Predicting changes in staff morale and burnout at community health centers participating in the health disparities collaboratives

Health Services Research

Volumn 43, Issue 4, 2008, Pages 1403-1423

  Graber, Jessica E ^a   Huang, Elbert S ^a   Drum, Melinda L ^a   Chin, Marshall H ^a   Walters, Amy E ^b   Heuer, Loretta ^c   Tang, Hui ^a   Schaefer, Cynthia T ^d   Quinn, Michael T ^a  

^a UNIVERSITY OF CHICAGO   (United States)

^b MEDICAL COLLEGE OF WISCONSIN   (United States)

^c UNIVERSITY OF NORTH DAKOTA   (United States)

^d UNIVERSITY OF EVANSVILLE   (United States)

Author keywords

Community health centers; Employee satisfaction; Quality improvement

Indexed keywords

ARTICLE; BURNOUT; DEMOGRAPHY; HEALTH CENTER; HEALTH SURVEY; HUMAN; JOB SATISFACTION; JOB STRESS; MEDICAL STAFF; PREDICTION; QUESTIONNAIRE; SKILL; TOTAL QUALITY MANAGEMENT; WORKLOAD; WORKMAN COMPENSATION;

ADULT; ATTITUDE OF HEALTH PERSONNEL; BURNOUT, PROFESSIONAL; COMMUNITY HEALTH CENTERS; EMPLOYEE INCENTIVE PLANS; FEMALE; HEALTHCARE DISPARITIES; HUMANS; JOB SATISFACTION; MALE; MIDDLE AGED; MORALE; PERSONNEL LOYALTY; PERSONNEL MANAGEMENT; PROFESSIONAL AUTONOMY; QUALITY ASSURANCE, HEALTH CARE; QUESTIONNAIRES; STAFF DEVELOPMENT; UNITED STATES; WORKLOAD;

EID: 47649103583     PISSN: 00179124     EISSN: 14756773     Source Type: Journal    
DOI: 10.1111/j.1475-6773.2007.00828.x     Document Type: Article

References (30)

1. Akerboom, S. S. Maes. 2006 Beyond Demand and Control: The Contribution of Organizational Risk Factors in Assessing the Psychological Well-being of Health Care Employees Work and Stress 20 (1) : 21 36.
2. Bureau of Primary Health Care (BPHC). 2006. "Background of the Health Disparities Collaborative" [accessed January 4, 2007]. Available at
3. Busteed, S., S. Barwick L. Grubb. 1994 The Challenges of Implementing Quality Improvement in Small Rural Hospitals Quality Letter for Healthcare Leaders 6 (6) : 25 9.
4. Calomeni, C. A., L. I. Solberg S. A. Conn. 1999 Nurses on Quality Improvement Teams: How Do They Benefit? Journal of Nursing Care Quality 13 (5) : 75 84.
5. Cavanagh, S. J. 1989 Nursing Turnover: Literature Review and Methodological Critique Journal of Advanced Nursing 14 : 587 96.
6. Chin, M. H., S. Cook, M. L. Drum, L. Jin, M. Guillen, C. A. Humikowski, J. Koppert, J. F. Harrison, S. Lippold C. T. Schaefer. 2004 Improving Diabetes Care in Midwest Community Health Centers with the Health Disparities Collaborative Diabetes Care 27 : 2 8.
7. Chin, M. H., M. L. Drum, M. Guillen, A. Rimington, J. R. Levie, A. C. Kirchhoff, M. T. Quinn C. T. Schaefer. 2007 Improving and Sustaining Diabetes Care in Community Health Centers with the Health Disparities Collaboratives Medical Care 45 (2) : 1135 43.
8. Chin, M. H., A. C. Kirchhoff, A. E. Walters, J. E. Graber, S. E. S. Brown, A. Rimington, M. L. Drum, C. T. Schaefer, L. Heuer, E. S. Huang, M. E. Shook, H. Tang L. P. Casalino. "Incentives and assistance for improving the Health Disparities Collaboratives in community health centers." In review.
9. Counte, M. A., G. L. Glandon, D. M. Oleske J. P. Hill. 1992 Total Quality Management in a Health Care Organization: How Are Employees Affected? Hospital and Health Services Administration 37 (4) : 503 18.
10. Dillman, D. A. 1978. Mail and Telephone Surveys: The Total Design Method. New York : Wiley.
11. Drum, M. L. 2002 Mixed Effects In Encyclopedia of Environmetrics, Vol. 3, edited by A. H. El-Shaarawi W. W. Piegorsch, pp. 1268 70. Chichester, UK : John Wiley & Sons Ltd.
12. Gilbody, S., J. Cahill, M. Barkham, D. Richards, P. Bee J. Glanville. 2006 Can We Improve the Morale of Staff Working in Psychiatric Units? Journal of Mental Health 15 (1) : 7 17.
13. Gollop, R., E. Whitby, D. Buchanan D. Ketley. 2004 Influencing Skeptical Staff to Become Supporters of Service Improvement: A Qualitative Study of Doctors' and Managers' Views Quality and Safety in Health Care 13 : 108 14.
14. Goodall, R. 1993 Continuous Quality Improvement Revisited Leadership in Health Services 2 (3) : 6 11.
15. Karsh, B., B. C. Booske F. Sainfort. 2005 Job and Organizational Determinants of Nursing Home Employee Commitment, Job Satisfaction and Intent to Turnover Ergonomics 48 (10) : 1260 81.
16. Landon, B. E., L. S. Hicks, A. J. O'Malley, T. A. Lieu, T. Keegan, B.J. McNeil E. Guadagnoli. 2007 Improving the Management of Chronic Disease at Community Health Centers New England Journal of Medicine 356 : 921 34.
17. Langley, G., K. M. Nolan, C. L. Norman, L. P. Provost T. W. Nolan. 1996. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. San Francisco : Jossey-Bass.
18. Maslach, C., W. Schaufeli M. Leiter. 2001 Job Burnout Annual Review of Psychology 52 : 397 422.
19. National Association of Community Health Centers. 2006. "About NACHC" [accessed January 4, 2007]. Available at
20. Neuhauser, P. C. 2002 Building a High-Retention Culture in Healthcare Journal of Nursing Administration 32 (9) : 470 8.
21. Rosenblatt, R. A., C. H. A. Andrilla, T. Curtin L. G. Hart. 2006 Shortages of Medical Personnel at Community Health Centers: Implications for Planned Expansion Journal of the American Medical Association 295 (9) : 1042 9.
22. Rosenblatt, R. A. L. G. Hart. 1999 Physicians in Rural America In Rural Health in the United States, edited by T. C. Rickets III., pp. 38 51. New York : Oxford University Press.
23. Sardell, A. 1988. The U.S. Experiment in Social Medicine: The Community Health Center Program, 1965-1986. Pittsburgh, PA : The University of Pittsburgh Press.
24. ® 9.1 User's Guide. Cary, NC : SAS Institute Inc.
25. Searle, S. R., G. Casella C. E. McCulloch. 1992. Variance Components. New York : John Wiley & Sons Inc.
26. Shermont, H. D. Krepcio. 2006 The Impact of Culture Change on Nurse Retention Journal of Nursing Administration 36 (9) : 407 15.
27. Singer, J. D., S. M. Davidson, S. Graham H. S. Davidson. 1998 Physician Retention in Community and Migrant Health Centers: Who Stays and for How Long? Medical Care 36 (8) : 1198 213.
28. St. Pierre, J. 2006 Staff Nurses' Use of Report Card Data for Quality Improvement: First Steps Journal of Nursing Care Quality 21 (1) : 8 14.
29. Verbeke, G. G. Molenberghs, eds. 1997. Linear Mixed Models in Practice: A SAS-Oriented Approach. New York : Springer.
30. Wagner, E. H., B. T. Austin M. Von Korff. 1996 Organizing Care for Patients with Chronic Illness Milbank Quarterly 74 (4) : 511 44.