Registered Nurse Burnout, Job Dissatisfaction, and Missed Care in Nursing Homes
2019/07/23 by Elizabeth M. White, Linda H. Aiken, Matthew D. McHugh · 27 citations
Health Professions · Nursing · #Geriatric Care and Nursing Homes #Nursing education and management #Healthcare professionals’ stress and burnout
paper · pdf · doi:10.1111/jgs.16051
Abstract
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.
Citations
Cited by
- Perceived Work Environment, Educational Status, Staffing Levels, and Work Outcomes in Long-Term Care Settings During COVID-19
- Nurse Burnout and Patient Safety, Satisfaction, and Quality of Care
- Nursing home work environment, care quality, registered nurse burnout and job dissatisfaction. [europepmc]
- Occupational Precariousness of Nursing Staff in Catalonia's Public and Private Nursing Homes. [europepmc]
- System-Level Improvements in Work Environments Lead to Lower Nurse Burnout and Higher Patient Satisfaction. [europepmc]
- Burnout, job dissatisfaction and missed care among maternity nurses. [europepmc]
- "We are Alone in This Battle": A Framework for a Coordinated Response to COVID-19 in Nursing Homes. [europepmc]
- Appropriate Nurse Staffing Levels for U.S. Nursing Homes. [europepmc]
- Work environment-related factors and nurses' health outcomes: a cross-sectional study in Lebanese hospitals. [europepmc]
- Front-line Nursing Home Staff Experiences During the COVID-19 Pandemic. [europepmc]
- Determinants of emotional exhaustion among nursing workforce in urban Ghana: a cross-sectional study. [europepmc]
- Leveraging the Work Environment to Minimize the Negative Impact of Nurse Burnout on Patient Outcomes. [europepmc]
- Factors Associated With Missed Nursing Care in Nursing Homes: A Multicentre Cross-sectional Study. [europepmc]
- Reflections from the "Forgotten Front Line": A qualitative study of factors affecting wellbeing among long-term care workers in New York City during the COVID-19 pandemic. [europepmc]
- Nurses' Experience of Nursing Workload-Related Issues during Caring Patients with Dementia: A Qualitative Meta-Synthesis. [europepmc]
- Satisfaction With Life, Satisfaction With Job, and the Level of Care Rationing Among Polish Nurses-A Cross-Sectional Study. [europepmc]
- Factors related to job burnout among older nurses in Guizhou province, China. [europepmc]
- Burnout of the US midwifery workforce and the role of practice environment. [europepmc]
- The Impact of Nursing Staffs' Working Conditions on the Quality of Care Received by Older Adults in Long-Term Residential Care Facilities: A Systematic Review of Interventional and Observational Studies. [europepmc]
- Conditions of Nursing Practice in Hospitals and Nursing Homes Before COVID-19: Implications for Policy Action. [europepmc]
- Antecedents of unfinished nursing care: a systematic review of the literature. [europepmc]
- Missed nursing care before and during the COVID-19 pandemic: A comparative cross-sectional study. [europepmc]
- Patients' satisfaction with nursing care quality and associated factors: A cross-section study. [europepmc]
- Nurse practice environment, perceived organizational support, general well-being, occupational burnout and turnover intention: A moderated multi-mediation model. [europepmc]
- Physician and Nurse Well-Being and Preferred Interventions to Address Burnout in Hospital Practice: Factors Associated With Turnover, Outcomes, and Patient Safety. [europepmc]
- Examination of Staffing Shortages at US Nursing Homes During the COVID-19 Pandemic. [europepmc]
- Nurse Burnout and Patient Safety, Satisfaction, and Quality of Care: A Systematic Review and Meta-Analysis. [europepmc]
Related