Introduction Burnout syndrome is common in the healthcare field. Burnout syndrome has been research by many, many of the research has been geared towards nurses to determine how prevalent burnout syndrome is. Emergency care nurses face vast challenges related to the care that is demanded by the patient. The amount of stressors and burnout syndrome are linked, the more stressors the nurse is exposed to the higher the risk for burnout syndrome becomes. Burnout syndrome has an adverse effect on the organization, the nurse, and the patient. The question to be answered by this review of research is, In emergency care nursing, are the rates of burnout and fatigue higher than those of other types of nursing?
Discussion
The Maslach Burnout Inventory
…show more content…
A large amount of risk factors of burnout syndrome among nurses include work experience, and job satisfaction, along with the specialty of which the nurse chose to make a career of. (Gómez-Urquiza, et al. 2017) Nurses working in emergency medicine or critical care are faced with many situation that are unexpected on a daily basis, the exposure to situations like these may create secondary stress. Gómez-Urquiza, et al. used 13 different studies from various countries compiling the rates of the three categories used in the Maslach Burnout Inventory. Of the studies used, 20-44% of emergency nurses reported high emotional exhaustion, 23-51% reported feeling depersonalization towards their patients, and those nurses with a feeling of low personal accomplishment were between 15-44%. The rates among emergency nurses are comparatively even with those of intensive care nurses. The workloads of emergency nurses and intensive care nurses differ significantly but both types of nurses are predisposed to develop burnout syndrome. Among intensive care nurses, 61-67% had symptoms of emotional exhaustion; depersonalization towards patients …show more content…
(2017). Burnout and Health Among Critical Care Professionals: The Mediational Role of Resilience. Intensive and Critical Care Nursing, 110-115. Retrieved from www.elsevier.com/icnn
Gómez-Urquiza, J. L., De la Fuente-Soana, E. I., Albendín-García, L., Vargas-Pecino, C., Ortega-Campos, E. M., & Cañadas-De la Fuente, G. A. (2017, October). Prevalence of Burnout Syndrom in Emergency Nurses: A Meta-Analysis. Critical Care Nurse, 37(5). Retrieved from Critical Care Nurse: www.ccnonline.org
Harkin, M., & Melby, V. (2014). Comparing Burnout in Emergency Nurses and Medical Nurses. Clinical Nursing Studies, 2(3). Retrieved from www.sciedupress.com/cns
Wilson, W., Raj, J., Narayan, G., Ghiya, M., Murty, S., & Joseph, B. (2017). Quantifying Burnout among Emergency Medicine Professionals. Journal of Emergencies, Trauma, and Shock, 10(4),
My concept is compassion fatigue. Compassion fatigue (CF) as it relates to nurses working in an emergency department dealing with secondary trauma causing symptoms of compassion fatigue. The measurement tool, which I will use, is the Professional Quality of Life (ProQOL) scale. This scale has been in use since 1995 and has had several revisions, the last one updated in 2010 and it has been translated into 17 languages. The ProQOL measures compassion satisfaction (CS) and CF and its subcategories, burnout (BO) and secondary traumatic stress (STS).
What was once thought of as a profession driven by compassion and the desire to help those in need has now become filled with weary burnt out nurses who have lost sight of their purpose. Stress has caused them to distance themselves from the principles nursing is built upon. Our health care system needs to be revamped to improve the quality of care being administered. Nurses can be proactive and take steps to avoid burning out but, our health care administrators have to take matters into their hands because they have the capacity to initiate change. They must realize the gravity of the situation and take an offensive position to make a stand against the crisis of nursing
Caused by the constant demands of work and lack of taking breaks, burnout is a challenge in itself and can get even worse if gone untreated. More and more nurses have begun to feel the effects of burnout, raising a dire concern that healthcare workers while taking care of others, must also remember to care for themselves which can, unfortunately, go neglected when the work is so heavily focused on saving the lives of
(Abdulla, Al-Qahtani, & Al-Kuwari, 2011). One study revealed that burnout syndrome is common among critical care nurses, because they work with more critical and traumatic patients burnout syndrome is not only affect the nurse but extend to their quality of care that delivered for their patient.(Moss, Good, Gozal, Kleinpell, & Sessler., 2016). Organizational and environment factors such as excessive workload, staffing shortage, lack of empowerment lead to burnout which compromise nurse’s ability to provide high quality care. ( McHugh, Kutney, Cimiotti, Sloane, & Aiken., 2011). Burnout ,quality of care and patients outcome Different studies have explained the relation between burnout syndrome, stress in work environment ,and patients satisfaction which assessed the quality of nursing care provided, the high quality care the more patient satisfaction.
The strains on the healthcare field can eventually lead to physical,mental and emotional exhaustion also known as burnout. As caretakers,educators,and lifelines, nurses are responsible for the many roles they carry as they continue to give care to patients day in and day out. One of the most common reasons nurses are stressed is the patient to nurse ratio. For instance, a nurse may be taking care of 6 patients when he or she should only be taking care of 4.
The impact of nurse fatigue resulting from extended work hours, sleeplessness and accepting extra assignments can lead to numerous problems; some of these problems include but not limited to the following; inability to focus, reduced motivation, impaired or lack of communication, delayed reaction time to a critical event that can occur, example, code call. Personal injury can occur that poses an occupational hazard for nurses since serious injuries can occur of varying degree. The nurses’ duty can be physically demanding which can have a negative effect on patient safety and workforce health (Repique,
A Compassion Fatigue Among ED Nurses Problem When one thinks about nursing, caring, empathy, and compassion come to mind. There is a link, an unbreakable union, for nurses that "compassion fatigue is the cost of caring for others in pain" (Boyle, 2015, p. 49). Compassion fatigue (CF) and its impact on nurses are predominant problems in many Emergency Departments (ED). Nurses perform a number of procedures throughout the day, but primarily the thing that they deliver the most is themselves (Harris & Quinn-Griffin, 2015).
“Better Nurse Staffing and Nurse Work Environments Associated with Increased Survival of In-Hospital Cardiac Arrest Patients” states that, “In 2012, registered nurses had 11,610 incidents of MSDs (musculoskeletal disorder), resulting in a median rate of eight days away from work. Among all healthcare practitioner and technical occupations, there were 65,050 nonfatal occupational injuries and illnesses that required a median of seven days away from work.” While we are unable to attribute every workplace related injury to stress, burnout, and poor work conditions, it is easy to correlate extreme fatigue with decrease in concentration and increase in avoidable
According to the Bureau of Labor Statistics, nursing is the nation’s largest healthcare profession. Registered Nurses who work in the emergency room should be required to be psychologically evaluated in their position because they handle stressful situations. In addition, they witness a numerous amount of traumatic events such as deaths and major body deformations. Therefore, these events can cause personal issues over a long period of time, such as emotional, physical, and psychological actions that scars nurses throughout their profession. Post-traumatic stress disorder (PTSD) within a nurse’s profession is likely to occur when they experience a traumatic event, and causes an individual to suffer.
This occurs when nurses provide care to more than the assigned patients, thus increasing patient workload. It affects the patient’s quality of care, increasing the risk for NSOs and other patient complications. Not only are patient outcomes affected, but nurses are experiencing increased burnout and fatigue. A safe nurse is necessary when providing care to ensure a safe and stable patient outcome. These concerns can be preventable by implementing and assigning the necessary tools to minimize effects on nurses and patient
I thought about nursing burnout through watching the video by speaker Madelyn Blaire. Burnout is categorized as physical, mental, and emotional exhaustion. Burnout can lead to dulled emotions and detachment. I wonder why nurses are burning out.
It is important to identify why nurses are becoming stressed and how to reduce work related stress. The past 10 years there has been an increase in stress levels for nursing staff. In 2001 a survey was conducted by “American Nurses Association”. The study results showed that 70.5% of nurses cited the acute and chronic effects of stress and overwork among their top three health and safety
Nurses fatigue is growing problem nurse face each day in the healthcare environment, and he can be caused by long hours, sleep deprivation, and possibly by accepting extra assignments can be dangerous for both nurses and patient. These inadequacies can result in major implications for the health and safety of registered nurses and can compromise patient care which can lead to fatalities. (American Nurses Association, 2014). In my experience, being fatigued from working much 12-hour shifts consecutively was very difficult as I felt extremely tired, resulting in lack of focus, missing important details during the handing over the process with impaired cognitive functioning. This I found was detrimental to the patients and myself as it impedes quality and has a deleterious effect on patient safety.
Burnout is one of the factors that may affect employees’ efficiency, a group connections, motivation and general emotional wellbeing of workers in the working environment. The idea of burnout was separately presented by Herbert Freudenberger in 1974 and Christina Maslach in 1976. The term was used to portray the mental condition of health care volunteers who were indicating such side effects as emotional depletion and loss of inspiration (Freudenberger, 1974, 1975; Maslach, 1976). Burnout is characterized as a psychological syndrome of an emotional exhaustion, depersonalization and a decreased level of individual accomplishment (Schaufeli, Maslach, and Marek 1993).
Dr. Ellen Zambo Anderson, PT, PhD, surveyed 1366 APTA members on burnout in their careers. The characteristics of this study describe emotional exhaustion, depersonalization, and personal accomplishment. In the results she found that 13% were experiencing burnout, 34% experienced high emotional exhaustion, 30% with high depersonalization, and 32% felt low personal accomplishment. “Those at high emotional exhaustion were at increased risk for developing burnout”. (Anderson)