Skip to main content

Taking Action Against Clinician Burnout A Systems Approach to Professional Well-Being (2019) / Chapter Skim
Currently Skimming:

9 A Research Agenda to Advance Clinician Professional Well-Being
Pages 273-284

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.


From page 273...
... Similarly, few studies were identified on burnout and professional well-being among advance practice providers (e.g., advanced practice nurses, nurse anesthetists) , other members of the health care team (e.g., physician assistants, physical therapists)
Read the entire page →
From page 274...
... In many studies the key independent variables, such as clinical workload, were subjectively reported by the same individuals who also provided the key dependent variables, such as burnout or job satisfaction, thereby introducing inherent biases. Most of the available intervention studies focused on individual strategies and often lacked rigorous study design, data collection with validated instruments, appropriate control groups, and long-term follow-up (Panagioti et al., 2017; West et al., 2016)
Read the entire page →
From page 275...
... Instruments to measure dimensions of professional well-being, such as professional fulfillment and engagement, also exist but would benefit from additional validity work, particularly with respect to predictive validity (i.e., whether the scores correlate with outcomes of interest for health care)
Read the entire page →
From page 276...
... and across modalities of care delivery, including in-person and virtual interactions. Such longitudinal studies in health care profession learners than span the educational continuum would provide useful information about the course of burnout among learners and about whether the experience of burnout as a learner affects the risk of experiencing burnout subsequently once in practice.
Read the entire page →
From page 277...
... Specifically, longitudinal studies are needed to better identify external environment, health care organization (HCO) , learning environment (as applicable)
Read the entire page →
From page 278...
... • What are the effects of accreditation rules and licensure requirements, in cluding high-stakes assessment, on clinician and health profession learner burnout and professional well-being? Health Care Organizations and Frontline Care • What structural, functional (including clinical)
Read the entire page →
From page 279...
... • Which care team designs facilitate high-quality care, meaning in work, work efficiency, job satisfaction, and professional well-being among all care team members? • Do system factors affect clinicians differently based on demographic factors such as race, ethnicity, age, and gender?
Read the entire page →
From page 280...
... • What interventions to improve clinician professional well-being also improve patient outcomes and reduce cost of care? Health Care Organizations and Frontline Care Delivery • What are the optimal approaches to designing and implementing individual and organizational interventions to reduce clinician or learner burnout and promote professional well-being?
Read the entire page →
From page 281...
... • How do health care organizations optimally incorporate regular assessment of clinician and learner professional well-being and act on results? • How should organizations evaluate and improve the work and learning en vironment, help individual clinicians and learners promote their professional well-being, and support those who experience distress?
Read the entire page →
From page 282...
... The proposed research agenda is robust and has the potential to be transformative. Success in moving the research agenda forward and, ultimately, reducing suffering and improving patient care outcomes will require methodologically strong studies, substantial funding, and collaboration.
Read the entire page →
From page 283...
... JAMA Internal Medicine 177(2)
Read the entire page →

Key Terms

  • care team
  • learner burnout
  • care delivery
  • care organizations
  • frontline care

  • health profession
  • intervention studies
  • longitudinal studies
  • professional fulfillment
  • learning environment

  • mediating factors
  • clinician professional
  • health information
  • profession learners
  • study designs

  • burnout inventory
  • practice settings
  • individual mediating
  • compassion fatigue
  • practice environment

  • stress disorder
  • care organization
  • key independent
  • josiah macy
  • environment reduce

  • reduce burnout
  • medical students
  • job satisfaction
  • independent variables
  • organizational interventions


    • This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
    More information on Chapter Skim is available.