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ÂÜÀòÊÓƵResearch Studies

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Research Studies is a compilation of published research articles funded by ÂÜÀòÊÓƵor authored by ÂÜÀòÊÓƵresearchers.

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1 to 12 of 12 Research Studies Displayed
Janczewski LM, Buchheit JT, Golisch KB
Contemporary evaluation of work-life integration and well-being in US surgical residents: a national mixed-methods study.
A nationwide study examined work-life integration among surgical residents, analyzing responses from 7,233 participants. The research revealed that many residents struggled with balancing professional and personal responsibilities, with over 44% completing work tasks at home. Female residents and those with children reported more difficulties managing work-life conflicts. The investigation identified several program interventions that supported better integration, including protected time for health maintenance, family priorities, and scheduling flexibility. Work-life conflicts showed significant associations with career dissatisfaction and burnout.
AHRQ-funded; HS029532.
Citation: Janczewski LM, Buchheit JT, Golisch KB . Contemporary evaluation of work-life integration and well-being in US surgical residents: a national mixed-methods study. J Am Coll Surg 2024 Dec; 239(6):515-26. doi: 10.1097/xcs.0000000000001135.
Keywords: Provider: Physician, Surgery
Ruppel H, Dougherty M, Kodavati M
The association between alarm burden and nurse burnout in U.S. hospitals.
This cross-sectional study examined survey data to assess association between nurses' experience of alarms and burnout. The associations were found to remain largely unchanged after adjusting for hospital characteristics, practice environment, and nurse staffing, but the authors conclude that the potential impact of alarms on nurses' well-being is an important consideration as technology advances.
AHRQ-funded; HS028978.
Citation: Ruppel H, Dougherty M, Kodavati M . The association between alarm burden and nurse burnout in U.S. hospitals. Nurs Outlook 2024 Nov-Dec; 72(6):102288. doi: 10.1016/j.outlook.2024.102288.
Keywords: Burnout, Provider: Nurse, Hospitals
Tawfik D, Bayati M, Liu J
Predicting primary care physician burnout from electronic health record use measures.
A study investigated electronic health record usage patterns as predictors of physician burnout among 233 primary care doctors across 60 clinics. Researchers collected data from wellness surveys and EHR efficiency measures between 2019 and 2020. High burnout scores appeared in 28% of surveys. The analysis examined various predictive models to identify burnout risk factors. Key indicators included physician age, team documentation practices, and order preferences. While individual burnout prediction showed limited accuracy, the models demonstrated moderate success in identifying high-risk clinics.
AHRQ-funded; HS027837.
Citation: Tawfik D, Bayati M, Liu J . Predicting primary care physician burnout from electronic health record use measures. Mayo Clin Proc 2024 Sep; 99(9):1411-21. doi: 10.1016/j.mayocp.2024.01.005..
Keywords: Burnout, Primary Care, Provider: Physician, Electronic Health Records (EHRs), Health Information Technology (HIT)
Chen Y, Chan CW, Dong J
Beyond order-based nursing workload: a retrospective cohort study in intensive care units.
Research comparing order-based versus clinically perceived nursing workloads in intensive care units revealed that order-based measurements often underestimate actual nursing burden. The study found that over half of cases showed higher clinically perceived workload than indicated by orders alone. Several factors contributed to increased workload perception, including weekend and night shifts, higher patient census, newly admitted patients, and male patients. The findings suggest the need for more comprehensive workload assessment methods.
AHRQ-funded; HS028454.
Citation: Chen Y, Chan CW, Dong J . Beyond order-based nursing workload: a retrospective cohort study in intensive care units. J Nurs Scholarsh 2024 Sep; 56(5):687-93. doi: 10.1111/jnu.12979..
Keywords: Intensive Care Unit (ICU), Nursing, Burnout, Provider: Nurse
Quigley DD, Slaughter ME, Qureshi N
Associations of primary care provider burnout with quality improvement, patient experience measurement, clinic culture, and job satisfaction.
This study examined the association between provider burnout and perspectives on quality improvement (QI), patient experience, clinic culture, and job satisfaction among providers at Federally Qualified Health Centers (FQHCs). A cross-sectional survey of 74 providers revealed that 30% reported burnout. Key findings indicated that supportive leadership and lower patient care pressures were linked to reduced burnout. The study suggests fostering provider-team relationships and QI discussions may mitigate burnout, highlighting the need for further research on effective leadership strategies.
AHRQ-funded; HS025920; HS029321.
Citation: Quigley DD, Slaughter ME, Qureshi N . Associations of primary care provider burnout with quality improvement, patient experience measurement, clinic culture, and job satisfaction. J Gen Intern Med 2024 Jul; 39(9):1567-74. doi: 10.1007/s11606-024-08633-w..
Keywords: Primary Care, Burnout, Quality Improvement, Patient Experience, Quality of Care, Provider: Clinician
Silver CM, Yuce TK, Clarke CN
Disparities in mentorship and implications for US surgical resident education and wellness.
This research investigates the role and impact of mentorship in surgical training programs across the United States. The study utilized a voluntary, anonymous survey distributed to residents in accredited general surgery residency programs following the 2019 American Board of Surgery In-Service Training Examination. The survey focused on residents' perceptions of meaningful mentorship, defined as having a mentor who genuinely cares about the resident and their career. The study examined factors associated with experiencing meaningful mentorship and its relationship to resident education and wellness outcomes. Approximately two-thirds of respondents reported having meaningful mentorship. The research found that non-White or Hispanic residents were less likely to report meaningful mentorship compared to non-Hispanic White residents. Senior residents were more likely to report meaningful mentorship than interns. The study revealed significant associations between meaningful mentorship and positive outcomes in both education and wellness. Residents with meaningful mentors were more likely to report operative autonomy and less likely to experience burnout, thoughts of leaving the program, or suicidal ideation.
AHRQ-funded; HS029532.
Citation: Silver CM, Yuce TK, Clarke CN . Disparities in mentorship and implications for US surgical resident education and wellness. JAMA Surg 2024 Jun; 159(6):687-95. doi: 10.1001/jamasurg.2024.0533.
Keywords: Education: Continuing Medical Education, Surgery, Provider: Physician
Sullivan EE, Etz RS, Gonzalez MM
You cannot function in "overwhelm": helping primary care navigate the slow end of the pandemic.
The purpose of this study was to elucidate underlying organizational factors that contributed to the deterioration of primary care clinicians' mental health during the COVID-19 pandemic. Data was taken from a national survey of primary care clinicians. Survey findings showed that clinicians shifted from feelings of anxiety and uncertainty at the start of the pandemic to isolation, lack of fulfillment, and plans to leave the profession. The authors note that the frequency with which clinicians spoke of depression, burnout, and moral injury was striking. The findings also identified responses that could alleviate the mental health crisis. The authors concluded that attention to clinician mental health should be directed to on-demand, confidential support so they can receive needed care without worrying about stigma or loss of license for accepting help.
AHRQ-funded; HS028253.
Citation: Sullivan EE, Etz RS, Gonzalez MM . You cannot function in "overwhelm": helping primary care navigate the slow end of the pandemic. J Healthc Manag 2024 May-Jun; 69(3):190-204. doi: 10.1097/jhm-d-23-00102..
Keywords: Primary Care, Ambulatory Care and Surgery, Burnout, Provider
Muir KJ, Porat-Dahlerbruch J, Nikpour J
Top factors in nurses ending health care employment between 2018 and 2021.
The objective of this cross-sectional study was to examine top contributing factors to nurses ending health care employment between 2018-2021 in New York and Illinois. Researchers analyzed survey data (RN4CAST-NY/IL) from registered nurses; differences in contributing factors are described by nurse age, employment status, prior setting of employment, and through exemplar nurse quotes. The results showed that although planned retirement was the leading factor, nurses also cited burnout or emotional exhaustion, insufficient staffing, or family obligations. The researchers concluded that addressing these issues is within the scope of employers and may improve nurse retention.
AHRQ-funded; HS028978.
Citation: Muir KJ, Porat-Dahlerbruch J, Nikpour J . Top factors in nurses ending health care employment between 2018 and 2021. JAMA Netw Open 2024 Apr; 7(4):e244121. doi: 10.1001/jamanetworkopen.2024.4121..
Keywords: Provider: Nurse, Burnout
Muir KJ, Merchant RM, Lasater KB
Emergency nurses' reasons for not recommending their hospital to clinicians as a good place to work.
The objective of this qualitative study was to examine why emergency nurses do not recommend their hospital to other clinicians as a good place to work. Open-text responses to the RN4CAST-NY/IL survey from registered nurses licensed in New York and Illinois were analyzed. Nurses did not recommend their workplace as a good place to work because of poor staffing, nonresponsive hospital leadership, unsafe work conditions, workplace violence, and a lack of feeling valued.
AHRQ-funded; HS028978.
Citation: Muir KJ, Merchant RM, Lasater KB . Emergency nurses' reasons for not recommending their hospital to clinicians as a good place to work. JAMA Netw Open 2024 Apr; 7(4):e244087. doi: 10.1001/jamanetworkopen.2024.4087.
Keywords: Provider: Nurse, Hospitals, Burnout, Nursing, Emergency Department
Gustavson AM, Patrick A, Ludescher M
Building and sustaining organizational capacity for the rehabilitation profession to support long COVID care.
This article addresses the challenges in scaling organizational capacity for Long COVID rehabilitation care, using the Minneapolis Veterans Affairs Health Care System (MVAHCS) as an illustrative example. The authors employ the Interactive Systems Framework to explore organizational capacity and present a logic model depicting the relationships between contextual determinants, capacity-building strategies, and potential outcomes. The study describes the MVAHCS Long COVID clinic, staffed by a part-time rehabilitation physician and physical therapist, highlighting the current limitations in patient capacity and interdisciplinary communication. The authors emphasize the importance of understanding and regularly reevaluating determinants of organizational capacity in the context of evolving Long COVID definitions and care. They propose that enhanced organizational capacity may lead to improved outcomes at organizational, staff/provider, and patient/family levels. These outcomes could include reduced staff turnover, improved patient satisfaction, reduced provider burnout, and enhanced quality of life for patients.
AHRQ-funded; HS026379.
Citation: Gustavson AM, Patrick A, Ludescher M . Building and sustaining organizational capacity for the rehabilitation profession to support long COVID care. Cardiopulm Phys Ther J 2024 Jan; 35(1):2-6. doi: 10.1097/cpt.0000000000000237..
Keywords: COVID-19, Workforce, Provider, Healthcare Delivery
Jardon C, Choi KR
COVID-19 experiences and mental health among graduate and undergraduate nursing students in Los Angeles.
This observational study’s purpose was to 1) describe the mental health of nursing students during the COVID-19 pandemic, (2) investigate relationships between stressful COVID-19 experiences and mental health, and (3) examine correlates of mental health service use. The authors created a web-based survey to assess COVID-19 experiences, self-reported mental health, and mental health service utilization among nursing students in Los Angeles in spring 2021 (N = 174, 30.1% response rate). The survey measured stressful COVID-19 experiences (personal COVID-19 illness, hospitalization of close friends or family, and death of close friends or family), loneliness, resilience, depression, anxiety, COVID-19-related traumatic stress, and utilization of campus and noncampus mental health services. Students were found to have high levels of depression (30%), anxiety (38%), and traumatic stress (30%). No relationship was found between stressful COVID-19 experiences and mental health, but loneliness was associated with higher odds of mental health problems and resilience with lower odds. Students with primary caregiving responsibilities (OR = 0.22) and students who identified as Asian/Pacific Islander (OR = 0.24) had lower odds of mental health service utilization.
AHRQ-funded; HS026407.
Citation: Jardon C, Choi KR . COVID-19 experiences and mental health among graduate and undergraduate nursing students in Los Angeles. J Am Psychiatr Nurses Assoc 2024 Jan-Feb; 30(1):86-94. doi: 10.1177/10783903211072222..
Keywords: COVID-19, Provider: Nurse, Education: Academic, Burnout
Yilmaz S, LeClaire M, Begnaud A
Developing LHS scholars' competency around reducing burnout and moral injury.
The study addresses the lack of a wellness competency focusing on burnout and moral injury prevention within Learning Health Systems (LHS). Experts collaborated to develop pathways for implementing such programs, emphasizing distinctions between moral injury and burnout, proposing interventions, and integrating expert input. The study found that a competency aimed at equipping scholars with skills for measuring, intervening, and embedding burnout and moral injury prevention into LHS structures, would potentially improve work lives and patient outcomes within LHS.
AHRQ-funded; HS026379.
Citation: Yilmaz S, LeClaire M, Begnaud A . Developing LHS scholars' competency around reducing burnout and moral injury. Learn Health Syst 2024 Jan; 8(1):e10378. doi: 10.1002/lrh2.10378..
Keywords: Learning Health Systems, Health Systems, Burnout, Provider: Health Personnel

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