| Title |
The Relationship Between Professional Burnout and Quality and Safety in Healthcare: A Meta-Analysis
|
|---|---|
| Published in |
Journal of General Internal Medicine, October 2016
|
| DOI | 10.1007/s11606-016-3886-9 |
| Pubmed ID | |
| Authors |
Michelle P. Salyers, Kelsey A. Bonfils, Lauren Luther, Ruth L. Firmin, Dominique A. White, Erin L. Adams, Angela L. Rollins |
| Abstract |
Healthcare provider burnout is considered a factor in quality of care, yet little is known about the consistency and magnitude of this relationship. This meta-analysis examined relationships between provider burnout (emotional exhaustion, depersonalization, and reduced personal accomplishment) and the quality (perceived quality, patient satisfaction) and safety of healthcare. Publications were identified through targeted literature searches in Ovid MEDLINE, PsycINFO, Web of Science, CINAHL, and ProQuest Dissertations & Theses through March of 2015. Two coders extracted data to calculate effect sizes and potential moderators. We calculated Pearson's r for all independent relationships between burnout and quality measures, using a random effects model. Data were assessed for potential impact of study rigor, outliers, and publication bias. Eighty-two studies including 210,669 healthcare providers were included. Statistically significant negative relationships emerged between burnout and quality (r = -0.26, 95 % CI [-0.29, -0.23]) and safety (r = -0.23, 95 % CI [-0.28, -0.17]). In both cases, the negative relationship implied that greater burnout among healthcare providers was associated with poorer-quality healthcare and reduced safety for patients. Moderators for the quality relationship included dimension of burnout, unit of analysis, and quality data source. Moderators for the relationship between burnout and safety were safety indicator type, population, and country. Rigor of the study was not a significant moderator. This is the first study to systematically, quantitatively analyze the links between healthcare provider burnout and healthcare quality and safety across disciplines. Provider burnout shows consistent negative relationships with perceived quality (including patient satisfaction), quality indicators, and perceptions of safety. Though the effects are small to medium, the findings highlight the importance of effective burnout interventions for healthcare providers. Moderator analyses suggest contextual factors to consider for future study. |
X Demographics
The data shown below were collected from the profiles of 91 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 13 | 14% |
| Saudi Arabia | 11 | 12% |
| United Kingdom | 10 | 11% |
| Canada | 4 | 4% |
| Spain | 2 | 2% |
| France | 2 | 2% |
| Australia | 2 | 2% |
| Argentina | 1 | 1% |
| Brazil | 1 | 1% |
| Other | 3 | 3% |
| Unknown | 42 | 46% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 66 | 73% |
| Practitioners (doctors, other healthcare professionals) | 14 | 15% |
| Scientists | 9 | 10% |
| Science communicators (journalists, bloggers, editors) | 2 | 2% |
Mendeley readers
The data shown below were compiled from readership statistics for 815 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 2 | <1% |
| Unknown | 813 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 119 | 15% |
| Researcher | 77 | 9% |
| Student > Bachelor | 62 | 8% |
| Student > Ph. D. Student | 54 | 7% |
| Other | 49 | 6% |
| Other | 185 | 23% |
| Unknown | 269 | 33% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 170 | 21% |
| Nursing and Health Professions | 111 | 14% |
| Psychology | 78 | 10% |
| Social Sciences | 30 | 4% |
| Business, Management and Accounting | 30 | 4% |
| Other | 98 | 12% |
| Unknown | 298 | 37% |
Attention Score in Context
This research output has an Altmetric Attention Score of 553. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 January 2024.
All research outputs
#44,444
of 25,732,188 outputs
Outputs from Journal of General Internal Medicine
#37
of 8,246 outputs
Outputs of similar age
#892
of 322,014 outputs
Outputs of similar age from Journal of General Internal Medicine
#1
of 75 outputs
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