Abstract
The purpose of this study was to examine practice environment, resilience, and burnout and to identify the impacts of practice environment and resilience on burnout among clinical nurses working at a tertiary hospital. A cross-sectional secondary data analysis was conducted using a convenience sample of 199 nurses. The nurses completed survey questionnaires regarding practice environment, resilience, and burnout. The majority of the nurses were below the age of 30, single, and worked in medical-surgical wards. Approximately, 92% of the nurses reported moderate to high burnout, with a mean practice environment score of 2.54 ± 0.34 and resilience score of 22.01 ± 5.69. Practice environment and resilience were higher in the low level of burnout than in the moderate to high level of burnout. After controlling for demographic and occupational characteristics, resilience and nursing foundations for quality of care were significant predictors of burnout (OR = 0.71, p = 0.001; OR = 0.01, p = 0.036, respectively), explaining 65.7% of the variance. In a mixed practice environment, increased resilience and nursing foundations for quality of care lowered nurses’ burnout. Our findings suggest that interventions focused on enhancing individual resilience and practice environment and building better nursing foundations for quality of care should be developed and provided to alleviate burnout in clinical nurses working at tertiary hospitals. Nursing and hospital administrators should consider the importance of practice environment and resilience in nurses in developing interventions to decrease burnout.
Highlights
In 2017, the number of clinical nursing personnel, such as nurses and nursing assistants, in Korea was approximately 6.9 per 1000 people, which was 2.1 lower than the average of 9.0 from other countries of the Organization for Economic Cooperation and Development (OECD)
Our results revealed that resilience and nursing foundations for quality of care, which is a sub-scale of the practice environment, are significant predictors of burnout
The findings suggest that improving nursing foundations for quality of care at the organizational level and resilience at the individual level could decrease burnout in clinical nurses working at the tertiary hospital
Summary
In 2017, the number of clinical nursing personnel, such as nurses and nursing assistants, in Korea was approximately 6.9 per 1000 people, which was 2.1 lower than the average of 9.0 from other countries of the Organization for Economic Cooperation and Development (OECD). The lack of nurses hinders nursing work, leading to negative consequences, such as lowering the quality of care through an increase in patients complaints, patients’ falls, infection rate, and medication errors [2]. This shortage interferes with the physical and mental health of individual nurses [3,4], causes burnout, and acts as a major cause of job turnover [5,6].
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