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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 25 of 77 Research Studies DisplayedApathy NC, Rotenstein L, Bates DW NC, Rotenstein L, Bates DW
Documentation dynamics: note composition, burden, and physician efficiency.
This study’s objective was to analyze how physician clinical note length and composition relate to electronic health record (EHR)-based measures of burden and efficiency that have been tied to burnout. This cross-sectional study examined EHR metadata capturing physician-level measures from 203,728 US-based ambulatory physicians using the Epic Systems EHR between September 2020 and May 2021. The authors calculated physician-level averages for four measures of interest and assigned physicians to overall note length deciles and note composition deciles from six sources, including templated text, manual text, and copy/paste text. They found that physicians in the top decile of note length demonstrated greater burden and lower efficiency than physicians in the median decile level, spending 39% more time in the EHR after hours and closing 5.6 percentage points fewer visits on the same day. Copy/paste use demonstrated a similar dose/response relationship, with top-decile copy/paste users closing 6.8 percentage points fewer visits on the same day and spending more time in the EHR after hours and on days off. Templated text such as Epic’s SmartTools demonstrated a non-linear relationship with burden and efficiency, with very low and very high levels of use associated with increased EHR burden and decreased efficiency.
AHRQ-funded; HS026116.
Citation: Apathy NC, Rotenstein L, Bates DW NC, Rotenstein L, Bates DW .
Documentation dynamics: note composition, burden, and physician efficiency.
Health Serv Res 2023 Jun; 58(3):674-85. doi: 10.1111/1475-6773.14097..
Keywords: Provider: Physician, Burnout, Electronic Health Records (EHRs), Health Information Technology (HIT)
Watterson TL, Chui MA
Subjective perceptions of occupational fatigue in community pharmacists.
The objective of this study was to describe subjective perceptions of occupational fatigue in community pharmacists. Wisconsin pharmacists who were eligible to participate completed a demographic questionnaire, a Pharmacist Fatigue Instrument, and semi-structured interview. Interview results were separated into overarching themes that included mental fatigue, physical fatigue, active fatigue, and passive fatigue. The researchers concluded that interventions aimed at improving occupational fatigue in community pharmacies should consider key themes of fatigue that pharmacists experience.
AHRQ-funded; HS027766.
Citation: Watterson TL, Chui MA .
Subjective perceptions of occupational fatigue in community pharmacists.
Pharmacy 2023 May 9; 11(3):84. doi: 10.3390/pharmacy11030084..
Keywords: Provider: Pharmacist, Burnout
Quigley DD, Slaughter ME, Qureshi N
Associations of pediatric nurse burnout with involvement in quality improvement.
The purpose of this study was to explore the relationships of inpatient pediatric nurse burnout with their perceptions on the importance of quality at the hospital, and with patient experience measurement, quality improvement (QI), unit culture, and staffing. The researchers implemented a cross-sectional study at an urban children's hospital and surveyed pediatric nurses about their perceptions including the Maslach Burnout Inventory. The study found that 27% of pediatric nurses reported burnout. Nurses who possessed greater confidence in patient experience measurement, received frequent patient experience performance reports, felt included in QI, and experienced QI efforts as integrated into patient care reported not being burned out when compared to those reporting burnout. Higher levels of open communication among nurses and unit-level teamwork were also related with lack of burnout, and a higher QI workload was related with burnout.
AHRQ-funded; HS025920.
Citation: Quigley DD, Slaughter ME, Qureshi N .
Associations of pediatric nurse burnout with involvement in quality improvement.
J Pediatr Nurs 2023 May-Jun; 70:e9-e16. doi: 10.1016/j.pedn.2022.11.001..
Keywords: Children/Adolescents, Burnout, Provider: Nurse, Quality Improvement, Quality of Care
Casalino LP, Jung HY, Bodenheimer T
The association of teamlets and teams with physician burnout and patient outcomes.
This cross-sectional observational study’s goal was to determine the prevalence and performance of primary care teamlets and teams. Survey participants included 688 general internists and family physicians. Physicians were assigned to one of four teamlet/team categories (e.g., teamlet/no team) and, in secondary analyses, to one of eight teamlet/team categories that classified teamlets into high, medium, and low collaboration as perceived by the physician (e.g., teamlet perceived-high collaboration/no team) based on their responses. The majority of physicians (77.4%) practiced in teamlets; 36.7% in teams. The four categories were divided as follows: 49.1% practiced in the teamlet/no team category; 28.3% in the teamlet/team category; 8.4% in no teamlet/team; 14.1% in no teamlet/no team. Results showed that 15.7%, 47.4%, and 14.4% of physicians practiced in perceived high-, medium-, and low-collaboration teamlets. Physicians who did not practice in a teamlet or team had significantly lower rate of burnout compared to the three teamlet/team categories. There were no significant differences in outcomes or Medicare spending by teamlet/team or teamlet perceived-collaboration/team categories compared to no teamlet/no team, for Medicare beneficiaries in general, or for dual-eligible beneficiaries.
AHRQ-funded; HS025716.
Citation: Casalino LP, Jung HY, Bodenheimer T .
The association of teamlets and teams with physician burnout and patient outcomes.
J Gen Intern Med 2023 May; 38(6):1384-92. doi: 10.1007/s11606-022-07894-7..
Keywords: Teams, Burnout, Primary Care, Provider: Physician
Barger LK, Weaver MD, Sullivan JP
Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study.
The purpose of this study was to determine if long weekly work hours and shifts of extended duration are associated with adverse patient and physician safety outcomes. The criteria included work hours and shifts (≥24 hours) and for senior resident physicians (postgraduate year 2 and above; PGY2+). This study was conducted in the U.S. and spanned eight academic years. The analysis concluded that working 48 hours per week or longer, and extended shifts endanger even experienced (ie, PGY2+) resident physicians and their patients. It recommends lowering weekly work hour limits, as the European Union has done, and eliminating shifts of extended duration to protect the more than 150 000 physicians training in the US and their patients.
AHRQ-funded; HS012032.
Citation: Barger LK, Weaver MD, Sullivan JP .
Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study.
BMJ Med 2023; 2(1):e000320. doi: 10.1136/bmjmed-2022-000320..
Keywords: Provider: Physician, Burnout, Patient Safety
Tawfik DS, Adair KC, Palassof S
Leadership behavior associations with domains of safety culture, engagement, and health care worker well-being.
This study evaluated health care worker leadership behaviors in relation to burnout, safety culture, and engagement using the Local Leadership scale of the Safety, Communication, Operational Reliability, and Engagement (SCORE) survey. The SCORE survey was administered to 31 Midwestern hospitals with domains including Local Leadership, Emotional Exhaustion/Burnout, Safety Climate, and Engagement. Out of 23,853 distributed surveys, 70.4% were returned. Local leadership scores averaged 68.8 ± 29.1, with 44.2% reporting emotional exhaustion, 55.9% reporting concerning safety climate, 68.4% reporting concerning teamwork climate, 47.5% reporting high workload, and 20.7% reporting intentions to leave. Each 10-point increase in local leadership score was associated with odds ratios of 0.72 for burnout, 0.48 for concerning safety climate, 0.64 for concerning teamwork climate, 0.90 for high workload, and 0.80 for intentions to leave, after adjustment for unit and provider characteristics.
AHRQ-funded; HS027837.
Citation: Tawfik DS, Adair KC, Palassof S .
Leadership behavior associations with domains of safety culture, engagement, and health care worker well-being.
Jt Comm J Qual Patient Saf 2023 Mar; 49(3):156-65. doi: 10.1016/j.jcjq.2022.12.006..
Keywords: Burnout, Provider: Health Personnel
Giordano NA, Swan BA, Johnson TM
Scalable and sustainable approaches to address the well-being of healthcare personnel.
This article discusses current research that stemmed from a HRSA grant to implement interventions to reduce burnout and optimize behavioral health in the healthcare workforce as part of their Health and Public Safety Workforce Resilient Training Program. A total of 34 awards were made, with the common focus on implementing individual-level mindfulness and compassion-based interventions. The authors are one of the awardees and discuss their efforts to implement a program called Atlanta’s Resiliency Resource fOr frontline Workers (ARROW). This program offers comprehensive resources for resiliency enrichment, mindfulness training and professional development for clinicians and staff working within metropolitan Atlanta healthcare systems. The authors hope to address concerns regarding the paucity of long-term data following participation in mindfulness training, the use of heterogenous and unscalable interventions and restricted enrollment that hinders generalizability.
AHRQ-funded; HS026232.
Citation: Giordano NA, Swan BA, Johnson TM .
Scalable and sustainable approaches to address the well-being of healthcare personnel.
J Adv Nurs 2023 Feb; 79(2):e12-e15. doi: 10.1111/jan.15505..
Keywords: Burnout, Provider: Health Personnel, Stress
Tierney WM, Henning JM, Altillo BS
User-centered design of a clinical tool for shared decision-making about diet in primary care.
This study described how the authors engaged primary care clinicians and their patients in an iterative design process for a software application to enhance clinician-patient diet discussions. The goal is to help prevent clinician burnout and career dissatisfaction brought on by poorly designed health information technology. Individual clinician and patient interviews were conducted to detail the desired informational content of the screens displayed followed by iterative reviews of intermediate and final versions of the program and its outputs. Participants were primary care clinicians practicing in an urban federally qualified health center and two academic primary care clinics, and their patients who were overweight or obese with diet-sensitive conditions. Three iterations of design and review were conducted with substantial evolution of the program’s content, format, and flow of information. The amount of information was fine-tuned so it would be just the right amount displayed to facilitate shared dietary goal setting.
AHRQ-funded; HS027660.
Citation: Tierney WM, Henning JM, Altillo BS .
User-centered design of a clinical tool for shared decision-making about diet in primary care.
J Gen Intern Med 2023 Feb; 38(3):715-26. doi: 10.1007/s11606-022-07804-x..
Keywords: Patient-Centered Healthcare, Decision Making, Primary Care
Apathy NC, Hare AJ, Fendrich S
I had not time to make it shorter: an exploratory analysis of how physicians reduce note length and time in notes.
The authors analyzed observed reductions in physicians’ note length and documentation time, both of which contribute to EHR burden and burnout. Their study used EHR metadata for ambulatory physician Epic users and examined changes in note composition of physicians who decreased note length and/or documentation time. Their findings showed that note length decreases were primarily attributable to reductions in copy/paste text and templated text, while note time decreases were primarily attributable to reductions in manual text. They concluded that future research should explore scalable burden-reduction initiatives that are responsive to both note bloat and documentation time.
AHRQ-funded; HS026116.
Citation: Apathy NC, Hare AJ, Fendrich S .
I had not time to make it shorter: an exploratory analysis of how physicians reduce note length and time in notes.
J Am Med Inform Assoc 2023 Jan18; 30(2):355-60. doi: 10.1093/jamia/ocac211..
Keywords: Provider: Physician, Burnout, Electronic Health Records (EHRs), Health Information Technology (HIT)
Aiken LH, Sloane DM, McHugh MD
A repeated cross-sectional study of nurses immediately before and during the COVID-19 pandemic: Implications for action
The goal of this cross-sectional study was to establish whether hospital nursing care shortages are primarily due to the COVID pandemic, and therefore likely to subside, or if shortages are due to understaffing and poor working conditions that predated the pandemic. The study considered registered nurses in New York and Illinois, and a subset of staff nurses employed in 357 hospitals, before and during the pandemic. While no evidence was found to show that large numbers of nurses left in the first 18 months of the pandemic, the study’s findings indicate that nurses in hospitals with better staffing and more favorable work environments prior to the pandemic reported significantly better outcomes. The authors concluded that policies that prevent chronic understaffing have the most potential to stabilize the hospital nurse workforce.
AHRQ-funded; HS028978.
Citation: Aiken LH, Sloane DM, McHugh MD .
A repeated cross-sectional study of nurses immediately before and during the COVID-19 pandemic: Implications for action
Nurs Outlook 2023 Jan-Feb; 71(1):101903. doi: 10.1016/j.outlook.2022.11.007..
Keywords: COVID-19, Provider: Nurse, Workforce, Burnout
Sexton JB, Adair KC, Cu X
Effectiveness of a bite-sized web-based intervention to improve healthcare worker wellbeing: a randomized clinical trial of WISER.
The purpose of this randomized controlled trial was to test the effectiveness of the Web-based Implementation for the Science of Enhancing Resilience (WISER) intervention, a positive psychology program constructed to improve six dimensions of the wellbeing of healthcare workers (HCW). The researchers utilized cohorts comprised of actively employed HCWs across the United States: cohort 1 received WISER web-based intervention in the form of links daily for 10 days exposing them to videos and positive psychology exercises; cohort 2 served as a 14-day waiting list control before receiving the same. The study found that at 1 week, when compared to the control group, WISER significantly improved depressive symptoms, work-life integration, happiness, emotional thriving, and emotional recovery, but not emotional exhaustion. Results of the combined cohort 1, 6, and 12 months revealed that all 6 wellbeing outcomes were significantly improved relative to the baseline. At the 6-month assessment, 87% of partifipants reported favorable impressions of WISER.
AHRQ-funded; HS027837.
Citation: Sexton JB, Adair KC, Cu X .
Effectiveness of a bite-sized web-based intervention to improve healthcare worker wellbeing: a randomized clinical trial of WISER.
Front Public Health 2022 Dec 8; 10:1016407. doi: 10.3389/fpubh.2022.1016407..
Keywords: Provider: Health Personnel, Burnout, Stress
Cardell CF, Yuce TK, Zhan T
What they are not telling us: analysis of nonresponders on a national survey of resident well-being.
The objective of this study was to characterize nonrespondents to a national survey about trainee well-being, and to examine patterns of responses to questions of a sensitive nature and assess how nonresponse biases estimates of mistreatment and well-being. The survey was administered with 2018 and 2019 American Board of Surgery In-Training Examinations and assessed demographics, dissatisfaction with education/career, mistreatment, burnout, thoughts of attrition, and suicidality. Overall response rates are high for this survey, but non-White or Hispanic residents were more likely to skip questions about racial/ethnic discrimination than White, non-Hispanic residents. Women were not more likely to omit questions regarding gender, gender identity, or sexual orientation discrimination. Prevalence estimates of burnout, suicidality, and gender discrimination were likely to be minimally impacted by nonresponse.
AHRQ-funded; HS025752.
Citation: Cardell CF, Yuce TK, Zhan T .
What they are not telling us: analysis of nonresponders on a national survey of resident well-being.
Ann Surg Open 2022 Dec; 3(4):e228. doi: 10.1097/as9.0000000000000228..
Keywords: Provider: Physician, Burnout
Livaudais M, Deng D, Frederick T
Perceived value of the electronic health record and its association with physician burnout.
The objective of this study was to investigate how seniority/years of practice, gender, and screened burnout status were associated with opinions of electronic health record (EHR) use on quality, cost, and efficiency of care. Ambulatory primary care and subspecialty clinicians at three different institutions were surveyed. Findings showed that burnout status was significantly associated with clinicians' perceived value of EHR technologies, while years of practice and gender were not.
AHRQ-funded; HS022065.
Citation: Livaudais M, Deng D, Frederick T .
Perceived value of the electronic health record and its association with physician burnout.
Appl Clin Inform 2022 Aug;13(4):778-84. doi: 10.1055/s-0042-1755372..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Burnout, Provider: Physician
Zebrak K, Yount N, Sorra J
Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture™ (SOPS(®)) workplace safety supplemental items for hospitals.
The purpose of this AHRQ-funded study was to develop and test survey items that can be utilized together with the Agency for Healthcare Research and Quality (AHRQ) Surveys on Patient Safety Culture™ (SOPS(®)) Hospital Survey to evaluate how hospitals’ organizational cultures support workplace safety for both providers and staff. Based on a literature review and qualitative interviews with experts in workplace safety, the researchers identified prime areas of workplace safety culture (workplace hazards, moving patients, workplace aggression, management support for workplace safety, workplace safety reporting, and work stress or burnout) and drafted survey items to evaluate these areas. The survey items were then pilot tested on providers and staff in 28 U.S. hospitals using the SOPS Hospital Survey 2.0. Data from 6,684 respondents was analyzed and demonstrated conceptual convergence among the survey measures. The researchers concluded that both researchers and hospitals can utilize the Workplace Safety Supplemental items to evaluate the dimensions of organizational culture that support provider and staff safety and to pinpoint organizational strengths and areas for improvement.
AHRQ-funded; 233201500026I.
Citation: Zebrak K, Yount N, Sorra J .
Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture™ (SOPS(®)) workplace safety supplemental items for hospitals.
Int J Environ Res Public Health 2022 Jun 2;19(11). doi: 10.3390/ijerph19116815..
Keywords: Surveys on Patient Safety Culture, Patient Safety, Hospitals, Organizational Change
Kostelanetz S, Pettapiece-Phillips M, Weems J
Health care professionals' perspectives on universal screening of social determinants of health: a mixed-methods study.
The purpose of this AHRQ-funded study was to assess health care providers’ perceptions of universal social determinants of health (SDH) screening. Th researchers used mixed methods of electronic surveys and qualitative interviews to assess health care providers (physicians, administrators, advanced practice providers, nurses, pharmacists, social workers, and case managers) on their perceptions of universal SDH screening at an academic medical center. The electronic survey evaluated SDH screening practices, attitudes and barriers to universal screening, priorities for SDH domains, and disciplines to perform screening. There were 193 survey participants, representing a 62.5% response rate, most of which were physicians (31%) or social workers (22%). Ninety-three percent of respondents reported using SDH information in patient care, with 95% reporting that social workers were the most appropriate for providing screening. Barriers to SDH screening which were identified included lacking the: resources to address the needs which were identified (51%); time to ask (45%); staff to ask (33%) and; training in responding to the identified needs (28%). Social worker staff reported barriers less frequently than non- social worker staff. The qualitative interview (n=16) results were utilized to elaborate the electronic survey findings and identify themes. Qualitative interview data supported the survey findings and described barriers such as lack of standardized approaches and professional burnout. The researchers concluded that health care providers support universal social determinants of health screening and recommend that strategies to address barriers to implementation should include improving SDH data access for providers and capitalize on social worker expertise.
AHRQ-funded; HS026122.
Citation: Kostelanetz S, Pettapiece-Phillips M, Weems J .
Health care professionals' perspectives on universal screening of social determinants of health: a mixed-methods study.
Popul Health Manag 2022 Jun;25(3):367-74. doi: 10.1089/pop.2021.0176..
Keywords: Social Determinants of Health, Screening, Provider: Health Personnel
Evans LV, Ray JM, Bonz JW
Improving patient and clinician safety during COVID-19 through rapidly adaptive simulation and a randomised controlled trial: a study protocol.
The purpose of this study will be to simultaneously assess the challenges and facilitators of COVID-19 preparedness in the emergency department (ED) and the mitigation of emergency physician stress, test the effectiveness of a simulation preparedness intervention on physician physiological stress, and improve physician preparedness while decreasing physician stress and anxiety.
AHRQ-funded; HS028340.
Citation: Evans LV, Ray JM, Bonz JW .
Improving patient and clinician safety during COVID-19 through rapidly adaptive simulation and a randomised controlled trial: a study protocol.
BMJ Open 2022 May 19;12(5):e058980. doi: 10.1136/bmjopen-2021-058980..
Keywords: COVID-19, Patient Safety, Simulation, Burnout, Provider: Clinician
Fraiman YS, Cheston CC, Cabral HJ
Effect of a novel mindfulness curriculum on burnout during pediatric internship: a cluster randomized clinical trial.
This study examined the effectiveness of a monthly mindfulness curriculum (Mindfulness Intervention for New Interns) for medical interns on emotional exhaustion (EE) as measured by the Maslach Burnout Inventory 9-question EE subscale as well as secondary outcomes of depersonalization, personal accomplishment, and burnout. This was a randomized clinical trial of 340 pediatric interns participating in 15 US pediatric training programs from June 2017 to February 2019. The intervention included 7 hour-long sessions and a monthly mindfulness refresher implemented during internship. The active control arm also included monthly 1-hour social lunches. Follow-up was done at 6 months and at month 15. Both arms’ EE scores were higher at 6 and 15 months than at baseline, but EE did not significantly differ by arm in multivariable analyses. There were also no significant differences in the 6 secondary outcomes at month 6 or month 15.
AHRQ-funded; HS000063.
Citation: Fraiman YS, Cheston CC, Cabral HJ .
Effect of a novel mindfulness curriculum on burnout during pediatric internship: a cluster randomized clinical trial.
JAMA Pediatr 2022 Apr;176(1):365-72. doi: 10.1001/jamapediatrics.2021.5740..
Keywords: Education: Curriculum, Burnout, Provider: Physician
Abraham 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
Welsh M, Chimowitz H, Nanavati JD
A qualitative investigation of the impact of coronavirus disease 2019 (COVID-19) on emergency physicians' emotional experiences and coping strategies.
Throughout the coronavirus disease 2019 (COVID-19) pandemic, emergency physicians in the United States have faced unprecedented challenges, risks, and uncertainty while caring for patients in an already vulnerable healthcare system. As such, the pandemic has exacerbated high levels of negative emotions and burnout among emergency physicians, but little systematic qualitative work has documented these phenomena. The purpose of this qualitative investigation was to study emergency physicians' emotional experiences in response to COVID-19 and the coping strategies that they employed to navigate the pandemic.
AHRQ-funded; HS025752.
Citation: Welsh M, Chimowitz H, Nanavati JD .
A qualitative investigation of the impact of coronavirus disease 2019 (COVID-19) on emergency physicians' emotional experiences and coping strategies.
J Am Coll Emerg Physicians Open 2021 Oct;2(5):e12578. doi: 10.1002/emp2.12578..
Keywords: COVID-19, Emergency Department, Provider: Physician
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
