The relationship between nurse burnout, missed nursing care, and care quality following COVID-19 pandemic.


Journal

Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302

Informations de publication

Date de publication:
Aug 2023
Historique:
revised: 03 04 2023
received: 20 02 2023
accepted: 09 05 2023
medline: 7 7 2023
pubmed: 23 5 2023
entrez: 23 5 2023
Statut: ppublish

Résumé

To determine the relationship between nurse burnout, missed nursing care, and care quality following the COVID-19 pandemic. Quality of care and missed nursing care can be consequences of nurse burnout. Little is known about how these factors related to nurse burnout following the COVID-19 pandemic. This study used a cross-sectional correlational design and was conducted in 12 general hospitals across Thailand from August to October 2022. 394 nurses providing direct nursing care to patients during the COVID-19 pandemic completed the survey. The Emotional Exhaustion (EE) subscale of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS), MISSCARE survey, and quality of care reported by nurses were used to collect data. Descriptive statistics and logistic regression models were used to analyse the data. Approximately thirty-six percent of nurses had burnout following the COVID-19 pandemic. Missed nursing care was higher among nurses with burnout. Most participants reported illness/symptoms such as anxiety, fatigue, a lack of concentration, and sleeping problems. After adjusting for demographic characteristics, every additional unit of emotional exhaustion was associated with 1.61 times higher odds of missed nursing care, 3.37 times higher odds of poor quality of nurse care, and 2.62 times higher odds of poor quality of care for the overall unit. The study findings demonstrate that burnout is associated with missed nursing care and poor quality of care following the COVID-19 pandemic. Policymakers, hospital administrators, and nurse managers should invest in strategies to reduce nurse burnout, which can increase patient safety and quality of care.

Sections du résumé

OBJECTIVES OBJECTIVE
To determine the relationship between nurse burnout, missed nursing care, and care quality following the COVID-19 pandemic.
BACKGROUND BACKGROUND
Quality of care and missed nursing care can be consequences of nurse burnout. Little is known about how these factors related to nurse burnout following the COVID-19 pandemic.
DESIGN METHODS
This study used a cross-sectional correlational design and was conducted in 12 general hospitals across Thailand from August to October 2022.
METHODS METHODS
394 nurses providing direct nursing care to patients during the COVID-19 pandemic completed the survey. The Emotional Exhaustion (EE) subscale of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS), MISSCARE survey, and quality of care reported by nurses were used to collect data. Descriptive statistics and logistic regression models were used to analyse the data.
RESULTS RESULTS
Approximately thirty-six percent of nurses had burnout following the COVID-19 pandemic. Missed nursing care was higher among nurses with burnout. Most participants reported illness/symptoms such as anxiety, fatigue, a lack of concentration, and sleeping problems. After adjusting for demographic characteristics, every additional unit of emotional exhaustion was associated with 1.61 times higher odds of missed nursing care, 3.37 times higher odds of poor quality of nurse care, and 2.62 times higher odds of poor quality of care for the overall unit.
CONCLUSION CONCLUSIONS
The study findings demonstrate that burnout is associated with missed nursing care and poor quality of care following the COVID-19 pandemic.
RELEVANCE TO CLINICAL PRACTICE CONCLUSIONS
Policymakers, hospital administrators, and nurse managers should invest in strategies to reduce nurse burnout, which can increase patient safety and quality of care.

Identifiants

pubmed: 37219019
doi: 10.1111/jocn.16761
doi:

Types de publication

Journal Article

Langues

eng

Pagination

5076-5083

Subventions

Organisme : This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors

Informations de copyright

© 2023 John Wiley & Sons Ltd.

Références

Abraham, C. M., Zheng, K., Norful, A. A., Ghaffari, A., Liu, J., & Poghosyan, L. (2021). Primary care nurse practitioner burnout and perceptions of quality of care. Nursing Forum, 56(3), 550-559. https://doi.org/10.1111/nuf.12579
Al Thobaity, A., & Alshammari, F. (2020). Nurses on the frontline against the COVID-19 pandemic: An integrative review. Dubai Medical Journal, 3(3), 87-92. https://doi.org/10.1159/000509361
Bruyneel, A., Smith, P., Tack, J., & Pirson, M. (2021). Prevalence of burnout risk and factors associated with burnout risk among ICU nurses during the COVID-19 outbreak in French speaking Belgium. Intensive & Critical Care Nursing, 65, 103059. https://doi.org/10.1016/j.iccn.2021.103059
Bruyneel, L., Van den Heede, K., Diya, L., Aiken, L., & Sermeus, W. (2009). Predictive validity of the international hospital outcomes study questionnaire: An RN4CAST pilot study. Journal of Nursing Scholarship, 41(2), 202-210. https://doi.org/10.1111/j.1547-5069.2009.01272.x
Clark, R. R. S., & Lake, E. (2020). Burnout, job dissatisfaction and missed care among maternity nurses. Journal of Nursing Managemant, 28(8), 2001-2006. https://doi.org/10.1111/jonm.13037
Denning, M., Goh, E. T., Tan, B., Kanneganti, A., Almonte, M., Scott, A., Martin, G., Clarke, J., Sounderajah, V., Markar, S., Przybylowicz, J., Chan, Y. H., Sia, C. H., Chua, Y. X., Sim, K., Lim, L., Tan, L., Tan, M., Sharma, V., … Kinross, J. (2021). Determinants of burnout and other aspects of psychological well-being in healthcare workers during the Covid-19 pandemic: A multinational cross-sectional study. PLoS One, 16(4), e0238666. https://doi.org/10.1371/journal.pone.0238666
Galanis, P., Vraka, I., Fragkou, D., Bilali, A., & Kaitelidou, D. (2021). Nurses' burnout and associated risk factors during the COVID-19 pandemic: A systematic review and meta-analysis. Journal of Advanced Nursing, 77(8), 3286-3302. https://doi.org/10.1111/jan.14839
Gensimore, M. M., Maduro, R. S., Morgan, M. K., McGee, G. W., & Zimbro, K. S. (2020). The effect of nurse practice environment on retention and quality of care via burnout, work characteristics, and resilience: A moderated mediation model. Journal of Nursing Administration, 50(10), 546-553. https://doi.org/10.1097/NNA.0000000000000932
Hu, D., Kong, Y., Li, W., Han, Q., Zhang, X., Zhu, L. X., Wan, S. W., Liu, Z., Shen, Q., Yang, J., He, H. G., & Zhu, J. (2020). Frontline nurses' burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. EClinical Medicine, 24, 100424. https://doi.org/10.1016/j.eclinm.2020.100424
Jackson, D., Bradbury-Jones, C., Baptiste, D., Gelling, L., Morin, K., Neville, S., & Smith, G. D. (2020). Life in the pandemic: Some reflections on nursing in the context of COVID-19. Journal of Clinical Nursing, 29(13-14), 2041-2043. https://doi.org/10.1111/jocn.15257
Jakovljevic, B., Stojanovic, K., Nikolic Turnic, T., & Jakovljevic, V. L. (2021). Burnout of physicians, pharmacists and nurses in the course of the COVID-19 pandemic: A Serbian cross-sectional questionnaire study. International Journal of Environmental Research and Public Health, 18(16), 8728. https://doi.org/10.3390/ijerph18168728
Jang, Y., You, M., Lee, H., Lee, M., Lee, Y., Han, J. O., & Oh, J. H. (2021). Burnout and peritraumatic distress of healthcare workers in the COVID-19 pandemic. BMC Public Health, 21(1), 2075. https://doi.org/10.1186/s12889-021-11978-0
Jihn, C. H., Kim, B., & Kim, K. S. (2021). Predictors of burnout in hospital health workers during the COVID-19 outbreak in South Korea. International Journal of Environmental Research and Public Health, 18(21), 11720. https://doi.org/10.3390/ijerph182111720
Jones, T. L., Hamilton, P., & Murry, N. (2015). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International Journal of Nursing Studies, 52(6), 1121-1137. https://doi.org/10.1016/j.ijnurstu.2015.02.012
Kabunga, A., & Okalo, P. (2021). Prevalence and predictors of burnout among nurses during COVID-19: A cross-sectional study in hospitals in Central Uganda. BMJ Open, 11(9), e054284. https://doi.org/10.1136/bmjopen-2021-054284
Kakemam, E., Chegini, Z., Rouhi, A., Ahmadi, F., & Majidi, S. (2021). Burnout and its relationship to self-reported quality of patient care and adverse events during COVID-19: A cross-sectional online survey among nurses. Journal of Nursing Management, 29(7), 1974-1982. https://doi.org/10.1111/jonm.13359
Kalisch, B. J., Tschannen, D., Lee, H., & Friese, C. R. (2011). Hospital variation in missed nursing care. American Journal of Medical Quality, 26(4), 291-299. https://doi.org/10.1177/1062860610395929
Keith, C., Trevor, M., Julie, S., Janet, E. A., Holly, B., Daniel, K., Bridie, K., Jill, M., Anne, M. R., Rachel, M. T., & Ruth, H. (2022). The impact of COVID-19 on the well-being of the UK nursing and midwifery workforce during the first pandemic wave: A longitudinal survey study. International Journal of Nursing Studies, 127, 104155. https://doi.org/10.1016/j.ijnurstu.2021.104155
Khatatbeh, H., Al-Dwaikat, T., Rababah, J., Oláh, A., & Pakai, A. (2021). Paediatric nurses' burnout, quality of life and perceived patient adverse events during the COVID-19 pandemic: Testing an integrated model using structural equation modelling. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.16114
Lasalvia, A., Amaddeo, F., Porru, S., Carta, A., Tardivo, S., Bovo, C., Ruggeri, M., & Bonetto, C. (2021). Levels of burnout among healthcare workers during the COVID-19 pandemic and their associated factors: A cross-sectional study in a tertiary hospital of a highly burdened area of north-East Italy. BMJ Open, 11(1), e045127. https://doi.org/10.1136/bmjopen-2020-045127
Manzano García, G., & Ayala Calvo, J. C. (2021). The threat of COVID-19 and its influence on nursing staff burnout. Journal of Advanced Nursing, 77(2), 832-844. https://doi.org/10.1111/jan.14642
Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Organizational Behavior, 2(2), 99-113. https://doi.org/10.1002/job.4030020205
Mavrovounis, G., Mavrovouni, D., Mermiri, M., Papadaki, P., Chalkias, A., Zarogiannis, S., Christodoulou, N., Gourgoulianis, K., & Pantazopoulos, I. (2022). Watch out for burnout in COVID-19: A Greek health care personnel study. Inquiry, 59, 469580221097829. https://doi.org/10.1177/00469580221097829
Montero-Marín, J., García-Campayo, J., Mera, D. M., & del López, H. Y. (2009). A new definition of burnout syndrome based on Farber's proposal. Journal of Occupational Medicine and Toxicology, 4(1), 31. https://doi.org/10.1186/1745-6673-4-31
Murat, M., Köse, S., & Savaşer, S. (2020). Determination of stress, depression and burnout levels of frontline nurses during the COVID-19 pandemic. International Journal of Mental Health Nursing, 30(2), 533-543. https://doi.org/10.1111/inm.12818
Nantsupawat, A., Srisuphan, W., Kunaviktikul, W., Wichaikhum, O. A., Aungsuroch, Y., & Aiken, L. H. (2011). Impact of nurse work environment and staffing on hospital nurse and quality of care in Thailand. Journal of Nursing Scholarship, 43(4), 426-432. https://doi.org/10.1111/j.1547-5069.2011.01419.x
Nishimura, Y., Miyoshi, T., Hagiya, H., Kosaki, Y., & Otsuka, F. (2021). Burnout of healthcare workers amid the COVID-19 pandemic: A Japanese cross-sectional survey. International Journal of Environmental Research and Public Health, 18(5), 2434. https://doi.org/10.3390/ijerph18052434
Noh, E. Y., Park, Y. H., Chai, Y. J., Kim, H. J., & Kim, E. (2022). Frontline nurses' burnout and its associated factors during the COVID-19 pandemic in South Korea. Applied Nursing Research, 67, 151622. https://doi.org/10.1016/j.apnr.2022.151622
Organization WH. (2022). Burnout an "occupational phenomenon": International Classification of Diseases. https://www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseases
Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., & Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity, 88, 901-907. https://doi.org/10.1016/j.bbi.2020.05.026
Piotrowska, A., Lisowska, A., Twardak, I., Włostowska, K., Uchmanowicz, I., & Mess, E. (2022). Determinants affecting the rationing of nursing care and professional burnout among oncology nurses. International Journal of Environmental Research and Public Health, 19(12), 7180. https://doi.org/10.3390/ijerph19127180
Robinson, R., & Stinson, C. K. (2021). The lived experiences of nurses working during the COVID-19 pandemic. Dimensions of Critical Care Nursing, 40(3), 156-163. https://doi.org/10.1097/DCC.0000000000000481
Sanghera, J., Pattani, N., Hashmi, Y., Varley, K. F., Cheruvu, M. S., Bradley, A., & Burke, J. R. (2020). The impact of SARS-CoV-2 on the mental health of healthcare workers in a hospital setting-a systematic review. Journal of Occupational Health, 62(1), e12175. https://doi.org/10.1002/1348-9585.12175
Sexton, J. B., Adair, K. C., Proulx, J., Profit, J., Cui, X., Bae, J., & Frankel, A. (2022). Emotional exhaustion among US health care workers before and during the COVID-19 pandemic. JAMA Network Open, 5(9), e2232748. https://doi.org/10.1001/jamanetworkopen.2022.32748
Sriharan, A., West, K. J., Almost, J., & Hamza, A. (2021). COVID-19-related occupational burnout and moral distress among nurses: A rapid scoping review. Nursing Leadership (Toronto, Ont.), 34(1), 7-19. https://doi.org/10.12927/cjnl.2021.26459
Stata Corp. (2015). Stata statistical software: Release 14. Stata Corp LP.
Uchmanowicz, I., Karniej, P., Lisiak, M., Chudiak, A., Lomper, K., Wiśnicka, A., Wleklik, M., & Rosińczuk, J. (2020). The relationship between burnout, job satisfaction and the rationing of nursing care-a cross-sectional study. Journal of Nursing Management, 28(8), 2185-2195. https://doi.org/10.1111/jonm.13135
White, E. M., Aiken, L. H., & McHugh, M. D. (2019). Registered nurse burnout, job dissatisfaction, and missed Care in Nursing Homes. Journal of the American Geriatrics Society, 67(10), 2065-2071. https://doi.org/10.1111/jgs.16051
White, E. M., Wetle, T. F., Reddy, A., & Baier, R. R. (2021). Frontline nursing home staff experiences during the COVID-19 pandemic. Journal of the American Medical Directors Association, 22(1), 199-203. https://doi.org/10.1016/j.jamda.2020.11.022
White, K. M., Dulko, D., & DiPietro, B. (2022). The effect of burnout on quality of care using Donabedian's framework. Nursing Clinics of North America, 57(1), 115-130. https://doi.org/10.1016/j.cnur.2021.11.008

Auteurs

Apiradee Nantsupawat (A)

Faculty of Nursing Chiang Mai University, Chiang Mai, Thailand.

Orn-Anong Wichaikhum (OA)

Faculty of Nursing Chiang Mai University, Chiang Mai, Thailand.

Kulwadee Abhicharttibutra (K)

Faculty of Nursing Chiang Mai University, Chiang Mai, Thailand.

Tina Sadarangani (T)

NYU Rory Meyers College of Nursing, New York, USA.

Lusine Poghosyan (L)

Columbia University School of Nursing, New York, USA.

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