ArticleAmerican journal of industrial medicine2023
Multidimensional stressors and protective factors shaping physicians' work environments and work-related well-being in two large US cities during COVID-19.
Article in American journal of industrial medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- A scoping review of post-earthquake burnout of doctors/nurses and gaps in preventive and GIS-supported interventions: case of Türkiye and Syria.BMC public health · 2026Article
- Reflections of rural primary care physicians on the impact of the COVID-19 pandemic: a qualitative study.BMC primary care · 2025Article
- Evolution of stressors for healthcare workers over the COVID-19 pandemic.Occupational medicine (Oxford, England) · 2025Article
- Combined empowerment, continuous appraisal, psychological and career counseling improve medical cadets' satisfaction and may potentially offset burnout during internship year. An 18-months successful experience in a tertiary medical center.Frontiers in public health · 2024Article
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Authors and funding
6 authors.
Funding
Abstract
introductionClinician burnout and poor work-related well-being reached a critical inflection point during the COVID-19 pandemic. This article applies a novel conceptual model informed by the Total Worker Health® approach to identify and describe multilevel stressors and protective factors that affected frontline physicians' work environments and work-related well-being.
methodsWe conducted a qualitative study of hospital-based physicians from multiple hospital types in Los Angeles and Miami who cared for COVID-19 patients. Semistructured interviews lasting 60-90 min were conducted over Zoom. Interview transcripts were thematically coded using Dedoose qualitative software.
resultsThe final sample of 66 physicians worked in 20 hospitals. Stressors in the social, political, and economic environment included dealing with the politicization of COVID-19, including vaccine hesitancy; state and federal governmental COVID-19 policies and messaging; and shifting CDC guidance. Employment and labor pattern stressors included the national nursing shortage, different policies for paid time off, furloughs, reduced pay, and layoffs. Organizational-level stressors included institutional policies, staffing constraints and high patient volume (i.e., increased number of cases and longer lengths of stay), and perceived poor leadership. At the individual worker level, stressors included concerns about viral transmission to family, strained personal relationships, and work-life fit, particularly for those with young children. Respondents identified promising protective factors at multiple levels, including responsive state leadership, job security, concrete opportunities to provide input into institutional policy, strong leadership and communication, and feeling cared for by one's institution.
conclusionFindings support a multi-level strategy that acknowledges internal organizational and external factors shaping clinicians' work-related well-being, consistent with the Total Worker Health® approach.
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