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Effects of burnout on nurses
Effects of burnout on nurses
Effects of burnout on nurses
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Introduction Nurses are the largest and the most trusted professional group in the health care system. They are highly educated and skilled in their areas of practice. However, today’s nurses are experiencing an ever increasing workload, which negatively impacts their ability to deliver safe patient care (Berry & Curry, 2012). This paper explores four published journals that report on survey results on nursing workload and their direct correlation with patient care outcomes. The purpose of this paper is to address the ongoing nursing workload issues and explore the reasons behind it. Background Surveys of Canadian frontline nurses, today, show that issues with intense workload, while ensuring safe patient care are the most significant challenges they face at work on a daily basis (Berry & Curry, 2012). Research shows that a heavy nursing workload adversely affects both the patient and nurse. For example, many Registered Nurses (RN) are experiencing ethical distress because they are not able to …show more content…
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.,
How would the code of ethic for nurses advise nurses in the moral issue of heavy workload of nurses and staffing difficulties? American Nurses Association (ANA) established the code for nurses as all members of the profession would adhere to the same moral and ethical standards. As I exam this first moral issue that nurses face I looked at the foundation of the code which is built on autonomy ANA defines “Autonomy as agreement to respect another’s right to self-determine a course of action; support of independent decision making.” Second “Beneficence meaning compassion; taking positive action to help other; desire to do good; core principle of our patient advocacy.” Third is “Nonmaleficence defines as avoidance of harm or hurt; core of medical oath a nursing ethics” Now that we have the basic of the codes next I looked at Provision 3. Provision 3. The nurse promotes, advocates for, and strives to protect the health, safety and rights of the patient (ANA, 2001, p. 12). As stated above staffing difficulties leads to heavier
This journal article was peer reviewed, included exclusion criteria, and offered solutions to problems. It was informative and shed light on ethical issues that nurses face. As emphasized in this article, there is little attention placed on recognizing ethical issues and reducing nursing stress. This article not only informs us of these ethical issues, but provides us with ways in which change can be implemented to solve these problems. However, that being said, because this study only surveyed nurses within the four census regions of the United States (California, Maryland, Massachusetts, and Ohio), other areas of stress and ethical issues could have easily been neglected.
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.
Many nurses face the issue of understaffing and having too much of a workload during one shift. When a unit is understaffed not only do the nurses get burnt out, but the patients also don’t receive the care they deserve. The nurse-patient ratio is an aspect that gets overlooked in many facilities that could lead to possible devastating errors. Nurse- patient ratio issues have been a widely studied topic and recently new changes have been made to improve the problem.
People are living longer and healthier lives now more than ever before. Much of this can be attributed to the advances in modern medicine over the past few decades. However, in healthcare, there is now a growing population of patients that are becoming sicker and more complex to care for. With the new generation of sick patients present in the hospitals, today’s nurses are stressed and fatigued more than ever before. Much of the stress and fatigue can be attributed to the nurse to patient ratio and the associated workload.
doi:10.1177/0894318414522663 Van Bogaert, P., Timmermans, O., Weeks, S. M., van Heusden, D., Wouters, K., & Franck, E. (2014). Nursing unit teams matter: Impact of unit-level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events—A cross-sectional survey. International Journal Of Nursing Studies, (8), 1123.
The increased work pressure on the nurses have can be said to have an impact on the nursing practice and the nurses themselves. Burt et al (2008) reported that CNs
Thousands of nurses throughout the nation are exhausted and overwhelmed due to their heavy workload. The administrators do not staff the units properly; therefore, they give each nurse more patients to care for to compensate for the lack of staff. There are several reasons to why
The purpose of this paper is to address the issue of nursing staffing ratios in the healthcare industry. This has always been a primary issue, and it continues to grow as the population rate increases throughout the years. According to Shakelle (2013), in an early study of 232,432 surgical discharges from several Pennsylvania hospitals, 4,535 patients (2%) died within 30 days of hospitalization. Shakelle (2014) also noted that during the study, there was a difference between 4:1 and 8:1 patient to nurse ratios which translates to approximately 1000 deaths for a group of that size. This issue can be significantly affected in a positive manner by increasing the nurse to patient ratio, which would result in more nurses to spread the work load of the nurses more evenly to provide better coverage and in turn result in better care of patients and a decrease in the mortality rates.
Patient’s safety will be compromised because increase of patient to nurse ratio will lead to mistakes in delivering quality care. In 2007, the Agency for Healthcare Research and Quality (AHRQ) conducted a metanalysis and found that “shortage of registered nurses, in combination with increased workload, poses a potential threat to the quality of care… increases in registered nurse staffing was associated with a reduction in hospital-related mortality and failure to rescue as well as reduced length of stay.” Intense workload, stress, and dissatisfaction in one’s profession can lead to health problems. Researchers found that maintaining and improving a healthy work environment will facilitate safety, quality healthcare and promote a desirable professional avenue.
Several consequences of high nursing workload have been proven to hinder the quality of patient care. Carayon and Gurses’s research (2008) indicates that heavy workload can contribute to errors, shortcuts, guideline violations, and poor communication with physicians and other providers, thus compromising the quality and safety of patient care. In addition, the research not only implies that patients may not receive proper care, but also they can experience less satisfaction with
Nurses in the United States have attributed manifestations of role strain to high job demands, dealing with issues of mortality, uncooperative patients and physicians, poor relationships with peers, feelings of the lack of control on the job, and shift rotations (Lambert, V., & Lambert, 2001). The following analysis will focus on the concept of role strain in nursing, and will include the definition based on the common and nursing usage, the defining characteristics, as well as a model case that encompasses the antecedents, consequences and empirical referents of role strain.
Nurses who work 12-hour shifts may often need to stay up to 13 or 14 hours depending on staffing and patient needs, and patient satisfaction levels are significantly lower when their nurses work longer than 13 hours (Aiken, Sloan, & Stimpfel, 2012). When nurses work longer than 13 hours, patients are more likely to report dissatisfaction with their care (Aiken, Sloan, & Stimpfel, 2012). The longer nurse are at work, the less likely they are to engage in appropriate hand hygiene, which can contribute to patient infection rates (Dai et al., 2013). Unsurprisingly, Nurses who work shifts longer than 12 hours who are more likely to experience burnout, which is also correlated with higher rates of hospital-acquired urinary tract infections in patients (Aiken et al.,
In conclusion, all three articles focus on examining the burnout phenomenon in the nursing profession and their findings have presented evidence that the level of burnout is due to stress, patient-to-nurse ratio, and increased workload. The first article seeks to address incresed stress levels being the main cause linking to a burnout. Furthermore, the second article interprets the ratio of patient to nurses. The rise of the aging population is becoming more demanding so has the shortage of nurses; causing more stress and fatigue leading to a burnout. The final article examines how additional workload can affect the nurses ability to provide proper care. Also, the more nonproffesional tasks preformed by a nurse can lead to a burnout. Overall,