Health  Vol.8 No.6 , April 2016
Organizational Contributions to Healthcare Worker (HCW) Burnout and Workplace Violence (WPV) Overlap: Is This an Opportunity to Sustain Prevention of Both?
Abstract: The effects of Burnout in healthcare workers (HCW) are experienced by the worker, other staff, the institution and patients under their care on a daily basis. Workplace violence (WPV) has a spectrum of forms. In more extreme forms it generally is low frequency but has high impact when it occurs. Healthcare systems’ efforts to reduce Burnout are more likely to remain sustained since the impact is experienced daily and awareness is increasingly publicized. The efforts to reduce WPV are harder to sustain due to the lower frequency combined with daily competing administrative demands despite best intentions. Could efforts to reduce the overlapping organizational contributions to both HCW Burnout and WPV be a strategy to sustain prevention of WPV while preventing Burnout? A model of overlapping organizational contributions to HCW Burnout and WPV is built from supporting literature. Recommendations are made for leadership and management interventions. Potential benefits would be higher quality and satisfaction in patient care by means of higher satisfaction in the delivery of care, recruitment and retention of excellent staff, retention of high quality institutional knowledge and reputation.
Cite this paper: Privitera, M. (2016) Organizational Contributions to Healthcare Worker (HCW) Burnout and Workplace Violence (WPV) Overlap: Is This an Opportunity to Sustain Prevention of Both?. Health, 8, 531-537. doi: 10.4236/health.2016.86056.

[1]   Privitera, M. and Arnetz, J (2011) Effect of Workplace Violence on Staff, Institution, and Quality of Patient Care. In: Privitera, M.R., Ed., Workplace Violence in Mental and General Healthcare Settings, Jones and Bartlett Publishers, Sudbury, 29-42.

[2]   Occupational Safety and Health Administration (OSHA) General Duty Clause. Section, 5(a)(1).

[3]   Bowie, V. (2011) An Emerging Awareness of the Role Organizational Culture and Management Style Can Plan in Triggering Workplace Violence. In: .Privitera, M.R., Ed., Workplace Violence in Mental and General Healthcare Settings, Jones and Bartlett Publishers, Sudbury, 43-58.

[4]   Privitera, M.R., Bowie, V. and Bowen, B. (2015) Translational Models of Workplace Violence in Health Care. Violence and Victims, 30, 293-307.

[5]   Lin, Y.-W. (2013) The Causes, Consequences, and Mediating Effects of Job Burnout Among Hospital Employees in Taiwan. Journal of Hospital Administration, 2, 15-27.

[6]   Rosenstein, A. (2012) Physician Stress and Burnout: What Can We Do? American College of Physician Executives, 38, 22-30.

[7]   Privitera, M.R., Bowie, V. and Bowen, B. (2014) Overlapping Organizational Contributions to Workplace Violence (WPV) and Workforce Burnout in Healthcare: Is Reduction of Burnout and Opportunity to Reduce Both? In: Needham, I., Kingma, M., et al., Eds., 4th International Conference on Violence in the Health Sector. Towards Safety, Security, and Wellbeing for All, Kavana, 22-24 October 2014, 183-184.

[8]   Department of Health and Human Services, Centers for Disease Control and Prevention (2008) National Institute for Occupational Safety and Health. Exposure to Stress. Occupational Hazards in Hospitals.

[9]   Maslach, C., Schaufeli, W.B. and Leiter, M.P. (2001) Job Burnout. Annual Review of Psychology, 52, 397-422.

[10]   Shanafelt, T., West, C., et al. (2009) Career Fit and Burnout among Academic Faculty. Archives of Internal Medicine, 169, 990-995.

[11]   Maslach, C. and Leiter, M.P. (1997) The Truth About Burnout. How Organizations Cause Personal Stress and What To Do About It. Jossey-Bass Publishers, San Francisco.

[12]   Sweller, J. (1994) Cognitive Load Theory, Learning Difficulty and Instructional Design. Learning and Instruction, 4, 295-312.

[13]   Hafferty, F.W. and Franks, R. (1994) The Hidden Curriculum, Ethics Teaching, and The Structure of Medical Education. Academic Medicine, 69, 861-871.

[14]   Bloom, S.L. and Farragher, B. (2011) I Gotta Get Out of This Place: Workplace Stress as a Threat to Public Health. In: Bloom, S.L. and Farragher, B., Eds., Destroying Sanctuary. The Crisis in Human Service Delivery Systems, Oxford University Press, New York, 61-90.

[15]   de Beer, L., Pienaar, J. and Rothmann, S. ( 2013) Linking Employee Burnout to Medical Aid Provider Expenditure. South African Medical Journal, 103, 89-93.

[16]   Anagnostopoulos, F., Liolios, E., Persefonis, G., Slater, J., Kafetsios, K. and Niakas, D. (2012) Physician Burnout and Patient Satisfaction with Consultation in Primary Health Care Settings: Evidence of Relationships from a One-with- Many Design. Journal of Clinical Psychology in Medical Settings, 19, 401-410.

[17]   Privitera, M.R., Rosenstein, A.H., Plessow, F. and LoCastro, T.M. (2015) Physician Burnout and Occupational Stress: An Inconvenient Truth with Unintended Consequences. Journal of Hospital Administration, 4, 1-8.

[18]   Arnsten, A.F.T. (2009) Stress Signaling Pathways That Impair Prefrontal Cortex Structure and Function. Nature, 10, 410-422.

[19]   Liston, C., McEwen, B.S. and Casey, B.J. (2009) Psychosocial Stress Reversibly Disrupts Prefrontal Processing and Attentional Control. Proceedings of the National Academy of Sciences, 106, 921-917.

[20]   Plessow, F., Kiesel, A. and Kirschbaum, C. (2012) The Stressed Pre-frontal Cortex and Goal-Directed Behavior: Acute Psychosocial Stress Impairs the Flexible Implementation of Task Goals. Experimental Brain Research, 216, 397-408.

[21]   Savic, I. (2013) Structural Changes of the Brain in Relation to Occupational Stress. Cerebral Cortex, 25, 1554-1564.

[22]   Leh, S.E., Petrides, M. and Strafella, A.P. (2010) The Neural Circuity of Executive Functions in Healthy Subjects and Parkinson’s Disease. Neuropsychopharmacology, 35, 70-85.

[23]   Zapf, D., Seifert, C., Schmuttee, B., Mertini, H. and Holtz, M. (2001) Emotion Work and Job Stressors and Their Effects On Burnout. Psychology and Health, 16, 527-545.

[24]   Arnsten, A.F.T. (1998) The Biology of Being Frazzled. Science, 280, 1711-1712.

[25]   Privitera, M.R., Plessow, F. and Rosenstein, A.H. (2015) Burnout as a Safety Issue: How Physician Cognitive Workload Impacts Care. National Patient Safety Foundation e-News.

[26]   Toker, S., Melamed, S., Berliner, S., Zeltser, D. and Shapira, I. (2012) Burnout and Risk of Coronary Heart Disease: A Prospective Study of 8838 Employees. Psychosomatic Medicine, 74, 840-847.

[27]   DiMartino, V. (2003) Relationship of Work Stress and Workplace Violence in the Health Sector. Joint Programme on Workplace Violence in the Health Sector.

[28]   Burton, J., Industrial Accident Prevention Association (2008) The Business Case for a Healthy Workplace.

[29]   The Joint Commission. Sentinel Event Alert (2008) Behaviors That Undermine a Culture of Safety. Issue 40.

[30]   Bowen, B., Privitera, M.R. and Bowie, V. (2011) Reducing Workplace Violence by Creating Healthy Workplace Environments. Journal of Aggression Conflict and Peace Research, 3, 185-198.

[31]   O’Boyle, E.H., Forsyth, D.R. and O’Boyle, A.S. (2011) Bad Apples or Bad Barrels: An Examination of Group-and Organizational-Level Effects in the Study of Counterproductive Behavior. Group & Organization Management, 36, 39-69.

[32]   Findorff, M.J., McGovern, P.M. and Sinclair, S. (2005) Work-Related Violence Policy: A Process Evaluation. AAOHN Journal, 53, 360-369.

[33]   Caldwell, M.F. (1992) Incidence of PTSD among Staff Victims of Patient Violence. Hospital & Community Psychiatry, 4, 838-839.

[34]   Chen, P.Y. and Spector, P.E. (1991) Relationships of Work Stressors With Aggression, Withdrawal, Theft and Substance Abuse: An Exploratory Study. Journal of Occupational and Organizational Psychology, 65, 177-184.

[35]   Estryn-Behar, M., van der Heijden, B., et al. (2008) The NEXT Study Group. Violence Risks in Nursing—Results from the European “NEXT” Study. Occupational Medicine, 58, 107-114.

[36]   DeVoe, J., Fryer Jr., G.E., Straub, A., McCann, J. and Fair-brother, G. (2007) Congruent Satisfaction: Is There Geographic Correlation between Patient and Physician Satisfaction? Medical Care, 45, 88-94.

[37]   Sikka, R., Morath, J.M. and Leape, L. (2015) The Quadruple Aim: Care, Health, Cost and Meaning in Work. BMJ Quality and Safety, 24, 608-610.