Exploring the prevalence and characteristics of burnout among rural hospital chief executive officers in Texas

Burnout is a prevalent issue impacting many. Considerable research exists surrounding this complex, multi-faceted phenomenon; however, there is sparse research concerning this issue among hospital chief executive officers, and in particular, CEOs of rural hospitals. Those working as rural hospital CEOs are in high-stress positions, and as such are susceptible to burnout. The purpose of this study was to determine the level of burnout among rural hospital CEOs in Texas and to explore possible organizational and sociodemographic characteristics associated with burnout as well as the impact of the coronavirus 2019 pandemic on burnout within this population. This study used a cross-sectional, quantitative survey design, incorporating the Maslach Burnout Inventory – General Survey, the Areas of Worklife Survey, the Pandemic Experiences and Perceptions Survey, and sociodemographic questions into a single survey instrument, as well as three open-ended questions providing qualitative information for further insights. Rural hospital CEOs in Texas were invited to participate in the survey via email. Of the 152 potential respondents, 61 completed the survey, with 60 of these being included in the final sample. Data analysis included one-sample t tests, Kruskal-Wallis analysis of variance tests, and Spearman Rank Correlation Coefficients. The study revealed that respondents were experiencing above normal levels of emotional exhaustion, considered the primary factor in burnout. High job demands and work overload were significantly correlated to burnout. The study also indicated that the COVID-19 pandemic was significantly associated with burnout in this population regarding the impact of work on respondents as well as the adequacy of staff availability. Additionally, the study revealed that rural hospital CEOs in Texas have higher than normal levels of professional efficacy, particularly those who are older and more experienced. The study was important as there is limited research on burnout in this population. Knowledge gained from this study can be used to develop resources to prevent and mitigate burnout among hospital CEOs as well as to inform FCS professionals seeking to address this issue within a variety of disciplines.

Embargo status: Restricted until 01/2023. To request the author grant access, click on the PDF link to the left.