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

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

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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

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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.

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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

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

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