• Laura Cottey, Tom Roberts, Blair Graham, Daniel Horner, Jos M Latour, Doyo Enki, Mark D Lyttle, Kara N Stevens, and Trainee Emergency Research Network (TERN) and Paediatric Emergency Research in the UK and Ireland (PERUKI).
• Academic Department of Military Emergency Medicine, Royal Centre for Defence Medicine, Birmingham.
• Eur J Emerg Med. 2021 Oct 1; 28 (5): 386393386-393.

Background And ImportanceNeed for recovery (NFR) describes an individual's need to physically and psychologically recuperate following a period of work. Physicians working in emergency departments (EDs) have higher NFR scores than other occupational groups. Increased NFR may precede occupational burnout and identification provides opportunities for early interventions.ObjectiveTo identify the incidence of well-being characteristics for ED physicians and to determine if NFR score is associated with these characteristics, whilst adjusting for potential confounders.DesignThis is a secondary analysis of a survey study. Responses to 11 items were summated into the NFR score, from 0 (lowest NFR) to 100. Additional items (n = 44) explored well-being, demographic and occupational characteristics.Setting And ParticipantsPhysicians working within 112 EDs in the UK and Ireland were surveyed in June-July 2019.Outcome Measure And AnalysisThe outcome measure was self-perceptions of well-being including; current burnout, risk of future burnout and feeling overwhelmed at work. Descriptive statistics are presented alongside findings of a multiple regression analysis.Main ResultsIn 4365 participants, the self-perceived incidence of current burnout, high risk of future burnout and feeling overwhelmed at work more than once a week was 24.8, 62.7 and 45.1%, respectively. For every unfavourable response of the NFR scale there was an increase in odds of 34.0% (95% CI, 31.0-37.1) for frequency of feeling overwhelmed; 53.8% (95% CI, 47.5-60.4) for current burnout; 56.2% (95% CI, 51.1-61.6) for high risk of future burnout.ConclusionThis study confirms an association between increased NFR score and self-perceived well-being characteristics. Factors previously reported to reduce NFR could therefore be important initiatives to improve well-being of the ED workforce.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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