Abstract
ABSTRACT Background The coronavirus disease 2019 (COVID-19) pandemic contributed to intensified nurse burnout. Workplace factors influence burnout, requiring organizational-level action to mitigate this problem. Aim To inform immediate and long-term organizational tactics, we created workforce-informed recommendations for addressing burnout by engaging our nursing workforce to identify and prioritize the factors driving their burnout. Methods We creatively applied the participatory management LISTEN-SORT-EMPOWER model to gather nurse views on burnout, capturing data through focus group sessions and mobile app postings. We coded findings through thematic and sentiment analysis, and participants ranked these results to prioritize the factors of their burnout. Results We collected 80 h of feedback and 603 app comments, resulting in 800,000+ words. Our analysis identified twelve drivers of burnout, including three themes: (1) Staffing shortages (660; 43.8%); (2) Environment and culture (548; 36.4%); (3) Total compensation (299; 19.8%). Additionally, 1300+ nurses chose income, workload/stress injury, and work schedule as uppermost priorities for addressing their burnout. Conclusions Through novel project methods, leaders embraced participatory management to actively partner with nurses in identifying the drivers of nurse burnout. Healthcare organizations can design relevant and effective interventions to lessen clinician burnout by directly engaging and partnering with those experiencing burnout.
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