Table 6. Burnout in ICU and PCU related to socio-demographic, professional and workplace experiences in the week prior to survey completion.
Burnout | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
Total (n = 355) |
No (n = 258; 73%) |
Yes (n = 97; 27%) |
p | OR* (95%CI) |
OR** (95%CI) |
OR*** IC 95% N = 288 (81%) |
||||
Setting | ||||||||||
PCU | 88 | (25) | 74 | (29) | 14 | (14) | 0.006¶ | 1.000 | - | 1.000 |
ICU | 267 | (75) | 184 | (71) | 83 | (86) |
2.384 (1.273–4.465) |
- |
2.525 (1.025–6.221) |
|
Gender | ||||||||||
Female | 245 | (69) | 178 | (69) | 67 | (69) | 0.988¶ | 1.000 | 1.000 | 1.000 |
Male | 110 | (31) | 80 | (31) | 30 | (31) | 0.996 (0.601–1.651) |
0.886 (0.530–1.483) |
0.719 (0.360–1.440) |
|
Age med (P25-P75) | 32 | (27–38) | 33 | (28–40) | 30 | (27–35) | 0.004§ |
0.955 (0.925–0.986) |
0.955 (0.924–0.986) |
0.915 (0.764–1.097) |
Marital Status | ||||||||||
Single | 158 | (45) | 106 | (41) | 52 | (54) | 0.106¶ | 1.000 | 1.000 | 1.000 |
Married | 156 | (44) | 120 | (47) | 36 | (37) | 0.612 (0.371–1.007) |
0.610 (0.368–1.009) |
1.136 (0.502–2.573) |
|
Divorced/Widow/Other | 41 | (12) | 32 | (12) | 9 | (9) | 0.573 (0.255–1.289) |
0.631 (0.277–1.435) |
0.872 (0.270–2.817) |
|
Profession | ||||||||||
Physician | 91 | (26) | 73 | (28) | 18 | (19) | 0.061¶ | 1.000 | 1.000 | 1.000 |
Nurse | 264 | (74) | 185 | (72) | 79 | (81) | 1.732 (0.970–3.091) |
1.849 (1.029–3.321) |
1.673 (0.494–5.666) |
|
Post-graduate education in intensive/palliative care | ||||||||||
No | 248 | (72) | 177 | (71) | 71 | (76) | 0.285¶ | 1.000 | 1.000 | 1.000 |
Yes | 96 | (28) | 74 | (29) | 22 | (24) | 0.741 (0.428–1.284) |
0.808 (0.462–1.412) |
0.395 (0.178–0.878) |
|
Shift work | ||||||||||
No | 68 | (19) | 56 | (22) | 12 | (12) | 0.045¶ | 1.000 | 1.000 | 1.000 |
Yes | 286 | (81) | 201 | (78) | 85 | (88) |
1.973 (1.007–3.868) |
1.660 (0.833–3.311) |
0.947 (0.351–2.555) |
|
Nr. of working hours per week | ||||||||||
35 hours | 117 | (33) | 89 | (35) | 28 | (29) | 0.029¶ | 1.000 | 1.000 | 1.000 |
40 hours | 125 | (35) | 79 | (31) | 46 | (47) |
1.851 (1.058–3.237) |
1.896 (1.079–3.330) |
1.797 (0.638–5.066) |
|
42 hours | 55 | (16) | 43 | (17) | 12 | (12) | 0.887 (0.412–1.912) |
0.949 (0.437–2.060) |
2.124 (0.653–6.912) |
|
Other | 57 | (16) | 46 | (18) | 11 | (11) | 0.760 (0.347–1.663) |
1.036 (0.453–2.367) |
1.527 (0.483–4.828) |
|
In the week prior to survey completion: | ||||||||||
Night shifts | ||||||||||
No | 96 | (28) | 80 | (32) | 16 | (18) | 0.008¶ | 1.000 | 1.000 | 1.000 |
Yes | 243 | (72) | 168 | (68) | 75 | (82) |
2.232 (1.223–4.075) |
1.877 (1.006–3.500) |
0.902 (0.421–1.929) |
|
Patient’s death | ||||||||||
No | 158 | (48) | 122 | (51) | 36 | (42) | 0.163¶ | 1.000 | 1.000 | 1.000 |
Yes | 169 | (52) | 119 | (49) | 50 | (58) | 1.424 (0.866–2.341) |
1.402 (0.849–2.317) |
0.950 (0.462–1.953) |
|
Conflicts | ||||||||||
No | 261 | (79) | 201 | (83) | 60 | (70) | 0.011¶ | 1.000 | 1.000 | 1.000 |
Yes | 68 | (21) | 42 | (17) | 26 | (30) |
2.074 (1.175–3.659) |
2.170 (1.218–3.866) |
3.124 (1.475–6.619) |
|
Ethical decisions | ||||||||||
Withdrawing treatment | ||||||||||
No | 245 | (74) | 188 | (77) | 57 | (66) | 0.041¶ | 1.000 | 1.000 | 1.000 |
Yes | 87 | (26) | 57 | (23) | 30 | (34) |
1.736 (1.019–2.956) |
1.715 (1.001–2.936) |
1.360 (0.536–3.448) |
|
Withholding treatment | ||||||||||
No | 220 | (67) | 174 | (71) | 46 | (53) | 0.003¶ | 1.000 | 1.000 | 1.000 |
Yes | 110 | (33) | 70 | (29) | 40 | (47) |
2.161 (1.303–3.587) |
2.108 (1.263–3.518) |
1.865 (0.840–4.142) |
|
Palliative sedation | ||||||||||
No | 256 | (78) | 197 | (81) | 59 | (69) | 0.020¶ | 1.000 | 1.000 | 1.000 |
Yes | 74 | (22) | 47 | (19) | 27 | (31) |
1.918 (1.101–3.343) |
1.739 (0.990–3.056) |
1.221 (0.494–3.022) |
¶Independent χ2 exact test.
§ Mann-Whitney Test.
*Odds Ratio Univariate.
**Odds Ratio adjusted to the setting (ICU/PCU).
***Odds Ratio adjusted to all variables present in the table.
CI: Confidence Interval. Significant findings highlighted in bold.