Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain.
Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain.
An Pediatr (Engl Ed). 2023 Feb;98(2):119-128. doi: 10.1016/j.anpede.2023.01.004. Epub 2023 Feb 1.
The aim of our study was to describe the prevalence of burnout syndrome (BOS) in paediatricians working in paediatric emergency care settings and to analyse its association with potential risk factors.
Multicentre cross-sectional study through a survey of paediatricians working in paediatric emergency care settings in hospitals affiliated to the Research Network of the Spanish Society of Paediatric Emergency Medicine (SEUP) between September 2019 and January 2020. We analysed the association between social/family-related, demographic, occupational and satisfaction factors and the presence of BOS by means of multivariate and multilevel mixed-effects logistic regression models.
The estimated prevalence of BOS was 36.5% (95% confidence interval [CI], 31.7 %-41.2%). In the multivariate analysis, lacking a stable group of friends (OR, 2.57; 95% CI, 1.10-5.97), problems in and out of the work setting (OR, 3.06; 95% CI, 1.60-5.88) and a work experience of 9 years or less (OR, 2.31; 95% CI, 1.37-3.90) were identified as individual factors that increased the risk of SBO, while feeling acknowledged by coworkers (OR, 0.48; 95% CI, 0.30-0.79) and acknowledged by one's supervisor (OR, 0.62; 95% CI, 0.41-0.93) were protective factors. In relation to the hospital, the paediatric emergency unit being a subdepartment of the Department of Paediatrics (OR, 3.81; 95% CI, 1.85-7.85), the presence of an on-call emergency medicine specialist around the clock (OR, 3.53; 95% CI,1.62-7.73) and a volume of 28 or more paediatric emergency encounters a day to be managed per on-call physician (OR, 2.05; 95% CI, 1.01-4.16) were identified as independent risk factors for SBO. There was no variability in the prevalence of BOS attributable to differences between hospitals and autonomous communities, save for the described situations.
The prevalence of SBO among these providers is high. There are modifiable factors that we can intervene on to address BOS, independently of the hospital or region.
本研究旨在描述在儿科急诊环境中工作的儿科医生中倦怠综合征（BOS）的流行情况，并分析其与潜在风险因素的关系。
这是一项多中心横断面研究，通过对 2019 年 9 月至 2020 年 1 月期间隶属于西班牙儿科学急诊医学研究网络（SEUP）的医院中从事儿科急诊工作的儿科医生进行调查来开展。我们通过多变量和多层次混合效应逻辑回归模型分析了社会/家庭相关、人口统计学、职业和满意度因素与 BOS 之间的关系。
BOS 的估计患病率为 36.5%（95%置信区间[CI]，31.7%-41.2%）。在多变量分析中，缺乏稳定的朋友圈（比值比[OR]，2.57；95%CI，1.10-5.97）、工作和工作之外存在问题（OR，3.06；95%CI，1.60-5.88）以及工作经验为 9 年或以下（OR，2.31；95%CI，1.37-3.90）被确定为增加 BOS 风险的个体因素，而得到同事的认可（OR，0.48；95%CI，0.30-0.79）和得到主管的认可（OR，0.62；95%CI，0.41-0.93）是保护因素。就医院而言，儿科急诊科室为儿科科室的一个分支机构（OR，3.81；95%CI，1.85-7.85）、24 小时有急诊医学专家随叫随到（OR，3.53；95%CI，1.62-7.73）以及每位值班医生每天要管理 28 例或更多的儿科急诊就诊量（OR，2.05；95%CI，1.01-4.16）被确定为 BOS 的独立风险因素。除了上述情况，医院和自治区之间的 BOS 患病率没有差异。
这些提供者中 BOS 的患病率很高。存在可改变的因素，我们可以针对这些因素进行干预，以解决 BOS 问题，而无需考虑医院或地区。
