Work-life balance behaviours cluster in work settings and relate to burnout and safety culture: a cross-sectional survey analysis

作者：Stephanie P. Schwartz, Kathryn C. Adair, Jonathan Bae, Kyle J. Rehder, Tait D. Shanafelt, Jochen Profit, John Bryan Sexton · 发表于：BMJ Quality & Safety · 年份：2018 · DOI：10.1136/bmjqs-2018-007933 · 被引用次数：173 · 研究领域：Work-Family Balance Challenges、Hospital Admissions and Outcomes、Nursing education and management

BACKGROUND: Healthcare is approaching a tipping point as burnout and dissatisfaction with work-life integration (WLI) in healthcare workers continue to increase. A scale evaluating common behaviours as actionable examples of WLI was introduced to measure work-life balance. OBJECTIVES: (1) Explore differences in WLI behaviours by role, specialty and other respondent demographics in a large healthcare system. (2) Evaluate the psychometric properties of the work-life climate scale, and the extent to which it acts like a climate, or group-level norm when used at the work setting level. (3) Explore associations between work-life climate and other healthcare climates including teamwork, safety and burnout. METHODS: Cross-sectional survey study completed in 2016 of US healthcare workers within a large academic healthcare system. RESULTS: 10 627 of 13 040 eligible healthcare workers across 440 work settings within seven entities of a large healthcare system (81% response rate) completed the routine safety culture survey. The overall work-life climate scale internal consistency was α=0.830. WLI varied significantly among healthcare worker role, length of time in specialty and work setting. Random effects analyses of variance for the work-life climate scale revealed significant between-work setting and within-work setting variance and intraclass correlations reflected clustering at the work setting level. T-tests of top versus bottom WLI quartile work settings revealed that positive wo...