Association of Task Delegation/Reliance with Burnout, by Task Groupings and Individual Tasks, Adjusting for Other Covariates*
| PCP Burnout | Nurse Burnout | |
|---|---|---|
| In-visit data collection | 0.90 (0.66–1.21) | 1.09 (0.83–1.44) |
| Gathering patient preventive services utilization history (eg, immunization history) | 1.02 (0.81–1.28) | 0.88 (0.72–1.08) |
| Screening patients for diseases (eg, doing a depression screen) | 1.04 (0.83–1.31) | 0.92 (0.75–1.12) |
| Assessing patient lifestyle factors | 0.76 (0.59–0.96) | 1.02 (0.77–1.35) |
| Messages | 0.75 (0.54–1.04) | 0.95 (0.68–1.32) |
| Responding to prescription refill requests | 0.75 (0.62–0.91) | 1.39 (1.07–1.80) |
| Receiving messages from patients | 0.93 (0.67–1.29) | 1.46 (1.00–2.13) |
| Resolving messages from patients (other than requests for prescriptions) | 1.05 (0.79–1.39) | 1.38 (0.99–1.93) |
| Counseling/education | 0.70 (0.55–0.90) | 0.94 (0.66–1.33) |
| Encouraging lifestyle modifications | 0.77 (0.61–0.97) | 1.04 (0.76–1.43) |
| Educating patients about disease-specific self-care activities (eg, foot care in diabetes) | 0.82 (0.67–1.02) | 0.82 (0.62–1.09) |
| Educating patients about medications | 0.73 (0.60–0.90) | 1.34 (1.03–1.75) |
| Decision making | 0.77 (0.61–0.96) | 0.91 (0.73–1.13) |
| Evaluating patients and making treatment decisions | 0.81 (0.68–0.97) | 1.27 (1.06–1.51) |
| Completing forms for patients | 0.86 (0.73–1.01) | 1.21 (1.03–1.43) |
| Responding to requests for home health care orders | 0.94 (0.79–1.11) | 1.24 (1.05–1.47) |
| Responding to patient diagnostic and treatment data (eg, laboratory tests, radiology studies) | 0.81 (0.68–0.96) | 1.20 (1.00–1.44) |
| Tracking data | 0.88 (0.73–1.06) | 0.94 (0.76–1.15) |
| Tracking patient diagnostic data | 0.87 (0.73–1.03) | 1.14 (0.95–1.37) |
| Following up on referrals (eg, to specialists) | 0.95 (0.80–1.13) | 1.45 (1.20–1.76) |
Data are adjusted odds ratios (95% confidence intervals).
↵* Model also includes appropriate staffing, recent turnover, presence of Patient Aligned Care Team coach, and duration of Veterans Affairs employment.
PCPs, primary care providers.