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Conclusion of nurse burnout
Scope and limitation in nurses burnout
Conclusion of nurse burnout
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Introduction
Job satisfaction is defined as the amount of positivity expressed with regard to a job (Adam & Bond, 2000). It is also a common feeling that one has regarding his job or how they feel about their job (McNeese-Smith & Crook, 2003).
Nurses’ job satisfaction and their likelihood to stay in the profession are huge issues to the higher management as the demand for nurses is more than the supply available (McGlynn, Griffin, Donahue & Fitzpatrick, 2012). When one is not satisfied in their work environment, nurses are more likely to resign and leave their workplace (Ma, Samuels & Alexander, 2003).
Nurses’ work environment has an impact on their job satisfaction. Nurse reported higher emotional and physical exhaustion when they are required to look after more patients than what they can handle (Sheward, Hunt, Hagen, MacLeod & Ball, 2005). The quality of nursing care for patients is impacted by nurse’s job satisfaction (McNeese-Smith, 2000).
Nurse’s job dissatisfaction may indirectly lead to shortage of nurses with consequences of increased patient to nurse ratio, patients having to wait longer and last of all, burnout among nurses (Ma et al, 2003). Job satisfaction is subjective and varies differently among each and every nurses and it can change with time (Cumbey & Alexander, 1998).
There are several factors which might affect job satisfaction of nurses, mainly nurses’ related or environment related. Nurses’ related factors are their behaviours, attitudes, character and life satisfaction (Manojlovich & Spence Laschinger, 2002). Life satisfaction are deemed as how satisfied the nurses are in their life and whether their needs are met (Demerouti, Bakker, Nachreiner & Schaufeli, 2000).
Many studies have been done over the last five years regarding nurse job satisfaction and medical-surgical settings, however there is a lack of studies on psychiatric nurses and their settings (Hanrahan, Aiken, McClaine & Hanlon, 2010). Problem faced in a psychiatric settings are overflowing of patients in the acute wards (Virtanen et al., 2008), frequent turnover rate of patients, increase incidence of aggressive behaviour outbreak, seclusion needed, and restraint uses (Steinert, Bergbauer, Schmid, & Gebhardt, 2007) and increasing reports of events like work-related injuries and error when administering medication (Grasso, Rothschild, Jordan, & Jayaram, 2005). These problems are further worsening by a shortage of nurses working in the psychiatric settings (The Annapolis Coalition on the Behavioral Health Workforce, 2006).
Literature Review
Interpersonal Relationships
Nurses’ relationships with their co-workers are some major factors that can affect their job satisfaction, and several studies (Adams & Bond, 2000, Newman & Maylor, 2002, Dunn et al.
The nursing shortage and turnover are an issue that continually, constantly and bedevils the nursing leaders and managers. Without sufficient numbers in nursing, patient care and safety is considerably compromised, with lapses in service delivery, overworked and overwhelmed nurses more prone to making mistakes and across board dissatisfaction. Nursing shortage leads to nurse turnover because of the ones carrying our nursing duties are finding it hard to meet the demand, and they eventually burn out. This paper critically examines the issues of the nursing shortage and turnover and how the nurse leaders and managers can tackle the situation, easing the outcomes (The Truth About Nursing, 2012).
In most aspects of life the saying “less is always more” may ring true; however when it comes to providing quality care to patients, less only creates problems which can lead to a decrease in patient’s quality of life as well as nurse’s satisfaction with their jobs. The massive shortage of nurses throughout the United States has gotten attention from some of the most prestigious schools, news media and political leaders. Nurses are being burnt out from their jobs, they are being overworked and overlooked. New nurses are not being properly trained, and old nurses are on their way to retirement. All the while the rate of patient admissions is on the rise. Nurses are reporting lower satisfaction in their job positions and hospital retention rates are at an all-time low, conversely this is affecting all patients’ quality of care. As stated in the article Addressing The Nurse Shortage To Improve The Quality Of Patient Care “According to an Institute of Medicine report, Nurses are the largest group of health care professionals providing direct patient care in hospitals, and the quality of care for hospital patients is strongly linked to the performance of nursing staff”.
MORGAN, JENNIFER CRAFT, and MARY R. LYNN. "Satisfaction In Nursing in the Context of Shortage." Journal of Nursing Management 17.3 (2009): 401-410. Health Source: Nursing/Academic Edition. Web. 20 Feb. 2011.
However, upon securing a job, they find that things on the ground are not as they had expected them to be and this results in some of them deciding to leave the profession early. Research shows that turnovers within the nursing fraternity target person below the age of 30 (Erickson & Grove, 2011). The high turnover within the nursing fraternity results in a massive nurse shortage. This means that the nurses who decide to stay have to work for many hours resulting in exhaustion. A significant percent of nurses quitting their job sites exhaustion and discouragement as the reason that contributed to their decision. In one of the studies conducted on the issue of nurse turnover, 50% of the nurses leaving the profession argued that they felt saddened and discouraged by what they were unable to do for their patients (Erickson & Grove, 2011). When a nurse witness his/her patients suffering but cannot do anything because of the prevailing conditions he/she feels as if he/she is not realizing the reason that prompted him/her to join the nursing profession. The higher rate of nursing turnover is also affecting the quality of care nurses provide to
middle of paper ... ... qualified nurses diminishes. Based on this study, administrators should recruit nurses who understand that health care is at its best when health care professionals work collaboratively as members of a team, committed to providing the best possible patient care. References Aiken, L.H., Clarke, S.P, Sloane, D.M., Sochalski, J., & Silber, J.H. (2000). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction.
The level of job satisfaction for a nurse is a vital factor in creating positive outcomes for their patients. California RNs report having much more time to spend with patients. The hospitals are far more likely to have enough RNs on staff to provide quality patient care. In California, where hospitals have better compliance with the staffing limits, RNs report fewer complaints from patients and families and the nurses have more confidence that patients can manage their care upon discharge. California RNs are substantially more likely to stay in their jobs because of the staffing limits, and less likely to report burnout than nurses in any other state. Two years after implementation of the California staffing law which mandates minimum staffing levels by hospital unit, nurse workloads in California were significantly lower than that of any other state. The legislation of the mandated nurse patient ratio has achieved its goals of reducing nurse workloads, improving recruitment and retention of nurses, and having a favorable outcomes on patient
Job satisfaction is linked to other positive attributes in the work environment. Many studies conducted prove to show that job satisfaction plays a pertinent role in the outcomes of recruitment and retention in nurse educator shortages (Brittner & O'connor, 2012). Proving that refining job satisfaction will ultimately influence nurse educator retention and attract more educators in the midst of a financial crisis shows that it can discourage this negative perception of a failing nursing structure in
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 prolonged shortage of skilled nursing personnel has been a serious concern to the healthcare industry, and this shortage has impacted the quality of care delivery. In addition, nursing turnover has also exacerbated the problem of nursing shortage. Nursing shortage has been blamed on many nurses retiring and less younger nurses joining the occupation. There is also an increase in life expectancy (baby boomers) leading an increase in both physical and mental ailment with subsequent demand in nursing care. Nurses are also leaving nursing profession because of inadequate staffing, tense work environment, negative press about the profession, and inflexible work schedules. Even though nursing is a promising career and offers job security, the
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
Registered Nurse turnover is a continuous problem in the nursing profession. Turnover in this context is simply defined as “someone leaving a job” (Kovner, Brewer, Fatehi, & Jun, 2014). Some aspects of nurse turnover can be viewed as positive, however, most circumstances of turnover are seen negatively and can be referred to as functional versus dysfunctional. The difference between the two is a “functional turnover, a poorly functioning employee leaves, as opposed to a dysfunctional turnover, when well-performing employees leave” (“One in Five nurses leave First job within a year,” 2014). The nursing profession’s recommendation for improvement focuses on dysfunctional turnover of Registered Nurses. Nurses choose to leave their jobs to explore
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
Nurses want to give complete and quality care, but are unable to, due to the constant needs of their workload and inadequate staffing. They have to prioritize their patients needs based on the most critical treatments first. Then whatever time is left, they fill in what treatments they can. Some reasons that nursing treatments are missed include: too few staff, time required for the nursing intervention, poor use of existing staff resources and ineffective delegation.” (Kalisch, 2006) Many nurses become emotionally stressed and unsatisfied with their jobs. (Halm et al., 2005; Kalisch,
A category for job satisfaction is the motivators/satisfiers. Factors such as recognition, responsibility meaningful and interesting work, opportunities for advancement, and personal growth are desirable traits that employees look for. Whereas, hygiene factors are the causes for job dissatisfaction. They are based off of working conditions, relationships between co-workers, policies, supervisor behaviour, job security, wages and benefits.
The literature supports that high nursing workload adversely affects the quality of patient care, nurses’ satisfaction with job, and the healthcare institutions’ attempt to provide cost effective nursing care.