Prevalence of burnout among perfusionists in China: A nationwide survey

Xing Hao; Yao Hu; Chengcheng Shao; Xiaomeng Wang; Chenglong Li; Hong Wang; Feilong Hei; Xin Li; Bin Liu; Xiaohua Zhang; Zhenxiao Jin; Wei Wang; Yan Liu; Ting Wu; Feng Yang

doi:10.1177/02676591231194759

Prevalence of burnout among perfusionists in China: A nationwide survey

Perfusion. 2023 Sep 13:2676591231194759. doi: 10.1177/02676591231194759. Online ahead of print.

Authors

Xing Hao¹, Yao Hu¹, Chengcheng Shao¹, Xiaomeng Wang¹, Chenglong Li¹, Hong Wang¹, Feilong Hei¹, Xin Li², Bin Liu³, Xiaohua Zhang⁴, Zhenxiao Jin⁵, Wei Wang⁶, Yan Liu⁷, Ting Wu⁸, Feng Yang¹

Affiliations

¹ Center for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
² Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
³ Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.
⁴ Department of Cardiovascular Surgery, Guangdong Provincial People's Hospital, Guangzhou, China.
⁵ Department of Cardiovascular Surgery, First Affiliated Hospital, Air Force Medical University, Xi'an, China.
⁶ Department of Pediatric Thoracic and Cardiovascular Surgery, Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
⁷ Department of Cardiac Surgery, Wuhan Asia Heart Hospital, Wuhan, China.
⁸ Department of Perfusion Department of Cardiac Surgery Intensive Care Unit, Tianjin Chest Hospital, Tianjin, China.

PMID: 37703429
DOI: 10.1177/02676591231194759

Abstract

Background: Burnout has gained increasing attention worldwide as a phenomenon that affects health care professionals. However, there is a lack of relevant research about its impact on practitioners in the field of cardiovascular perfusion in China. This study investigated the prevalence of and the factors associated with the burnout affecting perfusionists in mainland China.

Methods: This national cross-sectional study included perfusionists from 31 provinces in mainland China. Participants were asked to complete a self-administered questionnaire, which included three parts: (1) demographic information, (2) work-related information, and (3) dissatisfaction with work and sources of pressure. The levels of burnout were calculated, and logistic regression was used to analyze the factors associated with burnout.

Results: The questionnaire, created by the survey program "Questionnaire Star", was sent to 2211 perfusionists in mainland China. A final sample of 1813 perfusionists participated in the survey, with a participation rate of 82.0% (1813/2211). The prevalence of burnout and severe burnout was 86.0% (1559/1813, 95%CI: 84.3%-87.5%) and 13.3% (241/1813, 95%CI: 11.8%-15.0%), respectively. The logistic regression analysis revealed that age [20-29 years, odds ratio (OR) = 1; 30-39 years, OR = 2.009; 40-49 years, OR = 2.220], educational background (bachelor and below, OR = 1; postgraduate, OR = 1.472), and professional background (others, OR = 1; surgery, OR = 1.283; anesthesiology, OR = 2.004) were associated with burnout. We also found that age (20-29 years, OR = 1; 30-39 years, OR = 1.928), professional background (others, OR = 1; surgery, OR = 1.734; anesthesiology, OR = 2.257), annual cardiopulmonary bypass (CPB) case load in the most recent 3 years (< 50, OR = 1; 50-100, OR = 1.613; 100-300, OR = 1.702; ≥300, OR = 2.637), and income level [< 5000 (RMB/month), OR = 1; 5000-10,000, OR = 0.587; 10,000-20,000, OR = 0.366] were associated with severe burnout among perfusionists.

Conclusions: Cardiovascular perfusionists in mainland China experience high rates of burnout. Age, the professional background, annual CPB caseload in the most recent 3 years, and income level are independently associated with the burnout rates experienced by these health care professionals.

Keywords: burnout rate; cardiopulmonary bypass; extracorporeal circulation; perfusionists.