The Implementation of a Cultural Change Toolkit to Reduce Nursing Burnout and Mitigate Nurse Turnover in the Emergency Department

Adams, Amber; Hollingsworth, A. Thomas; Osman, Ali

doi:10.1016/j.jen.2019.03.004

Cited by 52 publications

(55 citation statements)

References 11 publications

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“…Thus, the professionals least affected by the burnout syndrome showed higher levels in all the individual variables mentioned above. This coincides with the literature, which suggests that Job Crafting [21,26], proactive personality [35][36][37], general self-e cacy [48,49] and the promotion regulatory focus are associated with a decrease in Burnout among workers.…”

Section: Discussionsupporting

confidence: 90%

“…For example, nursing professionals who have autonomy for controlling their employment situation, the rate of work and scheduling their tasks perceive their work as a signi cant experience [25]. Thus, intervention for creating a positive work environment based on signi cant recognition and active participation by nursing professionals, has shown bene cial effects in reducing burnout [26]. The study by Gordon et al [21] showed how the presence of job crafting among healthcare professionals increased wellbeing and work signi cance.…”

Section: Importance Of Job Crafting In Nursing Workmentioning

confidence: 99%

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Individual Differences in Job Crafting and Its Relationship with Burnout in Nursing

Fuentes¹,

Jurado²,

Martínez³

et al. 2020

Preprint

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Background: The heavy work load and pressure to which nursing professionals are subjected leads to an increase in stress-related problems, such as burnout. Personal resources, such as job crafting, proactive personality, self-efficacy and regulatory focus are fundamental in palliating negative effects in the work environment.Objective: To analyze individual differences, with attention to proactive personality, regulatory approach and general self-efficacy in job crafting, and to determine the predictive power of these variables for burnout in nursing professionals. Methods: The sample was made up of 643 nurses. After correlation and descriptive analyses, multiple linear regression models were computed to find out the possible predictor role of the individual variables on burnout. Main Outcome Measures were: Proactive personality, Regulatory focus, Self-efficacy (participant beliefs concerning their ability to handle different daily situations adequately), Job Crafting behavior and Burnout.Results: The results showed that job crafting, proactive personality, general self-efficacy and the promotion regulatory focus were associated with a decrease in burnout in healthcare workers. Similarly, the predictive models for each of the factors in burnout in all cases included the increase in structural resources dimension of job crafting as the variable with the most weight. Furthermore, the increase in the social resources of Job Crafting for the social climate of the Burnout acted as mediator of this relationship.Conclusion: Job Crafting has been shown to be a variable promoting positive changes in the work environment that acts as a predictor of employee Burnout levels.

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Section: Discussionsupporting

confidence: 90%

Section: Importance Of Job Crafting In Nursing Workmentioning

confidence: 99%

Individual Differences in Job Crafting and Its Relationship with Burnout in Nursing

Fuentes¹,

Jurado²,

Martínez³

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…Many studies in the literature show that one of the important problems caused by verbal customer aggression is emotional exhaustion (Grandey et al, 2007;Ben-Zur and Yagil, 2005;Karatepe et al, 2010b;Dursun & Aytaç, 2014;Sommovigo, Setti & Argentero, 2019). Also, the literature shows that customer aggression has a significant impact on the turnover intention of employees' (Karatepe et al, 2009a;Gong et al, 2018;Bamfo et al, 2018), emotional exhaustion has a positive effect on the turnover intention and lastly, emotional exhaustion has a fully mediating role in the effect of verbal customer aggression on turnover intention (Onay & Kılcı, 2011;Yıldırım et al, 2014;Yıldız & Çolak, 2018;Faiz, 2019;Adams et al, 2019;Kim, 2019;Grandey et al, 2004;.…”

Section: Discussionmentioning

confidence: 99%

Müşteri Sözlü Saldırganlığının Çalışanların İşten Ayrılma Niyeti Üzerine Etkisi: Duygusal Tükenmenin Aracılık Rolü

Dursun¹,

Başol²

2020

JSPC

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Hizmet sektörü günümüzün hızla büyüyen sektörlerinden biridir ve bu sektörde istihdam edilenlerin sayısı ve oranı her geçen yıl artmaktadır. Ancak, çalışanlar ile müşteriler arasındaki güç dengesizliği zaman zaman çalışanlar ve müşteriler arasında negatif etkileşim olmasına neden olmaktadır. Bu bağlamda hizmet işlerinin "karanlık yüzü" olarak görülen müşteri saldırganlığı olgusu, günümüz iş hayatının önemli sorun alanlarından biridir. Mevcut araştırma, müşteri sözlü saldırganlığının çalışanların işten ayrılma niyeti üzerine etkisinde duygusal tükenmenin aracılık rolünü belirlemeyi amaçlamaktadır. 351 satış ve müşteri temsilcisinin katılımıyla gerçekleştirilen araştırma sonuçları, müşteri sözlü saldırganlığının duygusal tükenmeyi ve işten ayrılma niyetini pozitif yönde etkilediğini göstermektedir. Ayrıca elde edilen sonuçlar, duygusal tükenmenin, müşteri sözlü saldırganlığı ve işten ayrılma niyeti ilişkisinin tam aracısı olduğunu göstermektedir. Bulgular, işletme yönetimlerinin müşteriden kaynaklanan saldırgan davranışları önleyici politikalar üretmesinin, çalışanların duygusal tükenmesinin ve işten ayrılma niyetinin azaltılması açısından oldukça önemli olduğunu göstermektedir.

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“…Healthcare provider turnover is an important indicator for care qualityand is widelyused as a measure for health-care system analysis. Burnout and provider turnover may disrupt patient care quality and continuity [41][42][43]84]. However, whether provider burnout is linked to patient development of ICU delirium remains unclear.…”

Section: Discussionmentioning

confidence: 99%

“…Hospital-related factors including family engagement (family bedside presence ≥ 2 hours daily) [39], staff burnout and anticipated turnover (measured by the anticipated turnover scale (ATS) questionnaire) [40][41][42][43], non-ICU hospital and ICU LOS, sedative dose (determined in accordance with published recommendations) [21,[44][45][46], and physical restraint application were collected for each patient. Illness severity was measured by the APACHEIVand Sequential Organ Failure Assessment (SOFA) scores [47][48][49].…”

Section: Variables and Outcomesmentioning

confidence: 99%

Predictors of Delirium Incidence, Time to Onset, and Recurrence in a Mixed Medical-surgical ICU Population: A Secondary Analysis Using Cox and CHIAD Decision Tree Modeling

Moghadam

Miller

Rahimi–Bashar

et al. 2020

Preprint

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Background: To address whether in intensive care unit (ICU) patients, which factors correlate with development of delirium (primary outcome), as well as more rapid delirium onset and recurrence (secondary outcomes).Methods: A retrospective secondary analysis of 4,200 patients was collected from two academic medical centers. Delirium was assessed with the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) in all patients. Univariate and multivariate Cox models, logistic regression analysis, and Chi-square Automatic Interaction Detector (CHAID) decision tree modeling were used to explore delirium risk factors.Results: Increased delirium risk as associated with exposed only to artificial light (AL) hazard ratio (HR) 1.84 (95% CI: 1.66-2.044, P<0.001), physical restraint application 1.11 (95% CI: 1.001-1.226, P=0.049), and high nursing care requirements (>8 hours per 8-hour shift) 1.18 (95% CI: 1.048-1.338, P=0.007). Delirium incidence was inversely associated with greater family engagement 0.092 (95% CI: 0.014-0.596, P=0.012), low staff burnout and anticipated turnover scores 0.093 (95% CI: 0.014-0.600, P=0.013), non-ICU length-of-stay (LOS)<15 days 0.725 (95% CI: 0.655-0.804, P<0.001), and ICU LOS ≤15 days 0.509 (95% CI: 0.456-0.567, P<0.001). CHAID modelling indicated that AL exposure and age <65 years conveyed a high risk of delirium incidence, whereas SOFA score ≤11, APACHE IV score >15 and natural light (NL) exposure were associated with moderate risk, and female sex were associated with low risk. More rapid time to delirium onset correlated with baseline sleep disturbance (P=0.049), high nursing care requirements (P=0.019), and prolonged ICU and non-ICU hospital LOS (P<0.001). Delirium recurrence correlated with age>65 years (HR 2.198; %95 CI: 1.101-4.388, P=0.026) and high nursing care requirements (HR 1.978, 95% CI: 1.096-3.569), with CHAID modeling identifying AL exposure (P<0.001) and age >65 years (P=0.032) as predictive variables.Conclusion: Development of ICU delirium correlated with application of physical restraints, high nursing care requirements, prolonged ICU and non-ICU LOS, exposure exclusively to AL (rather than natural), less family engagement, and greater staff burnout and anticipated turnover scores. ICU delirium occurred more rapidly in patients with baseline sleep disturbance, and recurrence correlated with presence of delirium on ICU admission, exclusive AL exposure, and high nursing care requirements.

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The Implementation of a Cultural Change Toolkit to Reduce Nursing Burnout and Mitigate Nurse Turnover in the Emergency Department

Cited by 52 publications

References 11 publications

Individual Differences in Job Crafting and Its Relationship with Burnout in Nursing

Individual Differences in Job Crafting and Its Relationship with Burnout in Nursing

Müşteri Sözlü Saldırganlığının Çalışanların İşten Ayrılma Niyeti Üzerine Etkisi: Duygusal Tükenmenin Aracılık Rolü

Predictors of Delirium Incidence, Time to Onset, and Recurrence in a Mixed Medical-surgical ICU Population: A Secondary Analysis Using Cox and CHIAD Decision Tree Modeling

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