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AHRQ Research Studies Date
Topics
- (-) Burnout (12)
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) (1)
- COVID-19 (1)
- Electronic Health Records (EHRs) (2)
- Evidence-Based Practice (1)
- Health Information Technology (HIT) (2)
- Maternal Care (1)
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- Primary Care (5)
- Provider (3)
- Provider: Clinician (4)
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- Surgery (2)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 12 of 12 Research Studies DisplayedAbraham CM, Zheng K, Norful AA
Use of multifunctional electronic health records and burnout among primary care nurse practitioners.
This study investigated whether there is an association with the use of multifunctional electronic health records (EHRs) with nurse practitioner (NP) burnout in primary care practices. The study used cross-sectional survey data secondary analysis collected from NPs in Pennsylvania and New Jersey. The NPs completed surveys measuring burnout, use of multifunctional EHRs, demographics, and characteristics of their practice. Of 396 NPs included, 25.3% reported burnout, but the use of multifunctional EHRs did not increase primary care NP burnout.
AHRQ-funded; HS027290.
Citation: Abraham CM, Zheng K, Norful AA .
Use of multifunctional electronic health records and burnout among primary care nurse practitioners.
J Am Assoc Nurse Pract 2021 Dec;33(12):1182-89. doi: 10.1097/jxx.0000000000000533..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Burnout, Provider: Nurse, Primary Care
Enayat M, Farahani NZ, Chaudhry AP
Incorporating RTLS-based spatiotemporal information in studying physical activities of clinical staff.
This research used Real-Time location systems (RTLS) to study the amount of physical activity exerted by physicians, residents, nurses, and staff in the emergency department (ED). The goal of this research is to examine how low and high physical activity can affect the physical and mental health of clinicians, which can lead to fatigue and burnout. The authors used one year worth of raw RFID data that covers the movement records of 38 physicians, 13 residents, 163 nurses, and 33 staff in the ED. They compared results to the values reported in the literature and showed despite the low spatial resolution of RTLS, their non-invasive estimations were closely comparable to the ones measured by Fitbit or other wearable pedometers.
AHRQ-funded; HS026622.
Citation: Enayat M, Farahani NZ, Chaudhry AP .
Incorporating RTLS-based spatiotemporal information in studying physical activities of clinical staff.
Annu Int Conf IEEE Eng Med Biol Soc 2021 Nov;2021:2386-91. doi: 10.1109/embc46164.2021.9630597..
Keywords: Provider: Physician, Provider: Clinician, Stress, Burnout
Hewitt DB, Chung JW, Ellis RJ
National evaluation of surgical resident grit and the association with wellness outcomes.
Investigators sought to characterize grit among US general surgery residents and to examine the association between resident grit and wellness outcomes. Grit was measured using the 8-item Short Grit Scale. They found that, in this national survey evaluation, higher grit scores were associated with a lower likelihood of burnout, thoughts of attrition, and suicidal thoughts among general surgery residents. They concluded that grit is likely not an effective screening instrument to select residents; instead, they recommended that institutions ensure an organizational culture that promotes and supports trainees across this elevated range of grit scores.
AHRQ-funded; HS000078.
Citation: Hewitt DB, Chung JW, Ellis RJ .
National evaluation of surgical resident grit and the association with wellness outcomes.
JAMA Surg 2021 Sep;156(9):856-63. doi: 10.1001/jamasurg.2021.2378.
AHRQ-funded; HS000078..
AHRQ-funded; HS000078..
Keywords: Provider: Physician, Surgery, Burnout
Profit J, Adair KC, Cui X
Randomized controlled trial of the "WISER" intervention to reduce healthcare worker burnout.
The objective of this randomized control study was to test web-based implementation for the science of enhancing resilience (WISER) intervention efficacy in reducing healthcare worker (HCW) burnout. The study was designed using two cohorts of HCWs of four NICUs each, to improve HCW well-being (primary outcome: burnout). Cohort 1 received WISER while Cohort 2 acted as a waitlist control.
AHRQ-funded; HS027837.
Citation: Profit J, Adair KC, Cui X .
Randomized controlled trial of the "WISER" intervention to reduce healthcare worker burnout.
J Perinatol 2021 Sep;41(9):2225-34. doi: 10.1038/s41372-021-01100-y..
Keywords: Burnout, Provider: Health Personnel
Ellis RJ, Nicolas JD, Cheung E
Comprehensive characterization of the general surgery residency learning environment and the association with resident burnout.
Researchers sought to characterize the learning environment and to evaluate associations with burnout using a cross-sectional survey administered to all U.S. general surgery residents. They found that the overall burnout rate was 43.0%, and residents were more likely to report burnout if they also identified problems with residency workload, efficiency, social support, organizational culture, meaning in work, or experienced workplace mistreatment. They recommended efforts to help programs identify and address weaknesses in a targeted fashion in order to improve trainee burnout.
AHRQ-funded; HS000078.
Citation: Ellis RJ, Nicolas JD, Cheung E .
Comprehensive characterization of the general surgery residency learning environment and the association with resident burnout.
Ann Surg 2021 Jul 1;274(1):6-11. doi: 10.1097/sla.0000000000004796..
Keywords: Burnout, Surgery, Stress, Provider: Physician
Abraham CM, Zheng K, Norful AA
Primary care nurse practitioner burnout and perceptions of quality of care.
Researchers investigated the relationship between primary care nurse practitioner (NP) burnout on perceptions of care quality and if the practice environment moderated the relationship between burnout and care quality. This was a secondary analysis of cross-sectional survey data from 396 NPs; the practice environment was measured using the Nurse Practitioner Primary Care Organizational Climate Questionnaire. The researchers found that burnout was related to lower perceptions of care quality but favorable environments were related to higher perceptions of quality.
AHRQ-funded; HS027290.
Citation: Abraham CM, Zheng K, Norful AA .
Primary care nurse practitioner burnout and perceptions of quality of care.
Nurs Forum 2021 Jul;56(3):550-59. doi: 10.1111/nuf.12579..
Keywords: Burnout, Provider: Nurse, Primary Care, Quality of Care
Edwards ST, Marino M, Solberg LI
Cultural and structural features of zero-burnout primary care practices.
There have been a lot of studies on individual-level drivers of burnout in primary care settings, but none have focused on zero-burnout practices. This cross-sectional analysis survey used data from 715 small-to-medium-size primary care practices in the US participating in AHRQ’s EvidenceNOW initiative. The authors found that zero-burnout practices had higher levels of psychological safety and adaptive reserve. Zero-burnout practices also reported more quality improvement strategies compared with high-burnout practices. More zero-burnout practices were solo or clinician owned, and less commonly had participated in accountable care organizations or other demonstration projects.
AHRQ-funded; HS023940.
Citation: Edwards ST, Marino M, Solberg LI .
Cultural and structural features of zero-burnout primary care practices.
Health Aff 2021 Jun;40(6):928-36. doi: 10.1377/hlthaff.2020.02391..
Keywords: Burnout, Primary Care
Goldberg DG, Soylu TG, Kitsantas P
Burnout among primary care providers and staff: evaluating the association with practice adaptive reserve and individual behaviors.
The purpose of this study was to examine the association between practice adaptive reserve (PAR) and individual behavioral response to change and burnout among healthcare professionals in primary care. Using data from the EvidenceNOW Heart of Virginia Healthcare initiative, the study’s findings showed that, as organizational capacity for change increased, burnout in healthcare professionals decreased by 51%. As healthcare professionals showed improved response toward change, burnout decreased by 84%. Increased hours of work per week was associated with higher odds of burnout across healthcare professional groups.
AHRQ-funded; HS023913.
Citation: Goldberg DG, Soylu TG, Kitsantas P .
Burnout among primary care providers and staff: evaluating the association with practice adaptive reserve and individual behaviors.
J Gen Intern Med 2021 May;36(5):1222-28. doi: 10.1007/s11606-020-06367-z..
Keywords: Burnout, Primary Care, Provider: Nurse, Provider: Clinician, Provider: Physician, Provider
Haidari E, Main EK, Cui X
Maternal and neonatal health care worker well-being and patient safety climate amid the COVID-19 pandemic.
The purpose of this study was to assess the perspectives of maternal and neonatal healthcare workers (HCWs) on well-being and patient safety amid the COVID-19 pandemic. Using HCW surveys, findings showed that 66% of respondents reported symptoms of burnout and 73% felt that burnout among their co-workers had significantly increased. Compared to physicians, nurses reported higher rates of unprofessional behavior and difficulty focusing on work. The authors concluded that three months into the COVID-19 pandemic, HCW well-being was substantially compromised, with negative ramifications for patient safety.
AHRQ-funded; HS027837.
Citation: Haidari E, Main EK, Cui X .
Maternal and neonatal health care worker well-being and patient safety climate amid the COVID-19 pandemic.
J Perinatol 2021 May;41(5):961-69. doi: 10.1038/s41372-021-01014-9..
Keywords: COVID-19, Burnout, Patient Safety, Provider: Nurse, Provider: Health Personnel, Maternal Care
Willard-Grace R, Knox M, Huang B
Primary care clinician burnout and engagement association with clinical quality and patient experience.
Burnout and engagement are commonly conceptualized as opposite ends of a spectrum, and there is concern that high clinician burnout and lack of engagement may adversely impact patient care. In this study, the investigators matched self-reported data on burnout and engagement for 182 primary care clinicians with data on clinical quality (cancer screenings, hypertension and diabetes control) and patient experience (Clinician and Group Survey-Consumer Assessment of Healthcare Providers and Systems [CG-CAHPS] communication scores, overall rating, and likelihood to recommend the clinic).
AHRQ-funded; HS026067.
Citation: Willard-Grace R, Knox M, Huang B .
Primary care clinician burnout and engagement association with clinical quality and patient experience.
J Am Board Fam Med 2021 May-Jun;34(3):542-52. doi: 10.3122/jabfm.2021.03.200515..
Keywords: Consumer Assessment of Healthcare Providers and Systems (CAHPS), Burnout, Patient Experience, Patient and Family Engagement, Provider: Clinician, Provider: Physician, Quality of Care, Provider: Nurse, Provider: Health Personnel
Dymek C, Kim B, Melton GB
AHRQ Author: Dymek C, Hsiao CJ
Building the evidence-base to reduce electronic health record-related clinician burden.
This paper looks at the evidence-base to reduce electronic health record-related (EHR-related) clinician burden. Evidence-based informatics approaches, pragmatic next steps, and future research directions are presented to improve three of the highest contributors to EHR burden: documentation, chart review, and inbox tasks. Perspectives are also offered on how EHR vendors, healthcare system leaders, and policymakers can play an integral role to make EHR easier to use.
AHRQ-authored; AHRQ-funded; HS027363.
Citation: Dymek C, Kim B, Melton GB .
Building the evidence-base to reduce electronic health record-related clinician burden.
J Am Med Inform Assoc 2021 Apr 23;28(5):1057-61. doi: 10.1093/jamia/ocaa238..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Burnout, Evidence-Based Practice, Provider: Clinician, Provider: Physician, Provider
Abraham CM, Zheng Norful, AA
Primary care practice environment and burnout among nurse practitioners.
This study looked at the primary care practice environment and how poor practice environments contribute to burnout of nurse practitioners (NPs). A survey of 396 NPs was conducted, and 25.3% were rated as burnt-out. Higher scores on professional visibility, NP-physician relations, NP-administration relations, independent practice and support subscales were associated with lower risk of NP burnout.
AHRQ-funded; HS027290.
Citation: Abraham CM, Zheng Norful, AA .
Primary care practice environment and burnout among nurse practitioners.
J Nurse Pract 2021 Feb;17(2):157-62. doi: 10.1016/j.nurpra.2020.11.009..
Keywords: Primary Care, Burnout, Provider: Nurse, Provider