The perceived work environment and well-being: A survey of emergency health care workers during the COVID-19 pandemic

被引：31

作者：

Blanchard, Janice ^{[1
]}

Li, Yixuan ^{[2
]}

Bentley, Suzanne K. ^{[3
,4
]}

Lall, Michelle D. ^{[5
]}

Messman, Anne M. ^{[6
]}

Liu, Yiju Teresa ^{[7
]}

Diercks, Deborah B. ^{[8
]}

Merritt-Recchia, Rory ^{[9
]}

Sorge, Randy ^{[10
]}

Warchol, Jordan M. ^{[11
]}

Greene, Christopher ^{[12
]}

Griffith, James ^{[13
]}

Manfredi, Rita A. ^{[1
]}

McCarthy, Melissa ^{[14
,15
]}

机构：

[1] George Washington Univ, Sch Med & Hlth Sci, Dept Emergency Med, 2120 L St NW, Washington, DC 20037 USA

[2] George Washington Univ, Sch Publ Hlth, Milken Inst, Dept Hlth Policy, Washington, DC 20037 USA

[3] Icahn Sch Med Mt Sinai, New York City Hlth Hosp Elmhurst, Dept Emergency Med, New York, NY 10029 USA

[4] Icahn Sch Med Mt Sinai, New York City Hlth Hosp Elmhurst, Dept Med Educ, New York, NY 10029 USA

[5] Emory Univ, Sch Med, Dept Emergency Med, Atlanta, GA USA

[6] Wayne State Univ, Sch Med, Dept Emergency Med, Univ Hlth Ctr 6G, Detroit, MI USA

[7] Univ Calif Los Angeles, David Geffen Sch Med, Harbor UCLA Med Ctr, Dept Emergency Med, Torrance, CA USA

[8] Univ Texas Dallas, Dept Emergency Med, Dallas, TX USA

[9] Brown Univ, Alpert Med Sch, Dept Emergency Med, Providence, RI 02912 USA

[10] Louisiana State Univ, Spirit Char Emergency Med Residency Program, Dept Emergency Med, New Orleans, LA USA

[11] Univ Nebraska Med Ctr, Dept Emergency Med, Omaha, NE USA

[12] Univ Alabama Birmingham, Dept Emergency Med, Birmingham, AL USA

[13] George Washington Univ, Sch Med & Hlth Sci, Dept Psychiat, Washington, DC 20037 USA

[14] George Washington Univ, Milken Inst Sch Publ Hlth, Dept Hlth Policy, Washington, DC 20037 USA

[15] George Washington Univ, Milken Inst Sch Publ Hlth, Dept Emergency Med, Washington, DC 20037 USA

来源：

ACADEMIC EMERGENCY MEDICINE | 2022年 / 29卷 / 07期

关键词：

ACUTE RESPIRATORY SYNDROME; PSYCHOLOGICAL IMPACT; BURNOUT; SUICIDE;

D O I：

10.1111/acem.14519

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background During the COVID-19 pandemic, health care provider well-being was affected by various challenges in the work environment. The purpose of this study was to evaluate the relationship between the perceived work environment and mental well-being of a sample of emergency physicians (EPs), emergency medicine (EM) nurses, and emergency medical services (EMS) providers during the pandemic. Methods We surveyed attending EPs, resident EPs, EM nurses, and EMS providers from 10 academic sites across the United States. We used latent class analysis (LCA) to estimate the effect of the perceived work environment on screening positive for depression/anxiety and burnout controlling for respondent characteristics. We tested possible predictors in the multivariate regression models and included the predictors that were significant in the final model. Results Our final sample included 701 emergency health care workers. Almost 23% of respondents screened positive for depression/anxiety and 39.7% for burnout. Nurses were significantly more likely to screen positive for depression/anxiety (adjusted odds ratio [aOR] 2.04, 95% confidence interval [CI] 1.11-3.86) and burnout (aOR 2.05, 95% CI 1.22-3.49) compared to attendings. The LCA analysis identified four subgroups of our respondents that differed in their responses to the work environment questions. These groups were identified as Work Environment Risk Group 1, an overall good work environment; Risk Group 2, inadequate resources; Risk Group 3, lack of perceived organizational support; and Risk Group 4, an overall poor work environment. Participants in the two groups who perceived their work conditions as most adverse were significantly more likely to screen positive for depression/anxiety (aOR 1.89, 95% CI 1.05-3.42; and aOR 2.04, 95% CI 1.14-3.66) compared to participants working in environments perceived as less adverse. Conclusions We found a strong association between a perceived adverse working environment and poor mental health, particularly when organizational support was deemed inadequate. Targeted strategies to promote better perceptions of the workplace are needed.

引用

页码：851 / 861

页数：11

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