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Elements of the healthy work environment associated with lower primary care nurse burnout.

Authors
  • Kim, Linda Y1
  • Rose, Danielle E2
  • Ganz, David A3
  • Giannitrapani, Karleen F4
  • Yano, Elizabeth M5
  • Rubenstein, Lisa V6
  • Stockdale, Susan E7
  • 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: [email protected]
  • 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.
Type
Published Article
Journal
Nursing outlook
Publication Date
Jun 27, 2019
Identifiers
DOI: 10.1016/j.outlook.2019.06.018
PMID: 31477313
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

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. To investigate the relationship between PCMH nurses' work environment and burnout. 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. 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). 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.

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