Evidence map›Paper›PMID 40488340›Full record

ArticleLeadership in health services (Bradford, England)2025

Association of well-being-centered leadership with burnout and professional fulfillment among physicians: mediating effects of autonomy support and self-valuation.

Anthony C Waddimba, Jamile Ashmore, Megan E Douglas, Linda M Thompson, Colleen Parro, J Michael DiMaio, Tait D Shanafelt

Abstract read
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In one paragraph

Article in Leadership in health services (Bradford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
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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

7 authors.

Anthony C WaddimbaDepartment of Surgery, Division of Surgical Research, Baylor University Medical Center, Dallas, Texas, USA; Research Institute, Baylor Scott and White Health, Dallas, Texas, USA, and Department of Medical Education, Texas A&M University College of Medicine, Dallas, Texas, USA.
Jamile AshmoreOffice of Professionalism and Well-being, Baylor Scott and White-The Heart Hospital, Plano, Texas, USA, and Department of Medical Education, Texas A&M University College of Medicine, Dallas, Texas, USA.
Megan E DouglasResearch Institute, Baylor Scott and White Health, Dallas, Texas, USA.
Linda M ThompsonDepartment of Psychology, University of North Texas, Denton, Texas, USA, and Research Institute, Baylor Scott and White Health, Dallas, Texas, USA.
Colleen ParroResearch Institute, Baylor Scott and White Health, Dallas, Texas, USA, and Academic Research Team, Baylor Scott and White-The Heart Hospital, Plano, Texas, USA.
J Michael DiMaioDivision of Cardiothoracic Surgery, Baylor Scott and White-The Heart Hospital, Plano, Texas, USA; Research Institute, Baylor Scott and White Health, Dallas, Texas, USA, and Department of Biomedical Engineering, Texas A&M University College of Medicine, College Station, Texas, USA.
Tait D ShanafeltDepartment of Medicine, Stanford University School of Medicine, Palo Alto, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aims to investigate autonomy support and self-valuation as potential mechanisms by which supportive leadership improves physician well-being. Supportive leadership is one of the strongest predictors of physician well-being. However, mechanisms by which leadership behavior influences well-being remain unknown. The authors hypothesized that autonomy support and self-valuation mediate this relationship. DESIGN/METHODOLOGY/APPROACH: This was a cross-sectional survey-based study of physicians in a tri-hospital cardiovascular health system in southwestern USA. An anonymized multidimensional questionnaire comprising standardized and pre-validated measures of leadership behavior, self-valuation, autonomy support, fulfillment and burnout was e-mailed to 815 eligible physicians in February 2024. Hypothesized multivariable pathways were investigated via structural equation modeling.

findingsIn total, 122 participants answered the survey, 99 providing complete responses. Respondents were 75.76% male, 54.54% aged 41 to < 65 years, 44.44% white, 21.21% Asian and 52.52% in practice for ≥ 15 years. Reliabilities of ordinal scales were all ≥ 0.700, and univariate correlations were in expected directions. Fully, 24.24% of respondents were burned out, 63.64% professionally fulfilled, 70.71% had high autonomy support and 55.56% high self-valuation. Indirect effects of leadership support on fulfillment and burnout, mediated via autonomy support and self-valuation, were more significant than direct effects. Findings supported the study hypothesis that leadership support improves fulfillment and reduces burnout among physicians partly by fostering autonomy and self-valuation. ORIGINALITY/VALUE: Autonomy support and self-valuation within physician teams are highlighted as factors whose improvement well-being-centered leadership training programs specifically should target.

Indexed as

Burnout, ProfessionalJob SatisfactionLeadershipPersonal AutonomyPhysiciansAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedProfessional AutonomySurveys and QuestionnairesAutonomy supportMediated structural equation modelPhysician burnoutProfessional fulfillmentSelf-valuationWell-being-centered leadership

Identifiers

PMID40488340
PMCPMC12616283

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Registered trials

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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.