Change implementation: the association of adaptive reserve and burnout among inpatient medicine physicians and nurses.

Adaptive Reserve (AR) is positively associated with implementing change in ambulatory settings. Deficits in AR may lead to change fatigue or burnout. We studied the association of self-reported AR and burnout among providers to hospitalized medicine patients in an academic medical center. An electro...

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Published in:Journal of Interprofessional Care Vol. 32; no. 5; pp. 549 - 556
Main Authors: Huynh, Christine, Bowles, Darci, Yen, Miao-Shan, Phillips, Allison, Waller, Rachel, Hall, Lindsey, Tu, Shin-Ping
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Sep2018
Online Access:View this record in EBSCOhost
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      dt: Sep2018
      vid: 32
      iid: 5
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/13561820.2018.1451307
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        atl: Change implementation: the association of adaptive reserve and burnout among inpatient medicine physicians and nurses.
      aug:
        au:
          Huynh, Christine
          Bowles, Darci
          Yen, Miao-Shan
          Phillips, Allison
          Waller, Rachel
          Hall, Lindsey
          Tu, Shin-Ping
        affil: Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA, USA
      sug:
        subj:
          Burnout, Professional
          Physician Attitudes
          Nurse Attitudes
          Human
          Inpatients
          Self Report
          Academic Medical Centers
          Surveys
          Convenience Sample
          Hospitalists
          Regression
          Ambulatory Care
          Scales
      ab: Adaptive Reserve (AR) is positively associated with implementing change in ambulatory settings. Deficits in AR may lead to change fatigue or burnout. We studied the association of self-reported AR and burnout among providers to hospitalized medicine patients in an academic medical center. An electronic survey containing a 23-item Adaptive Reserve scale, burnout inventory, and demographic questions was sent to a convenience sample of nurses, house staff team members, and hospitalists. A total of 119 self-administered, online surveys collected from June 2014 to March 2015 were analyzed. Ordinal regression analyses were used to examine the association between AR and burnout. Eighty percent of participants reported either level 1 or 2 burnout. Additionally, 10.9% of participants responded level 0% and 7.6% of participants reported level 3. Participants reporting higher burnout were about three times more likely to report lower AR levels. AR is strongly associated with self-reported burnout by physicians and nurses providing inpatient care at this academic medical center. Growing evidence supports the positive association of AR to successful change implementation in ambulatory settings. Similar studies are needed to determine whether certain levels of AR can predict successful change in hospital settings.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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