Respondent Characteristics (N = 740)
| Characteristic | Clinicians (n = 252) | Staff (n = 488) |
|---|---|---|
| Position, % (No.) | ||
| Physician (nonresident) | 79.0 (199) | − |
| Nurse practitioner/Physician assistant | 21.0 (53) | − |
| Nurse (RN or LVN) | − | 21.7 (106) |
| Medical assistant | − | 30.9 (151) |
| Front office/clerical | − | 25.2 (123) |
| Behavioral health | − | 8.4 (41) |
| Other | − | 13.7 (67) |
| Tenure at time of survey, % (No.) | ||
| <1 year | 16.8 (42) | 22.8 (111) |
| 1-5 years | 30.0 (75) | 36.8 (179) |
| >5 years | 53.2 (133) | 40.3 (196) |
| Full- vs part-time (staff only), % (No.) | ||
| Full-time (≥20 hours/week) | − | 91.9 (445) |
| Part-time (<20 hours/week) | − | 8.1 (39) |
| Half-days worked per week, (clinicians only), % (No.) | ||
| 1-2 half-days/wk | 37.9 (94) | − |
| 3-5 half-days/wk | 37.5 (93) | − |
| ≥6 half-days/wk | 24.6 (61) | − |
| Year of survey, % (No.) | ||
| 2013 | 73.0 (184) | 60.7 (296) |
| 2014 | 27.0 (68) | 39.3 (192) |
| Burned out,b % (No./No. responding) | 53.2 (132/248) | 52.8 (249/472) |
| MBI emotional exhaustionc | ||
| Exhaustion score, mean (SD) | 15.3 (7.4) | 13.8 (8.2) |
| Low exhaustion (0-10), % (No.) | 29.2 (72) | 38.0 (180) |
| Moderate exhaustion (11-15), % (No.) | 23.1 (57) | 17.9 (85) |
| High exhaustion (≥16), % (No.) | 47.8 (118) | 44.1 (209) |
| MBI cynicismc | ||
| Cynicism score, mean (SD) | 8.8 (6.9) | 8.3 (7.2) |
| Low cynicism (0-5), % (No.) | 39.1 (97) | 45.2 (212) |
| Moderate cynicism (6-10), % (No.) | 27.8 (69) | 20.7 (97) |
| High cynicism (≥11), % (No.) | 33.1 (82) | 34.1 (160) |
| Engagement: likelihood to recommend clinic as a place to workd | ||
| Net promoter score, mean (SD) | 6.9 (2.5) | 6.9 (2.7) |
| Detractor (0-6), % (No.) | 36.0 (89) | 36.7 (172) |
| Passively satisfied (7-8), % (No.) | 32.0 (79) | 28.8 (135) |
| Promoter (9-10), % (No.) | 32.0 (79) | 34.5 (162) |
| Turnover, % (No.) | 30.2 (76) | 41.2 (201) |
LVN = licensed vocational nurse; MBI = Maslach Burnout Inventory; RN = registered nurse.
a P values derived from Pearson χ2 analysis for categorical variables and independent samples t tests for continuous variables.
↵b Burned out was defined as reporting either high exhaustion or high cynicism.
↵c MBI exhaustion and cynicism subscales have possible ranges of 1 to 30, with 30 being most severe emotional exhaustion or cynicism.
↵d Likelihood to recommend clinic as place to work item has a possible range of 0 to 10, with 10 being the most positive rating.