Behavior and Policy Sciences, RAND Corporation, 1776 Main Street, Santa Monica, CA 90401, United States.
Economics, Sociology & Statistics, RAND Corporation, 1776 Main Street, Santa Monica, CA 90401, United States.
J Pediatr Nurs. 2023 May-Jun;70:e9-e16. doi: 10.1016/j.pedn.2022.11.001. Epub 2022 Nov 17.
Burnout among nurses negatively impacts patient care experiences and safety. Inpatient pediatric nurses are high-risk for burnout due to high patient volumes, inadequate staffing, and needing to balance the demands of patients, families and team members. We examined the associations of inpatient pediatric nurse burnout with their perspectives on the importance of quality at the hospital, patient experience measurement, quality improvement (QI), unit culture, and staffing.
We conducted a cross-sectional study at an urban children's hospital. We surveyed pediatric nurses about their perspectives including the single-item Maslach Burnout Inventory. We fit separate regression models, controlling for role, location and unit, predicting outcome measures from the dichotomized burnout scale.
Twenty-seven percent of pediatric nurses reported burnout. Nurses who had more confidence in patient experience measurement, received frequent patient experience performance reports, felt included in QI, and experienced QI efforts as integrated into patient care reported not being burned out (compared to those reporting burnout; all p-values<0.05). More open communication among nurses (e.g., about possible problems with care) and unit-level teamwork were also associated with not being burned out, whereas a larger QI workload was associated with burnout (p-values<0.05).
Open communication among nurses and nurses being more involved and valued in QI efforts were related to not being burned out. Research is needed to further examine aspects of QI involvement that reduce burnout.
Supporting open communication among pediatric nurses, engaging them in QI and integrating QI into patient care while minimizing QI workload may decrease burnout.
护士倦怠会对患者的护理体验和安全产生负面影响。由于患者数量多、人员配备不足，以及需要平衡患者、家庭和团队成员的需求，住院儿科护士容易出现倦怠。我们研究了住院儿科护士倦怠与他们对医院质量、患者体验测量、质量改进（QI）、单位文化和人员配备重要性的看法之间的关联。
我们在一家城市儿童医院进行了一项横断面研究。我们调查了儿科护士的观点，包括单项目 Maslach 倦怠量表。我们针对角色、地点和单位进行了单独的回归模型拟合，预测从二分倦怠量表得出的结果指标。
27%的儿科护士报告有倦怠感。对患者体验测量更有信心、经常收到患者体验绩效报告、感到参与 QI 并认为 QI 工作融入患者护理的护士报告没有倦怠感（与报告倦怠感的护士相比；所有 p 值均<0.05）。护士之间更开放的沟通（例如，关于护理中可能存在的问题）和单位层面的团队合作也与没有倦怠感有关，而更大的 QI 工作量与倦怠感相关（p 值均<0.05）。
护士之间的开放沟通以及护士更多地参与和重视 QI 工作与没有倦怠感有关。需要进一步研究减少倦怠感的 QI 参与方面的研究。
支持儿科护士之间的开放沟通，让他们参与 QI 并将 QI 融入患者护理，同时最小化 QI 工作量，可能会降低倦怠感。
