Abstract
Healthcare professionals’ well-being is increasingly recognized as a critical organizational priority, given the risks posed by rising workloads, staff shortages, and burnout to the sustainable delivery of high-quality care. However, limited evidence exists on how work environments and technology adoption influence the healthcare professionals’ well-being across hospital settings. This study explores healthcare professionals’ perceptions of psychological and physical safety, professional engagement, and mental well-being. It also assesses the role of technology in fostering a culture of safety and well-being. A cross-sectional qualitative anonymous online survey was distributed across 13 countries in Europe, Middle East and Africa, targeting professionals working in hospital pharmacy, diagnostic laboratory, and ward settings. The questionnaire, available in five languages, included validated items. Data were analyzed using descriptive and inferential statistics, with subgroup analyses by setting and region. Responses were collected between February and August 2024. A total of 449 healthcare professionals participated. The sample presented a positive perception of psychological safety (61%) and professional engagement (55%). However, 27% of responders frequently experienced work-related stress, with 40% feeling exhausted, 25% reporting mental distance, and 23% cognitive impairment. Perceived physical safety was generally high (70%), although ward staff reported higher exposure to stress and interpersonal aggression. Overall, 58% of responders expressed satisfaction with their professional quality of life. Technology was perceived to enhance efficiency, safety, and collaboration. However, its impact was dependent on the quality of implementation and level of organizational support. Results may inform strategic interventions and policies aimed at promoting a resilient and sustainable workforce.
Data availability
The data supporting the findings of this study are available from the corresponding author, upon reasonable request.
References
Pascale, F. & Achour, N. Envisioning the sustainable and climate resilient hospital of the future. Public. Health. 237, 435–442. https://doi.org/10.1016/j.puhe.2024.10.028 (2024).
Whitty, C. J. et al. Rising to the challenge of Multimorbidity. BMJ 368, l696. https://doi.org/10.1136/bmj.m696 (2020).
World Health Organization. Global Strategy on Human Resources for Health: Workforce 2030 (WHO, 2022).
Sturmberg, J. P. & Bircher, J. Better and fulfilling healthcare at lower costs: the need to manage health systems as complex adaptive systems. F1000Research 8, 789. https://doi.org/10.12688/f1000research.19414.1 (2019).
Williams, G. A., Jacob, G., Rakovac, I., Scotter, C. & Wismar, M. Health professional mobility in the WHO European region and the WHO global code of practice: data from the joint OECD/EUROSTAT/WHO-Europe questionnaire. Eur. J. Pub. Health. 30 (Suppl_4), iv5–iv11. https://doi.org/10.1093/eurpub/ckaa112 (2020).
Michel, J. P. & Ecarnot, F. The shortage of skilled workers in europe: its impact on geriatric medicine. Eur. Geriatr. Med. 11 (3), 345–347. https://doi.org/10.1007/s41999-020-00328-x (2020).
Conolly, A. R. et al. There was a pivotal moment: the dynamics, transitions, adaptations and trajectories of nursing at the front-line in the UK during the COVID-19 pandemic. PLoS One. 19 (2), e0295394. https://doi.org/10.1371/journal.pone.0295394 (2024).
Dyrbye, L. N. et al. Burnout among health care professionals: A call to explore and address this underrecognized threat to safe, high-quality care. NAM Perspect. 7 (7), 1–11 (2017).
World Health Organization. Global strategy on human resources for health: Workforce 2030. Geneva, Switzerland: WHO. (2016). https://www.who.int/hrh/resources/pub_globstrathrh-2030/en/.
Dall’Ora, C., Griffiths, P., Ball, J., Simon, M. & Aiken, L. H. Association of 12 h shifts and nurses’ job satisfaction, burnout and intention to leave: findings from a cross-sectional study of 12 European countries. BMJ Open. 5 (9), e008331. https://doi.org/10.1136/bmjopen-2015-008331 (2015).
Panagioti, M. et al. Association between physician burnout and patient safety, professionalism, and patient satisfaction: A systematic review and meta-analysis. JAMA Intern. Med. 177 (7), 1026–1035. https://doi.org/10.1001/jamainternmed.2017.13097 (2017).
Cimiotti, J. P., Aiken, L. H., Sloane, D. M. & Wu, E. S. Nurse staffing, burnout, and health care–associated infection. Am. J. Infect. Control. 40 (6), 486–490 (2012).
Hall, L. H., Johnson, J., Watt, I., Tsipa, A. & O’Connor, D. B. Healthcare staff wellbeing, burnout, and patient safety: A systematic review. PLoS One. 11 (7), e0159015. https://doi.org/10.1371/journal.pone.0159015 (2016).
Figley, C. R. Compassion fatigue: psychotherapists’ chronic lack of self care. J. Clin. Psychol. 58 (11), 1433–1441. https://doi.org/10.1002/jclp.10090 (2002).
Van Mol, M. M., Kompanje, E. J., Benoit, D. D., Bakker, J. & Nijkamp, M. D. The prevalence of compassion fatigue and burnout among healthcare professionals in intensive care units: A systematic review. PLoS One. 10 (8), e0136955. https://doi.org/10.1371/journal.pone.0136955 (2015).
Rathert, C., Williams, E. S., Lawrence, E. R. & Halbesleben, J. R. Emotional exhaustion and workarounds in acute care: Cross-sectional tests of a theoretical framework. Int. J. Nurs. Stud. 49 (8), 969–977. https://doi.org/10.1016/j.ijnurstu.2012.02.011 (2012).
Ball, J. E., Murrells, T., Rafferty, A. M., Morrow, E. & Griffiths, P. Care left undone’ during nursing shifts: associations with workload and perceived quality of care. BMJ Qual. Saf. 23 (2), 116–125. https://doi.org/10.1136/bmjqs-2012-001767 (2014).
Olds, D. M. & Clarke, S. P. The effect of work hours on adverse events and errors in health care. J. Saf. Res. 41 (2), 153–162. https://doi.org/10.1016/j.jsr.2010.01.002 (2010).
Li, L. Z. et al. Nurse burnout and patient safety, satisfaction, and quality of care: A systematic review and meta-analysis. JAMA Netw. Open. 7 (11), e2443059. https://doi.org/10.1001/jamanetworkopen.2024.43059 (2024).
Gray, P., Senabe, S., Naicker, N., Kgalamono, S., Yassi, A., & Spiegel, J. M. Workplace-based organizational interventions promoting mental health based organizational interventions promoting mental health and happiness among healthcare workers: a realist review. Int. J. Environ. Res. Public Health 16, 4396. https://doi.org/10.3390/ijerph16224396 (2019).
Marvaldi, M., Mallet, J., Dubertret, C., Moro, M. R., & Guessoum, S. B. Anxiety, depression, trauma-related, and sleep disorders among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Neurosci. Biobehav. Rev. 126, 252-264. https://doi.org/10.1016/j.neubiorev.2021.02.021 (2021).
Kim, M. S., Kim, T., Lee, D., Yook, J. H., Hong, Y. C., Lee, S. Y., & Kang, M. Y.Mental disorders among workers in the healthcare industry: 2014 national health insurance data. Ann. Occup. Environ. Med. 30, 31. https://doi.org/10.1186/s40557-018-0258-4 (2018).
Ullström, S., Andreen Sachs, M., Hansson, J., Ovretveit, J. & Brommels, M. Suffering in silence: A qualitative study of second victims of adverse events. BMJ Qual. Saf. 23 (4), 325–331. https://doi.org/10.1136/bmjqs-2013-002035 (2014).
Michaels, D. & Wagner, G. OSHA injury data: an opportunity for improving work injury prevention. Am. J. Public Health. 115, 588–595. https://doi.org/10.2105/AJPH.2024.307934 (2025).
Gustavsson, K. et al. Healthcare professionals’ experiences of job satisfaction when providing person-centred care: A systematic review of qualitative studies. BMJ Open. 13 (6), e071178. https://doi.org/10.1136/bmjopen-2022-071178 (2023).
Wagner, A., Rieger, M. A. & Manser, T. Healthcare professionals’ perspectives on working conditions, leadership, and safety climate: A cross-sectional study. BMC Health Serv. Res. 19, 53. https://doi.org/10.1186/s12913-018-3862-7 (2019).
Straszewski, T., Ross, C. A., Riley, C., Roy, B. & Stiefel, M. C. Testing the added value of self-reported health and well-being in Understanding healthcare utilization and costs. Qual. Life Res. 31 (11), 3189–3199. https://doi.org/10.1007/s11136-022-03168-1 (2022).
Yin, R. K. Case Study Research: Design and Methods 3rd edn (Sage, 2003).
Pilcher, N. & Cortazzi, M. Qualitative’ and ‘quantitative’ methods and approaches across subject fields: implications for research values, assumptions, and practices. Qual. Quant. 58, 2357–2387 (2024).
Saka Olawale, R., Chinagozi, O., Ononokpono Nyong, J. & G., & Exploratory research design in management science: A review of literature on conduct and application. Int. J. Res. Innov. Social Sci. 7 (5), 123–134 (2023).
Edmondson, A. Psychological safety and learning behavior in work teams. Adm. Sci. Q. 44 (2), 350–383. https://doi.org/10.2307/2666999 (1999).
Kahn, W. A. Psychological conditions of personal engagement and disengagement at work. Acad. Manag. J. 33 (4), 692–724 (1990).
Schaufeli, W. B., De Witte, H. & Desart, S. Manual Burnout Assessment Tool (BAT) – Version 2.0. KU Leuven (Unpublished internal report, 2020).
Stamm, B. H. Professional quality of life: Compassion satisfaction and fatigue. (2009).
LeRouge, C., Mantzana, V. & Wilson, E. V. Healthcare information systems research, revelations and visions. Eur. J. Inform. Syst. 16, 669–671 (2007).
Risør, B. W., Lisby, M. & Sørensen, J. Complex automated medication systems reduce medication administration errors in a Danish acute medical unit. Int. J. Qual. Health Care. 30 (6), 457–465. https://doi.org/10.1093/intqhc/mzy061 (2018).
Gagnon, M. P., Desmartis, M., Gagnon, J., St-Pierre, M. & Gauvin, F. P. Sampling strategies in health services research: A practical guide. BMC Med. Res. Methodol. 21, 123 (2021).
Etikan, I., Musa, S. A. & Alkassim, R. S. Comparison of convenience sampling and purposive sampling. Am. J. Theoretical Appl. Stat. 5 (1), 1–4 (2016).
Ericson, A. et al. Optimizing survey response rates in graduate medical education research studies. Fam. Med. 55 (5), 304–310. https://doi.org/10.22454/FamMed.2023.750371 (2023).
Muench, U. et al. Healthcare system differences and their impact on job satisfaction in healthcare professionals. J. Health Organ. Manag. 32 (4), 503–516. https://doi.org/10.1108/JHOM-03-2017-0056 (2018).
West, M. A. & Dawson, J. F. Understanding work and organizational psychology: the role of healthcare settings. J. Appl. Psychol. 97 (5), 960–972. https://doi.org/10.1037/a0028576 (2012).
Hofstede, G. Dimensionalizing cultures: the Hofstede model in context. Online Readings Psychol. Cult. 2 (1), 1–26 (2011).
Duclos, A., Peix, J. L., Fratté, S., d’Athis, P. & Colin, C. Diagnosis and management of anaphylaxis in hospitalized patients: results of a 4-year observational study. Ann. Allergy Asthma Immunol. 103 (6), 474–480 (2009).
Fickenscher, K. M., Lesser, C. S. & O’Neil, E. H. Clinicians’ perceptions of electronic health records as a possible cause of clinician burnout. JAMA 313 (23), 2385–2386. https://doi.org/10.1001/jama.2015.594 (2015).
Friedberg, M. W., Chen, P. G., Van Busum, K. R., Aunon, F. M., Pham, C., Caloyeras,J. P., & Tutty, M. Factors affecting physician professional satisfaction and their implications for patient care, health systems, and health policy. RAND Health Q. 3(4), 1–30 (2014).
West, M. A., Armit, K., West, T. & Dawson, J. F. The impact of digital health technologies on the well-being of healthcare professionals: A systematic review. J. Health Organ. Manag. 29 (6), 800–819. https://doi.org/10.1108/JHOM-10-2014-0215 (2015).
Carayon, P., Wetterneck, T. B. & Cartmill, R. S. Human factors and systems engineering in healthcare: A research agenda. J. Organizational Behav. 35 (7), 947–963. https://doi.org/10.1002/job.1919 (2014).
Tucker, A. L., Nembhard, I. M. & Monahan, K. Technology and its impact on the workload of healthcare professionals: A systematic review. Health Serv. Res. 42 (1), 3–24. https://doi.org/10.1111/1475-6773.12516 (2017).
Rahimi, B., Nadri, H., Afshar, L., Timpka, T. & H., & A systematic review of the technology acceptance model in health informatics. Appl. Clin. Inf. 9 (3), 604–634. https://doi.org/10.1055/s-0038-1668091 (2018).
Jedwab, R. M., Manias, E., Hutchinson, A. M., Dobroff, N. & Redley, B. Nurses’ experiences after implementation of an organization-wide electronic medical record: qualitative descriptive study. JMIR Nurs. 5 (1), e39596. https://doi.org/10.2196/39596 (2022).
Noblet, A. J. et al. The work-based predictors of job engagement and job satisfaction experienced by community health professionals. Health Care Manage. Rev. 42 (3), 237–246. https://doi.org/10.1097/HMR.0000000000000134 (2017).
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This work was supported by Becton Dickinson, but this article was conceived, written and internally reviewed, independently.
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*All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Emanuela Foglia, Lucrezia Ferrario and Elisabetta Garagiola. The first draft of the manuscript was written by Lucrezia Ferrario and Elisabetta Garagiola, and all authors commented on previous versions of the manuscript. All authors read and approved the final version of the manuscript.**All authors have accepted responsibility for the entire content of this manuscript and approved its submission.*.
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The study was approved by Research Ethics Committee of University Carlo Cattaneo - LIUC (protocol number R15-23, dated 12nd October 2023).
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Foglia, E., Ferrario, L. & Garagiola, E. Enhancing healthcare workers’ safety and well-being through a comprehensive qualitative analysis across hospital settings. Sci Rep (2026). https://doi.org/10.1038/s41598-026-35681-5
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DOI: https://doi.org/10.1038/s41598-026-35681-5
