Nursing Burnout: Impact on Patient Safety, Wellbeing, and Causes

This assignment presents a comprehensive study on nursing burnout, a significant concern in healthcare, especially in the Faculty of Health. It investigates the multifaceted nature of burnout, examining its psychosocial, psychological, and social factors using a cross-sectional design. The study delves into the impact of burnout on patient safety, highlighting the increased risk of clinical errors and its effects on nurses' wellbeing, including stress, anxiety, and depression. The presentation outlines key aspects of burnout, such as emotional exhaustion, depersonalization, and low personal accomplishment, and their implications for both nurses and patients. The methodology involves extensive literature review and data analysis to understand the link between nurses' wellbeing and patient care, and to explore the associations between burnout, patient safety, and overall wellbeing. The conclusion emphasizes the importance of addressing nursing burnout to improve patient outcomes and promote a healthier work environment. References are included using UTS Harvard referencing.

1FACULTY OF HEALTH
Nursing staff burn out due to work load and
affecting the safety of staff as well as
patients
Student Name:
Student Number:
Tutor Name:

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Overview
Nursing burnout has been a major issue across the globe and even the first world
countries are involved in it (Cañadas-De et al. 2015). Work stress and patient care has
lead to several situations of burnout amongst the new and registered nurses. This study
aims to understand the factors related to the same such as psychosocial, psychological
and social factors(Adriaenssens, De Gucht, & Maes 2015). The study uses a cross
sectional design to study the phenomenon of burnout. The study finds out several
implications related to nursing behaviors in relation to burnout.

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Background
Introduction
• Various factors such as latent and the active, systematic and individualistic, can interact together to cause
patient safety and clinical incidents. The humanistic factors such as behavioral and psychosocial factors are
important in flourishing of happiness and feeling of well being in nurses. The causes of elevated
depression, elevated anxiety (Bektaş et al. 2017) along with low-esteem (Valizadeh et al. 2016) in
the nurses occurs as a result of burnout which is to be treated fundamentally.
• Burnout in nurses can be assessed by the General Health Questionnaire, Hospital Depression and
Anxiety Scale (Breeman et al. 2015), Perceived Stress Scale, and the Positive along with Negative
Affect Schedule.

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What is the problem?
• Nursing burnout which is related to nursing work pressure related to or causing stress,
anxiety and depression amongst the nurses can also affect not only well being of the
nurses but also of the patients (Rushton et al. 2015).
• Nursing burnout can lead to increased level of clinical errors which can be perhaps life-
threatening and even fatal.

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Why is it a problem?
• Burnout causes a series of symptoms like mental, emotional plus physical exhaustion.
Stress is caused by over-engagement while burnout is caused by disengagement (Buunk &
Schaufeli 2017). The burnout cause bleak emotions, leading to social detachment. Burnout
hampers motivation, causing sadness and related issues.

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IMPORTANCE OF THE
ISSUE
• The issue of nursing burnout is important as it has led to causation of increased patient
infection and dissatisfaction.
• The issue is critical to the length of patient stay in the hospital and increased financial
expenditure
• Self leadership and ownership using effective self management tools are critical to
intervention of nursing burnout.

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Objectives
The aim of the study is understand the link between the nursing wellbeing and
overall patient care delivered. The objectives can be broken down into:-
1. The exploration of association or link between healthcare specialists like nurse’s
well being and how patient safety is fostered.
2. Association between burnout and safety of patients
3. Association between burnout and well being and patient safety.

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How are you going to teach/demonstrate?
The study searched extensively through bibliographic extensive databases for the researches
done in the recent years and the search was done in scholarly sources. A multi-field search
was used that was based out of systematic keywords search like wellbeing, burnout and
patient safety.
The used systematic review protocol is PROSPERO, where exclusion and exclusion criteria
was used.

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Outline of topic
• Burnout includes 3 key aspects and this study encompasses the understanding of different aspects of
nursing burnout that lead to hindered patient safety and sense of demotivation in the nurses. The new
nurses with least or less experience are prone to more incidents of burnout. The topic outlines the
following aspects that hampers a nurses sense of well being and burnout.
• Emotional Exhaustion (EE): is the state of physical, emotional exhausted due to work stress and this
leads to low energy levels, depression, fatigue, despair and depression (Fong 2016).
• Depersonalization (DP): burnout can cause apathy, violent negative behaviors and social isolation which
can be devastating.
• Low Personal Accomplishment (PA): related to fear of underachievement and low self-esteem. This
causes increased even lower levels of personal accomplishments as a result.
Behavioral and self monitoring strategies has been found to be very helpful to counter burnout situation.
Rest and sleep, relaxation has been shown to improve the level of mindfulness in nurses.

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Methodology
• The data was collected from nurses serving in hospital, educational and social service
setup and the ministry of health was also involved. ‘
• A statistical correlation was drawn and the data was analyzed critically to understand the
status of well being, burnout and the incidence of patient threat, caused due to the same.

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Conclusion
• Nursing burnout can be considered as a broad phenomenon that reduces
the energy to emotional exhaustion, to motivational deficiencies, and also
frustration that can be dreadful to patient treatment.
• It was demonstrated through the use of cross-sectional plus correlational
design. Maslach Burnout Inventory (or MBI) and Leader Empowering
Behaviors Scale was used to full effect.
• In the future, implication has been put on nursing principles such as totality,
autonomy which is to be put together by the new nurses in order to prevent
burnout and enhance patient safety.

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References
• Cañadas-De la Fuente, G.A., Vargas, C., San Luis, C., García, I., Cañadas, G.R. & Emilia,
I., 2015. Risk factors and prevalence of burnout syndrome in the nursing profession.
International journal of nursing studies, 52(1), pp.240-249.
• Bektaş, İ., Yardımcı, F., Bektaş, M. & White, K.A., 2017. Psychometric Properties of the
Turkish Version of Nursing Anxiety and Self-Confidence with Clinical Decision Making
Scale. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 10(2).
• Valizadeh, L., Zamanzadeh, V., Gargari, R.B., Ghahramanian, A., Tabrizi, F.J. & Keogh, B.,
2016. Pressure and protective factors influencing nursing students' self-esteem: A content
analysis study. Nurse education today, 36, pp.468-472.
• Breeman, S., Cotton, S., Fielding, S. & Jones, G.T., 2015. Normative data for the hospital
anxiety and depression scale. Quality of Life Research, 24(2), pp.391-398.
• Adriaenssens, J., De Gucht, V. & Maes, S., 2015. Determinants and prevalence of burnout
in emergency nurses: a systematic review of 25 years of research. International journal of
nursing studies, 52(2), pp.649-661.
• Rushton, C.H., Batcheller, J., Schroeder, K. & Donohue, P., 2015. Burnout and resilience
among nurses practicing in high-intensity settings. American Journal of Critical Care,
24(5), pp.412-420.
• Buunk, B.P. & Schaufeli, W.B., 2017. Burnout: A perspective from social comparison