Problem Definition and Scope
Nursing is a demanding profession that often requires long hours and intense emotional labor. As a result, nurses are at high risk for burnout, which is characterized by feelings of exhaustion, cynicism, and reduced effectiveness at work. In the United States, the problem of nursing burnout has been exacerbated by several factors, including the increasing complexity of medical care, the ongoing shortage of nurses, and the recent economic recession. As a result of these factors, nurses are under immense pressure to provide high-quality care while maintaining their well-being. The problem of nursing burnout has significant implications for patient care and the overall quality of the healthcare system. To address this problem, it is essential to understand its causes and effects. The world is recovering from the COVID-19 pandemic. According to Jo et al. (2021), the issue of nursing burnout has come out more evidently now than before. This assessment aims to provide a comprehensive overview of nursing burnout in the United States, including its causes and effects, and offer evidence-based recommendations for addressing the issue.
When exploring nursing burnout in any clinical setting, it is essential first to understand what is meant by the term “burnout.” According to the World Health Organization, burnout is a syndrome that results from chronic workplace stress that has not been successfully managed. Burnout is associated with the commitment nurses have toward their patients as well as the high demands of the profession. Nurses are among the most critical and hardworking people in the medical profession. They are constantly on their feet, caring for patients and providing them with vital support and treatment. However, this constant commitment to their patients can often lead to burnout. Nurses may find themselves working long hours with little break, leading to mental and physical fatigue. This can have a severe impact on their health and well-being, as well as their ability to provide care for their patients. Burnout is a genuine issue for nurses that must be addressed to protect their health and the quality of care they can provide. There are different types of fatigue that nurses may experience. These can be categorized as physical, mental, or emotional fatigue. Physical fatigue is the most common type of fatigue experienced by nurses. It is often caused by working long hours, standing for long periods, or lifting heavy patients. Mental fatigue can be caused by the stress of making life-and-death decisions, dealing with complex patients, or working in a chaotic environment. Emotional fatigue is often caused by the compassion fatigue nurses experience when caring for suffering patients. This type of fatigue can lead to cynicism, detachment from work, and a feeling of being overwhelmed. All of these types of fatigue can lead to burnout.
The causes of nursing burnout are multifactorial and include individual, organizational, and societal factors (Bakhamis et al., 2019). Individual factors contributing to nursing burnout include high job demands, low job satisfaction, lack of autonomy, and poor work-life balance (McHugh et al., 2021; White et al., 2019). Organizational factors contributing to nursing burnout include poor working conditions, lack of support from managers, and lack of resources. Societal factors that contribute to nursing burnout include the nursing shortage, understaffing, and the high prevalence of violence in the healthcare setting. There are many strategies that nurses can use to cope with burnout. These strategies include seeking social support, practicing self-care, and using relaxation techniques. Nurses can also seek professional help if they are struggling to cope with burnout on their own.
Analysis from Peer-Reviewed Sources
While nursing burnout has been a problem in the past, it has intensified in recent years due to different factors. One of the most significant contributors to nursing burnout is the increasing complexity of medical care. As medical technology advances and the population ages, the demand for nursing care has increased significantly. Nurses care for patients with a wide range of acute and chronic conditions. According to Prasad et al. (2021), by April 2021, the United States had already recorded more than 28 million COVID-19 cases. Due to such high demand, nurses were often required to work long hours, which led to physical and mental fatigue. In addition, the current economic climate has led to a decrease in funding for healthcare. This has resulted in a lack of resources, such as staff and supplies, which can add to the stress on nurses who are already working under challenging conditions.
The nurse-to-patient ratio is not well balanced, leading to an increase in the number of patients each nurse is responsible for. The workload is one of the leading causes of nursing burnout in the United States. Nurses who feel overworked are more likely to experience symptoms of burnout, including fatigue, anxiety, and depression (Rosa et al., 2020). In addition, such nurses are more likely to report errors, accidents, and patient complaints. Such results show the importance of reducing nurse workloads to improve patient care and prevent burnout (Wadill-Goad, 2018). One way to reduce the workload is to increase staffing levels. This would allow nurses more time to complete their tasks and reduce the amount of overtime that is often required.
Furthermore, technology can also be used to help lighten the load for nurses. For example, automated dispensing machines can be used to dispense medication, and electronic health records can help to reduce the charting burden. By taking steps to reduce workload, nurses can help to prevent nursing burnout and improve patient care.
Nursing theory provides a framework for understanding the issue of nurse burnout. According to nursing theory, nurse burnout is caused by a combination of factors, including a lack of autonomy, an excessive workload, and a lack of support from supervisors and colleagues. The nursing theory also suggests that nurse burnout can lead to several adverse outcomes, including a decrease in job satisfaction, an increase in absenteeism, and a decline in the quality of patient care. To address the problem of nurse burnout, it is essential to understand the factors that contribute to it. Some of the theories that can be used to understand nurse burnout include Newman’s system theory. This theory suggests that nurse burnout results from the organization’s failure to provide adequate support to nurses. When nurses are not supported, they are more likely to experience burnout. The clinical setting works as a unit or system, with the nurses being one of the parts of that system. If any part of the system is not working, it can result in problems for the nurses who are a part of that system. For example, if there is a lack of support from supervisors, this can lead to nurse burnout. Understanding how the different parts of the system work together to address nurse burnout is crucial.
How State Board Nursing Practice Standards and/or Organizational or Governmental Policies could affect the Issue of Nursing Burnout
One crucial factor in the nursing burnout issue is the work environment, particularly the role of State Board Nursing Practice Standards and Organizational or Governmental Policies. These standards and policies can directly impact the level of stress that nurses experience, as well as their ability to cope with that stress. For example, if State Board Nursing Practice Standards are not adequate, it can lead to nurses feeling overworked and undervalued. In addition, if organizational or governmental policies do not support nurses, this can also contribute to feelings of frustration and helplessness.
Leadership Strategies to Improve Outcomes, Patient-Centered Care, and the Patient Experience related to burnout
As nurse burnout increases, healthcare leaders must develop strategies for improving outcomes, patient-centered care, and patient experience. One way to do this is by increasing collaboration between nurses and other healthcare team members. This can be accomplished through regular meetings and communication channels, such as a daily huddle or a weekly team meeting. Additionally, allowing nurses to share their ideas and feedback regularly is vital. Another strategy for improving nurse burnout is increasing staff satisfaction. This can be done through regular recognition and appreciation and by providing opportunities for professional development. It is also vital to create a culture of wellness within the organization. This can be done by offering on-site yoga classes or providing access to a gym membership discount. By implementing these strategies, healthcare leaders can improve outcomes, patient-centered care, and the patient experience related to nursing burnout.
From a policy perspective, nursing burnout is a problem that can be addressed through various interventions. One way to reduce nursing burnout is to improve working conditions. This can be done by providing more resources, such as staff and supplies. According to McHugh et al. (2021), the nurse-to-patient ratio is one of the areas of legislation that can be improved to help reduce nursing burnout. Addressing nurse to patient ratio can help address nursing burnout in some ways. First, it can help reduce the time nurses spend on direct patient care. This can help to alleviate some of the physical and emotional demands of the job.
Furthermore, it can help to improve communication and collaboration among the care team. This can lead to a more efficient and effective delivery of care, which can, in turn help to reduce stress levels. Additionally, addressing the nurse-to-patient ratio can help ensure that nurses have adequate support and resources. This can help create a more positive work environment, leading to improved job satisfaction and a reduced risk of burnout.
When nurse leaders can play a crucial role in promoting a healthy work-life balance and preventing burnout. By setting realistic expectations, taking regular breaks, and ensuring nurses have access to support from family and friends, nurse leaders can help create an environment conducive to professional and personal success. When nurses are allowed to thrive both personally and professionally, they are more likely to be engaged in their work and less likely to experience burnout. Therefore, while nursing burnout is a complex problem, it can be addressed through a variety of interventions. By taking steps to improve working conditions, increase staffing levels, and promote a healthy work-life balance, nurse leaders can help to reduce the incidence of nursing burnout and improve patient care.
References
Bakhamis, L., Paul, D. P., Smith, H., & Coustasse, A. (2019). Still an epidemic. The Health Care Manager, 38(1), 3–10. https://doi.org/10.1097/hcm.0000000000000243
Jo, S., Kurt, S., Bennett, J. A., Mayer, K., Pituch, K. A., Simpson, V. … & Reifsnider, E. (2021). Nurses’ resilience in the face of coronavirus (COVID‐19 ): An international view. Nursing & Health Sciences, 23(3), 646–657.https://doi.org/10.1111/nhs.12863
McHugh, M. D., Aiken, L. H., Sloane, D. M., Windsor, C., Douglas, C., & Yates, P. (2021). Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals. The Lancet, 397(10288), 1905–1913.https://doi.org/10.1016/s0140-6736(21)00768-6
Prasad, K., McLoughlin, C., Stillman, M., Poplau, S., Goelz, E., Taylor, S. …& Sinsky, C. A. (2021). Prevalence and correlates of stress and burnout among U.S. healthcare workers during the COVID-19 pandemic: A national cross-sectional survey study. EClinicalMedicine, 35, 100879.https://doi.org/10.1016/j.eclinm.2021.100879
Rosa, W. E., Schlak, A. E., & Rushton, C. H. (2020). A blueprint for leadership during COVID- 19. Nursing Management, 51(8), 28–34.https://doi.org/10.1097/01.numa.0000688940
Waddill-Goad, S. M. (2018). Stress, fatigue, and burnout in nursing. Journal of Radiology Nursing, 38(1), 44-46..https://doi.org/10.1016/j.jradnu.2018.10.005
White, E. M., Aiken, L. H., & McHugh, M. D. (2019). Registered nurse burnout, job dissatisfaction, and missed care in nursing homes. Journal of the American Geriatrics Society, 67(10), 2065-2071. https://doi.org/10.1111/jgs.16051
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