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Emergency Nursing Workforce, Burnout, and Job Turnover in the United States: A National Sample Survey Analysis
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7 2023
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Source: J Emerg Nurs. 49(4):574-585
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Alternative Title:J Emerg Nurs
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Personal Author:
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Description:Introduction:
Burnout is significantly associated to job turnover. However, few studies have examined emergency nurses who have already left their job to better understand the reason behind job turnover. It also remains unclear if emergency nurses differ from other nurses regarding burnout and job turnover reasons. Thus, our study aimed to: 1) test differences in reasons for turnover or not currently working between emergency nurses and other nurses; and 2) ascertain pre-pandemic factors associated with burnout as a reason for turnover among emergency nurses.
Methods:
We conducted a secondary analysis of the 2018 National Sample Survey for Registered Nurses (weighted N=3,004,589) via a public-use dataset from Health Resources & Services Administration. Data were analyzed using descriptive statistics, chi-square and t-test, unadjusted and adjusted logistic regression applying design sampling weights
Results:
There were no significant differences in burnout comparing emergency nurses to other nurses. Seven job turnover reasons were endorsed by emergency nurses and significantly higher than other nurses: Insufficient staffing (11.1%,95%CI [8.6, 14.2], p=.01); physical demands (5.1%,95% CI[3.4, 7.6], p=.44); patient population (4.3%,95%CI [2.9, 6.3], p<.001); better pay elsewhere (11.5%,95%CI [9, 14.7], p<.001); career advancement/promotion (9.6%,95%CI [7.0, 13.2], p=.01); length of commute (5.1%,95%CI [3.4, 7.5], p=.01); and relocation (5%,95%CI [3.6, 7.0], p=.01). Increasing age was associated with decreased odds of burnout in adjusted models as well as increased years since nursing licensure.
Discussion:
Several modifiable factors appear associated with job turnover. Interventions and future research should account for unit-specific factors that may precipitate job turnover among nurses.
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Pubmed ID:36754732
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Pubmed Central ID:PMC10329980
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Volume:49
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Issue:4
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