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Taking Action Against Clinician Burnout

Taking Action Against Clinician Burnout
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 335
Release: 2020-01-02
Genre: Medical
ISBN: 0309495474

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Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.


Identifying Key Areas of Worklife and Their Interactive Effect in Explaining Pakistani Nurses' Burnout

Identifying Key Areas of Worklife and Their Interactive Effect in Explaining Pakistani Nurses' Burnout
Author: Faisal Qadeer
Publisher:
Total Pages: 16
Release: 2018
Genre:
ISBN:

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We examined the effect of incongruence in the areas of worklife (AWL) on burnout of nurses. Specifically, we were interested in identifying the most important AWL and interactions among AWL and psychological resilience in explaining nurses' burnout. Incongruence in the worklife escalates burnout and resilience is a coping trait. The phenomenon needs to be studied in developing countries where entirely different health dilemmas exist. A cross sectional survey was conducted from 147 nurses. SEM through AMOS 21 and Process Macro of SPSS was used for data analysis. Two AWL namely control and reward, emerged out to be the most important factors in explaining burnout; community further mitigated reward-burnout relationship. Also, psychological resilience has a powerful independent explanatory role. Healthcare work environment must be equipped to minimize incongruence of the AWL. This congruence would need job redesigning to increase control of nurses over their jobs and reinforcement with all kinds of reward coupled with a supportive co-worker's community.


Burnout in Nursing: Causes, Management, and Future Directions, An Issue of Nursing Clinics, E-Book

Burnout in Nursing: Causes, Management, and Future Directions, An Issue of Nursing Clinics, E-Book
Author: George A. Zangaro
Publisher: Elsevier Health Sciences
Total Pages: 185
Release: 2022-03-06
Genre: Medical
ISBN: 0323919715

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In this issue, guest editors bring their considerable expertise to this important topic. Provides in-depth reviews on the latest updates in the field, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.


Suppressing Positive Emotional Displays at Work

Suppressing Positive Emotional Displays at Work
Author: Jason J. Dahling
Publisher:
Total Pages: 139
Release: 2007
Genre: Burn out (Psychology)
ISBN:

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"The current study sought to examine a neglected form of emotional labor, suppressing positive emotional displays. Drawing from the work of Gross (2002) on emotional regulation and Fredrickson (2006) on her broaden-and-build theory of positive emotions, I developed a conceptual model linking suppressed positive emotional displays to lower resilience through changes in positive affect. Further, I explored role identification as an important moderator of this relationship. Because nursing is an occupation increasingly burdened with demands to suppress positive emotions, I tied resilience to several organizational and individual outcomes that have lately been problematic for nurses, including burnout, work-family interference, health, and turnover intentions. Tests of structural regression models indicated support for most hypothesized relationships. Suppressed positive emotional displays had a small, but statistically significant, negative, indirect effect on resilience through positive affect. No support was found for role identification as a moderator, although some main effects on other variables in the model were discovered through subsequent exploratory analyses. Resilience was found to have both direct effects on all three terminal outcomes (work-family interference, general health, and turnover intentions), as well as indirect effects through burnout. Implications, future research directions, and limitations to be addressed in future research are discussed."--Abstract.


The Moderating Effect of Psychological Flexibility on the Relationship Between Burnout and COVID-19 Stress in Nurses

The Moderating Effect of Psychological Flexibility on the Relationship Between Burnout and COVID-19 Stress in Nurses
Author: Alyse Dittrich
Publisher:
Total Pages: 0
Release: 2023
Genre: Adaptability (Psychology)
ISBN:

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While nurses generally report high levels of burnout (The Joint Commission, 2020), often due to the post-traumatic stress associated with nursing, the International Council of Nurses (2021) noted an increase in the number of nurses reporting burnout during COVID-19. Acceptance and Commitment Therapy (ACT) has been suggested as an intervention strategy for burnout as psychological flexibility, a key outcome of ACT, is correlated with lower burnout among nurses. The goal of this study was to examine whether psychological flexibility moderated the relationship between COVID-19-specific post-traumatic stress and burnout. Fifty-three nurses from the United States completed a survey that measured their levels of burnout, secondary-traumatic stress, COVID-19-specific post-traumatic stress, and psychological flexibility, as well as a variety of demographic and COVID-19 related factors. Results of a moderation analysis indicated that, while there was a significant, positive correlation between COVID-19-specific post-traumatic stress and burnout, psychological flexibility did not significantly moderate that relationship. These results are vital for clinicians and organizations dedicated to helping nurses, indicating that a commonly-used method for reducing and preventing burnout would likely not be time or cost-effective for nurses during a global health crisis such as COVID-19. It is possible that this study's small sample size contributed to the non-significant findings and brings into question the generalizability of this study to larger groups of nurses. Future research ought to focus on whether there is enough nuance between the questionnaires used to measure the general post-traumatic stress associated with nursing and event-specific post-traumatic stress, such as that associated with COVID-19.


Moral Resilience

Moral Resilience
Author: Cynda H. Rushton
Publisher:
Total Pages: 321
Release: 2018
Genre: Business & Economics
ISBN: 0190619260

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Suffering is an unavoidable reality in healthcare. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions that challenge their moral foundations. Moral suffering is the anguish that arises occurs in response to moral adversity that challenges clinicians integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. Transforming their suffering will require solutions that expanded individual and system strategies. Moral resilience, the capacity of an individual to restore or sustain integrity in response to moral adversity, offers a path forward. It encompasses capacities aimed at developing self- regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Whether it involves gradual or profound radical change clinicians have the potential to transform themselves and their clinical practice in ways that more authentically reflect their character, intentions and values. The burden of healing our healthcare system is not the sole responsibility of individuals. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum approach, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and leverage the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.


From Burnout to Balance

From Burnout to Balance
Author: Angela Hosking
Publisher:
Total Pages:
Release: 2021-05-04
Genre:
ISBN: 9781949935240

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Burnout at Work

Burnout at Work
Author: Michael P. Leiter
Publisher: Psychology Press
Total Pages: 183
Release: 2014-04-24
Genre: Psychology
ISBN: 1317909801

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The psychological concept of burnout refers to long-term exhaustion from, and diminished interest in, the work we do. It’s a phenomenon that most of us have some understanding of, even if we haven’t always been affected directly. Many people start their working lives full of energy and enthusiasm, but far fewer are able to maintain that level of engagement. Burnout at Work: A Psychological Perspective provides a comprehensive overview of how the concept of burnout has been conceived over recent decades, as well as discussing the challenges and possible interventions that can help confront this pervasive issue. Including contributions from the most eminent researchers in this field, the book examines a range of topics including: The links between burnout and health How our individual relationships at work can affect levels of burnout The role of leadership in mediating or causing burnout The strategies that individuals can pursue to avoid burnout, as well as wider interventions. The book will be required reading for anyone studying organizational or occupational psychology, and will also interest students of business and management, and health psychology.


Nurses With Disabilities

Nurses With Disabilities
Author: Leslie Neal-Boylan
Publisher: Springer Publishing Company
Total Pages: 226
Release: 2012-10-12
Genre: Medical
ISBN: 082611010X

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" This is the first research-based book to confront workplace issues facing nurses who have disabilities. It not only examines in depth their experiences, roadblocks to successful employment, and misperceptions surrounding them, but also provides viable solutions for creating positive attitudes towards them and a welcoming work environment that fosters hiring and retention. From the perspectives and actual voices of nurses with disabilities, nurse leaders, nurse administrators, and patients, the book identifies nurses with disabilities (including sensory, musculoskeletal, emotional, and mental health issues), discusses why they choose to leave nursing or hide their disabilities, and analyzes how their disabilities may influence career choices. "