Excessive workload and insufficient night-shift remuneration are key elements of dissatisfaction at work for French neonatologists.
burnout
neonatologists
quality of life
well-being
workload
Journal
Acta paediatrica (Oslo, Norway : 1992)
ISSN: 1651-2227
Titre abrégé: Acta Paediatr
Pays: Norway
ID NLM: 9205968
Informations de publication
Date de publication:
10 2023
10 2023
Historique:
revised:
06
06
2023
received:
25
03
2023
accepted:
08
06
2023
medline:
11
9
2023
pubmed:
10
6
2023
entrez:
10
6
2023
Statut:
ppublish
Résumé
Neonatologists are exposed to ethical issues and unplanned emergencies that require 24-h in-house coverage. These elements may affect quality of life at work, which we surveyed. This was a self-administered, voluntary and anonymous cross-sectional survey of French neonatologists. An online questionnaire was sent to members of the French Society of Neonatology from June to October 2022. Of approximately 1500 possible responses, 721 were analysed, with a response rate of 48%. Respondents were mostly women (77%), aged 35-50 years (50%), and hospital practitioners (63%). Reported weekly working time was over 50 h for 80%. Among the 650 neonatologists with on-call duty, 47% worked ≥5 shifts per month. For 80% of practitioners, on-call duty was perceived to have a negative impact on personal life; 49% indicated having sleep disorders. The mean satisfaction score at work was 5.7 ± 1.7 on a scale of 0-10. The main reasons for dissatisfaction were excessive working hours and insufficient remuneration for on-call duty. This first evaluation of the quality of life at work of French neonatologists showed high workload. The working conditions and specificities of NICU activity may have significant consequences for their mental health.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2075-2083Informations de copyright
© 2023 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.
Références
Buckley L, Berta W, Cleverley K, Medeiros C, Widger K. What is known about paediatric nurse burnout: a scoping review. Hum Resour Health. 2020;18(1):9. doi:10.1186/s12960-020-0451-8
Prentice TM, Gillam L, Davis PG, Janvier A. Always a burden? Healthcare providers' perspectives on moral distress. Arch Dis Child Fetal Neonatal Ed. 2018;103(5):F441-F445. doi:10.1136/archdischild-2017-313539
Tawfik DS, Phibbs CS, Sexton JB, et al. Factors associated with provider burnout in the NICU. Pediatrics. 2017;139(5):e20164134. doi:10.1542/peds.2016-4134
Favrod C, Jan du Chêne L, Martin Soelch C, et al. Mental health symptoms and work-related stressors in hospital midwives and NICU nurses: a mixed methods study. Front Psychiatry. 2018;9:364. doi:10.3389/fpsyt.2018.00364
Tawfik DS, Sexton JB, Kan P, et al. Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections. J Perinatol. 2017;37(3):315-320. doi:10.1038/jp.2016.211
Bellieni CV, Righetti P, Ciampa R, Iacoponi F, Coviello C, Buonocore G. Assessing burnout among neonatologists. J Matern Fetal Neonatal Med. 2012;25(10):2130-2134. doi:10.3109/14767058.2012.666590
Garcia C, Abreu L, Ramos J, et al. Influence of burnout on patient safety: systematic review and meta-analysis. Medicina. 2019;55(9):553. doi:10.3390/medicina55090553
Kansoun Z, Boyer L, Hodgkinson M, Villes V, Lançon C, Fond G. Burnout in French physicians: a systematic review and meta-analysis. J Affect Disord. 2019;246:132-147. doi:10.1016/j.jad.2018.12.056
Basset A, Zana-Taïeb E, Bénard M, et al. Nurses and physicians at high risk of burnout in French level III neonatal intensive care units: an observational cross-sectional study. J Perinatol. 2022;42(5):669-670. doi:10.1038/s41372-021-01266-5
Cathelain A, Merlier M, Estrade JP, et al. Assessment of the quality of life of gynecologic surgeons: a national survey in France. J Gynecol Obstet Hum Reprod. 2020;49(8):101791. doi:10.1016/j.jogoh.2020.101791
Moshe M, Perry ZH, Salzer L, Zemora E, Toker A. Work satisfaction, quality of life, and leisure time of neonatology fellows and senior neonatologists in Israel. Isr J Health Policy Res. 2012;1(1):50. doi:10.1186/2045-4015-1-50
Kravitz RL. Physician job satisfaction as a public health issue. Isr J Health Policy Res. 2012;1(1):51. doi:10.1186/2045-4015-1-51
Shanafelt TD, West CP, Sinsky C, et al. Changes in burnout and satisfaction with work-life integration in physicians and the general US working population between 2011 and 2017. Mayo Clin Proc. 2019;94(9):1681-1694. doi:10.1016/j.mayocp.2018.10.023
Haas JS, Cook EF, Puopolo AL, Burstin HR, Cleary PD, Brennan TA. Is the professional satisfaction of general internists associated with patient satisfaction? J Gen Intern Med. 2000;15(2):122-128. doi:10.1046/j.1525-1497.2000.02219.x
Nazzari S, Grumi S, Ciotti S, Merusi I, Provenzi L, Gagliardi L. Determinants of emotional distress in neonatal healthcare professionals: an exploratory analysis. Front Public Health. 2022;10:968789. doi:10.3389/fpubh.2022.968789
Börner N, Mache S, Scutaru C, Metze B, Bührer C. Communication in the clinical routine of neonatologists. Z Für Geburtshilfe Neonatol. 2019;223(2):92-98. doi:10.1055/a-0651-5162
Riskin A, Erez A, Foulk TA, et al. The impact of rudeness on medical team performance: a randomized trial. Pediatrics. 2015;136(3):487-495. doi:10.1542/peds.2015-1385
Clavier C, Hassenteufel P, Moreno Fuentes JF, Schweyer FX. Les limites de la convergence du temps de travail des médecins hospitaliers en Europe (Allemagne, Danemark, Espagne, Lituanie, Royaume-Uni). Rev Fr Aff Soc. 2011;1(2):226-251. doi:10.3917/rfas.112.0226
Ashton T, Brown P, Sopina E, Cameron L, Tenbensel T, Windsor J. Sources of satisfaction and dissatisfaction among specialists within the public and private health sectors. N Z Med J. 2013;126(1383):9-19.
Humphrey C, Russell J. Motivation and values of hospital consultants in south-East England who work in the national health service and do private practice. Soc Sci Med. 2004;59(6):1241-1250. doi:10.1016/j.socscimed.2003.12.019
Heponiemi T, Kuusio H, Sinervo T, Elovainio M. Job attitudes and well-being among public vs. private physicians: organizational justice and job control as mediators. Eur J Public Health. 2011;21(4):520-525. doi:10.1093/eurpub/ckq107