• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Chronic Disease

NICU provider burnout linked to multiple organizational factors

byMatthew Lin, MDandLeah Carr, MD
April 18, 2017
in Chronic Disease, Pediatrics
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

1. Neonatal intensive care units (NICUs) with higher average admission rates and longstanding electronic health record (EHR) usage were found to have significantly higher provider burnout prevalence than those with lower admit rates and no EHR usage.     

Study Rundown: Burnout is a condition characterized by fatigue, detachment, and cynicism attributed to sustained levels of stress. In the critical care setting, burnout may be driven by the emotional challenges of providing care to medically complex and acutely ill patients. In this cross-sectional study, researchers aimed to characterize the relationship between provider burnout and organizational factors in California-based NICUs by using the Maslach Burnout Inventory (MBI), a well-known self-report survey used to assess burnout. Results showed that burnout prevalence was significantly associated with higher average daily admission rates and longstanding EHR usage. Factors that were not significantly associated with higher burnout rate included patient mortality risk, the proportion of high risk patients (i.e. birth weight between 401-1600g or gestational age between 22 0/7 and 29 6/7 weeks), presence of an in-house attending, and presence of a NICU within a teaching institution. Data suggested that both large NICU size and longstanding EHR usage may limit providers’ interpersonal interactions with patients and their families. However, this study used emotional exhaustion as a surrogate for burnout. Other limitations to consider include response bias and the potential lack of generalizability beyond Californian NICUs. Overall, this study identifies new organizational determinants of NICU provider burnout that may be targeted for intervention or further study in future research.

Click to read the study, published today in Pediatrics

Relevant Reading: Burnout in the NICU setting and its relation to safety culture

Study Author, Dr. Daniel Tawfik, MD, talks to 2 Minute Medicine: Division of Pediatric Critical Care Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, California.

“This study highlights the association between large, busy patient care units and provider burnout, as well as an independent association with electronic health record use. Medical trainees are concentrated in these suspected high-risk environments for burnout, and this study may serve as an impetus for them to learn to identify the symptoms of burnout and identify resources for combatting burnout within their institutions.”

In-Depth [cross-sectional study]: In this study, researchers evaluated the relationship between organizational factors of NICUs and response data from a larger survey on safety culture obtained from NICUs affiliated with the California Perinatal Quality Care Collaborative. Out of 130 member hospitals, 41 NICUs and 1934 associated providers participated in this study, with individual units caring for 84 to 2906 neonates during the study period (Jan 1, 2011 to Dec 31, 2012). Burnout was assessed using the 4-question emotional exhaustion questionnaire of the MBI. Medical providers were included if they had a ≥0.5 full-time commitment to the NICU for ≥4 consecutive weeks before survey administration. Organizational factors evaluated in multivariable analysis that were significantly and positively associated with higher burnout prevalence included average daily admissions (mean = 1.3 ± 0.8, SE = 1.42; p < 0.001), EHR use (n = 30 [80%], SE = 1.50, p < 0.03). Of note, NICUs with longstanding EHRs did not differ significantly in average daily admissions or number of licensed beds. In univariable analyses, admission rates, number of licensed beds, average lengths of stay, EHR use, and regional California Childrens’ Services level were significantly associated with higher burnout prevalence.

RELATED REPORTS

Operating the day after performing surgery the previous night not associated with adverse patient outcomes

Noninvasive ventilation with neurally adjusted ventilatory assist (NIV-NAVA) outperforms nasal continuous positive airway pressure (NCPAP) post-extubation in preterm infants

Antenatal corticosteroids may affect neurodevelopment differently based on gestational age

©2017 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: burnoutneonatology
Previous Post

Emergency access points in Netherlands reduce unnecessary emergency department visits

Next Post

High-sensitivity troponin T result may help rule out of myocardial infarction

RelatedReports

Quick Take: Intravenous patient-controlled analgesia versus thoracic epidural analgesia after open liver surgery
Public Health

Operating the day after performing surgery the previous night not associated with adverse patient outcomes

May 24, 2022
No decrease in infant mortality with maternal micronutrient supplementation in Bangladesh
Pediatrics

Noninvasive ventilation with neurally adjusted ventilatory assist (NIV-NAVA) outperforms nasal continuous positive airway pressure (NCPAP) post-extubation in preterm infants

May 6, 2022
Abusive head trauma results in fewer productive life-years
Chronic Disease

Antenatal corticosteroids may affect neurodevelopment differently based on gestational age

April 28, 2022
Quick Take: Effect of Developmentally Adapted Cognitive Processing Therapy for Youth With Symptoms of Posttraumatic Stress Disorder After Childhood Sexual and Physical Abuse
Psychiatry

Marginalized identities, mistreatment, discrimination, and burnout among US medical students

April 25, 2022
Next Post
Radiation dose associated with increased heart disease in Hodgkin lymphoma survivors

High-sensitivity troponin T result may help rule out of myocardial infarction

Attenuation values may help differentiate renal neoplasm from simple cyst on contrast-enhanced CT

2 Minute Medicine Rewind April 16, 2017

Galangin may sensitize apoptosis-resistant renal carcinoma cells [PreClinical]

Ultrasound and cystoscopy may be most cost-effective for asymptomatic microscopic hematuria

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

Get 2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Alzheimer disease in individuals with Down syndrome has similar variability in age of onset and mortality rate as autosomal dominant forms
  • #VisualAbstract: Ruxolitinib shows long-term safety and efficacy in inadequately controlled polycythaemia vera without splenomegaly
  • Wellness Check: Sleep
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.