Everything you need to know about nurse burnout
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Nurses dedicate their professional lives to helping others. This care often impacts their personal lives and wellness. Most of the time, nurses would say it’s for the better - the field of nursing is extremely fulfilling. However, institutions are seeing increased reports of the opposite. Staff shortages, increased responsibilities, governmental regulations, and other job factors have contributed to
Burnout, one of the six dimensions of distress, has many negative implications on both a personal and professional level. Professionally, burnout can hinder job performance, change how nurses view their
This topic is taking over the healthcare industry and institutions are discovering the benefits and tactics
Burnout is one of the leading dimensions of distress and goes beyond feeling tired or experiencing a bad day at work. It is defined as emotional, mental, and physical exhaustion caused by excessive and prolonged stress. It impacts nurses' personal lives, the patients they take care of, and the organizations they work for. In fact, the World Health Organization has recently labeled burnout as an official medical diagnosis.
There are many causes of nurse burnout. In fact, it’s often hard to pinpoint exactly one or two reasons behind the burnout epidemic. It’s especially tricky because the path to burnout is different between each individual.
However, there are specific, main contributors that have a direct link. While seemingly hard to control or avoid, leadership teams can take an active role to reduce these most common stresses.
Study after study indicates that working a 12-hour shift is harmful to both nurses and patients. In a 2010 study among 53,846 nurses from six countries, specifically looking at work hours and how they impacted patient care, it was concluded that longer work hours directly correlated with a lower level of patient satisfaction. 2
Nurses consistently working 12-hour shifts are not only at risk for burnout but also for other dimensions of distress, such as severe fatigue and poor work-life integration. Working longer hours increases stress, which leads to poor performance and a decreased ability to provide top-notch patient care. Over time, this leads to exhaustion, burnout, and an increased risk of making a critical error; becoming a cyclical effect.
Believe it or not, a poor work environment was cited as one of the top reasons for burnout.3 Nurses reporting a poor work environment as a main contributor to their burnout described management issues, poor leadership, and a lack of teamwork as their top stressors.
In addition to patient care, nurses wear several different hats within an institution. They are responsible for charting, patient care, follow up care, phone triage, and other administrative tasks. As institutions become more high-tech, and expectations to provide a higher level of care increases, their ability to focus on their core responsibilities becomes more difficult. This leads to frustration and the inability to complete their job to the standard they’d like.
Obviously this is part of the job in the nursing field. However, that doesn’t mean it doesn’t take its toll and at times, become overwhelming. Taking care of sick patients day-in and day-out can eventually add up and cause burnout among nurses of all specialties.
People exhibit the implications of burnout differently. Between physical, emotional, and behavioral signs, there are several ways nurses may exhibit symptoms of burnout.
Burnout is a gradual occurrence. It doesn’t happen overnight. The problem with nurse burnout is most nurses don’t realize just how overworked they are. It’s hard to pinpoint exactly when it starts and when it becomes a problem. Perhaps the most telling indicators are when burnout starts to affect patient care.
Exhausted, stressed-out nurses are more likely to make poor decisions at work. This is because stress can influence decision-making. Nurse burnout is also linked to higher rates of hospital-acquired infections. Forty-nine percent of registered nurses under the age of 30 and Forty percent of registered nurses over the age of 30 experience burnout. 4
A change in bedside manner is one of the first things to notice with burnout. Depersonalization. Lack of empathy. Insensitive. Lack of compassion. Cynicism. These are all common feelings a once vibrant nurse can display if they suffer from burnout. Nurses may seem short or even rude
Medical professionals who suffer from high levels of depersonalization are more likely to experience poor relationships with patients. This could influence a patient's experience in a medical facility and even prevent people from seeking further medical treatment in the future.
As hospitals across the country experience staff shortages, nurses are expected to pick up more hours and even work overtime to solve the issue. Staff shortages leads to an increased patient-to-nurse ratio and evokes a whole host of negative implications.
In a study where data was collected from 10,184 surgical nurses from 210 hospitals across Pennsylvania, it was found that with each additional patient in a nurse-to-patient ratio, there was a 7% increase in the likelihood of dying within 30 days of admission. There was also a 7% increase in the odds of failure-to-rescue. 5
As nurses work with a higher patient-to-nurse ratio, the chances of patients getting infections, injured, delayed care, or sent home without adequate at-home care instructions also increases. This increases their chances of needing to stay in the hospital longer and return with complications. When nurses have fewer patients, they are more likely to intercept and prevent errors. In turn, all of these variables add up and are one of the main contributors to nurse burnout and staff shortages.
Turnover is extremely costly for the organization. Institutions spend millions of dollars every year in recruitment, training, and retention of employees. 6 As more healthcare employees experience distress and burnout, the costs continue to rise.
Nurse burnout could have a detrimental impact on the entire workforce at a hospital. As burnout has a negative impact on personal habits and characteristics, it could harm relationships with team members. Consequently, nurse burnout could lead to strained relationships in the workplace and an uncomfortable working environment.
Fixing the problem of burnout starts at the leadership level within an institution. It will take a leadership approach to address the topic as an institutional problem as opposed to an individual issue. This approach removes barriers and perceived stigma about the issue, making it much easier for individuals to access the resources they need.
The key to preventing nurse burnout is
Leadership that has an open-door policy provides the support that’s needed for creating a good team. It encourages transparency, extinguishes the negative stigma that comes along with burnout, and encourages relationships. These types of leaders are also more able to recognize burnout and job stress before it becomes an issue.
The first step to understand and address distress is to get a grasp of where you are and how you compare. Knowing which specialties are most affected by burnout can allow you to tailor your provided wellness opportunities to specific areas.
Using surveys and other methods for collecting data, it’s important to understand where your employees experience distress the most and how they currently deal with the issue.
Once you have a baseline for your employees and their well-being, it is important to build a wellness program that directly addresses their issues and areas of concern.
Popular solutions include exercise incentives, food and snack programs, counseling groups, team building activities, extra time off, and other efforts meant to encourage well-being and opportunities to deal with distress acquired on-the-job. There are many ideas, both short and long-term, that aid in reducing burnout among nurses.
Reducing nurse burnout is an organization-wide endeavor that starts with gathering the right information. When you have the opportunity to identify burnout symptoms and understand how they relate to the nurses' well-being, you can take the right approach towards correcting the issue. It takes time to create a well-being plan for your
Join the hundreds of organizations using the Well-Being Index to assess and monitor the well-being of their organization. Invented by Mayo Clinic, the Well-Being Index:
The Well-Being Index is available in multiple plans to ensure organizations of all sizes can utilize the tool.