Prevalence of burnout among PHNs, stratified by service area and working conditions
| Working conditions | Service area | |||||
|---|---|---|---|---|---|---|
| Psychiatric health care, n = 387 | Others, n = 377 | |||||
| Total | Burnout (%) | p* | Total | Burnout (%) | p* | |
| *Wilcoxon rank-sum test (for trends). †Asked only to those affirming need for physician (that is, excluding the 46 responding “never” to physician needed). | ||||||
| Support status | ||||||
| PHNs in service | ||||||
| 3+ | 171 | 57.9 | 61 | 52.5 | ||
| 2 | 134 | 57.5 | 115 | 48.7 | ||
| 1 | 69 | 63.8 | 0.531 | 172 | 54.7 | 0.619 |
| Staff members other than PHNs | ||||||
| 2+ | 107 | 50.5 | 75 | 48.0 | ||
| 0/1 | 176 | 61.9 | 0.064 | 136 | 53.7 | 0.473 |
| Help by PHNs in other service areas | ||||||
| Sufficient | 85 | 41.2 | 99 | 41.4 | ||
| Moderate | 221 | 63.3 | 199 | 50.3 | ||
| Seldom | 62 | 67.7 | 67 | 65.7 | ||
| Not at all | 15 | 60.0 | 0.004 | 12 | 75.0 | 0.001 |
| Emergency services after usual business hours | ||||||
| Night/holiday duty rotation system | ||||||
| Present | 262 | 56.9 | 178 | 49.4 | ||
| Planned/unknown | 19 | 52.6 | 70 | 52.9 | ||
| Absent | 92 | 67.4 | 0.099 | 76 | 55.3 | 0.384 |
| Frequency of emergency overtime work | ||||||
| None | 39 | 41.0 | 215 | 48.4 | ||
| Less than 5 times/year | 167 | 58.1 | 107 | 56.1 | ||
| More than 6 times/year | 172 | 64.0 | 0.014 | 49 | 51.0 | 0.426 |
| Service schedule disturbed by emergency services | ||||||
| Never | 10 | 40.0 | 100 | 44.0 | ||
| Rarely | 54 | 48.1 | 144 | 50.7 | ||
| Sometimes | 180 | 56.1 | 83 | 55.4 | ||
| Often | 141 | 68.8 | 0.002 | 38 | 68.4 | 0.011 |
| Relations to physicians | ||||||
| Physician needed | ||||||
| Never | 46 | 47.8 | 284 | 51.8 | ||
| Rarely | 86 | 58.1 | 50 | 52.0 | ||
| Sometimes | 109 | 66.1 | 16 | 56.3 | ||
| Often | 135 | 60.7 | 0.169 | 5 | 60.0 | 0.730 |
| Physician difficult to secure when needed† | ||||||
| Never | 18 | 38.9 | 17 | 35.3 | ||
| Rarely | 58 | 62.1 | 26 | 61.5 | ||
| Sometimes | 108 | 58.3 | 20 | 60.0 | ||
| Often | 146 | 67.1 | 0.051 | 7 | 42.9 | 0.450 |
| Success/failure is dependent on physician | ||||||
| Never | 17 | 35.3 | 72 | 55.6 | ||
| Rarely | 79 | 57.0 | 66 | 47.0 | ||
| Sometimes | 214 | 57.5 | 151 | 49.0 | ||
| Always | 72 | 72.2 | 0.008 | 48 | 60.4 | 0.868 |