A Review of Well-being Assessment Instruments in Hospital Medicine

Area of Science:

• Medical Informatics
• Healthcare Management
• Occupational Health Psychology

Background:

• Numerous well-being measurement instruments are utilized by hospitalist groups.
• The comparative benefit of different instruments for assessing hospitalist well-being remains unestablished.
• Standardized frameworks for instrument selection are lacking.

Purpose of the Study:

• To conduct a comprehensive review of well-being measurement instruments used by hospital medicine groups.
• To develop a practical framework to aid hospitalists in selecting the most appropriate well-being assessment instrument.
• To evaluate identified instruments based on their ability to capture key drivers of burnout.

Main Methods:

• Systematic literature review across eight major databases (PubMed, Ovid MEDLINE, Embase, Cochrane, CINAHL, Psych INFO, Web of Science, Scopus).
• Identification and selection of papers measuring hospitalist well-being, resulting in 35 relevant papers and 11 distinct instruments.
• Evaluation of instrument features and coverage of burnout drivers (Shanafelt et al. framework).

Main Results:

• Eleven specific well-being measurement instruments were identified as most relevant.
• The majority of these instruments assess three or fewer categories of burnout drivers.
• Only three instruments effectively measure five or more identified drivers of burnout.

Conclusions:

• A practical guide and framework are provided for hospital medicine groups to select suitable well-being instruments.
• Instrument selection should align with specific needs, such as general well-being overview, identification of specific burnout drivers, or intervention impact assessment.
• The review highlights the need for instruments that comprehensively assess multiple drivers of hospitalist burnout.