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ORIGINAL RESEARCH

Workplace Belonging of Women Healthcare Professionals Relates to Likelihood of Leaving

ORCID Icon, ORCID Icon, &
Pages 273-284 | Received 15 Aug 2023, Accepted 29 Sep 2023, Published online: 26 Oct 2023

References

  • Association of American Medical College. Retention of Full-Time Clinical M.D. Faculty at U.S. Medical Schools. 11; 2011. Available from: https://www.aamc.org/data-reports/analysis-brief/report/retention-full-time-clinical-md-faculty-us-medical-schools. Accessed April 11, 2023.
  • Schloss EP, Flanagan DM, Culler CL, Wright AL. Some hidden costs of faculty turnover in clinical departments in one academic medical center. Acad Med. 2009;84(1):32–36. doi:10.1097/ACM.0b013e3181906dff
  • NSI Nursing Solutions. NSI National Health Care Retention & RN Staffing Report; 2023. Available from: www.nsinursingsolutions.com. Accessed April 11, 2023.
  • Frogner BK, Dill JS. Tracking turnover among health care workers during the COVID-19 pandemic: a cross-sectional study. JAMA Health Forum. 2022;3(4):e220371. doi:10.1001/jamahealthforum.2022.0371
  • Johnson KV, Boston-Fleischhauer C, Duke-Mosier S Staff turnover: 4 key takeaways from Advisory Board’s survey of 224 hospitals; 2022. Available from: https://www.advisory.com/daily-briefing/2022/03/09/hospital-turnover-survey. Accessed April 4, 2023.
  • Bork RH, Robins M, Schaffer K, Leider JP, Castrucci BC. Workplace perceptions and experiences related to COVID-19 response efforts among public health workers — public health workforce interests and needs survey, United States, September 2021–January 2022. MMWR Morb Mortal Wkly Rep. 2022;71(29):920–924. doi:10.15585/mmwr.mm7129a3
  • Elsevier Health. Clinician of the Future Report 2022. Available from: https://www.elsevier.com/connect/clinician-of-the-future. Accessed March 29, 2023.
  • Massachusetts Medical Society. Supporting MMS Physicians’ Well-being Report: recommendations to Address the On-going Crisis; 2023. Available from: https://www.massmed.org/Publications/Research,-Studies,-and-Reports/Supporting-MMS-Physicians--Well-being-Report---Recommendations-to-Address-the-Ongoing-Crisis/. Accessed March 16, 2023.
  • Hamidi MS, Bohman B, Sandborg C, et al. Estimating institutional physician turnover attributable to self-reported burnout and associated financial burden: a case study. BMC Health Serv Res. 2018;18(1):851. doi:10.1186/s12913-018-3663-z
  • Helfrich CD, Simonetti JA, Clinton WL, et al. The association of team-specific workload and staffing with odds of burnout among VA primary care team members. J Gen Intern Med. 2017;32(7):760–766. doi:10.1007/s11606-017-4011-4
  • Waldman JD, Kelly F, Arora S, Smith HL. The shocking cost of turnover in health care. Health Care Manage Rev. 2004;29(1):2–7. doi:10.1097/00004010-200401000-00002
  • Linzer M, Jin JO, Shah P, et al. Trends in clinician burnout with associated mitigating and aggravating factors during the COVID-19 pandemic. JAMA Health Forum. 2022;3(11):e224163. doi:10.1001/jamahealthforum.2022.4163
  • Sood A, Rishel Brakey H, Myers O, et al. Exiting medicine faculty want the organizational culture and climate to change. Chron Mentor Coach. 2020;4(SI13):359–364. doi:10.1016/j.amjmed.2016.12.011
  • Zimmermann EM, Mramba LK, Gregoire H, Dandar V, Limacher MC, Good ML. Characteristics of faculty at risk of leaving their medical schools: an analysis of the StandPoint Faculty Engagement Survey. J Healthc Leadersh. 2020;12:1–10. doi:10.2147/JHL.S225291
  • Rotenstein L, Harry E, Wickner P, et al. Contributors to gender differences in burnout and professional fulfillment: a survey of physician faculty. Jt Comm J Qual Patient Saf. 2021;47(11):723–730. doi:10.1016/j.jcjq.2021.08.002
  • Carr PL, Ash AS, Friedman RH, et al. Relation of family responsibilities and gender to the productivity and career satisfaction of medical faculty. Ann Intern Med. 1998;129(7):532–538. doi:10.7326/0003-4819-129-7-199810010-00004
  • Matulevicius SA, Kho KA, Reisch J, Yin H. Academic medicine faculty perceptions of work-life balance before and since the COVID-19 pandemic. JAMA Netw Open. 2021;4(6):e2113539. doi:10.1001/jamanetworkopen.2021.13539
  • Mody L, Griffith KA, Jones RD, Stewart A, Ubel PA, Jagsi R. Gender differences in work-family conflict experiences of faculty in academic medicine. J Gen Intern Med. 2022;37(1):280–282. doi:10.1007/s11606-020-06559-7
  • Richter KP, Clark L, Wick JA, et al. Women physicians and promotion in academic medicine. N Engl J Med. 2020;383(22):2148–2157. doi:10.1056/NEJMsa1916935
  • Carr PL, Raj A, Kaplan SE, Terrin N, Breeze JL, Freund KM. Gender differences in academic medicine: retention, rank, and leadership comparisons from the National Faculty Survey. Acad Med. 2018;93(11):1694–1699. doi:10.1097/ACM.0000000000002146
  • Lall MD, Perman SM, Garg N, et al. Intention to leave emergency medicine: mid-career women are at increased risk. West J Emerg Med. 2020;21(5):1131–1139. doi:10.5811/westjem.2020.5.47313
  • Templeton K, Bernstein CA, Sukhera J, et al. Gender-based differences in burnout: issues faced by women physicians. NAM Perspectives. 2019. doi:10.31478/201905a
  • Brod HC, Lemeshow S, Binkley PF. Determinants of faculty departure in an academic medical center: a time to event analysis. Am J Med. 2017;130(4):488–493.
  • Chen YW, Orlas C, Kim T, Chang DC, Kelleher CM. Workforce attrition among male and female physicians working in US academic hospitals, 2014-2019. JAMA Netw Open. 2023;6(7):e2323872. doi:10.1001/jamanetworkopen.2023.23872
  • Kaplan SE, Raj A, Carr PL, Terrin N, Breeze JL, Freund KM. Race/ethnicity and success in academic medicine: findings from a longitudinal multi-institutional study. Acad Med. 2018;93(4):616–622. doi:10.1097/ACM.0000000000001968
  • Cech EA, Waidzunas TJ. Systemic inequalities for LGBTQ professionals in STEM. Sci Adv. 2021;7(3):eabe0933. doi:10.1126/sciadv.abe0933
  • Maslow AH. A Theory of Human Motivation. Psychological Review. 1943;50(4):370–396. doi:10.1037/h0054346
  • Baumeister RF, Leary MR. The need to belong: desire for interpersonal attachments as a fundamental human motivation. Psychol Bull. 1995;117(3):497–529. doi:10.1037/0033-2909.117.3.497
  • Harvard University Office for Equity, Diversity, Inclusion & Belonging. Definition of Belonging. Available from: https://edib.harvard.edu/files/dib/files/dib_glossary.pdf. Accessed March 1, 2023.
  • Slavich GM. Social safety theory: a biologically based evolutionary perspective on life stress, health, and behavior. Annu Rev Clin Psychol. 2020;16(1):265–295. doi:10.1146/annurev-clinpsy-032816-045159
  • Center for Talent Innovation. The Power of Belonging: What It Is and Why It Matters in Today’s Workplace; 2020. Available from: https://coqual.org/reports/the-power-of-belonging. Accessed August 1, 2022.
  • Gordon D, Achuck K, Kempner D, Jaffe R, Papanagnou D. Toward unity and inclusion in the clinical workplace: an evaluation of healthcare workforce belonging during the COVID-19 pandemic. Cureus. 2022;14(9):e29454. doi:10.7759/cureus.29454
  • Carr EW, Reece A, Kellerman GR, Robichaux A. The Value of Belonging at Work; 2019. Available from: https://hbr.org/2019/12/the-value-of-belonging-at-work. Accessed May 18, 2023.
  • Waller L. Fostering a sense of belonging in the workplace: enhancing well-being and a positive and coherent sense of self. In: Dhiman SK, editor. The Palgrave Handbook of Workplace Well-Being. Springer International Publishing; 2021:341–367.
  • Jena LK, Pradhan S. Conceptualizing and validating workplace belongingness scale. J Organ Change Manag. 2018;31(2):451–462. doi:10.1108/JOCM-05-2017-0195
  • Salles A, Wright RC, Milam L, et al. Social belonging as a predictor of surgical resident well-being and attrition. J Surg Educ. 2019;76(2):370–377. doi:10.1016/j.jsurg.2018.08.022
  • Reinhardt AC, Leon TG, Amatya A. Why nurses stay: analysis of the registered nurse workforce and the relationship to work environments. Appl Nurs Res. 2020;55:151316. doi:10.1016/j.apnr.2020.151316
  • Stevens SM, Ruberton PM, Smyth JM, Cohen GL, Purdie Greenaway V, Cook JE. A latent class analysis approach to the identification of doctoral students at risk of attrition. PLoS One. 2023;18(1):e0280325. doi:10.1371/journal.pone.0280325
  • Pololi LH, Jones SJ. Women faculty: an analysis of their experiences in academic medicine and their coping strategies. Gend Med. 2010;7(5):438–450. doi:10.1016/j.genm.2010.09.006
  • Pololi LH, Civian JT, Brennan RT, Dottolo AL, Krupat E. Experiencing the culture of academic medicine: gender matters, a national study. J Gen Intern Med. 2013;28(2):201–207. doi:10.1007/s11606-012-2207-1
  • Haggins AN. To be seen, heard, and valued: strategies to promote a sense of belonging for women and underrepresented in medicine physicians. Acad Med. 2020;95(10):1507–1510. doi:10.1097/ACM.0000000000003553
  • Lin MP, Lall MD, Samuels-Kalow M, et al. Impact of a women-focused professional organization on academic retention and advancement: perceptions from a qualitative study. Acad Emerg Med. 2019;26(3):303–316. doi:10.1111/acem.13699
  • Cochran A, Neumayer LA, Elder WB. Barriers to careers identified by women in academic surgery: a grounded theory model. Am J Surg. 2019;218(4):780–785. doi:10.1016/j.amjsurg.2019.07.015
  • Carapinha R, McCracken CM, Warner ET, Hill EV, Reede JY. Organizational context and female faculty’s perception of the climate for women in academic medicine. J Womens Health. 2017;26(5):549–559. doi:10.1089/jwh.2016.6020
  • Linzer M, Manwell LB, Williams ES, et al. Working conditions in primary care: physician reactions and care quality. Ann Intern Med. 2009;151(1):28–36, W6–9. doi:10.7326/0003-4819-151-1-200907070-00006
  • Person SD, Jordan CG, Allison JJ, et al. Measuring diversity and inclusion in academic medicine: the diversity engagement survey. Acad Med. 2015;90(12):1675–1683. doi:10.1097/ACM.0000000000000921
  • Pololi LH, Krupat E, Civian JT, Ash AS, Brennan RT. Why are a quarter of faculty considering leaving academic medicine? A study of their perceptions of institutional culture and intentions to leave at 26 representative U.S. medical schools. Acad Med. 2012;87(7):859–869. doi:10.1097/ACM.0b013e3182582b18
  • Thompson-Burdine JA, Telem DA, Waljee JF, et al. Defining barriers and facilitators to advancement for women in academic surgery. JAMA Netw Open. 2019;2(8):e1910228. doi:10.1001/jamanetworkopen.2019.10228
  • Shanafelt T, Sloan J, Satele D, Balch C. Why do surgeons consider leaving practice? J Am Coll Surg. 2011;212(3):421–422. doi:10.1016/j.jamcollsurg.2010.11.006
  • Sinsky CA, Dyrbye LN, West CP, Satele D, Tutty M, Shanafelt TD. Professional satisfaction and the career plans of US physicians. Mayo Clin Proc. 2017;92(11):1625–1635. doi:10.1016/j.mayocp.2017.08.017
  • Mete M, Goldman C, Shanafelt T, Marchalik D. Impact of leadership behaviour on physician well-being, burnout, professional fulfilment and intent to leave: a multicentre cross-sectional survey study. BMJ Open. 2022;12(6):e057554. doi:10.1136/bmjopen-2021-057554
  • Pollart SM, Novielli KD, Brubaker L, et al. Time well spent: the association between time and effort allocation and intent to leave among clinical faculty. Acad Med. 2015;90(3):365–371. doi:10.1097/ACM.0000000000000458
  • National Academies of Sciences, Engineering, and Medicine. Measuring Sex, Gender Identity, and Sexual Orientation. Washington, DC: The National Academies Press; 2022 doi:10.17226/26424..
  • Allen KA, Kern ML, Rozek CS, McInereney D, Slavich GM. Belonging: a review of conceptual issues, an integrative framework, and directions for future research. Aust J Psychol. 2021;73(1):87–102. doi:10.1080/00049530.2021.1883409
  • Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3):297–334. doi:10.1007/BF02310555
  • Luchman JN. Relative importance analysis with multicategory dependent variables: an extension and review of best practices. Org Res Methods. 2014;17(4):452–471. doi:10.1177/1094428114544509
  • Tavakol M, Dennick R. Making sense of Cronbach’s alpha. Int J Med Educ. 2011;2:53–55. doi:10.5116/ijme.4dfb.8dfd
  • Hann M, Reeves D, Sibbald B. Relationships between job satisfaction, intentions to leave family practice and actually leaving among family physicians in England. Eur J Public Health. 2011;21(4):499–503. doi:10.1093/eurpub/ckq005
  • Degen C, Li J, Angerer P. Physicians’ intention to leave direct patient care: an integrative review. Hum Resour Health. 2015;13(1):74. doi:10.1186/s12960-015-0068-5
  • Association of American Medical College. Promising Practices for Promoting Faculty Engagement and Retention in U.S. Medical Schools; 2017. Available from: https://www.aamc.org/services/member-capacity-building/standpoint-surveys/promising-practices. Accessed July 1, 2022.
  • Shanafelt TD, Noseworthy JH. Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout. Mayo Clin Proc. 2017;92(1):129–146. doi:10.1016/j.mayocp.2016.10.004
  • Linzer M, Poplau S, Prasad K, et al. Characteristics of health care organizations associated with clinician trust: results from the healthy work place study. JAMA Netw Open. 2019;2(6):e196201. doi:10.1001/jamanetworkopen.2019.6201
  • Sancheznieto F, Byars-Winston A. Value, support, and advancement: an organization’s role in faculty career intentions in academic medicine. J Healthc Leadersh. 2021;13:267–277. doi:10.2147/JHL.S334838
  • Ellinas EH, Fouad N, Byars-Winston A. Women and the decision to leave, linger, or lean in: predictors of intent to leave and aspirations to leadership and advancement in academic medicine. J Womens Health. 2018;27(3):324–332. doi:10.1089/jwh.2017.6457
  • Dousin O, Collins N, Bartram T, Stanton P. The relationship between work-life balance, the need for achievement, and intention to leave: mixed-method study. J Adv Nurs. 2021;77(3):1478–1489. doi:10.1111/jan.14724
  • Gielissen KA, Taylor EP, Vermette D, Doolittle B. Thriving among primary care physicians: a qualitative study. J Gen Intern Med. 2021;36(12):3759–3765. doi:10.1007/s11606-021-06883-6
  • Kase J, Doolittle B. Job and life satisfaction among emergency physicians: a qualitative study. PLoS One. 2023;18(2):e0279425. doi:10.1371/journal.pone.0279425
  • Linzer M, Poplau S, Grossman E, et al. A cluster randomized trial of interventions to improve work conditions and clinician burnout in primary care: results from the Healthy Work Place (HWP) Study. J Gen Intern Med. 2015;30(8):1105–1111. doi:10.1007/s11606-015-3235-4
  • Edmondson A. Psychological safety and learning behavior in work teams. Adm Sci Q. 1999;44(2):350–383. doi:10.2307/2666999
  • Onumah C, Wikstrom S, Valencia V, Cioletti A. What women need: a study of institutional factors and women faculty’s intent to remain in academic medicine. J Gen Intern Med. 2021;36(7):2039–2047. doi:10.1007/s11606-021-06771-z
  • Smyth JD, Dillman DA, Christian LM, Stern MJ. Comparing check-all and forced-choice question formats in web surveys. Public Opin Q. 2006;70(1):66–77. doi:10.1093/poq/nfj007