title: Ready for Change? The Role of Physician and Staff Engagement, Burnout, and Workplace Attributes.
abstract: We examined factors associated with change readiness among 343 primary care physicians and 590 nonphysician staff undergoing "Lean"-based process improvements. Baseline levels of engagement were associated with greater readiness for change across all measured domains. Job-related burnout correlated with greater need for change, but lower self-efficacy and perceived support, whereas a personal sense of accomplishment was associated with higher efficacy to implement changes. At a department level, teamwork, participation in decision making, and change history were associated with higher engagement and lower burnout among physicians and staff; conversely, a busy or stressful department correlated with lower engagement and higher burnout.
authors.affiliation: Palo Alto Medical Foundation Research Institute, Palo Alto, California.
authors.forename: Dorothy
authors.initials: D
authors.lastname: Hung
authors.forename: Po-Han
authors.initials: PH
authors.lastname: Chen
mesh_terms: D000553:Ambulatory Care / Q000379:methods / Q000458:organization & administration*; D001291:Attitude of Health Personnel; D002055:Burnout, Professional / Q000523:psychology*; D006801:Humans; D007588:Job Satisfaction; D015279:Organizational Culture; D009936:Organizational Innovation; D058007:Physicians, Primary Care / Q000523:psychology*; D011320:Primary Health Care / Q000458:organization & administration* / Q000639:trends; D012044:Regression Analysis; D014481:United States; D000074824:Work Engagement; D000078329:Workforce