Hospital understaffing and poor work conditions associated with
physician and nurse burnout and intent to leave

Date:
July 10, 2023
Source:
University of Pennsylvania School of Nursing
Summary:
A unique collaborative study on hospital clinician wellbeing
by teams at 60 of the nation's best hospitals has just been
published. The study found that physicians and nurses, even at
hospitals known to be good places to work, experienced adverse
outcomes during the pandemic and want hospital management to
make significant improvements in their work environments and in
patient safety. The solutions to high hospital clinician burnout
and turnover, they say, are not resilience training for clinicians
to better cope with adverse working conditions but organizational
improvements that provide safe workloads and better work- life
balance.


Facebook Twitter Pinterest LinkedIN Email

==========================================================================
FULL STORY ==========================================================================
A unique collaborative study on hospital clinician wellbeing by teams at
60 of the nation's best hospitals, defined by Magnet Hospital Recognition,
was published today in JAMA Health Forum. The study found that physicians
and nurses, even at hospitals known to be good places to work, experienced adverse outcomes during the pandemic and want hospital management to
make significant improvements in their work environments and in patient
safety. The solutions to high hospital clinician burnout and turnover,
they say, are not resilience training for clinicians to better cope with adverse working conditions but organizational improvements that provide
safe workloads and better work-life balance.

Researchers at Penn Nursing's Center for Health Outcomes and Policy
Research (CHOPR) in collaboration with the U.S. Clinician Wellbeing
Study Consortium sought information in 2021 from 21,050 physicians and registered nurses practicing in 60 Magnet recognized hospitals in 22
states. Forty-seven percent of nurses and 32% of physicians experienced
high burnout. Twenty-three percent of physicians and 40% of nurses said
they would leave their jobs if possible.

Less than 10% of physicians and nurses reported experiencing joy in
their work.

Not having enough nurses to care for patients, having little control
over workloads, lack of confidence in management to resolve problems
in patient care, and concerns about patient safety were all associated
with higher burnout, job dissatisfaction, and intent to leave among both
nurses and physicians.

Lead author Linda H Aiken, PhD, Professor of Nursing and Sociology,
Founding Director of the Center for Health Outcomes and Policy Research,
and Senior Fellow of the Leonard Davis Institute for Health Economics
at the University of Pennsylvania said, "Physicians and nurses largely
agree about what hospital management could do to address their burnout,
job dissatisfaction, and plans to leave their current jobs; they want
improved staffing, modern working conditions in which they can spend more
time in direct patient care, greater control over their workloads and
work schedules, and a higher priority on patient safety." Eighty-seven
percent of nurses and 45% of physicians said improving nurse staffing
was very important to their own mental health and wellbeing. Other high priorities for clinicians were health breaks without interruption and
reduced time spent on documentation. Aiken added, "Many clinicians are downright hostile to programs -- like resilience training -- that are
designed to adapt them to poor work conditions; clinicians want the
working conditions improved." Clinicians are concerned about quality
and safety of care. Half of physicians and nurses lack confidence that
their patients can safely manage their care after discharge highlighting
the need for improvement in discharge planning.

Patient safety remains a concern with 26% of nurses and 12% of
physicians giving their own hospitals an unfavorable patient safety
grade. Thirty-nine percent of nurses and 33% of physicians feel mistakes
are held against them contrary to recommendations of the National Academy
of Medicine to search for and correct system deficiencies that cause
most medical errors.

The study was carried out by Penn Nursing's Center for Health Outcomes
and Policy Research in collaboration with the U.S. Clinician Wellbeing
Study Consortium composed of 60 Magnet Hospitals. The study took place
in 2021 during the COVID-19 pandemic, a time when all US hospitals were severely challenged.

Previous research shows that clinicians in hospitals like Magnet hospitals
with better work environments prior to the pandemic had better outcomes
during the pandemic. The Consortium committed to this study to learn
from their experiences during the pandemic how to sustain and further
improve their favorable work environments to better withstand external
threats and to rebound rapidly.

* RELATED_TOPICS
o Health_&_Medicine
# Today's_Healthcare # Patient_Education_and_Counseling #
Workplace_Health # Health_Policy
o Mind_&_Brain
# Stress # Mental_Health # Disorders_and_Syndromes
# Memory
* RELATED_TERMS
o Salmonella_infection o Collaboration o Sleep_disorder o
Functional_training o Molecular_biology o Medicine o Workaholic
o Face_transplant

==========================================================================

Print

Email

Share ========================================================================== ****** 1 ****** ***** 2 ***** **** 3 ****
*** 4 *** ** 5 ** Breaking this hour ==========================================================================
* Six_Foods_to_Boost_Cardiovascular_Health
* Cystic_Fibrosis:_Lasting_Improvement *
Artificial_Cells_Demonstrate_That_'Life_...

* Advice_to_Limit_High-Fat_Dairy_Foods_Challenged
* First_Snapshots_of_Fermion_Pairs *
Why_No_Kangaroos_in_Bali;_No_Tigers_in_Australia
* New_Route_for_Treating_Cancer:_Chromosomes *
Giant_Stone_Artefacts_Found:_Prehistoric_Tools
* Astonishing_Secrets_of_Tunicate_Origins *
Most_Distant_Active_Supermassive_Black_Hole

Trending Topics this week ========================================================================== HEALTH_&_MEDICINE Cholesterol Healthy_Aging Mental_Health_Research
MIND_&_BRAIN Intelligence Depression Educational_Psychology LIVING_&_WELL Healthy_Aging Behavior Spirituality


==========================================================================

Strange & Offbeat ========================================================================== HEALTH_&_MEDICINE These_Lollipops_Could_'Sweeten'_Diagnostic_Testing_for_Kids_and_Adults_Alike Holograms_for_Life:_Improving_IVF_Success Grocery_Store_Carts_Set_to_Help_Diagnose_Common_Heart_Rhythm_Disorder_and Prevent_Stroke MIND_&_BRAIN
AI_Tests_Into_Top_1%_for_Original_Creative_Thinking Everyone's_Brain_Has_a_Pain_Fingerprint_--_New_Research_Has_Revealed_for_the First_Time Scientists_Discover_Spiral-Shaped_Signals_That_Organize_Brain_Activity LIVING_&_WELL Illusions_Are_in_the_Eye,_Not_the_Mind Amputees_Feel_Warmth_in_Their_Missing_Hand Why_Do_Champagne_Bubbles_Rise_the_Way_They_Do?_Scientists'_New_Discovery_Is Worthy_of_a_Toast Story Source: Materials provided by University_of_Pennsylvania_School_of_Nursing. Note: Content may be edited
for style and length.


========================================================================== Journal Reference:
1. Linda H. Aiken, Karen B. Lasater, Douglas M. Sloane, Colleen
A. Pogue,
Kathleen E. Fitzpatrick Rosenbaum, K. Jane Muir, Matthew D. McHugh,
Meagan Cleary, Cathaleen Ley, Carla J. Borchardt, Jeannine M. Brant,
Barbra L Turner, Alyssa E. Leimberger, Kristin Kozlowski, Bernice L.

Coleman, Nancy M. Albert, Caroline Stewart, Dinah Steele, Roberta
Kaplow, Kathleen Kaminsky, Heidi A. Hinkle, Rocel D. Besa,
Kathleen P Taylor, Kimberly Dimino, Cecelia Cetnar, LS Leach,
Sandra L. Albritton, Carolyn L. Davidson, Timothy Carrigan, Debra
A. Burke, Kristin R. Anthony, Mildred O. Kowalski, Martha Rounds,
Jennifer M. Tudor, Leigh Griffis, Linda M. Vassallo, Marie Mulligan,
Irene Macyk, Catherine Manley-Cullen, Sandra L. Hutchinson, Amanda
E. Haberman, Amy L. Barnard, Barbara H.

Gobel, Diana L. McMahon, Megan J. Brown, Lisa Strack, Sheryl A.

Emmerling, Angela R. Coladonato, Jessie A. Reich, Justin
J. Gavaghan, James R. Ballinghoff, Florence D. Vanek, Karyn A. Book,
Kathy Easter, Pamela Duchene, Mary E. Lough, Christine L. Benson,
Maria Ducharme, Paul Quinn, Donna M. Molyneaux, Lori Kennedy,
Elizabeth Ellen Nyheim, Donna M.

Grochow, Shannon M. Purcell, Kirsten Hanrahan, Kathy B. Isaacs,
Jill J.

Whade. Physician and Nurse Well-Being and Preferred Interventions
to Address Burnout in Hospital Practice. JAMA Health Forum, 2023;
4 (7): e231809 DOI: 10.1001/jamahealthforum.2023.1809 ==========================================================================

Link to news story: https://www.sciencedaily.com/releases/2023/07/230710180500.htm

--- up 1 year, 19 weeks, 10 hours, 50 minutes
* Origin: -=> Castle Rock BBS <=- Now Husky HPT Powered! (1:317/3)