Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries
Objectives To determine the well-being of physicians and nurses in hospital practice in Europe, and to identify interventions that hold promise for reducing adverse clinician outcomes and improving patient safety.Design Baseline cross-sectional survey of 2187 physicians and 6643 nurses practicing in...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-02-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/2/e079931.full |
| _version_ | 1827179879706132480 |
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| author | Peter Griffiths Martin McKee Jonathan Drennan Jackie Bridges Luk Bruyneel Jane Ball Jaimie Ellis Linda H Aiken Anners Lerdal Karen B Lasater Herbert Smith Anne Marie Rafferty Reinhard Busse Walter Sermeus Julia Köppen Lars E Eriksson Kaat Siebens Matthew D McHugh Anne Scott Ingeborg Strømseng Sjetne Sydney Anstee Peter Van Bogaert Rikard Lindqvist Douglas Sloane Hans De Witte Wilmar Schaufeli Simon Dello Dorothea Kohnen Lisa Smeds Alenius Mary Del Guidice Timothy Cheney Claudia Maier Joan Kleine Elaine Lehane Vera McCarthy Noeleen Brady Paul Van Aken Danny Van Heusden Colleen A Pogue Claudia B Bettina Maier Ingrid Svensson Ann Jacobsson Oliver Sergeant |
| author_facet | Peter Griffiths Martin McKee Jonathan Drennan Jackie Bridges Luk Bruyneel Jane Ball Jaimie Ellis Linda H Aiken Anners Lerdal Karen B Lasater Herbert Smith Anne Marie Rafferty Reinhard Busse Walter Sermeus Julia Köppen Lars E Eriksson Kaat Siebens Matthew D McHugh Anne Scott Ingeborg Strømseng Sjetne Sydney Anstee Peter Van Bogaert Rikard Lindqvist Douglas Sloane Hans De Witte Wilmar Schaufeli Simon Dello Dorothea Kohnen Lisa Smeds Alenius Mary Del Guidice Timothy Cheney Claudia Maier Joan Kleine Elaine Lehane Vera McCarthy Noeleen Brady Paul Van Aken Danny Van Heusden Colleen A Pogue Claudia B Bettina Maier Ingrid Svensson Ann Jacobsson Oliver Sergeant |
| collection | DOAJ |
| description | Objectives To determine the well-being of physicians and nurses in hospital practice in Europe, and to identify interventions that hold promise for reducing adverse clinician outcomes and improving patient safety.Design Baseline cross-sectional survey of 2187 physicians and 6643 nurses practicing in 64 hospitals in six European countries participating in the EU-funded Magnet4Europe intervention to improve clinicians’ well-being.Setting Acute general hospitals with 150 or more beds in six European countries: Belgium, England, Germany, Ireland, Sweden and Norway.Participants Physicians and nurses with direct patient contact working in adult medical and surgical inpatient units, including intensive care and emergency departments.Main outcome measures Burnout, job dissatisfaction, physical and mental health, intent to leave job, quality of care and patient safety and interventions clinicians believe would improve their well-being.Results Poor work/life balance (57% physicians, 40% nurses), intent to leave (29% physicians, 33% nurses) and high burnout (25% physicians, 26% nurses) were prevalent. Rates varied by hospitals within countries and between countries. Better work environments and staffing were associated with lower percentages of clinicians reporting unfavourable health indicators, quality of care and patient safety. The effect of a 1 IQR improvement in work environments was associated with 7.2% fewer physicians and 5.3% fewer nurses reporting high burnout, and 14.2% fewer physicians and 8.6% fewer nurses giving their hospital an unfavourable rating of quality of care. Improving nurse staffing levels (79% nurses) and reducing bureaucracy and red tape (44% physicians) were interventions clinicians reported would be most effective in improving their own well-being, whereas individual mental health interventions were less frequently prioritised.Conclusions Burnout, mental health morbidities, job dissatisfaction and concerns about patient safety and care quality are prevalent among European hospital physicians and nurses. Interventions to improve hospital work environments and staffing are more important to clinicians than mental health interventions to improve personal resilience. |
| first_indexed | 2024-03-08T03:12:42Z |
| format | Article |
| id | doaj.art-5cabc0b10f964bf7bfbc590d1eeda677 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2025-03-21T05:22:02Z |
| publishDate | 2024-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-5cabc0b10f964bf7bfbc590d1eeda6772024-07-25T19:50:09ZengBMJ Publishing GroupBMJ Open2044-60552024-02-0114210.1136/bmjopen-2023-079931Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries Peter Griffiths0Martin McKee1Jonathan Drennan2Jackie BridgesLuk BruyneelJane Ball3Jaimie EllisLinda H Aiken4Anners LerdalKaren B Lasater5Herbert SmithAnne Marie RaffertyReinhard BusseWalter Sermeus6Julia KöppenLars E ErikssonKaat SiebensMatthew D McHugh7Anne ScottIngeborg Strømseng SjetneSydney AnsteePeter Van BogaertRikard LindqvistDouglas Sloane8Hans De WitteWilmar SchaufeliSimon Dello9Dorothea Kohnen10Lisa Smeds AleniusMary Del GuidiceTimothy CheneyClaudia MaierJoan KleineElaine Lehane Vera McCarthyNoeleen BradyPaul Van AkenDanny Van HeusdenColleen A Pogue11Claudia B Bettina Maier12Ingrid SvenssonAnn JacobssonOliver SergeantSchool of Health Sciences, University of Southampton, Southampton, UKprofessor of European Public HealthSchool of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, IrelandSchool of Health Sciences, University of Southampton, Southampton, UKCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USACenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USALeuven Institute for Healthcare Policy, KU Leuven, Leuven, BelgiumCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USACenter for Health Outcomes and Policy Research, University of Pennsylvania, Philadelphia, Pennsylvania, USALeuven Institute for Healthcare Policy, KU Leuven, Leuven, BelgiumLeuven Institute for Healthcare Policy, KU Leuven, Leuven, BelgiumCenter for Health Outcomes and Policy Research, University of Pennsylvania, Philadelphia, Pennsylvania, USABielefeld University, Bielefeld, GermanyObjectives To determine the well-being of physicians and nurses in hospital practice in Europe, and to identify interventions that hold promise for reducing adverse clinician outcomes and improving patient safety.Design Baseline cross-sectional survey of 2187 physicians and 6643 nurses practicing in 64 hospitals in six European countries participating in the EU-funded Magnet4Europe intervention to improve clinicians’ well-being.Setting Acute general hospitals with 150 or more beds in six European countries: Belgium, England, Germany, Ireland, Sweden and Norway.Participants Physicians and nurses with direct patient contact working in adult medical and surgical inpatient units, including intensive care and emergency departments.Main outcome measures Burnout, job dissatisfaction, physical and mental health, intent to leave job, quality of care and patient safety and interventions clinicians believe would improve their well-being.Results Poor work/life balance (57% physicians, 40% nurses), intent to leave (29% physicians, 33% nurses) and high burnout (25% physicians, 26% nurses) were prevalent. Rates varied by hospitals within countries and between countries. Better work environments and staffing were associated with lower percentages of clinicians reporting unfavourable health indicators, quality of care and patient safety. The effect of a 1 IQR improvement in work environments was associated with 7.2% fewer physicians and 5.3% fewer nurses reporting high burnout, and 14.2% fewer physicians and 8.6% fewer nurses giving their hospital an unfavourable rating of quality of care. Improving nurse staffing levels (79% nurses) and reducing bureaucracy and red tape (44% physicians) were interventions clinicians reported would be most effective in improving their own well-being, whereas individual mental health interventions were less frequently prioritised.Conclusions Burnout, mental health morbidities, job dissatisfaction and concerns about patient safety and care quality are prevalent among European hospital physicians and nurses. Interventions to improve hospital work environments and staffing are more important to clinicians than mental health interventions to improve personal resilience.https://bmjopen.bmj.com/content/14/2/e079931.full |
| spellingShingle | Peter Griffiths Martin McKee Jonathan Drennan Jackie Bridges Luk Bruyneel Jane Ball Jaimie Ellis Linda H Aiken Anners Lerdal Karen B Lasater Herbert Smith Anne Marie Rafferty Reinhard Busse Walter Sermeus Julia Köppen Lars E Eriksson Kaat Siebens Matthew D McHugh Anne Scott Ingeborg Strømseng Sjetne Sydney Anstee Peter Van Bogaert Rikard Lindqvist Douglas Sloane Hans De Witte Wilmar Schaufeli Simon Dello Dorothea Kohnen Lisa Smeds Alenius Mary Del Guidice Timothy Cheney Claudia Maier Joan Kleine Elaine Lehane Vera McCarthy Noeleen Brady Paul Van Aken Danny Van Heusden Colleen A Pogue Claudia B Bettina Maier Ingrid Svensson Ann Jacobsson Oliver Sergeant Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries BMJ Open |
| title | Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries |
| title_full | Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries |
| title_fullStr | Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries |
| title_full_unstemmed | Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries |
| title_short | Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries |
| title_sort | physician and nurse well being patient safety and recommendations for interventions cross sectional survey in hospitals in six european countries |
| url | https://bmjopen.bmj.com/content/14/2/e079931.full |
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