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Artificial Intelligence in Health                                  Organizational culture’s impact on burnout



            2.7. Burnout prediction                            work, job home-life interference, irritability, anxiety,

            Linear and logistic regression models can be used to   depersonalization, mood swings, and overall burnout.
            predict and diagnose burnout based on survey results. 23,24    Further information on the hypotheses can be found in the
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            Indicators such as exhaustion, cognitive performance   literature.
            issues, and lack of enjoyment in one’s work are predictors of   2.9. Gaps in existing literature
            burnout.  Similarly to OC, low performance also predicts
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            burnout. Highly neurotic individuals are more likely to   The existing literature on the relationship between OC and
            experience burnout than those with high self-efficacy.  burnout highlights several unexplored or underexplored
                                                               areas:
              Additional ML techniques, such as k-means clustering,   (i)  Integration of ML in burnout studies
            cluster analysis, and multitask learning, have been      While burnout is a well-researched topic, few studies
            employed to classify and predict burnout. 25-27  These studies   employ ML methods to analyze the relationship
            demonstrate the potential of ML techniques to predict   between OC and burnout. Traditional statistical
            behavioral issues like burnout using survey data. However,   methods  dominate the  field,  leaving a  gap  in  the
            these studies do not focus on employees in health systems.  application of advanced techniques such as random

            2.8. OC, burnout, and ML                              forests, neural networks, or ensemble methods for
                                                                  deeper and more nuanced insights.
            Survey results  have  been used to predict  components  of   (ii)  Non-patient-facing health system employees
            burnout using aspects of OC, such as partial least squares      Most research on burnout focuses on patient-facing
            regression and ordinary least squares regression. 22,28  The   roles in healthcare, such as doctors and nurses, due
            social environment has been identified as influencing work   to their high-stress environments. However, there is
            engagement, which is the opposite of burnout.  Engagement   limited  literature  addressing  burnout  among  non-
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            is  comprised  of  vigor,  dedication,  and  absorption.   Job   patient-facing employees in health systems, despite
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            quality, which involves work conditions valued by employees,   their critical roles in organizational functioning.
            also influences  burnout  and  overall  employee  well-being.   (iii) OC as a predictor
            Creating a culture that fosters feedback, autonomy, work-     Although many studies acknowledge that OC affects
            life balance, a positive climate, and open communication   employee well-being, few quantitatively evaluate
            also influences engagement and, consequently, reduces   which specific cultural factors (e.g., communication,
            burnout. 31
                                                                  leadership style, and work-life balance) most
              While  numerous  studies  have  identified  predictors   significantly predict burnout.  There  is a gap in
            and influencers of burnout, it remains unclear whether   identifying and ranking these predictors using robust
            these influencers can be used to predict burnout using   models.
            ML techniques. For example, although a decision tree   (iv)  Dynamic and contextual nature of burnout
            model has shown that OC can predict burnout, more      Existing research often treats burnout as a static
            advanced and  complex  techniques, such  as random    outcome rather than a dynamic process. Limited
            forest models, have not been employed to demonstrate   exploration of how changes in OC over time influence
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            the same results.  This research builds on previous work   burnout leaves a gap in understanding the temporal
            by investigating how ML, specifically a more complex   and adaptive aspects of these relationships.
            and advanced random forest model, can be applied to   (v)  Interdisciplinary approaches
            predict burnout among non-patient-facing employees in      Research on burnout and OC is often conducted
            health systems.  Based on existing literature regarding   in  isolation,  either  focusing  on  psychological
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            the prediction of burnout using OC and ML techniques,   aspects or management theories. There is a need
            the research question is: Can a random forest ML model   for interdisciplinary approaches that integrate
            predict burnout among non-patient-facing employees in   psychological, sociological, and computational
            health systems?                                       perspectives to study these complex interactions.
              Previous literature has established a relationship   (vi) Generalizability across industries and cultures
            between OC and burnout. The dependent variables and      Much of the current literature is geographically or
            independent variables described in prior research were   culturally specific, with a strong focus on Western
            utilized in this study’s random forest model.  It was   organizational practices. There is a need for studies
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            hypothesized that whether employees perceive their    that explore the cross-cultural applicability of findings
            organization’s  culture  as positive  will predict  several   and consider how the impact of OC on burnout may
            burnout symptoms, including emotional exhaustion after   vary across industries and regions.


            Volume 2 Issue 3 (2025)                         82                               doi: 10.36922/aih.5127
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