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Effects of burnout in nursing
Nursing burnouts in their work performance
Effects of burnout in nursing
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Any work environment can have stressful aspects that can negatively affect an employee’s performance. Oftentimes when employees are stressed, burnt out or dealing with compassion fatigue, their commitment at their job may begin to weaken and they may lose job satisfaction (Harris & Griffon, 2015). All health care providers are at a major risk for compassion fatigue and burnout, especially registered nurses because they are the leading care giver for patients. Nurses are empathetic and compassionate; it’s a main trait of the profession (Harris & Griffon, 2015). Nurses are experts at juggling tasks and putting the needs of others before themselves every day. There are many factors that can contribute to the development …show more content…
Like compassion fatigue, it has physical and psychological elements, as well a decline in motivation (Rushton, Batcheller, Schroeder & Donohue, 2015). Burnout can be described as repetitive exposure to traumatic events, such as severe injuries, death, suicide, suffering, and individual reaction to chronic stress at work which are characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment (Rushton, Batcheller, Schroeder & Donohue, 2015; Adriaessens, De Gucht & Maes, 2015 ). The first characteristic of emotional exhaustion is defined as when employees feel they are no longer capable to provide good, quality care which can result in extreme energy loss and feeling drained out (Adriaessens, De Gucht & Maes, 2015). The second characterization of depersonalization is described as one loses all sense of identity, and develops negative feelings and behaviours (Adriaessens, De Gucht & Maes, 2015). Lastly, reduced personal accomplishment is defined as lack of emotion regarding both occupation, personal, and failure attaining goals (Adriaessens, De Gucht & Maes, 2015). Harris & Griffin (2015) state that burnout can be provoked by, “increased workplace demands, increasing healthcare expectations in general, lack of resources, interpersonal stressors, and organizational policy leading to diminished caring, cynicism and effectiveness” (p. 82). Such …show more content…
Such risks can lead to substance abuse, depression, anxiety, disengagement, decrease job satisfaction, and probability of quitting (Sekol & Kim, 2014). A study reported that illness related absenteeism was 58% higher than the overall labour force, as well as a high level of burnout within hospital nurses (Laschinger, Wong & Grau, 2013). Nurse burnout not only results in decreased health outcomes, but also a decrease in quality of care that patients receive (Laschinger, Wong & Grau, 2013). Such care includes; inadequate nursing professionalism, medical errors, and poor judgement (Harris & Griffon, 2015). Among other factors, high patient contact and patients with severe problems have an impact on contributing to burnout and compassion fatigue. One study found that working on overcrowded wards was linked to antidepressant use by nurses; and the higher the bed occupancy of the ward, the more likely the use of antidepressants (Firth-Cozens & Cornwell, 2010). Moreover, increased patient workload was found to link to compassion fatigue and burnout (Firth- Cozens & Cornwell,
Leo Buscaglia once said, “Too often we underestimate the power of a touch, a smile, a kind word, a listening ear, an honest compliment, or the smallest act of caring, all of which have the potential to turn a life around.” In the field of nursing, this concept could not be illustrated more profoundly. The trait of caring within nursing is arguably the most important trait that a nurse could possess. It can be defined in various ways, but to me, caring is the act of being moved or compelled to action by feelings of compassion, empathy, sympathy, anger, intention, sadness, fear, happiness, protection, enlightenment, or love in light of another human being. There are many aspects to the term “caring”. It is an ever-present shape shifter, swiftly
It can be related to feelings of hopelessness and lack of meaning, anxiety, decreased ability to concentrate, irritability, insomnia, emotional numbing, lack of empathy, and escapist activities (such a self-medicating with drugs and alcohol). This is in direct opposition to the idea that nurses would be responsive to an insightful of their clients needs. Dennis Portnoy wrote “Compassion fatigue was often triggered by patient care situations in which nurses believed that their actions would “not make a difference” or “never seemed to be enough”. He further elaborated in the article Burnout and compassion Fatigue that nurses who experienced this syndrome also did so because of systemic issues such as; overtime worked, high patient acuity, high patient census, heavy patient assignments, high acuity, overtime and extra workdays, personal issues, lack of energy and lack of experience (Portnoy, 2011). These issues, interfere with the nurses' ability to identify with the patient and to tune in to important issues and obscure symptoms. Once consideration is that nurses can use Orlando’s theory to identify and address their own needs and respond with the same level of consideration to their own needs in order to prevent a burn out
In conclusion, the above research analysis explained many contributing factors to stress and burnout and its effect on performance. As expected from prior studies, job satisfaction has an effect on productivity and/or burnout. Burnout in US nurses has been linked to Philippine nurses, despite a difference in health-care systems. Gender has also proven to be a contributing factor to stress. Women have a significant level of stress compared to men due to additional work of housework and childcare. Women also are linked to low levels of emotional exhaustion with co-worker support. Finally, perception organizational support has been linked to emotional exhaustion, but not solely due to the organization. Hopefully, organizations will continue to adopt stress reducing programs and recognize that it has many contributing factors.
Nurses Joe and Sarah have been working in a medical surgical unit that has been experiencing a nursing shortage, which has led to an increase in the workload. Sarah has been feeling the physical effects of the stress and feels there is a lack of management support, while Joe experiences some feelings of being overwhelmed, but tries to use it as learning experiences. Joe has developed positive methods of coping, while Sarah is quickly heading towards burnout. Implications and Conclusions The information provided in the literature has great implications for practice in many units, including the writers. It is with great hopes that the research published can be presented to the committees on the unit in hopes that some of the workloads can be decreased to help with staffing and retention rates.
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.
According to Taylor (2008) the definition of nurse is from the meaning of the Latin word nutrix, which means “to nourish”. Nursing has a focus of caring for every patient physically, emotionally, socially and spiritually. To meet the needs of every patient, nurses must take on many roles, but the main role being care giver (Taylor, 2008, p.14). Caring for another person requires many traits, and the most common is compassion. The definition of compassion is “sympathetic consciousness of another’s distress with a desire to alleviate it” (Merriam-Webster dictionary, 2011). Compassion and the desire to nourish may have been deciding factors that would lead one to pursue a career in nursing. Nurses over the span of their career will have extensive exposure to trauma, pain and unfortunate situations. Workplace stressors such as scheduling and increasing workload along with repeated exposure to the hardships of others predisposes caregivers, especially nurses, to develop a unique type of burn out labeled compassion fatigue (Joinson 1992). Compassion fatigue develops when a nurse unintentionally takes on the misfortune, anxiety, pain and trauma of the patients they care for. It is a negative emotional and physical response to the unfortunate situations that can arise in the profession of care giving. The “detrimental effects can include exhaustion, an inability to focus and a decrease in productivity, as well as unhappiness, self-doubt and loss of passion and enthusiasm” (Lester, 2010, p. 11). Compassion fatigue will develop suddenly versus burnout which develops gradually (Boyle, 2011, p. 9). This abrupt onset of symptoms will hinder the nurse’s ability develop a trusting and therapeutic relationship with...
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 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,
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 purpose of this study is to help find a cure to burn out. The word cure is used here because it is an illness. Burnout like many other illness out there has symptoms, as mentioned earlier burnout can cause many issues like physiological problems, sleep disorder and overall feeling of fatigue. Finding a way to end this affliction is key to everyone in the social work field and the ones affected by social workers.
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
What strategies Can Be Used to Alleviate Nurse Fatigue and Increase Patient Safety? Toni Naude Walden University What strategies Can Be Used to Alleviate Nurse Fatigue and Increase Patient Safety? Who’s responsible for nurse fatigue the nurses or the health care organization and who job is to fix it?
Nurses face a multitude of stress factors that can lead to nurse burnout on a daily basis from understaffing, tough assignments, increasing nurse to patient ratios, long hours, demanding patients, and difficult relationships with other medical professionals. In 2011, the Occupational Safety and Health Administration Bureaus of Labor Statistics found that healthcare provider stress and fatigue were correlated with both medication errors and leads to patient infection (Crane & Ward, 2016). Additionally, in the study conducted by Hyman and others, research showed a correlation between improving the overall health of the medical personnel lead to a decrease in workplace burnout (Crane, Ward 2016).
There are multiple psychological responses to stressful work environments including, the feeling of not being good at ones job, which is all considered nurse burnout. The reasons for nurses having these types of psychological responses
Introduction After spending four years in an undergraduate college, with two or three years spent in an accredited nursing program, newly graduated Bachelor’s prepared nurses are expected to pass the National Council Licensure Exam (NCLEX) and enter the workforce. They are expected to start caring for patients, initially with supervision but eventually on their own. A great responsibility is thrust onto their shoulders as a Registered Nurse (RN) and they are tasked with using the knowledge and skills they have acquired over the past few years to care for the lives of these patients. More often than not, these new grads are entering the workforce feeling unprepared and uncertain about the work they must take on. They are left possibly feeling