Situational Factors Associated With Burnout Among Emergency Department Nurses

Rozo, José Andrés; Olson, DaiWai M.; Thu, Hlaing Sue; Stutzman, Sonja E.

doi:10.1177/2165079917705669

Cited by 43 publications

(51 citation statements)

References 9 publications

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“…Despite the fact that the impact of working in an ED on the level of stress and burnout among nurses has now been established [54][55][56], less is known about its impact on job satisfaction. In the present study, it was found that the level of job satisfaction among the participants was moderate, which is consistent with another study [28].…”

Section: Discussionmentioning

confidence: 99%

A Multicenter Study into Burnout, Perceived Stress, Job Satisfaction, Coping Strategies, and General Health among Emergency Department Nursing Staff

Cruz

Cebrino

Herruzo

et al. 2020

JCM

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Burnout is a major problem among nurses working in emergency departments and is closely related to a high turnover of personnel, nursing errors, and patient dissatisfaction. The aims of this study were to estimate burnout, perceived stress, job satisfaction, coping and general health levels experienced by nurses working in emergency departments in Spain and to analyze the relationships between sociodemographic, occupational, and psychological variables and the occurrence of burnout syndrome among these professionals. A cross-sectional study was conducted in four emergency departments in Andalusia (Spain) from March to December 2016. The study sample was composed of n = 171 nurses. An ad hoc questionnaire was prepared to collect sociodemographic and work data, and the Maslach Burnout Inventory, the Perceived Stress Scale, the Font–Roja Questionnaire, the Brief Cope Orientation to Problem Experience and the General Health Questionnaire were used. The prevalence of high burnout was 8.19%. The levels of perceived stress and job satisfaction were moderate. The most frequent clinical manifestations were social dysfunction and somatic symptoms, and problem-focused coping was the strategy most used by nurses. Lack of physical exercise, gender, years worked at an emergency department, anxiety, social dysfunction, and avoidance coping were significant predictors of the dimensions of burnout.

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Section: Discussionmentioning

confidence: 99%

A Multicenter Study into Burnout, Perceived Stress, Job Satisfaction, Coping Strategies, and General Health among Emergency Department Nursing Staff

Cruz

Cebrino

Herruzo

et al. 2020

JCM

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“…Overcrowding of the ED as a result of prolonged ED LOS increases workload and predisposes ED staff to burnout (Schooley, Hikmet, Tarcan, & Yorgancioglu, ; Stefano et al, ). This leads to reduced staff numbers and a vicious cycle of even longer ED LOS resulting in even more overcrowding (Rathlev et al, ; Rozo, Olson, Thu, & Stutzman, ; Stefano et al, ). In Australia, the nationwide 4‐hour target for all ED patients (Sullivan et al, ) recognizes the importance of minimizing ED LOS.…”

Section: Introductionmentioning

confidence: 99%

The relationship between time to analgesic administration and emergency department length of stay: A retrospective review

Hughes

Brown

Chiu

et al. 2019

Journal of Advanced Nursing

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Aim:To determine the association between time to first analgesic medication and emergency department length of stay (ED LOS).Design: Retrospective cohort study. Method:We conducted this study in a large, inner-city emergency department and included adult patients who presented with pain as a symptom and received analgesic medication(s). Study participants were identified from a random selection of 2,000 adult patients who presented between August-October 2018. The relationship between ED LOS and time to first analgesic medication was described using bivariate and multivariate linear regression. Results:Of the 2,000 randomly selected patients presenting between August and October 2018, 727 (36.35%) had pain as a symptom on arrival, 423 (21.15%) had analgesic medication administered. The median time to first analgesic medication was in 62 (interquartile range: 36-105) minutes and median ED LOS was 218 (interquartile range: 160-317.5) minutes. After adjusting for the effects of sex, urgency of the presentation, emergency department location first seen by clinician, departure destination and workload metrics (average daily time to be seen and daily access block). Time to first analgesic medication was independently associated with ED LOS, contributing to 6.96% of the variance in the multivariate model. Conclusion: Providing analgesic medication faster to patients presenting in pain, in addition to previously demonstrated positive patient outcomes, may decrease their ED LOS. Impact: Reducing ED LOS through faster pain care, benefits the patient through faster pain relief and can benefit the department by reducing the total amount of care delivered in the emergency department. Reducing total care delivery frees up resources to improve the care to all emergency department patients. K E Y W O R D S analgesia, emergency department, health services research, linear regression, multivariate modelling, nursing care, pain

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“…51 Another study also reported its negative effects on the physical, emotional, interpersonal, and attitude-related aspects of behavior. 34 Obviously, burnout and its subsequent problems can reduce nurses' efficiency, job satisfaction, and motivation for quality care delivery. Strategies to enhance nurses' job satisfaction and productivity can encourage their involvement in decision-making, reduce their occupational stress, reducing their job burnout and improving their quality of work life.…”

Section: Discussionmentioning

confidence: 99%

“…5,9,30 Moreover, factors such as injustice, lack of rewards for nurses 5 , nursing staff shortage, heavy workload, and frequent night or rotational shifts with subsequent sleep problems can result in job dissatisfaction and burnout among nurses. 5,[33][34][35] Interpersonal factors: Nurses may experience job burnout due to interpersonal factors such as lack of social support, criticism by manager, inappropriate physiciannurse relationships, conflict with colleagues, and familywork conflict. 30,36 Intrapersonal factors: Intrapersonal factors behind job burnout include demographic factors such as gender, age, educational level, marital status, and work experience.…”

Section: The Findings Of the Theoretical Phasementioning

confidence: 99%

Nurses’ Job Burnout: A Hybrid Concept Analysis

2020

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Introduction: Job burnout can significantly affect nurses' physical and mental health and the quality of the care services they provide. Yet, there is no clear definition for job burnout in nursing. This study aimed to analyze the concept of nurses' occupational burnout. Methods: This concept analysis was conducted, using the three-phase hybrid model. In the theoretical phase, online databases, namely Iranmedex, Scientific Information Database (SID), Science Direct, MagIran, ProQuest, Web of Sciences, Scopus, and PubMed were searched to retrieve studies published from 2007 to 2018. In the fieldwork phase, twelve semi-structured interviews were conducted with nurses and head-nurses selected from teaching hospitals in Isfahan, Iran. The interviews were transcribed and analyzed through thematic analysis. In the final analytic phase, the findings of the first and the second phases were combined. Results: Based on the findings of the theoretical and the fieldwork phases, job burnout can be defined as, "a state of physical, mental, emotional, and social exhaustion resulting from the negative effects of unmanaged occupational stress and inadequate managerial and social support, which reduces interest in and motivation for work, affects care quality, and results in negative attitudes and behavior towards self, clients, and the work". Conclusion: This study provides an in-depth understanding of the concept of job burnout in the nursing context of Iran. Managers need to develop strategies for job burnout prevention and management based on its contributing factors.

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Situational Factors Associated With Burnout Among Emergency Department Nurses

Cited by 43 publications

References 9 publications

A Multicenter Study into Burnout, Perceived Stress, Job Satisfaction, Coping Strategies, and General Health among Emergency Department Nursing Staff

A Multicenter Study into Burnout, Perceived Stress, Job Satisfaction, Coping Strategies, and General Health among Emergency Department Nursing Staff

The relationship between time to analgesic administration and emergency department length of stay: A retrospective review

Nurses’ Job Burnout: A Hybrid Concept Analysis

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