Nurse Burnout and Patient Satisfaction

Vahey, Doris C.; Aiken, Linda H.; Sloane, Douglas M.; Clarke, Sean P.; Vargas-Chanes, Delfino

doi:10.1097/01.mlr.0000109126.50398.5a

Cited by 728 publications

(714 citation statements)

References 41 publications

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“…Studies have indicated that control over nursing practice is associated with increased job satisfaction and improved patient outcomes 1,34,36 and with decreased job-related stress, burnout, and staff turnover. 37,38 The association between less autonomy and increased nurses' intentions to resign, along with decreased job satisfaction, is in accordance with previous findings 2 and emphasizes the importance of exercising autonomy in some aspects of nursing work. Although low clinical decision-making autonomy has been reported among Hellenic intensive care nurses, 16 the levels of autonomy in our study are difficult to compare with the levels in previous studies because of differences in the instruments used.…”

Section: Discussionsupporting

confidence: 79%

Professional Autonomy, Collaboration With Physicians, and Moral Distress Among European Intensive Care Nurses

Papathanassoglou

Karanikola

Kalafati

et al. 2012

American Journal of Critical Care

191

262

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Background Discretionary autonomy is a key factor in enhanced patient outcomes and nurses' work satisfaction. Among nurses, insufficient autonomy can result in moral distress. Objectives To explore levels of autonomy among European critical care nurses and potential associations of autonomy with nurse-physician collaboration, moral distress, and nurses' characteristics. Methods Descriptive correlational study of a convenience sample of 255 delegates attending a major European critical care conference in 2009. Respondents completed a selfadministered questionnaire with validated scales for nurses' autonomy, nurse-physician collaboration, and moral distress. Results The mean autonomy score (84.26; SD, 11.7; range, and the mean composite (frequency and intensity) moral distress score (73.67; SD, 39.19; range, were both moderate. The mean collaboration score was 47.85 (SD, 11.63; range,. Italian and Greek nurses reported significantly lower nurse-physician collaboration than did other nurses (P < .001). Greek and German nurses reported significantly higher moral distress (P < .001). Autonomy scores were associated with nurse-physician collaboration scores (P < .001) and with a higher frequency of moral distress (P = .04). Associations were noted between autonomy and work satisfaction (P = .001). Frequency of moral distress was associated inversely with collaboration (r = -0.339; P < .001) and autonomy (r = -0.210; P = .01) and positively with intention to quit (r = 0.257; P = .004). Autonomy is defined as the freedom to make decisions within the domain of an individual's profession and to act accordingly. 10,11 The ability to make discretionary and autonomous decisions based on comprehensive knowledge, clinical expertise, and evidence-based findings is a hallmark of professionalism. In general, ICU nurses make 1 care decision every 30 seconds 12 and approximately 9 important patient-care decisions per hour, 13 suggesting that exercising judgment is a core nursing activity and influences the quality of care provided. Previous studies 11,[14][15][16] in European ICUs indicated that the levels of nurse autonomy differ between countries and that the decision-making capacity of these clinicians needs to be developed and strengthened. However, factors that may be associated with low autonomy among European ICU nurses have not been systematically studied. Although, presumably, poor nursephysician collaboration may limit a nurse's ability to implement care-and unit-related decisions, associations between these 2 constructs have not been investigated. Evidence of the association between nurse-physician collaboration and ICU nurses' moral distress is likewise scant. Although the design of the study we report here was unsuitable for exploring either causative factors or antecedents of autonomy-and inferences may be limited by differences in responders' context of practice-we wished to address autonomy, nurse-physician collaboration, and moral distress simultaneously in a sample of European ICU nurses to gain preliminary insigh...

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Section: Discussionsupporting

confidence: 79%

Professional Autonomy, Collaboration With Physicians, and Moral Distress Among European Intensive Care Nurses

Papathanassoglou

Karanikola

Kalafati

et al. 2012

American Journal of Critical Care

191

262

View full text Add to dashboard Cite

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“…The issue of working conditions of the nursing staff has already been mentioned for a long time in the specialised literature. Many researchers indicate that the working conditions and number of nurses or their exposure to stress factors have a significant impact on the safety of a patient [28,29]. Not all changes in the environment and working conditions of nurses must be connected with financial expenditure.…”

Section: Discussionmentioning

confidence: 99%

Stress factors vs. job satisfaction among nursing staff in the Pomeranian Province (Poland) and the Vilnius Region (Lithuania)

Kwiecień-Jaguś¹,

Mędrzycka‐Dąbrowska²,

Chamienia³

et al. 2018

Ann Agric Environ Med.

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Introduction. In the opinion of many researchers, nursing staff are exposed to an exceptionally high level of occupational stress. The problem of stress in the working environment of the nursing staff becomes more and more important in the context of increasing staff shortages and insufficient support from colleagues and employers. The aim of this study was to analyse stress factors indicated by the nursing staff in Poland and Lithuania, and to assess their job satisfaction. Materials and method. Two standard research tools were used in the study: the Nursing Stress Scale and the Job Satisfaction Survey. The study involved 230 respondents from Poland and Lithuania. The sample was chosen randomly and incidentally. Results. Based on the analysis of collected materials, the greatest stress factors in the work of the nursing staff were identified, which included interpersonal conflicts between nurses and doctors and between nurses, and death and dying. The study indicated that there is a relationship between stress and job satisfaction among Polish nurses (r=-0.33;p=0.001) and Lithuanian nurses (r=0.34; p=0.001). The greater the stress, the lower the job satisfaction. Low job satisfaction was connected with low remuneration, which is still inadequate to professional duties, and the lack of promotion opportunities. The study confirmed that there were significant differences in job satisfaction among Polish and Lithuanian nurses (Z= -6.27; p<0.001). Conclusions. The study confirmed a high level of stress and dissatisfaction among nursing staff in Poland and Lithuania.

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“…Added to this, associations between nurse stress and job performance [22][23][24], quality of care [25,26] and patient safety [27,28] have been established. Yet despite this evidence base, it is recognised that further work is needed to improve our understanding of the effects of stress (and burnout) on patient safety in nursing [29,30].…”

Section: Consequences Of Stress In Nursingmentioning

confidence: 99%

A Daily Diary Approach to the Examination of Chronic Stress, Daily Hassles and Safety Perceptions in Hospital Nursing

et al. 2017

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Purpose 2Stress is a significant concern for individuals and organisations. Few studies have explored stress, burnout and patient safety in hospital nursing on a daily basis at the individual level. This study aimed to examine the effects of chronic stress and daily hassles on safety perceptions, the effect of chronic stress on daily hassles experienced, and chronic stress as a potential moderator. MethodsUtilising a daily diary design, 83 UK hospital nurses completed three end of shift diaries, yielding 324 person days. Hassles, safety perceptions and workplace cognitive failure were measured daily, and a baseline questionnaire included a measure of chronic stress. Hierarchical multivariate linear modelling was used to analyse the data. ResultsHigher chronic stress was associated with more daily hassles, poorer perceptions of safety, being less able to practise safely, but not more workplace cognitive failure. Reporting more daily hassles was associated with poorer perceptions of safety, being less able to practise safely and more workplace cognitive failure. Chronic stress did not moderate daily associations. The hassles reported illustrate the wide-ranging hassles nurses experienced. ConclusionThe findings demonstrate in addition to chronic stress, the importance of daily hassles for nurses' perceptions of safety, and the hassles experienced by hospital nurses on a daily basis. Nurses' perceive chronic stress and daily hassles to contribute to their perceptions of safety. Measuring the number of daily hassles experienced could proactively highlight when patient safety threats may arise, and as a result interventions could usefully focus on the management of daily hassles.

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Nurse Burnout and Patient Satisfaction

Abstract: Improvements in nurses' work environments in hospitals have the potential to simultaneously reduce nurses' high levels of job burnout and risk of turnover and increase patients' satisfaction with their care.

Cited by 728 publications

References 41 publications

Professional Autonomy, Collaboration With Physicians, and Moral Distress Among European Intensive Care Nurses

Professional Autonomy, Collaboration With Physicians, and Moral Distress Among European Intensive Care Nurses

Stress factors vs. job satisfaction among nursing staff in the Pomeranian Province (Poland) and the Vilnius Region (Lithuania)

A Daily Diary Approach to the Examination of Chronic Stress, Daily Hassles and Safety Perceptions in Hospital Nursing

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