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Burnout has become a significant and concerning phenomenon in nursing, primarily described by emotional fatigue, lack of enthusiasm for patient care, and poor satisfaction with accomplishment. Consequently, the existence of this culture has significant impacts on various aspects of the healthcare sector, including the nurses themselves, patient care, the working environment of hospitals, and the health system as a whole. It is crucial to comprehend what causes nurse burnout and how it can be prevented to maintain a strong and efficient workforce.
There are several causes of nurse burnout, most of which can be attributed to the obligations and responsibilities of being a nurse. Nurses spend most of their time at work and can be under pressure most of the time. It is common for them to cope with many patients at once, and combined with the mental stress of working in areas such as emergency or intensive care, they are bound to feel burnt out sooner or later (Babapour, Gahassab-Mozaffari, and Fathnezhad-Kazemi 2022, 1). According to a recent cross-sectional study conducted on a sample of 1,688 nurses in 2021, it was revealed that 54 % of the nurses had moderate to high burnout levels, and they cited a high number of working hours, lack of social support, and emotional workload as reasons (Kelly, Gee, and Butler 2020).
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Order nowAnother key factor contributing to nurse burnout is the organizational culture within healthcare institutions. Nurses are most likely to burn out when there is a lack of management support, staff shortages, and resource limitations. Moreover, in many organizations, including hospitals, there is a great tendency towards the clerical and bureaucratic hierarchy that may demoralize the nurses and make them feel helpless, which significantly increases stress (Fernandopulle 2021). The requirements to fulfill administrative tasks, for example, documentation, besides ensuring that patients receive the best care possible, put pressure on the health workers and thus highlight the aspect of burnout.
Nurse burnout affects not only the nurse but also the patient care. One of the outcomes of burnout is an elevated risk of medical mistakes, which can be attributed to overworked and emotionally depleted staff (Kelly, Gee, and Butler 2020). This not only risks the lives of patients but also erodes the confidence that patients have in healthcare providers. Burnout also results in more nurse turnovers, which compounds staffing issues and results in the overworking of the remaining nurses; thus, a cycle of burnout. Emotional exhaustion from burnout also causes depression and anxiety among nurses. This impacts their work productivity and lives, leading to a decrease in their well-being. Additionally, burnout reduces the satisfaction level of a nurse, which in turn affects their passion and dedication to the field and can result in early retirement or a career change.
To manage nurse burnout, therefore, there is a need to adopt a bi-lensed model where both personal and structural interventions have to be applied. On the individual level, it is equally important to encourage the enhancement of self-care and the ability to cope with stress among the nursing staff. This can be addressed through stress control training, practicing mindfulness, and ensuring nurses have access to psychological treatment services. Another way to prevent burnout is to promote the compartments of the work-life balance by choosing working hours and having adequate rest (Fukuzaki et al. 2021, 269).
Organizationally, ensuring that the work environment is friendly enough so that people are energized is crucial. This is a critical area of management that includes staffing, provisioning, and the maintenance of a recognition and appreciation culture. Opportunities for professional development and career advancement in hospitals are another demonstrative way of making nurses feel valued in hospitals (Biljoen-Mokhotla and Makhene 2023, 4). Furthermore, providing staff nurses with decision-making rights and incorporating input from these nurses in the decision-making forum could reduce feelings of powerlessness and boost job contentment.
In conclusion, despite the significance of the problem in the current and innovative healthcare organizations, nurse burnout remains a significant problem that requires attention from healthcare facilities. Burnout has numerous outcomes and can significantly impact the health of the nursing staff and the quality of any country's nursing care delivery system. Understanding the causes of burnout and putting in place measures that ensure that the nurses are supported will, in the long run, help to have a strong force of nurses who can deliver quality services to the patients.
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- Babapour, Ali-Reza, Nasrin Gahassab-Mozaffari, and Azita Fathnezhad-Kazemi. 2022. “Nurses’ Job Stress and Its Impact on Quality of Life and Caring Behaviors: A Cross-Sectional Study.” BMC Nursing 21 (1): 1–10. https://doi.org/10.1186/s12912-022-00852-y.
- Biljoen-Mokhotla, Van, and Agnes Makhene. 2023. “Career Advancement of Professional Nurses at a Regional Hospital in Gauteng.” Curationis 46 (1). https://doi.org/10.4102/curationis.v46i1.2453.
- Fernandopulle, Navindi. 2021. “To What Extent Does Hierarchical Leadership Affect Health Care Outcomes?” Medical Journal of the Islamic Republic of Iran 35 (117). https://doi.org/10.47176/mjiri.35.117.
- Fukuzaki, Toshiki, Noboru Iwata, Sawako Ooba, Shinya Takeda, and Masahiko Inoue. 2021. “The Effect of Nurses’ Work–Life Balance on Work Engagement: The Adjustment Effect of Affective Commitment.” Yonago Acta Medica 64 (3): 269–81. https://doi.org/10.33160/yam.2021.08.005.
- Kelly, Lesly A., Perry M. Gee, and Richard J. Butler. 2020. “Impact of Nurse Burnout on Organizational and Position Turnover.” Nursing Outlook 69 (1): 96–102. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7532952/.