1. Introduction:
2. Burnout has becoming a significant issue in healthcare professionals, especially with nurses.
The number of nurses’ suffering from burnout has increased over the past decade with significant impact on patient care, nurse’s work performance and working environment (Mudallal, Othman, & Al Hassan, XXXXXXXXXXMoreover, the negative effects of burnout can impact on patient safety, quality of care and their wellbeing. Burnout in nursing can also lead to the lack of motivation, emotional exhaustion, feeling of frustration and poor job satisfaction (Adriaenssens, De Gucht, & Maes, XXXXXXXXXXTherefore, it is important to recognise the early signs and symptoms of burnout in health care workers and speak up for the safety of patients (Waddill-Goad, XXXXXXXXXXThe purposes of this report are to go through in detail about burnout in nursing and how it effects on nurses at Monash Hospital. This will include the identification of factors and explanation of how it impacts to burnout. Moreover, an approach to burnout will be analysed in order to promote staff satisfaction and enhance patient’s health outcomes. Finally, two recommendation will be discussing below to reduce the nursing burnout.
3.
4. Description of the issue: why it is a problem, who does it affect, how bid is the problem.
You will need to clearly outline the issue
Burnout occurs
Burnout is also associated with mental health impairment including chronic emotional distress, fatigue, cognitive dysfunction, stress and depression (Adil, & Baig, XXXXXXXXXXBurnout is defined as the physical, psychological state of a person, which is categorised by “emotional exhaustion, depersonalisation, and diminished personal accomplishment” (Mudallal, Othman, & Al Hassan, XXXXXXXXXXEmotional exhaustion refers to the feeling of excessive stress such as fatigue, frustrated, hopelessness, energy loss and depression (West et al, XXXXXXXXXXNurses who experiencing emotional exhaustion often feel lack of energy, increasingly frustrated, overworked and lethargic. This can impact their ability to inform decision making and perform the work effectively (Waddill-Goad, XXXXXXXXXXMoreover, depersonalisation described as the negative attitudes and feelings towards others health care members, patients and clients. The affect of depersonalisation can inhibit the general functioning of nurses such as relationships with other co-workers, teamwork performance, and social activities (Morse, Salyers, Rollins, Monroe-DeVita & Pfahler, XXXXXXXXXXBurnout can also interfere the personal accomplishment which refers to the increase of negative self-evaluation such as being incompetent, inadequate an unsuccessful. Nurses often have senses of ineffectiveness, inadequateness, decrease copping skills and lack of accomplishment (Salvagioni et al, 2017).this could affect the ability to pay attention to work and dissatifacftion with job performance( Salvagioni et al, 2017).
Burnout is an emotional and behavioural impairment which occurs as a result of accumulating negative emotional withhold for a long period “Makarenko, Chaplinskaya, Kvesko & Shamrova, XXXXXXXXXXThis may be due to high work demands, poorly work environment, ineffective teamwork, poor leadership skills, long working hours shift and limited staffing (Mudallal, Othman, & Al Hassan, XXXXXXXXXXThe level of demands and the type of demand cam impact the wellbeing of nurses ( Salvagioni et al, XXXXXXXXXXNurses often have a highest risk of burnout due to the nature of work. Working in a high stressful and emotional environment with high responsibility can cause severe stress on nurses, especially when dealing with critical ills or dying patients (Meyer et al., XXXXXXXXXXNurses who have high level of negative effectivity, social inhibition, younger age, less experiences and lower self-esteem are likely to experience symptoms of burnout (Geuens, Brasoenning, Bogaert, & Franck, 2015).
The effects of burnout can interfere with the patient care, physical and psychological health of nurses and organizations (Jennings, XXXXXXXXXXWith the nurses, the effects of burnout can contribute to the decline in nurses psychological health which include insomnia, depression, stress, mental disorders, fatigue and psychological symptoms (Mudallal, Othman & Hassan, XXXXXXXXXXIt is also linked with the development of alcohol abuse, drug additions, dishonest clinical behaviours and suicidal ideation ( Salvagioni et al, XXXXXXXXXXMoreover, the increased level of stress and burnout can stimulate adrenal cortical system and sympathetic nervous to release various hormone in bloodstream resulting vasoconstriction, increased heart rate, blood pressure and reduce digestive system and immune systems ( Roberts & Gru
, XXXXXXXXXXThis can lead to several consequences to nurse’s physical health and wellbeing including cardiovascular disease, type 2 diabetes, hypercholesterolemia, respiratory problem and musculoskeletal pain( Salvagioni et al, XXXXXXXXXXBesides, Occupational injuries may be occu
ed as the result of emotional exhaustion and depersonalisation. Nurses may be suffering from needles stick injuries, exposing with blood products or body fluids and contaminated by transmission diseases (Canadas-De la Fuente et al., XXXXXXXXXXMoreover, burnout can also lead to the poor job performance and reduce job satisfaction, ( Dy
ye et al, XXXXXXXXXXM
With the patients, burnout can impact the nurse’s ability to concentrate on doing tasks. This can impair the quality of care being delivered to the patients, causing medical e
ors and leading the patients at risk of life threathening (Reith, XXXXXXXXXXPatients may have higher chances of getting infections if nurses didn’t perform their job properly(Reith, XXXXXXXXXXFurthermore, burnout in nursing can also impair the relationship between staff members and the effectiveness of teamwork performance which can impact on the patient safety, mortality and patient dissatisfaction (Dy
ye et al, XXXXXXXXXXWith organizations, the high levels of burnout can increase nurse intention to quit their job and turnover (Charlambous & Talias, XXXXXXXXXXThis can result in the increase cost to hospital for recruiting and training new staffs (Reith, XXXXXXXXXXPatient deterioration of health can also increase the longer stay in hospital and waste of resources and reduce hospital profits Charlambous & Talias, 2012).Burnout in nursing may also create an unhealthy work environment for other health care workers and decrease patients’ quality of life.
Prevalence of Burnout
Burnout is a common issue in nursing care, which occurs up to 45% of nurses working in acute setting (Kowalski et al, XXXXXXXXXXAccording to national survey, it was over 40% of hospital staff experiencing symptoms of burnout and it has affected 49% of nurses who are below 30 years old and more than 40% of nurses who above 30( McHugh et al, 2011)
). It is noted that over 30% of nurses considering leaving their cu
ent job, which is more than one out of fives nurses reporting that they intend to leave their hospital job within a year (Holdren, Paul, Coustasse, XXXXXXXXXXMoreover, 67% of nurses reports that their works need them to work faster and they need to work very hard several times a day ( Nurse Uncut,2019). However, more than half of nurses didn’t want to speak up their concern because they are fear of retribution and
oken up the relationship with managers ( Nurse Uncut,2019). Overload work with less staffs can develop emotional exhaustions and increase stress on nurses to perform their job.
5. Key factors/influences:
iefly describe 3 key factors or influences for the issue, explain how they impac the issue. This can presented in a table format if prefe
ed. Must include references
Identify key factors or influences as well as impacts of the issue (on patients, nurses, hospitals and/or the community),
The factors that contributes to the development of burnout in nursing includes organizational factors, job’ s characteristics and personal characteristics. Organizational factors are important aspects which can lead to an increased level of burnout in nursing (Lotte et al, XXXXXXXXXXThis is characterised by stressful work environment, poor management, lack of clarity in the information and co-worker interdepended. Lotte et al, XXXXXXXXXXStressful work environment and excessive workloads are precipitating factors of burnout which has a strong impact on nurses’ performance, satisfaction and retention (Galletta et al, XXXXXXXXXXThis can impact nurses’ concentration, information processing, their decision making and potentially contributing to the emergency of accidents ( Galletta et al, 2016).Furthermore, management and leadership are an important skills in diminishing negative work environment and reducing emotional exhaustion on nurses(Laschinger & Fida, XXXXXXXXXXFailing to recognise the nurse’s capacity to perform the tasks, unable to direct job effectively can result in nurses struggling to achieve work goals and become exhausted (Laschinger & Fida, XXXXXXXXXXThus, unclear about orders or clarification of information provided to nurses can result in poor decision making, reduce patient’s quality of care and increase level of stress on nurses Laschinger & Fida, XXXXXXXXXXMoreover, the lack of support from other co-workers, educators and limited of opportunities to enhance skills can influence nurses’ confidence to complete tasks and may enhance medical e
ors (Lotte et al, 2017).
Jobs characterises is also one of the significant factors of burnout in nursing. Working in stressful environment with long hours shift such as ED, ICU can enhance stress levels and reduce work productivity (Aveyard, D XXXXXXXXXXFrequently working overnight shifts can cause alertness, fatigue and drowsiness in nurses which may result in deterioration performance and increase the rates of driving accidents (Barger, Lockley, Rajaratnam & Landrigan, XXXXXXXXXXFurthermore, shift works can cause significant health issues such as sleep deprivation, obesity gastric ulcer, eating disorders, cardiovascular disease and cancer ( Barger, Lockley, Rajaratnam & Landrigan, XXXXXXXXXXMoreover, role conflict, role ambiguity an role overload are the main role stressors which can increase burnout in nurses( Reith, XXXXXXXXXXRole ambiguity is related to the unclear about the authority or knowledge of how to perform the tasks( Reith, XXXXXXXXXXThe lack of feedback and supports can increase ambiguity , in which nurses may consider uncertainty about their work performance and increase stress( Elfering, Grebner, & Dudan, XXXXXXXXXXRole conflicts is a result of the incompatibility of expectations and demands which is associated with the role. Nurses with role conflict are more likely experiencing depression, hopelessness, pow productivity, tension and dissatisfaction (Idris, XXXXXXXXXXMoreover, Role overload occurs when the role expectations are higher compared to the nurse abilities and motivation to perform tasks. This can be due to the quality and quantitative of the job. Qualitative refers to nursing skills in order to complete tasks effectively and quantitation relates to the number of works that need to be completed within amount of time. The inability to complete or perform tasks due to lack of time or skills can increase stress levels which may result in burnout (Elfering, Grebner, & Dudan, 2011).
However, its not only organization and job characteristic can cause stress and exhaustion on the nurses, but its also