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Research Studies is a compilation of published research articles funded by Ƶor authored by Ƶresearchers.

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1 to 6 of 6 Research Studies Displayed
Muir KJ, Agarwal AK, Golinelli D
Association of emergency department nurse and physician work environment agreement on clinician job and patient outcomes.
The objective of this cross-sectional study was to determine if emergency department clinicians agreed on the quality of work environments. The responses of emergency nurses and physicians in almost half of the study hospitals indicated disagreement on the quality of the work environment, which suggested that the two essential collaborators in high-stakes care differed on deficiencies in emergency department environments.
AHRQ-funded; HS028978.
Citation: Muir KJ, Agarwal AK, Golinelli D . Association of emergency department nurse and physician work environment agreement on clinician job and patient outcomes. BMC Health Serv Res 2025 May 16; 25(1):709. doi: 10.1186/s12913-025-12720-x..
Keywords: Emergency Department, Provider: Nurse, Provider: Physician, Burnout
Ameling J, Houchens N, Greene MT
Sacred moment experiences among internal medicine physicians.
The purpose of this study was to investigate meaningful connection experiences among physicians and their relationship to clinician wellbeing. Researchers conducted a national cross-sectional survey of randomly selected US internal medicine physicians without subspecialties between June 2023 and May 2024. Among 629 respondents (44.3% response rate), 67.7% reported experiencing “sacred moments” with patients, yet only 4.5% regularly discussed these experiences with colleagues. Factors most strongly associated with experiencing sacred moments included identifying as very spiritual and having strong purpose in life and work. Physicians who experienced sacred moments multiple times yearly showed significantly lower odds of extreme burnout compared to those experiencing them less frequently. Similarly, discussing these experiences with colleagues correlated with reduced burnout likelihood. The findings suggest that both experiencing and discussing meaningful patient connections may support physician wellbeing.
AHRQ-funded; HS028963.
Citation: Ameling J, Houchens N, Greene MT . Sacred moment experiences among internal medicine physicians. JAMA Netw Open 2025 May; 8(5):e2513159. doi: 10.1001/jamanetworkopen.2025.13159..
Keywords: Provider: Physician, Burnout
Linzer M, O'Brien EC, Sullivan E
Burnout in modern-day health care: Where are we, and how can we markedly reduce it? A meta-narrative review from the EUREKA* project.
The objectives of this review were to describe the evolution of burnout research and to identify gaps and the next steps to advance the field and reduce burnout. Findings indicated that, despite a consensus that burnout posed a global crisis, no agreement on how to address it had been established. Research into organizational contributors to burnout, evaluation of interventions, and organizational adoption of research findings into systemic action were urgently needed.
AHRQ-funded; HS029436.
Citation: Linzer M, O'Brien EC, Sullivan E . Burnout in modern-day health care: Where are we, and how can we markedly reduce it? A meta-narrative review from the EUREKA* project. Health Care Manage Rev 2025 Apr-Jun; 50(2):57-66. doi: 10.1097/hmr.0000000000000433..
Keywords: Burnout, Provider: Health Personnel
Martinez MF, O'Shea KJ, Kern MC
The health and economic burden of employee burnout to U.S. employers.
The authors developed a computational model that represented different engagement/burnout states and stressors within and outside the workplace. Their findings indicated that employee disengagement/burnout can cost employers several times more than the average cost of health insurance and the cost of training per employee.
AHRQ-funded; HS028165.
Citation: Martinez MF, O'Shea KJ, Kern MC . The health and economic burden of employee burnout to U.S. employers. Am J Prev Med 2025 Apr; 68(4):645-55. doi: 10.1016/j.amepre.2025.01.011..
Keywords: Healthcare Costs, Burnout
Johnson CT, Owen NS, Hessels AJ
Influence of psychological safety and safety climate perceptions on nurses’ infection prevention and occupational safety practices and environment.
This study’s aim was to describe and examine the relationships among elements of infection prevention practices, the care environment, psychological safety, and safety climate in adult medical surgical units in the wake of the COVID-19 pandemic. Electronic surveys were given to nurses in adult inpatient medical surgical units in the Northeast. A total of 259 nurses responded. Overall psychological safety had an average rating of 3.5 (neutral) on a scale of 1 to 5. There were better ratings for safety climate (4.0) but also identified areas for improvement. Eight out of twelve infection practices were correlated with higher safety climate scores and ten with higher psychological safety scores. Nine out of ten environmental factors were correlated with higher safety climate and higher psychological safety scores.
AHRQ-funded; HS026418.
Citation: Johnson CT, Owen NS, Hessels AJ . Influence of psychological safety and safety climate perceptions on nurses’ infection prevention and occupational safety practices and environment. Nursing Reports 2025 Feb; 15(2):37..
Keywords: Patient Safety, Prevention, Healthcare-Associated Infections (HAIs), Provider: Nurse, Burnout
Burden M, Keniston A, Pell J
Unlocking inpatient workload insights with electronic health record event logs.
This article explores how electronic health record (EHR) event logs can provide valuable insights into inpatient clinician workload and work design. Conventional workload measures like work relative value units inadequately capture the full scope of clinical effort in hospital settings. The authors identify potential EHR event log measures relevant to inpatient settings, including time metrics, workload indicators, responsiveness measures, teamwork assessments, and care efficiency markers. They discuss opportunities for applying these metrics in practice management, education, and quality improvement initiatives to optimize work design and potentially reduce clinician burnout. Despite promising applications, challenges remain in standardizing data aggregation practices, validating measures, and ensuring appropriate data interpretation. The authors emphasize that organizations must develop best practices around data privacy, foster psychological safety when sharing insights, and encourage interdisciplinary collaboration when making decisions based on these metrics.
AHRQ-funded; HS029020.
Citation: Burden M, Keniston A, Pell J . Unlocking inpatient workload insights with electronic health record event logs. J Hosp Med 2025 Jan; 20(1):79-84. doi: 10.1002/jhm.13386.
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Hospitals

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