--- title: "Relationships and resilience | Sutter Health" description: "Relationships and resilience at work and at home: Impact of relational coordination on clinician work-life balance and well-being in times of crisis" url: "https://www.sutterhealth.org/research/publications/relationships-resilience-impact-of-relational-coordination-on-clinician-work-life-balance-1055312859" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Relationships and resilience # Relationships and resilience at work and at home: Impact of relational coordination on clinician work-life balance and well-being in times of crisis _Health Care Management Review_ 2022-10-21 ## Abstract Background:The COVID-19 pandemic has been an unusually comprehensive crisis that has taken a toll on people in their roles both at work and at home, giving rise to a new normal. Purpose:Relational coordination theory shows how communicating and relating for the purpose of task integration drives positive outcomes for workers, their clients, and their employers. The ecological theory of work-family spillover shows how relational dynamics from work spillover into family life, and vice versa. We build upon these two theories to understand how relationships at work impact work-life balance and worker well-being, especially in times of crisis. Methodology:This study was based on surveys of clinicians affiliated with a large California health system during the COVID-19 pandemic. Mediation and multilevel logistic regression models were used to assess how relational coordination among colleagues impacts well-being (job satisfaction and lack of burnout) through its effects on work-life balance (schedule control and personal time). Results:A 1-point increase in relational coordination tripled clinician odds of having schedule control (OR = 3.33, p < .001) and nearly doubled the odds of having adequate personal time (OR = 1.83, p < .001). A 1-point increase in relational coordination nearly quadrupled odds of being satisfied with their job (OR = 3.92, p < .001) and decreased odds of burnout by 64% (OR = 0.36, p < .001). The impact of relational coordination on worker well-being was mediated by greater schedule control and personal time. Conclusion:Relational coordination among colleagues impacts worker well-being by enabling greater control over one's schedule and more personal time, thus creating a positive spillover from work to home in times of crisis. Practice implications:In times of crisis, leaders should prioritize relational coordination among colleagues in order to support their resilience both at work and at home. [PubMed abstract](https://pubmed.ncbi.nlm.nih.gov/36279316/) ![Cheryl Stults, Ph.D.](https://dyn.mktgcdn.com/p/3IhveEwq-t5WoqAzSNGeAr-4g4yrj4v7x1QcPGdCX_s/fit=crop,gravity=auto,dpr=2,width=188,height=250,quality=100) Cheryl Stults, Ph.D. Principal investigator [View profile](https://www.sutterhealth.org/research/investigators/cheryl-stults-phd-1049681000) ## Research topics - [COVID-19](https://www.sutterhealth.org/research-search-results?query=%22%5C%22COVID-19%5C%22%22) - [EHR Data](https://www.sutterhealth.org/research-search-results?query=%22%5C%22EHR+Data%5C%22%22) - [Physician Efficiency](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Physician+Efficiency%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Mind the clinical-analytic gap: electronic health records and COVID-19 pandemic response](https://www.sutterhealth.org/research/publications/electronic-health-records-covid-19-pandemic-response-1055312813) Sylvia Ek Sudat, Sarah C Robinson, Satish Mudiganti, Aravind Mani, Alice R Pressman J Biomed Inform.103715. doi: 10.1016/j.jbi.2021.103715. Online ahead of print. 2021 Feb 18 - Publication ### [Disparities in emergency department and urgent care opioid prescribing before and after randomized clinician feedback interventions](https://www.sutterhealth.org/research/publications/disparities-in-emergency-department-opioid-prescribing-1055312860) Academic Emergency Medicine 2023 Mar 06 - Publication ### [Racial Disparities in Pulse Oximeter Device Inaccuracy and Estimated Clinical Impact on COVID-19 Treatment Course](https://www.sutterhealth.org/research/publications/racial-disparities-pulse-oximeter-device-covid-19-1055312833) Sudat SEK, Wesson P, Rhoads KF, et al.Racial Disparities in Pulse Oximeter Device Inaccuracy and Estimated Clinical Impact on COVID-19 Treatment Course Am J Epidemiol. 2023;192(5):703-713. doi:10.1093/aje/kwac164 2022 Sep 29 - Publication ### [Implementation of patient engagement tools in electronic health records to enhance patient-centered communication: protocol for feasibility evaluation and preliminary results](https://www.sutterhealth.org/research/publications/patient-centered-communication-1055312806) Tai-Seale M, Rosen R, Ruo B, Hogarth M, Longhurst CA, Lander L, Walker AL, Stults CD, Chan A, Mazor K, Garber L, Millen M JMIR Res Protoc.10(8):e30431. doi: 10.2196/30431. 2021 Aug 26 - Publication ### [Measuring and promoting SARS-CoV-2 vaccine equity: development of a COVID-19 vaccine equity index](https://www.sutterhealth.org/research/publications/measuring-promoting-sars-cov-2-vaccine-equity-1055312863) Alice R Pressman, Stephen H Lockhart, Zijun Shen, Kristen M J Azar Health Equity.;5(1):476-483. doi: 10.1089/heq.2021.0047. eCollection 2021. 2021 Jul 13 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/relationships-resilience-impact-of-relational-coordination-on-clinician-work-life-balance-1055312859#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Relationships and resilience"}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/relationships-resilience-impact-of-relational-coordination-on-clinician-work-life-balance-1055312859#medicalscholarlyarticle","name":"Relationships and resilience at work and at home: Impact of relational coordination on clinician work-life balance and well-being in times of crisis","headline":"Relationships and resilience","abstract":"Background:The COVID-19 pandemic has been an unusually comprehensive crisis that has taken a toll on people in their roles both at work and at home, giving rise to a new normal. Purpose:Relational coordination theory shows how communicating and relating for the purpose of task integration drives positive outcomes for workers, their clients, and their employers. The ecological theory of work-family spillover shows how relational dynamics from work spillover into family life, and vice versa. We build upon these two theories to understand how relationships at work impact work-life balance and worker well-being, especially in times of crisis. Methodology:This study was based on surveys of clinicians affiliated with a large California health system during the COVID-19 pandemic. Mediation and multilevel logistic regression models were used to assess how relational coordination among colleagues impacts well-being (job satisfaction and lack of burnout) through its effects on work-life balance (schedule control and personal time). Results:A 1-point increase in relational coordination tripled clinician odds of having schedule control (OR = 3.33, p \u003c .001) and nearly doubled the odds of having adequate personal time (OR = 1.83, p \u003c .001). A 1-point increase in relational coordination nearly quadrupled odds of being satisfied with their job (OR = 3.92, p \u003c .001) and decreased odds of burnout by 64% (OR = 0.36, p \u003c .001). The impact of relational coordination on worker well-being was mediated by greater schedule control and personal time. Conclusion:Relational coordination among colleagues impacts worker well-being by enabling greater control over one's schedule and more personal time, thus creating a positive spillover from work to home in times of crisis. 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