Work stress, burnout, and perceived quality of care: a cross-sectional study among hospital pediatricians

Weigl, Matthias; Schneider, Anna; Hoffmann, Florian; Angerer, Peter

doi:10.1007/s00431-015-2529-1

Cited by 79 publications

(101 citation statements)

References 28 publications

(55 reference statements)

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“…21,24,34 Although prospective evidence on the impact of organizational contextual stressors of emotional exhaustion in pediatricians is scarce, studies in other medical specialties corroborate the impact of effort-reward imbalance on burnout. 28 Regardless of recent salary adjustments, 24 imbalanced remuneration, lack of incentives, promotion and appreciation from supervisors remained significant factors associated with emotional exhaustion in this, as in previous similar studies. 24,28,35 The Effort-Reward Imbalance Model requires the balance between work efforts and rewards to be executed through three domains: salary, prestige, and job security.…”

Section: Discussionsupporting

confidence: 72%

“…Most studies hypothesize that pediatrician's emotional burnout is associated with demographic characteristics, hospital work environment and resources, clinical management or personal factors. 28 The demographic data here reported did not exhibit significant associations with emotional exhaustion. Similar findings were reported recently.…”

Section: Discussioncontrasting

confidence: 54%

“…29 Prevalence rates were higher in Saudi Arabia (34%) 4 but lower in Germany (10%). 28 This study found that perceived stress, clinical management and clinical work environmental factors exhibited significant associations with emotional exhaustion. Reported figures on affected pediatricians vary across nations.…”

Section: Discussionmentioning

confidence: 75%

“…Weigl et al reported similar findings. 28 Some limitations in this communication have to be mentioned. Firstly, its cross sectional design hinders the possibility of establishing a cause and effect relationship in contrast with achieved by Pantaleoni et al 5 Furthermore, doctors here involved vary from house-officers to pediatricians and therefore differ in experiences and in duration of exposure into the pediatric discipline.…”

Section: Discussionmentioning

confidence: 97%

“…Pediatricians have a higher risk of professional burnout, given the frequency, duration, and emotional intensity of bi-directional clinical interactions between children and their caregivers. 28 Of the 197 doctors surveyed, 25.4% showed high level of emotional exhaustion. A similar rate was reported among pediatricians in Argentina.…”

Section: Discussionmentioning

confidence: 99%

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Emotional exhaustion is associated with work related stressors: a cross-sectional multicenter study in Malaysian public hospitals

et al. 2017

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Introduction.Emotional exhaustion is an important component of burnout. Burnout is common among doctors. It affects the physical and mental health of doctors, their performance and the quality of care they provide. This study aimed to investigate the level and factors associated with emotional exhaustion among doctors in pediatric practice in Malaysia. Population and methods. A self-administered questionnaire was used in this multicenter cross-sectional study. It included questions on the socio-demographics, work characteristics, Emotional Exhaustion, Perceived Stress Scale and sources of job stress. Descriptive, univariate and multivariate analysis were conducted using the SPSS software. Results. A total of 197 doctors working in the Pediatric department in eight hospitals returned complete questionnaire. High and moderate emotional exhaustion was reported by 25.4% and 24.4% doctors, respectively. In bivariate analysis, 29 out of the 38 items of sources of stress showed significant association with emotional exhaustion (p <0.05).The significant predictors of emotional exhaustion in the multivariate analysis were: scoring higher on the Perceived Stress Score, dealing with patient's psychosocial problems, disrespectful interactions with colleagues/ subordinates, lack of appreciation from supervisors, lack of incentives and promotions, time pressures and deadlines to meet, and setting unrealistic goals of having them imposed on oneself (p <0.05). The most common source of stress was dealing with difficult parents (80.2%). Conclusions. Emotional exhaustion is associated with sources of stress in the workplace but not with socio-demographic factors.

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Section: Discussionsupporting

confidence: 72%

Section: Discussioncontrasting

confidence: 54%

Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Emotional exhaustion is associated with work related stressors: a cross-sectional multicenter study in Malaysian public hospitals

et al. 2017

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Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction

et al. 2018

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IMPORTANCE Physician burnout has taken the form of an epidemic that may affect core domains of health care delivery, including patient safety, quality of care, and patient satisfaction. However, this evidence has not been systematically quantified.OBJECTIVE To examine whether physician burnout is associated with an increased risk of patient safety incidents, suboptimal care outcomes due to low professionalism, and lower patient satisfaction.DATA SOURCES MEDLINE, Embase, PsycInfo, and CINAHL databases were searched until October 22, 2017, using combinations of the key terms physicians, burnout, and patient care. Detailed standardized searches with no language restriction were undertaken. The reference lists of eligible studies and other relevant systematic reviews were hand-searched.STUDY SELECTION Quantitative observational studies.DATA EXTRACTION AND SYNTHESIS Two independent reviewers were involved. The main meta-analysis was followed by subgroup and sensitivity analyses. All analyses were performed using random-effects models. Formal tests for heterogeneity (I 2 ) and publication bias were performed. MAIN OUTCOMES AND MEASURESThe core outcomes were the quantitative associations between burnout and patient safety, professionalism, and patient satisfaction reported as odds ratios (ORs) with their 95% CIs. RESULTSOf the 5234 records identified, 47 studies on 42 473 physicians (25 059 [59.0%] men; median age, 38 years [range, 27-53 years]) were included in the meta-analysis. Physician burnout was associated with an increased risk of patient safety incidents (OR, 1.96; 95% CI, 1.59-2.40), poorer quality of care due to low professionalism (OR, 2.31; 95% CI, 1.87-2.85), and reduced patient satisfaction (OR, 2.28; 95% CI, 1.42-3.68). The heterogeneity was high and the study quality was low to moderate. The links between burnout and low professionalism were larger in residents and early-career (Յ5 years post residency) physicians compared with middle-and late-career physicians (Cohen Q = 7.27; P = .003). The reporting method of patient safety incidents and professionalism (physician-reported vs system-recorded) significantly influenced the main results (Cohen Q = 8.14; P = .007). CONCLUSIONS AND RELEVANCEThis meta-analysis provides evidence that physician burnout may jeopardize patient care; reversal of this risk has to be viewed as a fundamental health care policy goal across the globe. Health care organizations are encouraged to invest in efforts to improve physician wellness, particularly for early-career physicians. The methods of recording patient care quality and safety outcomes require improvements to concisely capture the outcome of burnout on the performance of health care organizations.

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The Relationship Between Healthcare Staff Wellbeing and Patient Care: It’s Not That Simple

Teoh

Kinman

Hassard

2020

Integrating the Organization of Health Services, Worker Wellbeing and Quality of Care

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Work stress, burnout, and perceived quality of care: a cross-sectional study among hospital pediatricians

Cited by 79 publications

References 28 publications

Emotional exhaustion is associated with work related stressors: a cross-sectional multicenter study in Malaysian public hospitals

Emotional exhaustion is associated with work related stressors: a cross-sectional multicenter study in Malaysian public hospitals

Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction

The Relationship Between Healthcare Staff Wellbeing and Patient Care: It’s Not That Simple

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