title: Clinicians' perceptions of how burnout affects their work.
abstract: OBJECTIVE
  The aim of this mixed-methods study was to identify ways that professional burnout may affect clinical work and consumer outcomes.
  
  
  METHODS
  Clinicians (N=120) participating in a burnout intervention trial completed a survey before the intervention, rating their level of burnout and answering open-ended questions about how burnout may affect their work. Responses were analyzed with team-based content analysis.
  
  
  RESULTS
  Clinicians reported specific ways that burnout affects work, including empathy, communication, therapeutic alliance, and consumer engagement. Clinicians acknowledged negative impacts on outcomes, although few consumer outcomes were specified. Clinicians with higher levels of depersonalization were more likely to report that burnout affects how staff work with consumers (r=.21, p<.05); however, emotionally exhausted clinicians were less likely to report an impact on consumer outcomes (r=-.24, p=.01).
  
  
  CONCLUSIONS
  Reducing professional burnout may have secondary gains in improving quality of services and consumer outcomes; findings point to specific aspects of care and outcome domains that could be targeted.
authors: Dr. Salyers and Ms. Firmin are with the Department of Psychology, Indiana University Purdue University Indianapolis (IUPUI), Indianapolis, Indiana. Dr. Salyers is also with the IUPUI ACT Center of Indiana. Dr. Flanagan is with the Indiana University Center for Health Services and Outcomes Research, Indianapolis. Dr. Rollins is with Health Services Research and Development, Roudebush Veterans Affairs Medical Center, Indianapolis, and with the IUPUI ACT Center of Indiana. Send correspondence to Dr. Salyers (e-mail: mpsalyer@iupui.edu ).
authors: Michelle P
authors: MP
authors: Salyers
authors: Mindy E
authors: ME
authors: Flanagan
authors: Ruth
authors: R
authors: Firmin
authors: Angela L
authors: AL
authors: Rollins
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000523:psychology*; D003861:Depersonalization / Q000523:psychology; D004645:Empathy; D005260:Female; D006801:Humans; D008297:Male; D008503:Medical Staff / Q000523:psychology*; D008605:Mental Health Services / Q000592:standards*; D008875:Middle Aged; D010358:Patient Participation; D011369:Professional-Patient Relations; D016896:Treatment Outcome