Clinician Well-being

Clinician-reported experience measures (CREMs)

What Shapes Clinician Well-being in Primary Care? An Evidence and Gap Map of Clinician Experiences in Primary Care

This project presents an evidence and gap map of qualitative research on clinicians’ experiences related to wellbeing in primary care. Using the National Academy of Medicine (NAM) framework, the map organises experiences across key external and individual factors influencing clinicians’ wellbeing. By visually synthesising a large body of qualitative literature and making it available through an interactive online map, the project supports researchers, decision-makers, and stakeholders in identifying where evidence is concentrated, where gaps remain, and where further research or action may be needed to better support clinician wellbeing in primary care settings.

Authors: Dorsa Salimi¹, Paula L. Bush¹, Ashkan Baradaran¹, Anaïs Lacasse², Pascaline Kengne Talla³, Thomas G. Poder⁴, Maude Laberge⁴, Sonia Lussier⁵, Antoine Groulx7, Patrick M. Archambault7, Tracie A. Barnett¹

Links: CREMs Evidence and Gap Map

1. Department of Family Medicine, Faculty of Medicine and Health Sciences, McGill University, Montréal, QC, Canada. 
2. Département des sciences de la santé, Université du Québec en Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, QC, Canada. 
3. Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montréal, QC, Canada. 
4. Department of Management, Evaluation and Health Policy, School of Public Health, Université de Montréal, Montréal, QC, Canada. 
5. Department of Social and Preventive Medicine, Faculty of Medicine, Université Laval, Québec, QC, Canada. 
6. Patient partner, Unité de soutien au système de santé apprenant Québec,  Montréal, QC, Canada. 
7. Department of Family and Emergency Medicine, Université Laval, Québec, QC, Canada. 


How Can You Help Improve Clinician Well-Being? Insights from Patient Focus Groups 

This guide presents actionable strategies that patients, clinicians, and health organizations can use to support clinician wellbeing The content is based on four focus groups with patient partners on factors that contribute to clinician well-being and ways to support it.

Authors: Marie-Dominique Poirier¹, Sonia Lussier¹, Jack Moncado², Dorsa Salimi¹, Paula L. Bush²  

Links: Clinician Well-Being: Patient Perspectives (English) and Bien-être des clinicien·ne·s : perspectives des patient·e·s (Français)

1. Patient Partner, Unité de soutien au système de santé apprenant Québec, Montréal, QC, Canada
2. Department of Family Medicine, Faculty of Medicine and Health Sciences, McGill University, Montréal, QC, Canada 
Corresponding author: Paula L. Bush 


What shapes the well-being at of Quebec Nurses? Insights from their reported experiences 

This interactive presentation describes the factors that the factors shaping the wellbeing of nurses and nurse practitioners working in primary care in Quebec. It highlights how working conditions, team dynamics, and system-level factors shape well-being, and provide insights to inform decision-making and improvements in care. The content is based on a synthesis of nurses and nurse practitioners reported experiences extracted from studies in our evidence and gap map (EGM). 

Authors: Dat V.T Nguyen1, Paula L. Bush2, Sylvie Lambert1, Dorsa Salimi2

Links: Nurse Well-Being in Quebec (English) and Bien-être des infirmier·ère·s au Québec (Français)

1. Ingram School of Nursing, McGill University, Montréal, QC, Canada
2. Department of Family Medicine, Faculty of Medicine and Health Sciences, McGill University, Montréal, QC, Canada 
Corresponding author: Paula L. Bush 


What factors affect the well-being of Quebec health professionals?
What instruments measure these factors?

This infographic highlights the key factors influencing the well‑being of healthcare professionals in Quebec, as identified through a consensus process involving more than 100 healthcare professionals and patients over three rounds of voting. It presents the five priority factors along with validated instruments used to measure them. 

Authors: Jiahao Deng1, Paula L. Bush1, Dorsa Salimi1, Sylvie D. Lambert2, Maxime Sasseville3, Thomas G. Poder4, Pascaline Kengne Talla5, Maude Laberge5, Claudie Audet6, Andréanne Bernier6, Anaïs Lacasse6, Matthew Menear7, Marie-Dominique Poirier8, Fanny Hersson-Edery1, Sonia Lussier8, Tracie A. Barnett1

Links: Clinician Well-being: Factors & Measures (English) and Bien-être des cliniciens : facteurs et mesures (Français)

1. Department of Family Medicine, Faculty of Medicine and Health Sciences, McGill University, Montréal, QC, Canada
 2. Ingram School of Nursing, McGill University, Montréal, QC, Canada
3. Faculté des Sciences Infirmières, Université Laval, Québec, Canada
4. Department of Innovation in Medical Education, Faculty of Medicine, Université Laval, Québec, QC, Canada
5. Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montréal, QC, Canada 
6. Département des sciences de la santé, Université du Québec en Abitibi-Témiscamingue (UQAT), Rouyn-Noranda, QC, Canada 
7. Department of Family Medicine and Emergency Medicine, Université Laval, Québec, QC, Canada
8. Patient partner, Unité de soutien au système de santé apprenant Québec, Montréal, QC, Canada 

Corresponding author: Paula L. Bush