Table 3.
Mixed effects univariable and multivariable analysis of burnout predictors in care staff
| Emotional exhaustion | Depersonalisation | Personal accomplishment | |||||
|---|---|---|---|---|---|---|---|
| n | Model 1: coef (95% CI) | Model 2: coef (95% CI) | Model 1: coef (95% CI) | Model 2: coef (95% CI) | Model 1: coef (95% CI) | Model 2: coef (95% CI) | |
| Resident-related factors | |||||||
| Agitation (CMAI total) | 2,055 | 0.03 (−0.07, 0.13) | 0.01 (−0.10, 0.11) | 0.001 (−0.03, 0.03) | −0.01 (−0.04, 0.03) | −0.02 (−0.09, 0.04) | −0.01 (−0.07, 0.05) |
| Staff-related factors | |||||||
| Staff sex | |||||||
| Female | 1,757 | Ref. | Ref. | Ref. | |||
| Male | 298 | 0.02 (−1.34, 1.37) | −0.41 (−1.88, 1.05) | 0.83 (0.38, 1.29)** | 0.95 (0.46, 1.44)** | 0.01 (−1.04, 1.06) | −0.25 (−1.33, 0.83) |
| Staff age | 2,002 | −0.10 (−0.13, −0.06)** | −0.09 (−0.13, −0.05)** | −0.03 (−0.04, −0.02)** | −0.02 (−0.04, −0.01)** | 0.06 (0.03, 0.09)** | 0.05 (0.02, 0.08)** |
| English is second language | |||||||
| No | 1,429 | Ref. | Ref. | Ref. | |||
| Yes | 623 | 1.46 (0.31, 2.63)* | 1.59 (0.32, 2.85)* | 0.28 (−0.10, 0.66) | 0.28 (−0.14, 0.70) | 0.17 (−0.07, 1.04) | 0.85 (−0.06, 1.76) |
| Shiftwork | |||||||
| Days only | 1,497 | Ref. | Ref. | ||||
| Nights only | 164 | −1.73 (−3.49, 0.03) | −1.52 (−3.38, 0.34) | 0.02 (−0.57, 0.61) | 0.07 (−0.55, 0.69) | −1.95 (−3.31, −0.58)* | −2.68 (−4.05, −1.30)** |
| Days and nights | 396 | 0.31 (−0.99, 1.60) | −0.07 (−1.47, 1.33) | −0.15 (−0.58, 0.28) | −0.34 (−0.81, 0.13) | 0.91 (−0.08, 1.90) | 0.39 (−0.63, 1.41) |
| Care home-related factors | |||||||
| CQC rating standards of staffing | |||||||
| All standards met | 1,892 | Ref. | Ref. | Ref. | |||
| Not all standards met | 77 | −0.50 (−5.20, 4.20) | 5.81 (−2.46, 14.07) | −0.76 (−2.14, 0.61) | −0.30 (−2.88, 2.28) | −0.84 (−3.67, 1.99) | −1.63 (−6.35, 3.09) |
| CQC rating standards of management | |||||||
| All standards met | 1,907 | Ref. | Ref. | Ref. | |||
| Not all standards met | 112 | −2.46 (−6.33, 1.40) | −6.43 (−13.23, 0.37) | −0.66 (−1.79, −0.48) | −0.41 (−2.54, 1.71) | 0.01 (−2.36, 2.37) | 1.19 (−2.71, 5.10) |
| Type of care home | |||||||
| Nursing | 1,319 | Ref. | |||||
| Personal | 736 | −0.53 (−2.43, 1.37) | −1.15 (−3.13, 0.82) | 0.25 (−0.31, 0.80) | 0.16 (−0.46, 0.78) | −0.52 (−1.67, 0.63) | −0.30 (−1.42, 0.83) |
| Average CH TESS score | 1,964 | −0.11 (−0.36, 0.13) | −0.04 (−0.28, 0.21) | 0.02 (−0.05, 0.09) | 0.02 (−0.05, 0.10) | 0.04 (−0.10, 0.19) | 0.04 (−0.10, 0.18) |
Model 1 = mixed effects univariable analysis; Model 2 = mixed effects multivariable analysis; Ref. = reference group and CH: care home.
* P < 0.05.
** P < 0.001.