Scholarlink

Background <p>Healthcare staff wellbeing is critical to deliver quality patient-centred care. Burnout, lack of professional fulfilment, poor work environment, and an unsupportive organisational culture – impact healthcare delivery. However, their relationship with hospital patient falls – a frequent adverse outcome remains underexplored.</p> Objective <p>This review aimed to: (1) map the evidence investigating the relationship between staff wellbeing concepts (burnout, professional fulfilment, work environment and organisational culture) and patient falls in hospitals; and (2) determine the extent of consideration of staff wellbeing in existing hospital falls prevention trials.</p> Methods <p>Review followed Joanna Briggs Institute methodology [1]. PubMed, MEDLINE, CINAHL, Embase and PsycINFO were searched from inception to July 2024. Cochrane database was searched to identify existing hospital falls prevention interventions trials. Studies mentioning at least one staff wellbeing concept, and patient falls were included.</p> Results <p>Of 11,358 records, 78 studies were included. Most were observational (<i>n</i> = 54), nurse-focused (<i>n</i> = 67), and in acute settings (<i>n</i> = 69). Twenty studies investigated association between staff wellbeing and patient falls– mostly cross-sectional (<i>n</i> = 18), only two longitudinal. Burnout was associated with increased falls; job satisfaction showed a protective role. Better work environment reduced falls. Organisational culture findings were mixed – group culture and better leadership reduced falls, while toxic leadership and development culture increased falls. Variability in definitions and measurement tools led to conceptual overlaps. No Cochrane trials considered staff wellbeing in fall prevention interventions.</p> Conclusion <p>Evidence linking staff wellbeing and patient falls is emerging but limited. Critical gaps include inconsistent conceptualisation, a lack of – longitudinal, multidisciplinary focused intervention research integrating these concepts. Embedding staff wellbeing into fall prevention strategies is essential.</p> Clinical trial registration number <p>Not applicable.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Links between falls in hospitals and professional fulfilment, burnout, work environment and organisational culture: a scoping review

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年6月22日

查看全文
  • Veethika Nayak,
  • Marina B. Pinheiro,
  • Bethan Richards,
  • Luiza Rampi Pivotto,
  • Catherine Sherrington

摘要

Background

Healthcare staff wellbeing is critical to deliver quality patient-centred care. Burnout, lack of professional fulfilment, poor work environment, and an unsupportive organisational culture – impact healthcare delivery. However, their relationship with hospital patient falls – a frequent adverse outcome remains underexplored.

Objective

This review aimed to: (1) map the evidence investigating the relationship between staff wellbeing concepts (burnout, professional fulfilment, work environment and organisational culture) and patient falls in hospitals; and (2) determine the extent of consideration of staff wellbeing in existing hospital falls prevention trials.

Methods

Review followed Joanna Briggs Institute methodology [1]. PubMed, MEDLINE, CINAHL, Embase and PsycINFO were searched from inception to July 2024. Cochrane database was searched to identify existing hospital falls prevention interventions trials. Studies mentioning at least one staff wellbeing concept, and patient falls were included.

Results

Of 11,358 records, 78 studies were included. Most were observational (n = 54), nurse-focused (n = 67), and in acute settings (n = 69). Twenty studies investigated association between staff wellbeing and patient falls– mostly cross-sectional (n = 18), only two longitudinal. Burnout was associated with increased falls; job satisfaction showed a protective role. Better work environment reduced falls. Organisational culture findings were mixed – group culture and better leadership reduced falls, while toxic leadership and development culture increased falls. Variability in definitions and measurement tools led to conceptual overlaps. No Cochrane trials considered staff wellbeing in fall prevention interventions.

Conclusion

Evidence linking staff wellbeing and patient falls is emerging but limited. Critical gaps include inconsistent conceptualisation, a lack of – longitudinal, multidisciplinary focused intervention research integrating these concepts. Embedding staff wellbeing into fall prevention strategies is essential.

Clinical trial registration number

Not applicable.