{"id":11423,"date":"2019-10-09T13:53:15","date_gmt":"2019-10-09T17:53:15","guid":{"rendered":"http:\/\/nursemk.wpengine.com\/?p=11423"},"modified":"2022-03-02T12:11:01","modified_gmt":"2022-03-02T17:11:01","slug":"nurse-burnout-prevention-best-medicine","status":"publish","type":"post","link":"https:\/\/www.nurse.com\/solutions\/blog\/nurse-burnout-prevention-best-medicine","title":{"rendered":"With Nurse Burnout, Prevention Is Best Medicine"},"content":{"rendered":"<h2>Burnout is a term expressed by people in different lines of work who feel exhausted and underappreciated.<\/h2>\n<p>It is a physical and mental stressor that can lead to <a href=\"https:\/\/www.mayoclinic.org\/healthy-lifestyle\/adult-health\/in-depth\/burnout\/art-20046642\" target=\"_blank\" rel=\"noopener noreferrer\">health problems<\/a> for those who are affected.<\/p>\n<p>In nursing, burnout can negatively impact patient care, resulting in increased rates of medical errors, decreased levels of patient satisfaction and <a href=\"http:\/\/advertise.nurse.com\/blog\/wipe-causes-nurse-turnover-boost-retention\/\">high nursing turnover rates.<\/a><\/p>\n<p>Depending on the group surveyed and study cited, the <a href=\"https:\/\/mds.marshall.edu\/cgi\/viewcontent.cgi?article=1200&amp;context=mgmt_faculty\" target=\"_blank\" rel=\"noopener noreferrer\">nurse burnout rate can range from 33% to\u00a070%.<\/a> Thus, nurse burnout is more common than most people think.<\/p>\n<p>With a shortage of nurses in many areas of the U.S., it behooves nurse recruiters, managers and healthcare administrators to recognize the signs of burnout and find ways to help prevent it from occurring in the first place, said <a href=\"http:\/\/www.morgeson.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">Frederick P. Morgeson, PhD<\/a>, the Eli Broad professor of management at the Eli Broad College of Business at Michigan State University.<\/p>\n<blockquote><p>\u201cPrevention is key,\u201d Morgeson said. \u201cBut once it strikes, there are many things hospitals can do to understand burnout is present and manage it. Given that nurses work in a life-and-death environment, nurses and all staff will at some point feel stressed and inevitably some will burn out. Being sensitive to this and finding ways to deal with it is important, especially with the trend towards LEAN management and operating with as few staff as possible, which places the biggest burden on nurses.\u201d<\/p><\/blockquote>\n<p>Nurse burnout is one of the causes of high nurse turnover rates, according to Morgeson.<\/p>\n<p>\u201cBurnout is the end signal that something else is wrong,\u201d he said. \u201cWith <a href=\"http:\/\/advertise.nurse.com\/blog\/how-hospital-rankings-lists-and-designations-can-boost-your-reputation\/\">websites listing ratings from former employees<\/a> regarding working conditions at specific organizations, job seekers will know what it\u2019s like to work there. This can negatively impact recruitment efforts if the reviews are poor.\u201d<\/p>\n<h3>Strategies to prevent nurse burnout<\/h3>\n<p>Morgeson said when burnout sets in, the mind and body find ways to cope. Burnout can happen to anyone and causes real stress and danger.<\/p>\n<p>He said the typical signs of burnout include:<\/p>\n<ul>\n<li>Fatigue<\/li>\n<li>Disengagement (not being present)<\/li>\n<li>Performance-related issues<\/li>\n<\/ul>\n<p>Morgeson\u00a0said preventing nurse burnout is essential with current low rates of unemployment, a <a href=\"http:\/\/advertise.nurse.com\/blog\/shortage-surplus-how-keep-tabs-nursing-workforce-projections\/\">shortage of nurses<\/a>, more nurses retiring, an aging population, and nursing being listed in the top 10 professions for growth potential.<\/p>\n<p>A lot can be done in the area of prevention, Morgeson said.<\/p>\n<p>Some <a href=\"https:\/\/www.nurse.com\/blog\/2019\/09\/05\/joint-commission-tackles-nurse-burnout-solutions\/\">ways to address nurse burnout<\/a> include:<\/p>\n<ol>\n<li>Empowering nurses by giving them autonomy, one of the classic ways to help people cope.<\/li>\n<li>Emphasizing the meaningfulness of their work, otherwise work can feel thankless.<\/li>\n<li>Acknowledging good work by putting mechanisms for recognition in place.<\/li>\n<li>Providing social support, such as encouraging nurses to share feelings from stressful events so staff know they\u2019re not alone and part of a broader community.<\/li>\n<li>Ensuring the presence of high-quality leadership with managers who provide resources and support.<\/li>\n<li>Considering the screening of candidates during interviews for signs of increased levels of <a href=\"http:\/\/ajcc.aacnjournals.org\/content\/24\/5\/412.full\" target=\"_blank\" rel=\"noopener noreferrer\">resilience<\/a> for high-stress units such as the ED and ICU.<\/li>\n<\/ol>\n<h3>Proactive steps toward prevention<\/h3>\n<p>Once a nurse is burned out, it\u2019s almost too late, said Deena Gilland, DNP, RN, NEA-BC, director at the American Academy of Ambulatory Care Nursing, vice president and CNO at Emory Ambulatory Care and instructor at the Nell Hodgson Woodruff School of Nursing at Emory University in Atlanta.<\/p>\n<blockquote><p>\u201cIt\u2019s better from a management standpoint to be proactive rather than reactive to burnout \u2014 it takes more time and energy,\u201d Gilland said. \u201cHowever, the goal is not to let it progress. If a nurse is in a tough spot, we try as an organization to help the nurse adjust and also consider a different work environment.\u201d<\/p><\/blockquote>\n<p>Part of Emory\u2019s proactive approach to address nurse burnout is the creation of nurse retention and engagement teams.<\/p>\n<p>\u201cWe focus on nurse engagement system-wide, which helps increase our retention rates and decreases our turnover rates,\u201d Gilland said.<\/p>\n<p><a href=\"https:\/\/advertise.nurse.com\/contact-blog\/\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-11442 size-full\" src=\"https:\/\/advertise.nurse.com\/wp-content\/uploads\/2019\/11\/Nursecom_MediaKit_B2B_April2019_1000x250_V1.jpg\" alt=\"\" width=\"1000\" height=\"250\" srcset=\"https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2019\/11\/Nursecom_MediaKit_B2B_April2019_1000x250_V1.jpg 1000w, https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2019\/11\/Nursecom_MediaKit_B2B_April2019_1000x250_V1-300x75.jpg 300w, https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2019\/11\/Nursecom_MediaKit_B2B_April2019_1000x250_V1-768x192.jpg 768w, https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2019\/11\/Nursecom_MediaKit_B2B_April2019_1000x250_V1-200x50.jpg 200w, https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2019\/11\/Nursecom_MediaKit_B2B_April2019_1000x250_V1-400x100.jpg 400w, https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2019\/11\/Nursecom_MediaKit_B2B_April2019_1000x250_V1-600x150.jpg 600w, https:\/\/www.nurse.com\/solutions\/wp-content\/uploads\/2019\/11\/Nursecom_MediaKit_B2B_April2019_1000x250_V1-800x200.jpg 800w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><\/a><\/p>\n<h3>Providing nurses with tools<\/h3>\n<p>The goal, according to Gilland, is to support nurses to govern their own practice with a focus on shared governance.<\/p>\n<blockquote><p>\u201cWe give our nurses opportunities to tell us what they need in daily huddles,\u201d she said. \u201cIf they find solutions and can resolve the issue, this provides autonomy. If they can\u2019t resolve issues at the unit level, their concerns are rapidly escalated up to the highest levels of management by 10 a.m. the same day. We have responsive leaders who quickly work to resolve any issues.\u201d<\/p><\/blockquote>\n<p>A new position was created at Emory to help prevent and overcome nurse burnout called the director of nursing career development and strategy.<\/p>\n<p>\u201cThis person oversees our recognition program, serves as a career coach for guidance on professional development and works with nurses seeking a change in their work environment,\u201d Gilland said.<\/p>\n<h3>Assessing and responding to staff\u2019s needs<\/h3>\n<p>Open lines of communication are important as well.<\/p>\n<p>\u201cWith so many demands on nurses, it\u2019s important (that) administration regularly checks in with their nurses, finds ways to increase their resiliency and helps staff connect to finding the joy and identifying the meaning of their work,\u201d said Quanna Batiste-Brown, DNP, HCSM, FABC, RN, NEA-BC, the CNO of ambulatory care at UCLA Health in Los Angeles.<\/p>\n<p>Batiste-Brown conducts daily huddles to meet with her team, understand their needs and see how things are going.<\/p>\n<blockquote><p>\u201cAs nurses, we can\u2019t take care of others if we don\u2019t take care of ourselves,\u201d she said.<\/p><\/blockquote>\n<p>Some signs of burnout Batiste-Brown remains vigilant to are if a nurse has repeated tardiness, increased sick calls, absence from meetings, is less vocal in meetings and seems disengaged.<\/p>\n<p>\u201cIf I see any of these signs, I\u2019m going to ask and explore why,\u201d she said.<\/p>\n<p>One of several approaches used at UCLA is to include questions that assess for nurse burnout during the health system\u2019s annual employee engagement survey<span style=\"text-decoration: line-through;\">.<\/span><\/p>\n<p>\u201cIf someone\u2019s score indicates possible burnout, their manager implements an action plan for that person with action items to help find a solution,\u201d Batiste-Brown said.<\/p>\n<h3>Nurse wellness at Vanderbilt<\/h3>\n<p>Vanderbilt University Medical Center in Nashville, Tenn., has had a nurse wellness program and a nurse wellness committee since 2002.<\/p>\n<p>The medical center was the first in the U.S. to have them, said Margie Gale, MSN, RN,CEAP, a nurse wellness specialist in the <a href=\"https:\/\/www.vumc.org\/health-wellness\/worklife-connections-employee-assistance-program\" target=\"_blank\" rel=\"noopener noreferrer\">Work\/Life Connections \u2014 Employee Assistance Program <\/a>\u00a0at Vanderbilt.<\/p>\n<blockquote><p>\u201cOur program is for faculty and staff only and is operated internally by Vanderbilt Health and Wellness,\u201d Gale said. \u201cIt costs nothing for our staff to use and see us for individual consults. We see nurses and other staff for personal and family problems or work-related concerns.\u201d<\/p><\/blockquote>\n<p>Vanderbilt also has a system in place to provide psychiatric first aid to nurses and staff by responding 24\/7 to major events, such as when a patient or staff member dies.<\/p>\n<p>\u201cEither the employee assistance program responds or employee assistance program-trained nurses on the units provide a response in conjunction with the employee assistance program to provide debriefing and support,\u201d Gale said.<\/p>\n<p>Vanderbilt offers other programs in partnership with individual units, unit-based boards and unit-based wellness committees, as well as the Office of Nursing Research, to prevent and address burnout, according to Gale.<\/p>\n<p>\u201cShared governance, empowerment, building resiliency, nurse engagement, addressing compassion fatigue, <a href=\"https:\/\/resources.nurse.com\/nursing-ethics\">discussing ethical dilemmas<\/a>, providing resources and <a href=\"https:\/\/resources.nurse.com\/prevent-work-place-violence-in-nursing\">addressing workplace violence <\/a>are some of the major themes of these programs, and our way of addressing burnout before it occurs,\u201d she said. \u201cThis is very important to us as an organization.\u201d<\/p>\n<p><a href=\"http:\/\/advertise.nurse.com\/contact-blog\/\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-3327 size-full\" src=\"https:\/\/advertise.nurse.com\/wp-content\/uploads\/2019\/11\/Nursecom_MediaKit_B2B_April2019_1000x250_V2.jpg\" alt=\"\" width=\"1000\" height=\"250\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nurse burnout can negatively impact patient care, resulting in more medical errors, decreased patient satisfaction and high turnover rates.<\/p>\n","protected":false},"author":68,"featured_media":3522,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[28],"tags":[],"coauthors":[1380],"class_list":["post-11423","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nursing-retention"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>With nurse burnout, prevention is best medicine today<\/title>\n<meta name=\"description\" content=\"Nurse burnout can negatively impact patient care, resulting in more medical errors, decreased patient satisfaction and high turnover rates.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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