Burnout, job satisfaction, and stress levels of PAs

Coplan, Bettie; McCall, Timothy; Smith, Noël; Gellert, Vivienne L; Essary, Alison C.

doi:10.1097/01.jaa.0000544305.38577.84

Cited by 43 publications

(50 citation statements)

References 19 publications

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“…Additionally, we did not discuss any interdisciplinary differences in PCC experiences. Although our analysis did not detect any differences between survey responses left by advanced practice providers vs. their physician counterparts, interdisciplinary differences in PCC experiences do exist 14,[80][81][82] and warrant closer study. It is also possible that the study underemphasized differences between PCCs at different VHA sites and overlooked some of the issues faced by non-VHA clinicians that are not salient in the VHA context.…”

Section: Discussioncontrasting

confidence: 67%

“…5,6 Research suggests that clinician well-being is negatively affected by organizational factors, such as excessive workload, insufficient control over work processes, heavy clerical burdens, misalignment with leadership's values, inadequate support and resources, and lack of collaborative working relationships. [7][8][9][10][11][12][13][14][15][16] However, as a recent literature review highlights, the effect of organizational factors associated with different types of practice environments is poorly understood. 10 Clinician well-being in integrated health systems (or integrated delivery systems) is especially relevant given the accelerating trend toward practice consolidation and integration.…”

Section: Introductionmentioning

confidence: 99%

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Concerns of Primary Care Clinicians Practicing in an Integrated Health System: a Qualitative Study

et al. 2020

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BACKGROUND: Clinician well-being is a major priority for healthcare organizations. However, the impact of workplace environment on clinicians' well-being is poorly understood. Integrated health systems are a particularly relevant type of practice environment to focus on, given the increasing rates of practice consolidation and integration. OBJECTIVE: To improve understanding of the concerns of primary care clinicians (PCCs) practicing in an integrated health system. DESIGN: We analyzed free-text comment box responses offered on a national survey about care coordination by 555 PCCs in the Veterans Health Administration, one of the largest integrated health systems in the USA. PARTICIPANTS: A total of 555 PCCs who left free-text comments on a national survey of care coordination in the VHA (30% out of 1862 eligible respondents). Demographics and coordination scale scores were similar between respondents who left comments vs. those who did not. APPROACH: The data were coded and analyzed in line with the grounded theory approach. Key themes were identified by team consensus and illustrative quotations were chosen to illustrate each theme. KEY RESULTS: VHA PCCs described some pressures shared across practice environments, such as prohibitive administrative burden, but also reported several concerns particular to integrated settings, including "dumping" by specialists and moral distress related to a concern for patients. Frustrations due to several aspects of responsibility around referrals may be unique to integrated health systems with salaried clinicians and/or where specialists have the ability to reject referrals. CONCLUSION: PCCs in integrated health systems feel many of the same pressures as their counterparts in nonintegrated settings, but they are also confronted with unique stressors related to these systems' organizational features that restrict clinicians' autonomy. An understanding of these concerns can guide efforts to improve the well-being of PCCs in existing integrated health systems, as well as in practices on their way to integration.

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Section: Discussioncontrasting

confidence: 67%

Section: Introductionmentioning

confidence: 99%

Concerns of Primary Care Clinicians Practicing in an Integrated Health System: a Qualitative Study

et al. 2020

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“…However, some studies indicate that job and career satisfaction remain high [11,36]. The adaptable nature of the PA role lends itself to specialty transition, which may serve as a buff er against the long-term eff ects of burnout [34]. However, the profession lacks rigorous, longitudinal, and robust studies on factors that contribute to burnout.…”

Section: Resultsmentioning

confidence: 99%

“…The literature focused on PA burnout is primarily limited to rural and specialty settings. However, one national survey that assessed work-life experiences-including burnout, happiness, and work-related stress-consisted of responses from 7,857 PAs from multiple specialties and locations [34]. Results of this national survey revealed that 21.4 percent of PAs felt some degree of cynicism, and 10.4 percent reported experiencing a low sense of personal accomplishment.…”

Section: Burnoutmentioning

confidence: 99%

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Burnout and Job and Career Satisfaction in the Physician Assistant Profession: A Review of the Literature

et al. 2018

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Comparing the Effectiveness of Virtual and In-Person Delivery of Mindfulness-Based Skills Within Healthcare Curriculums

et al. 2022

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Purpose To promote well-being, healthcare education programs have incorporated mindfulness-based skills and principles into existing curriculums. Pandemic-related restrictions have compelled programs to deliver content virtually. Study objectives were to determine (1) whether teaching mindfulness-based skills within physician assistant (PA) programs can promote well-being and (2) whether delivery type (virtual vs. in-person) can impact the effectiveness. Methods During this 2-year study, a brief mindfulness-based curriculum was delivered to incoming first-year students at six PA programs, while students at two programs served as controls. The curriculum was delivered in-person in year one and virtually in year two. Validated pre- and post-test survey items assessed mindfulness (decentering ability, present moment attention and awareness, and psychological flexibility) and well-being (perceived stress and life satisfaction). Results As expected, coping abilities and well-being were adversely impacted by educational demands. The mindfulness-based curriculum intervention was effective in increasing mindfulness and life satisfaction, while decreasing perceived stress when delivered in-person. Virtual curricular delivery was effective in decreasing perceived stress but not improving life satisfaction. Over half of the participants receiving the curriculum reported positive changes on mindfulness measures with approximately 14–38% reporting a change of greater than one standard deviation. Changes on mindfulness measures explained 30–38% of the reported changes in perceived stress and 22–26% of the changes in life satisfaction. Therefore, the mindfulness curriculum demonstrated statistically significant improvements in measures of mindfulness and mitigated declines in life satisfaction and perceived stress. Conclusion Mindfulness-based skills effectively taught in-person or virtually within PA programs successfully promote well-being.

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Burnout, job satisfaction, and stress levels of PAs

Abstract: Overall, PAs rate aspects of work life favorably. Further research on factors that contribute to the PA work experience may help inform interventions aimed at improving job satisfaction among healthcare professionals.

Cited by 43 publications

References 19 publications

Concerns of Primary Care Clinicians Practicing in an Integrated Health System: a Qualitative Study

Concerns of Primary Care Clinicians Practicing in an Integrated Health System: a Qualitative Study

Burnout and Job and Career Satisfaction in the Physician Assistant Profession: A Review of the Literature

Comparing the Effectiveness of Virtual and In-Person Delivery of Mindfulness-Based Skills Within Healthcare Curriculums

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