Quantification of burnout in emergency nurses: A systematic review and meta-analysis

Li, Hong; Cheng, Bin; Xiao, Zhu

doi:10.1016/j.ienj.2017.12.005

Cited by 109 publications

(113 citation statements)

References 37 publications

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“…This is relevant because these three psychological factors can be targeted by administrators to develop effective interventions aimed to prevent burnout in this group. Our study has also confirmed that nurses working in emergency departments are prone to develop burnout (Li, Cheng, & Zhu, 2018). These results are coherent with those described in another Italian study (Cicchitti et al, 2014) which reported a similar prevalence of medium-high levels of burnout amongst ER nurses.…”

Section: Discussionsupporting

confidence: 93%

Protecting emergency room nurses from burnout: The role of dispositional mindfulness, emotion regulation and empathy

et al. 2019

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Aim To verify the role of dispositional mindfulness, difficulties in emotion regulation and empathy in explaining burnout levels of emergency room (ER) nurses. Background Many studies have examined the variables that can affect burnout amongst ER nurses, but little is known about factors that can protect ER nurses against work‐related stress. Method A multi‐centre cross‐sectional design was used. Burnout level intensity, dispositional mindfulness facets, difficulties in emotion regulation and empathy dimensions were assessed using valid and reliable self‐report questionnaires in a sample of ER nurses (N = 97) from three different hospitals. Results Higher dispositional mindfulness and cognitive empathy levels and lower difficulties in emotion regulation, were negatively associated with emotional exhaustion levels. Conclusion ER nurses with more mindful, emotion regulation and empathy skills are more able to manage work‐related distress. Implications for Nursing Management Experiential interventions to promote mindfulness skills, emotion regulation variability and flexibility in a clinical context and the cognitive side of empathy are recommended for ER nurses to reduce professional distress, and to enhance personal and work satisfaction. Future research should assess the effectiveness of new multi‐factorial interventions which combine the development of mindfulness, emotion regulation and empathy skills in ER nurses.

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Section: Discussionsupporting

confidence: 93%

Protecting emergency room nurses from burnout: The role of dispositional mindfulness, emotion regulation and empathy

et al. 2019

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“…With respect to the effects of chronic occupational stress, a meta‐analysis of international studies examining burnout identified a prevalence of emotional exhaustion, depersonalization and low personal accomplishment of 31%, 36% and 29%, respectively, in ED nurses (Gómez‐Urquiza et al, ). Higher percentages for each domain were quoted in another meta‐analysis of existing literature on these subjects (Li, Cheng, & Zhu, ). In contrast to earlier research, no significant association between burnout in ED nurses and patients’ perception of their quality of care was found in a study based in the south of Spain (Ríos‐Risquez & García‐Izquierdo, ).…”

Section: Introductionmentioning

confidence: 95%

A longitudinal assessment of occupational stress in Emergency Department Nursing Staff

et al. 2020

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Aims To examine perceptions of occupational stress in Emergency Department (ED) nurses and measure the impact of interventions to address them. Background Cross‐sectional studies internationally have established that Emergency Department (ED) nursing staff experience high levels of occupational stress. Few however have examined changes in perceptions of stress over time or the impact of interventions to address them. Evaluation A structured questionnaire completed by volunteer nursing staff in one United Kingdom ED assessing perceptions of occupational stress and job satisfaction. Questionnaire rounds were administered in 2014 (T1), 2015 (T2) and 2017 (T3) at 18‐month intervals. Statistical analyses were conducted using multivariate regression, t‐tests and Mann–Whitney U tests. Key Issue Statistically significant improvements in effort‐reward balance, relational justice and job satisfaction were seen between T2 and T3 for nurses completing questionnaires at all three time points, but not for other stressors. Conclusion This study suggests that organisational interventions, supported by robust research data and consistent departmental leadership can positively influence perceptions of organisational stress in ED nurses. Our approach is generic, internationally applicable and can be adopted in all EDs. Implications of nursing management These occupational stressors are common to all EDs. Nurse managers should know their distribution amongst their staff. Such data can inform interventions to achieve maximal benefits for staff wellbeing and may be of value when targeting resources in times of financial pressure.

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“…Exposure to frequent and ongoing stressors can affect emergency nurses both physically and emotionally, resulting in increased risk of injury, poor job satisfaction and increased absenteeism and attrition [39]. Quality of care delivered to patients can be negatively impacted as concentration, decision-making skills, communication and ability to establish therapeutic relationships may be affected [39,40].…”

Section: Discussionmentioning

confidence: 99%

A profile of the waiting room nurse in emergency departments: An online survey of Australian nurses exploring implementation and perceptions

Innes

Jackson

Plummer

et al. 2019

International Emergency Nursing

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Background In response to increasing waiting times, adverse patient outcomes and patient dissatisfaction, some emergency departments introduced a Waiting Room Nurse role. Despite implementation into routine practice, there remains limited formal evaluation of the role. Aim To explore the implementation of a Waiting Room Nurse role in Australian emergency departments and emergency nurses' perceptions. Methods Survey design. A 40-item survey was developed, piloted and then distributed to members of a professional College for online completion. Responses for closed-ended and openended items were reported using frequencies or proportions, and quantitative content analysis, respectively. Results Respondents (n=197) reported that 51 emergency departments allocated a Waiting Room Nurse, with varying hours of operation. Five key areas of responsibility were: patient care, patient safety, escalation of care, triage and communication. Role variations were identified in experience, preparation and supporting policies. Challenges, including workload and personal safety issues, were reported. Conclusions The role was perceived as vital, especially at times of high demand, in ensuring that patients were safe to wait, detecting deterioration and escalating care as needed. 2 Communication and therapeutic relationships were key to effective performance. Challenges identified had clear implications for the welfare of nurses performing the role.

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Quantification of burnout in emergency nurses: A systematic review and meta-analysis

Cited by 109 publications

References 37 publications

Protecting emergency room nurses from burnout: The role of dispositional mindfulness, emotion regulation and empathy

Protecting emergency room nurses from burnout: The role of dispositional mindfulness, emotion regulation and empathy

A longitudinal assessment of occupational stress in Emergency Department Nursing Staff

A profile of the waiting room nurse in emergency departments: An online survey of Australian nurses exploring implementation and perceptions

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