Evidence map›Paper›PMID 39773811›Full record

SynthesisBMJ open2025

Relationship between staff experience and patient outcomes in hospital settings: an overview of reviews.

Peter Bragge, Veronica Delafosse, Paul Kellner, Ngo Cong-Lem, Diki Tsering, Melita J Giummarra, Natasha A Lannin, Nadine Andrew, Sandra Reeder

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Care Provider Perceptions of Person-Centeredness in Geriatric Care.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
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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

9 authors.

Peter BraggeMonash Sustainable Development Institute Evidence Review Service, Monash University, Melbourne, Victoria, Australia.
Veronica DelafosseMonash Sustainable Development Institute Evidence Review Service, Monash University, Melbourne, Victoria, Australia.
Paul KellnerMonash Sustainable Development Institute Evidence Review Service, Monash University, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-8085-991X
Ngo Cong-LemMonash Sustainable Development Institute Evidence Review Service, Monash University, Melbourne, Victoria, Australia.ORCID http://orcid.org/0009-0005-3299-477X
Diki TseringMonash Sustainable Development Institute Evidence Review Service, Monash University, Melbourne, Victoria, Australia.
Melita J GiummarraDepartment of Neurosciences, Faculty of Medicine Nursing and Health Sciences Monash University, Melbourne, Victoria, Australia.
Natasha A LanninDepartment of Neurosciences, Faculty of Medicine Nursing and Health Sciences Monash University, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-2066-8345
Nadine AndrewDepartment of Neurosciences, Faculty of Medicine Nursing and Health Sciences Monash University, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-4846-2840
Sandra ReederDepartment of Neurosciences, Faculty of Medicine Nursing and Health Sciences Monash University, Melbourne, Victoria, Australia sandra.reeder@monash.edu.ORCID http://orcid.org/0000-0001-7942-0179

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis review aimed to investigate the relationship between staff experience and patient health and experience outcomes in hospital inpatient settings.

designSystematic review of reviews.

methodsSearches were performed in Medline (OVID), CINAHL and Google Scholar using key terms from relevant review articles. The search was conducted on 28 August 2023. Inclusion criteria were systematic or narrative reviews in English from 2020 onwards, focusing on inpatients in hospital and related tertiary care facilities, examining the relationship between staff experience and patient outcomes. A review of reviews approach was used, with broad definitions for staff experience (eg, hospital culture, stress and burnout) and patient outcomes (eg, adverse events and patient experience). Independent screening and quality appraisal were conducted by two researchers. An evidence map of links between staff experience and patient outcomes was created. The methodological quality of systematic reviews was assessed using the AMSTAR 2 tool and narrative reviews with the SANRA tool.

resultsFrom 2365 citations, 21 reviews (18 systematic, 3 narrative) were included. Review quality ranged from moderate to high. Mapping revealed 66 associations between staff experience and patient outcomes. Common associations included burnout, stress and fatigue with adverse events (six reviews); communication with patient satisfaction (four reviews) and teamwork with patient satisfaction (four reviews).

conclusionsStaff burnout, teamwork and communication practices directly impact adverse events and patient satisfaction. These findings guide hospital managers and clinicians in improving health service policies and practices. Further research is needed to strengthen the evidence base.

Indexed as

Patient SatisfactionBurnout, ProfessionalHospitalsHumansPersonnel, HospitalHospitalsPatient Reported Outcome MeasuresPatient SatisfactionSystematic ReviewWork Satisfaction

Identifiers

PMID39773811
PMCPMC11749438

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.