Join me in congratulating Mental Health and Psychological Well-being Member, Dr. Louise Underdahl and colleagues for the acceptance of their study, "Reframing physician engagement: An analysis of physician resilience, grit, and retention" to the International Journal of Healthcare Management. Below is the Abstract, provided by Dr. Underdahl. Congratulations, all!
Reframing Physician Engagement: An Analysis of Physician Resilience, Grit, and Retention
Louise Underdahl, Terri Jones-Meineke, and Lunthita Duthely
The healthcare sector is challenged by negative economic and organizational consequences of physician turnover. The ramifications of physician turnover can be “costly and disruptive” (Fibuch & Ahmed, 2015, p, 22), create financial burdens for healthcare organizations (Waldman, Kelly, Arora, & Smith, 2004), sabotage patient safety (Nahrgang et al., 2011; Swensen & Shanafelt, 2017), disrupt continuity of patient care (Johnson et al., 2017; O'Hare & Kudrle, 2007), and undermine institutional profitability. From 2011 to 2014, overall physician burnout rates in the United States increased by 10%, with specialty-specific burnout rates ranging from 37% to 61% (Back et al., 2016; Dimou, Ecklebarger, & Riall, 2016; Kamal et al., 2014; Schrijver, 2016; Shanafelt & Noseworthy, 2017).
The emerging literature suggests that health care institutions should consider reframing their business models to include the construct of Grit as a viable characteristic to assess and promote, with the ultimate goal of increasing physician engagement and well-being. Focusing on challenges associated with physician retention, this meta-analysis assessed contemporary themes and strategies for reducing physician turnover and burnout by promoting physician resilience, engagement, and Grit. The study may contribute to disruptive innovation, defined as reframing past and present approaches to reducing physician turnover and burnout and promoting a culture of safety (Swensen & Shanafelt, 2017) by stimulating physician resilience and Grit.
Research is needed to validate that reframing physician engagement strategies to incorporate Grit-strengthening elements may effectively reduce turnover and burnout. In the next phase, physician staff of a healthcare system in the southwest United States will complete a short Grit survey; results will be analyzed in the context of attrition, burnout, and turnover patterns to identify factors that may contribute to engagement and retention. Innovative institutional, departmental, and leadership initiatives promoting resilience, Grit, flow, and engagement may effectively mitigate social, economic, and cultural factors contributing to physician burnout (Swenson & Shanafelt, 2017).
Citation: Underdahl, L., Jones-Meineke, T., & Duthely, L. M. (2017, September). Reframing physician engagement: An analysis of physician resilience, grit, and retention. International Journal of Healthcare Management. Accepted for publication September 28, 2017
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