Advanced Practice Registered Nurse Burnout in Magnet Hospitals: Opportunities for Organizational Intervention
Lori Kennedy1, Heather Brom, Karen B Lasater
1Author Affiliations: Clinical Nurse Scientist, Director (Dr Kennedy), and Chief of Advanced Practice (DeLemos), UC Davis Medical Center, Sacramento, California; Research Assistant Professor (Dr Brom), Associate Professor (Dr Lasater), and Professor of Nursing and Sociology (Dr Aiken), Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia; Associate Chief Nursing Officer (Dr Albert), Research and Innovation, Cleveland Clinic, Ohio; Director of Professional Practice and Development and Magnet Director (Gobel), and Director, Professional Practice and Development for Advanced Practice Providers (Williams), Northwestern Memorial Hospital, Chicago, Illinois.
Objective:
To determine modifiable organizational factors associated with advanced practice RN (APRN) burnout in Magnet ® -designated hospitals to guide organizational interventions to improve APRN well-being and retention.
Methods:
Cross-sectional study of work environments of 50 US Magnet hospitals and the associated well-being of 21 855 of their clinicians (APRNs, physician assistants, physicians [MDs], RNs).
Results:
Overall, 37% of APRNs experienced high burnout compared with 34% of MDs ( P < 0.05) and 49% of RNs ( P < 0.001); additionally, 32% of APRNs intended to leave their jobs. APRN burnout was significantly lower in organizations that minimized chaotic working conditions, provided APRNs more control over their workloads, involved APRNs in shared governance, improved clinician and management relations, and improved interprofessional teamwork.
Conclusions:
Well-being and retention of APRNs in Magnet hospitals require their greater engagement in organization processes and systems that improve work environments.
More Related Videos
09:52Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
02:49Author Spotlight: A Multi-Depth Porcine Model for Comprehensive Study of Burn Injuries and Healing Processes
Published on: February 23, 2024
Related Concept Videos
00:59Hospitals-II
Nurses that work in...
01:30National Nursing Organizations II
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
01:28Current Trends in Nursing I
01:30Current Trends in Nursing II
01:27Ethical Issues
Ethical Concerns in Healthcare:
01:30Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...