Primary Care Tasks Associated with Provider Burnout: Findings from a Veterans Health Administration Survey

Kim, Linda Y.; Rose, Danielle E.; Soban, Lynn M.; Stockdale, Susan; Meredith, Lisa S.; Edwards, Samuel T.; Helfrich, Christian D.; Rubenstein, Lisa V.

doi:10.1007/s11606-017-4188-6

Cited by 40 publications

(47 citation statements)

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“…Previous work has examined the relationship between specific tasks performed by other health care providers and burnout (Helfrich et al, 2014;Kim et al, 2018). Although this study did not examine the level of involvement in PCMH teams and specific tasks performed by RNs vs. LVNs, these factors may also impact the level of burnout nurses may experience.…”

Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

“…While several studies have examined various factors associated with burnout in primary care, little is known about the impact of the workplace environment on primary care nurse burnout, particularly those practicing in PCMH settings (Helfrich et al, 2014;Kim et al, 2018; N u r s O u t l o o k 6 8 ( 2 0 2 0 ) 1 4 À2 5 Lewis et al, 2012;Meredith et al, 2015Meredith et al, , 2018Reid et al, 2010). In one PCMH evaluation study examining primary care tasks associated with health care provider burnout, nurses were not included in the study sample (Kim et al, 2018). In other studies evaluating the impact of PCMH elements on health care provider burnout, nurses were grouped with other health care providers (Lewis et al, 2012;Meredith et al, 2015Meredith et al, , 2018, the proportion of nurses that was actually included in the study sample is unclear (Reid et al, 2010), and/or the studies do not provide a clear description of which PCMH practice environment elements specifically impact primary care nurses (Helfrich et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Elements of the healthy work environment associated with lower primary care nurse burnout

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Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Elements of the healthy work environment associated with lower primary care nurse burnout

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“…23,24,26,27,30,35 In support of these findings, a recent Veterans Health Administration study determined that physician burnout was more prevalent when tasks and responsibilities were not shared with other team members. 73 Better communication among staff is part of optimizing workflow, with results from a prospective study revealing that communication improvement among staff and physicians was especially effective at reducing burnout. 28,29 Other successful Teamwork interventions supported peer-to-peer communication.…”

Section: Discussionmentioning

confidence: 99%

Effect of Organization-Directed Workplace Interventions on Physician Burnout: A Systematic Review

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et al. 2019

Mayo Clinic Proceedings: Innovations, Quality & Outcomes

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To assess the impact of organization-directed workplace interventions on physician burnout, including stress or job satisfaction in all settings, we conducted a systematic review of the literature published from multiple databases. Manual searches of grey literature and bibliographies were also performed. Of the 633 identified citations, 50 met inclusion criteria. Four unique categories of organization-directed workplace interventions were identified. Teamwork involved initiatives to incorporate scribes or medical assistants into electronic health record (EHR) processes, expand team responsibilities, and improve communication among physicians. Time studies evaluated the impact of schedule adjustments, duty hour restrictions, and time-banking initiatives. Transitions referred to workflow changes such as process improvement initiatives or policy changes within the organization. Technology related to the implementation or improvement of EHRs. Of the 50 included studies, 35 (70.0%) reported interventions that successfully improved the 3 measures of physician burnout, job satisfaction, and/or stress. The largest benefits resulted from interventions that improved processes, promoted teambased care, and incorporated the use of scribes/medical assistants to complete EHR documentation and tasks. Implementation of EHR interventions to improve clinical workflows worsened burnout, but EHR improvements had positive effects. Time interventions had mixed effects on burnout. The results of our study suggest that organization-directed workplace interventions that improve processes, optimize EHRs, reduce clerical burden by the use of scribes, and implement team-based care can lessen physician burnout. Benefits of process changes can enhance physician resiliency, augment care provided by the team, and optimize the coordination and communication of patient care and health information.

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“…[6][7][8] These factors overwhelm primary care capacity. 7,9,10 A variety of interventions attempt to address HNHC patients. 11,12 One approach changes primary care by creating expanded, multidisciplinary teams designed to address the needs of HNHC patients-an example is the "ambulatory intensive care unit" (A-ICU).…”

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confidence: 99%

“It’s Like Riding Out the Chaos”: Caring for Socially Complex Patients in an Ambulatory Intensive Care Unit (A-ICU)

et al. 2019

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PURPOSE High-need high-cost (HNHC) patients consume a large proportion of health resources but often receive suboptimal care in traditional primary care. Intensive ambulatory care interventions attempt to better meet these patients' needs, but we know little about how teams delivering these interventions in clinics serving socially complex patient populations perceive their work. METHODS We performed a qualitative study of multidisciplinary staff experiences at a Federally Qualified Health Center (FQHC) caring for predominantly homeless HNHC patients in the context of an ongoing implementation of an ambulatory intensive care unit (A-ICU) intervention. We conducted semistructured interviews with 9 ambulatory intensive care team members and 6 "usual care" members. We conducted a thematic analysis, using an inductive approach, at a semantic level.

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Primary Care Tasks Associated with Provider Burnout: Findings from a Veterans Health Administration Survey

Cited by 40 publications

References 44 publications

Elements of the healthy work environment associated with lower primary care nurse burnout

Elements of the healthy work environment associated with lower primary care nurse burnout

Effect of Organization-Directed Workplace Interventions on Physician Burnout: A Systematic Review

“It’s Like Riding Out the Chaos”: Caring for Socially Complex Patients in an Ambulatory Intensive Care Unit (A-ICU)

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