Prevalence and drivers of nurse and physician distress in cardiovascular and oncology programmes at a Canadian quaternary hospital network during the COVID-19 pandemic: a quality improvement initiative
Objectives To assess the prevalence and drivers of distress, a composite of burnout, decreased meaning in work, severe fatigue, poor work–life integration and quality of life, and suicidal ideation, among nurses and physicians during the COVID-19 pandemic.Design Cross-sectional design to evaluate di...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2024-02-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/2/e079106.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850095688073871360 |
|---|---|
| author | Gary Rodin Kenneth Mah Monika K Krzyzanowska Ahlexxi Jelen Leanna Graham Rebecca Goldfarb Daniel V Satele Mary Elliot Barry B Rubin |
| author_facet | Gary Rodin Kenneth Mah Monika K Krzyzanowska Ahlexxi Jelen Leanna Graham Rebecca Goldfarb Daniel V Satele Mary Elliot Barry B Rubin |
| author_sort | Gary Rodin |
| collection | DOAJ |
| description | Objectives To assess the prevalence and drivers of distress, a composite of burnout, decreased meaning in work, severe fatigue, poor work–life integration and quality of life, and suicidal ideation, among nurses and physicians during the COVID-19 pandemic.Design Cross-sectional design to evaluate distress levels of nurses and physicians during the COVID-19 pandemic between June and August 2021.Setting Cardiovascular and oncology care settings at a Canadian quaternary hospital network.Participants 261 nurses and 167 physicians working in cardiovascular or oncology care. Response rate was 29% (428 of 1480).Outcome measures Survey tool to measure clinician distress using the Well-Being Index (WBI) and additional questions about workplace-related and COVID-19 pandemic-related factors.Results Among 428 respondents, nurses (82%, 214 of 261) and physicians (62%, 104 of 167) reported high distress on the WBI survey. Higher WBI scores (≥2) in nurses were associated with perceived inadequate staffing (174 (86%) vs 28 (64%), p=0.003), unfair treatment, (105 (52%) vs 11 (25%), p=0.005), and pandemic-related impact at work (162 (80%) vs 22 (50%), p<0.001) and in their personal life (135 (67%) vs 11 (25%), p<0.001), interfering with job performance. Higher WBI scores (≥3) in physicians were associated with perceived inadequate staffing (81 (79%) vs 32 (52%), p=0.001), unfair treatment (44 (43%) vs 13 (21%), p=0.02), professional dissatisfaction (29 (28%) vs 5 (8%), p=0.008), and pandemic-related impact at work (84 (82%) vs 35 (56%), p=0.001) and in their personal life (56 (54%) vs 24 (39%), p=0.014), interfering with job performance.Conclusion High distress was common among nurses and physicians working in cardiovascular and oncology care settings during the pandemic and linked to factors within and beyond the workplace. These results underscore the complex and contextual aspects of clinician distress, and the need to develop targeted approaches to effectively address this problem. |
| format | Article |
| id | doaj-art-d119a179c87a4a8cb641cd6b351a33e8 |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-d119a179c87a4a8cb641cd6b351a33e82025-08-20T02:41:23ZengBMJ Publishing GroupBMJ Open2044-60552024-02-0114210.1136/bmjopen-2023-079106Prevalence and drivers of nurse and physician distress in cardiovascular and oncology programmes at a Canadian quaternary hospital network during the COVID-19 pandemic: a quality improvement initiativeGary Rodin0Kenneth Mah1Monika K Krzyzanowska2Ahlexxi Jelen3Leanna Graham4Rebecca Goldfarb5Daniel V Satele6Mary Elliot7Barry B Rubin8Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, CanadaDepartment of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, CanadaDivision of Medical Oncology & Hematology, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, CanadaPeter Munk Cardiac Centre, University Health Network, Toronto, Ontario, CanadaOffice of Professional Practice & Policy, Toronto General Hospital, University Health Network, Toronto, Ontario, CanadaGoldfarb Intelligence Marketing, Toronto, Ontario, CanadaQuantitative Health Sciences, Mayo Clinic, Rochester, New York, USADepartment of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, CanadaDivision of Vascular Surgery, Peter Munk Cardiac Centre, University Health Network, Toronto, Ontario, CanadaObjectives To assess the prevalence and drivers of distress, a composite of burnout, decreased meaning in work, severe fatigue, poor work–life integration and quality of life, and suicidal ideation, among nurses and physicians during the COVID-19 pandemic.Design Cross-sectional design to evaluate distress levels of nurses and physicians during the COVID-19 pandemic between June and August 2021.Setting Cardiovascular and oncology care settings at a Canadian quaternary hospital network.Participants 261 nurses and 167 physicians working in cardiovascular or oncology care. Response rate was 29% (428 of 1480).Outcome measures Survey tool to measure clinician distress using the Well-Being Index (WBI) and additional questions about workplace-related and COVID-19 pandemic-related factors.Results Among 428 respondents, nurses (82%, 214 of 261) and physicians (62%, 104 of 167) reported high distress on the WBI survey. Higher WBI scores (≥2) in nurses were associated with perceived inadequate staffing (174 (86%) vs 28 (64%), p=0.003), unfair treatment, (105 (52%) vs 11 (25%), p=0.005), and pandemic-related impact at work (162 (80%) vs 22 (50%), p<0.001) and in their personal life (135 (67%) vs 11 (25%), p<0.001), interfering with job performance. Higher WBI scores (≥3) in physicians were associated with perceived inadequate staffing (81 (79%) vs 32 (52%), p=0.001), unfair treatment (44 (43%) vs 13 (21%), p=0.02), professional dissatisfaction (29 (28%) vs 5 (8%), p=0.008), and pandemic-related impact at work (84 (82%) vs 35 (56%), p=0.001) and in their personal life (56 (54%) vs 24 (39%), p=0.014), interfering with job performance.Conclusion High distress was common among nurses and physicians working in cardiovascular and oncology care settings during the pandemic and linked to factors within and beyond the workplace. These results underscore the complex and contextual aspects of clinician distress, and the need to develop targeted approaches to effectively address this problem.https://bmjopen.bmj.com/content/14/2/e079106.full |
| spellingShingle | Gary Rodin Kenneth Mah Monika K Krzyzanowska Ahlexxi Jelen Leanna Graham Rebecca Goldfarb Daniel V Satele Mary Elliot Barry B Rubin Prevalence and drivers of nurse and physician distress in cardiovascular and oncology programmes at a Canadian quaternary hospital network during the COVID-19 pandemic: a quality improvement initiative BMJ Open |
| title | Prevalence and drivers of nurse and physician distress in cardiovascular and oncology programmes at a Canadian quaternary hospital network during the COVID-19 pandemic: a quality improvement initiative |
| title_full | Prevalence and drivers of nurse and physician distress in cardiovascular and oncology programmes at a Canadian quaternary hospital network during the COVID-19 pandemic: a quality improvement initiative |
| title_fullStr | Prevalence and drivers of nurse and physician distress in cardiovascular and oncology programmes at a Canadian quaternary hospital network during the COVID-19 pandemic: a quality improvement initiative |
| title_full_unstemmed | Prevalence and drivers of nurse and physician distress in cardiovascular and oncology programmes at a Canadian quaternary hospital network during the COVID-19 pandemic: a quality improvement initiative |
| title_short | Prevalence and drivers of nurse and physician distress in cardiovascular and oncology programmes at a Canadian quaternary hospital network during the COVID-19 pandemic: a quality improvement initiative |
| title_sort | prevalence and drivers of nurse and physician distress in cardiovascular and oncology programmes at a canadian quaternary hospital network during the covid 19 pandemic a quality improvement initiative |
| url | https://bmjopen.bmj.com/content/14/2/e079106.full |
| work_keys_str_mv | AT garyrodin prevalenceanddriversofnurseandphysiciandistressincardiovascularandoncologyprogrammesatacanadianquaternaryhospitalnetworkduringthecovid19pandemicaqualityimprovementinitiative AT kennethmah prevalenceanddriversofnurseandphysiciandistressincardiovascularandoncologyprogrammesatacanadianquaternaryhospitalnetworkduringthecovid19pandemicaqualityimprovementinitiative AT monikakkrzyzanowska prevalenceanddriversofnurseandphysiciandistressincardiovascularandoncologyprogrammesatacanadianquaternaryhospitalnetworkduringthecovid19pandemicaqualityimprovementinitiative AT ahlexxijelen prevalenceanddriversofnurseandphysiciandistressincardiovascularandoncologyprogrammesatacanadianquaternaryhospitalnetworkduringthecovid19pandemicaqualityimprovementinitiative AT leannagraham prevalenceanddriversofnurseandphysiciandistressincardiovascularandoncologyprogrammesatacanadianquaternaryhospitalnetworkduringthecovid19pandemicaqualityimprovementinitiative AT rebeccagoldfarb prevalenceanddriversofnurseandphysiciandistressincardiovascularandoncologyprogrammesatacanadianquaternaryhospitalnetworkduringthecovid19pandemicaqualityimprovementinitiative AT danielvsatele prevalenceanddriversofnurseandphysiciandistressincardiovascularandoncologyprogrammesatacanadianquaternaryhospitalnetworkduringthecovid19pandemicaqualityimprovementinitiative AT maryelliot prevalenceanddriversofnurseandphysiciandistressincardiovascularandoncologyprogrammesatacanadianquaternaryhospitalnetworkduringthecovid19pandemicaqualityimprovementinitiative AT barrybrubin prevalenceanddriversofnurseandphysiciandistressincardiovascularandoncologyprogrammesatacanadianquaternaryhospitalnetworkduringthecovid19pandemicaqualityimprovementinitiative |