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Hall LH, Johnson J, Watt I, et al. Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PLoS One. 2016;11(7):e0159015doi: 10.1371/journal.pone.0159015.
Hall, L. H., Johnson, J., Watt, I., Tsipa, A., & O'Connor, D. B. (2016). Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PloS one, 11(7), e0159015. https://doi.org/10.1371/journal.pone.0159015
Hall, Louise H, et al. "Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review." PloS one vol. 11,7 (2016): e0159015. doi: https://doi.org/10.1371/journal.pone.0159015
Hall LH, Johnson J, Watt I, Tsipa A, O'Connor DB. Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PLoS One. 2016 Jul 08;11(7):e0159015. doi: 10.1371/journal.pone.0159015. eCollection 2016. PMID: 27391946; PMCID: PMC4938539.
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PLoS One. 2016 Jul 08;11(7):e0159015. doi: 10.1371/journal.pone.0159015. eCollection 2016.

Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review.

PloS one

Louise H Hall, Judith Johnson, Ian Watt, Anastasia Tsipa, Daryl B O'Connor

Affiliations

  1. School of Psychology, University of Leeds, Leeds, West Yorkshire, England.
  2. Yorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, West Yorkshire, England.
  3. Department of Health Sciences, University of York, York, North Yorkshire, England.
  4. Leeds City Council, Leeds, West Yorkshire, England.

PMID: 27391946 PMCID: PMC4938539 DOI: 10.1371/journal.pone.0159015

Abstract

OBJECTIVE: To determine whether there is an association between healthcare professionals' wellbeing and burnout, with patient safety.

DESIGN: Systematic research review.

DATA SOURCES: PsychInfo (1806 to July 2015), Medline (1946 to July 2015), Embase (1947 to July 2015) and Scopus (1823 to July 2015) were searched, along with reference lists of eligible articles.

ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Quantitative, empirical studies that included i) either a measure of wellbeing or burnout, and ii) patient safety, in healthcare staff populations.

RESULTS: Forty-six studies were identified. Sixteen out of the 27 studies that measured wellbeing found a significant correlation between poor wellbeing and worse patient safety, with six additional studies finding an association with some but not all scales used, and one study finding a significant association but in the opposite direction to the majority of studies. Twenty-one out of the 30 studies that measured burnout found a significant association between burnout and patient safety, whilst a further four studies found an association between one or more (but not all) subscales of the burnout measures employed, and patient safety.

CONCLUSIONS: Poor wellbeing and moderate to high levels of burnout are associated, in the majority of studies reviewed, with poor patient safety outcomes such as medical errors, however the lack of prospective studies reduces the ability to determine causality. Further prospective studies, research in primary care, conducted within the UK, and a clearer definition of healthcare staff wellbeing are needed.

IMPLICATIONS: This review illustrates the need for healthcare organisations to consider improving employees' mental health as well as creating safer work environments when planning interventions to improve patient safety.

SYSTEMATIC REVIEW REGISTRATION: PROSPERO registration number: CRD42015023340.

References

  1. BMJ Qual Saf. 2011 Jan;20(1):15-24 - PubMed
  2. Ergonomics. 2006 Apr 15-May 15;49(5-6):444-56 - PubMed
  3. West J Nurs Res. 2008 Aug;30(5):560-77 - PubMed
  4. J Health Soc Behav. 1983 Dec;24(4):385-96 - PubMed
  5. Saf Health Work. 2013 Dec;4(4):210-5 - PubMed
  6. Int J Qual Health Care. 2010 Dec;22(6):525-30 - PubMed
  7. J Nurs Care Qual. 1996 Apr;10(3):46-58 - PubMed
  8. BMJ Qual Saf. 2014 Oct;23(10):806-13 - PubMed
  9. Ann Intern Med. 2002 Mar 5;136(5):358-67 - PubMed
  10. Psychol Med. 1979 Feb;9(1):139-45 - PubMed
  11. Ann Surg. 2010 Jun;251(6):995-1000 - PubMed
  12. J Occup Health. 2004 Nov;46(6):448-54 - PubMed
  13. JAMA. 2006 Sep 6;296(9):1071-8 - PubMed
  14. Front Psychol. 2015 Jan 22;5:1573 - PubMed
  15. Ann Emerg Med. 1986 May;15(5):536-9 - PubMed
  16. Nurs Health Sci. 2008 Jun;10(2):144-50 - PubMed
  17. Int J Nurs Stud. 2013 Feb;50(2):253-63 - PubMed
  18. Psychol Health Med. 2009 Dec;14(6):654-66 - PubMed
  19. Int J Med Sci. 2013 Aug 28;10(11):1471-8 - PubMed
  20. Appl Ergon. 2008 Sep;39(5):605-13 - PubMed
  21. Acta Psychiatr Scand. 1983 Jun;67(6):361-70 - PubMed
  22. Health Rep. 2008 Jun;19(2):7-18 - PubMed
  23. Res Social Adm Pharm. 2010 Dec;6(4):293-306 - PubMed
  24. Ann Intern Med. 2009 Jul 7;151(1):28-36, W6-9 - PubMed
  25. J Healthc Qual. 2014 Sep-Oct;36(5):5-12 - PubMed
  26. J Nurs Adm. 2006 May;36(5):259-67 - PubMed
  27. Intensive Care Med. 2015 Feb;41(2):273-84 - PubMed
  28. Ind Health. 2010;48(6):811-7 - PubMed
  29. Postgrad Med J. 2013 Sep;89(1055):495-500 - PubMed
  30. Ann Intern Med. 2009 Aug 18;151(4):264-9, W64 - PubMed
  31. Health Care Manage Rev. 2007 Jul-Sep;32(3):203-12 - PubMed
  32. J Adv Nurs. 2013 Mar;69(3):631-41 - PubMed
  33. BMJ. 2008 Mar 1;336(7642):488-91 - PubMed
  34. Int J Nurs Stud. 2014 Aug;51(8):1123-34 - PubMed
  35. Am J Infect Control. 2012 Aug;40(6):486-90 - PubMed
  36. Rev Lat Am Enfermagem. 2010 Nov-Dec;18(6):1062-9 - PubMed
  37. BMJ Qual Saf. 2012 Sep;21(9):784-90 - PubMed
  38. Int J Nurs Stud. 2013 Feb;50(2):219-29 - PubMed
  39. Anesth Analg. 2013 Jul;117(1):182-93 - PubMed
  40. J Nurs Manag. 2010 Nov;18(8):914-25 - PubMed
  41. Chronobiol Int. 2006;23(6):1149-63 - PubMed
  42. Int J Nurs Stud. 2010 Nov;47(11):1442-50 - PubMed
  43. PLoS One. 2012;7(4):e35585 - PubMed
  44. Ind Health. 2011;49(3):381-8 - PubMed
  45. JAMA. 2009 Sep 23;302(12):1294-300 - PubMed
  46. Soc Sci Med. 1997 Jul;45(1):35-40 - PubMed
  47. J Pers Soc Psychol. 1988 Jun;54(6):1063-70 - PubMed
  48. J Gen Intern Med. 2013 Mar;28(3):421-7 - PubMed

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