Lead Advanced Clinical Practitioner, Emergency Department, Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust.
Advanced Clinical Practitioner, Emergency Department, Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust.
Br J Nurs. 2022 Jul 21;31(14):738-747. doi: 10.12968/bjon.2022.31.14.738.
Healthcare settings are high-risk environments for fatigue and staff burnout. The Need For Recovery (NFR) scale quantifies inter-shift recovery, which contributes to cumulative fatigue and may precede occupational burnout. Advanced clinical practitioners (ACPs) are an established feature of the emergency medicine workforce in the UK, however, little is known about factors affecting their inter-shift recovery, fatigue or how NFR correlates with formal burnout inventories.
A prospective cross-sectional online survey of UK emergency medicine ACPs from 1 September to 30 September 2020. The primary aim was to determine the NFR of these ACPs. The secondary aims were to determine any statistical associations between NFR and selected variables, and whether NFR could reliably predict burnout using the Copenhagen Burnout Inventory (CBI) as a comparator.
There were 529 responses to the survey from 50 sites (response rate: 88%). The median NFR was 63.6 (95% CI 54.5-63.6). Lower NFR scores were found in ACPs who see both adults and children (54.5, 95% CI 45.4-63.6), work shifts of 7-10 hours (54.5, 95% CI 36.3-63.6) and who found it easy to park before work (54.5, 95% CI 45.5-54.5). Linear regression modelling indicated significant associations between shift length, ease of parking, ability to get breaks and feeling overwhelmed. Spearman's rho between NFR and CBI for personal and work-related burnout was 0.741 and 0.766 respectively. Correlation between NFR and patient-related burnout was less at 0.471.
This study has shown the second highest NFR score reported in any occupational group. Several factors have been identified that may potentially reduce NFR and could be changed by organisations. NFR could also be used to identify those suffering with occupational burnout.
医疗保健环境是疲劳和员工倦怠的高风险环境。需要恢复量表（NFR）量化了轮班之间的恢复情况，这有助于累积疲劳，并可能先于职业倦怠。高级临床医生（ACPs）是英国急诊医学劳动力中的一个既定特征，然而，对于影响他们轮班之间恢复的因素、疲劳以及 NFR 与正式倦怠量表之间的相关性知之甚少。
2020 年 9 月 1 日至 9 月 30 日，对英国急诊医学 ACP 进行了一项前瞻性的横断面在线调查。主要目的是确定这些 ACP 的 NFR。次要目的是确定 NFR 与选定变量之间的任何统计关联，以及 NFR 是否可以使用哥本哈根倦怠量表（CBI）作为比较器可靠地预测倦怠。
共有 50 个地点的 529 名参与者对调查做出了回应（应答率：88%）。NFR 的中位数为 63.6（95%CI 54.5-63.6）。在同时看成人和儿童的 ACP（54.5，95%CI 45.4-63.6）、工作时长为 7-10 小时（54.5，95%CI 36.3-63.6）和发现工作前停车容易的 ACP 中，NFR 得分较低（54.5，95%CI 45.5-54.5）。线性回归模型表明，轮班长度、停车便利性、休息能力和不堪重负感之间存在显著关联。NFR 与 CBI 中个人和工作相关倦怠之间的斯皮尔曼 rho 分别为 0.741 和 0.766。NFR 与患者相关倦怠之间的相关性稍低，为 0.471。
这项研究显示了在任何职业群体中报告的第二高的 NFR 得分。已经确定了一些可能潜在降低 NFR 并可由组织改变的因素。NFR 还可用于识别患有职业倦怠的人。
