The impact of organizational culture on professional fulfillment and burnout in an academic department of medicine.

Physician wellness is vital to career satisfaction, provision of high quality patient care, and the successful education of the next generation of physicians. Despite this, the number of physicians experience symptoms of burnout is rising. To assess the impact of organizational culture on physicians...

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Autores principales:	Karen E A Burns, Reena Pattani, Edmund Lorens, Sharon E Straus, Gillian A Hawker
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/015296255ecf4f1fbf377cb271af60df
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spelling	oai:doaj.org-article:015296255ecf4f1fbf377cb271af60df2021-12-02T20:07:12ZThe impact of organizational culture on professional fulfillment and burnout in an academic department of medicine.1932-620310.1371/journal.pone.0252778https://doaj.org/article/015296255ecf4f1fbf377cb271af60df2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252778https://doaj.org/toc/1932-6203Physician wellness is vital to career satisfaction, provision of high quality patient care, and the successful education of the next generation of physicians. Despite this, the number of physicians experience symptoms of burnout is rising. To assess the impact of organizational culture on physicians' professional fulfillment and burnout, we surveyed full-time Department of Medicine members at the University of Toronto. A cross-sectional survey assessed: physician factors (age, gender, minority status, disability, desire to reduce clinical workload); workplace culture (efforts to create a collegial environment, respectful/civil interactions, confidence to address unprofessionalism without reprisal, witnessed and/or personally experienced unprofessionalism); professional fulfillment and burnout using the Stanford Professional Fulfillment Index. We used multivariable linear regression to examine the relationship of measures of workplace culture on professional fulfillment and burnout (scores 0-10), controlling for physician factors. Of 419 respondents (52.0% response rate), we included 400 with complete professional fulfillment and burnout data in analyses (60% ≤ age 50, 45% female). Mean scores for professional fulfillment and burnout were 6.7±1.9 and 2.8±1.9, respectively. Controlling for physician factors, professional fulfillment was associated with satisfaction with efforts to create a collegial environment (adjusted beta 0.45, 95% CI 0.21 to 0.70) and agreement that colleagues were respectful/civil (adjusted beta 0.85, 95% CI 0.53 to 1.17). Lower professional fulfillment was associated with higher burnout scores. Controlling for professional fulfillment and physician factors, lower confidence in taking action to address unprofessionalism (adjusted beta -0.22, 95% CI -0.40 to -0.03) was associated with burnout. Organizational culture and physician factors had an impact on professional fulfillment and burnout. Professional fulfillment partially mediated the relationship between organizational culture and burnout. Strategies that promote inclusion, respect and civility, and safe ways to report workplace unprofessionalism are needed in academic medicine.Karen E A BurnsReena PattaniEdmund LorensSharon E StrausGillian A HawkerPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252778 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Karen E A Burns Reena Pattani Edmund Lorens Sharon E Straus Gillian A Hawker The impact of organizational culture on professional fulfillment and burnout in an academic department of medicine.
description	Physician wellness is vital to career satisfaction, provision of high quality patient care, and the successful education of the next generation of physicians. Despite this, the number of physicians experience symptoms of burnout is rising. To assess the impact of organizational culture on physicians' professional fulfillment and burnout, we surveyed full-time Department of Medicine members at the University of Toronto. A cross-sectional survey assessed: physician factors (age, gender, minority status, disability, desire to reduce clinical workload); workplace culture (efforts to create a collegial environment, respectful/civil interactions, confidence to address unprofessionalism without reprisal, witnessed and/or personally experienced unprofessionalism); professional fulfillment and burnout using the Stanford Professional Fulfillment Index. We used multivariable linear regression to examine the relationship of measures of workplace culture on professional fulfillment and burnout (scores 0-10), controlling for physician factors. Of 419 respondents (52.0% response rate), we included 400 with complete professional fulfillment and burnout data in analyses (60% ≤ age 50, 45% female). Mean scores for professional fulfillment and burnout were 6.7±1.9 and 2.8±1.9, respectively. Controlling for physician factors, professional fulfillment was associated with satisfaction with efforts to create a collegial environment (adjusted beta 0.45, 95% CI 0.21 to 0.70) and agreement that colleagues were respectful/civil (adjusted beta 0.85, 95% CI 0.53 to 1.17). Lower professional fulfillment was associated with higher burnout scores. Controlling for professional fulfillment and physician factors, lower confidence in taking action to address unprofessionalism (adjusted beta -0.22, 95% CI -0.40 to -0.03) was associated with burnout. Organizational culture and physician factors had an impact on professional fulfillment and burnout. Professional fulfillment partially mediated the relationship between organizational culture and burnout. Strategies that promote inclusion, respect and civility, and safe ways to report workplace unprofessionalism are needed in academic medicine.
format	article
author	Karen E A Burns Reena Pattani Edmund Lorens Sharon E Straus Gillian A Hawker
author_facet	Karen E A Burns Reena Pattani Edmund Lorens Sharon E Straus Gillian A Hawker
author_sort	Karen E A Burns
title	The impact of organizational culture on professional fulfillment and burnout in an academic department of medicine.
title_short	The impact of organizational culture on professional fulfillment and burnout in an academic department of medicine.
title_full	The impact of organizational culture on professional fulfillment and burnout in an academic department of medicine.
title_fullStr	The impact of organizational culture on professional fulfillment and burnout in an academic department of medicine.
title_full_unstemmed	The impact of organizational culture on professional fulfillment and burnout in an academic department of medicine.
title_sort	impact of organizational culture on professional fulfillment and burnout in an academic department of medicine.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/015296255ecf4f1fbf377cb271af60df
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The impact of organizational culture on professional fulfillment and burnout in an academic department of medicine.

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