{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T17:55:26Z","timestamp":1791222926145,"version":"4.1.0"},"reference-count":32,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100014103","name":"Spoedeisende Geneeskunde Onderzoeksfonds","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100014103","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background and importance<\/jats:title>\n                    <jats:p>Emergency medicine physicians (EMPs) work in a dynamic and challenging environment, with high risk of burnout. The prevalences of work engagement, burnout and the intention to leave among Dutch EMP have not been studied before. This study aims to evaluate the adherence to the Dutch Society of Emergency Physicians (DSEP\/NVSHA) workforce recommendations, and the association between these recommendations and signs of burnout, work engagement and the intention to leave the profession.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cross-sectional online survey based study among all Dutch EMPs in 2019. Two main outcomes, the prevalences of burnout and work engagement, were assessed using the Dutch version of the Maslach Burnout Inventory and the Utrecht Work Engagement Scale. A third main outcome, the intention to leave, was assessed by three self-developed questions. The correlations between the adherence to twelve workforce recommendations and these three main outcomes were assessed using SPSS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Main results<\/jats:title>\n                    <jats:p>\n                      295 EMPs participated (response rate 56%, 68% female, median age 39 years). Fifty-five respondents (18.5%) met the criteria for burnout. On work engagement, 29 (16.6%) respondents scored low to extremely low (i.e., the 25\n                      <jats:sup>th<\/jats:sup>\n                      groups\u2019 percentile) and 97 (32.9%) respondents scored high to extremely high (i.e., the groups\u2019 75\n                      <jats:sup>th<\/jats:sup>\n                      percentile). Intention to leave the profession was high with 22\u201329%. Higher adherence to the workforce recommendations was significantly associated with all three main outcomes, as were five out of twelve separate recommendations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>To ensure a sustainable future in which EMPs are protected from burnout symptoms, supported in their work, and where disproportionate job turnover is minimized, it is crucial these results are met with decisive action. Hospital management must address the unique challenges and risks providing excellent 24\/7 emergency care presents. Workforce guidelines are designed to proactively create a more sustainable work environment. This study underscores the necessity of its implementation and creates a foundation for future research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0337882","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T17:21:36Z","timestamp":1791220896000},"page":"e0337882","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Workforce guidelines, burnout, work engagement and the intention to leave: A cross-sectional study among Dutch emergency physicians"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5897-5447","authenticated-orcid":true,"given":"Annemieke E.","family":"Boendermaker","sequence":"first","affiliation":[{"name":"Frisius Medical Center","place":["Heerenveen and Leeuwarden, The Netherlands"],"department":["Emergency Department, DSEP Section Governance and Wellness"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4110-5242","authenticated-orcid":true,"given":"Gideon H. P.","family":"Latten","sequence":"additional","affiliation":[{"name":"Maastricht University Hospital","place":["Maastricht, The Netherlands"],"department":["Emergency Department, DSEP Scientific Research Section"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jelle T.","family":"Prins","sequence":"additional","affiliation":[{"name":"Universitair Medisch Centrum Groningen","place":["Groningen, The Netherlands"],"department":["Department of Clinical Education"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6167-0620","authenticated-orcid":true,"given":"Kiki M. J. M. H.","family":"Lombarts","sequence":"additional","affiliation":[{"name":"Medical psychology, Amsterdam Medical Centre","place":["Amsterdam, The Netherlands"],"department":["Department of Professional Performance and Compassionate Care"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul L. P.","family":"Brand","sequence":"additional","affiliation":[{"name":"Universitair Medisch Centrum Groningen","place":["Groningen, The Netherlands"],"department":["Department of Clinical Education"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,10,5]]},"reference":[{"key":"pone.0337882.ref001","unstructured":"Oyen H, Van de Pas H, Gerkes-van der Meer J, Mulder J, Van den Broek K, Bouma K et al. Richtlijn Workforce SEH; Duurzame inzetbaarheid en werktijden. Versie 1.5; 2015. p. 1\u201364. (Dutch) Available from: Richtlijn%20Workforce%20SEH.pdf"},{"key":"pone.0337882.ref002"},{"key":"pone.0337882.ref003","unstructured":"Australasian College for Emergency Medicine (ACEM). Constructing a sustainable emergency department medical workforce. G23; 2023. p. 1\u201314. 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