Need for recovery and physician well-being in emergency departments: national survey findings
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2021-07-19Author
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<jats:sec> <jats:title>Background and importance</jats:title> <jats:p>Need for recovery (NFR) describes an individual’s need to physically and psychologically recuperate following a period of work. Physicians working in emergency departments (EDs) have higher NFR scores than other occupational groups. Increased NFR may precede occupational burnout and identification provides opportunities for early interventions.</jats:p> </jats:sec> <jats:sec> <jats:title>Objective</jats:title> <jats:p>To identify the incidence of well-being characteristics for ED physicians and to determine if NFR score is associated with these characteristics, whilst adjusting for potential confounders.</jats:p> </jats:sec> <jats:sec> <jats:title>Design</jats:title> <jats:p>This is a secondary analysis of a survey study. Responses to 11 items were summated into the NFR score, from 0 (lowest NFR) to 100. Additional items (<jats:italic toggle="yes">n</jats:italic> = 44) explored well-being, demographic and occupational characteristics.</jats:p> </jats:sec> <jats:sec> <jats:title>Setting and participants</jats:title> <jats:p>Physicians working within 112 EDs in the UK and Ireland were surveyed in June–July 2019.</jats:p> </jats:sec> <jats:sec> <jats:title>Outcome measure and analysis</jats:title> <jats:p>The outcome measure was self-perceptions of well-being including; current burnout, risk of future burnout and feeling overwhelmed at work. Descriptive statistics are presented alongside findings of a multiple regression analysis.</jats:p> </jats:sec> <jats:sec> <jats:title>Main results</jats:title> <jats:p>In 4365 participants, the self-perceived incidence of current burnout, high risk of future burnout and feeling overwhelmed at work more than once a week was 24.8, 62.7 and 45.1%, respectively. For every unfavourable response of the NFR scale there was an increase in odds of 34.0% (95% CI, 31.0–37.1) for frequency of feeling overwhelmed; 53.8% (95% CI, 47.5–60.4) for current burnout; 56.2% (95% CI, 51.1–61.6) for high risk of future burnout.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion</jats:title> <jats:p>This study confirms an association between increased NFR score and self-perceived well-being characteristics. Factors previously reported to reduce NFR could therefore be important initiatives to improve well-being of the ED workforce.</jats:p> </jats:sec>
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