Burnout and Self-Reported Quality of Care in Community Mental Health

Salyers, Michelle P.; Fukui, Sadaaki; Rollins, Angela L.; Firmin, Ruth L.; Gearhart, Timothy; Noll, James P.; Williams, Stacy J.; Davis, Carrie

doi:10.1007/s10488-014-0544-6

Cited by 118 publications

(90 citation statements)

References 51 publications

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“…Turnover intention was assessed by a single self-reported item: “How often have you seriously considered leaving your job in the past six months?” The item is rated on a 6-point scale from 1 ( never ) to 6 ( several times a week ) and has been used in several studies with community mental health clinicians where it has been found to correlate with burnout and job satisfaction (Salyers et al, 2015; Salyers et al, 2011; Salyers, Rollins, Kelly, Lysaker, & Williams, 2013). …”

Section: Methodsmentioning

confidence: 99%

“…For each of the 31 items, participants are asked to report how frequently each item had occurred in the past six months on a 6-point scale ranging from 0 ( never ) to 5 ( always ). The original 25-item version demonstrated good internal consistency and convergent validity with measures assessing provider’s expectations of consumer recovery (Salyers et al, 2015). For the 31-item version, after removing nine poor functioning items, the internal consistency for the remaining 22-items was good in the current sample (α = .84); the 22-item version was used in analyses.…”

Section: Methodsmentioning

confidence: 99%

“…For example, increased burnout has been linked with greater staff absenteeism (Borritz et al, 2006) and intentions to quit (Salyers et al, 2015) and reduced job engagement, employee morale, and job satisfaction (Maslach et al, 2001; Paris & Hoge, 2010). A few studies have also found that higher levels of burnout are associated with lower self-reported quality of care (Salyers et al, 2015; Shanafelt, Bradley, Wipf, & Back, 2002; Van Bogaert, Kowalski, Weeks, Van Heusden, & Clarke, 2013), with one study finding that burnout mediated the relationship between number of work hours and poor self-reported quality of care in physicians (Shirom, Nirel, & Vinokur, 2006). Similarly, working long hours has been associated with increased emotional exhaustion in psychologists working in independent practice (Rupert & Morgan, 2005), and working overtime hours has been found to be a contributing factor to burnout in community mental health nurses in Japan (Imai, Nakao, Tsuchiya, Kuroda, & Katoh, 2004).…”

Section: Introductionmentioning

confidence: 99%

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Working overtime in community mental health: Associations with clinician burnout and perceived quality of care.

Luther¹,

Gearhart²,

Fukui³

et al. 2017

Psychiatric Rehabilitation Journal

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Objective Funding cuts have increased job demands and threatened clinicians’ ability to provide high-quality, person-centered care. One response to increased job demands is for clinicians to work more than their official scheduled work hours (i.e., overtime). We sought to examine the frequency of working overtime and its relationships with job characteristics, work-related outcomes, and quality of care in community health clinicians. Methods One hundred and eighty-two clinicians completed demographic and job characteristics questions and measures of burnout, job satisfaction, turnover intention, work-life conflict, and perceived quality of care. Clinicians also reported the importance of reducing stress and their confidence in reducing their stress. Clinicians who reported working overtime were compared to clinicians that did not on demographic and job characteristics and work-related outcomes. Results Ninety-four clinicians (52%) reported working overtime in a typical week. Controlling for exempt status and group differences in time spent supervising others, those working overtime reported significantly increased burnout and work-life conflict and significantly lower job satisfaction and quality of care than those not working overtime. Clinicians working overtime also reported significantly greater importance in reducing stress but less confidence in their ability to reduce stress than those not working overtime. There were no significant group differences for turnover intention. Conclusions and Implications for Practice Working overtime is associated with negative consequences for clinician-related work outcomes and perceived quality of care. Policies and interventions aimed at reducing overtime and work-related stress and burnout may be warranted in order to improve quality of care.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Working overtime in community mental health: Associations with clinician burnout and perceived quality of care.

Luther¹,

Gearhart²,

Fukui³

et al. 2017

Psychiatric Rehabilitation Journal

Self Cite

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“…8 Preliminary analyses indicated that increased quality of care on this measure was associated with greater clinician expectations of clients’ recovery, increased clinician job satisfaction, and reduced clinician burnout. 28 However, while the scale was created based on input from clinicians, it did not incorporate the clients’ perspective of quality of care.…”

Section: Introductionmentioning

confidence: 99%

Measuring Quality of Care in Community Mental Health: Validation of Concordant Clinician and Client Quality-of-Care Scales

Luther

Fukui

Garabrant

et al. 2018

J Behav Health Serv Res

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Measuring quality of care can transform care, but few tools exist to measure quality from the client's perspective. The aim of this study was to create concordant clinician and client self-report quality-of-care scales in a sample of community mental health clinicians (n = 189) and clients (n = 469). The client scale had three distinct factors (Person-Centered Care, Negative Staff Interactions, and Inattentive Care), while the clinician scale had two: Person-Centered Care and Discordant Care. Both versions demonstrated adequate internal consistency and validity with measures related to satisfaction and the therapeutic relationship. These measures are promising, brief quality assessment tools.

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“…5 Patients of the individual with burnout are also affected because of a decrease in the quality of nursing care. 6,7 Finally, health institutions face burnout-related problems such as increased absenteeism, job rotation, and reduced work performance. 8,9 Through educational interventions, mediation, or interventions focused on affected individuals, treatment of burnout among nurses has been studied, although results have been limited.…”

mentioning

confidence: 99%

Prevalence of Burnout Syndrome in Emergency Nurses: A Meta-Analysis

Fuente‐Solana²,

et al. 2017

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Objective To determine the prevalence of burnout (based on the Maslach Burnout Inventory on the 3 dimensions of high Emotional Exhaustion, high Depersonalization, and low Personal Accomplishment) among emergency nurses. Method A search of the terms "emergency AND nurs* AND burnout" was conducted using the following databases: CINAHL, Cochrane, CUIDEN, IBECS, LILACS, PubMed, ProQuest, PsycINFO, SciELO, and Scopus. Results Thirteen studies were included for the Maslach Burnout Inventory subscales of Emotional Exhaustion and Depersonalization and 11 studies for the subscale of low Personal Accomplishment. The total sample of nurses was 1566. The estimated prevalence of each subscale was 31% (95% CI, 20-44) for Emotional Exhaustion, 36% (95% CI, 23-51) for Depersonalization, and 29% (95% CI, 15-44) for low Personal Accomplishment. Conclusions The prevalence of burnout syndrome in emergency nurses is high; about 30% of the sample was affected with at least 1 of the 3 Maslach Burnout Inventory subscales. Working conditions and personal factors should be taken into account when assessing burnout risk profiles of emergency nurses. (Critical Care Nurse. 2017;37[5]:e1-e9)

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Burnout and Self-Reported Quality of Care in Community Mental Health

Cited by 118 publications

References 51 publications

Working overtime in community mental health: Associations with clinician burnout and perceived quality of care.

Working overtime in community mental health: Associations with clinician burnout and perceived quality of care.

Measuring Quality of Care in Community Mental Health: Validation of Concordant Clinician and Client Quality-of-Care Scales

Prevalence of Burnout Syndrome in Emergency Nurses: A Meta-Analysis

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