Evidence Relating Health Care Provider Burnout and Quality of Care

Tawfik, Daniel S.; Scheid, Annette; Profit, Jochen; Shanafelt, Tait D.; Trockel, Mickey; Adair, Kathryn C.; Sexton, J. Bryan; Ioannidis, John P. A.

doi:10.7326/m19-1152

Cited by 323 publications

(271 citation statements)

References 177 publications

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“…Burnout is found to be associated with hand hygiene, while the effect of workload and mental health is indirect in our study, which has been explored by previous ndings. Just as burnout is frequently associated with poor practice, communication, quality and safety in health care [4], the effect works in hand hygiene behavior similarly. And researchers indicated that burnout was an incremental predictor of nurses' self-reported adherence with infection control measures (covering hand hygiene) [23,24].…”

Section: Contributors Of Hand Hygiene Behaviormentioning

confidence: 99%

“…These hazards, including pathogen exposure, higher workload, psychological distress and occupational burnout, lead to poor adherence to infection control, healthcare-associated infections, other adverse events, etc. [2][3][4].…”

mentioning

confidence: 99%

“…It also has been shown that nurses who cared for MERSinfected or suspected patients have higher level of negative aspect of ProQOL in outbreak of MERS-CoV [21]. Furthermore, with the higher risk of negative aspect of ProQOL, HCWs were more likely to behave with poor quality of care, including poor quality and safety measures, unprofessional behavior and suboptimal patient care practice [4,22].Colindres and Manomenidis found that negative aspect of ProQOL was a negative predictor of adherence with infection control measures including hand hygiene [23,24].…”

mentioning

confidence: 99%

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Influence of workload, mental health and professional quality of life on healthcare workers’ hand hygiene behavior in medical aid during COVID-19 pandemic

Zhou

2020

Preprint

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BackgroundAppropriate hand hygiene behavior is much crucial during COVID-19 pandemic, which is influenced by workload, mental health and professional quality of life. The increasing workload, worse mental health and negative professional quality of life are severe challenges for healthcare workers, whereas the evidence of mechanism between them and hand hygiene behavior are limited. This study aimed to understand and model how HCWs’ hand hygiene behaviors were influenced by workload, mental health and professional quality of life.MethodsA total of 1,734 healthcare workers were investigated, covering self-reported hand hygiene behavior, mental health, workload, professional quality of life and socio-demographic characteristics. Structural equation modelling was conducted to confirm interrelationships and parameters among the variables.Findings The final model had a good fit (CFI=0.980; TLI=0.941; RMSEA=0.055). Higher workload was linked to worse mental health (β = 0.165, p < 0.001) and higher burnout (β = 0.183, p < 0.001). Worse mental health was linked to higher burnout (β = 0.339, p < 0.001). The higher burnout was associated with worse self-reported hand hygiene behavior (β = -0.302, p < 0.001).ConclusionWorkload is positively associated with mental health and burnout; mental health is positively related to burnout; burnout is negatively associated with hand hygiene behavior. Thus, hand hygiene behavior can be promoted by the strategy to decrease the workload, burnout and enhance mental health.

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Section: Contributors Of Hand Hygiene Behaviormentioning

confidence: 99%

mentioning

confidence: 99%

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confidence: 99%

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Influence of workload, mental health and professional quality of life on healthcare workers’ hand hygiene behavior in medical aid during COVID-19 pandemic

Zhou

2020

Preprint

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“…Researchers found that negative aspects of ProQoL in HCWs are associated with the poor quality of care, including poor quality and safety measures and unprofessional behavior, etc. [12,13]. The compassion satisfaction means that individuals feel happy with the work and want to continue, and the worse compassion satisfaction were reported to reduce the standards of care [11,14].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and impact of burnout, secondary traumatic stress and compassion satisfaction on hand hygiene of healthcare workers in medical aid team during COVID-19 pandemic

Zhou

Lai

Wan

et al. 2020

Preprint

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Background Healthcare workers suffered mental burden, especially in the period of COVID-19. Professional quality of life quality is suitable to measure how healthcare workers feel in medical aid team. Current evidence of impact of professional quality of life on hand hygiene behavior or even IPC measures was limited, especially in emerging infectious disease period. This study aimed to assess the prevalence of burnout, secondary traumatic stress and compassion satisfaction and explore their impact on self-reported hand hygiene behavior among medical aid team in Wuhan, China, where strict management was conducted to prevent COVID-19 spread and guarantee healthcare workers’ health. Results A cross-sectional study was conducted using online questionnaire covering professional quality of life and self-reported hand hygiene behavior based on COVID-19 guideline. A total of 1,734 healthcare workers were surveyed. The prevalence of burnout, secondary trauma and compassion satisfaction were low and average levels (69.61 and 30.39%), low and average levels (33.33 and 66.21%), average and high levels (49.65 and 49.71%), respectively. Burnout was negatively associated with overall hand hygiene (Coef. =-0.088, p<0.001), low hand hygiene (Coef. =-0.109, p<0.001), medium hand hygiene (Coef. =-0.088, p<0.001) and high hand hygiene (Coef. =-0.065, p<0.001). Conclusions Healthcare workers with higher compassion satisfaction reported higher hand hygiene compared to the lower. Healthcare workers in medical aid team experience lower level burnout, and higher level of compassion satisfaction during COVID-19 pandemic compared to the general period. The lower burnout and higher compassion satisfaction are associated with higher self-reported hand hygiene behavior. Burnout and compassion satisfaction in healthcare workers should be emphasize and need interventions targeting. The management of healthcare workers in Wuhan, China may be constructive for the future medical aid team.

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“…While natural disasters, such as Hurricane Katrina, demonstrated the effectiveness of short-term emergency planning (1), the COVID-19 pandemic poses unique long-term stressors and risks to clinicians' physical, mental, spiritual, and emotional well-being. Leaders and front-line clinicians need to proactively protect the well-being of themselves and their colleagues to avoid adverse outcomes for clinicians and adverse effects on quality of patient care (2). We provide practical suggestions to encourage a culture that will sustain the clinician workforce during the pandemic.…”

mentioning

confidence: 99%

Supporting Clinicians During the COVID-19 Pandemic

Dewey

Hingle

Goelz

et al. 2020

Annals of Internal Medicine

241

232

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Evidence Relating Health Care Provider Burnout and Quality of Care

Abstract: Background: Whether healthcare provider burnout contributes to lower quality of patient care is unclear.Purpose: To estimate the overall relationship between burnout and quality of care, and to evaluate if published studies provide exaggerated estimates of this relationship.

Cited by 323 publications

References 177 publications

Influence of workload, mental health and professional quality of life on healthcare workers’ hand hygiene behavior in medical aid during COVID-19 pandemic

Influence of workload, mental health and professional quality of life on healthcare workers’ hand hygiene behavior in medical aid during COVID-19 pandemic

Prevalence and impact of burnout, secondary traumatic stress and compassion satisfaction on hand hygiene of healthcare workers in medical aid team during COVID-19 pandemic

Supporting Clinicians During the COVID-19 Pandemic

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