Critical Care Practice Environment, Burnout and Decision Making Ability among Staff Nurses at a Selected Teaching Hospital
International Journal of Nursing and Health Science |
© 2019 by SSRG - IJNHS Journal |
Volume 5 Issue 1 |
Year of Publication : 2019 |
Authors : Sahar Hassan Aly EL Banan and Amal Hebashy Elewa |
How to Cite?
Sahar Hassan Aly EL Banan and Amal Hebashy Elewa, "Critical Care Practice Environment, Burnout and Decision Making Ability among Staff Nurses at a Selected Teaching Hospital," SSRG International Journal of Nursing and Health Science, vol. 5, no. 1, pp. 6-16, 2019. Crossref, https://doi.org/10.14445/24547484/IJNHS-V5I1P102
Abstract:
A. Background: Health care organizations with improper work practice environments had a higher percentage of nurses who were reporting high levels of burnout. The practice environment was found to have significant effects on burnout. This makes nurses lose their capability to adjust to the work environment and show negative attitudes toward their job, their coworkers, and their patients. Moreover, nurses’ decision-making quality is a very important component of good clinical practice, and nurses’ ability to make decisions is affected by the dynamic of the work environment.
B. Aim: The present study was conducted to investigate the relation of the critical care practice environment, burnout, and decision-making ability among staff nurses at a selected teaching hospital.
C. Setting: This study was conducted at Teaching Hospital affiliated with Cairo University.
D. Research design: Descriptive correlation design.
E. Sample: A convenient sample of all nurses who agreed to participate in the study at data collection time. Their total number was (n=150) nurses.
F. Tools: Data were collected through utilizing three tools as follows: I- The first tool was the Practice Environment Scale of the Nursing Work Index, II- The second tool was the Burnout Inventory, and III- The third tool was the Staff Nurses’ Decision-Making Abilities Questionnaire.
G. Results & conclusion: The present study concluded that there was a statistically significant correlation between critical care practice environment and nurses’ burnout and nurses’ decision-making ability. While there was no statistically significant correlation between nurses’ burnout and nurses’ decision-making ability.
H. Recommendations: It was recommended that Managers should create and maintain a practice environment that fosters and supports nurses’ decision-making ability. Administrators and health policymakers must review current organizational policies to reduce barriers in the work practice environment to facilitate opportunities for the provision of nursing-based decisional support.
Keywords:
Work practice environment, Nurses burnout, and Decision-making ability
References:
[1] Ahola, K., Occupational Burnout and Health, Ph.D. thesis, University of Helsinki., Helsinki: Finland, (2007).
[2] Aiken, L., Clarke, S, and Sloane, D., Effects of Hospital Care Environment on Patient Mortality and Nurse Outcomes. J Nurs Adm, 38(5) (2008) 223– 229.
[3] Aiken, L., Cimiotti, J., Sloane, D., Smith, H., Flynn, L, and Neff, D., Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Med Care. 49(12) (2011)1047-1053.
[4] Alhajjar, B., A program to reduce burnout among hospital nurses in Gaza-Palestine, Doctorate Thesis, University of Witwatersrand, (2013).
[5] Alotaibi, F and Moussa ,M., Impact of Burnout and Work Environment on Quality of Care and Registered Nurse’s Job Satisfaction and Retention in Saudi Arabia. Journal of Health Sciences and Nursing, 1(11) (2016) 12-31.
[6] American Nurses Association., Healthy Work Environment. https://www.nursingworld.org/practice-policy/work-environment, (2018).
[7] Ariapooran, S., Compassion Fatigue and Burnout in Iranian Nurses: The Role of Perceived Social Support. Iran J Nurs Midwifery Res. 19(3) (2014) 279–284.
[8] Ashrafi, Z., Ebrahim, H., Khosravi, A., Navidian, A, and Ghajar, A., The Relationship Between Quality of Work Life and Burnout: A Linear Regression Structural-Equation Modeling. Health Scope, 1 (2018) 1-8.
[9] Backes, M., Erdmann, A and Buscher, A., The Living, Dynamic and Complex Environment Care in Intensive Care Unit. Rev Lat Am Enfermagem, 23(3) (2015) 411-418.
[10] Bjørk, I and Hamilton, G., Clinical Decision Making of Nurses Working in Hospital Settings. Nursing Research and Practice, (2011) 1-8.
[11] Boev, C., The Relationship between Nurses' Perception of Work Environment and Patient Satisfaction in Adult Critical Care. Journal of Nursing Scholarship. 44(4) (2012) 368–375.
[12] Burack, O., Weiner, A., Reinhardt, J, and Annunziato, RA., What Matters Most to Nursing Home Elders: Quality of Life in the Nursing Home. J Am Med Dir Assoc, 13(1) (2012) 48–53.
[13] Ceschi,A., Demerouti,E., Sartori, R and Weller,J., Decision-Making Processes in the Workplace: How Exhaustion, Lack of Resources and Job Demands Impair Them and Affect Performance. Frontiers in Psychology, 5 (2017).
[14] Cishahayo, E., Nankundwa, E., Sego, R and Bhengu, B., Burnout among Nurses Working in Critical Care Settings: a Case of a Selected Tertiary Hospital in Rwanda. Int J Res Med Sci, 5(12) (2017) 5121-5128.
[15] Costa, E., Hyeda, A and Maluf, E., Working Environment and Burnout Syndrome. Medical & Clinical Reviews, 2(4) (2016) 1-5.
[16] French, D.J., West, R.J., Elander, J., & Wilding, J.M., Decision-making questionnaire. Ergonomics, 36(6) (1993) 627-44. Retrieved March 22, 2016, from www.rjwest.co.uk/downloadfile.php?filename=uploads_resources/
[17] Galletta, M., Portoghese, I., Ciuffi, M., Sancassiani, F., Aloja, E, and Campagna, M., Working and Environmental Factors on Job Burnout: A Cross-sectional Study Among Nurses. Clinical Practice & Epidemiology in Mental Health, 12 (2016) 132-141.
[18] Gasparino, R, and Guirardello, E., Professional Practice Environment and Burnout among Nurses. Journal of Revista Rene,16(1) (2015) 90-96.
[19] Gok, K, and Astan, N., Decision-Making under Stress and Its Implications for Managerial Decision-Making: A Review of Literature. International Journal of Business and Social Research, 6(3) (2016) 38-47.
[20] Grazziano, E., Bianchi, E., Impacto del Estrés Ocupacional Burnout Enfermeros. Enferm Glob, 21 (2014)18-25.
[21] Guirardello, E., Impact of Critical Care Environment on Burnout, Perceived Quality of Care and Safety Attitude of the Nursing Team, Revisa. Latino-Americana de Enfermagem, 25 (2017) 1-7.
[22] Halbesleben, J., Wakefield, B., Wakefield, D and Cooper, L., Nurse Burnout and Patient Safety Outcomes: Nurse Safety Perception versus Reporting Behavior. West J Nurs Res. 30(5) (2008) 560-577.
[23] Hugh, M, and Wage, M., Work Environment, and Staffing: Effects on Nurse Outcomes. Policy Polit Nurs Pr., 15(0) (2014) 72-80.
[24] Kelly, D., Kutney-Lee, A., McHugh, M., Sloane, D and Aiken, L., Impact of Critical Care Nursing on 30-day Mortality of Mechanically Ventilated Older adults. Critical Care Medicine. 42(5) (2014).
[25] Klopeer, HC., Coetzze, SK., Pretorious, R and Bester, P., Practice environment, job satisfaction and burnout of critical care nurses in South Africa. J Nurs Manag, 20(5) (2012) 685-695.
[26] Kraft, U., Burned out: Your Job is Extremely Fulfilling. It is Also Extremely Demanding-and You Feel Overwhelmed. You are not Alone, Scientific American Mind, 17(1) (2006) 28-33.
[27] Kutney-Lee, A., Wu, ES., Sloane, DM and Aiken, LH., Changes in hospital nurse work environment and nurse job outcomes: an analysis of panel data. Int J Nurs Stud, 50(2) (2013) 195-201.
[28] Kyalo, M., Factors Affecting Clinical Decision Making by Nurses at the Critical Care Unit in Kenyatta National Hospital. The University of Nairobi. Doctorate dissertation, (2008).
[29] Lake E.T., Development of the practice environment scale of the Nursing Work Index. Research in Nursing and Health 25(6) (2002) 176-88.
[30] Leiter, M., Day, A., Oore, D, and Laschinger, H., Getting Better and Staying Better: Assessing Civility, Incivility, Distress, and Job Attitudes One Year After a Civility Intervention. J Occup Health Psychol, 17(4) (2012) 425-34.
[31] Marin, M., Lord, C, and Andrews, J., Chronic Stress, Cognitive Functioning, and Mental Health. Neurobiol Learn Mem. vol. 96(4) (2011) 583-95.
[32] Maslach, C., & Jackson, S. E., Maslach burnout inventory manual (2nd ed.). Palo Alto, CA: Consulting Psychologists Press, (1986).
[33] Maslach, C and Leiter M., Understanding the Burnout Experience: Recent Research and its Implications for Psychiatry. World Psychiatry,15(2) (2016) 103-11.
[34] Medina, J., Garza, I and Cheín, N., The Impact of Stress and the Working Environment on Job Satisfaction and Decision-Making among Women Entrepreneurs in Mexico. International Journal of Business and Social Research (IJBSR), 3(3) (2013) 164-173.
[35] Meltzer, S, and Huckabay, L., Critical Care Nurses’ Perceptions of Futile Care and its Effect on Burnout, (2018). http://ajcc.aacnjournals.org/
[36] Moss, M., Good, V., Gozal, D., Kleinpell, R and Sessler, C., An Official Critical Care Societies Collaborative Statement: Burnout Syndrome in Critical Care Healthcare Professionals: A Call for Action. Society of Critical Care Medicine and Wolters Kluwer Health, 44(7) (2016).
[37] Nieuwenhuijsen, K., Bruinvels, D and Frings-Dresen, M., Psychosocial work environment and stress-related disorders, asystematic review. Occup Med, 60 (2010) 277-286.
[38] Nurse Manager Skills Inventory.,(2008).Retrieved June 22, 2016, from http://www.aacn.org/wd/practice/docs/nurse-manager-inventory-tool.pdf?menu=practice
[39] Panunto, M and Guirardello, E., Professional Nursing Practice: Environment and Emotional Exhaustion among Intensive Care Nurses. Rev Latino-Am Enfermagem. 21(3) (2013) 765-72.
[40] Sadati,A., Hemmati,S., Rahnavard,F., Lankarani,K and Heydari,S., The Impact of Demographic Features and Environmental Conditions on Rates of Nursing Burnout. Shiraz E-Med J, 17(3) (2016).
[41] Sancassiani, F., Campagna, M., Tuligi, F., Machado, S., Cantone, E, and Carta, M., Organizational Wellbeing among Workers in Mental Health Services: A Pilot Study. Clin Pract Epidemol Ment Health. 11 (2015) 4-11.
[42] Schaufeli, W., Leiter, M and Maslach, C., Burnout: 35 Years of Research and Practice, Career Development International, 14(3) (2009) 204-220.
[43] Shafiei, M., Khodayari, A, and Hashemizad, A., The Comparison of Stress and Burnout Levels in Selected Sports Referees. Int J Sport Stud, 3(11) (2013) 1246–1251.
[44] Sladek, R., Bond, M and Phillips, P., Age and gender differences in preferences for rational and experiential thinking, Personality and Individual Differences, 49(8) (2010) 907–911.
[45] Smith, M., Higgs, J and Ellis, E., Factors influencing clinical decision making. Nature and Context, (2018) 89-100.
[46] Starcke, K. and M. Brand, Decision making under stress: a selective review.Neuroscience & Biobehavioral Reviews, 36(4) (2012) 1228-1248.
[47] Tucker, S., Weymiller, A., Cutshall, S., Rhudy, L, and Lohse, C. Stress Ratings and Health Promotion Practices among RNs A Case for Action. JONA, 42(5) (2012) 282-292.
[48] Ulrich, B., Lavandero, R., Woods, D., & Early, S., Critical Care Nurse Work Environments: A status report. Critical Care Nurse, (2014) 64–79.
[49] Van Boagert, P., Clarke, S., Wounters, K., Franck, E., Willems, R and Mondelaers, M., Impacts of the unit-level nurse practice environment, workload, and burnout on nurse-reported outcomes in psychiatric hospitals: a multilevel modeling approach. Int J Nurs Stud, 50(3) (2013) 357-365.
[50] Van Bogart, P., Timmermans, O., Weeks, SM., Heusden, DV., Wounters, K and Franck, E., Nursing unit teams matter: impact of the unit-level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events - a cross-sectional survey. Int J Nurs Stud, 51(8) (2014) 1123-134.