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Associations of Job Demands and Patient Safety Event Involvement on Burnout among a Multidisciplinary Group of Pediatric Hematology/Oncology Clinicians
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  • Tyler Dunn,
  • Michael Terao,
  • Lindsay Blazin,
  • Holly Spraker-Perlman,
  • Justin Baker,
  • Belinda Mandrell,
  • Janet Sellers,
  • Valerie Crabtree,
  • James Hoffman,
  • Jonathan Burlison
Tyler Dunn
University of Mississippi
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Michael Terao
MedStar Georgetown University Hospital
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Lindsay Blazin
Indiana University School of Medicine
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Holly Spraker-Perlman
St. Jude Children's Research Hospital
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Justin Baker
St. Jude Children's Research Hospital
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Belinda Mandrell
St. Jude Children's Research Hospital
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Janet Sellers
St Jude Children's Research Hospital
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Valerie Crabtree
St Jude
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James Hoffman
St. Jude Children's Research Hospital
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Jonathan Burlison
St Jude Children's Research Hospital
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Abstract

BACKGROUND: Workplace burnout can result in negative consequences for clinicians and patients. We assessed burnout prevalence and sources among pediatric hematology/oncology inpatient nurses, ambulatory nurses, physicians (MDs), and advanced practice providers (APPs) by evaluating effects of job demands and involvement in patient safety events (PSEs). METHODS: A cross-sectional survey (Maslach Burnout Inventory) measured emotional exhaustion, depersonalization, and reduced personal accomplishment. The NASA Task Load Index measured mental demand, physical demand, temporal demand, effort, and frustration. Relative weights analyses estimated the unique contributions of tasks and PSEs on burnout. Post-hoc analyses evaluated open-response comments for burnout factors. RESULTS: Burnout prevalence was 33%, 20%, 34% and 33% in inpatient nurses, ambulatory nurses, and MD, and APPs respectively (N=481, response rate 69%). Reduced personal accomplishment was significantly higher in inpatient nurses than MDs & APPs. Job frustration was the most significant predictor of burnout across all four cohorts. Other significant predictors of burnout included temporal demand (nursing groups & MDs) effort (inpatient nurses & MDs) and PSE involvement (ambulatory nurses). Open-response comments identified time constraints, lack of administrator support, insufficient institutional support for self-care, and inadequate staffing and/or turnover as sources of frustration. CONCLUSIONS: All four clinician groups reported substantial levels of burnout, and job demands predicted burnout. The body of knowledge on job stress and workplace burnout supports targeting organizational-level sources, versus individual-level factors, as the most effective prevention and reduction strategy. This study elaborates on this evidence by identifying structural drivers of burnout within a multidisciplinary context of pediatric hematology/oncology clinicians.

Peer review status:UNDER REVIEW

05 Apr 2021Assigned to Editor
05 Apr 2021Submission Checks Completed
05 Apr 2021Submitted to Pediatric Blood & Cancer
07 Apr 2021Reviewer(s) Assigned
03 May 2021Review(s) Completed, Editorial Evaluation Pending