274161 Assessment of burnout after implementation of Stress Hardiness Program in pediatric healthcare system

Monday, October 29, 2012

Deep Shah, MD, MPH, CPH , School of Public Health, UNT Health Science Center, Fort Worth, TX
Linda Jacobs, BS, RRT-NPS , Education, Cook Children's Health Care System, Fort Worth, TX
Background: Occupational stress in pediatric healthcare workers is not well studied. Initial assessment of burnout was done in the summer of 2010 at a children's hospital in Texas. A Stress Hardiness Program (SHP) was launched in the summer of 2010 and additional components were added throughout the next 18 months. Components of the SHP are Critical Incident Stress Management, yoga, relaxation classes, tranquility rooms, workshops on grief in the workplace, and emotional intelligence courses. Objective: Reassess the burnout scores for comparison to summer 2010 scores to evaluate SHP. Methods: We utilized the Maslach Burnout Inventory (MBI) and the Copenhagen Burnout Inventory (CBI) for burnout measurement. The MBI assessed emotional exhaustion, depersonalization, and personal accomplishment. The CBI evaluated personal, work and client-related burnout. Participants were randomly and proportionally (~10%) selected from across the six companies of hospital system. Results: 409 participants were mailed surveys, 145 returned the surveys (35.4%). MBI scores indicated 16.8% have high emotional exhaustion, 3.5% have high depersonalization, and 14.7% have low level of personal accomplishment. CBI scores demonstrated that work-burnout (38.4 vs. 37.0), client-burnout (23.5 vs. 20.3), and personal-burnout (37.2 vs. 34.2) were not significantly different from pre-assessment (p > 0.05). 128 participants (88.3%) were involved in at least one activity implemented by SHP. Conclusion: The lack of change in burnout scores was unexpected but it is possible that without the SHP burnout could be elevated higher. Confounding factors include system reorganization, explosive growth, electronic medical record implementation, and a pandemic flu outbreak within the same period.

Learning Areas:
Biostatistics, economics
Implementation of health education strategies, interventions and programs
Occupational health and safety
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Identify how implementation of Stress Hardiness Program can impact burnout in healthcare workers.

Keywords: Occupational Health, Stress

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked on post-assessment phase of the Stress Hardiness Program as a biostatistics intern for my Master of Public Health educational training. I am very passionate about working in a pediatric health care setting.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.