Burnout and intent to leave during COVID-19: A cross-sectional study of New Jersey hospital nurses
Burnout and intent to leave during COVID-19: A cross-sectional study of New Jersey hospital nurses
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DOI：
10.1111/jonm.13647
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发表时间：
2022-05-11
影响因子：
5.5
通讯作者：
Pogorzelska-Maziarz, Monika
中科院分区：
文献类型：
--
作者：
de Cordova, Pamela B.;Johansen, Mary L.;Pogorzelska-Maziarz, Monika
目的研究新冠肺炎疫情首个高峰期间医院护士职业倦怠和离职意向与人员配备、个人防护装备的充分性和体力衰竭的关系。背景：职业倦怠与护士和病人的不良结局有关。确定大流行期间发生的职业倦怠的严重程度，可以使管理者为护士的长期心理健康影响做好准备。方法采用横断面电子调查方法，对2020年10月6日至10月26日期间新泽西州医院护士的职业倦怠和离职意向进行调查。结果3030名护士中，64.3%的护士表示职业倦怠，36.5%的护士表示打算在一年内出院。高水平的职业倦怠与离职意向之间存在显著的关联(X(2)=329.4；p=.001)。人员配备与职业倦怠之间没有关联；然而，个人防护装备不足(OR=1.77[95%CI：1.34-2.34])和体力衰竭(OR=3.89[95%CI：3.19-4.76])仍然是护士职业倦怠的预测因素。结论个人防护装备不足、体力耗竭、人员短缺是导致职业倦怠和离职意向的主要原因。护理管理的启示管理者应继续使用循证心理健康干预措施，并在其护理专业组织内倡导提供救济资金，以减少职业倦怠。
Aim The aim of this work is to examine staffing, personal protective equipment (PPE) adequacy and physical exhaustion that contributed to burnout and intent to leave among hospital nurses during the first peak of the COVID-19 pandemic. Background Burnout is associated with adverse nurse and patient outcomes. Identifying the magnitude of burnout that occurred during the pandemic can prepare managers for the long-term mental health effects on nurses. Methods A cross-sectional, electronic survey was administered to examine perceptions of burnout and intent to leave among all New Jersey hospital nurses from October 6 to October 26, 2020. Results A total of 3030 nurses responded with 64.3% reporting burnout and 36.5% reporting intent to leave the hospital within a year. There was a significant association between high levels of burnout and intent to leave (chi(2) = 329.4; p = .001). There was no association between staffing and burnout; however, reporting inadequate PPE (OR = 1.77 [95% CI: 1.34-2.34]) and physical exhaustion (OR = 3.89 [95% CI: 3.19-4.76]) remained predictors of burnout among nurses. Conclusion Inadequate PPE and physical exhaustion coupled with short staffing contributed to burnout and intent to leave. Implications for Nursing Management Managers should continue to utilize evidence-based mental health interventions and advocate within their nursing professional organizations for relief funds to reduce burnout.