Can Organizational Leaders Sustain Compassionate, Patient-Centered Care and Mitigate Burnout?
Abstract
EXECUTIVE SUMMARY: Organizational leaders are recognizing the urgent need to mitigate clinician burnout. They face difficult choices, knowing that burnout threatens the quality and safety of care and the sustainability of their organizations. Creating cultures and system improvements that support the workforce and diminish burnout are vital leadership skills. The motivation to heal draws many health professionals to their chosen work. Further, research suggests that compassion creates a sense of personal reward and professional satisfaction. Although many organizations stress compassion in mission and vision statements, their strategies to enhance well-being largely ignore compassion as a source of joy and connection to purpose.Passage of the HITECH (Health Information Technology for Economic and Clinical Health) Act in 2009 and the Affordable Care Act in 2010 ushered in a new era in healthcare. Little is known about how changes in the healthcare delivery system related to these legislative milestones have influenced health professionals' capacity to offer compassionate care. Further, advances such as artificial intelligence and virtual care modalities brought more attention to the elements that form the clinician-patient relationship.This study analyzed the views of U.S. healthcare providers on the status of compassionate healthcare compared with 2010. Postulating that compassion is inversely correlated with burnout, we studied this relationship and contributing factors. Our review of evidence-based initiatives suggests that leaders must define the organizational conditions and implement processes that support professionals' innate compassion and contribute to their well-being rather than address burnout later through remedial strategies.
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Leaders must define the organizational conditions and implement processes that support professionals' innate compassion and contribute to their well-being rather than address burnout later through remedial strategies.
“These studies suggest that leaders must define the organizational conditions and implement processes that support professionals' innate compassion and contribute to their well-being rather than address burnout later through remedial strategies (Lown et al. 2019).”
From Whither compassionate leadership? A systematic review (2024) · cites this paper as Lown et al. 2019
Cites
Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001) · Annual Review of Psychology · doi:10.1146/annurev.psych.52.1.397 · Cited by 12,852 · see citing works
The measurement of engagement and burnout: a two sample confirmatory factor analytic approach.
Schaufeli, W. B., Salanova, M., González-romá, V., & Bakker, A. B. (2002) · Journal of Happiness Studies · doi:10.1023/a:1015630930326 · Cited by 10,014 · see citing works
Positive Psychology Progress: Empirical Validation of Interventions.
Seligman, M. E. P., Steen, T. A., Park, N., & Peterson, C. (2005) · American Psychologist · doi:10.1037/0003-066x.60.5.410 · Cited by 5,947 · see citing works
The Triple Aim: Care, Health, And Cost
Berwick, D. M., Nolan, T. W., & Whittington, J. (2008) · Health Affairs · doi:10.1377/hlthaff.27.3.759 · Cited by 5,136 · see citing works
From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider
Bodenheimer, T., & Sinsky, C. (2014) · The Annals of Family Medicine · doi:10.1370/afm.1713 · Cited by 3,462 · see citing works
Shanafelt, T. D., Hasan, O., Dyrbye, L. N., Sinsky, C., Satele, D., Sloan, J., & West, C. P. (2015) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2015.08.023 · Cited by 2,885 · see citing works
Physician burnout: contributors, consequences and solutions
West, C. P., Dyrbye, L. N., & Shanafelt, T. D. (2018) · Journal of Internal Medicine · doi:10.1111/joim.12752 · Cited by 2,768 · see citing works
Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis
West, C. P., Dyrbye, L. N., Erwin, P. J., & Shanafelt, T. D. (2016) · The Lancet · doi:10.1016/s0140-6736(16)31279-x · Cited by 2,362 · see citing works
Compassion: an evolutionary analysis and empirical review
Goetz, J. L., Keltner, D., & Simon-Thomas, E. (2010) · Psychological Bulletin · doi:10.1037/a0018807 · Cited by 2,200 · see citing works
Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis
Panagioti, M., Panagopoulou, E., Bower, P., Lewith, G., Kontopantelis, E., Chew-Graham, C., Dawson, S., van Marwijk, H., Geraghty, K., & Esmail, A. (2017) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2016.7674 · Cited by 1,395 · see citing works
Shanafelt, T. D., Dyrbye, L. N., Sinsky, C., Hasan, O., Satele, D., Sloan, J., & West, C. P. (2016) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2016.05.007 · Cited by 1,086 · see citing works
Garland, E. L., Fredrickson, B., Kring, A. M., Johnson, D. P., Meyer, P. S., & Penn, D. L. (2010) · Clinical Psychology Review · doi:10.1016/j.cpr.2010.03.002 · Cited by 1,035 · see citing works
Arndt, B. G., Beasley, J. W., Watkinson, M. D., Temte, J. L., Tuan, W.-J., Sinsky, C. A., & Gilchrist, V. J. (2017) · The Annals of Family Medicine · doi:10.1370/afm.2121 · Cited by 972 · see citing works
McHugh, M. D., Kutney-Lee, A. M., Cimiotti, J. P., Sloane, D. M., & Aiken, L. H. (2011) · Health Affairs · doi:10.1377/hlthaff.2010.0100 · Cited by 772 · see citing works
West, C. P., Dyrbye, L. N., Sloan, J. A., & Shanafelt, T. D. (2009) · Journal of General Internal Medicine · doi:10.1007/s11606-009-1129-z · Cited by 725 · see citing works
Impact of Organizational Leadership on Physician Burnout and Satisfaction
Shanafelt, T. D., Gorringe, G., Menaker, R., Storz, K. A., Reeves, D., Buskirk, S. J., Sloan, J. A., & Swensen, S. J. (2015) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2015.01.012 · Cited by 723 · see citing works
Oxytocin pathways and the evolution of human behavior
Carter, C. S. (2014) · Annual Review of Psychology · doi:10.1146/annurev-psych-010213-115110 · Cited by 714 · see citing works
Lown, B. A., Rosen, J. A., & Marttila, J. (2011) · Health Affairs · doi:10.1377/hlthaff.2011.0539 · Cited by 376 · see citing works
Self-citationLown, B. A., & Manning, C. F. (2010) · Academic Medicine · doi:10.1097/acm.0b013e3181dbf741 · Cited by 271 · see citing works
Self-citationSexton, J. B., Adair, K. C., Leonard, M. W., Frankel, T. C., Proulx, J., Watson, S. R., Magnus, B. E., Bogan, B., Jamal, M., Schwendimann, R., et al. (2017) · BMJ Quality & Safety · doi:10.1136/bmjqs-2016-006399 · Cited by 207 · see citing works
Developing compassionate leadership in health care: an integrative review
de Zulueta, P. (2015) · Journal of Healthcare Leadership · doi:10.2147/jhl.s93724 · Cited by 203 · see citing works
Tak, H. J., Curlin, F. A., & Yoon, J. D. (2017) · Journal of General Internal Medicine · doi:10.1007/s11606-017-3997-y · Cited by 114 · see citing works
Can compassionate healthcare be measured? The Schwartz Center Compassionate Care Scale™
Lown, B. A., Muncer, S., & Chadwick, R. (2015) · Patient Education and Counseling · doi:10.1016/j.pec.2015.03.019 · Cited by 100 · see citing works
Self-citationMcClelland, L. E., & Vogus, T. J. (2014) · Health Services Research · doi:10.1111/1475-6773.12186 · Cited by 98 · see citing works
Sharing pain and relief: Neural correlates of physicians during treatment of patients
Jensen, K., Petrovic, P., Kerr, C., Kirsch, I., Raicek, J., Cheetham, A., Spaeth, R. B., Cook, A., Gollub, R., Kong, J., et al. (2013) · Molecular Psychiatry · doi:10.1038/mp.2012.195 · Cited by 95 · see citing works
Compassion Practices, Nurse Well-Being, and Ambulatory Patient Experience Ratings
McClelland, L. E., Gabriel, A. S., & DePuccio, M. J. (2017) · Medical Care · doi:10.1097/mlr.0000000000000834 · Cited by 71 · see citing works
Lown, B. A., McIntosh, S., Gaines, M. E., McGuinn, K., & Hatem, D. (2015) · Academic Medicine · doi:10.1097/acm.0000000000001077 · Cited by 61 · see citing works
Self-citationMeasuring compassionate healthcare with the 12-item Schwartz Center Compassionate Care Scale
Rodríguez, A. M., & Lown, B. A. (2019) · PLoS ONE · doi:10.1371/journal.pone.0220911 · Cited by 35 · see citing works
Self-citationLeFevre, M. L. (2017) · The Annals of Family Medicine · doi:10.1370/afm.2141 · Cited by 18 · see citing works
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Morrow, E. M., Zidaru, T., Ross, F., Mason, C. L., Patel, K. D., Ream, M., & Stockley, R. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.971044 · Cited by 255 · see citing works
Nazir, O., & Islam, J. U. (2020) · International Journal of Hospitality Management · doi:10.1016/j.ijhm.2020.102630 · Cited by 161 · see citing works
Ahmad, N., Ullah, Z., Ryu, H. B., Ariza‐Montes, A., & Han, H. (2023) · Psychology Research and Behavior Management · doi:10.2147/prbm.s398586 · Cited by 88 · see citing works
Hofmeyer, A., Taylor, R., & Kennedy, K. (2020) · Nurse Education Today · doi:10.1016/j.nedt.2020.104502 · Cited by 87 · see citing works
Whither compassionate leadership? A systematic review
Ramachandran, S., Balasubramanian, S., James, W. F., & Al Masaeid, T. (2024) · Management Review Quarterly · doi:10.1007/s11301-023-00340-w · Cited by 76 · see citing works
Development of patient-centred care in acute hospital settings: A meta-narrative review
Janerka, C., Leslie, G. D., & Gill, F. J. (2023) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2023.104465 · Cited by 80 · see citing works
Predictors of Physician Compassion, Empathy, and Related Constructs: a Systematic Review
Pavlova, A., Wang, C. X. Y., Boggiss, A. L., O’Callaghan, A., & Consedine, N. S. (2021) · Journal of General Internal Medicine · doi:10.1007/s11606-021-07055-2 · Cited by 62 · see citing works
Findings and guidelines on provider technology, fatigue, and well-being: scoping review
Hilty, D. M., Armstrong, C. M., Smout, S. A., Crawford, A., Maheu, M. M., Drude, K. P., Chan, S., Yellowlees, P. M., & Krupinski, E. A. (2022) · Journal of Medical Internet Research · doi:10.2196/34451 · Cited by 65 · see citing works
Kapadia, S. N., Griffin, J. L., Waldman, J., Ziebarth, N. R., Schackman, B. R., & Behrends, C. N. (2021) · Journal of General Internal Medicine · doi:10.1007/s11606-020-06409-6 · Cited by 40 · see citing works
‘Emotional preparedness’: a nuanced approach to disaster readiness among social workers
Kranke, D. A., Mudoh, Y., Weiss, E. L., Hovsepian, S., Gin, J. L., Dobalian, A., & Der‐Martirosian, C. (2021) · Social Work Education · doi:10.1080/02615479.2021.1900099 · Cited by 25 · see citing works
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Greco, A., González-Ortiz, L. G., Gabutti, L., & Lumera, D. (2025) · BMC Health Services Research · doi:10.1186/s12913-025-12328-1 · Cited by 22 · see citing works
Metcalf, S. A., Saunders, E. C., Moore, S. K., Walsh, O., Meier, A., Auty, S. G., Bessen, S. Y., & Marsch, L. A. (2022) · Journal of the American College of Emergency Physicians Open · doi:10.1002/emp2.12641 · Cited by 21 · see citing works
Person-centred care, a core concept of family medicine
Švab, I., & Cerovečki, V. (2024) · European Journal of General Practice · doi:10.1080/13814788.2024.2393860 · Cited by 20 · see citing works
Lin, Y. P., Tang, C. J., Tamin, V. A., Tan, L. Y. C., & Chan, E. (2022) · Nursing in Critical Care · doi:10.1111/nicc.12710 · Cited by 18 · see citing works
Gwon, S. H., Thongpriwan, V., Kett, P. M., & Cho, Y. S. (2022) · Public Health Nursing · doi:10.1111/phn.13141 · Cited by 16 · see citing works
Organizational Compassion: Ameliorating Healthcare Workers' Suffering and Burnout
Thienprayoon, R., Sinclair, S., Lown, B. A., Pestian, T., Awtrey, E. C., Winick, N. J., & Kanov, J. M. (2022) · Journal of Wellness · doi:10.55504/2578-9333.1122 · Cited by 15 · see citing works
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Goldberg, M. J. (2020) · Journal of Pediatric Orthopaedics · doi:10.1097/bpo.0000000000001502 · Cited by 14 · see citing works
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Pestian, T., Awtrey, E. C., Kanov, J. M., Winick, N. J., & Thienprayoon, R. (2023) · Worldviews on Evidence-Based Nursing · doi:10.1111/wvn.12664 · Cited by 17 · see citing works
Epidemiology of compassion: A literature review
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Jing, T., Li, X., Yu, C., Bai, M., Zhang, Z., & Li, S. (2023) · Behavioral Sciences · doi:10.3390/bs13120979 · Cited by 12 · see citing works
Chen, R., & Liu, W. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2022.1050867 · Cited by 12 · see citing works
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Fagerdal, B., Lyng, H. B., Guise, V., Anderson, J. E., Braithwaite, J., & Wiig, S. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-076945 · Cited by 8 · see citing works
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Sinclair, S., Dhingra, S., Bouchal, S. R., MacInnis, C. C., Harris, D., Ordons, A. R. D., & Pesut, B. (2024) · BMC Medical Education · doi:10.1186/s12909-024-05663-0 · Cited by 6 · see citing works
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Hooker, C., Karageorge, A., Scott, K. M., Lim, R., & Nash, L. M. (2024) · BMC Health Services Research · doi:10.1186/s12913-024-10961-w · Cited by 5 · see citing works
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Kunst, H., Byington, E. K., Johnson, A. M., & Nguyen, H. (2025) · Australian Journal of Management · doi:10.1177/03128962251358615 · Cited by 2 · see citing works
Morera, Y., Castro, E. C., Lorenzo, E., Mahtani‐Chugani, V., & Delgado, N. (2025) · Scientific Reports · doi:10.1038/s41598-025-14602-y · Cited by 2 · see citing works
Matsuo, M. (2021) · International Journal of Training and Development · doi:10.1111/ijtd.12207 · Cited by 2 · see citing works
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Walker, S. J., Ey, S., & Hedlund, S. C. (2024) · Academic Psychiatry · doi:10.1007/s40596-024-01965-z · Cited by 1 · see citing works
Designing compassionate experiences for mental health and wellbeing: a scoping review
Lusi, B., Karahanoğlu, A., van Lotringen, C. M., Klaassen, R., Noordzij, M. L., & Ludden, G. (2025) · Behaviour and Information Technology · doi:10.1080/0144929x.2025.2559290 · Cited by 3 · see citing works
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Silvera, G. A., Hamadi, H. Y., & Tafili, A. A. (2021) · International Journal of Healthcare Management · doi:10.1080/20479700.2020.1870351 · Cited by 1 · see citing works
Gorli, M., & Barello, S. (2021) · Sustainability · doi:10.3390/su132313217 · Cited by 1 · see citing works
Radhakrishnan, A., Hunter, J., Radhakrishnan, D., Silveira, J., & Soklaridis, S. (2024) · Journal of CME · doi:10.1080/28338073.2024.2361405 · Cited by 1 · see citing works
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Kurniawan, B. A., & Istiqomah, S. (2022) · BISMA Jurnal Bisnis dan Manajemen · doi:10.19184/bisma.v16i2.33902
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Derksen, F. (2021) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-2743-0_3
Orozco, D. G. Á., Guerrero, M., Elorza, C. R. B., Bautista-López, B., López, R. B., Jaimes, G. B. B., Valencia, M., Robles, D. C., Ramírez, P. C., Rodríguez, E. D., et al. (2023) · Ediciones Comunicación Científica eBooks · doi:10.52501/cc.144
Mohammed, O. B. A., & Gheena, S. (2024) · International Journal of Head and Neck Pathology · doi:10.56501/intjheadneckpathol.v7i1.1007
Torno, K., & Sun, C. (2024) · Nurse Leader · doi:10.1016/j.mnl.2024.04.007
Mak, S., Hunt, M. R., Razack, S., Root, K., & Thomas, A. (2024) · Qualitative Health Research · doi:10.1177/10497323241286387
Duncan, L. (2024) · doi:10.1002/9781394202386.ch19
Compassion fatigue in healthcare workers: a narrative literature review
Young, A., Anderson, H., & Jowitt, S. (2026) · International Journal for Advancing Practice · doi:10.12968/ijap.2026.0007
- Authors
- Lown, B. A., Shin, A., & Jones, R. N.
- Affiliations
- Harvard University (US)
- American Hospital Association (US)
- Venue
- Journal of Healthcare Management
- Published
- 2019-11
- Volume
- 64
- Issue
- 6
- Pages
- 398-412
- ISSN
- 1096-9012 (ISSN-L)
- OpenAlex
- W2984448611
- Cited by
- 54
- References
- 29
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 17 · 2023: 8 · 2022: 9 · 2021: 10 · 2020: 3
- FWCI
- 7.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Healthcare Management (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Keywords
- clinician burnout, compassion, patient-centered care, healthcare leadership, organizational culture, clinician well-being, HITECH Act, Affordable Care Act, health care delivery reform, artificial intelligence in healthcare, virtual care, clinician-patient relationship, health worker motivation
- MeSH terms
- Adolescent, Adult, Aged, Burnout, Professional, Empathy, Female, Humans, Interviews as Topic, Job Satisfaction, Leadership, Male, Middle Aged, United States, Patient-Centered Care, Qualitative Research, Young Adult
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