Team and leadership factors and their relationship to burnout in emergency medicine during COVID‐19: A 3‐wave cross‐sectional study
Abstract Objective We examined the relationship of team and leadership attributes with clinician feelings of burnout over time during the corona virus disease 2019 (COVID‐19) pandemic. Methods We surveyed emergency medicine personnel at 2 California hospitals at 3 time points: July 2020, December 20...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-08-01
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| Series: | Journal of the American College of Emergency Physicians Open |
| Online Access: | https://doi.org/10.1002/emp2.12761 |
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| author | Aditi Bhanja Tuna Hayirli Nicholas Stark James Hardy Christopher R. Peabody Michaela Kerrissey |
| author_facet | Aditi Bhanja Tuna Hayirli Nicholas Stark James Hardy Christopher R. Peabody Michaela Kerrissey |
| author_sort | Aditi Bhanja |
| collection | DOAJ |
| description | Abstract Objective We examined the relationship of team and leadership attributes with clinician feelings of burnout over time during the corona virus disease 2019 (COVID‐19) pandemic. Methods We surveyed emergency medicine personnel at 2 California hospitals at 3 time points: July 2020, December 2020, and November 2021. We assessed 3 team and leadership attributes using previously validated psychological scales (joint problem‐solving, process clarity, and leader inclusiveness) and burnout using a validated scale. Using logistic regression models we determined the associations between team and leadership attributes and burnout, controlling for covariates. Results We obtained responses from 328, 356, and 260 respondents in waves 1, 2, and 3, respectively (mean response rate = 49.52%). The median response for feelings of burnout increased over time (2.0, interquartile range [IQR] = 2.0–3.0 in wave 1 to 3.0, IQR = 2.0–3.0 in wave 3). At all time points, greater process clarity was associated with lower odds of feeling burnout (odds ratio [OR] [95% confidence interval (CI) = 0.36 [0.19, 0.66] in wave 1 to 0.24 [0.10, 0.61] in wave 3). In waves 2 and 3, greater joint problem‐solving was associated with lower odds of feeling burnout (OR [95% CI] = 0.61 [0.42, 0.89], 0.54 [0.33, 0.88]). Leader inclusiveness was also associated with lower odds of feeling burnout (OR [95% CI] = 0.45 [0.27, 0.74] in wave 1 to 0.41 [0.24, 0.69] in wave 3). Conclusions Process clarity, joint problem‐solving, and leader inclusiveness are associated with less clinician burnout during the COVID‐19 pandemic, pointing to potential benefits of focusing on team and leadership factors during crisis. Leader inclusiveness may wane over time, requiring effort to sustain. |
| format | Article |
| id | doaj-art-2f3fba40b2064c1ea33a06c98ff43390 |
| institution | DOAJ |
| issn | 2688-1152 |
| language | English |
| publishDate | 2022-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj-art-2f3fba40b2064c1ea33a06c98ff433902025-08-20T02:54:46ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522022-08-0134n/an/a10.1002/emp2.12761Team and leadership factors and their relationship to burnout in emergency medicine during COVID‐19: A 3‐wave cross‐sectional studyAditi Bhanja0Tuna Hayirli1Nicholas Stark2James Hardy3Christopher R. Peabody4Michaela Kerrissey5Harvard TH Chan School of Public Health Boston Massachusetts USAHarvard Medical School Boston Massachusetts USADepartment of Emergency Medicine University of California San Francisco California USADepartment of Emergency Medicine University of California San Francisco California USADepartment of Emergency Medicine University of California San Francisco California USAHarvard TH Chan School of Public Health Boston Massachusetts USAAbstract Objective We examined the relationship of team and leadership attributes with clinician feelings of burnout over time during the corona virus disease 2019 (COVID‐19) pandemic. Methods We surveyed emergency medicine personnel at 2 California hospitals at 3 time points: July 2020, December 2020, and November 2021. We assessed 3 team and leadership attributes using previously validated psychological scales (joint problem‐solving, process clarity, and leader inclusiveness) and burnout using a validated scale. Using logistic regression models we determined the associations between team and leadership attributes and burnout, controlling for covariates. Results We obtained responses from 328, 356, and 260 respondents in waves 1, 2, and 3, respectively (mean response rate = 49.52%). The median response for feelings of burnout increased over time (2.0, interquartile range [IQR] = 2.0–3.0 in wave 1 to 3.0, IQR = 2.0–3.0 in wave 3). At all time points, greater process clarity was associated with lower odds of feeling burnout (odds ratio [OR] [95% confidence interval (CI) = 0.36 [0.19, 0.66] in wave 1 to 0.24 [0.10, 0.61] in wave 3). In waves 2 and 3, greater joint problem‐solving was associated with lower odds of feeling burnout (OR [95% CI] = 0.61 [0.42, 0.89], 0.54 [0.33, 0.88]). Leader inclusiveness was also associated with lower odds of feeling burnout (OR [95% CI] = 0.45 [0.27, 0.74] in wave 1 to 0.41 [0.24, 0.69] in wave 3). Conclusions Process clarity, joint problem‐solving, and leader inclusiveness are associated with less clinician burnout during the COVID‐19 pandemic, pointing to potential benefits of focusing on team and leadership factors during crisis. Leader inclusiveness may wane over time, requiring effort to sustain.https://doi.org/10.1002/emp2.12761 |
| spellingShingle | Aditi Bhanja Tuna Hayirli Nicholas Stark James Hardy Christopher R. Peabody Michaela Kerrissey Team and leadership factors and their relationship to burnout in emergency medicine during COVID‐19: A 3‐wave cross‐sectional study Journal of the American College of Emergency Physicians Open |
| title | Team and leadership factors and their relationship to burnout in emergency medicine during COVID‐19: A 3‐wave cross‐sectional study |
| title_full | Team and leadership factors and their relationship to burnout in emergency medicine during COVID‐19: A 3‐wave cross‐sectional study |
| title_fullStr | Team and leadership factors and their relationship to burnout in emergency medicine during COVID‐19: A 3‐wave cross‐sectional study |
| title_full_unstemmed | Team and leadership factors and their relationship to burnout in emergency medicine during COVID‐19: A 3‐wave cross‐sectional study |
| title_short | Team and leadership factors and their relationship to burnout in emergency medicine during COVID‐19: A 3‐wave cross‐sectional study |
| title_sort | team and leadership factors and their relationship to burnout in emergency medicine during covid 19 a 3 wave cross sectional study |
| url | https://doi.org/10.1002/emp2.12761 |
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