313 - Associations between Healthcare Provider Attitudes around COVID-19 and Resilience, Burnout, Emotional Recovery and Thriving at an Academic Pediatric Hospital in July 2020

Poster Board #: 313
Publication #: 3905-HP-QA.313

Background: In the early stages of the COVID-19 pandemic, healthcare providers faced unprecedented challenges and adversity, requiring them to draw on their resilience with some coping better than others.


Objective: To assess associations between burnout, thriving, ability to emotionally recover after difficulty, and resilience using psychometric scales with provider-reported personal impact of COVID-19 and assessment of hospital response.


Design/Methods: Children’s Hospital Colorado (CHCO) fielded an anonymous faculty survey in July 2020 to assess faculty coping during the pandemic, which included questions on provider assessment of hospital pandemic response and personal impacts of the pandemic. We also included psychometric scales (Sexton et al.) of burnout, thriving and ability to emotionally recover after difficulty with our CHCO Resilience Index. Bivariate analyses with Fisher’s exact tests accounted for multiple testing using a Benjamini-Hochberg adjustment.


Results: The survey response rate was 62.9% (929/1,478). Table 1 shows demographic characteristics of respondents. The CHCO Faculty Resilience Index classified 83.5% of respondents as “resilient.” Sexton measures classified 68.2% of respondents as “thriving”; 51.6% as “not being burned out”, 33.6% as being “mildly,” 12.8% as “moderately,” and 2.1% as “severely” burned out, with 70.3% of respondents classified as “able to emotionally recover."

All bivariate relationships between the Sexton Burnout scale were statistically significant (Figure 1). The less burned out the more favorable respondents rated the hospital’s COVID-19 response and the less they reported personal impact. Statistically significant relationships between the Sexton Thriving scale and the CHCO Resilience Index (Figures 2 and 3) were noted with the more thriving and resilient respondents scoring the hospital’s COVID-19 response higher and reporting less personal impact. Relationships with the Sexton Ability to Emotionally Recover scale were less clear as most were not statistically significant.

Conclusion(s): During the COVID-19 pandemic, less burned out, more resilient and more thriving providers reported less personal impact and rated the hospital’s response more favorably. Though longitudinal data are needed to confirm these findings, this study highlights the importance of focusing on provider resilience and burnout to prepare for future healthcare challenges.


Demographic Characteristics of Respondents


Percentage of Respondents Classified in Sexton Burnout Scale Across Different COVID-19 Items and Response Categories


Percentage of Respondents Classified in Sexton Thriving Scale Across Different COVID-19 Items and Response Categories


Percentage of Respondents Classified in CHCO Resilience Index Across Different COVID-19 Items and Response Categories

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Authors/Institutions: Sonja Ziniel, University of Colorado School of Medicine, Aurora, Colorado, United States; Stacey K. Whiteside, Children's Hospital Colorado, Aurora, Colorado, United States; Sara J. Deakyne Davies, Children's Hospital Colorado, Aurora, Colorado, United States; Jennifer Reese, University of Colorado School of Medicine, Aurora, Colorado, United States