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Literature review on nursing burnout
Nursing management and leadership
Literature review on nursing burnout
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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). According …show more content…
Workload Nurses often experience heavy workloads and time constraints in the workplace due to nursing shortages and a high nurse-to-patient ratio mandated by the government. Newly graduated nurses are especially prone to burnout related to greater workloads due to the increasing workload demands and no additional resources to support the nurse (Rudman & Gustavsson, 2011, p.304). This contributes to increased burnout rates in newly graduated nurses by creating role stress and adding additional time constraints and stressors to an already overwhelmed transitioning graduate nurse. 2. Ethical Distress When a nurse 's values conflict with the values of the organization, ethical distress can occur. Lashinger (2009) describes this event as “a lack of fit between new graduates ' personal standards for professional practice and those in their work settings” (para.3). Research has shown that unresolved ethical distress and moral dilemmas related to the workplace can ultimately lead to burnout and resignation from the nursing profession (Ethics in Practice for Registered Nurses, 2003, p.2). Newly graduated nurses are at greater risk for this type of burnout due to the specific challenges they face when transitioning from a nursing student to a practicing nurse. According to Rudman and Gustavsson (2011), novice professionals entering the nursing workforce may experience a reality shock, in which the novices’ values are not reflected by the values of their work reality …show more content…
Health Leaders Media lists seven strategies to reduce nurse burnout, including “stress reduction classes, create a space for relaxation, mentor and buddy programs, recognition and reward, manager involvement, training and education and counseling” (Hendren, 2010, para.8). Individual hospitals have taken actions to help combat burnout among nursing staff. At the St. Boniface Hospital in Manitoba, there is a research project being conducted called the Compassion Project, which includes “compassion and mindfulness meditation training and how it can affect brain anatomy and physiology, personal well-being, employee engagement and reduced burnout” (Miller et al, 2016,
Newly graduated nurses lack clinical skills necessary to evolve professionally and carefully from academics to bedside practice (Kim, Lee, Eudey, Lounsbury & Wede, 2015). How scary is that not only for the patient but also for the new nurse himself or herself? While being faced with new challenges, an increasing amount of newly graduated RNs felt overcome and unqualified. Twibell and Pierre explain how new nurses express “disillusionment” about practice, scheduling, and being rewarded. Frustration and anger between employees play a huge part in NGNs resigning because of the lack of experience and knowledge of what to do in high stress situations (2012). Nursing residency programs have proven to directly improve patient care, develop critical
Transitioning from academic nursing student to Registered Nurse/New Graduate Nurse (NGN) within the healthcare environment is a challenging task for many NGNs. They may encounter a number of challenges, such as the following: transition shock, professional isolation, lack of clinical experience, stress, lack of a support network and cultural incompetence. At the end, this essay will discuss the rationale for developing my two most important goals for the next twelve months. I presume the transition from academic nursing student to Graduate Nurse will be challenging and rewarding. In their findings, the researchers Doody, Tuohy & Deasy (2012) stated that for a successful transition NGNs need to be competent in a range of domains: interpersonal skills, managing workloads, providing health information, communication, and prioritising care delivery.
In the recent past, nursing has come to the forefront as a popular career amongst students across the globe. The demand for nurses has kept increasing gradually over the years. In fact, the number of registered nurses does not meet the demand of the private and public health sector. This phenomenon has resulted in a situation where the available registered nurses have to work extra hours in order to meet the patients’ needs. With this in mind, the issue of nurse fatigue has come up as a common problem in nursing. According to the Canadian Nurses Association (CNA), nurse fatigue is “a feeling of tiredness” that penetrates a persons physical, mental and emotional realms limiting their ability to function normally. Fatigue does not just involve sleepiness as has been assumed before. It involves utter exhaustion that is not easily mitigated through rest. When nurses ignore the signs of fatigue, they risk the development of chronic fatigue and other health problems that may not be easily treated. Additionally, fatigue may cause nurses to lose more time at work as they may have to be away from work for several days to treat it. The issue of nurse fatigue has permeated the nursing profession to the extent of causing errors in the work performed by nurses. Fatigue causes a decrease in a nurse’s ability to make accurate decisions for themselves and their patients. It is therefore important to find ways to curb nurse fatigue such that it is no longer a problem. Nurse fatigue is a danger to the patients, organizations and to the nurses themselves and must be mitigated adequately.
In recent years, there’s evidence to suggest that mental health nurses experience stress and burned out related to their work, Stress, as an result of stressful workplaces (Bernard et al,2000).
The issues of nursing burnout and compassion fatigue are an important one in part, because of the ongoing nursing shortage across the united states. Per the American colleges of nursing “the U.S. is projected to experience a shortage of Registered Nurses (RN’s) that is expected to intensify as Baby Boomers age and the need for health care grows” (American Association of Colleges of Nursing, 2017). The ACA fact sheet cites several reasons for this including; the increasing needs of an aging population, healthcare reform, decreased enrollment in nursing programs, shortages of nursing faculty, large portions of working nurses
The new nurses may feel bullied and become inclined to leave nursing prematurely. Bullying can be pervasive in the workplace environment and in a study of 612 new graduate nurses, 14% cited this as a significant factor in their decision to leave the profession (D’ambra & Andrews, 2014). Further evidence regarding new nurse retention rates come from a study done at The Children’s Hospital of Michigan. Prior to advocating for higher nurse retention, they had first year new nurse hire retention rates as low as 50% (Hillman & Foster, 2011). Workplace environment and burnout influence new nurse retention as well as high new nurse turnover. Therefore institutions who address these issues with interventions that promote nurse empowerment provide a protective factor and source of positivity for new
The topic of burnout among critical care nurses is a topic of great importance in today’s health care. This essay examines the article written by Arnold M. Bakker, Pascale M. Le Blanc and Wilmar B. Schaufeli, “Burnout Contagion Among Intensive Care Nurses,” published in The Journal of Advanced Nursing. This article reports on burnout in critical care nurses. The authors are presenting their data which has an impact on society in general and directly affects the workforce providing health care. The authors present evidence in their paper which contradicts previous studies of the subject. The purpose of this rhetorical essay is to evaluate whether the reader is convinced by the authors’ argument to accept the claim that burnout among critical care nurses is due to contagion, rather than previously given reasons. The authors’ formal writing style and presentation of study results helps to increase the readers understanding of the claim.
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.
According to a study, 10-78% of nurses are experiencing burnout, and as the nursing shortage worsens, the amount of workplace stressors is set to increase (Welp, Meier, & Manser, 2015). A Swiss study involving 1,425 nurses concluded that nurses experiencing burnout had higher mortality ratios and lower safety grades (Welp, Meier, & Manser, 2015). It is commonly reported that there is a positive relationship between the incidence of emotional exhaustion and patient mortality ratios. Having a shortage of nurses on staff is often referenced as a leading factor for burnout among nurses, and it has been related to an increase in the patient’s stay time (Welp, Meier, & Manser, 2015). In addition, nurses are placed in increasingly stressful situations
Espeland, K. E. (2006). Overcoming burnout: how to revitalize your career. The Journal of Continuing Education in Nursing, 37(4), 178-184.
Poghosyan, Clarke, Finlayson, and Aiken (2010) in a cross-national comparative research explored the relationship between nurses’ burnout and the quality of care in 53,846 nurses from six countries. Their researched confirmed that nurses around the world experience burnout due to increase workload. Burnout was manifested as fatigue, irritability, insomnia, headaches, back pain, weight gain, high blood pressure, and depression. Burnout influenced nurses’ job performance, lowered patient satisfaction, and it was significantly associated with poor quality of care. Patient safety decreased as nurses’ job demands
Burnout is defined as the “psychological reaction to the continuous exposure to work stress” (Goong, Xu, & Li, 2016, p. 2). It involves prolonged exposure to stress resulting in emotional exhaustion, depersonalization, and negative self-evaluation (Wang, Liu, & Wang, 2015). Registered nurses are at increased risk for burnout due to their daily interactions with patients and family members (Goong et al., 2016). Nurses affected by burnout often have poor relationships with colleagues, demonstrate a decreased ability to function at work, have a negative mind set, and express physical and mental exhaustion, and anxiety (Goong et al., 2016; Wang et al., 2015). Fatigue impacts the quality of the care provided to patients and
Ethics is defined as moral principles that govern a persons or a group’s behavior, ethical principles apply to both personal and professional relationships (Webster, 2015). The field of nursing is a profession that has been highly regarded and respected in society. Most nurses enter the profession in order to utilize their clinical skills to help others in their time of need. Those in failing health rely on nurses to care for them in their most vulnerable states, and expect a level of compassion and humanity while receiving care. Nurses have an ethical responsibility to their patients, clients, and their community. Compassion, empathy, and integrity are staple characteristics that nurses possess that allow them to successfully perform their
The focus of every health care professional is the patient and the goal is to return the patient to optimum health where the patient can be independent. When the patient’s safety is being compromised it’s everyone’s job to fix the problem and make sure that it doesn’t happen again. However, there’s a dark side to nursing. The nurse is one of the few health care workers that have the most daily contact with the patient. The nurse plays a very important role in the patients care from teaching to simply being a listener while withholding any judgement. When the nurse to patient ratio isn’t balanced, it causes nurse burnout. Nurse burnout is when the nurse becomes “physically, emotionally, and mentally exhausted” (Michigan, S. S. (n.d.). News.
There are many perks to being in nursing school and eventually passing the NCLEX and becoming a registered nurse. However, there are many stresses and challenges that these future nurses have to face, even more stress than an average student or person. According to recent studies from Beck (1997) stress levels of nursing students are at higher levels than those of other professions such as that of medicine, social work, and even students in pharmacy school. Another study produced by Pryjmachuk (2004) also showed that majority of student’s in nursing school are more susceptible to mental health problems, including depression and anxiety, due to the excess level of stress that these students experience.