The associations among nurse work engagement, job satisfaction, quality of care, and intent to leave: A national survey in the United States

International Journal of Nursing Sciences, Год журнала: 2023, Номер 10(4), С. 476 - 484

Опубликована: Сен. 23, 2023

Employee work engagement, job satisfaction, quality of care, and intent to leave are critical indicators for healthcare organizational performance. This study aimed analyze the current state nurses' engagement its factors examine associations among in United States (US).This is a quantitative descriptive cross-section design. Data were collected online from US registered nurses March September 2022. Measures comprised Utrecht Work Engagement Scale, demographics, questions regarding perceived leave.Nine hundred participated survey. Among participants, 79.2% reported holding specialty certification, 59.4% scored high/very high on 82.2% expressed nursing 28.4% conveyed likely/very likely following year. Nurses' was positively associated with satisfaction their care but negatively leave. More certified or very than non-certified nurses. As linear regression analysis showed that who older, identified as White, held doctorate degrees higher levels comparison counterparts.This shows this lower other studies, especially before COVID-19 pandemic, which may indicate possible association impact. Because significantly nurse leaders need find ways promote retention.

Язык: Английский

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Nurses' perceived health and occupational burnout: A focus on sleep quality, workplace violence, and organizational culture

International Nursing Review, Год журнала: 2024, Номер unknown

Опубликована: Янв. 23, 2024

Abstract Aim This study investigates the mediation of sleep quality between perceived health and occupational burnout in hospital nurses, considering moderation workplace violence organizational culture. Background Occupational factors lead to physical mental distress, burnout, issues nurses. Approximately two‐thirds nurses experience impacting patient care safety. Cultivating a positive culture is essential for nursing workforce stability. Methods cross‐sectional employed convenience sampling recruit 346 from teaching southern Taiwan July–August 2020 (response rate: 87.3%). Self‐administered questionnaires containing validated instruments were employed, including an adapted scale, Chinese version Perceived Health Questionnaire, Workplace Violence Experience Scale, CPSQI; all reliable valid. The analysis involved descriptive statistics, linear regression, Johnson–Neyman technique. Results Nurses with better exhibited significantly lower ( p < 0.001). indirectly impacted through 0.01) as partial moderator. Bureaucratic exacerbated this relationship. Additionally, decreased moderated connections among health, quality, Conclusions Given inverse correlation nurses' such violence, culture, healthcare institutions can proactively take steps enhance overall well‐being mitigate burnout. Implications policy By implementing wellness programs, support, security training, robust reporting, zero‐tolerance approach stakeholders foster safe supportive work environment thus improving well‐being, outcomes, quality.

Язык: Английский

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The Psychoneuroimmunological Model of Moral Distress and Health in Healthcare Workers: Toward Individual and System-Level Solutions

Comprehensive Psychoneuroendocrinology, Год журнала: 2024, Номер 17, С. 100226 - 100226

Опубликована: Фев. 1, 2024

Healthcare is presently experiencing a global workforce crisis, marked by the inability of hospitals to retain qualified healthcare workers. Indeed, poor working conditions and staff shortages have contributed structural collapse placed heavy toll on workers' (HCWs) well-being, with many suffering from stress, exhaustion, demoralization, burnout. An additional factor driving HCWs away repeated experience moral distress, or act according internally held values perceived ethical obligations due internal external constraints. Despite general awareness this we currently lack an organized understanding how stress leads health, wellbeing, performance in To address critical issue, first review literature health HCWs. Second, summarize biobehavioral pathways linking occupational interpersonal stressors population, focusing neuroendocrine, immune, genetic, epigenetic processes. Third, propose novel Psychoneuroimmunological Model Moral Distress Health based literature. Finally, discuss evidence-based individual- system-level interventions for preventing promoting resilience at work. Throughout review, underscore that levels are major public concern, combination individual-level necessary preventable care harm foster including new policies, mental initiatives, translational research.

Язык: Английский

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The role of artificial intelligence in enhancing nurses' work-life balance

Journal of Medicine Surgery and Public Health, Год журнала: 2024, Номер 3, С. 100135 - 100135

Опубликована: Авг. 1, 2024

Язык: Английский

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The association of burnout with work absenteeism and the frequency of thoughts in leaving their job in a cohort of healthcare workers during the COVID-19 pandemic

Frontiers in Health Services, Год журнала: 2023, Номер 3

Опубликована: Ноя. 29, 2023

Introduction During the coronavirus disease 2019 pandemic, high levels of burnout were reported among healthcare workers. This study examines association work absenteeism and frequency thoughts in leaving current job with a cohort workers during COVID-19 pandemic. Methods A cross-sectional survey was conducted from April-May, 2022 on 10 hospitals, 18 immediate care centers, 325 outpatient practices Chicago area surrounding Illinois suburbs. Logistic regression models used to assess scores (Oldenburg Burnout Inventory—OLBI) its sub-scores (exhaustion disengagement scores) work. Results One-fifth 60% respondents ( n = 1,825) unplanned their job, respectively. After adjusting for covariates, higher scores, especially exhaustion associated increased odds (OR 1.04, 95% CI: 1.01–1.08). both also positively work, e.g., each unit increase OLBI score 1.39 (95% 1.34–1.43) times thinking about “a lot/constantly” vs. “never”. Discussion Overall, this showed positive between (and job) More research is needed support worker well-being stress direct solutions addressing light

Язык: Английский

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Digital Meditation to Target Employee Stress

JAMA Network Open, Год журнала: 2025, Номер 8(1), С. e2454435 - e2454435

Опубликована: Янв. 14, 2025

Importance Mindfulness meditation may improve well-being among employees; however, effects of digital programs are poorly understood. Objective To evaluate the vs a waiting list condition on general and work-specific stress whether greater engagement in intervention moderates these effects. Design, Setting, Participants This randomized clinical trial included volunteer sample adults (aged ≥18 years) employed at large academic medical center who reported mild to moderate stress, had regular access web-connected device, were fluent English. Exclusion criteria being meditator. recruited from May 16, 2018, through September 28, 2019, completed baseline, 8-week, 4-month measures assessing job strain, burnout, work engagement, mindfulness, depression, anxiety. Data analyzed March 2023 October 2024. Intervention 1:1 program or control condition. group instructed complete 10 minutes per day for 8 weeks. The was continue their normal activities not add any during study period. Main Outcomes Measures primary outcome measure change Perceived Stress Scale (PSS) score Secondary changes measured as effort-reward imbalance. Results A total 1458 participants (mean [SD] age, 35.54 [10.30] years; 1178 [80.80%] female) included. Those (n = 728) 730) showed improvements PSS (Cohen d , 0.85; 95% CI, 0.73-0.96) all secondary (eg, strain: Cohen 0.34; 0.23-0.46) These maintained 4 months after randomization (PSS: 0.71; 0.59-0.84; 0.37; 0.25-0.50). using app 5 9.9 min/d less than reduction difference, −6.58; −7.44 −5.73). Conclusions Relevance findings suggest that brief, mindfulness-based is an easily accessible scalable method reducing perceptions stress. Future should seek clarify mechanisms by which such interventions contribute well-being. Trial Registration ClinicalTrials.gov Identifier: NCT03527303

Язык: Английский

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Experiences of Nurses Regarding Self‐Care: A Qualitative Systematic Review and Meta‐Synthesis

Nursing and Health Sciences, Год журнала: 2025, Номер 27(1)

Опубликована: Фев. 2, 2025

Nurses are susceptible to burnout, making it crucial for them engage in self-care. This review consolidated the experiences of nurses regarding Seven electronic databases were searched from inception till October 2024: PubMed, Embase, CINAHL, PsycINFO, Web Science, Scopus, and ProQuest Dissertations Theses Global. The enhancing transparency reporting synthesis qualitative research statements Sandelowski Barroso's guidelines guided this review. Quality appraisal included studies was conducted using Critical Appraisal Skills Program tool. Data thematically synthesized. Confidence findings evaluated Grading Recommendations Assessment, Development, Evaluation-Confidence Evidence Reviews Qualitative approach. Three main themes identified 24 studies: (1) Being a nurse: An occupational hazard towards self-care, (2) Catalyst (3) Call action. Nurses' poor engagement self-care practices due work-related challenges (e.g., working hours), awareness, negative influence their colleagues leaders. Conversely, motivated when they received encouragement peers

Язык: Английский

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Perceived Care Quality of Frontline Clinical Nurses in China and Its Predictors: A Mixed‐Methods Study

Journal of Advanced Nursing, Год журнала: 2025, Номер unknown

Опубликована: Март 30, 2025

ABSTRACT Aim To identify predictors of nurses' perceived care quality, explore their understanding high‐quality and propose improvement strategies to inform clinical practice. Design A mixed‐methods design, integrating quantitative data analysis qualitative in‐depth individual interviews. Methods Quantitative used cross‐sectional from the 2017 Chinese Nursing Work Environment Survey (C‐NWES). Chi‐square tests logistic regression were examine how demographic characteristics, work environment occupational burnout predicted perceptions quality at hospital unit levels. Qualitatively, 42 frontline nurses interviewed in 2024 predicting factors a post‐pandemic context. Thematic was applied code synthesise interview data. Results revealed that gender, education, workload, experience, had differing impacts on In‐depth interviews perceive as patient‐centred, by such human resources, burnout, patient family cooperation level environmental policies level. Unit‐level included improving communication, team collaboration leadership support, while hospital‐level recommendations focused welfare benefits, continuing flexible scheduling resource optimisation. Through mutual validation interviews, this study multidimensional key among China. Conclusion environment, significantly impact highlighting need for targeted organisational improvements both levels enhance quality. Impact The findings highlight importance interventions. managers should promote positive mitigate burnout. Future research develop testing models relationship between validate effectiveness. Patient or Public Contribution No public contribution.

Язык: Английский

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Organizational culture and roles in promoting nurse specialty certifications: A qualitative study in the United States

International Journal of Nursing Sciences, Год журнала: 2023, Номер 10(2), С. 189 - 198

Опубликована: Март 14, 2023

Nursing specialty certification validates nurses' mastery of knowledge in disease management, education, or leadership above entry-level education and licensing. Research suggests direct relationships between nursing certifications patient care quality. However, rates are still low. This study aims to better understand perceptions the facilitators barriers promoting desires ability obtain certifications, which exclude advanced practice roles, such as nurse practitioner midwife.This qualitative descriptive took place virtually across United States from May 2022 September 2022. The sample was a nested large national survey study. Among nurses agreeing be interviewed, purposive sampling method used achieve maximum variation diversity, years nurse, race, ethnicity, status. Information saturation gauge size. Data were collected via in-depth virtual face-to-face interviews. coding process based on Colaizzi's data analysis.Twenty participated Five major themes emerged related organizational culture strategies foster certifications. five included 1) sharing resources, 2) ownership sense belonging, 3) mentorship role modeling, 4) recognizing efforts accomplishments, 5) cultivating meaning, purpose, support.The findings indicate that significantly promote continuing learning environments. Organizations need develop an promotes identified significant areas important support seeking Additional research is needed evaluate interventions impact initial continued levels, especially post-COVID-19 era.

Язык: Английский

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Same Same or Different? Pay Referents and Unfairness Perceptions in Two Employment Arrangements

Social Justice Research, Год журнала: 2024, Номер 37(3), С. 289 - 313

Опубликована: Июль 17, 2024

Abstract Which reference information do nurses select to evaluate pay and does their employment arrangement matter? To answer these questions, we investigated the role of three types (perceived responsibility, social appreciation from colleagues patients) in unfairness evaluations Swiss temporary staff nurses. Since unfair signals a lack worth, examined two sources as boundary condition for effects on exhaustion job satisfaction. We analyzed our time-lagged survey data 262 120 using multi-group framework. The effect satisfaction – but not was stronger than Contrary hypotheses, did find evidence that or patients moderated exhaustion. Follow-up analyses showed, however, rely perceived responsibility colleagues’ gauge unfairness. Temporary nurses, contrast, considered output side, consistently both appreciation. This pattern findings suggests comparison processes underlying fairness are uniform across different arrangements. From practical perspective, imply will compensation perceive unfair.

Язык: Английский

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