Workplace factors related to health care leader well-being in rural settings.

Autor: Sullivan EE; Department of Healthcare Administration, Sawyer Business School, Suffolk University, Boston, Massachusetts, USA., Stephenson AL; Healthcare Management, David D. Reh School of Business, Clarkson University, Potsdam, New York, USA., DePuccio MJ; Department of Health Systems Management, College of Health Sciences, Rush University, Chicago, Illinois, USA., Anderson B; Hutchinson Regional Healthcare System, Hutchinson, Kansas, USA., Auxier B; Center for Rural Health Leadership, Kansas City, Missouri, USA., Henderson J; Texas Organization of Rural and Community Hospitals, Austin, Texas, USA., Linzer M; Department of Medicine, Hennepin Healthcare, Minneapolis, Minnesota, USA.; Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA.
Jazyk: angličtina
Zdroj: The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association [J Rural Health] 2024 Jul 02. Date of Electronic Publication: 2024 Jul 02.
DOI: 10.1111/jrh.12863
Abstrakt: Purpose: To examine which workplace factors contribute to health care leader well-being in rural settings.
Methods: Working with two rurally focused organizations, we administered a Rural Leader Burnout survey to executive leaders. The survey contained 25 questions; 24 were closed-item multiple choice and 1 open-ended question. The survey was based on the Mini Z 10 item burnout survey with 5 additional items for leaders. Logistic regression and qualitative content analysis determined factors associated with job satisfaction, burnout, and intent to leave (ITL).
Findings: There were 288 respondents (response rate 22%). Of 272 with complete data, 61.4% were women and 51.8% had worked > 10 years. About 81% reported job satisfaction, 40.2% were burned out, and 49.8% intended to leave their administrative roles within 2 years. Factors statistically associated with satisfaction were work control (OR = 3.0), values alignment with leadership (OR = 2.1), and trust in organization (OR = 2.0). Work control (OR = 0.3), trust in organization (OR = 0.4), and stress (OR = 4.1) were associated with burnout. Trust in organization (OR = 0.5), feeling valued (OR = 0.6), and stress (OR = 1.8) associated with ITL. Qualitative data revealed three themes relevant to rural leaders: (1) industry challenges, (2) daily operational issues, and (3) difficult relationships.
Conclusions: These exploratory analyses demonstrate practical ways to improve work conditions to mitigate burnout and turnover in rural leaders. Promoting thriving in leaders would be an important step in maintaining the rural health care workforce.
(© 2024 National Rural Health Association.)
Databáze: MEDLINE
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