Factors Contributing to Well-Being Among Hospital-Based Nurses

Area of Science:

• Nursing
• Healthcare Management
• Occupational Health

Background:

• Nurses face high rates of distress, burnout, and job dissatisfaction nationally and in Hawaii.
• Evidence-based strategies are needed to support nurse well-being and prevent attrition.

Purpose of the Study:

• To identify individual and external factors associated with nurses' well-being.
• Utilized the National Academy of Medicine Factors Affecting Clinician Well-Being Model.

Main Methods:

• Online survey of 552 hospital-based nurses in Hawaii.
• Assessed individual (role, personal characteristics) and external (organizational, environmental) factors.
• Measured well-being using the well-being index and analyzed using general linear modeling.

Main Results:

• Factors like long work hours (≥36h/week), burnout, caregiving responsibilities, and workplace violence worsened well-being.
• Higher personal resilience, no leadership roles, organizational responsiveness, and adequate ancillary staff improved well-being.
• While Native Hawaiian/Pacific Islander nurses reported lower well-being, no significant racial/ethnic differences were found.

Conclusions:

• Healthcare leaders and policymakers must address systemic issues causing nurse burnout and attrition.
• Organizations should foster wellness cultures and implement evidence-based interventions to support nurses.
• Urgent action is needed to improve nurse mental health and well-being.