Cited by 845Healthcare professionals’ stress and burnoutOccupational Health and BurnoutStress and Burnout Research

The DOI matches its Crossref record; 61 of the 62 references it cites were found in a registry or an index.

The Relationship Between Professional Burnout and Quality and Safety in Healthcare: A Meta-Analysis

Open access

Salyers, Michelle P., Bonfils, Kelsey A., Luther, Lauren, Firmin, Ruth L., White, Dominique A., Adams, Erin L., Rollins, Angela L.·2017·Journal of General Internal Medicine

DOI 10.1007/s11606-016-3886-9PMC PMC5377877

Open this paper in CoChat — free account Open PDF

Abstract

Background Healthcare provider burnout is considered a factor in quality of care, yet little is known about the consistency and magnitude of this relationship. This meta-analysis examined relationships between provider burnout (emotional exhaustion, depersonalization, and reduced personal accomplishment) and the quality (perceived quality, patient satisfaction) and safety of healthcare.Methods Publications were identified through targeted literature searches in Ovid MEDLINE, PsycINFO, Web of Science, CINAHL, and ProQuest Dissertations & Theses through March of 2015. Two coders extracted data to calculate effect sizes and potential moderators. We calculated Pearson's r for all independent relationships between burnout and quality measures, using a random effects model. Data were assessed for potential impact of study rigor, outliers, and publication bias.Results Eighty-two studies including 210,669 healthcare providers were included. Statistically significant negative relationships emerged between burnout and quality (r = -0.26, 95 % CI [-0.29, -0.23]) and safety (r = -0.23, 95 % CI [-0.28, -0.17]). In both cases, the negative relationship implied that greater burnout among healthcare providers was associated with poorer-quality healthcare and reduced safety for patients. Moderators for the quality relationship included dimension of burnout, unit of analysis, and quality data source. Moderators for the relationship between burnout and safety were safety indicator type, population, and country. Rigor of the study was not a significant moderator.Discussion This is the first study to systematically, quantitatively analyze the links between healthcare provider burnout and healthcare quality and safety across disciplines. Provider burnout shows consistent negative relationships with perceived quality (including patient satisfaction), quality indicators, and perceptions of safety. Though the effects are small to medium, the findings highlight the importance of effective burnout interventions for healthcare providers. Moderator analyses suggest contextual factors to consider for future study.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Integrity signals

Registry

Crossref · 10.1007/s11606-016-3886-9

Cites

61 of 61 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000097 · Cited by 64,042
Measuring inconsistency in meta-analyses
Higgins, J. P. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003) · BMJ · doi:10.1136/bmj.327.7414.557 · Cited by 63,139
Bias in meta-analysis detected by a simple, graphical test
Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997) · BMJ · doi:10.1136/bmj.315.7109.629 · Cited by 56,722
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859
Quantifying heterogeneity in a meta‐analysis
Higgins, J. P. T., & Thompson, S. G. (2002) · Statistics in Medicine · doi:10.1002/sim.1186 · Cited by 36,763
The Cochrane Collaboration's tool for assessing risk of bias in randomised trials
Higgins, J. P. T., Altman, D. G., Gotzsche, P. C., Juni, P., Moher, D., Oxman, A. D., Savovic, J., Schulz, K. F., Weeks, L., Sterne, J. A. C., et al. (2011) · BMJ · doi:10.1136/bmj.d5928 · Cited by 33,817
The “Golden Age” of Probiotics: A Systematic Review and Meta-Analysis of Randomized and Observational Studies in Preterm Infants
Dermyshi, E., Wang, Y., Yan, C., Hong, W., Qiu, G., Gong, X., & Zhang, T. (2017) · Neonatology · doi:10.1159/000454668 · Cited by 24,586
The Effect of Riding as an Alternative Treatment for Children with Cerebral Palsy: A Systematic Review and Meta-Analysis
Wang, G., Ma, R., Qiao, G., Wada, K., Aizawa, Y., & Satoh, T. (2015) · Integrative Medicine International · doi:10.1159/000368408 · Cited by 18,762
Conservation of resources: A new attempt at conceptualizing stress
Hobfoll, S. E. (1989) · American Psychologist · doi:10.1037/0003-066x.44.3.513 · Cited by 18,187

Show all 62 references

Research works printed but not linked: 3

Stalker C, Harvey C. Professional Burnout: A Review of Theory, Research, and Prevention. Wilfrid Laurier University; 2002.
National Collaborating Centre for Methods and Tools. Quality Assessment Tool for Quantitative Studies. Hamilton: McMaster University; 2008.
Borenstein M, Hedges LV, Higgins JPT, Rothstein HR. Comprehensive Meta-Analysis (Version 2). Englewood: Biostat; 2011.

Sorted by citations

Physician stress and burnout: the impact of health information technology
Gardner, R. L., Cooper, E., Haskell, J., Harris, D. A., Poplau, S., Kroth, P. J., & Linzer, M. (2019) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocy145 · Cited by 566
The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review
Dewa, C. S., Loong, D., Bonato, S., & Trojanowski, L. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-015141 · Cited by 546
Evidence Relating Health Care Provider Burnout and Quality of Care
Tawfik, D. S., Scheid, A., Profit, J., Shanafelt, T. D., Trockel, M., Adair, K. C., Sexton, J. B., & Ioannidis, J. P. A. (2019) · Annals of Internal Medicine · doi:10.7326/m19-1152 · Cited by 592
Mental healthcare staff well‐being and burnout: A narrative review of trends, causes, implications, and recommendations for future interventions
Johnson, J., Hall, L. H., Berzins, K., Baker, J., Melling, K., & Thompson, C. (2018) · International Journal of Mental Health Nursing · doi:10.1111/inm.12416 · Cited by 371
Burnout, Drop Out, Suicide: Physician Loss in Emergency Medicine, Part I
Stehman, C. R., Testo, Z., Gershaw, R. S., & Kellogg, A. R. (2019) · Western Journal of Emergency Medicine · doi:10.5811/westjem.2019.4.40970 · Cited by 356
Systematic review of burnout among healthcare providers in sub-Saharan Africa
Dubale, B. W., Friedman, L. E., Chemali, Z., Denninger, J. W., Mehta, D. H., Alem, A., Fricchione, G. L., Dossett, M. L., & Gelaye, B. (2019) · BMC Public Health · doi:10.1186/s12889-019-7566-7 · Cited by 327
Association of Physician Burnout With Suicidal Ideation and Medical Errors
Menon, N. K., Shanafelt, T. D., Sinsky, C. A., Linzer, M., Carlasare, L., Brady, K. J. S., Stillman, M. J., & Trockel, M. T. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.28780 · Cited by 340
Burnout among healthcare workers in the COVID 19 era: a review of the existing literature
Leo, C. G., Sabina, S., Tumolo, M. R., Bodini, A., Ponzini, G., Sabato, E., & Mincarone, P. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.750529 · Cited by 303
Mental illness and suicide among physicians
Harvey, S. B., Epstein, R. M., Glozier, N., Petrie, K., Strudwick, J., Gayed, A., Dean, K., & Henderson, M. (2021) · The Lancet · doi:10.1016/s0140-6736(21)01596-8 · Cited by 307
Burnout and dropout intention in medical students: the protective role of academic engagement
Calcatin, S., Sinval, J., Neto, L. L., Marôco, J. P., Gonçalves-Ferreira, A., & Oliveira, P. (2022) · BMC Medical Education · doi:10.1186/s12909-021-03094-9 · Cited by 269
Burnout Rate and Risk Factors among Anesthesiologists in the United States
Afonso, A. M., Cadwell, J. B., Staffa, S. J., Zurakowski, D., & Vinson, A. E. (2021) · Anesthesiology · doi:10.1097/aln.0000000000003722 · Cited by 206
Trends and Factors Associated With Physician Burnout at a Multispecialty Academic Faculty Practice Organization
Carmen, M. G. D., Herman, J. B., Rao, S. K., Hidrue, M. K., Ting, D., Lehrhoff, S. R., Lenz, S. K., Heffernan, J., & Ferris, T. G. G. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.0554 · Cited by 188
Interprofessional Shared Decision-Making in the ICU: A Systematic Review and Recommendations From an Expert Panel*
Michalsen, A., Long, A. C., Ganz, F. D., White, D. B., Jensen, H. I., Metaxa, V., Hartog, C. S., Latour, J. M., Truog, R. D., Kesecioğlu, J., et al. (2019) · Critical Care Medicine · doi:10.1097/ccm.0000000000003870 · Cited by 196
Self-citation
Addressing Burnout in Radiologists
Chetlen, A. L., Chan, T. L., Ballard, D. H., Frigini, L. A., Hildebrand, A. D., Kim, S., Brian, J. M., Krupinski, E. A., & Ganeshan, D. (2018) · Academic Radiology · doi:10.1016/j.acra.2018.07.001 · Cited by 189
Leveraging the Work Environment to Minimize the Negative Impact of Nurse Burnout on Patient Outcomes
Schlak, A. E., Aiken, L. H., Chittams, J. L., Poghosyan, L., & McHugh, M. D. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18020610 · Cited by 206
Influence of Workload on Primary Care Nurses’ Health and Burnout, Patients’ Safety, and Quality of Care: Integrative Review
Pérez-Francisco, D. H., Clíments, G. D., del Rosario-Melián, J. M., Gómez-Salgado, J. C., Romero‐Martín, M., & Gómez, M. B. S. (2020) · Healthcare · doi:10.3390/healthcare8010012 · Cited by 195
Burnout among primary health-care professionals in low- and middle-income countries: systematic review and meta-analysis
Wright, T. L., Mughal, F., Babatunde, O. O., Dikomitis, L., Mallen, C. D., & Helliwell, T. (2022) · Bulletin of the World Health Organization · doi:10.2471/blt.22.288300 · Cited by 147
Professional burnout among physicians and nurses in Asian intensive care units: a multinational survey
SABA Study Investigators and the Asian Critical Care Clinical Trials Group, See, K. C., Zhao, M. Y., Nakataki, E., Chittawatanarat, K., Fang, W.-F., Faruq, M. O., Wahjuprajitno, B., Arabi, Y. M., Wong, W. T., et al. (2018) · Intensive Care Medicine · doi:10.1007/s00134-018-5432-1 · Cited by 135
Incidence, Type, Related Factors, and Effect of Workplace Violence on Mental Health Nurses: A Cross-sectional Survey
Yang, B. X., Stone, T. E., Petrini, M. A., & Morris, D. L. (2017) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2017.09.013 · Cited by 146
Long working hours and burnout in health care workers: Non-linear dose-response relationship and the effect mediated by sleeping hours—A cross-sectional study
Lin, R., Lin, Y.-T., Hsia, Y., & Kuo, C. (2021) · Journal of Occupational Health · doi:10.1002/1348-9585.12228 · Cited by 156
Workload and quality of nursing care: the mediating role of implicit rationing of nursing care, job satisfaction and emotional exhaustion by using structural equations modeling approach
Maghsoud, F., Rezaei, M., Asgarian, F. S., & Rassouli, M. (2022) · BMC Nursing · doi:10.1186/s12912-022-01055-1 · Cited by 140
Measuring Health Care Interprofessionals' Moral Resilience: Validation of the Rushton Moral Resilience Scale
Heinze, K. E., Hanson, G. C., Holtz, H., Swoboda, S. M., & Rushton, C. H. (2020) · Journal of Palliative Medicine · doi:10.1089/jpm.2020.0328 · Cited by 128
Association Between Sexual Orientation, Mistreatment, and Burnout Among US Medical Students
Samuels, E. A., Boatright, D. B., Wong, A. H.-W., Cramer, L. D., Desai, M. M., Solotke, M. T., Latimore, D., & Gross, C. P. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.36136 · Cited by 122
Understanding ethical climate, moral distress, and burnout: a novel tool and a conceptual framework
Dzeng, E. W., & Curtis, J. R. (2018) · BMJ Quality & Safety · doi:10.1136/bmjqs-2018-007905 · Cited by 130
Burnout in emergency medicine professionals after 2 years of the COVID-19 pandemic: a threat to the healthcare system?
Petrino, R., Riesgo, L. G.-C., & Yilmaz, B. (2022) · European Journal of Emergency Medicine · doi:10.1097/mej.0000000000000952 · Cited by 113
“Those Conversations in My Experience Don’t Go Well”: A Qualitative Study of Primary Care Provider Experiences Tapering Long-term Opioid Medications
Kennedy, L. C., Binswanger, I. A., Mueller, S. R., Levy, C. R., Matlock, D. D., Calcaterra, S. L., Koester, S. K., & Frank, J. W. (2017) · Pain Medicine · doi:10.1093/pm/pnx276 · Cited by 110
Burnout and self‐regulation failure: A diary study of self‐undermining and job crafting among nurses
Roczniewska, M. A., & Bakker, A. B. (2021) · Journal of Advanced Nursing · doi:10.1111/jan.14872 · Cited by 129
Health Care Expenditures Attributable to Primary Care Physician Overall and Burnout-Related Turnover: A Cross-sectional Analysis
Sinsky, C. A., Shanafelt, T. D., Dyrbye, L. N., Sabety, A. H., Carlasare, L. E., & West, C. P. (2022) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2021.09.013 · Cited by 121
Catastrophizing, pain, and functional outcomes for children with chronic pain: a meta-analytic review
Miller, M. M., Meints, S. M., & Hirsh, A. T. (2018) · Pain · doi:10.1097/j.pain.0000000000001342 · Cited by 116
Fatigue, burnout, work environment, workload and perceived patient safety culture among critical care nurses
Al-Maamari, Q., Sharour, L. M. A., & Omari, O. A. (2020) · British Journal of Nursing · doi:10.12968/bjon.2020.29.1.28 · Cited by 129
Colleagues Meeting to Promote and Sustain Satisfaction (COMPASS) Groups for Physician Well-Being
West, C. P., Dyrbye, L. N., Satele, D. V., & Shanafelt, T. D. (2021) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2021.02.028 · Cited by 100
Relationship Between Organizational Leadership and Health Care Employee Burnout and Satisfaction
Dyrbye, L. N., Major-Elechi, B. T., Hays, J. T., Fraser, C. H., Buskirk, S. J., & West, C. P. (2020) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2019.10.041 · Cited by 115
Compassion fatigue in mental health nurses: A systematic review
Marshman, C., Hansen, A., & Munro, I. (2021) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/jpm.12812 · Cited by 98
From image to language: A critical analysis of Visual Question Answering (VQA) approaches, challenges, and opportunities
Ishmam, M. F., Shovon, M. S. H., Mridha, M. F., & Dey, N. (2024) · Information Fusion · doi:10.1016/j.inffus.2024.102270 · Cited by 107
Impact of Supervisory Support on Turnover Intention: The Mediating Role of Burnout and Job Satisfaction in a Longitudinal Study
Fukui, S., Wu, W., & Salyers, M. P. (2019) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-019-00927-0 · Cited by 95
Self-citation
Prevalence of mental health outcomes among Canadian veterinarians
Perret, J. L., Best, C. O., Coe, J. B., Greer, A. L., Khosa, D. K., & Jones‐Bitton, A. (2020) · Journal of the American Veterinary Medical Association · doi:10.2460/javma.256.3.365 · Cited by 90
A systematic review of contributing factors of and solutions to electronic health record–related impacts on physician well-being
Nguyen, O. T., Jenkins, N. J., Khanna, N., Shah, S., Gartland, A., Turner, K. L., & Merlo, L. J. (2020) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocaa339 · Cited by 97
Predictors of Burnout in Healthcare Workers during the COVID-19 Pandemic
Cotel, A., Golu, F., Stoian, A. P., Dimitriu, M. C. T., Socea, B., Cirstoveanu, C. G., Daviţoiu, A. M., Jacotă‐Alexe, F., & Oprea, B. (2021) · Healthcare · doi:10.3390/healthcare9030304 · Cited by 97
Interventions to reduce burnout among clinical nurses: systematic review and meta-analysis
Lee, M., & Cha, C. (2023) · Scientific Reports · doi:10.1038/s41598-023-38169-8 · Cited by 84
Association of GP wellbeing and burnout with patient safety in UK primary care: a cross-sectional survey
Hall, L., Johnson, J., Watt, I. S., & O'Connor, D. B. (2019) · British Journal of General Practice · doi:10.3399/bjgp19x702713 · Cited by 90
Capacity to Address Social Needs Affects Primary Care Clinician Burnout
Kung, A., Cheung, T., Knox, M. J., Willard‐Grace, R., Halpern, J., Olayiwola, J. N., & Gottlieb, L. M. (2019) · The Annals of Family Medicine · doi:10.1370/afm.2470 · Cited by 82
Burnout, well-being and defensive medical practice among obstetricians and gynaecologists in the UK: cross-sectional survey study
Bourne, T., Shah, H., Falconieri, N., Timmerman, D., Lees, C. C., Wright, A., Lumsden, M. A., Regan, L., & CALSTER, B. V. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-030968 · Cited by 81
Ambient Documentation Technology in Clinician Experience of Documentation Burden and Burnout
You, J. G.-T., Dbouk, R. H., Landman, A., Ting, D., Dutta, S., Wang, J. C., Centi, A. J., Macfarlane, M., Bechor, E., Letourneau, J., et al. (2025) · JAMA Network Open · doi:10.1001/jamanetworkopen.2025.28056 · Cited by 101
The mental health of frontline health care providers during pandemics: a rapid review of the literature
Magill, E., Siegel, Z., & Pike, K. M. (2020) · Psychiatric Services · doi:10.1176/appi.ps.202000274 · Cited by 77
The effects of different types of organisational workplace mental health interventions on mental health and wellbeing in healthcare workers: a systematic review
Aust, B., Leduc, C., Cresswell‐Smith, J., O’Brien, C., Rugulies, R., Leduc, M., Dhálaigh, D. N., Dushaj, A., Fanaj, N., Guinart, D., et al. (2024) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-024-02065-z · Cited by 113
Prevalence of burnout among German general practitioners: Comparison of physicians working in solo and group practices
Dreher, A., Theune, M., Kersting, C., Geiser, F., & Weltermann, B. (2019) · PLoS ONE · doi:10.1371/journal.pone.0211223 · Cited by 78
Psychological and physiological stress and burnout among maternity providers in a rural county in Kenya: individual and situational predictors
Afulani, P. A., Ongeri, L., Kinyua, J., Temmerman, M., Mendes, W. B., & Weiss, S. J. (2021) · BMC Public Health · doi:10.1186/s12889-021-10453-0 · Cited by 94
Work Engagement and Patient Quality of Care: A Meta-Analysis and Systematic Review
Wee, K. Z., & Lai, A. Y. (2021) · Medical Care Research and Review · doi:10.1177/10775587211030388 · Cited by 74
Investigation of burnout syndrome and job‐related risk factors in veterinary technicians in specialty teaching hospitals: a multicenter cross‐sectional study
Hayes, G. M., LaLonde‐Paul, D. F., Perret, J. L., Steele, A. M., McConkey, M. J., Lane, W. G., Kopp, R. J., Stone, H. K., Miller, M. L., & Jones‐Bitton, A. (2019) · Journal of Veterinary Emergency and Critical Care · doi:10.1111/vec.12916 · Cited by 85
Risk factors associated with physical therapist burnout: a systematic review
Burri, S. D., Smyrk, K. M., Melegy, M. S., Kessler, M. M., Hussein, N. I., Tuttle, B., & Clewley, D. J. (2022) · Physiotherapy · doi:10.1016/j.physio.2022.01.005 · Cited by 73
Mental Health Literacy in Healthcare Students: An Expansion of the Mental Health Literacy Scale
Chao, H.-J., Lien, Y., Kao, Y., Tasi, I.-C., Lin, H.-S., & Lin, H.-S. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17030948 · Cited by 82
The Coronavirus Disease 2019 Pandemic Impacts Burnout Syndrome Differently Among Multiprofessional Critical Care Clinicians—A Longitudinal Survey Study
Moll, V., Meissen, H., Pappas, S., Xu, K., Rimawi, R., Buchman, T. G., Fisher, L., Bakshi, V., Zellinger, M., & Coopersmith, C. M. (2021) · Critical Care Medicine · doi:10.1097/ccm.0000000000005265 · Cited by 76
Strategies and Interventions to Improve Healthcare Professionals’ Well-Being and Reduce Burnout
Razai, M. S., Kooner, P., & Majeed, A. (2023) · Journal of Primary Care & Community Health · doi:10.1177/21501319231178641 · Cited by 72
Prevalence, Related Factors, and Levels of Burnout Syndrome Among Nurses Working in Gynecology and Obstetrics Services: A Systematic Review and Meta-Analysis
Fuente-Solana, E. I. D. L., Suleiman‐Martos, N., Pradas‐Hernández, L., Gómez‐Urquiza, J. L., la Fuente, G. A. C., & Albendín‐García, L. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16142585 · Cited by 72
Job satisfaction among healthcare workers in Ghana and Kenya during the COVID-19 pandemic: Role of perceived preparedness, stress, and burnout
Afulani, P. A., Nutor, J. J., Agbadi, P., Gyamerah, A. O., Musana, J. W., Aborigo, R., Odiase, O. J., Getahun, M., Ongeri, L., Malechi, H., et al. (2021) · PLOS Global Public Health · doi:10.1371/journal.pgph.0000022 · Cited by 76
Institutional Factors Associated With Burnout Among Assistant Professors
Duke, N. N., Gross, A. C., Moran, A., Hodsdon, J., Demirel, N., Osterholm, E. A., Sunni, M., & Pitt, M. B. (2019) · Teaching and Learning in Medicine · doi:10.1080/10401334.2019.1638263 · Cited by 70
Organizational conditions that influence work engagement and burnout: A qualitative study of mental health workers.
Rollins, A. L., Eliacin, J., Russ, A. L., Monroe‐DeVita, M., Wasmuth, S., Flanagan, M., Morse, G. A., Leiter, M. P., & Salyers, M. P. (2021) · Psychiatric Rehabilitation Journal · doi:10.1037/prj0000472 · Cited by 61
Self-citation
Perceptions on Burnout and the Medical School Learning Environment of Medical Students Who Are Underrepresented in Medicine
O’Marr, J., Chan, S. M., Crawford, L., Wong, A. H.-W., Samuels, E. A., & Boatright, D. B. (2022) · JAMA Network Open · doi:10.1001/jamanetworkopen.2022.0115 · Cited by 63
Burning out physical and emotional fatigue: Evaluating the effects of a programme aimed at reducing burnout among mental health nurses.
Alenezi, A., McAndrew, S., & Fallon, P. (2019) · International Journal of Mental Health Nursing · doi:10.1111/inm.12608 · Cited by 60
Burnout, job satisfaction, and work-family conflict among rural medical providers
Terry, D. L., & Woo, M. J. (2020) · Psychology Health & Medicine · doi:10.1080/13548506.2020.1750663 · Cited by 70
Prisons and Mental Health: Violence, Organizational Support, and the Effects of Correctional Work
Lerman, A. E., Harney, J., & Sadin, M. (2021) · Criminal Justice and Behavior · doi:10.1177/00938548211037718 · Cited by 60
Context in Quality of Care
Tawfik, D. S., Sexton, J. B., Adair, K. C., Kaplan, H. C., & Profit, J. (2017) · Clinics in Perinatology · doi:10.1016/j.clp.2017.04.004 · Cited by 63
Palliative Care Professionals’ Inner Life: Exploring the Mediating Role of Self-Compassion in the Prediction of Compassion Satisfaction, Compassion Fatigue, Burnout and Wellbeing
Galiana, L., Sansó, N., Muñoz-Martínez, I., Vidal‐Blanco, G., Oliver, A., & Larkin, P. J. (2021) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2021.07.004 · Cited by 72
Exploring the Impact of Primary Care Physician Burnout and Well-Being on Patient Care: A Focus Group Study
Hall, L., Johnson, J., Heyhoe, J., Watt, I., Anderson, K., & O'Connor, D. B. (2017) · Journal of Patient Safety · doi:10.1097/pts.0000000000000438 · Cited by 62
Perceived stress and professional quality of life in nursing staff: How important is psychological flexibility?
Kent, W., Hochard, K. D., & Hulbert-Williams, N. J. (2019) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2019.08.004 · Cited by 56
Associations between job demands, job resources and patient-related burnout among physicians: results from a multicentre observational study
Scheepers, R. A., Silkens, M., van den Berg, J. W., & Lombarts, K. M. J. M. H. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-038466 · Cited by 56
Nurses’ intention to leave, nurse workload and in-hospital patient mortality in Italy: A descriptive and regression study.
Catania, G., Zanini, M. P., Cremona, M. A., Landa, P., Musio, M. E., Watson, R. A., Aleo, G., Aiken, L. H., Sasso, L., & Bagnasco, A. (2024) · Health Policy · doi:10.1016/j.healthpol.2024.105032 · Cited by 56
The Impact of Burnout on Emergency Nurses’ Intent to Leave: A Cross-Sectional Survey
Lee, M. M. D., Gensimore, M. M., Maduro, R. S., Morgan, M. K., & Zimbro, K. S. (2021) · Journal of Emergency Nursing · doi:10.1016/j.jen.2021.07.004 · Cited by 65
The Most Important Telemedicine Patient Satisfaction Dimension: Patient-Centered Care
Mason, A. N. (2021) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2021.0322 · Cited by 68
A Group Intervention to Promote Resilience in Nursing Professionals: A Randomised Controlled Trial
Janzarik, G., Wollschläger, D., Wessa, M., & Lieb, K. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19020649 · Cited by 67
How to prevent burnout in cardiologists? A review of the current evidence, gaps, and future directions
Panagioti, M., Geraghty, K., & Johnson, J. (2017) · Trends in Cardiovascular Medicine · doi:10.1016/j.tcm.2017.06.018 · Cited by 59
Social capital and burnout among mental healthcare providers
Eliacin, J., Flanagan, M., Monroe‐DeVita, M., Wasmuth, S., Salyers, M. P., & Rollins, A. L. (2018) · Journal of Mental Health · doi:10.1080/09638237.2017.1417570 · Cited by 55
Self-citation
Systematic Review: Expressive arts interventions to address psychosocial stress in healthcare workers
Phillips, C. S., & Becker, H. (2019) · Journal of Advanced Nursing · doi:10.1111/jan.14043 · Cited by 56
Interventions to reduce burnout and improve resilience: impact on a health system’s outcomes
MOFFATT-BRUCE, S. D., NGUYEN, M. C., STEINBERG, B., HOLLIDAY, S., & KLATT, M. (2019) · Clinical Obstetrics & Gynecology · doi:10.1097/grf.0000000000000458 · Cited by 54
A workplace organisational intervention to improve hospital nurses’ and physicians’ mental health: study protocol for the Magnet4Europe wait list cluster randomised controlled trial
Sermeus, W., Aiken, L. H., Ball, J., Bridges, J., Bruyneel, L., Busse, R., Witte, H. D., Dello, S., Drennan, J., Eriksson, L. E., et al. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-059159 · Cited by 61
The mental health of staff working on intensive care units over the COVID-19 winter surge of 2020 in England: a cross sectional survey
Hall, C. E., Milward, J., Spoiala, C., Bhogal, J. K., Weston, D., POTTS, H. W. W., Caulfield, T., Toolan, M., Kanga, K., El-Sheikha, S., et al. (2022) · British Journal of Anaesthesia · doi:10.1016/j.bja.2022.03.016 · Cited by 52
Psychosocial Peer Support to Address Mental Health and Burnout of Health Care Workers Affected by COVID-19: A Qualitative Evaluation
Simms, L., Ottman, K. E., Griffith, J. L., Knight, M. G., Norris, L., Karakcheyeva, V., & Kohrt, B. A. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20054536 · Cited by 59
Prevalence of psychological symptoms and associated risk factors among nurses in 30 provinces during the COVID-19 pandemic in China
Li, Y., Fan, R., Lu, Y., Li, H., Liu, X., Kong, G., Wang, J., Yang, F., Zhou, J., & Wang, J. (2023) · The Lancet Regional Health - Western Pacific · doi:10.1016/j.lanwpc.2022.100618 · Cited by 50
Burnout in Portuguese physiotherapists during COVID‐19 pandemic
Jácome, C. I. O., Seixas, A., Serrão, C., Teixeira, A., Castro, L., & Duarte, I. (2021) · Physiotherapy Research International · doi:10.1002/pri.1915 · Cited by 55
The influences of circular economy practices on manufacturing firm's performance: A meta-analytic structural equation modeling study
Pan, X., Wong, C. W. Y., Wong, C. Y., Boon‐itt, S., & Li, C. (2024) · International Journal of Production Economics · doi:10.1016/j.ijpe.2024.109267 · Cited by 50
Association Between Physician Burnout and Self-reported Errors: Meta-analysis
Owoc, J., Mańczak, M., Jabłońska, M., Tombarkiewicz, M., & Olszewski, R. (2020) · Journal of Patient Safety · doi:10.1097/pts.0000000000000724 · Cited by 53
Predictors of patient‐centered care provision among nurses in acute care setting
Alhalal, E., Alrashidi, L. M., & Alanazi, A. N. (2020) · Journal of Nursing Management · doi:10.1111/jonm.13100 · Cited by 53
Burnout, Compassion Fatigue and Psychological Flexibility among Geriatric Nurses: A Multicenter Study in Spain
Sarabia‐Cobo, C., Pérez, V. A. F., de Lorena, P., Fernández‐Rodríguez, Á., González‐López, J. R., & González-Vaca, J. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18147560 · Cited by 57
Time Out: The Impact of Physician Burnout on Patient Care Quality and Safety in Perioperative Medicine
Shin, P., Desai, V. N., Hobbs, J., Conte, A. H., & Qiu, C. X. (2023) · The Permanente Journal · doi:10.7812/tpp/23.015 · Cited by 47
Burnout and Self Care for Palliative Care Practitioners
Horn, D. J., & Johnston, C. B. (2020) · Medical Clinics of North America · doi:10.1016/j.mcna.2019.12.007 · Cited by 48
Being a Psychotherapist in Times of the Novel Coronavirus Disease: Stress-Level, Job Anxiety, and Fear of Coronavirus Disease Infection in More Than 1,500 Psychotherapists in Austria
Probst, T., Humer, E. C., Stippl, P., & Pieh, C. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.559100 · Cited by 50
Drivers of Burnout Among Critical Care Providers
Mehta, A., Lockhart, S., Reed, K. D., Griesmer, C., Glasgow, R. E., Moss, M. M., Douglas, I. S., & Morris, M. A. (2021) · CHEST Journal · doi:10.1016/j.chest.2021.11.034 · Cited by 51
Physician Health and Wellness
McClafferty, H. H., Hubbard, D., Foradori, D. M., Brown, M. L., Profit, J., Tawfik, D. S., & MEDICINE, S. O. I. (2022) · PEDIATRICS · doi:10.1542/peds.2022-059665 · Cited by 59
Improving Access to Psychological Therapies (IAPT) has potential but is not sufficient: How can it better meet the range of primary care mental health needs?
Martin, C., Iqbal, Z., Airey, N. D., & Marks, L. (2021) · British Journal of Clinical Psychology · doi:10.1111/bjc.12314 · Cited by 52
Predicting Professional Quality of Life and Life Satisfaction in Spanish Nurses: A Cross-Sectional Study
Sansó, N., Galiana, L., Oliver, A., Tomás-Salvá, M., & Vidal‐Blanco, G. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17124366 · Cited by 46
Burnout among Portuguese radiographers during the COVID-19 pandemic
Pereira, J. M., Silva, C., Freitas, D., & Salgado, A. (2021) · Radiography · doi:10.1016/j.radi.2021.05.001 · Cited by 45
Factors associated with self-reported burnout level in allied healthcare professionals in a tertiary hospital in Singapore
Teo, Y. H., Xu, J. T. K., Ho, C., Leong, J. M., Tan, B. K. J., Tan, E. K. H., Goh, W.-A., Neo, E., Chua, J. Y. J., Ng, S. J. Y., et al. (2021) · PLoS ONE · doi:10.1371/journal.pone.0244338 · Cited by 47
Holding the frontline: a cross-sectional survey of emergency department staff well-being and psychological distress in the course of the COVID-19 outbreak
Hesselink, G., Straten, L., Gallée, L., Brants, A., Holkenborg, J., Barten, D. G., & Schoon, Y. (2021) · BMC Health Services Research · doi:10.1186/s12913-021-06555-5 · Cited by 44
Contributors to Gender Differences in Burnout and Professional Fulfillment: A Survey of Physician Faculty
Rotenstein, L. S., Harry, E. M., Wickner, P. G., Gupte, A., Neville, B. A., Lipsitz, S. R., Cullen, E., Rozenblum, R., Sequist, T. D., & Dudley, J. C. (2021) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/j.jcjq.2021.08.002 · Cited by 43
Investigating the validity of the short form Burnout Assessment Tool: A job demands-resources approach
Beer, L. T. D., Schaufeli, W. B., & Bakker, A. B. (2022) · African Journal of Psychological Assessment · doi:10.4102/ajopa.v4i0.95 · Cited by 58
Impact of Workplace Climate on Burnout Among Critical Care Nurses in the Veterans Health Administration
Swamy, L., Mohr, D. C., Blok, A. C., Anderson, E., Charns, M. P., Wiener, R. S., & Rinne, S. T. (2020) · American Journal of Critical Care · doi:10.4037/ajcc2020831 · Cited by 55
Romanian Short Version of the Burnout Assessment Tool: Psychometric Properties
Oprea, B., Iliescu, D., & Witte, H. D. (2021) · Evaluation & the Health Professions · doi:10.1177/01632787211048924 · Cited by 42
The Relationships Between Burnout, Job Satisfaction, and Emotion Regulation Among Foreign Language Teachers: A Meta-Analytic Review
Wang, Q., Gao, Y., & Wang, X. (2024) · Acta Psychologica · doi:10.1016/j.actpsy.2024.104545 · Cited by 41
Strategies to improve general practitioner well-being: findings from a focus group study
Hall, L., Johnson, J., Heyhoe, J., Watt, I. S., Anderson, K., & O'Connor, D. B. (2017) · Family Practice · doi:10.1093/fampra/cmx130 · Cited by 41
Factors related to burnout in resident physicians in Japan
Nishimura, Y., Miyoshi, T., Obika, M., Ogawa, H., Kataoka, H. U., & Otsuka, F. (2019) · International Journal of Medical Education · doi:10.5116/ijme.5caf.53ad · Cited by 41

Authors: Salyers, M. P., Bonfils, K. A., Luther, L., Firmin, R. L., White, D. A., Adams, E. L., & Rollins, A. L.
Affiliations: Indiana University – Purdue University Indianapolis (US)
Richard L. Roudebush VA Medical Center (US)
Corresponding author: Salyers, Michelle P.
ORCID: Salyers, Michelle P.
Bonfils, Kelsey A.
Luther, Lauren
Firmin, Ruth L.
Rollins, Angela L.
Venue: Journal of General Internal Medicine
Publisher: Springer Science and Business Media LLC
Published: 2016-10-26
Volume: 32
Issue: 4
Pages: 475-482
ISSN: 0884-8734 (ISSN-L)
1525-1497
DOI: 10.1007/s11606-016-3886-9
PMC: PMC5377877
OpenAlex: W2543998875
Cited by: 843
References: 62
Citations by year: 2026: 75 · 2025: 115 · 2024: 104 · 2023: 113 · 2022: 128 · 2021: 128 · 2020: 75 · 2019: 51 · 2018: 31 · 2017: 21 · 2016: 1
FWCI: 6.62
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.springer.com/tdm (unspecified)
Locations: Journal of General Internal Medicine (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
IUScholarWorks (Indiana University) (submittedVersion)
Funders: Purdue University
Topics: Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
Keywords: professional burnout, emotional exhaustion, depersonalization, personal accomplishment, quality of care, patient safety, patient satisfaction, perceived quality of care, healthcare workers, burnout intervention
MeSH terms: Burnout, Professional, Clinical Competence, Health Personnel, Humans, Quality of Health Care, Patient Satisfaction, Patient Safety

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

The Relationship Between Professional Burnout and Quality and Safety in Healthcare: A Meta-Analysis

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Self-check

Citations

Cites

Cited by

Related

Metadata

Record

About these checks