Organizational Structure as a Determinant of Job Burnout

Bilal, Atif; Ahmed, Hafiz Mushtaq

doi:10.1177/2165079916662050

Cited by 23 publications

(23 citation statements)

References 56 publications

(112 reference statements)

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“…Favrod et al [45] found NICU nurses reported more traumatic stressors in their working environment. Pediatric nursing workplaces with a strict structure of rules and regulations [33] or nurse leaders who valued structure over staff considerations [41] were found to have nurses with higher burnout. Nurses who had higher perceived organizational support had lower burnout [39].…”

Section: Work Environmentmentioning

confidence: 99%

“…Systems issues such as overwhelming clerical work, administrative, and resource issues have impacts on provider burnout in both the pediatric nurse and general physician populations [36,56,65,121]. Poor leadership is associated with pediatric nurse burnout as identified by Bilial and Ahmed [33] and Druxbury et al [41]; this 88…”

Section: Work Environmentmentioning

confidence: 99%

“…A lack of university-level education or lower self-reported levels of clinical competency were also associated with higher levels of burnout [57,90]. Being in a nursing supervisory position had ambiguous results on impact on burnout; in some studies, holding supervisory positions correlated with higher reports of burnout while in others, the opposite effects were found [29,33]. Nurses identifying as not being White or Asian/Pacific Islander ethnicity/race scored significantly lower on the MBI subscale of Personal Accomplishment than respondents identifying as White and Asian/Pacific Islander, and Asian/Pacific Islanders scored lower on Emotional Exhaustion than those identifying as White [36].…”

Section: Nurse Personal Factorsmentioning

confidence: 99%

“…Higher EE associated with lack of access to work information Lower EE associated with nurses increased age, length of professional experience, and experience on the support systems were in place and felt supported still were emotionally exhausted. The lack of access to work information and research information was consistently associated with higher levels of burnout [71,91], and lower burnout was associated with increased communication [33,36] and better work relationships [39]. Factors impacting increased pediatric nurse burnout were related to the role of the nurse in patient care Higher burnout related to higher reporting of the variable "percentage of children on a unit with social of behavioral problems"…”

Section: Moussa Andmentioning

confidence: 99%

“…Burnout associated with expressions of exhaustion, frustration, overburden of their workload, and the hopelessness in working with chronically ill pediatric patients, issues about self-efficacy regarding patient outcomes Sekol and Kim [88] 240 Higher burnout found in those with 5-9 years of experience working on the surgical unit Lower burnout associated with working on the hematolgy/oncology unit, nursing experience of > 20 years, and all levels of experience if working on the hematolgy/oncology unit activities such as decision-making/uncertainty around treatment [33,39,56,76], lack of role clarity, and unclear plan of care [65]. Other factors associated with the development of burnout were related to exposure to suffering, pain, sadness, and death [65]; hopelessness [85]; providing futile care [56]; and overall moral distress [85].…”

Section: Rochefort Andmentioning

confidence: 99%

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What is known about paediatric nurse burnout: a scoping review

et al. 2020

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Burnout in healthcare providers has impacts at the level of the individual provider, patient, and organization. While there is a substantial body of literature on burnout in healthcare providers, burnout in pediatric nurses has received less attention. This subpopulation may be unique from adult care nurses because of the specialized nature of providing care to children who are typically seen as a vulnerable population, the high potential for empathetic engagement, and the inherent complexities in the relationships with families. Thus, the aim of this scoping review was to investigate, among pediatric nurses, (i) the prevalence and/or degree of burnout, (ii) the factors related to burnout, (iii) the outcomes of burnout, and (iv) the interventions that have been applied to prevent and/or mitigate burnout. This scoping review was performed according to the PRISMA Guidelines Scoping Review Extension. CINAHL, EMBASE, MEDLINE, PsycINFO, ASSIA, and The Cochrane Library were searched on 3 November 2018 to identify relevant quantitative, qualitative, and mixed-method studies on pediatric nurse burnout. Our search identified 78 studies for inclusion in the analysis. Across the included studies, burnout was prevalent in pediatric nurses. A number of factors were identified as impacting burnout including nurse demographics, work environment, and work attitudes. Similarly, a number of outcomes of burnout were identified including nurse retention, nurse well-being, patient safety, and patient-family satisfaction. Unfortunately, there was little evidence of effective interventions to address pediatric nurse burnout. Given the prevalence and impact of burnout on a variety of important outcomes, it is imperative that nursing schools, nursing management, healthcare organizations, and nursing professional associations work to develop and test the interventions to address key attitudinal and environmental factors that are most relevant to pediatric nurses.

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Section: Work Environmentmentioning

confidence: 99%

Section: Work Environmentmentioning

confidence: 99%

Section: Nurse Personal Factorsmentioning

confidence: 99%

Section: Moussa Andmentioning

confidence: 99%

Section: Rochefort Andmentioning

confidence: 99%

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What is known about paediatric nurse burnout: a scoping review

et al. 2020

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Organizational Factors Affecting Physician Well-Being

Tawfik

Profit

Webber

et al. 2019

Curr Treat Options Peds

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Purpose of review Symptoms of burnout affect approximately half of pediatricians and pediatric subspecialists at any given time, with similarly concerning prevalence of other aspects of physician distress, including fatigue, depressive symptoms, and suicidal ideation. Physician well-being affects quality of care, patient satisfaction, and physician turnover. Organizational factors influence well-being, stressing the need for organizations to address this epidemic. Recent findings Organizational characteristics, policies, and culture influence physician well-being, and specific strategies may support an environment where physicians thrive. We highlight four organizational opportunities to improve physician well-being: developing leaders, cultivating community and organizational culture, improving practice efficiency, and optimizing administrative policies. Leaders play a key role in aligning organizational and individual values, promoting professional fulfillment, and fostering a culture of collegiality and social support among physicians. Reducing documentation burden and improving practice efficiency may help balance job demands and resources. Finally, reforming administrative policies may reduce work-home conflict, support physician's efforts to attend to their own well-being, and normalize use of supportive resources. Summary Physician well-being is critical to organizational success, sustainment of an adequate workforce, and optimal patient outcomes. Because burnout is primarily influenced by organizational factors, organizational interventions are key to promoting wellbeing. Developing supportive leadership, fostering a culture of wellness, optimizing practice efficiency, and improving administrative policies are worthy of organizational action and further research.

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