Linda Y Kim1, Danielle E Rose2, David A Ganz3, Karleen F Giannitrapani4, Elizabeth M Yano5, Lisa V Rubenstein6, Susan E Stockdale7. 1. Cedars-Sinai Medical Center, Los Angeles, CA; VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA. Electronic address: linyskim@ucla.edu. 2. VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA. 3. VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA; Division of Geriatrics, Department of Medicine, UCLA Geffen School of Medicine, Los Angeles, CA; RAND Health, Santa Monica, CA. 4. VA HSR&D Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, CA; Department of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, CA. 5. VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA; Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA. 6. RAND Health, Santa Monica, CA; Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA; Division of General Internal Medicine and Health Services Research, UCLA Geffen School of Medicine, Los Angeles, CA. 7. VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP), VA Greater Los Angeles Healthcare System, Los Angeles, CA; Department of Psychiatry and Biobehavioral Sciences, UCLA School of Medicine, Los Angeles, CA.
Abstract
BACKGROUND: Little is known about the relationship between primary care nurses' work environment and burnout, particularly in settings where patient-centered medical homes (PCMH) have been implemented. PURPOSE: To investigate the relationship between PCMH nurses' work environment and burnout. METHODS: Multivariable analyses were performed using two waves of survey data from PCMH registered nurses (RNs; n = 170) and PCMH licensed vocational nurses (LVNs; n = 181) in 23 primary care clinics. FINDINGS: True collaboration was inversely associated with PCMH RN burnout (b = -2.6, 95% confidence interval [CI] = -4.29, -0.08, p < .01). Meaningful recognition was inversely associated with PCMH LVN burnout (b = -5.1, 95% CI = -8.36, -1.82, p < .01). In models with all nurses, RN (vs. LVN) position was associated with higher levels of burnout (b = 6.2, 95% CI = 2.47, 9.84, p < .01). DISCUSSION: This study highlights the important role of the work environment in reducing PCMH nurse burnout. Strategies to foster team collaboration and meaningful recognition should be investigated to reduce PCMH nurse burnout. Published by Elsevier Inc.
BACKGROUND: Little is known about the relationship between primary care nurses' work environment and burnout, particularly in settings where patient-centered medical homes (PCMH) have been implemented. PURPOSE: To investigate the relationship between PCMH nurses' work environment and burnout. METHODS: Multivariable analyses were performed using two waves of survey data from PCMH registered nurses (RNs; n = 170) and PCMH licensed vocational nurses (LVNs; n = 181) in 23 primary care clinics. FINDINGS: True collaboration was inversely associated with PCMH RN burnout (b = -2.6, 95% confidence interval [CI] = -4.29, -0.08, p < .01). Meaningful recognition was inversely associated with PCMH LVN burnout (b = -5.1, 95% CI = -8.36, -1.82, p < .01). In models with all nurses, RN (vs. LVN) position was associated with higher levels of burnout (b = 6.2, 95% CI = 2.47, 9.84, p < .01). DISCUSSION: This study highlights the important role of the work environment in reducing PCMH nurse burnout. Strategies to foster team collaboration and meaningful recognition should be investigated to reduce PCMH nurse burnout. Published by Elsevier Inc.
Entities:
Keywords:
Healthy work environment; Interprofessional collaboration; Nurse burnout; Patient-centered medical home; Primary care nurses
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