Organizational Compassion: Ameliorating Healthcare Workers' Suffering and Burnout

Thienprayoon, Rachel; Sinclair, Shane; Lown, Beth A.; Pestian, Teresa; Awtrey, Eli; Winick, Naomi J.; Kanov, Jason

doi:10.55504/2578-9333.1122

Cited by 10 publications

(21 citation statements)

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“…While new funding streams for research to improve clinician experiences have become available since COVID‐19 (American Rescue Plan Act, 2021), overall research funding dedicated to the healthcare workforce remains inadequate. As physician burnout in the United States is estimated to cost $4.6 billion annually (Han et al, 2019), future research must also focus on the development of financial models to understand how the cost of such compassion interventions may decrease this financial burden of burnout (Thienprayoon et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

The impact of organizational compassion in health care on clinicians: A scoping review

Pestian

Awtrey

Kanov

et al. 2023

Worldviews Ev Based Nurs

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BackgroundThe unprecedented exodus of workers from the healthcare system is a patient safety crisis. Organizational compassion in health care is the proactive, systematic, and continuous identification, alleviation, and prevention of all sources of suffering.AimsThis scoping review aimed to describe the evidence regarding the impact of organizational compassion on clinicians, identify gaps, and provide recommendations for future research.MethodsA comprehensive librarian‐assisted database search was conducted. Databases searched were PubMed, SCOPUS, EMBASE, Web of Science, PsychInfo, and Business Source Complete. Combinations of search terms regarding health care, compassion, organizational compassion, and workplace suffering were used. The search strategy was limited to English language articles and those published between 2000 and 2021.ResultsDatabase search yielded 781 articles. After removing duplicates, 468 were screened by title and abstract, and 313 were excluded. One‐hundred and fifty‐five underwent full‐text screening, and 137 were removed, leaving 18 eligible articles, two of which were set in the United States. Ten articles evaluated barriers or facilitators to organizational compassion, four evaluated elements of compassionate leadership, and four evaluated the Schwartz Center Rounds intervention. Several described the need to create systems that are compassionate to clinicians. Lack of time, support staff, and resources impeded the delivery of such interventions.Linking evidence to actionLittle research has been done to understand and evaluate the impact of compassion on US clinicians. Given the workforce crisis in American health care and the potential positive impact of increasing compassion for clinicians, there is an urgent need for researchers and healthcare administrators to fill this gap.

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Section: Discussionmentioning

confidence: 99%

The impact of organizational compassion in health care on clinicians: A scoping review

Pestian

Awtrey

Kanov

et al. 2023

Worldviews Ev Based Nurs

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“…The suggestion that organizational cultures impact care is not new [31,32]. However, most accounts are theoretical and anecdotal rather than empirically based; robust methods by which to operationalize the potential effects of organizational culture have been largely missing [33] or focused on behavioural measures that might be less suitable in trying to predict behavioural effects [34].…”

Section: Introductionmentioning

confidence: 99%

Working in value‐discrepant environments inhibits clinicians’ ability to provide compassion and reduces well‐being: A cross‐sectional study

et al. 2023

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“…The suggestion that organisational cultures impact care is not new. 31 However, most accounts are theoretical and anecdotal rather than empirically based; robust methods by which to operationalise the potential effects of organisational culture have been missing. 32 Prior studies suggest that both personal and organisational values – or (cultural) ideals to which both individuals and organisations strive 33 - predict compassion 24 and burnout 34, 35 and there is evidence that individuals who pursue healthcare careers are motivated by socially-focused values such as humility, compassion, and caring.…”

Section: Introductionmentioning

confidence: 99%

Working in values-discrepant environments inhibits clinicians’ ability to provide compassion and reduces wellbeing: a cross-sectional study

Pavlova

Paine

Sinclair

et al. 2022

Preprint

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Objectives: to describe the association between personal and organisational value discrepancies and compassion ability, burnout, job satisfaction, absenteeism, and consideration of early retirement among healthcare professionals. Design: online cross-sectional survey. Setting: primary, secondary, and tertiary care. Participants: 1025 current practising clinicians (doctors, nurses, and allied health professionals) in Aotearoa/New Zealand. Main outcome measures: The Sinclair Compassion Questionnaire - Healthcare Provider Ability and Competence Self-Assessment, The Maslach Burnout Inventory - Human Services Survey abbreviated 2-Question Summative Score, 10-item Warr-Cook-Wall Job Satisfaction questionnaire, measures of absenteeism and consideration of early retirement. Results: Perceived discrepancies between personal and organisational values predicted lower compassion ability (B =-0.006, 95% CI [-0.01, -0.00], P<0.001, f2=0.05) but not competence (p=0.24), lower job satisfaction (B =-0.20, 95% CI [-0.23, -0.17], P<0.001, f2=0.14), higher burnout (B =0.02, 95% CI [0.01, 0.03], P<0.001, f2=0.06), absenteeism (B =0.004, 95% CI [0.00, 0.01], P=0.01 f2=0.01), and greater consideration of early retirement (B =0.02, 95% CI [0.00, 0.03], P=0.04, f2=0.004). Conclusions: Working in value-discrepant environments predicts a range of poorer outcomes among healthcare professionals, including the ability to be compassionate. Scalable organisational and systems level interventions that address operational processes and practices that lead to the experience of value discrepancies are recommended to improve clinician performance and wellbeing outcomes. Study registration: the study was pre-registered on AsPredicted (Registration number 75407)

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Organizational Compassion: Ameliorating Healthcare Workers' Suffering and Burnout

Cited by 10 publications

References 0 publications

The impact of organizational compassion in health care on clinicians: A scoping review

The impact of organizational compassion in health care on clinicians: A scoping review

Working in value‐discrepant environments inhibits clinicians’ ability to provide compassion and reduces well‐being: A cross‐sectional study

Working in values-discrepant environments inhibits clinicians’ ability to provide compassion and reduces wellbeing: a cross-sectional study

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