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Leveraging the Work Environment to Minimize the Negative Impact of Nurse Burnout on Patient Outcomes

Author

Listed:
  • Amelia E. Schlak

    (Columbia University School of Nursing, New York, NY 10032, USA)

  • Linda H. Aiken

    (Center for Health Outcomes and Policy Research, Leonard Davis Institute of Health Economics, University of Pennsylvania School of Nursing, Philadelphia, PA 19104-4217, USA)

  • Jesse Chittams

    (Biostatistics Analysis Core (BECCA lab), Office of Nursing Research (ONR), University of Pennsylvania School of Nursing, Philadelphia, PA 19104-4217, USA)

  • Lusine Poghosyan

    (Columbia University School of Nursing, New York, NY 10032, USA)

  • Matthew McHugh

    (Center for Health Outcomes and Policy Research, Leonard Davis Institute of Health Economics, University of Pennsylvania School of Nursing, Philadelphia, PA 19104-4217, USA)

Abstract

Background: Burnout remains a persistent issue affecting nurses across the US health system. Limited evidence exists about the direct impact of nurse burnout on patient outcomes. This study explores the relationship between nurse burnout and mortality, failure to rescue, and length of stay, while also considering the effect of a good work environment. Methods: Cross sectional data from nurses and hospitals were used in conjunction with patient claims data. Multivariate logistic regression was used to study the relationship between nurse burnout, patient outcomes, the work environment, and Magnet status. Results: Higher odds of patient mortality, failure to rescue, and prolonged length of stay were found in hospitals that had, on average, higher nurse burnout scores. Good work environments were found to attenuate the relationship between nurse burnout and mortality, failure to rescue, and length of stay. Magnet status, another indicator of a good work environment, was found to attenuate the relationship between nurse burnout and mortality and failure to rescue. Conclusions: Improving the work environment remains a solution for hospitals looking to concurrently improve nurse burnout and patient outcomes. Administrators may look to the Magnet recognition program as a blueprint to better support nurses in providing safe, high quality care.

Suggested Citation

  • Amelia E. Schlak & Linda H. Aiken & Jesse Chittams & Lusine Poghosyan & Matthew McHugh, 2021. "Leveraging the Work Environment to Minimize the Negative Impact of Nurse Burnout on Patient Outcomes," IJERPH, MDPI, vol. 18(2), pages 1-15, January.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:2:p:610-:d:479183
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    References listed on IDEAS

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    1. White, Halbert, 1980. "A Heteroskedasticity-Consistent Covariance Matrix Estimator and a Direct Test for Heteroskedasticity," Econometrica, Econometric Society, vol. 48(4), pages 817-838, May.
    2. Leiter, Michael P. & Harvie, Phyllis & Frizzell, Cindy, 1998. "The correspondence of patient satisfaction and nurse burnout," Social Science & Medicine, Elsevier, vol. 47(10), pages 1611-1617, November.
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    Cited by:

    1. Hsing Yu Chen & Luo Lu & Yi Ming Ko & Jui Wen Chueh & Shu Ya Hsiao & Pa Chun Wang & Cary L. Cooper, 2021. "Post-Pandemic Patient Safety Culture: A Case from a Large Metropolitan Hospital Group in Taiwan," IJERPH, MDPI, vol. 18(9), pages 1-18, April.
    2. John Rodwell & Thomas Hendry & Dianne Johnson, 2023. "Analyzing and Validating a Structure for Measuring the Nurse Practice Environment," IJERPH, MDPI, vol. 20(7), pages 1-18, March.
    3. Luo Lu & Yi-Ming Ko & Hsing-Yu Chen & Jui-Wen Chueh & Po-Ying Chen & Cary L. Cooper, 2022. "Patient Safety and Staff Well-Being: Organizational Culture as a Resource," IJERPH, MDPI, vol. 19(6), pages 1-14, March.
    4. William E. Rosa & Kailey E. Roberts & Amelia E. Schlak & Allison J. Applebaum & William S. Breitbart & Emily H. Kantoff & Hayley Pessin & Wendy G. Lichtenthal, 2022. "The Critical Need for a Meaning-Centered Team-Level Intervention to Address Healthcare Provider Distress Now," IJERPH, MDPI, vol. 19(13), pages 1-9, June.

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