Evidence map›Paper›PMID 31015224›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2019

Association of GP wellbeing and burnout with patient safety in UK primary care: a cross-sectional survey.

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

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

38 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  20. Association of strong opioids and antibiotics prescribing with GP burnout: a retrospective cross-sectional study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Louise H HallSchool of Psychology, University of Leeds, Leeds, and Yorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, Bradford.
Judith JohnsonSchool of Psychology, University of Leeds, Leeds, and Yorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, Bradford.
Ian WattDepartment of Health Sciences, University of York, York, and Hull York Medical School, York.
Daryl B O'ConnorSchool of Psychology, University of Leeds, Leeds.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGPs have particularly high levels of burnout and poor wellbeing. Although both are associated with poorer safety outcomes within secondary care, there have been no quantitative studies investigating this within primary care. Furthermore, little is known about how occupational demands, burnout and wellbeing, and patient safety are all associated.

aimTo investigate whether occupational variables (demands and support) are associated with patient safety outcomes in general practice through their influence on GP burnout and wellbeing. DESIGN AND

settingCross-sectional survey in the UK between March 2016 and August 2017.

methodA total of 232 practising GPs completed an online or paper survey measuring burnout, wellbeing, occupational demands and support, and patient safety.

resultsIn all, 93.8% of GPs were classed as likely to be suffering from a minor psychiatric disorder, 94.7% as suffering from mild (22.0%) or severe (72.7%) exhaustion, and 86.8% as having mild (37.9%) or severe (48.9%) disengagement. Structural equation modelling (SEM) analyses showed that spending a higher number of hours on administrative tasks and on call, and feeling less supported in their practice, was associated with lower wellbeing, which in turn was associated with a higher likelihood of having reported a near miss in the previous 3 months. A higher number of hours spent on administrative tasks, a higher number of patients seen per day, and feeling less supported were associated with higher burnout levels, which in turn was associated with worse perceptions of safety.

conclusionTo improve patient safety within general practice changes could be made at both practice and individual levels to promote a healthier work environment for staff and patients.

Indexed as

Patient SafetyPrimary Health CareAdultAgedBurnout, ProfessionalCross-Sectional StudiesFemaleGeneral PractitionersHumansMaleMental HealthMiddle AgedNear Miss, HealthcareSurveys and QuestionnairesUnited Kingdomburnoutgeneral practicegeneral practitionerspatient safetyprofessionalsupportwellbeing

Identifiers

PMID31015224
PMCPMC6592321

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.