Organizational Traits, Care Processes, and Burnout Among Chronic Hemodialysis Nurses

Abstract

In light of evidence linking registered nurse (RN) staffing levels to patient outcomes in chronic hemodialysis facilities, U.S. government regulations have set minimum RN staffing requirements during dialysis. Consequently, facility administrators are focused on decreasing nurse attrition in this crucial practice setting. This study used a cross-sectional, correlational design to investigate the effects of workload, practice environment, and care processes on burnout among nurses in U.S. chronic hemodialysis centers and to determine the association between burnout and nurses’ intentions to leave their jobs. Findings indicate that predictors were associated with an increased likelihood of nurse burnout and that nurses experiencing burnout were more likely to be planning to leave their jobs. Findings have important implications for retention of nurses, enhancement of patient safety, and adherence to new federal staffing requirements in chronic hemodialysis units.

Stress and Burnout Syndrome Among Nursing Professinals Working in Nephrology: an Integrative Review / Estresse e Síndrome de Burnout em Profissionais de Enfermagem que Atuam na Nefrologia: Uma Revisão Integrativa

“…39,37 Correlations found were largely related to work, which is in accordance with the current literature on the origin of burnout, the variety of factors points to the multifactorial condition of the development of stress and burnout syndrome and the surveys tend to seek the connections and consequences of the team's illness for the performance and for the organization. 40 The multiplicity of factors also appeared in the relation of risks pointed out in the articles.…”

“…Variation in the number of participants in the research was due to the nature of the research, where the qualitative ones had the least number of participants and the large ones, quantitative, were used electronic means or correspondence to obtain the data, being able to reach national scope. Flynn's American research, Thomas-Hawkins and Clarke, 37 was the largest number of participants (1,015), which is more than twice as high as Hayes, Bonner and Douglas, who reached 417 nurses in Australia and New Zealand.…”

Patient and Facility Safety in Hemodialysis

“…The goal of a root cause analysis is to determine what happened, why it happened, and what to do to prevent it from happening again (54). This analysis examines the policies, processes, and human factors (such as staffing ratios, experience, training, distraction, and fatigue [55][56][57][58][59]) that can contribute to an event.…”

Hemodiálisis: ¿Cuánto sabemos de los fármacos relacionados con el metabolismo mineral?

“…Sin embargo en ocasiones escuchamos en las salas de diálisis indicaciones erróneas: "No tome ninguna pastilla en diálisis porque la "máquina" las dializa (incluyendo quelantes)", "el calcijex es calcio", "las pastillas para el fósforo mejor tomarlas una hora después de las comidas", etc. Con todo esto, parece que el diagnóstico podría acercarse a la inadecuada formación en las unidades de diálisis en esta materia, sumada con un cierto desinterés por parte del personal con mayor edad y tiempo en las unidades que no se justifica por situaciones de Burnout 14,15,16 . El conocimiento del personal de enfermería, al menos, en relación con los fármacos relacionados con el metabolismo mineral tiene un claro espacio para la mejora.…”