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Nurse Burnout And Fatigue

According to Gomez-Garcia et al. (2016), nurses direct relation to burnout and fatigue was yet to be researched. They concluded a study that emphasis the direct relationship between shift work nurses and patent quality of care. They were focused on the job satisfaction, sleep quality, and burnout. The study was cross-sectional and observational. Seven hospitals participated with a total of six hundred and thirty-five nurses. The study only observed shift work nurses from different units such as medical surgical units, telemetry, oncology and critical care units.

The nurses observed were full time employees. This study compared hospitals with positive work environment and found that they had very low rates of nurse fatigue and burnout. The difference with these hospitals were the policies implemented by the organization that supports nursing staff. They could only work a few twelve hour tours on the row between days off. They were allowed to get a full hour break or one and a half hours of break on a twelve-hour tour. The study was amazed to see that positive work environments played such a crucial role on the quality of care their patients get.

The patient’s satisfaction survey showed increased numbers and positive feedback such as recommending the hospital to their friends and family. Researchers also understood that the nurses were the backbone of the hospital therefore, the hospitals that showed good customer service skills also had better nursing policies implemented. The study could not get any background information on the nurses such as family size, marital status, college students etc therefore, researchers could not include some areas of shift work such as quality of sleep.

Some researchers found that nurses who worked extended shifts of more than 13 hours reported worse jobs outcomes and lower quality and safety for patients compared with nurses who worked 8- hour shifts. Researchers conclude this study by informing Health Care Organizations that it is imperative to implement policies that will strengthen their relationship with nurses due to the fact that there is a direct correlation with poor quality of care and nursing burnout and fatigue (Gomez-Garcia et al, 2016). Literature review sub title 7

According to Stimpfel, Lake, Barton, Gorman and Aiken (2013), a study was rendered in pediatric units that focused on the length of shift work vs. the nurses’ work outcomes. Very few studies have been rendered in pediatric settings in order to measure quality of patient care for shift work nurses and twelve hour shifts. Researchers find that extended shifts weaken nurses’ well-being, which may have a negative impact in patient care. The study mentions the case of an eighteen month old toddler who was discharged and the mother noticed that she was constantly thirsty and tired.

Two days after the hospital discharge, the toddler died of dehydration and narcotic overdose. The nurses were clearly blamed for this death being that they are the ones to administer the narcotics and also they have to look at the labs and teach the family members prior to discharge the patient. Working as a nurse with tinny little babies and toddlers is very challenging. The medication doses have to be very accurate and be based on their body weight. Therefore, it is very imperative as a nurse to always double check the dosages of medication before administering to babies and toddlers.

If one zero is miscalculated when it comes to the pediatric patient’s weight or medication it could be fatal and eventually lead to death. Pediatric patients are not able to express their feelings appropriately and as a nurse one has to check very closely for signs and symptoms of distress. Here is where nurses’ fatigue takes place. Working long hours can clog the nurse’s judgment therefore leading to medication errors or failing to prevent medication errors. It is imperative for the nurses to always be alert and awake when performing their nurses’ duties in order to save lives.

The study focuses on the nursing management and the importance of providing adequate staff in order for the nurses to avoid working overtime which, eventually will lead to getting adequate rest and saving lives. The percentages of nurses reporting burnout intended to leave the job increased substantially as work hours increased (Stimpfel et al, 2013). Literature review sub title 8 Some researchers determined that extended shifts undermine nurses’ well –being, may result in expensive job turnover and, can negatively affect patient care (Stimpfel, Sloane & Aiken 2012).

Working twelve hour shifts in the nursing field is very common in hospitals. Most nurses prefer working the twelve hour tour in comparison with the eight hour tour because they can spend more time with their family. For single parents is also more economic due to the fact that parents will only pay child care for a couple of days a week instead of five days a week. The study focuses on the negative impacts of working long hours despite the nurse’s preferences. Even though the nurses like working long hours it is proven to be very dangerous for the nurses’ well-being and the patient’s safety.

This study developed a survey using cross-sectional data. The sample was large and it included twenty two thousand registered nurses working in five hundred and seventy seven hospitals in California. The study was focused in the three areas: 1. Nursing burnout 2. Job dissatisfaction 3. Intention to leave the job Nursing burnout was measured with the Maslach Burnout inventory scale which showed an increase for nursing working long hours of more than twelve consecutively and shift work hours.

Job dissatisfaction had to do with the hospitals working conditions and lack of staffing which eventually lead to nurses having to work mandatory overtime with no holydays and weekends off. The results showed that with the increase of working hours all three areas mentioned above were affected. Nursing burnout increased, job dissatisfaction increased and the intention to leave the job increased. The study mentions that the Joint Commission called for hospitals to focus on the health and safety of their employees in order to provide great quality patient care ( Stimpfel et al, 2012).

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