Job-Related Burnout and Patient Safety

1 Job-Related Burnout and Patient Safety 

Google Scholar, National Library of Medicine, PubMed, BMC.

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(burnout OR exhaustion OR overworking) AND (patient safety OR patient outcome) AND (job related OR work related)

Garcia L, Abreu C, Ramos S, Castro D, Smiderle N, Santos D, Bezerra P. (2019). Influence of Burnout on Patient Safety: Systematic Review and Meta-Analysis. National Library of Medicine. 55(9):553. DOI: 10.3390/medicina55090553. PMID: 31480365; PMCID: PMC6780563. 

Association between patient safety permeating the work process, teamwork, and personal characteristics is more than 60%.

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Presence of burnout diminishes patient safety.

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Avoiding professional exhaustion is an effective patient safety improvement strategy.

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2  Dall’Ora, C., Ball, J., Reinius, M. Griffiths, P. (2020). Burnout in nursing: a theoretical review.

Human Resource Health 18(41). DOI: https://doi.org/10.1186/s12960-020-00469-9 

Research found that adverse job characteristics like low staffing levels, high workload, low schedule flexibility, long shifts, high job and psychological demands, low control, low task variety, time pressure, role conflict, negative nurse-physician relationship, poor leadership, low autonomy, poor supervisor/leader support, job insecurity, and negative team relationship,—were associated with burnout in nursing.

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There are relationships between burnout and job satisfaction, mental health, and missed care. Some studies consider them predictors of burnout while others consider them its outcomes.

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Working night shift is associated with emotional exhaustion and burnout while working on a permanent basis rather than shifts has no impact on burnout. Irregular shifts impact composite burnout score.

Richmond, D., Needham, M., & Jean, K. (2022). The Effects of Nurse Burnout on Patient Experiences. Open Journal of Business Management. 10(14). DOI: https://doi.org/10.4236/ojbm.2022.105139 

The problem of nurse burnout is linked with poor performance, which has a negative impact on patient experience.

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Enhancing nurses’ well-being prevents burnout.

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Creating quality leadership with an opportunity to learn, a reward system, participatory decision-making, role clarification, and shared goals enhance the quality of care by reducing nurse burnout.

Sexton, B., Adair, K., Leonard, M., Franke, M., Proulx, J., Watson, S., Magnus, B., Bogan, B., Jamal, M., Schwendimann, R., Frankel, K. (2017). Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement, and lower burnout. BMJ Quality and Safety. 27(4). Retrieved from: https://qualitysafety.bmj.com/content/27/4/261.abstract 

Workload and work life did not vary as a function of WalkRound with feedback quartiles.

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WalkRound with feedback was correlated with higher workforce engagement, lower burnout, and patient safety both at a respondent and work setting levels.

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Burnout climate and personal burnout were lowest in work settings that had the highest rate of WalkRound with feedback.

Patel S, Bachu R, Adikey A, Malik M, Shah M. (2018). Factors Related to Physician Burnout and Its Consequences: A Review. Behavioral Sciences (MDPI). 8(11) DOI: 10.3390/bs8110098. PMID: 30366419; PMCID: PMC6262585. 

Many physicians believe that administrative burden is overriding the quality time they need for assessing patients.

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Clerical consumes physicians’ time leading to emotional exhaustion, diminished sense of personal success/ depersonalization, depression, substance abuse, suicidality, and Post Traumatic Stress Disorder.

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Physicians involved in medical errors are more likely to have symptoms of fatigue, burnout, and suicidal ideation.