{
  "abstract": "Objective High job demands and low resources significantly affect healthcare professionals, leading to burnout and diminished quality of care provided (QoCP). This study examines 1) the relative impact of psychosocial work factors on subsequent burnout complaints, 2) the relationship between psychosocial work factors and perceived QoCP, and 3) whether burnout complaints mediate this relationship and lastly 4) if there are any variations across professions in these associations.Material and Methods Data were sourced from the Longitudinal Occupational Health Survey in Healthcare in Sweden (2022 and 2023), encompassing 4,132 healthcare professionals (1,649 physicians, 1,631 Registered nurses (RN), and 852 Nurse assistants (NAs)). Various scales assessed psychosocial work factors, while burnout complaints were measured using the Burnout Assessment Tool. QoCP was self-reported. Dominance analysis identified the relative impact of work factors on burnout complaints, followed by a mediation analysis from work factors through burnout complaints to QoCP and a sensitivity analysis for differences between professions.Results Work-life interference emerged as the strongest predictor of subsequent burnout complaints. Illegitimate work tasks and effort-reward imbalance were shown to have a more pronounced negative impact on physicians than on RNs, while effort-reward imbalance had a greater effect on NAs than RNs. Significant influences on QoCP were found from various work factors, except for social support from managers. Burnout complaints mediated the relationship for all work factors, except emotional demands, with physicians’ illegitimate work tasks and RNs’ quantitative demands showing complementary mediation effects.Conclusions Addressing job demands and enhancing control could be crucial strategies to address burnout complaints and enhance the perceived quality of care provided by healthcare professionals. These findings underscore the need for tailored interventions for specific work-related issues, along with broader strategies to address the common challenges of burnout complaints in healthcare.Funding The Swedish Research Council supported this work under grant number 2022-00806.",
  "authors": [
    {
      "affiliations": [
        "Norwegian University of Science and Technology. Linköping University. Birkbeck, University of London. Centre for Occupational and Environmental Medicine, Region Stockholm. Karolinska Institutet"
      ],
      "name": "Britta Elsert Gynning"
    },
    {
      "affiliations": [
        "Norwegian University of Science and Technology. Linköping University. Birkbeck, University of London. Centre for Occupational and Environmental Medicine, Region Stockholm. Karolinska Institutet"
      ],
      "name": "Leon T De Beer"
    },
    {
      "affiliations": [
        "Norwegian University of Science and Technology. Linköping University. Birkbeck, University of London. Centre for Occupational and Environmental Medicine, Region Stockholm. Karolinska Institutet"
      ],
      "name": "Elin Karlsson"
    },
    {
      "affiliations": [
        "Norwegian University of Science and Technology. Linköping University. Birkbeck, University of London. Centre for Occupational and Environmental Medicine, Region Stockholm. Karolinska Institutet"
      ],
      "name": "Kevin Teoh"
    },
    {
      "affiliations": [
        "Norwegian University of Science and Technology. Linköping University. Birkbeck, University of London. Centre for Occupational and Environmental Medicine, Region Stockholm. Karolinska Institutet"
      ],
      "name": "Per Gustavsson"
    },
    {
      "affiliations": [
        "Norwegian University of Science and Technology. Linköping University. Birkbeck, University of London. Centre for Occupational and Environmental Medicine, Region Stockholm. Karolinska Institutet"
      ],
      "name": "Kerstin Ekberg"
    },
    {
      "affiliations": [
        "Norwegian University of Science and Technology. Linköping University. Birkbeck, University of London. Centre for Occupational and Environmental Medicine, Region Stockholm. Karolinska Institutet"
      ],
      "name": "Ulrik Lidwall"
    },
    {
      "affiliations": [
        "Norwegian University of Science and Technology. Linköping University. Birkbeck, University of London. Centre for Occupational and Environmental Medicine, Region Stockholm. Karolinska Institutet"
      ],
      "name": "Emma Brulin"
    }
  ],
  "title": "8272746 Exploring the relative impact of psychosocial work factors on burnout complaints and the subsequent effect on the perceived quality of care provided across healthcare professions",
  "uid": "afc21c6c-0e6d-5131-9542-538d8cff7295"
}
