Teamwork enhances patient experience: linking TEAM and Net Promoter Scores.

Objectives: We previously described a 6-item teamwork index (TEAM) with a strong relationship to provider experience, lower burnout, and intent to stay. We now sought to determine whether (1) TEAM relates to higher patient Net Promoter Score (NPS, or likelihood of patient referring to the organization) and (2) teamwork mediates a provider experience-NPS relationship.

Study Design: A provider wellness survey was administered in the fall of 2019 in 6 care delivery organizations (CDOs) with patient NPS data.

Physician and Advanced Practice Clinician Burnout in Rural and Urban Settings.

Introduction: Recruiting rural-practicing clinicians is a high priority. In this study, we explored burnout and contributing work conditions among rural, urban, and family practice physicians and advanced practice clinicians (APCs) in an Upper Midwestern health care system.

Methods: The Mini Z burnout reduction measure was administered by anonymous electronic survey in March 2022.

Teamwork measure relates to provider experience, burnout, and intent to stay.

Objectives: To develop a brief teamwork measure and determine how teamwork relates to provider experience, burnout, and work intentions.

Study Design: Survey of clinicians.

Methods: We analyzed data from Optum's 2019 biannual clinician survey, including a validated burnout measure and measures of provider experience and intent to stay.

Burnout Among Hospitalists During the Early COVID-19 Pandemic: a National Mixed Methods Survey Study.

Unlabelled: BACKGROUND  : Hospitalist physician stress was exacerbated by the pandemic, yet there have been no large scale studies of contributing factors.

Objective: Assess remediable components of burnout in hospitalists.

Participants, Study Design And Measures: In this Coping with COVID study, we focused on assessment of stress factors among 1022 hospital-based clinicians surveyed between April to December 2020.

Trends in Clinician Burnout With Associated Mitigating and Aggravating Factors During the COVID-19 Pandemic.

Importance: The COVID-19 pandemic has affected clinician health and retention.

Objective: To describe trends in burnout from 2019 through 2021 with associated mitigating and aggravating factors.

Design, Setting, And Participants: Cross-sectional surveys were sent to physicians and advanced practice clinicians throughout 120 large US health care organizations between February 2019 and December 2021.

Designing the careful and kind clinic: an evidence-based approach.

Background: There is evidence that creating a 'healthy workplace' can be of profound importance for clinicians, team members and patients. Yet there have been few papers that have proposed mechanisms to take decades of research and translate this into a practical list of options for leaders and managers to take into account when structuring a clinic based on care and kindness to achieve optimal health.

Evidence: We bring together 20 years of scholarship linking care of the caregivers with outcomes for caregivers and patients.

Factors associated with patient trust in their clinicians: Results from the Healthy Work Place Study.

Background: Patient trust in their clinicians is an important aspect of health care quality, but little evidence exists on what contributes to patient trust.

Purpose: The aim of this study was to determine workplace, clinician, and patient correlates of patient trust in their clinician.

Methodology/approach: The sample used baseline data from the Healthy Work Place trial, a randomized trial of 34 Midwest and East Coast primary care practices to explore factors associated with patient trust in their clinicians.

Compromised Integrity, Burnout, and Intent to Leave the Job in Critical Care Nurses and Physicians.

Unlabelled: To describe relationships between compromised integrity (CI), burnout, and intent-to-leave (ITL) practice in critical care (CC) and noncritical care (non-CC) nurses and physicians.

Design: CC nurses (RNs) and physicians (MDs) from the American Medical Association Coping with COVID survey were matched by gender, race, years in practice, and role with non-CC clinicians to determine likelihood of ITL in relation to burnout and CI.

Setting: U.

Where Trust Flourishes: Perceptions of Clinicians Who Trust Their Organizations and Are Trusted by Their Patients.

Purpose: Trust is an essential component of health care. Clinicians need to trust organizational leaders to provide a safe and effective work environment, and patients need to trust their clinicians to deliver high-quality care while addressing their health care needs. We sought to determine perceived characteristics of clinics by clinicians who trust their organizations and whose patients have trust in them.

Making sense of diabetes medication decisions: a mixed methods cluster randomized trial using a conversation aid intervention.

Purpose: To determine the effectiveness of a shared decision-making (SDM) tool versus guideline-informed usual care in translating evidence into primary care, and to explore how use of the tool changed patient perspectives about diabetes medication decision making.

Methods: In this mixed methods multicenter cluster randomized trial, we included patients with type 2 diabetes mellitus and their primary care clinicians. We compared usual care with or without a within-encounter SDM conversation aid.

Preliminary Report: US Physician Stress During the Early Days of the COVID-19 Pandemic.

Objective: To assess the impact of the COVID-19 crisis on physician stress and mental health.

Methods: The 10-item Coping With COVID survey assessed stress among 2373 physicians from April 4 to May 27, 2020. A stress summary score with 4 items (a single-item [overall] stress measure, fear of exposure, perceived anxiety/depression due to COVID, and work overload, each scored 1-4) ranged from 4 to 16.

Reducing burnout and enhancing work engagement among clinicians: The Minnesota experience.

Background: The Minnesota Hospital Association (MHA) recognized the impact that burnout and disengagement had on the clinician population. A clinician task force developed a conceptual framework, followed by annual surveys and a series of interventions. Features of the job demands-resources model were used as the conceptual underpinning to this analysis.

Deriving and validating a brief measure of treatment burden to assess person-centered healthcare quality in primary care: a multi-method study.

Background: In primary care there is a need for more quality measures of person-centered outcomes, especially ones applicable to patients with multiple chronic conditions (MCCs). The aim of this study was to derive and validate a short-form version of the Patient Experience with Treatment and Self-management (PETS), an established measure of treatment burden, to help fill the gap in quality measurement.

Methods: Patient interviews (30) and provider surveys (30) were used to winnow items from the PETS (60 items) to a subset targeting person-centered care quality.

Evaluation of Work Satisfaction, Stress, and Burnout Among US Internal Medicine Physicians and Trainees.

This study uses the Mini Z 2.0 survey to assess burnout among male and female members of the American College of Physicians who are internists and internal medicine trainees.

Low ICU burnout in a safety net hospital.

Objective: Burnout tends to be high in Intensive Care Unit (ICU) settings. Stressors include serious patient illness, round-the-clock acute events, and end of life (non-beneficial) care. We report on an ICU with very low burnout scores.

Time Pressure During Primary Care Office Visits: a Prospective Evaluation of Data from the Healthy Work Place Study.

Background: The relationship between worklife factors, clinician outcomes, and time pressure during office visits is unclear.

Objective: To quantify associations between time pressure, workplace characteristics ,and clinician outcomes.

Design: Prospective analysis of data from the Healthy Work Place randomized trial.

Association of Electronic Health Record Design and Use Factors With Clinician Stress and Burnout.

Importance: Many believe a major cause of the epidemic of clinician burnout is poorly designed electronic health records (EHRs).

Objectives: To determine which EHR design and use factors are associated with clinician stress and burnout and to identify other sources that contribute to this problem.

Design, Setting, And Participants: This survey study of 282 ambulatory primary care and subspecialty clinicians from 3 institutions measured stress and burnout, opinions on EHR design and use factors, and helpful coping strategies.

Characteristics of Health Care Organizations Associated With Clinician Trust: Results From the Healthy Work Place Study.

Importance: There is new emphasis on clinician trust in health care organizations but little empirical data about the association of trust with clinician satisfaction and retention.

Objective: To examine organizational characteristics associated with trust.

Design, Setting, And Participants: This prospective cohort study uses data collected from 2012 to 2014 from 34 primary care practices employing physicians (family medicine and general internal medicine) and advanced practice clinicians (nurse practitioners and physician assistants) in the upper Midwest and East Coast of the United States as part of the Healthy Work Place randomized clinical trial.