Dissertation
Healthcare provider well-being and burnout: analyzing an ongoing epidemic using secondary analysis of psychological research instruments in an academic medical system
Doctor of Health Science (D.H.Sc.), Drexel University
Jan 2021
DOI:
https://doi.org/10.17918/00002037
Abstract
Burnout for clinicians in United States healthcare is considered an epidemic for physicians, advanced practice providers such as advanced practice nurses, physician's assistants, and other healthcare professionals. The increased expectations to obtain better patient outcomes, maintain quality assurance, and see more patients, while balancing personal and family responsibilities, are all contributing factors that lead to provider burnout. A burned-out healthcare provider could suffer from emotional and functional connectivity in the brain, which would be detrimental to the safety of their patients. Moreover, the spouses and families of burned-out providers may share in the burden. Healthcare provider burnout can be linked to several negative outcomes including low patient satisfaction, higher turnover rates among staff, and higher malpractice risk. The purpose of this study is to examine the nature and extent of healthcare provider burnout at three hospitals in an academic medical system using secondary analysis of data retrieved from the Maslach Burnout Inventory Human Services Survey for Medical Personnel (MBI-HSS MP) and Areas of Worklife Survey (AWS) instruments. The University of Maryland Medical System (UMMS) established a Provider Wellness Committee, in which this researcher is a member of this committee. The committee conducted the Maslach Burnout Inventory Human Services Survey for Medical Personnel (MBI-HSS MP) and Areas of Worklife Survey (AWS) instruments to physicians and advanced practice providers at three Baltimore-Washington hospitals within the University of Maryland Medical System. The purpose of this quality improvement initiative was to gather information regarding burnout for the organization's clinicians. This current study will analyze this information in the form of secondary analysis, to understand the ranges of clinician burnout within UMMS. For the purposes of this research study, a healthcare provider is distinguished as a physician, nurse practitioner (NP), physician assistant (PA), or certified registered nurse anesthesiologists (CRNA), and may be used interchangeably throughout this assessment. During this study, no significant differences were found between healthcare providers' age, gender, job role, or specialty in relation to burnout. Results did show however, the difference in reported percentages of burnout among the healthcare institutions studied. Additionally, the study showed a similarity in the specialties at the three Baltimore-Washington hospitals who suffered from burnout and moral injury. Findings should have implications for practice to design better burnout prevention and resiliency programs and services, as well as other wellness programs that may be beneficial to the employee work experience.
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Details
- Title
- Healthcare provider well-being and burnout
- Creators
- Shane R. West
- Contributors
- Stephen F. Gambescia (Advisor) - Drexel University, Health Administration
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Health Science (D.H.Sc.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- xi, 81 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- College of Nursing and Health Professions; Drexel University; Health Sciences
- Other Identifier
- 991021883814804721