Burnout and distress among allied health care professionals in a cardiovascular centre of a quaternary hospital network: a cross-sectional survey

Barry Rubin; Rebecca Goldfarb; Daniel Satele; Leanna Graham

doi:10.9778/cmajo.20200059

Article Figures & Tables

Figures

Tables

Download figure
Open in new tab
Download powerpoint
Figure 1:
Well-Being Index scores for 45 allied health care staff in the Peter Munk Cardiac Centre.
Download figure
Open in new tab
Download powerpoint
Figure 2:
Number of views of online resources by respondents, by issue.

Tables

Figures

View popup

Table 1:

Characteristics of allied health care staff who responded to the Well-Being Index survey

Characteristic	No. (%) of respondents n = 45
Sex
Male	3 (7)
Female	41 (91)
Missing	1 (2)
Time since graduation in field, yr
< 2	1 (2)
2–5	10 (22)
6–10	10 (22)
11–15	11 (24)
> 15	13 (29)
Time working at University Health Network, yr
< 2	3 (7)
2–5	12 (27)
6–10	10 (22)
11–15	9 (20)
> 15	11 (24)
Employment status
Full-time permanent	39 (87)
Part-time permanent	4 (9)
Casual, temporary, other	2 (4)

View popup

Table 2:

Predictors of high Well-Being Index score (≥ 2)

Variable	No. (%) of respondents		p value^*
Variable	WBI score ≥ 2 n = 25	WBI score < 2 n = 20	p value^*
Gender			0.6
Male	1 (4)	2 (10)
Female	23 (92)	18 (90)
Missing	1 (4)	0 (0)
Time since graduation in field, yr,			0.8
< 2	0 (0)	1 (5)
2–5	6 (24)	4 (20)
6–10	6 (24)	4 (20)
11–15	7 (28)	4 (20)
> 15	6 (24)	7 (35)
Time working at University Heath Network, yr			0.6
< 2	1 (4)	2 (10)
2–5	8 (32)	4 (20)
6–10	7 (28)	3 (15)
11–15	4 (16)	5 (25)
> 15	5 (20)	6 (30)
Employment status			0.4
Full-time permanent	23 (92)	16 (80)
Part-time permanent	2 (8)	2 (10)
Casual, temporary, other	0 (0)	2 (10)
Satisfaction with electronic health record			0.05
Very unsatisfied	2 (8)	5 (25)
Somewhat unsatisfied	9 (36)	1 (5)
Neutral	5 (20)	4 (20)
Somewhat satisfied	8 (32)	9 (45)
Very satisfied	0 (0)	1 (5)
Missing	1 (4)	0 (0)
Somewhat/very satisfied with electronic health record (v. neutral/unsatisfied)^†			0.4
Yes	8 (44)	10 (56)
No	16 (62)	10 (38)
Missing	1 (100)	0 (0)
Staffing levels in work setting are sufficient			0.06
Disagree strongly	8 (32)	3 (15)
Disagree somewhat	8 (32)	13 (65)
Neutral	1 (4)	3 (15)
Agree somewhat	6 (24)	1 (5)
Agree strongly	1 (4)	0 (0)
Missing	1 (4)	0 (0)
Somewhat/strongly agree that staffing levels in work setting are sufficient (v. neutral/disagree)^†			0.05
Yes	7 (88)	1 (12)
No	17 (47)	19 (53)
Missing	1 (100)	0 (0)
Treated fairly in workplace			0.1
Disagree strongly	5 (20)	3 (15)
Disagree somewhat	6 (24)	1 (5)
Neutral	4 (16)	1 (5)
Agree somewhat	7 (28)	10 (50)
Agree strongly	2 (8)	5 (25)
Missing	1 (4)	0 (0)
Somewhat/strongly agree treated fairly in workplace (v. neutral/disagree)^†			0.02
Yes	9 (38)	15 (62)
No	15 (75)	5 (25)
Missing	1 (100)	0 (0)

Note: WBI = Well-Being Index.
↵* Fisher exact test.
↵† Proportion of row total.

View popup

Table 3:

Comparison of responses to the Well-Being Index between Peter Munk Cardiac Centre allied health care staff and nonphysician employees in the United States (26)

Item	No. (%) of respondents^*		p value
Item	PMCC allied health care staff n = 45	US nonphysician employees n = 9096	p value
Gender			0.07^§
Male	3 (7)	1903 (20.9)
Female	41 (91)	7163 (78.7)
Gender diverse	0 (0)	16 (0.2)
Missing	1 (2)	14 (0.2)
Have you felt burned out from your work?			0.008^§
Yes	33 (73)	4871 (53.6)
No	12 (27)	4225 (46.4)
Have you worried that work is hardening you emotionally?			0.007^§
Yes	24 (53)	3118 (34.3)
No	21 (47)	5978 (65.7)
Have you often felt bothered by feeling down, depressed or hopeless?			0.99^§
Yes	17 (38)	3435 (37.8)
No	28 (62)	5661 (62.2)
Have you fallen asleep while sitting inactive in a public place?			< 0.001^§
Yes	16 (36)	1143 (12.6)
No	29 (64)	7953 (87.4)
Have you felt that all things you had to do were piling up so high that you could not overcome them?			0.8^§
Yes	19 (42)	3625 (39.8)
No	26 (58)	5471 (60.1)
Have you been bothered by emotional problems?			0.2^§
Yes	31 (69)	5364 (59.0)
No	14 (31)	3732 (41.0)
Has your physical health interfered with your ability to do your daily work at home and/or away from home?			0.02^§
Yes	16 (36)	1917 (21.1)
No	29 (64)	7179 (78.9)
The work I do is meaningful to me^†			0.2^¶
Mean rating ± SD	5.8 ± 1.11	5.5 ± 1.44
Median rating (range)	6 (2 to 7)	6 (1 to 7)
The work I do is meaningful to me, rating			0.09^§
1–2	1 (2)	463 (5.1)
3–5	10 (22)	3199 (35.2)
6–7	34 (76)	5434 (59.7)
My work schedule leaves me enough time for my personal/family life^‡			0.2^¶
Mean rating ± SD	3.2 ± 1.25	3.5 ± 1.18
Median rating (range)	3 (1 to 5)	4 (1 to 5)
My work schedule leaves me enough time for my personal/family life, rating			0.5^§
1–2	14 (31)	2183 (24.0)
3	10 (22)	2088 (23.0)
4–5	21 (47)	4825 (53.0)
WBI score			0.05^¶
Mean ± SD	2.6 ± 2.78	1.7 ± 2.62
Median (range)	2 (−2 to 8)	2 (−2 to 9)
High WBI score (≥ 2)			0.5^§
Yes	25 (56)	4637 (51.0)
No	20 (44)	4459 (49.0)

Note: PMCC = Peter Munk Cardiac Centre, SD = standard deviation, WBI = Well-Being Index.
↵* Except where noted otherwise.
↵† Rated on a 7-point Likert scale where 1 = very strongly disagree and 7 = very strongly agree.
↵‡ Rated on a 5-point Likert scale where 1 = strongly disagree and 5 = strongly agree.
↵§ χ² test.
↵¶ Kruskal–Wallis test.