Factors That Influence Pediatric Intensive Care Unit Nurses to Leave Their Jobs

Foglia, Dorothy C.; Grassley, Jane S.; Zeigler, Vicki L.

doi:10.1097/cnq.0b013e3181f64979

Cited by 28 publications

(27 citation statements)

References 29 publications

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“…Similarly, Al‐Youbi and Jan () reported severe burnout scores in 34% ( n = 130) paediatric healthcare providers, including paediatricians. These findings were explained by the unique sources of stress involved in working with children—particularly with children who have chronic, incurable conditions that are associated with multiple problems; seeing too many painful procedures done to children and the interaction with stressed and often fatigued parents (De Almeida Vicente, Shadvar, Lepage, & Rennick, ; Al‐Youbi & Jan, ; Foglia, Grassley, & Zeigler, ; Maytum, Heiman, & Garwick, ; Sekol & Kim, ).…”

Section: Introductionmentioning

confidence: 99%

Burnout and perceived social support: The mediating role of secondary traumatization in nurses vs. physicians

Hamama

Hamama‐Raz

Stokar

et al. 2019

Journal of Advanced Nursing

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Aims The study aimed to examine differences between paediatric nurses and physicians regarding burnout syndrome, secondary traumatic stress (STS) and perceived social support (PSS). Background Paediatric nurses and physicians encounter cumulative effects of treating sick and injured children and helping their families, in situations that might promote burnout and STS. Design Cross‐sectional design. Method Nurses (n = 158) and physicians (N = 76) completed self‐report questionnaires on STS, PSS and burnout. Results Nurses and physicians had similar rates of STS and burnout but showed significant differences in PSS. Furthermore, STS mediated the association between PSS and burnout for both groups; however, the effect was stronger for nurses in comparison to physicians. Conclusion Paediatric nurses and physicians would benefit from participating in interventions geared towards reducing STS, thus minimizing burnout. Moreover, advocating social support within the organization is needed to bolster the ability for coping with sources of stress. Impact statement Nurses' and physicians' involvement in the physical, physiological and mental needs of their paediatric patients might lead to burnout and secondary traumatic stress (STS). However, research on social support in the context of burnout and STS among nurses and physicians is scant. Secondary traumatic stress and burnout were similar for nurses and physicians, though perceived social support (PSS) was higher for nurses. Secondary traumatic stress plays a mediating role in the association between PSS and burnout among nurses and physicians. However, the mediation effect was stronger for nurses. Policy makers would be wise to advocate institutional stress management interventions to reduce secondary traumatic and to reinforce organizational support for nurses and physicians.

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Section: Introductionmentioning

confidence: 99%

Burnout and perceived social support: The mediating role of secondary traumatization in nurses vs. physicians

Hamama

Hamama‐Raz

Stokar

et al. 2019

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…6 Caring for critically ill children on a regular basis in which life-prolonging treatments are offered may elicit emotions of helplessness, anger, and stress in nurses and impede the quality care the nurses provide. 1,7,8 Few publications describe the experience of providing palliative care to children with life-threatening illnesses from the perspective of PICU nurses. Our aim was to understand the perspectives of PICU nurses who provide palliative care to these children and the children's families and to understand the contextual factors associated with the nurses' experience.…”

Section: About the Authorsmentioning

confidence: 99%

“…1 Caring for critically ill children whose conditions progressively worsen or who die quickly is often overwhelming for health care providers. Nurses in the pediatric intensive care unit (PICU) face unique challenges in providing care to such children and the children's families.…”

mentioning

confidence: 99%

Living with Dying in the Pediatric Intensive Care Unit: A Nursing Perspective

Stayer

Lockhart

2016

American Journal of Critical Care

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Background Despite reported challenges encountered by nurses who provide palliative care to children, few researchers have examined this phenomenon from the perspective of nurses who care for children with life-threatening illnesses in pediatric intensive care units. Objectives To describe and interpret the essence of the experiences of nurses in pediatric intensive care units who provide palliative care to children with life-threatening illnesses and the children’s families. Methods A hermeneutic phenomenological study was conducted with 12 pediatric intensive care unit nurses in the northeastern United States. Face-to-face interviews and field notes were used to illuminate the experiences. Results Five major themes were detected: journey to death; a lifelong burden; and challenges delivering care, maintaining self, and crossing boundaries. These themes were illuminated by 12 subthemes: the emotional impact of the dying child, the emotional impact of the child’s death, concurrent grieving, creating a peaceful ending, parental burden of care, maintaining hope for the family, pain, unclear communication by physicians, need to hear the voice of the child, remaining respectful of parental wishes, collegial camaraderie and support, and personal support. Conclusion Providing palliative care to children with life-threatening illnesses was complex for the nurses. Findings revealed sometimes challenging intricacies involved in caring for dying children and the children’s families. However, the nurses voiced professional satisfaction in providing palliative care and in support from colleagues. Although the nurses reported collegial camaraderie, future research is needed to identify additional supportive resources that may help staff process and cope with death and dying.

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“…These stressors may lead to negative consequences for PICU staff, including physical symptoms, impaired mental health, compassion fatigue, resignation, job turnover, and burnout. 1,2,[11][12][13][14][15][16][17] Some HCPs have an unhealthy response to stressors, but others thrive and succeed. It is unclear why individuals respond to stressors in such different ways.…”

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confidence: 99%

“…In pediatric intensive care units (PICUs), stress may result from intense skill set requirements, ethical dilemmas, caring for families who are under stress, caring for children who are suffering or dying, working with limited resources, challenging interpersonal relationships, and patient safety concerns. [1][2][3][4] When serious safety events occur, HCPs are often unrecognized "second victims." 5 They may experience emotional abuse, bullying, intimidation, humiliation, and neglect from coworkers.…”

mentioning

confidence: 99%