Linking Health Professional Well-Being to Clinical Practice

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Healthcare Organizations, Systems, and Providers".

Deadline for manuscript submissions: closed (20 February 2026) | Viewed by 4690

Editor


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Guest Editor
Medical School, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
Interests: burnout; resilience; health professional; well being
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Special Issue Information

Dear Colleagues,

Today half of all health professionals are reporting high levels of burnout, which has a significant impact on their health and well-being, as well as on the quality of care they provide. In other words, two of the biggest challenges that healthcare systems are facing today are the decline in the mental health of their workforce and the increasing number of cases of medical mistakes and patient neglect. Most recent evidence points to the only solution being linking the research agendas of HP well-being and patient safety together. 

Therefore, we are pleased to invite you to submit your research this Special Issue on “Linking Health Professional Well-Being to Clinical Practice”. 

This Special Issue aims to address the growing realization that healthcare worker well-being, patient outcomes, and organizational change are symbiotic. Burnout and stress in healthcare workers and toxic organizational cultures can lead to a cycle of patient neglect, medical errors, sub-optimal care, and further stress. This Special Issue therefore outlines the ways in which worker well-being, patient outcomes, and organizational change can be aligned to contribute to a healthy workplace and therefore better medical care. 

In this Special Issue, original research articles and reviews are welcome. Their research areas may include (but are not limited to) the following:

  • Health professional burnout;
  • Health professional resilience;
  • Health professional well-being and patient outcomes, including medical or surgical treatments, disease prognosis, and patients’ quality of life; 
  • Doctor–patient communication; 
  • Patient neglect;
  • Health professional burnout, health, and mental health (anxiety, depression).

I look forward to receiving your contributions. 

Dr. Efcharis Panagopoulou
Guest Editor

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Keywords

  • burnout
  • resilience
  • patient safety
  • quality of care

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Published Papers (3 papers)

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Research

21 pages, 6687 KB  
Article
Surgical Intensity and Specialization Preferences in Healthcare: An Operation- and Process-Management Perspective Using Bibliometric Analysis, Cognitive Mapping and Analytic Network Process (ANP)
by Yasemin Kılıç, Irem Duzdar, Oumayma Hamlaoui, Hakan Tozan and Mohammed Ait El Fqih
Healthcare 2026, 14(11), 1552; https://doi.org/10.3390/healthcare14111552 - 2 Jun 2026
Viewed by 462
Abstract
Background: Surgical operations are an integral part of healthcare delivery and impose a substantial clinical and operational burden. Understanding how the operation- and process-management literature in healthcare reflects the intensity of surgical services and how this may affect the specialization preferences of healthcare [...] Read more.
Background: Surgical operations are an integral part of healthcare delivery and impose a substantial clinical and operational burden. Understanding how the operation- and process-management literature in healthcare reflects the intensity of surgical services and how this may affect the specialization preferences of healthcare professionals is important for strategic workforce planning. Methods: A bibliometric analysis was conducted on 272 academic publications obtained from the Web of Science Core Collection with the keywords “lean philosophy”, “health” and “process” to capture the operational and process-improvement perspective of healthcare services. In this work, the “lean philosophy” keyword was taken to denote the operation- and process-management view of healthcare services, not to reflect the whole literature on surgical intensity. This selection was performed due to the multiple reasons, with an example being that lean-related studies often discuss complexities of workflow, efficiency, organizational responsiveness, and quality optimization, which are aspects also directly linked to surgical operational intensity. The data were analyzed using the bibliometrix R package, R-4.6.0 to construct the keyword co-occurrence network. Based on this network, a cognitive map was designed to visualize the conceptual relationships among the themes. Thematic clusters based on the co-occurrence network were then evaluated and prioritized by using the Analytic Network Process (ANP). Pairwise comparison data were derived from seven experts (surgeons and healthcare managers), and the model was implemented in Super Decisions with consistency ratios below 0.10. Results: The findings of the co-occurrence analysis are five main thematic clusters with surgical intensity themes including Healthcare Services, Quality, Care, Health and Outcomes. The cognitive map shows that Healthcare Services and Quality have the most central positions and structural hubs in the literature, whereas Outcomes is a dimension of great importance in terms of performance. The ANP results show that Quality (limiting weight ≈ 0.21), General Topics (≈0.14) and Management and Leadership (≈0.13) are the most influential sub-themes with regard to surgical operational intensity and, indirectly, to specialization preferences. Conclusions: The findings reveal that quality management, organizational leadership and larger health policy concerns are closely associated with the intensity of operations of surgical services as depicted in the operation- and process-management literature. Healthcare workers might be inclined to relocate to job positions related to quality improvement and leadership in lieu of places with a high direct clinical burden. Such insights can guide the policies of strategic human resource planning and specialization balancing in healthcare systems. Full article
(This article belongs to the Special Issue Linking Health Professional Well-Being to Clinical Practice)
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13 pages, 436 KB  
Article
Coordinator Leadership in the Relationship Between Burnout and Nurses’ Intention to Leave: A Cross-Sectional Study
by Francesco Zaghini, Flavio Marti, Cesar Ivan Aviles Gonzalez, Marika Lo Monaco, Davide Bartoli, Mariachiara Figura and Giovanni Gioiello
Healthcare 2026, 14(7), 858; https://doi.org/10.3390/healthcare14070858 - 27 Mar 2026
Cited by 1 | Viewed by 1382
Abstract
Background/Objectives: Nursing turnover represents an increasing threat to the sustainability of healthcare systems. Burnout, a syndrome of chronic work-related stress, is one of the primary predictors of intention to leave work; however, certain organizational factors may be associated with variations in its [...] Read more.
Background/Objectives: Nursing turnover represents an increasing threat to the sustainability of healthcare systems. Burnout, a syndrome of chronic work-related stress, is one of the primary predictors of intention to leave work; however, certain organizational factors may be associated with variations in its impact. Among these, the leadership of the Unit Coordinator may represent a potential resource, but its association with the relationship between burnout and intention to leave remains poorly explored. This study investigates the role of coordinators’ leadership in the relationship between burnout and intention to leave the profession. Methods: A cross-sectional study was conducted among 668 nurses providing direct patient care in various Italian healthcare settings. Data were collected through an online questionnaire comprising validated scales reported in the literature. A structural equation modeling approach was used for the analysis. Results: More than 30% of the variance in burnout is explained by interpersonal conflicts, workload, and organizational constraints. Burnout accounts for 24.4% of the variance in nurses’ intention to leave their jobs. The leadership of the nurse coordinator partially mediates the relationship between burnout and nurses’ intention to leave their job (total effect β = 0.532; p < 0.001; indirect effect β = 0.139; p = 0.007; direct effect β = 0.393; p < 0.001). Conclusions: Burnout is a key predictor of nurses’ intention to leave the profession, while ethical leadership of nurse coordinators emerges as a potential organizational resource associated with this relationship. Nursing implications: These findings highlight the importance of promoting ethical leadership within nursing management as part of broader organizational strategies to improve staff well-being and potentially support efforts aimed at reducing nurses’ intention to leave the profession. Full article
(This article belongs to the Special Issue Linking Health Professional Well-Being to Clinical Practice)
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20 pages, 563 KB  
Article
The Spanish Version of the Short Warwick–Edinburgh Mental Well-Being Scale (SWEMWBS): Evidence on Validity, Reliability, and Test of a Processual Model of Physicians’ Well-Being
by Maria A. Andreu, Javier Sánchez-Ruiz, Noemí Sansó and Laura Galiana
Healthcare 2025, 13(22), 2855; https://doi.org/10.3390/healthcare13222855 - 10 Nov 2025
Viewed by 2172
Abstract
Background/Objectives: The first aim of this manuscript is to examine the psychometric properties of the Spanish version of the Short Warwick–Edinburgh Mental Well-being Scale (SWEMWBS) in a sample of Spanish physicians. The second aim is to analyze how physicians’ levels of compassion for [...] Read more.
Background/Objectives: The first aim of this manuscript is to examine the psychometric properties of the Spanish version of the Short Warwick–Edinburgh Mental Well-being Scale (SWEMWBS) in a sample of Spanish physicians. The second aim is to analyze how physicians’ levels of compassion for others, professional quality of life, depression, anxiety, and stress are related to well-being. Methods: The study is part of a randomized controlled trial with a mixed design. The inclusion criteria for participation in the study were: (a) physicians registered in Spain; (b) currently working in Spain; and (c) those who voluntarily agreed to participate. A total of 221 medical doctors were enrolled in one of the three experimental conditions. Results: The confirmatory factor analysis showed an adequate fit. Cronbach’s alpha (0.83) and McDonald’s omega (0.89) provided evidence of reliability. Finally, when the mediational model predicting physicians’ well-being was tested, the examination of the modification indices indicated an unmodeled relationship. A second model was tested, resulting in a better-fitting model. Physicians’ levels of compassion for others significantly predicted compassion satisfaction. Professional quality of life also predicted physicians’ emotional states. Finally, well-being was predicted by depression and stress, and a direct effect of compassion was also found. Conclusions: The SWEMWBS shows potential to become a standard measure of well-being in the Spanish language. Regarding the prediction of well-being, it seems clear that interventions based on compassion should have a place in physicians’ education and workplace settings. Full article
(This article belongs to the Special Issue Linking Health Professional Well-Being to Clinical Practice)
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