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The mediating role of residents’ wellbeing between program leadership and quality of care: A cross-sectional study

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  • Fatima Msheik-El Khoury
  • Diana Dorothea Naser
  • Zin Htway
  • Salah Zein El Dine

Abstract

Background: Research has shown that organizational leadership and support affect organizational outcomes in several sectors, including healthcare. However, less is known about how organizational leadership might influence the wellbeing of clinical trainees as well as the quality of their patient care practices. Objectives: This study examined the mediating effects of burnout and engagement between program director-resident relationship quality and residents’ reported quality of care, and the moderating effect of perceived departmental support. Methods: The authors conducted a cross-sectional study in September 2020, using a 41-item questionnaire, among 20 residency programs in an academic medical center in Lebanon. Measures included program director-resident relationship quality, perceived departmental support, burnout subcomponents, engagement, and self-reported quality of care. Ordinary least squares regression was used to conduct parallel mediation and moderated mediation analyses using SPSS macro-PROCESS, to assess the strength and direction of each of the proposed associations. Results: A total of 95/332 (28.6%) residents responded. Results revealed that program director-resident relationship quality had a significant indirect effect on residents’ suboptimal patient care practices and attitudes towards patients, through at least one of the wellbeing dimensions (p

Suggested Citation

  • Fatima Msheik-El Khoury & Diana Dorothea Naser & Zin Htway & Salah Zein El Dine, 2021. "The mediating role of residents’ wellbeing between program leadership and quality of care: A cross-sectional study," PLOS ONE, Public Library of Science, vol. 16(11), pages 1-15, November.
    • Handle: RePEc:plo:pone00:0259800
    DOI: 10.1371/journal.pone.0259800
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