Evidence map›Paper›PMID 36764984›Full record

ArticleJournal of general internal medicine2023

Creating a Comprehensive Pandemic Response to Decrease Hospitalist Burnout During COVID-19: Intervention vs Control Results in 2 Comparable Hospitals (HOSP-CPR).

Tricia T James, Robert Hudon, Todd Merrick, Lisa Olson, Douglas Hanes, James M Scanlan

Open access · hybridAbstract read
In one paragraph

Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
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  3. Review
  4. Article
  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Tricia T JamesDepartment of Medical Education, Providence Portland Medical Center, 5050 NE Hoyt Suite 540, Portland, OR, 97213, USA. Tricia.James@providence.org.
Robert HudonDepartment of Hospital Medicine, Providence Portland Medical Center, Portland, OR, USA.
Todd MerrickDepartment of Hospital Medicine, Providence Portland Medical Center, Portland, OR, USA.
Lisa OlsonDepartment of Hospital Medicine, Providence Portland Medical Center, Portland, OR, USA.
Douglas HanesCenter for Cardiovascular Analytics, Research + Data Science, Providence Research Network, Portland, OR, USA.
James M ScanlanProvidence Health Research Accelerator (HRA), Seattle, WA, USA.
Providence Portland Medical Center · USProvidence College · USProvidence Health & Services · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysician burnout increased during the COVID-19 pandemic.

objectiveTo evaluate the effectiveness of a multimodal workplace intervention designed to reduce hospitalist burnout.

designParticipants and setting: Our intervention group was composed of internal medicine hospitalists at Providence Portland Medical Center (64 providers including 58 physicians and 6 nurse practitioners). Our control was composed of internal medicine hospitalists at Providence St Vincent's Hospital (59 physicians and 6 nurse practitioners). MEASUREMENTS: Two surveys were given during, before, and after a 12-month intervention period (October 2020 and again in October 2021). Surveys included demographics, job satisfaction, the Maslach Burnout Inventory, the Pandemic Experiences Survey, and 2 questions about leaving the job.

interventionsThree hospitalists designated as wellness warriors created weekly COVID group meetings, providing up-to-date information about COVID-19 infection rates, treatments, and work-flow changes. Discussions included coping and vaccine hesitancy, difficult case debriefs, and intensive care unit updates. Individual coaching was also offered. Meeting minutes were taken and sessions were recorded for asynchronous access.

resultsNo site differences in burnout or job satisfaction were evident pre-intervention. Post-intervention, the intervention group reported 32% burnout while controls reported 56% (p = .024). Forty-eight percent of the intervention group reported high wellness support vs. 0% of the controls (< .001). Intervention participants attributed 44% of wellness support to Providence alone, vs. controls at 12% (< .001). Regressions controlling sex, work hours, experience, race, and children in the home showed the intervention's positive effects on burnout and job satisfaction remained significant (all p < .02). LIMITATIONS: For privacy reasons, all survey responses were anonymous, meaning that individual pre-post changes could not be tracked.

conclusionWe believe the intervention resulted in substantial burnout prevention and is feasible for adoption in most hospitals and clinics.

Indexed as

Burnout, ProfessionalCOVID-19HospitalistsChildHumansJob SatisfactionPandemicsSurveys and QuestionnairesburnoutcoachingCOVID-19support groupweekly meetingswellnesswellness leaders

Identifiers

PMID36764984
PMCPMC9918339
OpenAlexW4319869071

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.