatric Resident’s Perception of Night Float System Compared to 24 Hours System, a Prospective Study

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The Impact of Work-Related Factors on Risk of Resident Burnout: A Global Neurosurgery Pilot Study

Cited by 24 publications

References 18 publications

The Role of Burnout in the Association between Work-Related Factors and Perceived Errors in Clinical Practice among Spanish Residents

The Role of Burnout in the Association between Work-Related Factors and Perceived Errors in Clinical Practice among Spanish Residents

Pediatric Resident’s Perception of Night Float System Compared to 24 Hours System, a Prospective Study&nbsp;

Pediatric Resident’s Perception of Night Float System Compared to 24 Hours System, a Prospective Study

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Pediatric Resident’s Perception of Night Float System Compared to 24 Hours System, a Prospective Study