Occupational burnout status and influencing factors of emergency department staff in military affiliated hospital and effect of cognitive intervention

Objective The present situation and influencing factors of occupational burnout of medical staff in an emergency department of a military affiliated hospital were investigated, and the effect of cognitive intervention on occupational burnout was analyzed to improve the mental health condition of medical staff.

Methods A total of 300 medical personnel working in the emergency department in a military affiliated hospital were studied. Maslach burnout inventory(MBI) was used to survey their job burnout status and analyze its influencing factors. After the cognitive intervention, the occupational burnout was evaluated and the effect of the intervention was analyzed.

Results The proportion of mild, moderate and severe occupational burnout of these medical staff was 26.67%, 41.67%, and 20.67%, respectively. The scores of each dimension of MBI were(24.73 ± 5.28) of emotional burnout, (8.77 ± 3.35) of depersonalization and (35.21 ± 10.49) of self-worth. Logistic multivariate regression analysis showed that the independent risk factors of moderate and severe occupational inactivity (187 cases) were the younger (20-25 years old vs. > 35 years old, OR=3.969), the employment type (contract recruitment vs. tenure track, OR=2.538), night shift (> 8 times/month vs. 6~8 times/month, OR=2.943), military duty (yes vs. no, OR=2.600), monthly salary (< 5 000 yuan or 5 000~8 000 yuan vs. > 8 000 yuan, OR=2.379 and OR=2.231) (P < 0.05 or 0.01). After the cognitive intervention, the scores of participants in all dimensions of MBI were significantly improved compared with those before the intervention(P < 0.05). The proportion of moderate and severe occupational inactivity was significantly decreased after the intervention(62.34% vs. 15.67%, P < 0.05).

Conclusion The occupational burnout of medical staff in the emergency department was serious. The young, military duty, frequent night shift, lower monthly salary and contract recruitment were major affecting factors. Cognitive intervention can significantly improve the occupational burnout of medical staff in the emergency department and can be popularized and applied in the department.