Evidence map›Paper›PMID 28008006›Full record

ArticleBMJ quality & safety2017

The associations between work-life balance behaviours, teamwork climate and safety climate: cross-sectional survey introducing the work-life climate scale, psychometric properties, benchmarking data and future directions.

J Bryan Sexton, Stephanie P Schwartz, Whitney A Chadwick, Kyle J Rehder, Jonathan Bae, Joanna Bokovoy, Keith Doram, Wayne Sotile, Kathryn C Adair, Jochen Profit

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in BMJ quality & safety, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
9.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 99 citations in OpenAlex.

  1. Pooled it
  2. "WISER" intervention to reduce healthcare worker burnout - 1 year follow up.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Trial
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  5. Randomized controlled trial of the "WISER" intervention to reduce healthcare worker burnout.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Trial
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  19. Patient Safety and Staff Well-Being: Organizational Culture as a Resource.International journal of environmental research and public health · 2022
    Article
  20. Work from Home Challenges of the Pandemic Era in Hong Kong: A Stimulus-Organism-Response Perspective.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

J Bryan SextonDuke Patient Safety Center, Duke University Health System, Durham, North Carolina, USA.
Stephanie P SchwartzDivision of Pediatric Critical Care Medicine, Department of Pediatrics, Duke Children's Hospital and Health Center, Durham, North Carolina, USA.
Whitney A ChadwickDepartment of Pediatrics, Lucile Salter Packard Children's Hospital at Stanford, Palo Alto, California, USA.
Kyle J RehderDuke Patient Safety Center, Duke University Health System, Durham, North Carolina, USA.
Jonathan BaeDuke Hospital Medicine, Department of Medicine, Duke University Health System, Durham, North Carolina, USA.
Joanna BokovoyAdventist Health, Roseville, California, USA.
Keith DoramAdventist Health, Roseville, California, USA.
Wayne SotileThe Sotile Center for Resilience, Davidson, North Carolina, USA.
Kathryn C AdairDuke Patient Safety Center, Duke University Health System, Durham, North Carolina, USA.
Jochen ProfitDivision of Neonatology, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, California, USA.
Duke University Health System · USDuke Children's Hospital & Health Center · USLucile Packard Children's Hospital · USDavidson College · US

Funding

The WISER StudyR01HD084679 · NICHD · STANFORD UNIVERSITY · PI PROFIT, JOCHEN, SEXTON, JOHN BRYAN · 2015 to 2018
$2.2M
NICHD NIH HHS R01 HD084679
6 · The paper itself

Abstract

backgroundImproving the resiliency of healthcare workers is a national imperative, driven in part by healthcare workers having minimal exposure to the skills and culture to achieve work-life balance (WLB). Regardless of current policies, healthcare workers feel compelled to work more and take less time to recover from work. Satisfaction with WLB has been measured, as has work-life conflict, but how frequently healthcare workers engage in specific WLB behaviours is rarely assessed. Measurement of behaviours may have advantages over measurement of perceptions; behaviours more accurately reflect WLB and can be targeted by leaders for improvement.

objectives1. To describe a novel survey scale for evaluating work-life climate based on specific behavioural frequencies in healthcare workers.2. To evaluate the scale's psychometric properties and provide benchmarking data from a large healthcare system.3. To investigate associations between work-life climate, teamwork climate and safety climate.

methodsCross-sectional survey study of US healthcare workers within a large healthcare system.

results7923 of 9199 eligible healthcare workers across 325 work settings within 16 hospitals completed the survey in 2009 (86% response rate). The overall work-life climate scale internal consistency was Cronbach α=0.790. t-Tests of top versus bottom quartile work settings revealed that positive work-life climate was associated with better teamwork climate, safety climate and increased participation in safety leadership WalkRounds with feedback (p<0.001). Univariate analysis of variance demonstrated differences that varied significantly in WLB between healthcare worker role, hospitals and work setting.

conclusionsThe work-life climate scale exhibits strong psychometric properties, elicits results that vary widely by work setting, discriminates between positive and negative workplace norms, and aligns well with other culture constructs that have been found to correlate with clinical outcomes.

Indexed as

Attitude of Health PersonnelGroup ProcessesOrganizational CultureBenchmarkingCross-Sectional StudiesFemaleHospital AdministrationHumansMalePatient Care TeamPsychometricsSafety ManagementWork-Life BalanceSafety cultureSurveysTeamwork

Identifiers

PMID28008006
PMCPMC5481495
OpenAlexW2567691107

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.