Evidence map›Paper›PMID 40012647›Full record

ArticleJournal of the American College of Emergency Physicians open2025

Examining How Gender, Race/Ethnicity, and Clinical Roles Moderate the Association Between Sleep and Burnout.

Tsion Firew, Maody Miranda, Nakesha Fray, Alvis Gonzalez, Alexandra M Sullivan, Diane Cannone, Joseph E Schwartz, Jordan F Karp, Bernard P Chang, Ari Shechter

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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

10 authors.

Tsion FirewDepartment of Emergency Medicine, Columbia University Irving Medical Center, New York, New York, USA.
Maody MirandaDepartment of Emergency Medicine, Columbia University Irving Medical Center, New York, New York, USA.
Nakesha FrayCenter for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
Alvis GonzalezCenter for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
Alexandra M SullivanCenter for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
Diane CannoneCenter for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
Joseph E SchwartzCenter for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
Jordan F KarpDepartment of Psychiatry, College of Medicine, University of Arizona and University of Arizona PRIDE Program, Tucson, Arizona, USA.
Bernard P ChangDepartment of Emergency Medicine, Columbia University Irving Medical Center, New York, New York, USA.
Ari ShechterCenter for Behavioral Cardiovascular Health, Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Sleep disturbance and burnout are common in emergency department health care workers (HCWs), and the 2 are linked. This cross-sectional study evaluated whether gender, race/ethnicity, and clinical roles moderate the association between sleep quality and burnout among emergency department HCWs (N = 129). Methods: Sleep was assessed with the Pittsburgh Sleep Quality Index (Pittsburgh Sleep Quality Index > 5: poor sleep) and Insomnia Severity Index (Insomnia Severity Index > 8: insomnia). The abbreviated Maslach Burnout Inventory-9 assessed the burnout dimensions of emotional exhaustion, depersonalization , and reduced personal accomplishment . Emotional exhaustion > 9 and either (or both) depersonalization > 6 or personal accomplishment < 9 indicated burnout. Logistic regressions were computed for the association of poor sleep and insomnia with burnout for gender, race/ethnicity, and job role separately. Results: Poor sleep quality, insomnia, and burnout were seen in 64%, 59%, and 24% of participants, respectively. Poor sleep was more frequently reported in Black, Indigenous, and People of Color (BIPOC) HCWs vs non-BIPOC (72.9% vs 52.5%, Conclusion: BIPOC HCWs had worse sleep quality than non-BIPOC HCWs, and the relationship between sleep quality and burnout was affected by gender and clinical role. These findings highlight the importance of person-level factors in the sleep-burnout relationship in HCWs.

Indexed as

sleep, burnout, healthcare worker, gender, race, ethnicity

Identifiers

PMID40012647
PMCPMC11852936

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LicenceCC BY
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Registered trials

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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.