School of Nursing, University of Wisconsin-Madison.
J Perinat Neonatal Nurs. 2023;37(3):187-195. doi: 10.1097/JPN.0000000000000748.
Risks for burnout among nurses have been understudied in public and community health settings. This qualitative descriptive study aimed to describe the experiences of nurses working in a perinatal community health program for high-risk families with a focus on challenges and risks for burnout.
We conducted field observation and semistructured individual interviews in 2019 with nurses at 2 sites implementing Prenatal Care Coordination (PNCC), a Medicaid benefit for high-risk pregnant people and infants in Wisconsin. A larger parent study assessed the implementation of PNCC overall through a thematic analysis process. Initial deductive coding was guided by the Consolidated Framework for Implementation Research.
Emergent themes demonstrated that PNCC nurses face several significant barriers and known risks for burnout, including role strain related to scope of practice and training, discordant racial and socioeconomic identities leading to role conflict, and low control combined with high psychological demand.
Given that the COVID-19 pandemic has exacerbated burnout risk among nurses in hospital settings, and that nurses addressing social determinants of health may be at increased risk for burnout, these findings represent a critical perspective on the experiences and needs of perinatal nurses in public and community health settings.
在公共和社区卫生环境中，护士的倦怠风险研究不足。本定性描述性研究旨在描述在为高风险家庭提供围产期社区卫生服务的项目中工作的护士的体验，重点关注倦怠的挑战和风险。
我们于 2019 年在威斯康星州实施产前护理协调（PNCC）的两个地点进行了实地观察和半结构化个人访谈，这是一项针对高风险孕妇和婴儿的医疗补助福利。一项更大的母研究通过主题分析过程评估了 PNCC 的整体实施情况。初步演绎式编码以实施研究综合框架为指导。
出现的主题表明，PNCC 护士面临着几个重大的障碍和已知的倦怠风险，包括与实践范围和培训相关的角色紧张、导致角色冲突的不同种族和社会经济身份，以及低控制与高心理需求相结合。
鉴于 COVID-19 大流行加剧了医院环境中护士的倦怠风险，而解决健康社会决定因素的护士可能面临更高的倦怠风险，这些发现代表了对公共和社区卫生环境中围产期护士的经历和需求的重要观点。
