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Healthcare Leaders’ Perceptions on Burnout and Its Impact on Employee Engagement

Burnout is well-known among health care professionals and presents an occupational danger for individuals working in the health care industry. It is linked to poor health outcomes, lost workdays, high turnover rates, a lack of efficacy in the workplace, and low job satisfaction. Burnout is also a problem for health care leaders tasked with solving this disruption to care delivery within their facilities. Although lack of employee engagement may contribute to burnout, more research is needed to explore this relationship. This research was conducted to help understand how hospital leaders mitigate burnout within their facilities and the tactics being used to increase employee engagement. The conceptual frameworks for the study included the PERMA/PERMA+4 Model. A basic qualitative approach was applied to explore the perceptions of 12 hospital leaders and their experiences related to burnout mitigation and employee engagement. Leaders were chosen from hospitals and health systems in the eastern United States. The resulting thematic codes from the interview data identified finding meaning, feeling engaged, and experiencing fulfillment as professional well-being indicators that helped prevent burnout. Taking care of those who work directly with patients and those who offer indirect support ensures that hospitals and health systems can provide high-quality care to everyone who enters.

Burnout, Engagement, PERMA, PERMA +4, Health Care Leaders, Healthcare Leadership

APA Style

Nicole Mazzei Williams, Chris Cale, Sunddip Panesar Aguilar. (2023). Healthcare Leaders’ Perceptions on Burnout and Its Impact on Employee Engagement. Science Journal of Business and Management, 11(3), 133-140.

ACS Style

Nicole Mazzei Williams; Chris Cale; Sunddip Panesar Aguilar. Healthcare Leaders’ Perceptions on Burnout and Its Impact on Employee Engagement. Sci. J. Bus. Manag. 2023, 11(3), 133-140. doi: 10.11648/j.sjbm.20231103.15

AMA Style

Nicole Mazzei Williams, Chris Cale, Sunddip Panesar Aguilar. Healthcare Leaders’ Perceptions on Burnout and Its Impact on Employee Engagement. Sci J Bus Manag. 2023;11(3):133-140. doi: 10.11648/j.sjbm.20231103.15

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

1. Willard-Grace, R., Knox, M., Huang, B., Hammer, H., Kivlahan, C., & Grumbach, K. (2021). Primary care clinician burnout and engagement association with clinical quality and patient experience. The Journal of the American Board of Family Medicine, 34 (3), 542–552.
2. De Hert, S. (2020). Burnout in healthcare workers: Prevalence, impact and preventative strategies. Local and Regional Anesthesia, 13, 171–183.
3. Segalla, M., & DeNisi, A. (2019). International perspectives on employee engagement: Are American firms leading the way or walking alone? International Studies of Management & Organization, 49 (1), 1–6.
4. Ibrahim, F., Chen, X., Samsudin, E., & Toha, H. (2022). The prevalence and work-related factors of burnout among public health workforce during the COVID-19 pandemic. Journal of Occupational and Environmental Medicine, 64 (1), e20–e27.
5. National Academies of Sciences, Engineering, and Medicine. (2019). Taking action against clinician burnout: A systems approach to professional well-being. National Academies Press.
6. Panagioti, M., Geraghty, K., Johnson, J., Zhou, A., Panagopoulou, E., Chew-Graham, C., Peters, D., Hodkinson, A., Riley, R., & Esmail, A. (2018). Association between physician burnout and patient safety, professionalism, and patient satisfaction: A systematic review and meta-analysis. JAMA Internal Medicine, 178 (10), 1317–1331.
7. Khullar, D. (2023). Burnout, professionalism, and the quality of U. S. health care. JAMA Health Forum, 4 (3) https://doi:10.1001/jamahealthforum.2023.0024
8. American Hospital Association. (2022a). Massive growth in expenses and rising inflation fuel continued financial challenges for America’s hospitals and health systems.
9. Shechter, A., Diaz, F., Moise, N., Anstey, D. E., Ye, S., Agarwal, S., Birk, J. L., Brodie, D., Cannone, D. E., Chang, B., Claassen, J., Cornelius, T., Derby, L., Dong, M., Givens, R. C., Hochman, B., Homma, S., Kronish, I. M., Lee, S. A. J., … Abdalla, M. (2020). Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic. General Hospital Psychiatry, 66, 1–8.
10. Shanafelt, T., Trockel, M., Ripp, J., Murphy, M., Sandborg, C., & Bohman, B. (2019). Building a program on well-being: Key design considerations to meet the unique needs of each organization. Academic Medicine, 94 (2), 156–161
11. Society for Human Resource Management (SHRM). (2022). Developing and sustaining employee engagement.
12. Smith, A. (2021). Generational mindsets affect the workforce. Society for Human Resource Management.
13. Bannan, K. (2022, February 4). Employee engagement drops for the first time in 10 years. SHRM.
14. Bazargan-Hejazi, S., Shirazi, A., Wang, A., Shlobin, N. A., Karunungan, K., Shulman, J., Marzio, R., Ebrahim, G., Shay, W., & Slavin, S. (2021). Contribution of a positive psychology-based conceptual framework in reducing physician burnout and improving well-being: A systematic review. BMC Medical Education, 21 (1).
15. Donaldson, S. I., Van Zyl, L. E., & Donaldson, S. I. (2022). PERMA+4: A framework for work-related wellbeing, performance and positive organizational psychology 2.0. Frontiers in Psychology, 12, 817244.
16. Edmondson, A. C. (2019). The fearless organization: Creating psychological safety in the workplace for learning, innovation, and growth. John Wiley & Sons, Inc.
17. Rudestam, K. E., & Newton, R. R. (2015). Surviving your dissertation (4th ed.). SAGE.
18. Zerden, L. de S., Lombardi, B. M., Richman, E. L., Forte, A. B., & McCollum, M. (2021). Addressing burnout among the frontline healthcare workforce during COVID-19: A scoping review & expert interviews. Journal of Health & Human Services Administration, 44 (4), 302–333.
19. Shanafelt, T. D., & Noseworthy, J. H. (2017). Executive leadership and physician well-being. Mayo Clinic Proceedings, 92 (1), 129–146.
20. Sg2. (2022, February 25). A strategic approach to building a high reliability organization.