ArticleJournal of healthcare management / American College of Healthcare Executives
Healthcare is a Team Sport: Stress, Resilience, and Correlates of Well-Being Among Health System Employees in a Crisis.
Article in Journal of healthcare management / American College of Healthcare Executives. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.
- Estimation of moral distress among nurses: A systematic review and meta-analysis.Nursing ethics · 2023Pooled it
- All the Lonely People: An Integrated Review and Research Agenda on Work and Loneliness.Journal of management · 2026Review
- Differential Sources of Distress in Clinical and Research Trainees: A Focus on Work and Role Relationships.Mayo Clinic proceedings. Innovations, quality & outcomes · 2025Article
- More than "hematology": a qualitative study on the experience of hematologists treating people with blood cancer in Greece.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- A Path to Improved Health Care Worker Well-being: Lessons from the COVID-19 Pandemic.NAM perspectives · 2025Review
- Organizational trust breaches among nurses and aides: A qualitative study.Nursing ethics · 2024Article
- Moral Stress and Moral Distress: Confronting Challenges in Healthcare Systems under Pressure.The American journal of bioethics : AJOB · 2024Article
- Individual and organizational factors influencing well-being and burnout amongst healthcare assistants: A systematic review.International journal of nursing studies advances · 2024Review
- Perceived stress from social isolation or loneliness among clinical and non-clinical healthcare workers during COVID-19.BMC public health · 2024Article
- Moral Distress and Moral Injury in Military Healthcare Clinicians: A Scoping Review.AJPM focus · 2024Article
- A mixed-methods analysis of moral injury among healthcare workers during the COVID-19 pandemic.PloS one · 2024Article
- Don't Go: Examining the Relationships Between Meaning, Work Environment and Turnover Intention Across the Entire Healthcare Team.Journal of multidisciplinary healthcare · 2024Article
- Towards Safer Spaces: An Empirical Investigation of Trainee Psychological Safety Within Academic Medical Centers.Advances in medical education and practice · 2024Article
- Nurses' perspectives on workplace environment needs associated to resilience: a qualitative descriptive study.Frontiers in psychiatry · 2024Article
- Exploring Resilience in Care Home Nurses: An Online Survey.Healthcare (Basel, Switzerland) · 2023Article
- Nursing during the COVID-19 pandemic: A reflective thematic analysis of how the hamster wheel shifted personal and professional control.Nursing open · 2023Article
- Changes in the prehospital emergency technician's resilience during the COVID-19 pandemic: A web-based cross-sectional study.Health science reports · 2023Article
- An Investigation of Organizational Correlates of Distress in Non-Clinician Biomedical Researchers in the United States.Journal of multidisciplinary healthcare · 2023Article
- Evolution of burnout and psychological distress in healthcare workers during the COVID-19 pandemic: a 1-year observational study.BMC psychiatry · 2022Observational
- Nurse scheduling in COVID-19-designated hospitals in China: A nationwide cross-sectional survey.Journal of nursing management · 2022Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
executive summaryWhile the COVID-19 pandemic has added stressors to the lives of healthcare workers, it is unclear which factors represent the most useful targets for interventions to mitigate employee distress across the entire healthcare team. A survey was distributed to employees of a large healthcare system in the Southeastern United States, and 1,130 respondents participated. The survey measured overall distress using the 9-item Well-Being Index (WBI), work-related factors, moral distress, resilience, and organizational-level factors. Respondents were also asked to identify major work, clinical, and nonwork stressors. Multivariate regression was used to evaluate associations between employee characteristics and WBI distress score. Overall, 82% of employees reported high distress (WBI ≥ 2), with nurses, clinical support staff, and advanced practice providers reporting the highest average scores. Factors associated with higher distress included increased job demands or responsibilities, heavy workload or long hours, higher frequency of moral distress, and loneliness or social isolation. Factors associated with lower distress were perceived organizational support, work control, perceived fairness of salary cuts, and resilience. Most factors significantly associated with distress-heavy workloads and long hours, increased job demands, and moral distress, in particular-were work-related, indicating that efforts can be made to mitigate them. Resilience explained a small portion of the variance in distress relative to other work-related factors. Ensuring appropriate staffing levels may represent the single largest opportunity to significantly move the needle on distress. However, the financial impact of the COVID-19 pandemic on the healthcare system may represent a barrier to addressing these stressors.
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