A national study of personal accomplishment, burnout, and satisfaction with work–life integration among advance practice nurses relative to other workers

Abstract

Background: There is a high prevalence of burnout among health care professionals, but little remains known about burnout and satisfaction with work–life integration (WLI) among advance practice nurses (APNs). Purpose: To evaluate burnout and satisfaction with WLI among APNs compared with other US workers. Methods: A national sample of APNs and a probability-based sample of US workers completed a survey that measured burnout and satisfaction with WLI. Results: Of the 976 (47%) APNs who completed the survey 64% had high personal accomplishment, 36.6% had symptoms of overall burnout, and 60.6% were satisfied with their WLI. In multivariable analysis, work hours (for each additional hour odds ratio [OR] 1.03, 95% confidence interval [CI] 1.02–1.04, p < .001) and working in an outpatient setting (overall p = .03; referent hospital: outpatient, OR 1.80, 95% CI 1.17–2.18; other/unknown, OR 1.41, 95% CI 0.90–2.22, p = .13) were independently associated with having higher odds of burnout. Work hours were also independently associated with lower odds of satisfaction with WLI (for each additional hour OR 0.94, 95% CI 0.94–0.95, p < .001). Advance practice nurses were not more likely to have burnout or have greater struggles with WLI than other workers. Implications for practice: Findings from this study suggest APNs have high levels of personal accomplishment and a favorable occupational health profile. Advance practice nurses do not appear at higher risk of burnout or dissatisfaction with WLI than other US workers.

Burnout Among Nephrologists in the United States: A Survey Study

“…Our results echo similar analyses among surgical subspecialists, advance practice nurses, and general internists that also point to clinical work hours and electronic medical record requirements as determinants of burnout. [33][34] While burnout was not explicitly mentioned in an earlier analysis among medical students and residents, respondents named a high clinical workload and poor work-life balance as deterrents to pursuing a nephrology fellowship. Thus, mitigating such factors associated with burnout as clinical work hours during training may be key to attracting prospective applicants to nephrology.…”

Assessing Professional Fulfillment and Burnout Among CEOs and Other Healthcare Administrative Leaders in the United States

“…The impact of clinician well-being and occupational distress on the U.S. healthcare delivery system has been rigorously studied over the past two decades. The high prevalence of occupational burnout among physicians ( Shanafelt et al, 2012 ; Shanafelt, West, et al, 2019 ), nurses ( Dyrbye, West, Johnson, et al, 2019 ; McHugh et al, 2011 ; Shah et al, 2021 ), and other healthcare professionals ( Dyrbye, West, Halasy, et al, 2020 ; Dyrbye, West, Kelsey, et al, 2020 ; Skrupky et al, 2003 ), and its links to quality of care ( Cimiotti et al, 2012 ; Shanafelt et al, 2010 ; Tawfik et al, 2019 ), staffing ( Dyrbye, Major-Elechi, Thapa, et al, 2021 ; Shanafelt et al, 2016 ), turnover ( Hamidi et al, 2018 ), cost of care ( Dyrbye, West, Hunderfund, et al, 2020 ), and the economic viability of healthcare organizations ( Han et al, 2019 ; Shanafelt, Goh, & Sinsky, 2017 ) are now well documented.…”

Differences in psychosocial distress among rural and metropolitan health care workers during the COVID‐19 pandemic

“…Health care workers (HCWs) experience unique workplace stress, which contribute to increased rates of occupational burnout, anxiety, depression, stress and poorer mental health. 1 , 2 , 3 , 4 Health‐related crises, such as the current SARS‐CoV2 coronavirus disease (COVID‐19) pandemic, generate significant disruption and occupational stress. Globally, the workplace challenges arising from COVID‐19 have been rapid and varied, including surge demand on health care services, increased workloads, new and more complex work practices, large amounts of new information, job insecurity, major social changes and increased risks to the health and lives of HCWs and those close to them.…”