Bakhamis Lama, Paul David P, Smith Harlan, Coustasse Alberto
Author Affiliations: Healthcare Administration Program, Lewis College of Business, Marshall University (Mrs Bakhamis); Department of Marketing and International Business, Monmouth University (Dr Paul); and Lewis College of Business, Marshall University (Drs Smith and Coustasse), South Charleston, West Virginia.
Health Care Manag (Frederick). 2019 Jan/Mar;38(1):3-10. doi: 10.1097/HCM.0000000000000243.
The number of registered nurses (RNs) in the United States is roughly 3 times the number of physicians and surgeons, making RNs a critically important component of the US health care system. Registered nurse burnout-the state of emotional exhaustion in which the individual feels overwhelmed by work to the point of feeling fatigued, unable to face the demands of the job, and unable to engage with others-is a real concern, having been reported in many hospitals. The purpose of this research was to examine the causes and consequences of burnout syndrome among RNs in US hospitals and its role in the RN shortage in hospitals. The methodology involved a review of the literature and semistructured interviews. Seven primary databases, 2 websites, and 43 articles were consulted in this project. Findings indicated that burnout syndrome in RNs can be analyzed in terms of 4 clusters of characteristics: individual, management, organizational, and work. The consequences of burnout syndrome have increased RN turnover rates, poor job performance, and threats to patient safety. Burnout syndrome was more prevalent in hospitals with a higher number of patients per nurse and among younger RNs. Registered nurse burnout in hospitals has negatively impacted the quality of care, patient safety, and the functioning of staff workers in the health care industry.
美国注册护士(RN)的数量大约是内科医生和外科医生数量的3倍,这使得注册护士成为美国医疗保健系统的一个至关重要的组成部分。注册护士职业倦怠——一种情绪耗竭的状态,个体感到工作不堪重负,以至于感到疲惫,无法面对工作要求,也无法与他人交往——是一个切实令人担忧的问题,许多医院都有相关报道。本研究的目的是探讨美国医院注册护士职业倦怠综合征的成因、后果及其在医院护士短缺问题中所起的作用。研究方法包括文献综述和半结构化访谈。本项目查阅了7个主要数据库、2个网站和43篇文章。研究结果表明,注册护士的职业倦怠综合征可从个体、管理、组织和工作4类特征进行分析。职业倦怠综合征的后果包括注册护士离职率上升、工作表现不佳以及对患者安全构成威胁。在每位护士护理患者数量较多的医院以及年轻注册护士中,职业倦怠综合征更为普遍。医院中注册护士的职业倦怠对医疗保健行业的护理质量、患者安全以及工作人员的工作效能都产生了负面影响。