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DTSTAMP:20240325T185836Z
LOCATION:Salon C
DTSTART;TZID=America/Chicago:20240326T164500
DTEND;TZID=America/Chicago:20240326T181500
UID:HFESHCS_2024 International Symposium on Human Factors and Ergonomics i
 n Health Care_sess128_POST167@linklings.com
SUMMARY:HE7 - Individual and Organizational Factors Associated with Sonogr
 apher Burnout in North America
DESCRIPTION:Poster Presentation\n\nRyan Walsh (University of Southern Cali
 fornia), Kevin Evans and Carolyn Sommerich (The Ohio State University), an
 d Shawn Roll (University of Southern California)\n\nBackground: Burnout in
  the healthcare workforce is detrimental to clinicians’ physical and menta
 l health, organizations’ efficiency, and patient care. We define burnout a
 s a persistent state of exhaustion resulting from excessive job demands an
 d unmanaged chronic workplace stress. Sonographers are healthcare professi
 onals at high risk for experiencing burnout, particularly due to the requi
 red performance of high-strain physical and cognitive work tasks with limi
 ted control over the organization and conduct of their job activities. Alt
 hough surveys of the sonography workforce indicate high rates of burnout i
 n single-site or regional cohorts, few large-scale studies of burnout amon
 g the full workforce exist. Thus, we conducted a large survey of North Ame
 rican sonographers to explore burnout. We aimed to describe the overall pr
 evalence of burnout and to identify the individual- and organization-level
  factors most strongly associated with sonographer burnout.\n\nMethods: We
  enrolled a cohort of North American sonographers in a longitudinal survey
  study and collected data on workplace characteristics, health, and well-b
 eing using two online questionnaires sent to the study cohort in June and 
 November 2021. We used the Sonography Work Systems model to examine the co
 mplex associations among individual- and organization-level factors associ
 ated with burnout. Specifically, we measured personal, work-related, and c
 lient burnout with the Copenhagen Burnout Inventory. Indicator variables i
 ncluded sonographer characteristics, sonography tasks, organizational poli
 cies and supports, tools and technologies, environmental factors, and imag
 ing processes. We conducted a series of univariable and multivariable regr
 essions to identify critical factors associated with the three types of bu
 rnout in the sonography workforce.\n\nResults: 1,389 sonographers responde
 d to both questionnaires and were included in the data analysis. 62.1% of 
 the workforce reported moderate-to-severe personal burnout, 55.4% reported
  moderate-to-severe work-related burnout, and 25.5% reported moderate-to-s
 evere levels of client burnout. Personal and work-related burnout had a st
 rong positive correlation (i.e., r(1387)=.85, p<.001), and they were most 
 associated with individual-level factors of lower job satisfaction, lower 
 sleep quality, lower overall health status, younger age, and higher body m
 ass index. Organization-level factors most associated with personal and wo
 rk-related burnout included lower weekly break hours, reduced ability to t
 ake breaks at work, and low supervisor support. Individual- and organizati
 on-level factors predicting personal burnout explained 45% of the variabil
 ity in our final model (R2=.45, F(32,1314)=33.21, p<.001). Individual- and
  organization-level factors predicting work-related burnout explained 52% 
 of the variability in our final model (R2=.52, F(31,1255)=43.32, p<.001). 
 However, higher client burnout was only associated with lower job satisfac
 tion, and all factors included in our final model of client burnout explai
 ned only 25% of the variability (R2=.25, F(19,1332)=23.60, p<.001).\n\nImp
 lications: Our findings indicate that personal and work-related burnout ar
 e substantial issues in the sonography workforce. Clinicians, administrato
 rs, and other stakeholders may consider approaches to reducing and managin
 g burnout in sonography workforces. In particular, organizations may consi
 der how to address factors such as scheduling, individual sonographer heal
 th, and organizational support to reduce the prevalence and mitigate the i
 mpacts of burnout on physical and mental health, organizations’ efficiency
 , and patient care.\n\nTrack: Digital Health, Simulation and Education, Ho
 spital Environments, Medical and Drug Delivery Devices, Patient Safety Res
 earch and Initiatives
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