The impact of non-medical reading on clinician burnout: a national survey of palliative care providers.

MedStar author(s):
Citation: Annals of Palliative Medicine. 8(4):428-435, 2019 Sep.PMID: 31431021Institution: MedStar Health | MedStar Washington Hospital CenterDepartment: Literature and Medicine | Medicine/Palliative Care | Urology | Urology; Literature and Medicine | Vice PresidentForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Burnout, Professional/px [Psychology] | *Caregivers/px [Psychology] | *Physicians/px [Psychology] | *Reading | Adult | Compassion Fatigue/px [Psychology] | Female | Humans | Male | Middle Aged | Palliative CareYear: 2019ISSN:
  • 2224-5820
Name of journal: Annals of palliative medicineAbstract: BACKGROUND: Clinician burnout in hospice and palliative care (HPC) has potentially widespread negative consequences including increased clinical errors, decreased professionalism, decreased staff retention, and decreased empathy. Reading non-medical literature has been associated with increased empathy, but no studies on the effect of reading on burnout have previously been conducted. We wished to assess reading patterns of practicing HPC clinicians and determine associations between non-medical reading and burnout.CONCLUSIONS: Reading non-medical literature on a consistent basis may be associated with a significantly decreased likelihood of burnout, specifically across the depersonalization domain.METHODS: Sixteen-item electronic survey regarding reading practices, exposure to non-medical literature, fatigue, quality of life, and burnout symptoms was administered to members of the American Academy of Hospice and Palliative Medicine. Burnout measures of emotional exhaustion and depersonalization were assessed by the validated 2-item Maslach Burnout Inventory. Data were analyzed using descriptive statistics and multivariate regression.RESULTS: Seven hundred nine members responded (15.2% response rate), of which 129 (18.2%) met the criteria for burnout, with 117 (16.6%) meeting the criteria for high emotional exhaustion and 45 (7.9%) meeting the criteria for high depersonalization. On univariate analysis, burnout was associated with age, reading habits, and fatigue, but not years in practice. On multivariable logistic regression consistent readers had decreased odds of overall burnout compared to inconsistent readers (OR 0.61; 95% CI, 0.39-0.97, P=0.036). This was true across the depersonalization (OR 0.58; 95% CI, 0.36-0.93, P=0.025), but not the emotional exhaustion domain.All authors: Groninger H, Krasnow R, Marchalik D, Namath A, Obara S, Padmore J, Rodriguez AOriginally published: Annals of Palliative Medicine. 2019 Jul 08Fiscal year: FY2020Digital Object Identifier: Date added to catalog: 2019-08-27
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Journal Article MedStar Authors Catalog Article 31431021 Available 31431021

BACKGROUND: Clinician burnout in hospice and palliative care (HPC) has potentially widespread negative consequences including increased clinical errors, decreased professionalism, decreased staff retention, and decreased empathy. Reading non-medical literature has been associated with increased empathy, but no studies on the effect of reading on burnout have previously been conducted. We wished to assess reading patterns of practicing HPC clinicians and determine associations between non-medical reading and burnout.

CONCLUSIONS: Reading non-medical literature on a consistent basis may be associated with a significantly decreased likelihood of burnout, specifically across the depersonalization domain.

METHODS: Sixteen-item electronic survey regarding reading practices, exposure to non-medical literature, fatigue, quality of life, and burnout symptoms was administered to members of the American Academy of Hospice and Palliative Medicine. Burnout measures of emotional exhaustion and depersonalization were assessed by the validated 2-item Maslach Burnout Inventory. Data were analyzed using descriptive statistics and multivariate regression.

RESULTS: Seven hundred nine members responded (15.2% response rate), of which 129 (18.2%) met the criteria for burnout, with 117 (16.6%) meeting the criteria for high emotional exhaustion and 45 (7.9%) meeting the criteria for high depersonalization. On univariate analysis, burnout was associated with age, reading habits, and fatigue, but not years in practice. On multivariable logistic regression consistent readers had decreased odds of overall burnout compared to inconsistent readers (OR 0.61; 95% CI, 0.39-0.97, P=0.036). This was true across the depersonalization (OR 0.58; 95% CI, 0.36-0.93, P=0.025), but not the emotional exhaustion domain.

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