ArticleFrontiers in psychiatry2022
Understanding the Link Between Burnout and Sub-Optimal Care: Why Should Healthcare Education Be Interested in Employee Silence?
Article in Frontiers in psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 19 citations in OpenAlex.
- Exploring the causes of work-related stress and burnout among doctors in Bangladesh: a qualitative study.International journal of qualitative studies on health and well-being · 2026Article
- Article
- A qualitative exploration of clinicians' experiences and perceptions of a well-being leadership development training program.BMC health services research · 2026Article
- When I say … workforce sustainability.Medical education · 2026Article
- From blame to learning: implementing a just culture program for head nurses and its impact on silent behavior and error reporting among staff nurses.BMC nursing · 2026Article
- Leadership and Mentorship in Oncology: Navigating the Mid-Level Consultant Journey.Indian journal of surgical oncology · 2025Article
- Assessing the psychobiological demands of high-fidelity training in pre-hospital emergency medicine.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- What inhibits "speaking up" for patient safety among healthcare workers? A cross-sectional study in Malaysia.Human resources for health · 2024Article
- Why Talking Is Not Cheap: Adverse Events and Informal Communication.Healthcare (Basel, Switzerland) · 2024Article
- Veterinarian burnout demographics and organizational impacts: a narrative review.Frontiers in veterinary science · 2023Review
- An integrative systematic review of employee silence and voice in healthcare: what are we really measuring?Frontiers in psychiatry · 2023Review
- Creating healthy workplaces in healthcare: Are we delaying progress by focusing on what we can do rather than what we should do?Frontiers in public health · 2023Article
- The effect of perceived stress on organizational silence in emergency service doctors in Turkey: The mediating role of emotional intelligence.Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Evidence on the association of burnout with objective indicators of performance is scarce in healthcare. In parallel, healthcare professionals ameliorate the short-term impact of burnout by prioritizing some tasks over others. The phenomenon of employee silence can help us understand the evolution of how culture is molded toward the prioritization of some tasks over others, and how this contributes to burnout. Silence in healthcare has been associated with concealing errors, reduced patient safety, and covering up errors made by others. Conversely, there is evidence that in organizations where employees are encouraged to speak up about concerns, and where concerns are responded to appropriately, better patient outcomes such as improved patient safety and patient experience occur. Interventions to promote "speaking-up" in healthcare have not been successful and are rooted in a professional culture that does not promote speaking out. In this paper, we review the evidence that exists within healthcare to argue why healthcare education should be interested in employee silence, and how silence is a key factor in understanding how burnout develops and impacts quality of care. The following key questions have been addressed; how employee silence evolves during medical education, how is silence maintained after graduation, and how can leadership style contribute to silence in healthcare. The impact of withholding information on healthcare professional burnout, patient safety and quality of care is significant. The paper concludes with a suggested future research agenda and additional recommendations.
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