Cedars-Sinai Medical Center, Los Angeles, CA; VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA.
VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA.
Nurs Outlook. 2020 Jan-Feb;68(1):14-25. doi: 10.1016/j.outlook.2019.06.018. Epub 2019 Jun 27.
Little is known about the relationship between primary care nurses' work environment and burnout, particularly in settings where patient-centered medical homes (PCMH) have been implemented.
To investigate the relationship between PCMH nurses' work environment and burnout.
Multivariable analyses were performed using two waves of survey data from PCMH registered nurses (RNs; n = 170) and PCMH licensed vocational nurses (LVNs; n = 181) in 23 primary care clinics.
True collaboration was inversely associated with PCMH RN burnout (b = -2.6, 95% confidence interval [CI] = -4.29, -0.08, p < .01). Meaningful recognition was inversely associated with PCMH LVN burnout (b = -5.1, 95% CI = -8.36, -1.82, p < .01). In models with all nurses, RN (vs. LVN) position was associated with higher levels of burnout (b = 6.2, 95% CI = 2.47, 9.84, p < .01).
This study highlights the important role of the work environment in reducing PCMH nurse burnout. Strategies to foster team collaboration and meaningful recognition should be investigated to reduce PCMH nurse burnout.
关于初级保健护士的工作环境与倦怠之间的关系，我们知之甚少，尤其是在已经实施以患者为中心的医疗之家（PCMH）的环境中。
调查 PCMH 护士工作环境与倦怠之间的关系。
使用来自 23 个初级保健诊所的 PCMH 注册护士（RN；n=170）和 PCMH 持照职业护士（LVN；n=181）的两波调查数据进行多变量分析。
真正的协作与 PCMH RN 倦怠呈负相关（b=-2.6，95%置信区间[CI]为-4.29，-0.08，p<.01）。有意义的认可与 PCMH LVN 的倦怠呈负相关（b=-5.1，95%CI=-8.36，-1.82，p<.01）。在所有护士的模型中，RN（与 LVN 相比）的职位与更高水平的倦怠相关（b=6.2，95%CI=2.47，9.84，p<.01）。
本研究强调了工作环境在减少 PCMH 护士倦怠方面的重要作用。应探讨促进团队协作和有意义认可的策略，以减少 PCMH 护士的倦怠。
