Entrepreneurial orientation and burnout among healthcare professionals.

Claudine Kearney, Padraic Dunne, William J Wales
Author Information
  1. Claudine Kearney: Institute of Leadership, Royal College of Surgeons in Ireland, Dublin, Ireland.
  2. Padraic Dunne: Institute of Leadership, Royal College of Surgeons in Ireland, Dublin, Ireland.
  3. William J Wales: Department of Management, University at Albany School of Business, Albany, New York, USA.

Abstract

PURPOSE: Among healthcare professionals, burnout is one of the key challenges affecting organizational outcomes, employee productivity and quality of care. The knowledge of burnout and its root causes and primary contributors continues to grow yet remains limited. In many environments, an entrepreneurial orientation (EO) has been shown to dramatically improve organizational outcomes and performance. The purpose of this paper is to illustrate critical research areas at the intersection of organizational EO and employee burnout within the healthcare sector.
DESIGN/METHODOLOGY/APPROACH: A conceptual model which considers how EO has the potential to provide an operational context that may negate, lessen or delay the negative effects of burnout among healthcare professionals, is advanced as a useful focal point to foster research exploring connections between organizational orientation and employee well-being.
FINDINGS: Insights into how an opportunity-embracing EO characteristic of high-tech firms may shape how stress is experienced and address burnout when applied to healthcare organizations. A decrease in burnout stands to improve quality of care as well as the satisfaction of staff and patients alike, including a greater sense of autonomy, engagement, motivation and passion.
ORIGINALITY/VALUE: This research agenda proposes new insights and the need for additional research into how the manifestation of organizational EO may contribute to the field of medicine, influence burnout and enhance the well-being among healthcare professionals.

Keywords

References

Anderson, B.S., Kreiser, P.M., Kuratko, D.F., Hornsby, J.S. and Eshima, Y. (2015), “Reconceptualizing entrepreneurial orientation”, Strategic Management Journal, Vol. 36 No. 10, pp. 1579-1596.
Babyar, J.C. (2017), “They did not start the fire: reviewing and resolving the issue of physician stress and burnout”, Journal of Health Organization and Management, Vol. 31 No. 4, pp. 410-417.
Covin, J.G. and Lumpkin, G.T. (2011), “Entrepreneurial orientation theory and research: reflections on a needed construct”, Entrepreneurship Theory and Practice, Vol. 35 No. 5, pp. 855-872.
Covin, J.G. and Wales, W.J. (2019), “Crafting high-impact entrepreneurial orientation research: some suggested guidelines”, Entrepreneurship Theory and Practice, Vol. 43 No. 1, pp. 3-18.
Dewa, C.S., Jacobs, P., Thanh, N.X. and Loong, D. (2014), “An estimate of the cost of burnout on early retirement and reduction in clinical hours of practicing physicians in Canada”, BMC Health Services Research, Vol. 14, p. 254, doi: 10.1186/1472-6963-14-254.
Fernet, C., Gagné, M. and Austin, S. (2010), “When does quality of relationships with coworkers predict burnout over time? The moderating role of work motivation”, Journal of Organizational Behavior, Vol. 31 No. 8, pp. 1163-1180.
Gold, K.J., Sen, A. and Schwenk, T.L. (2013), “Details on suicide among US physicians: data from the national violent death reporting system”, General Hospital Psychiatry, Vol. 35 No. 1, pp. 45-49.
Goodale, J.C., Kuratko, D.F., Hornsby, J.S. and Covin, J.G. (2011), “Operations management and corporate entrepreneurship: the moderating effect of operations control on the antecedents of corporate entrepreneurial activity in relation to innovation performance”, Journal of Operations Management, Vol. 29 Nos 1–2, pp. 116-127.
Hawley, G. (2004), “Canada’s health care workers a snapshot”, Health Policy Research Bulletin, Vol. 8, pp. 8-11.
Hayes, B., Prihodova, L., Walsh, G., Doyle, F. and Doherty, S. (2017), “What’s up doc? A national cross-sectional study of psychological wellbeing of hospital doctors in Ireland”, BMJ Open, Vol. 7, pp. 1-10.
Hinz, V. and Ingerfurth, S. (2013), “Does ownership matter under challenging conditions? On the relationship between organizational entrepreneurship and performance in the healthcare sector”, Public Management Review, Vol. 15 No. 7, pp. 969-991.
Hoff, T., Whitcomb, W.F. and Nelson, J.R. (2002), “Thriving and surviving in a new medical career: the case of hospitalist physicians”, Journal of Health and Social Behavior, Vol. 43 No. 1, pp. 72-91, doi: 10.2307/3090246.
Hornsby, J.S., Kuratko, D.F., Holt, D.T. and Wales, W.J. (2013), “Assessing a measurement of organizational preparedness for corporate entrepreneurship”, Journal of Product Innovation Management, Vol. 30 No. 5, pp. 937-955.
Hornsby, J.S., Kuratko, D.F., Shepherd, D.A. and Bott, J.P. (2009), “Managers’ corporate entrepreneurial actions: examining perception and position”, Journal of Business Venturing, Vol. 24 No. 3, pp. 236-247.
Hult, G. and Ketchen, D.J. Jr (2001), “Does orientation matter?: a test of the relationship between positional advantage and performance”, Strategic Management Journal, Vol. 22 No. 9, pp. 889-906.
Ireland, D.R., Covin, J.G. and Kuratko, D.F. (2009), “Conceptualizing corporate entrepreneurship strategy”, Entrepreneurship Theory and Practice, Vol. 33 No. 1, pp. 19-46.
Jenkins, A.S., Wiklund, J. and Brundin, E. (2014), “Individual responses to firm failure: appraisals, grief, and the influence of prior failure experience”, Journal of Business Venturing, Vol. 29 No. 1, pp. 17-33.
Kang, J.H., Matusik, J., Kim, T.Y. and Phillips, M. (2016), “Interactive effects of multiple organizational climates on employee innovative behavior in entrepreneurial firms: a cross-level investigation”, Journal of Business Venturing, Vol. 31 No. 6, pp. 628-642.
Kibler, E., Wincent, J., Kautonen, T., Cacciotti, G. and Obschonka, M. (2019), “Can prosocial motivation harm entrepreneurs’ subjective well-being?”, Journal of Business Venturing, Vol. 34 No. 4, pp. 608-624.
López-Cabarcos, M., López-Carballeira, A. and Ferro-Soto, C. (2019), “The role of emotional exhaustion among public healthcare professionals”, Journal of Health Organization and Management, Vol. 33 No. 6, pp. 649-655.
Lumpkin, G., Moss, T., Gras, D., Kato, S. and Amezcua, A. (2013), “Entrepreneurial processes in social contexts: how are they different, if at all?”, Small Business Economics, Vol. 40 No. 3, pp. 761-783.
Lumpkin, G.T. and Dess, G. (1996), “Clarifying the entrepreneurial orientation construct and linking it to performance”, Academy of Management Review, Vol. 21 No. 2, pp. 135-172.
Lumpkin, G.T., Cogliser, C.C. and Schneider, D.R. (2009), “Understanding and measuring autonomy: an entrepreneurial orientation perspective”, Entrepreneurship Theory and Practice, Vol. 33 No. 1, pp. 47-69.
McMullen, J.S. and Shepherd, D.A. (2006), “Entrepreneurial action and the role of uncertainty in the theory of the entrepreneur”, Academy of Management Review, Vol. 31 No. 1, pp. 132-152.
Maslach, C. and Jackson, S.E. (1981), “The measurement of experienced burnout”, Journal of Occupational Behavior, Vol. 2, pp. 99-113.
Miller, D. (1983), “The correlates of entrepreneurship in three types of firms”, Management Science, Vol. 29 No. 7, pp. 770-792.
Mintzberg, H. (1973), “Strategy-making in three modes”, California Management Review, Vol. 16 No. 2, pp. 44-53.
Monsen, E. and Boss, W.R. (2009), “The impact of strategic entrepreneurship inside the organization: examining job stress and employee retention”, Entrepreneurship Theory and Practice, Vol. 33 No. 1, pp. 71-104.
Morris, M.H., Webb, J.W. and Franklin, R.J. (2011), “Understanding the manifestation of entrepreneurial orientation in the nonprofit context”, Entrepreneurship Theory and Practice, Vol. 35 No. 5, pp. 947-971.
Rauch, A., Fink, M. and Hatak, I. (2018), “Stress processes: an essential ingredient in the entrepreneurial process”, Academy of Management Perspectives, Vol. 32 No. 3, pp. 340-357.
Ryff, C.D. (2019), “Entrepreneurship and eudaimonic well-being: five venues for new science”, Journal of Business Venturing, Vol. 34 No. 4, pp. 646-663.
Salge, T.O. and Vera, A. (2009), “Hospital innovativeness and organizational performance: evidence from English public acute care”, Health Care Management Review, Vol. 34 No. 1, pp. 54-67.
Shanafelt, T., Goh, J. and Sinsky, C. (2017), “The business case for investing in physician well-being”, JAMA Internal Medicine, Vol. 177 No. 12, pp. 1826-1832.
Shanafelt, T.D., Balch, C.M., Bechamps, G., Russell, T., Dyrbye, L., Satele, D., Collicott, P., Novotny, P.J., Sloan, J. and Freischlag, J. (2010), “Burnout and medical errors among American surgeons”, Annals of Surgery, Vol. 251 No. 6, pp. 995-1000.
Shanafelt, T.D., Boone, S., Tan, L., Dyrbye, L.N., Sotile, W., Satelem, D., West, C.P., Sloan, J. and Oreskovich, M.R. (2012), “Burnout and satisfaction with work-life balance among US physicians relative to the general US population”, Archives of Internal Medicine, Vol. 172 No. 18, pp. 1377-1385.
Silver, M.P., Hamilton, A.D., Biswas, A. and Warrick, N.I. (2016), “A systematic review of physician retirement planning”, Human Resources for Health, Vol. 14 No. 1, p. 67.
Vecchiarini, M. and Mussolino, D. (2013), “Determinants of entrepreneurial orientation in family-owned healthcare organizations”, International Journal of Healthcare Management, Vol. 6 No. 4, pp. 237-251.
Wales, W.J. (2016), “Entrepreneurial orientation: a review and synthesis of promising research directions”, International Small Business Journal, Vol. 34 No. 1, pp. 3-15.
Wales, W.J., Monsen, E.W. and McKelvie, A. (2011), “The organizational pervasiveness of entrepreneurial orientation”, Entrepreneurship Theory and Practice, Vol. 35 No. 5, pp. 895-923.
Wang, C.L. (2008), “Entrepreneurial orientation, learning orientation, and firm performance”, Entrepreneurship Theory and Practice, Vol. 32 No. 4, pp. 635-657.
Wiklund, J. and Shepherd, D.A. (2003), “Knowledge-based resources, entrepreneurial orientation, and performance of small and medium-sized firms”, Strategic Management Journal, Vol. 24, pp. 1307-1314.
Wiklund, J., Nikolaev, B., Shir, N., Foo, M.-D. and Bradley, S. (2019), “Entrepreneurship and well-being: past, present and future”, Journal of Business Venturing, Vol. 34 No. 4, pp. 579-588.
Ybema, J.F., Smulders, P.G.W. and Bongers, P.M. (2010), “Antecedents and consequences of employee absenteeism: a longitudinal perspective on the role of job satisfaction and burnout”, European Journal of Work and Organizational Psychology, Vol. 19 No. 1, pp. 102-124.

MeSH Term

Burnout, Professional
Entrepreneurship
Health Personnel
Humans
Job Satisfaction
Models, Theoretical
Personal Satisfaction

Word Cloud

Similar Articles

Cited By