Understanding Role Stress in Relation to Nurse Burnout A Concept Analysis
Recent literature reports that there is a nursing shortage and it is continually increasing. Data released by the American Association of Colleges of Nursing (2011) projects that the shortage, would increase to 260,000 by the year 2025. AACN (2011) also reported that 13% of newly registered nurses changed jobs and 37% were ready to change within a year. A study conducted reports that there is a correlation between higher nursing workloads and nurse burnout, retention rates, job dissatisfaction and adverse patient outcomes (Vahey & Aiken, 2004). Among the nurses surveyed in the study, over 40% stated that they were suffering from burnout while 1 in 5 nurses intended
One of the most serious issues in nursing, that can affect a nurses career is nursing burn- out. According to the article “Where have all the nurses gone”, current nurses that are practicing, report high rates of job dissatisfaction (which is part of burn out) and 1 of 5 nurses may quit nursing in the next 5 years (Dworkin, 2002). Burnout is associated with nurses not coming in to work, not feeling satisfied when doing their job, high turnover rates and a lack of commitment to the work (Katisfaraki, 2013). If a nurse becomes burned- out, they may not take care of their patients as well and could make mistakes with medication administration. A study performed in the United States by Dr. Jeannie Cimiottti, shows that hospitals with high burn-out rates among nurses have higher levels UTI’s, and surgical infections (World, 2012). Nursing burnout not only affects the nurse, but it also affects the patient, the nurses’ colleagues, and the nurses’ family; nursing burn out often leads to emotional exhaustion and depression, that can effect relations and communication between the nurse effected and the person they are communicating with. This paper will cover what burn-out is, who is susceptible to burn out, and treatment and prevent nursing burn out.
The nursing profession is one of the most physically, emotionally, and mentally taxing career fields. Working long shifts, placing other’s needs before your own, dealing with sickness and death on a regular basis, and working in a high stress environment are all precursors to developing occupational burnout in the nursing profession. Burnout refers to physical, emotional and mental exhaustion, which can lead to an emotionally detached nurse, who feels hopeless, apathetic, and unmotivated. Burnout extends beyond the affected nurse and begins to affect the care patients receive. Researchers have found that hospitals with high burnout rates have lower patient satisfaction scores (Aiken et al 2013). There are various measures that nurses can take
Team Name & Number: JABEER-J, Team 6
Topic: Preventing burnout in newly graduated nurses
Issue: Burnout is prevalent among newly graduated nurses, affecting 1 of 5 nurses in the first three years of their career (Rudman & Gustavsson, 2011, p.293). Our goal is to prevent burnout among newly graduated nurses by minimizing the psychological distress they experience in their first few years as a nurse.
Background:
A current study shows that 66% of new graduate nurses experience severe burnout due to poor workplace environment (Laschinger & Fida, 2014, p. 20). Rudman and Gustavsson (2011) reported that newly graduated nurses have 50% chance of developing high levels of severe burnout during their second year post graduation (p. 292).
Burnout is a highly unusual type of stress disorder that is essentially characterized by emotional exhaustion, lack of empathy with patients, depersonalization, and a reduced sense of personal accomplishments. The nature of the work that healthcare practitioners perform predisposes them to emotional exhaustion. On the other hand, the lack of empathy towards patients is caused by the nurses feeling that they are underpaid and unappreciated. Numerous researches have associated burnout with the increasing rate of nurse turnover. This paper explores the causes of burnouts in nurses as well as what can be done to prevent the them.
Nurses should be empathetic and compassionate caregivers. However, what happens when nurses are constantly giving their energy to compassionate care, without seeing the positive outcomes nor being able to regain energy through self-care? This eventually would lead to compassion fatigue, which often results in impairment of concentration and diminished performance ultimately leading to poor quality of care. Preventing compassion fatigue can be achieved through a strong foundation with a comprehensive education consisting of critical thinking skills, evidence-based practice, leadership, management, and delegation, which are only taught in baccalaureate nursing programs. Nurses and nursing students must be reminded or taught that in order to prevent compassion fatigue, they should not only be taking good care of their patients but also themselves.
...s oftentimes experience “burnout”. Burnout means long-term exhaustion and a decline in interest in work. If the nurses see too many children die it can have a bad effect on them and they will no longer enjoy work. Parents tend to feel helpless when their little one is ill and may take out their frustration and angry on the nurses and doctors. The health care staff must take the time to answer parents questions and ensure them on how to help their child in recovery.
Being a nurse requires the ability to provide continuous care for another person with acute or chronic medical conditions. Providing around the clock care of another can cause emotional and physical strain on the nurses wellbeing and requires many notable traits. The most common and publically expected trait is compassion defined as a “sympathetic consciousness of another’s distress with a desire to alleviate it” (Merriam-Webster dictionary, 2011). A calling, which includes compassion and the desire to nourish, may be a strong motive that leads one to pursue a career in nursing. However, nurses must acquire the mental ability and skills to provide compassionate care in situations that may be contagious, traumatic, painful, and high stress. The nurse must also be prepared to experience stressors outside the realm of patient care. Workplace stressors such as scheduling and demanding nurse patient ratios, along with repeated exposure to the acute hardships of others predisposes caregivers, especially nurses, to develop a unique type of burn out labeled compassion fatigue (Joinson, 1992).
A study conducted by the Centers for Disease Control and Prevention shows that “annually approximately 1.7 million hospitalized patients acquire infections while being treated for other medical conditions, and more than 98,000 of these patients will die as a result of their acquired infection” (Cimiotti et al., 2012, p. 486). It was suggested that nursing burnout has been linked to suboptimal patient care and patient dissatisfaction. Also, the study shows that if the percentage of nurses with high burnout could be reduced to 10% from an average of 30%, approximately five thousand infections would be prevented (Cimiotti et al., 2012). In summary, increasing nursing staffing and reduction burnout in RNs is a promising strategy to help control urinary and surgical infections in acute care facilities (Cimiotti et al.,
Nurses are called to care for patients with respect, responsibility, love, empathy and compassion. Expressed by Kate Sheppard, “nurses who feel satisfied with their work feel fully engaged, energized, and a great deal of satisfaction from providing excellent care,” (2015). This care is often compromised by secondary traumatic stress and burnout, both a consequence unique to those in the health care field. Compassion fatigue, a complex phenomenon, is a modern concept rarely seen outside of nursing. In developing a theory, concept analysis is essential to the nursing profession. This concept analysis was guided by the professional quality of life (ProQOL) model, a conceptual design of compassion fatigue developed by Beth Stamm