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Linda H. Aiken, Karen B. Lasater, Douglas M. Sloane, Colleen A. Pogue, Kathleen E. Fitzpatrick Rosenbaum, Kathryn Jane Muir, Matthew D. McHugh, Meagan Cleary, Cathaleen Ley, Carla J. Borchardt and 57 more
Importance: Disruptions in the hospital clinical workforce threaten quality and safety of care and retention of health professionals. It is important to understand which interventions would be well received by clinicians to address the factors associated with turnover. Objectives: To determine well-being and turnover rates of physicians and nurses in hospital practice, and to identify actionable factors associated with adverse clinician outcomes, patient safety, and clinicians' preferences for interventions. Design, Setting, and Participants: This was a cross-sectional multicenter survey study conducted in 2021 with 21 050 physicians and nurses at 60 nationally distributed US Magnet hospitals. Respondents described their mental health and well-being, associations between modifiable work environment factors and physician and nurse burnout, mental health, hospital staff turnover, and patient safety. Data were analyzed from February 21, 2022, to March 28, 2023. Main Outcomes and Measures: Clinician outcomes (burnout, job dissatisfaction, intent to leave, turnover), well-being (depression, anxiety, work-life balance, health), patient safety, resources and work environment adequacy, and clinicians' preferences for interventions to improve their well-being. Results: The study sample comprised responses from 15 738 nurses (mean [SD] age, 38.4 [11.7] years; 10 887 (69%) women; 8404 [53%] White individuals) practicing in 60 hospitals, and 5312 physicians (mean [SD] age, 44.7 [12.0] years; 2362 [45%] men; 2768 [52%] White individuals) practicing in 53 of the same hospitals, with an average of 100 physicians and 262 nurses per hospital and an overall clinician response rate of 26%. High burnout was common among hospital physicians (32%) and nurses (47%). Nurse burnout was associated with higher turnover of both nurses and physicians. Many physicians (12%) and nurses (26%) rated their hospitals unfavorably on patient safety, reported having too few nurses (28% and 54%, respectively), reported having a poor work environment (20% and 34%, respectively), and lacked confidence in management (42% and 46%, respectively). Fewer than 10% of clinicians described their workplace as joyful. Both physicians and nurses rated management interventions to improve care delivery as more important to their mental health and well-being than interventions directed at improving clinicians' mental health. Improving nurse staffing was ranked highest among interventions (87% of nurses and 45% of physicians). Conclusions and Relevance: This cross-sectional survey study of physicians and nurses practicing in US Magnet hospitals found that hospitals characterized as having too few nurses and unfavorable work environments had higher rates of clinician burnout, turnover, and unfavorable patient safety ratings. Clinicians wanted action by management to address insufficient nurse staffing, insufficient clinician control over workload, and poor work environments; they were less interested in wellness programs and resilience training.
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Aiken, L. H., Lasater, K. B., Sloane, D. M., Pogue, C. A., Rosenbaum, K. E. F., Muir, K. J., McHugh, M. D., Cleary, M., Ley, C., Borchardt, C. J., Brant, J. M., Turner, B. L., Leimberger, A. E., Kozlowski, K., Coleman, B. L., Albert, N. M., Stewart, C., Steele, D., Kaplow, R., … Whade, J. J. (2023). Physician and Nurse Well-Being and Preferred Interventions to Address Burnout in Hospital Practice. JAMA Health Forum, 4(7), e231809. https://doi.org/10.1001/jamahealthforum.2023.1809
Aiken, Linda H., et al. "Physician and Nurse Well-Being and Preferred Interventions to Address Burnout in Hospital Practice." JAMA Health Forum, vol. 4, no. 7, 2023, pp. e231809, https://doi.org/10.1001/jamahealthforum.2023.1809.
Aiken, Linda H., Karen B. Lasater, Douglas M. Sloane, Colleen A. Pogue, Kathleen E. Fitzpatrick Rosenbaum, Kathryn Jane Muir, Matthew D. McHugh, et al. "Physician and Nurse Well-Being and Preferred Interventions to Address Burnout in Hospital Practice." JAMA Health Forum 4, no. 7 (2023): e231809. https://doi.org/10.1001/jamahealthforum.2023.1809.
Aiken L. H., Lasater K. B., Sloane D. M. [и др.] Physician and Nurse Well-Being and Preferred Interventions to Address Burnout in Hospital Practice // JAMA Health Forum. — 2023. — Vol. 4, № 7. — P. e231809. — URL: https://doi.org/10.1001/jamahealthforum.2023.1809
@article{aiken2023physician,
title = {{Physician and Nurse Well-Being and Preferred Interventions to Address Burnout in Hospital Practice}},
author = {Linda H. Aiken and Karen B. Lasater and Douglas M. Sloane and Colleen A. Pogue and Kathleen E. Fitzpatrick Rosenbaum and Kathryn Jane Muir and Matthew D. McHugh and Meagan Cleary and Cathaleen Ley and Carla J. Borchardt and Jeannine M. Brant and Barbra L Turner and Alyssa Elaine Leimberger and Kristin Kozlowski and Bernice L. Coleman and Nancy M. Albert and Caroline Stewart and Dinah Steele and Roberta Kaplow and Kathleen Kaminsky and Heidi A. Hinkle and Rocel D. Besa and Kathleen P Taylor and Kimberly Dimino and Cecelia Cetnar and LS Leach and Sandra L. Albritton and Carolyn L Davidson and Timothy Carrigan and Debra A. Burke and Kristin R. Anthony and Mildred Ortu Kowalski and Martha Rounds and Jennifer M. Tudor and Leigh Griffis and Linda M. Vassallo and Marie Mulligan and Irene Macyk and Catherine Manley-Cullen and Sandra L. Hutchinson and Amanda E. Haberman and Amy L. Barnard and Barbara Holmes Gobel and Diana L. McMahon and Megan J. Brown and Lisa Strack and Sheryl A. Emmerling and Angela R. Coladonato and Jessie A. Reich and Justin J. Gavaghan and James R. Ballinghoff and Florence D. Vanek and Karyn A. Book and Kathy Easter and Pamela Duchene and Mary E. Lough and Christine L. Benson and Maria Ducharme and Paul C. Quinn and Donna M. Molyneaux and Lori Kennedy Madden and Elizabeth Ellen Nyheim and Donna M. Grochow and Shannon M. Purcell and Kirsten Hanrahan and Kathy B. Isaacs and Jill J. Whade},
journal = {JAMA Health Forum},
year = {2023},
volume = {4},
number = {7},
pages = {e231809},
doi = {10.1001/jamahealthforum.2023.1809},
url = {https://doi.org/10.1001/jamahealthforum.2023.1809}
}TY - JOUR AU - Aiken, Linda H. AU - Lasater, Karen B. AU - Sloane, Douglas M. AU - Pogue, Colleen A. AU - Rosenbaum, Kathleen E. Fitzpatrick AU - Muir, Kathryn Jane AU - McHugh, Matthew D. AU - Cleary, Meagan AU - Ley, Cathaleen AU - Borchardt, Carla J. AU - Brant, Jeannine M. AU - Turner, Barbra L AU - Leimberger, Alyssa Elaine AU - Kozlowski, Kristin AU - Coleman, Bernice L. AU - Albert, Nancy M. AU - Stewart, Caroline AU - Steele, Dinah AU - Kaplow, Roberta AU - Kaminsky, Kathleen AU - Hinkle, Heidi A. AU - Besa, Rocel D. AU - Taylor, Kathleen P AU - Dimino, Kimberly AU - Cetnar, Cecelia AU - Leach, LS AU - Albritton, Sandra L. AU - Davidson, Carolyn L AU - Carrigan, Timothy AU - Burke, Debra A. AU - Anthony, Kristin R. AU - Kowalski, Mildred Ortu AU - Rounds, Martha AU - Tudor, Jennifer M. AU - Griffis, Leigh AU - Vassallo, Linda M. AU - Mulligan, Marie AU - Macyk, Irene AU - Manley-Cullen, Catherine AU - Hutchinson, Sandra L. AU - Haberman, Amanda E. AU - Barnard, Amy L. AU - Gobel, Barbara Holmes AU - McMahon, Diana L. AU - Brown, Megan J. AU - Strack, Lisa AU - Emmerling, Sheryl A. AU - Coladonato, Angela R. AU - Reich, Jessie A. AU - Gavaghan, Justin J. AU - Ballinghoff, James R. AU - Vanek, Florence D. AU - Book, Karyn A. AU - Easter, Kathy AU - Duchene, Pamela AU - Lough, Mary E. AU - Benson, Christine L. AU - Ducharme, Maria AU - Quinn, Paul C. AU - Molyneaux, Donna M. AU - Madden, Lori Kennedy AU - Nyheim, Elizabeth Ellen AU - Grochow, Donna M. AU - Purcell, Shannon M. AU - Hanrahan, Kirsten AU - Isaacs, Kathy B. AU - Whade, Jill J. TI - Physician and Nurse Well-Being and Preferred Interventions to Address Burnout in Hospital Practice JO - JAMA Health Forum VL - 4 IS - 7 SP - e231809 PY - 2023 DA - 2023/07/07 DO - 10.1001/jamahealthforum.2023.1809 UR - https://doi.org/10.1001/jamahealthforum.2023.1809 ER -
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