Teamwork and burnout among healthcare workers from a public hospital in Colombia
Abstract
Introduction. Previous reports have described a relationship between teamwork and burnout in health workers, involving variables associated with patients’ safety.
Objective. To determine and describe the relationship between teamwork and burnout perceived by health workers from a tertiary-level hospital in Colombia.
Materials and methods. We conducted a cross-sectional, observational, analytical study with a convenience sample of 510 participants. We applied the TeamSTEPPS Teamwork Perceptions Questionnaire and the Copenhagen Burnout Inventory to assess burnout. An additional survey was conducted to collect demographic and employment data. Data was collected digitally. Descriptive analyses were carried out to compare teamwork and burnout across units, by occupation, and according to the average number of hours worked per week. Finally, correlation matrices were calculated with the scores from both tests.
Results. Teamwork levels were moderate to high, and 31.4% of workers reported moderate or high levels of burnout. No significant differences were found based on sex or work unit. Results from the TeamSTEPPS Teamwork Perceptions Questionnaire and the Copenhagen Burnout Inventory were correlated with a low and moderate strength of association, showing an inverse relationship between them.
Conclusion. Teamwork and burnout may have an inverse relationship, where better teamwork results in a lower perception of burnout among healthcare workers. However, the results of this study should be interpreted with caution due to potential biases.
Downloads
References
1. Jha A.K. Patient safety–A grand challenge for healthcare professionals and policymakers alike: Proceedings of the Roundtable at the Grand Challenges Meeting of the Bill and Melinda Gates Foundation. Berlin: Bill and Melinda Gates Foundation; 2018.
2. Schwendimann R, Blatter C, Dhaini S, Simon M, Ausserhofer D. The occurrence, types, consequences and preventability of in-hospital adverse events–A scoping review. BMC Health Serv Res. 2018;18:1-13. https://doi.org/10.1186/s12913-018-3335-z
3. Makary MA, Daniel M. Medical error—The third leading cause of death in the US. BMJ. 2016:353:i2139. https://doi.org/10.1136/bmj.i2139
4. Li Z, Lin F, Thalib L, Chaboyer W. Global prevalence and incidence of pressure injuries in hospitalized adult patients: A systematic review and meta-analysis. Int J Nurs Stud. 2020:105:103546. https://doi.org/10.1016/j.ijnurstu.2020.103546
5. World Health Organization. Global Patient Safety Action Plan 2021-2030: Towards eliminating avoidable harm in health care. Geneva: World Health Organization; 2021.
6. Welp A, Manser T. Integrating teamwork, clinician occupational well-being and patient safety–Development of a conceptual framework based on a systematic review. BMC Health Serv Res. 2016:16:281. https://doi.org/10.1186/s12913-016-1535-y
7. Deneckere S, Euwema M, Lodewijckx C, Panella M, Mutsvari T, Sermeus W, et al. Better interprofessional teamwork, higher level of organized care, and lower risk of burnout in acute health care teams using care pathways: A cluster randomized controlled trial. Med Care. 2013;51:99-107. https://doi.org/10.1097/MLR.0b013e3182763312
8. García-Campayo J, Puebla-Guedea M, Herrera-Mercadal P, Daudén E. Burnout síndrome and demotivation among health care personnel. Managing stressful situations: The importance of teamwork. Actas Dermosifiliogr. 2016;107:400-6. https://doi.org/10.1016/j.ad.2015.09.016
9. Cooper M, Makary MA. A comprehensive unit-based safety program (CUSP) in surgery: Improving quality through transparency. Surg Clin North Am. 2012;92:51-63. https://doi.org/10.1016/j.suc.2011.11.008
10. Hull L, Arora S, Aggarwal R, Darzi A, Vincent C, Sevdalis N. The impact of non-technical skills on technical performance in surgery: A systematic review. J Am Coll Surg. 2012;214:214-30. https://doi.org/10.1016/j.jamcollsurg.2011.10.016
11. Tawfik DS, Sexton JB, Adair KC, Kaplan HC, Profit J. Context in quality of care: Improving teamwork and resilience. Clin Perinatol. 2017;44:541-52. https://doi.org/10.1016/j.clp.2017.04.004
12. McEwan D, Ruissen GR, Eys MA, Zumbo BD, Beauchamp MR. The effectiveness of teamwork training on teamwork behaviors and team performance: A systematic review and meta-analysis of controlled interventions. PLoS One. 2017;12:e0169604. https://doi.org/10.1371/journal.pone.0169604
13. Carayon P, Wetterneck TB, Rivera-Rodriguez AJ, Hundt AS, Hoonakker P, Holden R, et al. Human factors systems approach to healthcare quality and patient safety. Appl Ergon. 2014;45:14-25. https://doi.org/10.1016/j.apergo.2013.04.023
14. Arora S, Sevdalis N. Systems approach to daily clinical care. Int J Surg. 2010;8:164-6. https://doi.org/10.1016/j.ijsu.2009.12.007
15. Almeida DPdS, Miclos PV. Nursing in primary health care: Association between leadership, psychological capital, and burnout implications. Rev Bras Enferm. 2022;75 (Suppl.3):e20210942. https://doi.org/10.1590/0034-7167-2021-0942
16. Dyrbye LN, Major-Elechi B, Hays JT, Fraser CH, Buskirk SJ, West CP. Relationship between organizational leadership and health care employee burnout and satisfaction. Mayo Clin Proc. 2020;95:698-708. https://doi.org/10.1016/j.mayocp.2019.10.041
17. Dyrbye LN, Major-Elechi B, Hays JT, Fraser CH, Buskirk SJ, West CP. Physicians’ ratings of their supervisor’s leadership behaviors and their subsequent burnout and satisfaction: A longitudinal study. Mayo Clin Proc. 2021;96:2598-605. https://doi.org/10.1016/j.mayocp.2021.01.035
18. Eckstrom E, Tilden VP, Tuepker A. Teamness, burnout, job satisfaction and decision making in the VA Centers of excellence in primary care education. J Interprof Educ Pract. 2020;19:100328. https://doi.org/10.1016/j.xjep.2020.100328
19. Wang W, Atingabili S, Mensah IA, Jiang H, Zhang H, Omari-Sasu AY, et al. Teamwork quality and health workers burnout nexus: A new insight from canonical correlation analysis. Hum Resour Health. 2022;20:52. https://doi.org/10.1186/s12960-022-00734-z
20. 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:e057554. https://doi.org/10.1136/bmjopen-2021-057554
21. Wang Y, Huang J, You X. Personal resources influence job demands, resources, and burnout: A one-year, three-wave longitudinal study. Soc Behav Pers. 2016;44:247-58. https://doi.org/10.2224/sbp.2016.44.2.247
22. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001:52:397-422. https://doi.org/10.1146/annurev.psych.52.1.397
23. Quintero Silva LM. Componentes del burnout y trabajo colaborativo interdisciplinar en servicios de cuidados paliativos de Colombia (tesis). Bogotá: Universidad de los Andes; 2017.
24. García-Serna OE, Bedoya-Villegas JJ, Giraldo-Botero YA, Salazar-Gil MC. Estrategias de afrontamiento implementadas por los profesionales de enfermería para manejar el síndrome de burnout (tesis). Medellín: Corporación Universitaria Adventista; 2018.
25. Entin EB, Lai F, Barach P. Training teams for the perioperative environment: A research agenda. Surg Innov. 2006;13:170-8. https://doi.org/10.1177/1553350606294248
26. Hamm B, Pozuelo L, Brendel R. General hospital agitation management: Leadership theory and health care team best practices using TeamSTEPPS. J Acad Consult Liaison Psychiatry. 2022;63:213-24. https://doi.org/10.1016/j.jaclp.2021.10.007
27. Lundeen S, Padilla M. Communication and collaboration: Creating a culture of teamwork through the use of TeamSTEPPS strategies. J Obstet Gynecol Neonatal Nurs. 2013;42 (Suppl.1):S67-8.
28. Battles J, King H. TeamSTEPPS - Teamwork Perceptions Questionnaire (T-TPC) Manual. Washington, D.C.: American Institute for Research; 2010.
29. Amaya-Arias A, García-Valencia J, González D, Jaimes F. Trabajo en equipo, burnout y su relación con la seguridad de los pacientes del Hospital Universitario Hernando Moncaleano Perdomo de Neiva (tesis). Medellín: Universidad de Antioquia; 2023.
30. Molinero-Ruiz E, Basart Gómez-Quintero H, Moncada Lluis S. Fiabilidad y validez del Copenhagen Burnout Inventory para su uso en España. Rev Esp Salud Pública. 2013;87:165-79. https://doi.org/10.4321/S1135-57272013000200006
31. Creedy D, Sidebotham M, Gamble J, Pallant J, Fenwick J. Prevalence of burnout, depression, anxiety, and stress in Australian midwives: A cross-sectional survey. BMC Pregnancy Childbirth. 2017;17:13. https://doi.org/10.1186/s12884-016-1212-5
32. Cohen J. Statistical power analysis for the behavioral sciences. New York: Academic Press; 2013.
33. Jafari M, Ansari-Pour N. Why, when and how to adjust your p values? Cell J. 2019;20:604-7. https://doi.org/10.22074/cellj.2019.5992
34. Abdi H. Bonferroni and Šidák corrections for multiple comparisons. Encyclopedia of Measurement and Statistics. Thousand Oaks (CA): Sage; 2007.
35. Mazzanti Di Ruggiero MA. Declaración de Helsinki, principios y valores bioéticos en juego en la investigación médica con seres humanos. Rev Colomb Bioet. 2011;6:125-45.
36. Ministerio de Salud. Resolución 8430 de 1993: normas científicas, técnicas y administrativas para la investigación en salud. Bogotá: Ministerio de Salud; 1993.
37. Carson OM, Laird EA, Reid BB, Deeny PG, McGarvey HE. Enhancing teamwork using a creativity-focussed learning intervention for undergraduate nursing students - A pilot study. Nurse Educ Pract. 2018:30:20-6. https://doi.org/10.1016/j.nepr.2018.02.008
38. Dodge LE, Nippita S, Hacker MR, Intondi EM, Ozcelik G, Paul ME. Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 2021;40:8-15. https://doi.org/10.1002/jhrm.21440
39. Matzke CM, DeGennaro R, Howie-Esquivel J. Incorporating TeamSTEPPS training to improve staff collaboration in an academic level I emergency and trauma center. Int Emerg Nurs. 2021:55:100959. https://doi.org/10.1016/j.ienj.2020.100959
40. Amaya-Arias AC, Idarraga D, Giraldo V, Gómez LM. Effectiveness of a program for improving teamwork in operanting rooms. Rev Colomb Anestesiol. 2015;43:68-75. https://doi.org/10.1016/j.rca.2014.09.006
41. Alahmari MA, Al Moaleem MM, Hamdi BA, Hamzi MA, Aljadaani AT, Khormi FA, et al. Prevalence of burnout in healthcare specialties: A systematic review using Copenhagen and Maslach Burnout Inventories. Med Sci Monit. 2022;28:e938798. https://doi.org/10.12659/MSM.938798
42. Majeed F, Liaqat N, Hussain MM, Iqbal A, Hashim I, Saleem M. Burnout among postgraduate residents using Copenhagen Burnout Inventory. J Ayub Med Coll Abbottabad. 2022;34:463-7. https://doi.org/10.55519/JAMC-03-9594
43. Ilić IM, Arandjelović M, Jovanović JM, Nešić MM. Relationships of work-related psychosocial risks, stress, individual factors and burnout - Questionnaire survey among emergency physicians and nurses. Med Pr. 2017;68:167-78. https://doi.org/10.13075/mp.5893.00516
44. Owens JA. Sleep loss and fatigue in healthcare professionals. J Perinat Neonatal Nurs. 2007;21:92-100. https://doi.org/10.1097/01.JPN.0000270624.64584.9d
45. Steffey M, Risselada M, Scharf V, Buote N, Zamprogno H, Winter A, et al. A narrative review of the impact of work hours and insufficient rest on job performance. Vet Surg. 2023;52:491-504. https://doi.org/10.1111/vsu.13943
46. Abhiram K, Tan BYQ, Tan M, Tan L, Sia C-H, Chua YX, et al. The effect of COVID-19 endemicity on the mental health of health workers. J Am Med Dir Assoc. 2022;23:405-413. e3. https://doi.org/10.1016/j.jamda.2022.01.059
47. Al Sabei SD, Labrague LJ, Al-Rawajfah O, AbuAlRub R, Burney IA, Jayapal SK. Relationship between interprofessional teamwork and nurses' intent to leave work: The mediating role of job satisfaction and burnout. Nurs Forum. 2022;57:568-76. https://doi.org/10.1111/nuf.12706
48. Mijakoski D, Karadzinska-Bislimovska J, Basarovska V, Minov J, Stoleski S, Angeleska N, et al. Work demands-burnout and job engagement - job satisfaction relationships: Teamwork as a mediator and moderator. Open Access Maced J Med Sci. 2015;3:176-83. https://doi.org/10.3889/oamjms.2015.024
49. Welp A, Manser T. Integrating teamwork, clinician occupational well-being and patient safety - Development of a conceptual framework based on a systematic review. BMC Health Serv Res. 2016;16:281. https://doi.org 10.1186/s12913-016-1535-y
50. Rothman KJ, Greenland S, Lash TL. Modern epidemiology. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2008.
51. Babbie ER. The practice of social research. Boston, MA: Cengage Learning; 2020.
52. Groves RM, Peytcheva E. The impact of non-response rates on non-response bias: A metaanalysis. Public Opin Q. 2008;72:167-89. https://doi.org/10.1093/poq/nfn011
Some similar items:
- Luz Elena Velásquez, Catalina Gómez, Erika Valencia, Laura Salazar, Eudoro Casas, Paragonimosis in the peri-urban zone of Medellín, Antioquia , Biomedica: Vol. 28 No. 3 (2008)
- Sandra Milena Arias, Lina Marcela Salazar, Eudoro Casas, Alexandra Henao, Luz Elena Velásquez, Paragonimus sp. in crabs and awareness of the educational community to aquatic ecosystems in La Miel and La Clara, Caldas, Antioquia , Biomedica: Vol. 31 No. 2 (2011)
- Jaiberth Cardona-Arias, Luz Peláez-Vanegas, Juan López-Saldarriaga, Marcela Duque-Molina, Oscar Leal-Álvarez, Health related quality of life in adults with HIV/AIDS in Colombia , Biomedica: Vol. 31 No. 4 (2011)
- Ana Yibby Forero Torres, Luis Carlos Forero, Comparison between anthropometric measurements and indices to evaluate general and abdominal obesity, Colombia ENSIN 2015 , Biomedica: Vol. 43 No. Sp. 3 (2023): Enfermedades crónicas no transmisibles
Copyright (c) 2025 Biomedica

This work is licensed under a Creative Commons Attribution 4.0 International License.
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
Funding data
-
Ministerio de Ciencia, Tecnología e Innovación
Grant numbers convocatoria 757 doctorados nacionales del 2016










