Registered Nurse Burnout, Job Dissatisfaction, and Missed Care in Nursing Homes
OBJECTIVES To examine the relationship between registered nurse (RN) burnout, job dissatisfaction, and missed care in nursing homes. DESIGN Cross‐sectional secondary analysis of linked data from the 2015 RN4CAST‐US nurse survey and LTCfocus. SETTING A total of 540 Medicare‐ and Medicaid‐certified nu...
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| Vydané v: | Journal of the American Geriatrics Society (JAGS) Ročník 67; číslo 10; s. 2065 - 2071 |
|---|---|
| Hlavní autori: | , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
Hoboken, USA
John Wiley & Sons, Inc
01.10.2019
Wiley Subscription Services, Inc |
| Predmet: | |
| ISSN: | 0002-8614, 1532-5415, 1532-5415 |
| On-line prístup: | Získať plný text |
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| Abstract | OBJECTIVES
To examine the relationship between registered nurse (RN) burnout, job dissatisfaction, and missed care in nursing homes.
DESIGN
Cross‐sectional secondary analysis of linked data from the 2015 RN4CAST‐US nurse survey and LTCfocus.
SETTING
A total of 540 Medicare‐ and Medicaid‐certified nursing homes in California, Florida, New Jersey, and Pennsylvania.
PARTICIPANTS
A total of 687 direct care RNs.
MEASUREMENTS
Emotional Exhaustion subscale of the Maslach Burnout Inventory, job dissatisfaction, and missed care.
RESULTS
Across all RNs, 30% exhibited high levels of burnout, 31% were dissatisfied with their job, and 72% reported missing one or more necessary care tasks on their last shift due to lack of time or resources. One in five RNs reported frequently being unable to complete necessary patient care. Controlling for RN and nursing home characteristics, RNs with burnout were five times more likely to leave necessary care undone (odds ratio [OR] = 4.97; 95% confidence interval [CI] = 2.56‐9.66) than RNs without burnout. RNs who were dissatisfied were 2.6 times more likely to leave necessary care undone (OR = 2.56; 95% CI = 1.68‐3.91) than RNs who were satisfied. Tasks most often left undone were comforting/talking with patients, providing adequate patient surveillance, patient/family teaching, and care planning.
CONCLUSION
Missed nursing care due to inadequate time or resources is common in nursing homes and is associated with RN burnout and job dissatisfaction. Improved work environments with sufficient staff hold promise for improving care and nurse retention. J Am Geriatr Soc 67:2065–2071, 2019 |
|---|---|
| AbstractList | OBJECTIVESTo examine the relationship between registered nurse (RN) burnout, job dissatisfaction, and missed care in nursing homes.DESIGNCross‐sectional secondary analysis of linked data from the 2015 RN4CAST‐US nurse survey and LTCfocus.SETTINGA total of 540 Medicare‐ and Medicaid‐certified nursing homes in California, Florida, New Jersey, and Pennsylvania.PARTICIPANTSA total of 687 direct care RNs.MEASUREMENTSEmotional Exhaustion subscale of the Maslach Burnout Inventory, job dissatisfaction, and missed care.RESULTSAcross all RNs, 30% exhibited high levels of burnout, 31% were dissatisfied with their job, and 72% reported missing one or more necessary care tasks on their last shift due to lack of time or resources. One in five RNs reported frequently being unable to complete necessary patient care. Controlling for RN and nursing home characteristics, RNs with burnout were five times more likely to leave necessary care undone (odds ratio [OR] = 4.97; 95% confidence interval [CI] = 2.56‐9.66) than RNs without burnout. RNs who were dissatisfied were 2.6 times more likely to leave necessary care undone (OR = 2.56; 95% CI = 1.68‐3.91) than RNs who were satisfied. Tasks most often left undone were comforting/talking with patients, providing adequate patient surveillance, patient/family teaching, and care planning.CONCLUSIONMissed nursing care due to inadequate time or resources is common in nursing homes and is associated with RN burnout and job dissatisfaction. Improved work environments with sufficient staff hold promise for improving care and nurse retention. J Am Geriatr Soc 67:2065–2071, 2019 To examine the relationship between registered nurse (RN) burnout, job dissatisfaction, and missed care in nursing homes.OBJECTIVESTo examine the relationship between registered nurse (RN) burnout, job dissatisfaction, and missed care in nursing homes.Cross-sectional secondary analysis of linked data from the 2015 RN4CAST-US nurse survey and LTCfocus.DESIGNCross-sectional secondary analysis of linked data from the 2015 RN4CAST-US nurse survey and LTCfocus.A total of 540 Medicare- and Medicaid-certified nursing homes in California, Florida, New Jersey, and Pennsylvania.SETTINGA total of 540 Medicare- and Medicaid-certified nursing homes in California, Florida, New Jersey, and Pennsylvania.A total of 687 direct care RNs.PARTICIPANTSA total of 687 direct care RNs.Emotional Exhaustion subscale of the Maslach Burnout Inventory, job dissatisfaction, and missed care.MEASUREMENTSEmotional Exhaustion subscale of the Maslach Burnout Inventory, job dissatisfaction, and missed care.Across all RNs, 30% exhibited high levels of burnout, 31% were dissatisfied with their job, and 72% reported missing one or more necessary care tasks on their last shift due to lack of time or resources. One in five RNs reported frequently being unable to complete necessary patient care. Controlling for RN and nursing home characteristics, RNs with burnout were five times more likely to leave necessary care undone (odds ratio [OR] = 4.97; 95% confidence interval [CI] = 2.56-9.66) than RNs without burnout. RNs who were dissatisfied were 2.6 times more likely to leave necessary care undone (OR = 2.56; 95% CI = 1.68-3.91) than RNs who were satisfied. Tasks most often left undone were comforting/talking with patients, providing adequate patient surveillance, patient/family teaching, and care planning.RESULTSAcross all RNs, 30% exhibited high levels of burnout, 31% were dissatisfied with their job, and 72% reported missing one or more necessary care tasks on their last shift due to lack of time or resources. One in five RNs reported frequently being unable to complete necessary patient care. Controlling for RN and nursing home characteristics, RNs with burnout were five times more likely to leave necessary care undone (odds ratio [OR] = 4.97; 95% confidence interval [CI] = 2.56-9.66) than RNs without burnout. RNs who were dissatisfied were 2.6 times more likely to leave necessary care undone (OR = 2.56; 95% CI = 1.68-3.91) than RNs who were satisfied. Tasks most often left undone were comforting/talking with patients, providing adequate patient surveillance, patient/family teaching, and care planning.Missed nursing care due to inadequate time or resources is common in nursing homes and is associated with RN burnout and job dissatisfaction. Improved work environments with sufficient staff hold promise for improving care and nurse retention. J Am Geriatr Soc 67:2065-2071, 2019.CONCLUSIONMissed nursing care due to inadequate time or resources is common in nursing homes and is associated with RN burnout and job dissatisfaction. Improved work environments with sufficient staff hold promise for improving care and nurse retention. J Am Geriatr Soc 67:2065-2071, 2019. OBJECTIVES To examine the relationship between registered nurse (RN) burnout, job dissatisfaction, and missed care in nursing homes. DESIGN Cross‐sectional secondary analysis of linked data from the 2015 RN4CAST‐US nurse survey and LTCfocus. SETTING A total of 540 Medicare‐ and Medicaid‐certified nursing homes in California, Florida, New Jersey, and Pennsylvania. PARTICIPANTS A total of 687 direct care RNs. MEASUREMENTS Emotional Exhaustion subscale of the Maslach Burnout Inventory, job dissatisfaction, and missed care. RESULTS Across all RNs, 30% exhibited high levels of burnout, 31% were dissatisfied with their job, and 72% reported missing one or more necessary care tasks on their last shift due to lack of time or resources. One in five RNs reported frequently being unable to complete necessary patient care. Controlling for RN and nursing home characteristics, RNs with burnout were five times more likely to leave necessary care undone (odds ratio [OR] = 4.97; 95% confidence interval [CI] = 2.56‐9.66) than RNs without burnout. RNs who were dissatisfied were 2.6 times more likely to leave necessary care undone (OR = 2.56; 95% CI = 1.68‐3.91) than RNs who were satisfied. Tasks most often left undone were comforting/talking with patients, providing adequate patient surveillance, patient/family teaching, and care planning. CONCLUSION Missed nursing care due to inadequate time or resources is common in nursing homes and is associated with RN burnout and job dissatisfaction. Improved work environments with sufficient staff hold promise for improving care and nurse retention. J Am Geriatr Soc 67:2065–2071, 2019 To examine the relationship between registered nurse (RN) burnout, job dissatisfaction, and missed care in nursing homes. Cross-sectional secondary analysis of linked data from the 2015 RN4CAST-US nurse survey and LTCfocus. A total of 540 Medicare- and Medicaid-certified nursing homes in California, Florida, New Jersey, and Pennsylvania. A total of 687 direct care RNs. Emotional Exhaustion subscale of the Maslach Burnout Inventory, job dissatisfaction, and missed care. Across all RNs, 30% exhibited high levels of burnout, 31% were dissatisfied with their job, and 72% reported missing one or more necessary care tasks on their last shift due to lack of time or resources. One in five RNs reported frequently being unable to complete necessary patient care. Controlling for RN and nursing home characteristics, RNs with burnout were five times more likely to leave necessary care undone (odds ratio [OR] = 4.97; 95% confidence interval [CI] = 2.56-9.66) than RNs without burnout. RNs who were dissatisfied were 2.6 times more likely to leave necessary care undone (OR = 2.56; 95% CI = 1.68-3.91) than RNs who were satisfied. Tasks most often left undone were comforting/talking with patients, providing adequate patient surveillance, patient/family teaching, and care planning. Missed nursing care due to inadequate time or resources is common in nursing homes and is associated with RN burnout and job dissatisfaction. Improved work environments with sufficient staff hold promise for improving care and nurse retention. J Am Geriatr Soc 67:2065-2071, 2019. |
| Author | Aiken, Linda H. White, Elizabeth M. McHugh, Matthew D. |
| AuthorAffiliation | 1 University of Pennsylvania School of Nursing, Center for Health Outcomes and Policy Research, Philadelphia, Pennsylvania, USA |
| AuthorAffiliation_xml | – name: 1 University of Pennsylvania School of Nursing, Center for Health Outcomes and Policy Research, Philadelphia, Pennsylvania, USA |
| Author_xml | – sequence: 1 givenname: Elizabeth M. orcidid: 0000-0003-4175-8662 surname: White fullname: White, Elizabeth M. email: elizabeth_white@brown.edu organization: University of Pennsylvania School of Nursing – sequence: 2 givenname: Linda H. surname: Aiken fullname: Aiken, Linda H. organization: University of Pennsylvania School of Nursing – sequence: 3 givenname: Matthew D. surname: McHugh fullname: McHugh, Matthew D. organization: University of Pennsylvania School of Nursing |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31334567$$D View this record in MEDLINE/PubMed |
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| ContentType | Journal Article |
| Copyright | 2019 The American Geriatrics Society 2019 The American Geriatrics Society. 2019 American Geriatrics Society and Wiley Periodicals, Inc. |
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| Keywords | nursing home workforce burnout registered nurses job satisfaction |
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To examine the relationship between registered nurse (RN) burnout, job dissatisfaction, and missed care in nursing homes.
DESIGN
Cross‐sectional... To examine the relationship between registered nurse (RN) burnout, job dissatisfaction, and missed care in nursing homes. Cross-sectional secondary analysis of... OBJECTIVESTo examine the relationship between registered nurse (RN) burnout, job dissatisfaction, and missed care in nursing homes.DESIGNCross‐sectional... To examine the relationship between registered nurse (RN) burnout, job dissatisfaction, and missed care in nursing homes.OBJECTIVESTo examine the relationship... |
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| SubjectTerms | Burnout Burnout, Professional - epidemiology Care plans Cross-Sectional Studies Discontent Fatigue Female Humans Job Satisfaction Male Medicaid Medical personnel Medicare Middle Aged Nurses Nursing care Nursing Care - statistics & numerical data nursing home Nursing Homes Nursing Staff - psychology Occupational Stress - epidemiology Patients Quality of care registered nurses Surveillance Surveys and Questionnaires Talking Teaching United States - epidemiology Work workforce |
| Title | Registered Nurse Burnout, Job Dissatisfaction, and Missed Care in Nursing Homes |
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