Research ArticleOriginal Research

Prevalence of Burnout Among Respiratory Therapists Amid the COVID-19 Pandemic

Andrew G Miller, Karsten J Roberts, Brian J Smith, Katlyn L Burr, Carl R Hinkson, Cheryl A Hoerr, Kyle J Rehder and Shawna L Strickland
Respiratory Care November 2021, 66 (11) 1639-1648; DOI: https://doi.org/10.4187/respcare.09283

References

  1. 1.↵
    1. West CP,
    2. Dyrbye LN,
    3. Erwin PJ,
    4. Shanafelt TD
    . Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet 2016;388(10057):2272-2281.
    OpenUrlCrossRefPubMed
  2. 2.↵
    1. Schlak AE,
    2. Aiken LH,
    3. Chittams J,
    4. Poghosyan L,
    5. McHugh M
    . Leveraging the work environment to minimize the negative impact of nurse burnout on patient outcomes. Int J Environ Res Public Health 2021;18(2):610.
    OpenUrl
  3. 3.↵
    1. Poncet MC,
    2. Toullic P,
    3. Papazian L,
    4. Kentish-Barnes N,
    5. Timsit JF,
    6. Pochard F,
    7. et al
    . Burnout syndrome in critical care nursing staff. Am J Respir Crit Care Med 2007;175(7):698-704.
    OpenUrlCrossRefPubMedWeb of Science
  4. 4.↵
    1. Sexton JB,
    2. Adair KC,
    3. Leonard MW,
    4. Frankel TC,
    5. Proulx J,
    6. Watson SR,
    7. et al
    . Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout. BMJ Qual Saf 2018;27(4):261-270.
    OpenUrlAbstract/FREE Full Text
  5. 5.↵
    1. Aiken LH,
    2. Sloane DM,
    3. Cimiotti JP,
    4. Clarke SP,
    5. Flynn L,
    6. Seago JA,
    7. et al
    . Implications of the California nurse staffing mandate for other states. Health Serv Res 2010;45(4):904-921.
    OpenUrlCrossRefPubMedWeb of Science
  6. 6.↵
    1. Rafferty AM,
    2. Clarke SP,
    3. Coles J,
    4. Ball J,
    5. James P,
    6. McKee M,
    7. Aiken AM
    . Outcomes of variation in hospital nurse staffing in English hospitals: cross-sectional analysis of survey data and discharge records. Int J Nurs Stud 2007;44(2):175-182.
    OpenUrlCrossRefPubMedWeb of Science
  7. 7.↵
    1. Shanafelt TD,
    2. Noseworthy JH
    . Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout. Mayo Clin Proc 2017;92(1):129-146.
    OpenUrlCrossRefPubMed
  8. 8.↵
    1. Beitler JR,
    2. Mittel AM,
    3. Kallet R,
    4. Kacmarek R,
    5. Hess D,
    6. Branson R,
    7. et al
    . Ventilator sharing during an acute shortage caused by the COVID-19 pandemic. Am J Respir Crit Care Med 2020;202(4):600-604.
    OpenUrlCrossRefPubMed
  9. 9.
    1. Ferrer R
    . COVID-19 pandemic: the greatest challenge in the history of critical care. Med Intensiva (Engl Ed) 2020;44(6):323-324.
    OpenUrl
  10. 10.↵
    1. Lucchini A,
    2. Giani M,
    3. Elli S,
    4. Villa S,
    5. Rona R,
    6. Foti G
    . Nursing activities score is increased in COVID-19 patients. Intensive Crit Care Nurs 2020;59:102876.
    OpenUrl
  11. 11.↵
    1. Gomez S,
    2. Anderson BJ,
    3. Yu H,
    4. Gutsche J,
    5. Jablonski J,
    6. Martin N,
    7. et al
    . Benchmarking critical care well-being: before and after the coronavirus disease 2019 pandemic. Crit Care Explor 2020;2(10):e0233.
    OpenUrl
  12. 12.↵
    1. Kok N,
    2. van Gurp J,
    3. Teerenstra S,
    4. van der Hoeven H,
    5. Fuchs M,
    6. Hoedemaekers C,
    7. et al
    . Coronavirus disease 2019 immediately increases burnout symptoms in ICU professionals: a longitudinal cohort study. Crit Care Med 2021;49(3):419-427.
    OpenUrl
  13. 13.↵
    1. Wahlster S,
    2. Sharma M,
    3. Lewis AK,
    4. Patel PV,
    5. Hartog CS,
    6. Jannotta G,
    7. et al
    . The coronavirus disease 2019 pandemic's effect on critical care resources and health-care providers: a global survey. Chest 2021;159(2):619-633.
    OpenUrl
  14. 14.↵
    1. Evans DL
    . The impact of COVID-19 on respiratory therapist burnout. Respir Care 2021;66(5):882-883.
    OpenUrl
  15. 15.↵
    1. Roberts KJ,
    2. Johnson B,
    3. Morgan HM,
    4. Vrontisis JM,
    5. Young KM,
    6. Czerpak E,
    7. et al
    . Evaluation of respiratory therapist extender comfort with mechanical ventilation during COVID-19 pandemic. Respir Care 2021;66(2):199-204.
    OpenUrlAbstract/FREE Full Text
  16. 16.↵
    1. Hester TB,
    2. Cartwright JD,
    3. DiGiovine DG,
    4. Karlic KJ,
    5. Kercheval JB,
    6. DiGiovine B,
    7. et al
    . Training and deployment of medical students as respiratory therapist extenders during COVID-19. ATS Sch 2020;1(2):145-151.
    OpenUrl
  17. 17.↵
    1. Maves RC,
    2. Downar J,
    3. Dichter JR,
    4. Hick JL,
    5. Devereaux A,
    6. Geiling JA,
    7. et al
    ; ACCP Task Force for Mass Critical Care. Triage of scarce critical care resources in COVID-19 an implementation guide for regional allocation: an expert panel report of the Task Force for Mass Critical Care and the American College of Chest Physicians. Chest 2020;158(1):212-225.
    OpenUrlPubMed
  18. 18.↵
    1. Kerlin MP,
    2. Costa DK,
    3. Davis BS,
    4. Admon AJ,
    5. Vranas KC,
    6. Kahn JM
    . Actions taken by US hospitals to prepare for increased demand for intensive care during the first wave of COVID-19: a national survey. Chest 2021;160(2):519-528.
    OpenUrl
  19. 19.↵
    1. Fiest KM,
    2. Parsons Leigh J,
    3. Krewulak KD,
    4. Plotnikoff KM,
    5. Kemp LG,
    6. Ng-Kamstra J,
    7. Stelfox HT
    . Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review. BMC Psychiatry 2021;21(1):91.
    OpenUrl
  20. 20.↵
    1. Miller AG,
    2. Roberts KJ,
    3. Hinkson CR,
    4. Davis G,
    5. Strickland SL,
    6. Rehder KJ
    . Resilience and burnout resources in respiratory care departments. Respir Care 2021;66(5):715-723.
    OpenUrlAbstract/FREE Full Text
  21. 21.↵
    1. Forrest CB,
    2. Xu H,
    3. Thomas LE,
    4. Webb LE,
    5. Cohen LW,
    6. Carey TS,
    7. et al
    ; HERO Registry Research Group. Impact of the early phase of the COVID-19 pandemic on US healthcare workers: results from the HERO Registry. J Gen Intern Med 2021;36(5):1319-1326.
    OpenUrl
  22. 22.
    1. Burr KL,
    2. O'Brien P,
    3. Brown JM,
    4. Penfil SH,
    5. Hertzog JH
    . Occupational-induced secondary traumatic stress and posttraumatic stress disorder in respiratory therapists. Respir Care 2020;65(7):1019-1023.
    OpenUrlAbstract/FREE Full Text
  23. 23.
    1. Dryden-Palmer K,
    2. Moore G,
    3. McNeill C,
    4. Larson CP,
    5. Tomlinson G,
    6. Roumeliotis N,
    7. et al
    ; Program of Wellbeing, Ethical practice and Resilience (POWER) Investigators. Moral distress of clinicians in Canadian pediatric and neonatal ICUs. Pediatr Crit Care Med 2020;21(4):314-323.
    OpenUrlCrossRefPubMed
  24. 24.
    1. Fumis RRL,
    2. Junqueira Amarante GA,
    3. de Fátima Nascimento A,
    4. Vieira Junior JM
    . Moral distress and its contribution to the development of burnout syndrome among critical care providers. Ann Intensive Care 2017;7(1):71.
    OpenUrl
  25. 25.↵
    1. Larson CP,
    2. Dryden-Palmer KD,
    3. Gibbons C,
    4. Parshuram CS
    . Moral distress in PICU and neonatal ICU practitioners: a cross-sectional evaluation. Pediatr Crit Care Med 2017;18(8):e318-e326.
    OpenUrlPubMed
  26. 26.↵
    1. Kollef MH
    . Evaluating the value of the respiratory therapist: where is the evidence? Focus on the Barnes-Jewish Hospital experience. Respir Care 2017;62(12):1602-1610.
    OpenUrlAbstract/FREE Full Text
  27. 27.
    1. Miller AG,
    2. Cappiello JL,
    3. Gentile MA,
    4. Almond AM,
    5. Thalman JJ,
    6. MacIntyre NR
    . Analysis of radial artery catheter placement by respiratory therapists using ultrasound guidance. Respir Care 2014;59(12):1813-1816.
    OpenUrlAbstract/FREE Full Text
  28. 28.
    1. Miller AG,
    2. Haynes KE,
    3. Gates RM,
    4. Zimmerman KO,
    5. Heath TS,
    6. Bartlett KW,
    7. et al
    . A respiratory therapist-driven asthma pathway reduced hospital length of stay in the pediatric intensive care unit. Respir Care 2019;64(11):1325-1332.
    OpenUrlAbstract/FREE Full Text
  29. 29.↵
    1. Miller AG,
    2. Napolitano N,
    3. Turner DA,
    4. Rehder KJ,
    5. Nishisaki A
    , National Emergency Airway Registry for Children (NEAR4KIDS) Investigators and Pediatric Acute Lung Injury and Sepsis Investigators (PALISI). Respiratory therapist intubation practice in pediatric ICUs: a multicenter Registry study. Respir Care 2020;65(10):1534-1540.
    OpenUrlAbstract/FREE Full Text
  30. 30.↵
    1. Schwartz SP,
    2. Adair KC,
    3. Bae J,
    4. Rehder KJ,
    5. Shanafelt TD,
    6. Profit J,
    7. Sexton JB
    . Work-life balance behaviours cluster in work settings and relate to burnout and safety culture: a cross-sectional survey analysis. BMJ Qual Saf 2019;28(2):142-150.
    OpenUrlAbstract/FREE Full Text
  31. 31.↵
    1. Profit J,
    2. Sharek PJ,
    3. Amspoker AB,
    4. Kowalkowski MA,
    5. Nisbet CC,
    6. Thomas EJ,
    7. et al
    . Burnout in the NICU setting and its relation to safety culture. BMJ Qual Saf 2014;23(10):806-813.
    OpenUrlAbstract/FREE Full Text
  32. 32.↵
    1. Panagioti M,
    2. Panagopoulou E,
    3. Bower P,
    4. Lewith G,
    5. Kontopantelis E,
    6. Chew-Graham C,
    7. et al
    . Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis. JAMA Intern Med 2017;177(2):195-205.
    OpenUrl
  33. 33.↵
    1. Bakker AB,
    2. Le Blanc PM,
    3. Schaufeli WB
    . Burnout contagion among intensive care nurses. J Adv Nurs 2005;51(3):276-287.
    OpenUrlCrossRefPubMedWeb of Science
  34. 34.↵
    AARC Position Statement Committee. Best Practices in Productivity and Staffing: Value Efficiency: American Association for Respiratory Care; 2020, Irving,Texas.
  35. 35.↵
    1. Shaw RC,
    2. Benavente JL
    . AARC Human Resources survey of respiratory therapists. Am Assoc Respir Care 2020:1-170.
  36. 36.↵
    1. Duarte I,
    2. Teixeira A,
    3. Castro L,
    4. Marina S,
    5. Ribeiro C,
    6. Jacome C,
    7. et al
    . Burnout among Portuguese healthcare workers during the COVID-19 pandemic. BMC Public Health 2020;20(1):1885.
    OpenUrl
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