April N Kapu1, Elizabeth Borg Card2, Heather Jackson3, Ruth Kleinpell4, Jim Kendall5, Buffy Krauser Lupear6, Kiersten LeBar7, Mary S Dietrich8, Wendy A Araya9, Janelle Delle10, Kate Payne11, Jaquelyn Ford12, Marilyn Dubree2. 1. Advanced Practice, Vanderbilt University Medical Center and Professor of Clinical Nursing, Vanderbilt University School of Nursing, Nashville, Tennessee. 2. Vanderbilt University Medical Center, Nashville, Tennessee. 3. Outpatient Surgery, Vanderbilt University Medical Center, Nashville, Tennessee. 4. Vanderbilt University School of Nursing, Nashville, Tennessee. 5. Work/Life Connections-EAP, Vanderbilt University School of Nursing, Nashville, Tennessee. 6. Office of Advanced Practice, Vanderbilt University Medical Center, Nashville, Tennessee. 7. Vanderbilt Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, Tennessee. 8. Vanderbilt University Schools of Medicine and Nursing, Nashville, Tennessee. 9. Neonatal Intensive Care Practitioners, Vanderbilt University Medical Center, Nashville, Tennessee. 10. Trauma Surgery, Vanderbilt University Medical Center, Nashville, Tennessee. 11. Center for Biomedical Ethics and Society, Vanderbilt University Medical Center, Nashville, Tennessee. 12. Neurosurgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Abstract
BACKGROUND: Numerous nursing and physician studies have reported the effects of workload, environment, and life circumstances contributing to burnout. Effects may include job dissatisfaction, poor quality of life, and associated negative patient outcomes. Although assessing clinician burnout to determine effective interventions has become a topic of great importance, there are minimal studies specific to advanced practice registered nurses (APRNs). PURPOSE: This single-center study was conducted to assess the prevalence and impact of APRN burnout and to recommend targeted interventions toward improvement of overall health and well-being. METHODS: A cross-sectional, mixed methods design was used. The voluntary, anonymous survey examined perceptions of wellness, inclusion, social support, personal coping mechanisms, and status of burnout. RESULTS: The 78-question survey was sent to 1,014 APRNs (94%) and PAs (6%), with a 43.6% response rate (n = 433); 76.4% were nurse practitioners. Participants were identified as currently experiencing burnout, formerly burned out, or never having experienced burnout. Profiles were developed, and similarities and differences between each group were compared. Of 433 respondents, 40.4% (n = 175) reported having never experienced burnout, 33.3% (n = 144) reported they had formerly experienced burnout, and 26.3% (n = 114) reported they were currently experiencing burnout. IMPLICATIONS FOR PRACTICE: The results of the study identified that some APRNs report experiencing burnout at different times in their careers. Recommendations by participants to mitigate burnout included self-care, organizational promotion of health and well-being, career development, and leadership support. This study is one of the first to report on burnout among APRNs and potential interventions to build resilience; however, additional research is warranted.
BACKGROUND: Numerous nursing and physician studies have reported the effects of workload, environment, and life circumstances contributing to burnout. Effects may include job dissatisfaction, poor quality of life, and associated negative patient outcomes. Although assessing clinician burnout to determine effective interventions has become a topic of great importance, there are minimal studies specific to advanced practice registered nurses (APRNs). PURPOSE: This single-center study was conducted to assess the prevalence and impact of APRN burnout and to recommend targeted interventions toward improvement of overall health and well-being. METHODS: A cross-sectional, mixed methods design was used. The voluntary, anonymous survey examined perceptions of wellness, inclusion, social support, personal coping mechanisms, and status of burnout. RESULTS: The 78-question survey was sent to 1,014 APRNs (94%) and PAs (6%), with a 43.6% response rate (n = 433); 76.4% were nurse practitioners. Participants were identified as currently experiencing burnout, formerly burned out, or never having experienced burnout. Profiles were developed, and similarities and differences between each group were compared. Of 433 respondents, 40.4% (n = 175) reported having never experienced burnout, 33.3% (n = 144) reported they had formerly experienced burnout, and 26.3% (n = 114) reported they were currently experiencing burnout. IMPLICATIONS FOR PRACTICE: The results of the study identified that some APRNs report experiencing burnout at different times in their careers. Recommendations by participants to mitigate burnout included self-care, organizational promotion of health and well-being, career development, and leadership support. This study is one of the first to report on burnout among APRNs and potential interventions to build resilience; however, additional research is warranted.
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