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Problem: Increased burnout rates due to staffing related issues, Role…
Problem: Increased burnout rates due to staffing related issues
Potential interventions for reducing burnout
Quadruple Aim of health care (Triple Aim plus reducing workforce burnout)
Debriefing sessions
Motivational interviewing
Resilience
increased staffing
increased capacity for training
General factors that increase burn out
increased workload
lack of support
stress
lack of time
working short staffed
Rates of burn out
40 to 60% - United states statistics
94% in Canada
Potential interventions for staffing issues
Cease specific non-essential operations, appointments, or services
Considering the input nurses and provide increased leadership roles
Putting workplace culture first
Increase the incentives for healthcare professionals to remain employed
Recommendations
Increased international certifications approved
Integration of mindfulness training
Increased funding
Increased emphasis on self development and or improvement
Establish support staff
Establish policies/ procedures
All possible questions to consider
What individual-level factors affect the development and sustainability of effective, safe staffing and workload practices?
What are the key factors driving nurses out of the profession other the burnout?
What organization-level factors affect the development and sustainability of effective, safe staffing and workload practices?
What are patient implications? What are staff implications?
What system-level factors affect the development and sustainability of effective, safe staffing and workload practices?
What is the prevalence? How has burnout contributed to nurses leaving the profession?
What are the client, staff, and organizational outcomes of effective, safe staffing and workload practice?
Perspectives - Lived Experiences Phenomenological perspective
"The reality is that unlike no time before, you have the opportunity to make great changes that will impact the future of nursing,"- Rebecca Love
"Half of nurses currently working wish to change jobs. Ninety-four per cent are showing signs of burnout, and 83 per cent say they are so understaffed they worry for the quality of care they can provide" - (Ahmed & Bourgeault, 2022)
Benefits for patients
Decreased length of stay
Safer patient care
increased adherence to policies and procedures
Negative Implications towards patients if not addressed
Less patient interaction
An excessive workload can be frustrating and might lead to the formation of a bad attitude about one's profession.
Make it harder for nurses to adhere to policies and procedures, consequently jeopardising the standard and security of patient care.
Workplace risk factors
hours
workload
role characteristics and power gaps
documentation and technology issues
conflict, violence, distress etc
workplace protective factors
management support
autonomy
leadership
scheduling flexibility
Provider Impacts
Age, inexperiance, personal traits, self efficacy, resilience
Role rotation