  {"id":55,"date":"2017-12-04T19:59:55","date_gmt":"2017-12-04T19:59:55","guid":{"rendered":"https:\/\/nam.edu\/clinicianwellbeing\/?page_id=55"},"modified":"2018-04-10T10:58:54","modified_gmt":"2018-04-10T10:58:54","slug":"turnover-and-reduction-of-work-effort","status":"publish","type":"page","link":"https:\/\/nam.edu\/clinicianwellbeing\/effects\/turnover-and-reduction-of-work-effort\/","title":{"rendered":"Turnover and Reduction of Work Effort"},"content":{"rendered":"<p>While the <a href=\"https:\/\/nam.edu\/clinicianwellbeing\/effects\/effects-on-clinician-health-and-well-being\/\">personal toll<\/a> of clinician burnout is significant, burnout also has notable effects on the sustainability of health care organizations and the health care system as a whole. Burnout can lead to high turnover rates as well as illness, death and lateral abuse from those suffering, further straining a health system already struggling to meet access needs. Burnout may also lead to reductions in work effort due to job dissatisfaction and work-related stress, presenting <a href=\"https:\/\/nam.edu\/clinicianwellbeing\/effects\/health-care-costs\/\">financial implications <\/a>from productivity losses in the workplace.<\/p>\n<h3>Work-Related Stress and Job Dissatisfaction<\/h3>\n<p>Work-related stressors, such as high job demands, poor supervision, high workloads, inadequate staffing, documentation requirements, and unresolved conflicts with colleagues, administration and patients, all impact if and when clinicians will experience the stages of burnout. These stressors can lead to <a href=\"https:\/\/nam.edu\/clinicianwellbeing\/resources\/job-satisfaction-among-nurses-a-predictor-of-burnout-levels\/\">high levels of job dissatisfaction<\/a> and recent studies have found burnout in physicians to be <a href=\"https:\/\/nam.edu\/clinicianwellbeing\/resources\/burnout-and-career-satisfaction-among-american-surgeons\/\">independently associated with job dissatisfaction<\/a> and increased odds of <a href=\"https:\/\/nam.edu\/clinicianwellbeing\/resources\/nurse-turnover-a-literature-review-an-update\/\">intent to leave<\/a> for reasons other than retirement.\u00a0 Similarly, burnout and job dissatisfaction have been associated with <a href=\"https:\/\/nam.edu\/clinicianwellbeing\/resources\/workplace-empowerment-incivility-and-burnout-impact-on-staff-nurse-recruitment-and-retention-outcomes\/\">plans to leave the nursing field<\/a>.<\/p>\n<h3>Clinician Turnover<\/h3>\n<p>Burnout is a major driver of clinician turnover, leading some to completely <a href=\"https:\/\/nam.edu\/clinicianwellbeing\/resources\/leaving-medicine-the-consequences-of-physician-dissatisfaction\/\">leave the field of medicine<\/a>. Studies in both physicians and nurses indicate that burnout is\u00a0one of the largest predictors of whether someone will <a href=\"https:\/\/nam.edu\/clinicianwellbeing\/resources\/professional-satisfaction-and-career-plans-of-us-physicians\/\">leave their current position<\/a> in the next two years. Increased turnover not only has substantial <a href=\"https:\/\/nam.edu\/clinicianwellbeing\/effects\/health-care-costs\/\">financial impact<\/a> on organizations, it can also have a <a href=\"https:\/\/nam.edu\/clinicianwellbeing\/resources\/the-association-of-team-specific-workload-and-staffing-with-odds-of-burnout-among-va-primary-care-team-members\/\">disruptive effect on patients<\/a> and an organization\u2019s culture and reputation. Unexpected turnover from productive and valuable people may have harmful consequences on the care team and may also increase the <a href=\"https:\/\/nam.edu\/clinicianwellbeing\/resources\/the-association-of-team-specific-workload-and-staffing-with-odds-of-burnout-among-va-primary-care-team-members\/\">likelihood that colleagues will experience burnout<\/a>, even when someone new is hired.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-359 size-full\" src=\"https:\/\/nam.edu\/wp-content\/uploads\/sites\/3\/2017\/12\/iStock-503020916.jpg\" alt=\"\" width=\"2121\" height=\"1414\" srcset=\"https:\/\/nam.edu\/clinicianwellbeing\/wp-content\/uploads\/sites\/3\/2017\/12\/iStock-503020916.jpg 2121w, https:\/\/nam.edu\/clinicianwellbeing\/wp-content\/uploads\/sites\/3\/2017\/12\/iStock-503020916-300x200.jpg 300w, https:\/\/nam.edu\/clinicianwellbeing\/wp-content\/uploads\/sites\/3\/2017\/12\/iStock-503020916-768x512.jpg 768w, https:\/\/nam.edu\/clinicianwellbeing\/wp-content\/uploads\/sites\/3\/2017\/12\/iStock-503020916-1024x683.jpg 1024w\" sizes=\"(max-width: 2121px) 100vw, 2121px\" \/><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>While the personal toll of clinician burnout is significant, burnout also has notable effects on the sustainability of health care organizations and the health care system as a whole. Burnout can lead to high turnover rates as well as illness, death and lateral abuse from those suffering, further straining a health system already struggling to [&hellip;]<\/p>\n","protected":false},"author":38,"featured_media":0,"parent":13,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"page-topic.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-55","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/nam.edu\/clinicianwellbeing\/wp-json\/wp\/v2\/pages\/55","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nam.edu\/clinicianwellbeing\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nam.edu\/clinicianwellbeing\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nam.edu\/clinicianwellbeing\/wp-json\/wp\/v2\/users\/38"}],"replies":[{"embeddable":true,"href":"https:\/\/nam.edu\/clinicianwellbeing\/wp-json\/wp\/v2\/comments?post=55"}],"version-history":[{"count":0,"href":"https:\/\/nam.edu\/clinicianwellbeing\/wp-json\/wp\/v2\/pages\/55\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/nam.edu\/clinicianwellbeing\/wp-json\/wp\/v2\/pages\/13"}],"wp:attachment":[{"href":"https:\/\/nam.edu\/clinicianwellbeing\/wp-json\/wp\/v2\/media?parent=55"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}