Abstract
Backgroundstaff burnout and turnover lead to care home residents receiving poorer quality care. Burnout is thought to cause turnover, but this has never been investigated. We know little about which care home staffs are burnt out.Aimsto explore burnout’s relationship with staff turnover and prevalence and predictors of burnout.Methodwe calculated the relationship between Maslach Burnout Inventory scores and future staff turnover (12-month number of staff leaving/number employed). We explored staff, resident and care home predictors of burnout, measured as emotional exhaustion (EE), depersonalisation (DP) and personal accomplishment (PA).Resultstwo-thousand sixty-two care staff in 97 care home units participated. Median yearly staff turnover was 22.7%, interquartile range (IQR) 14.0–37.7%. Care staff recorded low median burnout (median EE: 14, IQR: 7–22; DP: 1, IQR: 0–5; PA 42, IQR: 36–45). We found no association between staff burnout and turnover rate. Younger staff age was associated with higher burnout (EE coefficient − 0.09; 95% confidence interval (CI): −0.13, −0.05; DP −0.02; 95% CI: −0.04, −0.01; PA 0.05; 95% CI: 0.02, 0.08). Speaking English as a second language predicted higher EE (1.59; 95% CI: 0.32, 2.85), males had higher DP (0.02; 95% CI: 0.01, 0.04) and staff working only night shifts lower PA (−2.08; 95% CI: −4.05, −1.30).Conclusionswe found no association between care homes staff burnout level and staff turnover rates. It is a myth that burnout levels are high. Interventions for burnout could focus on at-risk groups. Future studies could consider turnover at an individual level.
Highlights
There are increasing numbers of people living with dementia worldwide [1]
Conclusions: we found no association between care homes staff burnout level and staff turnover rates
We found no association between care home staffs burnout level and staff turnover
Summary
There are increasing numbers of people living with dementia worldwide [1]. One third of people with dementia in high-income countries live in care homes and around three quarters of care home residents have dementia [1, 2]. Staff working in long-term care facilities experience high physical and psychological workloads, which is thought to lead to burnout [3]. Higher staff burnout levels are associated with delivery of lower quality care and abusive or neglectful behaviour [4, 5]. Burnout is a work-related syndrome that describes emotional and physical exhaustion with associated negative changes in attitude towards, interest in and reward from The most widely used measure of burnout is the Maslach Burnout Inventory (MBI), which divides burnout into three components: emotional exhaustion (EE) (a feeling of emotional depletion), depersonalisation (DP) ( described as cynicism) and negative perceptions of personal accomplishment (PA) at work [6]
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