title: Burnout in emergency department healthcare professionals is associated with coping style: a cross-sectional survey.
abstract: BACKGROUND
  Ineffective coping may lead to impaired job performance and burnout, with adverse consequences to staff well-being and patient outcomes. We examined the relationship between coping styles and burnout in emergency physicians, nurses and support staff at seven small, medium and large emergency departments (ED) in a Canadian health region (population 500,000).
  
  
  METHODS
  Linear regression with the Coping Inventory for Stressful Situations (CISS) and Maslach Burnout Inventory (MBI) was used to evaluate the effect of coping style on levels of burnout in a cross-sectional survey of 616 ED staff members. CISS measures coping style in three categories: task-oriented, emotion-oriented and avoidance-oriented coping; MBI, in use for 30 years, assesses the level of burnout in healthcare workers.
  
  
  RESULTS
  Task-oriented coping was associated with decreased risk of burnout, while emotion-oriented coping was associated with increased risk of burnout.
  
  
  CONCLUSIONS
  Specific coping styles are associated with varied risk of burnout in ED staff across several different types of hospitals in a regional network. Coping style intervention may reduce burnout, while leading to improvement in staff well-being and patient outcomes. Further studies should focus on building and sustaining task-oriented coping, along with alternatives to emotion-oriented coping.
authors.affiliation: Department of Emergency Medicine, Saint John Regional Hospital, Saint John, Canada Department of Emergency Medicine, Dalhousie University, Saint John Campus, Canada Discipline of Emergency Medicine, Memorial University, Saint John, Canada.
authors.forename: M
authors.initials: M
authors.lastname: Howlett
authors.affiliation: Department of Psychology, Saint John Regional Hospital, Saint John, Canada.
authors.forename: K
authors.initials: K
authors.lastname: Doody
authors.affiliation: Research Services, Horizon Health Network, Moncton, Canada.
authors.forename: J
authors.initials: J
authors.lastname: Murray
authors.affiliation: Research Services, Horizon Health Network, Moncton, Canada.
authors.forename: D
authors.initials: D
authors.lastname: LeBlanc-Duchin
authors.affiliation: Department of Emergency Medicine, Saint John Regional Hospital, Saint John, Canada.
authors.forename: J
authors.identifier: http://orcid.org/0000-0002-6267-4620
authors.initials: J
authors.lastname: Fraser
authors.affiliation: Department of Emergency Medicine, Saint John Regional Hospital, Saint John, Canada Department of Emergency Medicine, Dalhousie University, Saint John Campus, Canada Discipline of Emergency Medicine, Memorial University, Saint John, Canada.
authors.forename: P R
authors.identifier: http://orcid.org/0000-0001-9900-4594
authors.initials: PR
authors.lastname: Atkinson
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D002055:Burnout, Professional / Q000517:prevention & control* / Q000523:psychology*; D002170:Canada; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D008297:Male; D008505:Medical Staff, Hospital / Q000523:psychology*; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: emergency department; psychology, staff support; research, operational