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Identifying Causes of Quiet Quitting in Healthcare and How Facilities Can Combat It

Written by , MSP
November 9, 2023

Healthcare professionals in the U.S. face a myriad of challenges. From struggles with administrative efficiency to lack of access to care and ongoing repercussions due to COVID-19, it’s no wonder healthcare workers are feeling spent.

Quiet quitting in healthcare is evident across the country, but is there hope for a better tomorrow?

In this article, we’ll address the causes of quiet quitting in healthcare, signs that it may be happening in your facility, and ways to tackle this issue head-on.


Table of Contents


healthcare quiet quitting


What Is Quiet Quitting in Healthcare?

Quiet quitting in healthcare refers to a phenomenon where healthcare professionals, such as nurses, doctors, or other staff members, disengage from their roles or the healthcare system without openly resigning. 

It is characterized by a silent, gradual withdrawal from their responsibilities and a decrease in motivation, often driven by feelings of frustration, burnout, or dissatisfaction with the work environment. 

Unlike a traditional resignation, where an employee formally submits their notice, quiet quitting is subtle and may go unnoticed by colleagues and superiors. This can have significant implications for patient care, staff morale, and the overall functioning of healthcare institutions.


quiet quitting in healthcare


What Triggers Quiet Quitting?

The reasons for quiet quitting in healthcare are varied and can include heavy workloads, inadequate staffing, administrative burdens, emotional exhaustion, and the physical and emotional toll of providing patient care — particularly in high-stress or high-pressure settings. 

Healthcare professionals who engage in quiet quitting may become emotionally detached, exhibit reduced commitment to their roles, and may even compromise the quality of patient care. 



Burnout among healthcare professionals is a significant factor that can lead to quiet quitting in the healthcare industry. Burnout is a state of emotional, physical, and mental exhaustion resulting from prolonged stress, and it is particularly common in healthcare due to the demanding nature of the work. 

Here’s how burnout can contribute to quiet quitting in healthcare:

  • Reduced job satisfaction
  • Emotional exhaustion
  • Decreased commitment
  • Cynicism and detachment
  • Suboptimal patient care
  • Reduced productivity
  • Risk of errors
  • Increased turnover
  • Impact on colleagues

Addressing burnout and its consequences is crucial to prevent quiet quitting and ensure a healthy, motivated healthcare workforce. 

Healthcare institutions should prioritize staff well-being, provide support, and create environments that promote work-life balance, job satisfaction, and effective coping strategies to prevent and manage burnout. 


Lack of Support or Resources

A lack of support or resources in healthcare can be a significant driver of quiet quitting, where healthcare professionals gradually disengage from their roles without openly resigning. This phenomenon can have severe consequences for both healthcare staff and the quality of patient care.

Inadequate staffing, tools, and resources can increase the workload and stress levels of healthcare professionals. Over time, the strain of dealing with heavy workloads, long hours, and insufficient support can lead to emotional exhaustion and a sense of hopelessness. 

A shortage of resources and support can also have a direct impact on the quality of patient care. Healthcare professionals may be forced to cut corners or compromise on the care they provide, potentially resulting in suboptimal patient outcomes. This can be emotionally distressing for healthcare professionals and contribute to quiet quitting as they struggle with feelings of inadequacy.


Feeling Underappreciated 

Healthcare professionals often invest a great deal of emotional energy in their work, providing care, support, and empathy to patients during challenging times. When their efforts go unnoticed or unacknowledged, it can lead to emotional exhaustion. 

This toll can cause healthcare professionals to no longer have the emotional reserves to continue giving their best.

Lack of recognition and appreciation can erode motivation. Healthcare professionals may become less motivated to go above and beyond their job requirements, take on additional responsibilities, or engage in professional development. This reduction in motivation is a hallmark of quiet quitting.


what is quiet quitting in healthcare


Why Is Employee Disengagement a Cause for Concern?

The consequences of quiet quitting can lead to: 

  • Increased staff turnover
  • Decreased quality of care; and 
  • Heightened stress levels within healthcare teams 

Quiet quitting further exacerbates the challenges faced by the healthcare system. Recognizing the signs of quiet quitting and addressing its root causes are crucial to maintaining a healthy and effective healthcare workforce and ensuring the best possible care for patients.


The Impacts of Quiet Quitting in Healthcare Settings


Reduced Patient Safety

As healthcare professionals quietly quit or disengage from their roles, they may provide a lower quality of care. This can manifest as reduced attentiveness, slower response times, less thorough assessments, or a lack of attention to detail. Patients may receive care that falls below the expected standards.

Additionally, healthcare facilities may experience reduced patient safety in the following four ways:

  1. Quiet quitting can lead to communication breakdowns, misunderstandings, and a lack of coordination among healthcare professionals. This can result in delays in patient care, mismanagement of treatment, mistakes in medication administration, or inadequate responses to emergencies.
  2. When healthcare professionals quietly quit, they may become less proactive in providing preventive care or conducting routine screenings. Patients may miss out on important preventive measures, vaccinations, and health maintenance, potentially leading to preventable illnesses.
  3. Inadequate attention to infection control protocols can increase the risk of healthcare-associated infections. Disengaged healthcare professionals may not follow proper hand hygiene, isolation procedures, or cleaning and disinfection protocols, putting patients at risk.
  4. In emergencies, rapid and efficient responses are crucial for patient safety. Quiet quitting can result in slower responses to life-threatening situations, reducing the chances of a positive outcome for patients in critical condition.

Ensuring that healthcare professionals feel valued and motivated in their roles is essential for maintaining high standards of patient safety.


Poor Workplace Culture

When healthcare workers are expected to do more work without more pay or appreciation, it’s no wonder morale diminishes and workers become cynical. When individuals feel undervalued or unsupported, they may develop a negative outlook on the organization, their colleagues, and the healthcare system as a whole.

Additionally, the loss of experienced colleagues and the resultant increase in workload can elevate stress levels for those who remain. This added stress may contribute to a cycle of quiet quitting, as healthcare professionals become more disengaged due to the heightened pressure.

Overall, when healthcare workers are expected to sacrifice their work-life balance due to a communication breakdown, failures in the chain of operations, or high turnover, the workplace culture will inevitably suffer.


Compromised Quality of Care

Quiet quitting in healthcare compromises the quality of care provided by leading to a gradual decline in the attention, vigilance, and commitment of healthcare professionals. When they become disengaged and emotionally detached, their responses to patient needs and emergencies may become slower, increasing the risk of adverse outcomes. 

Additionally, inefficient communication and incomplete documentation can lead to misunderstandings and errors. Medication errors, missed assessments, and delayed diagnoses become more likely, impacting patient safety. Inadequate infection control measures and a lack of focus on preventive care further jeopardize patient well-being. 

Patients may also receive compromised emotional support, resulting in a diminished overall experience. This cumulative effect can normalize suboptimal care, creating a culture that is detrimental to both healthcare professionals and the patients they serve. 


Increased Turnover 

Quiet quitting in healthcare often leads to higher turnover for several interconnected reasons. As healthcare professionals quietly disengage from their roles due to factors like burnout, inadequate support, or a lack of recognition, their job satisfaction decreases. This reduced job satisfaction can prompt them to seek alternative employment options or consider leaving the healthcare profession altogether. 

Observing colleagues quietly quitting can create a demoralizing work environment, prompting others to consider their own job prospects. The resulting increase in staff turnover places added strain on the remaining workforce, exacerbating the challenges they face and further contributing to quiet quitting. 

The continuous loss of experienced staff and the influx of new, less experienced team members can disrupt the work environment, making it less stable and potentially negatively impacting patient care. 

This cycle of disengagement and staff turnover underscores the urgent need for healthcare institutions to address the root causes of quiet quitting and prioritize staff support and well-being to retain a motivated and stable healthcare workforce.


what triggers quiet quitting


3 Common Signs of Quiet Quitting in Healthcare

Quiet quitting in healthcare can be subtle and may not always be immediately apparent. However, there are common signs that may indicate a healthcare professional is disengaging from their role without openly resigning. 


#1: Decreased Productivity 

A decline in productivity is often a clear sign of quiet quitting. Healthcare professionals may not perform their duties with the same level of diligence, efficiency, or thoroughness as they once did. Tasks may be completed with less attention to detail, and they may avoid taking on additional responsibilities or going above and beyond their basic job requirements.


#2: Low Participation

Quiet quitting can lead to social isolation and withdrawal from the workplace community. Healthcare professionals who are disengaging may become less interactive with colleagues, attend fewer team meetings, or limit their participation in discussions. They may prefer to work in isolation or distance themselves from workplace activities and events. 


#3: Emotional Detachment

Healthcare professionals who are quietly quitting may become emotionally detached from their work and interactions with patients and colleagues. They may exhibit a lack of enthusiasm, empathy, or emotional investment in their responsibilities. This detachment can manifest as a seeming indifference to patient outcomes, colleagues’ concerns, or the overall work environment.


quiet quitting in healthcare


3 Ways Contingent Staff May Help Alleviate Quiet Quitting in Healthcare

Contingent staff, such as temporary or contract healthcare professionals, can play a significant role in alleviating quiet quitting in healthcare. Here are three ways in which contingent staff can help address this issue.


#1: Provide Time Off for Permanent Staff to Recharge

Contingent staff can provide much-needed relief during periods of staff shortages or high demand. Their presence helps distribute the workload more evenly, reducing the stress and burnout experienced by full-time healthcare professionals

This can mitigate factors that often lead to quiet quitting, such as heavy workloads and emotional exhaustion.


#2: Decrease Nurse-to-Patient Ratios

When hospitals or healthcare facilities experience fluctuations in patient volumes or face staffing shortages, contingent nurses and other healthcare professionals can be brought in temporarily. Their flexibility in scheduling and availability allows for the immediate adjustment of staffing levels to align with patient needs. 

By increasing the number of healthcare professionals on the floor during high-demand periods, contingent staff help ensure that patient-to-nurse ratios remain at safe and manageable levels. This is crucial for patient safety, as lower nurse-to-patient ratios enable nurses to provide more individualized care, monitor patients more closely, and respond more effectively to patient needs. 

Contingent staff act as a responsive solution to maintain appropriate staffing levels, reduce the burden on core nursing teams, and ultimately enhance the quality of patient care.


#3: Reduce Overall Workload for Permanent Staff

Contingent staff can provide flexibility in staffing, allowing healthcare institutions to adapt to fluctuating patient volumes or seasonal demands. This flexibility reduces the burden on permanent staff and helps prevent burnout and disengagement. 

Contingent staff can also offer support during crises or emergencies, preventing a cascade of quiet quitting during challenging times.


Combat Quiet Quitting in Healthcare by Utilizing Contingent Staff With Trusted Managed Services

Quiet quitting in healthcare is an ongoing issue, one that likely won’t go away. However, with Trusted Managed Services, healthcare facilities can mitigate some of the challenges caused by quiet quitting.

Trusted Managed Services is a Managed Service Provider (MSP) that offers tailored and comprehensive staffing solutions to healthcare providers. Our services ensure facilities are equipped with the appropriate amount of staff to ensure quality patient care while increasing workplace morale.

Our services ensure quicker access to high-quality talent, reduced vacancy rates and increased retention, and improved program efficiency.

For more information about how contingent staff may be the answer to quiet quitting in healthcare, contact Trusted Managed Services to request a demo today.


quiet quitting in healthcare

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