Evidence map›Paper›PMID 36038756›Full record

ArticleJournal of general internal medicine2023

"Where You Feel Like a Family Instead of Co-workers": a Mixed Methods Study on Care Teams and Burnout.

Monica A Lu, Jacqueline O'Toole, Matthew Shneyderman, Suzanne Brockman, Carolyn Cumpsty-Fowler, Deborah Dang, Carrie Herzke, Cynthia S Rand, Heather F Sateia, Erin Van Dyke and 2 more

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Integrating Adverse Childhood Experiences and Social Risks Screening in Adult Primary Care.Journal of the American Board of Family Medicine : JABFM · 2025
    Article
  8. Article
  9. Article
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

12 authors.

Monica A LuDepartment of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD, USA.ORCID http://orcid.org/0000-0002-5798-4157
Jacqueline O'TooleDepartment of Medicine, Johns Hopkins School of Medicine, 600 N, Wolfe St, Osler 763, Baltimore, MD, 21287, USA.
Matthew ShneydermanDepartment of Medicine, Johns Hopkins School of Medicine, 600 N, Wolfe St, Osler 763, Baltimore, MD, 21287, USA.
Suzanne BrockmanJohns Hopkins Health System, Baltimore, MD, USA.
Carolyn Cumpsty-FowlerJohns Hopkins Health System, Baltimore, MD, USA.
Deborah DangJohns Hopkins Medicine, Baltimore, MD, USA.
Carrie HerzkeDepartment of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Cynthia S RandDepartment of Medicine, Johns Hopkins School of Medicine, 600 N, Wolfe St, Osler 763, Baltimore, MD, 21287, USA.
Heather F SateiaDepartment of Medicine, Johns Hopkins School of Medicine, 600 N, Wolfe St, Osler 763, Baltimore, MD, 21287, USA.
Erin Van DykeThe Johns Hopkins Hospital, Baltimore, MD, USA.
Michelle N EakinDepartment of Medicine, Johns Hopkins School of Medicine, 600 N, Wolfe St, Osler 763, Baltimore, MD, 21287, USA.
E Lee Daugherty BiddisonDepartment of Medicine, Johns Hopkins School of Medicine, 600 N, Wolfe St, Osler 763, Baltimore, MD, 21287, USA. Lee.biddison@jhmi.edu.

Funding

MULTIDISCIPLINARY TRAINING PROGRAM IN LUNG DISEASEST32HL007534 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Nadia N Hansel, Larissa A. Shimoda · 1985 to 2026
$28.3M
Multidisciplinary Training Program in Pediatric PulmonaryT32HL072748 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Joseph Michael Collaco · 2003 to 2026
$6.1M
Medication plan concordance between patients and providers in COPD patientsF32HL143864 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI O' TOOLE, JACQUELINE · 2018 to 2019
$141k
NHLBI NIH HHS F32 HL143864NHLBI NIH HHS T32 HL007534NHLBI NIH HHS T32 HL072748NIH HHS F32 HL143864-01NIH HHS NIH 5T32HL072748-18NIH HHS NIH 5T32HL072748-19NIH HHS T32HL007534
6 · The paper itself

Abstract

backgroundPhysicians and nurses face high levels of burnout. The role of care teams may be protective against burnout and provide a potential target for future interventions.

objectiveTo explore levels of burnout among physicians and nurses and differences in burnout between physicians and nurses, to understand physician and nurse perspectives of their healthcare teams, and to explore the association of the role of care teams and burnout.

designA mixed methods study in two school of medicine affiliated teaching hospitals in an urban medical center in Baltimore, Maryland.

participantsParticipants included 724 physicians and 971 nurses providing direct clinical care to patients. MAIN MEASURES AND APPROACH: Measures included survey participant characteristics, a single-item burnout measure, and survey questions on care teams and provision of clinical care. Thematic analysis was used to analyze qualitative survey responses from physicians and nurses. KEY

resultsForty-three percent of physicians and nurses screened positive for burnout. Physicians reported more isolation at work than nurses (p<0.001), and nurses reported their care teams worked efficiently together more than physicians did (p<0.001). Team efficiency was associated with decreased likelihood of burnout (p<0.01), and isolation at work was associated with increased likelihood of burnout (p<0.001). Free-text responses revealed themes related to care teams, including emphasis on team functioning, team membership, and care coordination and follow-up. Respondents provided recommendations about optimizing care teams including creating consistent care teams, expanding interdisciplinary team members, and increasing clinical support staffing.

conclusionsMore team efficiency and less isolation at work were associated with decreased likelihood of burnout. Free-text responses emphasized viewpoints on care teams, suggesting that better understanding care teams may provide insight into physician and nurse burnout.

Indexed as

Burnout, ProfessionalPhysiciansEmotionsHospitals, TeachingHumansPatient Care Teamcare teamsnurse burnoutphysician burnout

Identifiers

PMID36038756
PMCPMC9422940

What OpenQuestion holds

Textmetadata
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.