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: White, Elizabeth M., Aiken, Linda H., McHugh, Matthew D.
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Hoboken, USA John Wiley & Sons, Inc 01.10.2019
Wiley Subscription Services, Inc
Predmet:
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
United States
nursing home
workforce
burnout
registered nurses
job satisfaction
ISSN:0002-8614, 1532-5415, 1532-5415
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Shrnutí: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
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Author Contributions: Study concept and design: EMW, LA, MDM. Data acquisition: MDM, LA. Data analysis and interpretation: EMW, MDM. Manuscript preparation: EMW, LA, MDM
ISSN:0002-8614
1532-5415
1532-5415
DOI:10.1111/jgs.16051