Evaluation of burnout among hospital and health-system pharmacists in North Carolina

2020 ◽  
Vol 77 (6) ◽  
pp. 441-448 ◽  
Author(s):  
Kai Kang ◽  
Randy Absher ◽  
Robert P Granko
Keyword(s):  
At Risk ◽  
North Carolina ◽  
Health System ◽  
Maslach Burnout Inventory ◽  
Female Gender ◽  
Personal Accomplishment ◽  
The North ◽  
Current State ◽  
Increased Risk ◽  
Two Factors

Abstract Purpose To assess the current state of burnout among pharmacists who work in hospital and health-system settings in North Carolina. Methods The Maslach Burnout Inventory-Human Services Survey for Medical Professionals was used to assess burnout in this study. This survey measures 3 subscales of burnout: emotional exhaustion, depersonalization, and personal accomplishment. In addition to the Maslach Burnout Inventory, the survey asked questions addressing various modifiable and nonmodifiable demographic factors. To distribute the survey, an email listserv of all pharmacists licensed in the state was obtained from the North Carolina Board of Pharmacy. The survey was distributed through email in June 2018. A follow-up email encouraging participation in the survey was sent 2 weeks later. The survey was open for a total of 4 weeks. Results The survey was delivered to 2,524 pharmacists; 380 responses were received (15.1% response rate). Of the 380 individuals who responded, 357 completed the entire survey (93.9% completion rate), and 198 pharmacists (55.5%) were at risk for burnout. Following multivariate logistic regression, 3 factors were significantly associated with increased risk of burnout: female gender, working in a primarily distribution role, and longer hours worked per week. Two factors were significantly associated with decreased risk of burnout: being aware of burnout resources and working 4 to 6 months with learners. Conclusion The results of this statewide survey revealed that more than half of hospital and health system–based pharmacists are at risk for burnout.

A state affiliate’s utilization of ASHP’s Practice Advancement Initiative 2030 to identify current state of practice and a process to prioritize goal achievement

2021 ◽  
Author(s):  
Tyler A Vest ◽  
Lorna F Doucette ◽  
Stephen F Eckel
Keyword(s):  
North Carolina ◽  
Health System ◽  
Pharmacy Practice ◽  
Self Assessment ◽  
The North ◽  
Current State ◽  
Innovative Program ◽  
State Affiliate ◽  
American Society ◽  
Pharmacy Leaders

Abstract Disclaimer In an effort to expedite the publication of articles related to the COVID-19 pandemic, AJHP is posting these manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Purpose The American Society of Health-System Pharmacists (ASHP) has been a long-standing supporter of advancing pharmacy practice, specifically in the area of pharmacy practice models. In 2019, ASHP began the planning to launch PAI (Practice Advancement Initiative) 2030. PAI 2030 describes and details a bold vision for patient care, medication use, and pharmacy practice over the next decade. This work represents an ambitious goal to continue to advance the profession of pharmacy for the betterment of our patients. While much has been accomplished with the PAI, there is little literature on PAI 2030 (the authors are unaware of any published examples). Summary The purpose of the article is to explain a novel state affiliate’s prioritization of ASHP’s PAI 2030 recommendations. In the spring of 2020, the North Carolina Association of Pharmacists (NCAP), the North Carolina state affiliate of ASHP, began discussions around PAI 2030. In the fall of 2020, prior to the NCAP Annual Convention, health-system pharmacy leaders within NCAP developed a questionnaire to serve as a PAI 2030 self-assessment. This approach allowed a state affiliate to implement an innovative program to act on the recommendations from PAI 2030. After the prioritization, health-system pharmacy leaders engaged in discussion to comment on what recommendations have been identified. The goal of this discussion was to provide NCAP a direction to pursue focused efforts to support recommendations of PAI 2030. Ultimately, NCAP seeks that this statewide approach would help advance pharmacy practice, and improve pharmacy practice across the state of North Carolina in collaboration with NCAP. Conclusion This discussion illustrates how a state affiliate has pursued implementing PAI 2030. This approach provides a strategy for state affiliates in addressing the recommendations within PAI 2030. A novel statewide approach can help marshal resources to advance practice when health systems partner with a state affiliate.

Direct Cost Analyses of Palivizumab Treatment in a Cohort of At-Risk Children: Evidence From the North Carolina Medicaid Program

PEDIATRICS ◽  
2004 ◽  
Vol 114 (6) ◽  
pp. 1612-1619 ◽  
Author(s):  
S. Wegner ◽  
J. J. Vann ◽  
G. Liu ◽  
P. Byrns ◽  
C. Cypra ◽  
...  
Keyword(s):  
At Risk ◽  
North Carolina ◽  
Direct Cost ◽  
Medicaid Program ◽  
Cost Analyses ◽  
The North ◽  
At Risk Children

scholarly journals Burnout Syndrome and alcohol consumption in prison employees

2016 ◽  
Vol 19 (1) ◽  
pp. 205-216 ◽  
Author(s):  
Juliana Alvares Duarte Bonini Campos ◽  
Valéria Schneider ◽  
Fernanda Salloume Sampaio Bonafé ◽  
Raquel Velez Oliveira ◽  
João Maroco
Keyword(s):  
At Risk ◽  
Alcohol Consumption ◽  
Drinking Behavior ◽  
Maslach Burnout Inventory ◽  
Religious Practice ◽  
Drinking Pattern ◽  
Burnout Syndrome ◽  
Alcoholic Beverages ◽  
Consumption Pattern ◽  
Increased Risk

ABSTRACT: Objective: The aims of this study were to estimate the association between an at-risk drinking pattern and sociodemographic variables, and to compare the mean scores of the factors associated with the Burnout Syndrome, according to the alcohol consumption pattern in staff members from two Brazilian prisons. Methods: A cross-sectional study was developed with 339 participants (response rate = 63.8%). The instruments used were a sociodemographic questionnaire, the Alcohol Use Disorders Identification Test (AUDIT), and the Maslach Burnout Inventory - General Survey (MBI-GS). Results: The participants' average age was 40.2 (SD = 8.8) years, and 81.0% were male. Among 78.5% of participants (95%CI 74.1 - 82.8) reported consuming alcoholic beverages. The prevalence of at-risk drinking behavior in the sample was 22.4% (95%CI 18.0 - 26.9), and of the Burnout Syndrome was 14.6% (95%CI 10.8 - 18.4). We observed a significant association between at-risk drinking behavior with gender, higher risk for men (OR = 7.32, p < 0.001), smoking, increased risk for smokers (OR = 2.77, p < 0.001), and religious practice, showing lower risks for religion practitioners (OR = 0.364, p < 0.001). We noticed significantly higher mean scores (p < 0.001) of emotional exhaustion and cynicism, and lower scores of professional achievement among individuals who reported consuming alcoholic beverages. Conclusion: Men who smoke were more likely to develop an at-risk drinking pattern, while religion is presented as a protective factor. Individuals who consume alcohol were more affected by the different factors of the Burnout Syndrome.

scholarly journals Burnout Rates Amongst General Orthopaedic Surgeons and Subspecialists

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0006
Author(s):  
Robert Nugent ◽  
Tara E. Gaston ◽  
Michael Markowitz ◽  
Joseph N. Daniel ◽  
Quincy Cheesman
Keyword(s):  
Sports Medicine ◽  
Demographic Data ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Older Age ◽  
Personal Accomplishment ◽  
Cross Sectional ◽  
Orthopaedic Surgeons ◽  
Factors Associated ◽  
Increased Risk

Category: Other Introduction/Purpose: Burnout affects physicians in a multitude of ways, resulting in low levels of personal accomplishment (PA), depersonalization (DP), and high emotional exhaustion (EE). Overall, burnout has a direct impact on physician well-being and can negatively impact personal relationships, contribute to drug or alcohol use, and result in reduced outcomes in the work field. Although orthopaedic surgeon burnout rates of up to 50-60% have been reported, there have been no studies comparing burnout rates by orthopaedic subspecialty. The primary goal of this study is to examine the prevalence of burnout amongst orthopedic generalists and subspecialists. Given that a multitude of factors may contribute to burnout, a secondary goal is to identify trends in demographic data that may contribute to burnout. Methods: This was a multicenter, cross-sectional study conducted from March 2019 through December 2019 involving 149 orthopaedic surgeons with all orthopaedic subspecialties represented. The survey utilized an abbreviated 12-item Maslach Burnout Inventory - Human Services Survey (aMBI-HSS) to assess burnout. The aMBI-HSS consisted of three subcategories; PA, DP, and EE, each of which represented their own burnout score. Depression was also assessed in order to identify any correlation to increased burnout. Finally, independent factors, including demographics, personal characteristics, professional characteristics, and family life/spousal support were collected to assess how they contributed to burnout. Univariate and bivariate regression was performed to identify independent variables for multivariate regression analysis. Three separate generalized linear regressions were then performed to assess which independent factors led to an increase or decrease in the EE, DP, or PA burnout scores. Results: Mean burnout amongst all respondents was 62.29%, with 16.7% screening positive for depression. Oncology (100%), Sports Medicine (67.70%), and Trauma (62.50%) were the three specialties with highest burnout. In contrast, lowest burnout rates were seen in Shoulder and Elbow (50.0%), Pediatrics (51.6%), and Foot and Ankle (53.8%). Trauma (50.0%), Oncology (40.0%), and General (20.0%) had the highest rates of depression, while Shoulder and Elbow (0.00%), Spine (0.00%), and Sports Medicine (6.5%) had the lowest rates of depression. Independent factors associated with increased risk of burnout included Oncology subspecialty, older age, and increased debt. Contrarily, independent factors associated with decreased burnout were more years in practice, more hours worked per week, more time spent with family and close friends, work environment satisfaction, and home life satisfaction. Conclusion: Burnout is a growing problem amongst physicians. This study sought to determine which orthopaedic subspecialties had the highest rates of burnout and depression, while identifying any secondary contributing factors. Our study found that orthopaedic Trauma and Oncology had the highest rates of burnout and depression. Additionally, older age and higher debt load contributed to an increased rate of burnout and depression. As this is only a small representation of the orthopaedic surgical community, larger studies are necessary to help further understand burnout and elucidate effective treatment options for orthopaedic surgeons.

scholarly journals A Cross-Sectional Survey on Burnout Prevalence and Profile in the Sicilian Population of Ambulance Driver-Rescuers

2020 ◽  
Vol 35 (2) ◽  
pp. 133-140 ◽  
Author(s):  
Laura Ferraro ◽  
Caterina La Cascia ◽  
Antonio De Santis ◽  
Lucia Sideli ◽  
Giuseppe Maniaci ◽  
...  
Keyword(s):  
Principal Component ◽  
Maslach Burnout Inventory ◽  
Severe Form ◽  
Personal Accomplishment ◽  
High Rate ◽  
Italian Version ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Increased Risk ◽  
Service Staff

AbstractIntroduction:Burnout is present at a high rate in emergency medicine. The ambulance driver-rescuers, who furnish first aid to the victims, are the non-medical part of the Italian 118-service staff. There is a lack of research on burnout risk in Italian Emergency Medical Services and, particularly, for this category of workers. The two Italian studies, including a little group of ambulance driver-rescuers, reported inconsistent findings.Hypothesis:This survey investigated for the first time the prevalence and exact profile of burnout in a large sample of Italian driver-rescuers. As a secondary aim, the study described how the items of the Italian version of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) cluster in components in this sample.Methods:This cross-sectional census survey was conducted from June 2015 through May 2016 and involved all the driver-rescuers operating in Sicily, the biggest and most southern region of Italy. The subjects received a classification according to different profiles of burnout by using the Italian version of the MBI-HSS (burnout, engagement, disengagement, over-extension, and work-inefficacy). In order to explore the existence of independent factors, a Principal Component Analysis (PCA) was conducted on the survey to obtain eigenvalues >one for each component in the data.Results:The final sample comprised 2,361 responders (96.6% of the initial sample). Of them, 29.8% were in burnout (95% confidence interval [CI], 27.8% to 31.8%) and 1.7% presented a severe form (95% CI, 1.1% to 2.3%); 30.0% were engaged in their work (95% CI, 21.0% to 34.8%), 24.7% of responders were disengaged (95% CI, 22.9% to 26.5%), 1.2% presented an over-extension profile (95% CI, 0.8% to 1.7%), and 12.6% felt work-inefficacy (95% CI, 11.3% to 14.1%). The factors loaded into a five-factor solution at PCA, explaining 48.1% of the variance and partially replicating the three-factor structure. The Emotional Exhaustion (EE) component was confirmed. New dimensions from Personal Accomplishment (PA) and Depersonalization (DP) sub-scales described empathy and disengagement with patients, respectively, and were responsible for the increased risk of burnout.Conclusions:These results endorse the importance of screening and psychological interventions for this population of emergency workers, where burnout could manifest itself more insidiously. It is also possible to speculate that sub-optimal empathy skills could be related to the disengagement and work-inefficacy feelings registered.

Violent Death Rates and Risk for Released Prisoners in North Carolina

2015 ◽  
Vol 30 (6) ◽  
pp. 1019-1036 ◽  
Author(s):  
Steven Edward Lize ◽  
Anna M. Scheyett ◽  
Candice R. Morgan ◽  
Scott K. Proescholdbell ◽  
Tammy Norwood ◽  
...  
Keyword(s):  
North Carolina ◽  
Multinomial Logistic Regression ◽  
Adult Population ◽  
Study Data ◽  
Violent Death ◽  
Death Rates ◽  
The North ◽  
Increased Risk ◽  
General Adult Population ◽  
Abuse Treatment

Released prisoners face high risk of early mortality. The risk of violent death, specifically homicide and suicide, are addressed in this study. Data on inmates released from the North Carolina Division of Adult Corrections (N= 476) matched to the Violent Death Reporting System are analyzed to estimate rates and demographic and criminal justice–related predictors. Violent death rates for persons released from prison were more than 7 times higher than for the general adult population. Results from multinomial logistic regression indicate decreased homicide risk for every year of age, whereas male gender and minority race increased risk. For suicide, minority race, release without supervision, and substance abuse treatment in prison decreased fatality risk. By contrast, a history of mental illness increased suicide risk. Implications for practice and research are discussed.

scholarly journals Demographics and Personality Factors Associated with Burnout among Nurses in a Singapore Tertiary Hospital

2016 ◽  
Vol 2016 ◽  
pp. 1-12 ◽  
Author(s):  
Shin Yuh Ang ◽  
Satvinder S. Dhaliwal ◽  
Tracy Carol Ayre ◽  
Thendral Uthaman ◽  
Kuan Yok Fong ◽  
...  
Keyword(s):  
Multivariable Analysis ◽  
Personal Characteristics ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Personality Factors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Singapore General Hospital ◽  
Increased Risk

Background. The aim of the study was to evaluate the prevalence and extent of burnout among nurses in Singapore and investigate the influence of demographic factors and personal characteristics on the burnout syndrome.Methods. A cross-sectional survey design was adopted. All registered nurses working in Singapore General Hospital were approached to participate. A questionnaire eliciting data on demographics, burnout (measured using the Maslach Burnout Inventory, MBI), and personality profile (measured using the NEO Five-Factor Inventory, NEO-FFI) was used.Results. 1830 nurses out of 3588 responded (response rate: 51%). Results from 1826 respondents were available for analysis. The MBI identified 39% to have high emotional exhaustion (EE, cut-off score of >27), 40% having high depersonalization (DP, cut-off score of >10), and 59% having low personal accomplishment (PA, cut-off score of <33). In multivariable analysis, age, job grade, and neuroticism were significantly associated with each of the 3 components of the MBI. Staff nurses less than 30 years with high to very high neuroticism were more likely to experience high EE, high DP, and low PA.Conclusion. Younger nurses in Singapore are at increased risk of burnout. Personality traits also played a significant role in the experience of burnout.

ABO Hemolytic Disease in Puerto Rico and North Carolina

PEDIATRICS ◽  
1976 ◽  
Vol 57 (6) ◽  
pp. 875-883
Author(s):  
Carolyn C. Huntley ◽  
Anne D. Lyerly ◽  
Miriam P. Littlejohn ◽  
Helen Rodriguez-Trias ◽  
Glenn W. Bowers
Keyword(s):  
At Risk ◽  
North Carolina ◽  
Puerto Rico ◽  
Parasitic Infection ◽  
Hemolytic Disease ◽  
The North ◽  
Abo Hemolytic Disease ◽  
A Prospective Study ◽  
The University ◽  
Relationship Of

A prospective study was carried out at the University of Puerto Rico Hospital (UPRH) and at the North Carolina Baptist Hospital (NCBH) in order to establish the incidence of ABO hemolytic disease (ABO HD) in the two populations and to determine the relationship of intestinal parasitic infection of the mother to ABO HD in the infant. The incidence of ABO HD among UPRH at risk pregnancies (type O mother with type A or B infant) was 28.3% or 1 in 3.5 as compared with 18.4% or 1 in 5.4 of NCBH at risk pregnancies (P &gt; .05). Indirect Coombs' tests in cord sera, representing the passive transfer from mother to fetus of antibodies directed toward antigens on the infants' erythrocytes, were positive in 58.8% of UPRH at risk infants as opposed to 40.4% of NCBH at risk infants (P &lt; .001). Maternal isohemagglutinin titers at term were higher in type O UPRH mothers than in type O NCBH mothers (P &lt; .01). A relationship between helminth parasitic infection of the mother and ABO HD in the infant was suspected but not proved.

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