期刊
出版社
MDPI
DOI: 10.3390/ijerph18020610
关键词
nurse burnout; burnout; work environment; Magnet; patient outcomes
资金
- National Institutes of Health, National Institute for Nursing Research T32 training grant Advanced Training in Nursing Outcomes Research at the University of Pennsylvania [T32 NR007104]
- Robert Wood Johnson Program Future of Nursing Scholars Program
- National Institute of Nursing Research T32 training grant Comparative and Cost-Effectiveness Research Training for Nurse Scientists at Columbia University [T32 NR014205]
- National Institute of Nursing Research [R01 NR014855]
This study found that hospitals with higher nurse burnout scores had higher odds of patient mortality, failure to rescue, and prolonged length of stay, but a good work environment can attenuate this relationship. Therefore, improving the work environment is a solution for hospitals looking to improve nurse burnout and patient outcomes.
Background: Burnout remains a persistent issue affecting nurses across the US health system. Limited evidence exists about the direct impact of nurse burnout on patient outcomes. This study explores the relationship between nurse burnout and mortality, failure to rescue, and length of stay, while also considering the effect of a good work environment. Methods: Cross sectional data from nurses and hospitals were used in conjunction with patient claims data. Multivariate logistic regression was used to study the relationship between nurse burnout, patient outcomes, the work environment, and Magnet status. Results: Higher odds of patient mortality, failure to rescue, and prolonged length of stay were found in hospitals that had, on average, higher nurse burnout scores. Good work environments were found to attenuate the relationship between nurse burnout and mortality, failure to rescue, and length of stay. Magnet status, another indicator of a good work environment, was found to attenuate the relationship between nurse burnout and mortality and failure to rescue. Conclusions: Improving the work environment remains a solution for hospitals looking to concurrently improve nurse burnout and patient outcomes. Administrators may look to the Magnet recognition program as a blueprint to better support nurses in providing safe, high quality care.
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