Name of Faculty Advisor
Dr. Elizabeth Burkhart
Purpose
To describe the relationships between burnout, collective efficacy, and the social network of interprofessional providers within an ICU.
Background and significance
Burnout is associated with greater intention to leave the profession, medication errors and a decrease in healthcare provider health and wellbeing, and patient quality of care. Past research has focused on individual factors that correlate with the development of burnout. Few research studies have assessed burnout at the unit or aggregate level.
Theoretical/Conceptual framework
Maslach’s Multidimensional Theory of Burnout. Burnout is a syndrome that is the end result of chronic organizational stress which manifests as emotional exhaustion, depersonalization, and inefficacy.
Method
A descriptive design using survey and social network analysis methods was used in one ICU in a 547 licensed bed, Level I Trauma Center in the Midwestern United States. Inclusion criteria was all employees who worked in the unit longer than six months and greater than 24-hours a week. Participants were recruited through unit visits at different times of the day and night. Links to the questionnaires collected via RedCapTM were distributed in person. Burnout was operationalized using the Maslach Burnout Inventory, collective efficacy was operationalized using the Collective Efficacy Beliefs Scale. Four types of Social Support (emotional, instrumental, informational, and advice-seeking) were operationalized through sociometry. Burnout is the dependent variable. Relationships between burnout and collective efficacy, and social support will be measured using linear regression. The relationship between burnout and all the independent variables will be measured using multiple regression. Different types of social support will be assessed using social network analysis methods such as measures of centrality.
Results
There was no statistically significant relationship between Emotional support, Instrumental support, and Informational support and the three subscales of burnout (emotional exhaustion, depersonalization, personal accomplishment).
There is no association between emotional exhaustion and advice-seeking betweenness, or between depersonalization and advice-seeking betweenness. There is a weak to moderate relationship between personal accomplishment and advice-seeking betweenness.
The relationship between collective efficacy and emotional exhaustion was statistically significant, with collective efficacy, explaining 29% of the variance. The relationship between collective efficacy and personal accomplishment was statistically significant, explaining 23.1% of the variance.
Conclusions
Conclusions still in progress. Conclusions will be completed by March 1st, 2022.
Burnout, Collective Efficacy and the Social Network of a Unit