Burnout, professional fulfillment, and post‐traumatic stress among pediatric solid organ transplant teams
dc.contributor.author | Cousino, Melissa K. | |
dc.contributor.author | Bogle, Carmel | |
dc.contributor.author | Lim, Heang M. | |
dc.contributor.author | McCormick, Amanda D. | |
dc.contributor.author | Sturza, Julie | |
dc.contributor.author | Fredericks, Emily M. | |
dc.contributor.author | Magee, John C. | |
dc.contributor.author | Blume, Elizabeth D. | |
dc.date.accessioned | 2021-06-02T21:10:02Z | |
dc.date.available | 2022-07-02 17:10:00 | en |
dc.date.available | 2021-06-02T21:10:02Z | |
dc.date.issued | 2021-06 | |
dc.identifier.citation | Cousino, Melissa K.; Bogle, Carmel; Lim, Heang M.; McCormick, Amanda D.; Sturza, Julie; Fredericks, Emily M.; Magee, John C.; Blume, Elizabeth D. (2021). "Burnout, professional fulfillment, and post‐traumatic stress among pediatric solid organ transplant teams." Pediatric Transplantation (4): n/a-n/a. | |
dc.identifier.issn | 1397-3142 | |
dc.identifier.issn | 1399-3046 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/167846 | |
dc.description.abstract | BackgroundAdverse effects of clinician burnout have been studied across multiple specialties; however, there have been no studies examining rates of burnout among pediatric solid organ transplant teams. This study aimed to measure burnout, work exhaustion, professional fulfillment, and post‐traumatic stress symptoms among clinicians and administrators practicing in this high‐stress field.MethodsThis cross‐sectional study utilized a 50 item web‐based survey that included the Personal Fulfillment Index and the IES‐R. This survey was distributed across four pediatric solid organ transplant centers in North America. Basic demographics, clinician characteristics, and information regarding wellness and self‐care activities were collected. Descriptive and correlational analyses were performed.ResultsOne hundred and thirty five participants completed the survey, 76% were female and 78% were Caucasian. One‐third (34%) of participants endorsed burnout, while 43% reported professional fulfillment. Approximately 15% of respondents endorsed clinically significant levels of post‐traumatic stress symptoms related to patient deaths, with female clinicians more likely to endorse symptoms (p = .01). Nearly 80% of participants reported engaging in self‐care activities outside of work and only 10% of participants reported participation in hospital‐sponsored wellness programs.ConclusionsPediatric solid organ transplant team members exhibited moderate levels of burnout, professional fulfillment, and post‐traumatic stress. Female clinicians were the most likely to experience both work exhaustion and post‐traumatic stress symptoms. Transplant centers are encouraged to consider interventions and programming to improve clinician wellness. | |
dc.publisher | Guilford Press | |
dc.publisher | Wiley Periodicals, Inc. | |
dc.subject.other | burnout | |
dc.subject.other | pediatrics | |
dc.subject.other | post‐traumatic stress | |
dc.subject.other | transplant | |
dc.subject.other | wellness | |
dc.title | Burnout, professional fulfillment, and post‐traumatic stress among pediatric solid organ transplant teams | |
dc.type | Article | |
dc.rights.robots | IndexNoFollow | |
dc.subject.hlbsecondlevel | Pediatrics | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/167846/1/petr14020.pdf | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/167846/2/petr14020_am.pdf | |
dc.identifier.doi | 10.1111/petr.14020 | |
dc.identifier.source | Pediatric Transplantation | |
dc.identifier.citedreference | Walsh G, Hayes B, Freeney Y, McArdle S. Doctor, how can we help you? Qualitative interview study to identify key interventions to target burnout in hospital doctors. BMJ Open. 2019; 9 ( 9 ): e030209. | |
dc.identifier.citedreference | Weiss DSMC. The impact of event scale‐revised. In: Wilson JP, Keane TM, eds. Assessing psychological trauma and PTSD: a practitioner’s handbook. New York, NY: Guilford Press; 1997: 399 ‐ 411. | |
dc.identifier.citedreference | Motlagh H. Impact of event scale‐revised. J Physiother. 2010; 56 ( 3 ): 203. | |
dc.identifier.citedreference | Asukai N, Kato H, Kawamura N, et al. Reliabiligy and validity of the Japanese‐language version of the impact of event scale‐revised (Ies‐RJ): four studies of different traumatic events. J Nerv Ment Dis. 2002; 190 ( 3 ): 175 ‐ 182. | |
dc.identifier.citedreference | Altinisik HB, Alan H. Compassion fatigue, professional quality of life, and psychological endurance among organ transplant coordinators. Transplant Proc. 2019; 51 ( 4 ): 1038 ‐ 1043. | |
dc.identifier.citedreference | Kassam AF, Cortez AR, Winer LK, et al. Extinguishing burnout: National analysis of predictors and effects of burnout in abdominal transplant surgery fellows. Am J Transplant. 2020; 21 ( 1 ): 307 ‐ 313. | |
dc.identifier.citedreference | Rodriguez‐Rey R, Palacios A, Alonso‐Tapia J, et al. Burnout and posttraumatic stress in paediatric critical care personnel: prediction from resilience and coping styles. Aust Crit Care. 2019; 32 ( 1 ): 46 ‐ 53. | |
dc.identifier.citedreference | van Steijn ME, Scheepstra KWF, Yasar G, Olff M, de Vries MC, van Pampus MG. Occupational well‐being in pediatricians‐a survey about work‐related posttraumatic stress, depression, and anxiety. Eur J Pediatr. 2019; 178 ( 5 ): 681 ‐ 693. | |
dc.identifier.citedreference | Jones GAL, Colville GA, Ramnarayan P, et al. Psychological impact of working in paediatric intensive care. A UK‐wide prevalence study. Arch Dis Child. 2020; 105 ( 5 ): 470 ‐ 475. | |
dc.identifier.citedreference | Hollingsworth CE, Wesley C, Huckridge J, Finn GM, Griksaitis MJ. Impact of child death on paediatric trainees. Arch Dis Child. 2018; 103 ( 1 ): 14 ‐ 18. | |
dc.identifier.citedreference | Ffrench‐O’Carroll R, Feeley T, Crowe S, Doherty EM. Grief reactions and coping strategies of trainee doctors working in paediatric intensive care. Br J Anaesth. 2019; 123 ( 1 ): 74 ‐ 80. | |
dc.identifier.citedreference | Baptiste D, Fecher AM, Dolejs SC, et al. Gender differences in academic surgery, work‐life balance, and satisfaction. J Surg Res. 2017; 218: 99 ‐ 107. | |
dc.identifier.citedreference | Jolly S, Griffith KA, DeCastro R, Stewart A, Ubel P, Jagsi R. Gender differences in time spent on parenting and domestic responsibilities by high‐achieving young physician‐researchers. Ann Intern Med. 2014; 160 ( 5 ): 344 ‐ 353. | |
dc.identifier.citedreference | Starmer AJ, Frintner MP, Matos K, Somberg C, Freed G, Byrne BJ. Gender discrepancies related to pediatrician work‐life balance and household responsibilities. Pediatrics. 2019; 144 ( 4 ): e20182926. | |
dc.identifier.citedreference | Dyrbye LN, Shanafelt TD, Balch CM, Satele D, Sloan J, Freischlag J. Relationship between work‐home conflicts and burnout among American surgeons: a comparison by sex. Arch Surg. 2011; 146 ( 2 ): 211 ‐ 217. | |
dc.identifier.citedreference | Jesse MT, Shkokani L, Eshelman A, De Reyck C, Abouljoud M, Lerut J. Transplant surgeon burnout and marital distress in the sandwich generation: the call for organizational support in family life. Transplant Proc. 2018; 50 ( 10 ): 2899 ‐ 2904. | |
dc.identifier.citedreference | Thiessen C, Wisel SA, Yamaguchi S, Dietch ZC, Feng S, Freise CE. Rapid modification of workflows and fellow staffing at a single transplant center to address the COVID‐19 crisis. Transplant Proc. 2020; 52 ( 9 ): 2596 ‐ 2600. | |
dc.identifier.citedreference | Boyarsky BJ, Po‐Yu Chiang T, Werbel WA, et al. Early impact of COVID‐19 on transplant center practices and policies in the United States. Am J Transplant. 2020; 20 ( 7 ): 1809 ‐ 1818. | |
dc.identifier.citedreference | Kumar D, Manuel O, Natori Y, et al. COVID‐19: a global transplant perspective on successfully navigating a pandemic. Am J Transplant. 2020; 20 ( 7 ): 1773 ‐ 1779. | |
dc.identifier.citedreference | Morgantini LA, Naha U, Wang H, et al. Factors contributing to healthcare professional burnout during the COVID‐19 pandemic. A rapid turnaround global survey. PLoS ONE. 2020; 15 ( 9 ): e0238217. https://doi.org/10.1371/journal.pone.0238217 | |
dc.identifier.citedreference | Martino F, Plebani M, Ronco C. Kidney transplant programmes during the COVID‐19 pandemic. Lancet Respir Med. 2020; 8 ( 5 ): e39. | |
dc.identifier.citedreference | Balasubramanian A, Paleri V, Bennett R, Paleri V. Impact of COVID‐19 on the mental health of surgeons and coping strategies. Head Neck. 2020; 42 ( 7 ): 1638 ‐ 1644. | |
dc.identifier.citedreference | Kang L, Ma S, Chen M, et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: a cross‐sectional study. Brain Behav Immun. 2020; 87: 11 ‐ 17. | |
dc.identifier.citedreference | West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. Interventions to prevent and reduce physician burnout: a systematic review and meta‐analysis. Lancet. 2016; 388 ( 10057 ): 2272 ‐ 2281. | |
dc.identifier.citedreference | Shanafelt TD, Noseworthy JH. Executive leadership and physician well‐being: nine organizational strategies to promote engagement and reduce burnout. Mayo Clin Proc. 2017; 92 ( 1 ): 129 ‐ 146. | |
dc.identifier.citedreference | Kase SM, Gribben JL, Waldman ED, Weintraub AS. A pilot study exploring interventions for physician distress in pediatric subspecialists. Pediatr Res. 2020; 88 ( 3 ): 398 ‐ 403. | |
dc.identifier.citedreference | Govindan M, Keefer P, Sturza J, Stephens MR, Malas N. Empowering residents to process distressing events: a debriefing workshop. MedEdPORTAL. 2019; 15: 10809. | |
dc.identifier.citedreference | McDermott A, Brook I, Ben‐Isaac E. Peer‐debriefing after distressing patient care events: a workshop for pediatric residents. MedEdPORTAL. 2017; 13: 10624. | |
dc.identifier.citedreference | Linzer M, Poplau S, Grossman E, et al. A cluster randomized trial of interventions to improve work conditions and clinician burnout in primary care: results from the healthy work place (HWP) study. J Gen Intern Med. 2015; 30 ( 8 ): 1105 ‐ 1111. | |
dc.identifier.citedreference | Jesse MT, Abouljoud M, Eshelman A. Determinants of burnout among transplant surgeons: a national survey in the United States. Am J Transplant. 2015; 15 ( 3 ): 772 ‐ 778. | |
dc.identifier.citedreference | Kim S. Compassion fatigue in liver and kidney transplant nurse coordinators: a descriptive research study. Prog Transplant. 2013; 23 ( 4 ): 329 ‐ 335. | |
dc.identifier.citedreference | Freudenberger HJ. Staff burn‐out. J Soc Issues. 1974; 30 ( 1 ): 159 ‐ 165. | |
dc.identifier.citedreference | Del Carmen MG, Herman J, Rao S, et al. Trends and factors associated with physician burnout at a multispecialty academic faculty practice organization. JAMA Netw Open. 2019; 2 ( 3 ): e190554. | |
dc.identifier.citedreference | Neumann JL, Mau LW, Virani S, et al. Burnout, moral distress, work‐life balance, and career satisfaction among hematopoietic cell transplantation professionals. Biol Blood Marrow Transplant. 2018; 24 ( 4 ): 849 ‐ 860. | |
dc.identifier.citedreference | West CP, Hauer KE. Reducing burnout in primary care: a step toward solutions. J Gen Intern Med. 2015; 30 ( 8 ): 1056 ‐ 1057. | |
dc.identifier.citedreference | Kumar S. Burnout and doctors: prevalence, prevention and intervention. Healthcare (Basel). 2016; 4 ( 3 ): 37. | |
dc.identifier.citedreference | Leiter MP, Maslach C. Nurse turnover: the mediating role of burnout. J Nurs Manag. 2009; 17 ( 3 ): 331 ‐ 339. | |
dc.identifier.citedreference | Trockel M, Bohman B, Lesure E, et al. A brief instrument to assess both burnout and professional fulfillment in physicians: reliability and validity, including correlation with self‐reported medical errors, in a sample of resident and practicing physicians. Acad Psychiatry. 2018; 42 ( 1 ): 11 ‐ 24. | |
dc.identifier.citedreference | Shanafelt TD, Balch CM, Bechamps G, et al. Burnout and medical errors among American surgeons. Ann Surg. 2010; 251 ( 6 ): 995 ‐ 1000. | |
dc.identifier.citedreference | Cimiotti JP, Aiken LH, Sloane DM, Wu ES. Nurse staffing, burnout, and health care‐associated infection. Am J Infect Control. 2012; 40 ( 6 ): 486 ‐ 490. | |
dc.identifier.citedreference | Jackson ER, Shanafelt TD, Hasan O, Satele DV, Dyrbye LN. Burnout and alcohol abuse/dependence among U.S. medical students. Acad Med. 2016; 91 ( 9 ): 1251 ‐ 1256. | |
dc.identifier.citedreference | Jesse MT, Abouljoud MS, Hogan K, Eshelman A. Burnout in transplant nurses. Prog Transplant. 2015; 25 ( 3 ): 196 ‐ 202. | |
dc.identifier.citedreference | Reith TP. Burnout in United States healthcare professionals: a narrative review. Cureus. 2018; 10 ( 12 ): e3681. | |
dc.identifier.citedreference | Golub JS, Weiss PS, Ramesh AK, Ossoff RH, Johns MM 3rd. Burnout in residents of otolaryngology‐head and neck surgery: a national inquiry into the health of residency training. Acad Med. 2007; 82 ( 6 ): 596 ‐ 601. | |
dc.identifier.citedreference | Jameton A. Dilemmas of moral distress: moral responsibility and nursing practice. AWHONNS Clin Issues Perinat Womens Health Nurs. 1993; 4 ( 4 ): 542. | |
dc.identifier.citedreference | Bienvenu OJ, Gellar J, Althouse BM, et al. Post‐traumatic stress disorder symptoms after acute lung injury: a 2‐year prospective longitudinal study. Psychol Med. 2013; 43 ( 12 ): 2657 ‐ 2671. | |
dc.working.doi | NO | en |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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