Could breaks reduce general practitioner burnout and improve safety? A daily diary study
Rates of burnout are currently at record high levels, and GPs experience higher burnout than many other specialties. Organisational interventions may reduce burnout, but few studies have investigated these in primary care. The current study investigated whether breaks, both with and without social i...
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| Published in | PloS one Vol. 19; no. 8; p. e0307513 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
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United States
Public Library of Science
27.08.2024
Public Library of Science (PLoS) |
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| Abstract | Rates of burnout are currently at record high levels, and GPs experience higher burnout than many other specialties. Organisational interventions may reduce burnout, but few studies have investigated these in primary care.
The current study investigated whether breaks, both with and without social interactions, were associated with burnout and patient safety perceptions in GPs.
A within-subjects, interval contingent, quantitative daily diary design.
UK GP practices.
Participants completed questionnaires at baseline measuring demographic variables, burnout and patient safety perceptions. They then completed a questionnaire in the evening each day for a week which captured whether they had taken a break that day, whether it involved a positive social interaction, burnout (comprising subscales of disengagement and exhaustion), positive and negative affect and patient safety perceptions. The data were analysed using hierarchical linear modelling to assess same-day and next-day associations.
We included 241 responses from 58 GPs for analysis. Taking at least one break (involving any or no social interactions) was associated with lower disengagement that day and lower exhaustion the next day. Taking at least one break involving a positive interaction was associated with 1) lower disengagement, exhaustion, overall burnout and negative affect on the same day, as well as higher positive affect and improved perceptions of patient safety, and 2) lower exhaustion and improved patient safety perceptions on the next day.
Organizing daily team or practice breaks where staff can socialise may help to reduce burnout and improve perceptions of patient safety. |
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| AbstractList | Background Rates of burnout are currently at record high levels, and GPs experience higher burnout than many other specialties. Organisational interventions may reduce burnout, but few studies have investigated these in primary care. Aim The current study investigated whether breaks, both with and without social interactions, were associated with burnout and patient safety perceptions in GPs. Design A within-subjects, interval contingent, quantitative daily diary design. Setting UK GP practices. Method Participants completed questionnaires at baseline measuring demographic variables, burnout and patient safety perceptions. They then completed a questionnaire in the evening each day for a week which captured whether they had taken a break that day, whether it involved a positive social interaction, burnout (comprising subscales of disengagement and exhaustion), positive and negative affect and patient safety perceptions. The data were analysed using hierarchical linear modelling to assess same-day and next-day associations. Results We included 241 responses from 58 GPs for analysis. Taking at least one break (involving any or no social interactions) was associated with lower disengagement that day and lower exhaustion the next day. Taking at least one break involving a positive interaction was associated with 1) lower disengagement, exhaustion, overall burnout and negative affect on the same day, as well as higher positive affect and improved perceptions of patient safety, and 2) lower exhaustion and improved patient safety perceptions on the next day. Conclusion Organizing daily team or practice breaks where staff can socialise may help to reduce burnout and improve perceptions of patient safety. Background Rates of burnout are currently at record high levels, and GPs experience higher burnout than many other specialties. Organisational interventions may reduce burnout, but few studies have investigated these in primary care. Aim The current study investigated whether breaks, both with and without social interactions, were associated with burnout and patient safety perceptions in GPs. Design A within-subjects, interval contingent, quantitative daily diary design. Setting UK GP practices. Method Participants completed questionnaires at baseline measuring demographic variables, burnout and patient safety perceptions. They then completed a questionnaire in the evening each day for a week which captured whether they had taken a break that day, whether it involved a positive social interaction, burnout (comprising subscales of disengagement and exhaustion), positive and negative affect and patient safety perceptions. The data were analysed using hierarchical linear modelling to assess same-day and next-day associations. Results We included 241 responses from 58 GPs for analysis. Taking at least one break (involving any or no social interactions) was associated with lower disengagement that day and lower exhaustion the next day. Taking at least one break involving a positive interaction was associated with 1) lower disengagement, exhaustion, overall burnout and negative affect on the same day, as well as higher positive affect and improved perceptions of patient safety, and 2) lower exhaustion and improved patient safety perceptions on the next day. Conclusion Organizing daily team or practice breaks where staff can socialise may help to reduce burnout and improve perceptions of patient safety. Rates of burnout are currently at record high levels, and GPs experience higher burnout than many other specialties. Organisational interventions may reduce burnout, but few studies have investigated these in primary care. The current study investigated whether breaks, both with and without social interactions, were associated with burnout and patient safety perceptions in GPs. A within-subjects, interval contingent, quantitative daily diary design. UK GP practices. We included 241 responses from 58 GPs for analysis. Taking at least one break (involving any or no social interactions) was associated with lower disengagement that day and lower exhaustion the next day. Taking at least one break involving a positive interaction was associated with 1) lower disengagement, exhaustion, overall burnout and negative affect on the same day, as well as higher positive affect and improved perceptions of patient safety, and 2) lower exhaustion and improved patient safety perceptions on the next day. Organizing daily team or practice breaks where staff can socialise may help to reduce burnout and improve perceptions of patient safety. BackgroundRates of burnout are currently at record high levels, and GPs experience higher burnout than many other specialties. Organisational interventions may reduce burnout, but few studies have investigated these in primary care.AimThe current study investigated whether breaks, both with and without social interactions, were associated with burnout and patient safety perceptions in GPs.DesignA within-subjects, interval contingent, quantitative daily diary design.SettingUK GP practices.MethodParticipants completed questionnaires at baseline measuring demographic variables, burnout and patient safety perceptions. They then completed a questionnaire in the evening each day for a week which captured whether they had taken a break that day, whether it involved a positive social interaction, burnout (comprising subscales of disengagement and exhaustion), positive and negative affect and patient safety perceptions. The data were analysed using hierarchical linear modelling to assess same-day and next-day associations.ResultsWe included 241 responses from 58 GPs for analysis. Taking at least one break (involving any or no social interactions) was associated with lower disengagement that day and lower exhaustion the next day. Taking at least one break involving a positive interaction was associated with 1) lower disengagement, exhaustion, overall burnout and negative affect on the same day, as well as higher positive affect and improved perceptions of patient safety, and 2) lower exhaustion and improved patient safety perceptions on the next day.ConclusionOrganizing daily team or practice breaks where staff can socialise may help to reduce burnout and improve perceptions of patient safety. Rates of burnout are currently at record high levels, and GPs experience higher burnout than many other specialties. Organisational interventions may reduce burnout, but few studies have investigated these in primary care.BACKGROUNDRates of burnout are currently at record high levels, and GPs experience higher burnout than many other specialties. Organisational interventions may reduce burnout, but few studies have investigated these in primary care.The current study investigated whether breaks, both with and without social interactions, were associated with burnout and patient safety perceptions in GPs.AIMThe current study investigated whether breaks, both with and without social interactions, were associated with burnout and patient safety perceptions in GPs.A within-subjects, interval contingent, quantitative daily diary design.DESIGNA within-subjects, interval contingent, quantitative daily diary design.UK GP practices.SETTINGUK GP practices.Participants completed questionnaires at baseline measuring demographic variables, burnout and patient safety perceptions. They then completed a questionnaire in the evening each day for a week which captured whether they had taken a break that day, whether it involved a positive social interaction, burnout (comprising subscales of disengagement and exhaustion), positive and negative affect and patient safety perceptions. The data were analysed using hierarchical linear modelling to assess same-day and next-day associations.METHODParticipants completed questionnaires at baseline measuring demographic variables, burnout and patient safety perceptions. They then completed a questionnaire in the evening each day for a week which captured whether they had taken a break that day, whether it involved a positive social interaction, burnout (comprising subscales of disengagement and exhaustion), positive and negative affect and patient safety perceptions. The data were analysed using hierarchical linear modelling to assess same-day and next-day associations.We included 241 responses from 58 GPs for analysis. Taking at least one break (involving any or no social interactions) was associated with lower disengagement that day and lower exhaustion the next day. Taking at least one break involving a positive interaction was associated with 1) lower disengagement, exhaustion, overall burnout and negative affect on the same day, as well as higher positive affect and improved perceptions of patient safety, and 2) lower exhaustion and improved patient safety perceptions on the next day.RESULTSWe included 241 responses from 58 GPs for analysis. Taking at least one break (involving any or no social interactions) was associated with lower disengagement that day and lower exhaustion the next day. Taking at least one break involving a positive interaction was associated with 1) lower disengagement, exhaustion, overall burnout and negative affect on the same day, as well as higher positive affect and improved perceptions of patient safety, and 2) lower exhaustion and improved patient safety perceptions on the next day.Organizing daily team or practice breaks where staff can socialise may help to reduce burnout and improve perceptions of patient safety.CONCLUSIONOrganizing daily team or practice breaks where staff can socialise may help to reduce burnout and improve perceptions of patient safety. Rates of burnout are currently at record high levels, and GPs experience higher burnout than many other specialties. Organisational interventions may reduce burnout, but few studies have investigated these in primary care. The current study investigated whether breaks, both with and without social interactions, were associated with burnout and patient safety perceptions in GPs. A within-subjects, interval contingent, quantitative daily diary design. UK GP practices. Participants completed questionnaires at baseline measuring demographic variables, burnout and patient safety perceptions. They then completed a questionnaire in the evening each day for a week which captured whether they had taken a break that day, whether it involved a positive social interaction, burnout (comprising subscales of disengagement and exhaustion), positive and negative affect and patient safety perceptions. The data were analysed using hierarchical linear modelling to assess same-day and next-day associations. We included 241 responses from 58 GPs for analysis. Taking at least one break (involving any or no social interactions) was associated with lower disengagement that day and lower exhaustion the next day. Taking at least one break involving a positive interaction was associated with 1) lower disengagement, exhaustion, overall burnout and negative affect on the same day, as well as higher positive affect and improved perceptions of patient safety, and 2) lower exhaustion and improved patient safety perceptions on the next day. Organizing daily team or practice breaks where staff can socialise may help to reduce burnout and improve perceptions of patient safety. |
| Audience | Academic |
| Author | Hall, Louise H. O’Connor, Daryl B. Johnson, Judith Watt, Ian |
| AuthorAffiliation | 2 School of Psychology, University of Leeds, Leeds, United Kingdom 4 School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW, Australia 3 Yorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford Royal Infirmary, Bradford, United Kingdom 1 Research Fellow, School of Medicine, University of Leeds, Leeds, United Kingdom 5 Hull York Medical School, University of York, York, United Kingdom Kwame Nkrumah University of Science and Technology, GHANA |
| AuthorAffiliation_xml | – name: Kwame Nkrumah University of Science and Technology, GHANA – name: 5 Hull York Medical School, University of York, York, United Kingdom – name: 3 Yorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford Royal Infirmary, Bradford, United Kingdom – name: 4 School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW, Australia – name: 1 Research Fellow, School of Medicine, University of Leeds, Leeds, United Kingdom – name: 2 School of Psychology, University of Leeds, Leeds, United Kingdom |
| Author_xml | – sequence: 1 givenname: Louise H. orcidid: 0000-0001-9032-4540 surname: Hall fullname: Hall, Louise H. – sequence: 2 givenname: Judith orcidid: 0000-0003-0431-013X surname: Johnson fullname: Johnson, Judith – sequence: 3 givenname: Ian surname: Watt fullname: Watt, Ian – sequence: 4 givenname: Daryl B. surname: O’Connor fullname: O’Connor, Daryl B. |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/39190672$$D View this record in MEDLINE/PubMed |
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| Snippet | Rates of burnout are currently at record high levels, and GPs experience higher burnout than many other specialties. Organisational interventions may reduce... Background Rates of burnout are currently at record high levels, and GPs experience higher burnout than many other specialties. Organisational interventions... BackgroundRates of burnout are currently at record high levels, and GPs experience higher burnout than many other specialties. Organisational interventions may... Background Rates of burnout are currently at record high levels, and GPs experience higher burnout than many other specialties. Organisational interventions... |
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| Title | Could breaks reduce general practitioner burnout and improve safety? A daily diary study |
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