MSGID: 1:317/3 64acdb36   
   PID: hpt/lnx 1.9.0-cur 2019-01-08   
   TID: hpt/lnx 1.9.0-cur 2019-01-08   
    Hospital understaffing and poor work conditions associated with   
   physician and nurse burnout and intent to leave    
      
     Date:   
         July 10, 2023   
     Source:   
         University of Pennsylvania School of Nursing   
     Summary:   
         A unique collaborative study on hospital clinician wellbeing   
         by teams at 60 of the nation's best hospitals has just been   
         published. The study found that physicians and nurses, even at   
         hospitals known to be good places to work, experienced adverse   
         outcomes during the pandemic and want hospital management to   
         make significant improvements in their work environments and in   
         patient safety. The solutions to high hospital clinician burnout   
         and turnover, they say, are not resilience training for clinicians   
         to better cope with adverse working conditions but organizational   
         improvements that provide safe workloads and better work- life   
         balance.   
      
      
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   A unique collaborative study on hospital clinician wellbeing by teams at   
   60 of the nation's best hospitals, defined by Magnet Hospital Recognition,   
   was published today in JAMA Health Forum. The study found that physicians   
   and nurses, even at hospitals known to be good places to work, experienced   
   adverse outcomes during the pandemic and want hospital management to   
   make significant improvements in their work environments and in patient   
   safety. The solutions to high hospital clinician burnout and turnover,   
   they say, are not resilience training for clinicians to better cope with   
   adverse working conditions but organizational improvements that provide   
   safe workloads and better work-life balance.   
      
   Researchers at Penn Nursing's Center for Health Outcomes and Policy   
   Research (CHOPR) in collaboration with the U.S. Clinician Wellbeing   
   Study Consortium sought information in 2021 from 21,050 physicians and   
   registered nurses practicing in 60 Magnet recognized hospitals in 22   
   states. Forty-seven percent of nurses and 32% of physicians experienced   
   high burnout. Twenty-three percent of physicians and 40% of nurses said   
   they would leave their jobs if possible.   
      
   Less than 10% of physicians and nurses reported experiencing joy in   
   their work.   
      
   Not having enough nurses to care for patients, having little control   
   over workloads, lack of confidence in management to resolve problems   
   in patient care, and concerns about patient safety were all associated   
   with higher burnout, job dissatisfaction, and intent to leave among both   
   nurses and physicians.   
      
   Lead author Linda H Aiken, PhD, Professor of Nursing and Sociology,   
   Founding Director of the Center for Health Outcomes and Policy Research,   
   and Senior Fellow of the Leonard Davis Institute for Health Economics   
   at the University of Pennsylvania said, "Physicians and nurses largely   
   agree about what hospital management could do to address their burnout,   
   job dissatisfaction, and plans to leave their current jobs; they want   
   improved staffing, modern working conditions in which they can spend more   
   time in direct patient care, greater control over their workloads and   
   work schedules, and a higher priority on patient safety."  Eighty-seven   
   percent of nurses and 45% of physicians said improving nurse staffing   
   was very important to their own mental health and wellbeing. Other high   
   priorities for clinicians were health breaks without interruption and   
   reduced time spent on documentation. Aiken added, "Many clinicians are   
   downright hostile to programs -- like resilience training -- that are   
   designed to adapt them to poor work conditions; clinicians want the   
   working conditions improved."  Clinicians are concerned about quality   
   and safety of care. Half of physicians and nurses lack confidence that   
   their patients can safely manage their care after discharge highlighting   
   the need for improvement in discharge planning.   
      
   Patient safety remains a concern with 26% of nurses and 12% of   
   physicians giving their own hospitals an unfavorable patient safety   
   grade. Thirty-nine percent of nurses and 33% of physicians feel mistakes   
   are held against them contrary to recommendations of the National Academy   
   of Medicine to search for and correct system deficiencies that cause   
   most medical errors.   
      
   The study was carried out by Penn Nursing's Center for Health Outcomes   
   and Policy Research in collaboration with the U.S. Clinician Wellbeing   
   Study Consortium composed of 60 Magnet Hospitals. The study took place   
   in 2021 during the COVID-19 pandemic, a time when all US hospitals were   
   severely challenged.   
      
   Previous research shows that clinicians in hospitals like Magnet hospitals   
   with better work environments prior to the pandemic had better outcomes   
   during the pandemic. The Consortium committed to this study to learn   
   from their experiences during the pandemic how to sustain and further   
   improve their favorable work environments to better withstand external   
   threats and to rebound rapidly.   
      
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   Journal Reference:   
      1. Linda H. Aiken, Karen B. Lasater, Douglas M. Sloane, Colleen   
      A. Pogue,   
         Kathleen E. Fitzpatrick Rosenbaum, K. Jane Muir, Matthew D. McHugh,   
         Meagan Cleary, Cathaleen Ley, Carla J. Borchardt, Jeannine M. Brant,   
         Barbra L Turner, Alyssa E. Leimberger, Kristin Kozlowski, Bernice L.   
      
         Coleman, Nancy M. Albert, Caroline Stewart, Dinah Steele, Roberta   
         Kaplow, Kathleen Kaminsky, Heidi A. Hinkle, Rocel D. Besa,   
         Kathleen P Taylor, Kimberly Dimino, Cecelia Cetnar, LS Leach,   
         Sandra L. Albritton, Carolyn L. Davidson, Timothy Carrigan, Debra   
         A. Burke, Kristin R. Anthony, Mildred O. Kowalski, Martha Rounds,   
         Jennifer M. Tudor, Leigh Griffis, Linda M. Vassallo, Marie Mulligan,   
         Irene Macyk, Catherine Manley-Cullen, Sandra L. Hutchinson, Amanda   
         E. Haberman, Amy L. Barnard, Barbara H.   
      
         Gobel, Diana L. McMahon, Megan J. Brown, Lisa Strack, Sheryl A.   
      
         Emmerling, Angela R. Coladonato, Jessie A. Reich, Justin   
         J. Gavaghan, James R. Ballinghoff, Florence D. Vanek, Karyn A. Book,   
         Kathy Easter, Pamela Duchene, Mary E. Lough, Christine L. Benson,   
         Maria Ducharme, Paul Quinn, Donna M. Molyneaux, Lori Kennedy,   
         Elizabeth Ellen Nyheim, Donna M.   
      
         Grochow, Shannon M. Purcell, Kirsten Hanrahan, Kathy B. Isaacs,   
         Jill J.   
      
         Whade. Physician and Nurse Well-Being and Preferred Interventions   
         to Address Burnout in Hospital Practice. JAMA Health Forum, 2023;   
         4 (7): e231809 DOI: 10.1001/jamahealthforum.2023.1809   
   ==========================================================================   
      
   Link to news story:   
   https://www.sciencedaily.com/releases/2023/07/230710180500.htm   
      
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