The Social Ecology of Burnout: A framework for research on nurse practitioner burnout

IF 4.1 2区医学 Q1 NURSING Nursing Outlook Pub Date : 2024-05-23 DOI:10.1016/j.outlook.2024.102188

Rosalind de Lisser MS, APRN , Jana Lauderdale PhD, RN , Mary S. Dietrich PhD , Rangaraj Ramanujam PhD , Deonni P. Stolldorf PhD, RN

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Abstract

Background

The U.S. health system is burdened by rising costs, workforce shortages, and unremitting burnout. Well-being interventions have emerged in response, yet data suggest that the work environment is the problem. Nurse practitioner (NP) burnout is associated with structural and relational factors in the work environment, practice autonomy, and hierarchical leadership.

Purpose

We explore the unique social, cultural, and political environment in which NPs work through the lens of social ecology and present the Social Ecology of Burnout (SEB) framework.

Methods

We review current burnout frameworks in the context of the NP practice environment and discuss the SEB, specifically exploring psychological safety and its influence on burnout.

Findings

Psychological safety, work environment, and policy are presented within the SEB and solutions which empower NPs are considered.

Discussion

Our framework can serve as a guide for future nursing research, practice, and policy.

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职业倦怠的社会生态学：执业护士职业倦怠研究框架

背景美国医疗系统正承受着成本上升、劳动力短缺和持续的职业倦怠的重负。为应对这一问题，出现了福利干预措施，但数据表明，工作环境才是问题所在。目的我们从社会生态学的角度探讨了护士工作所处的独特社会、文化和政治环境，并提出了职业倦怠社会生态学（SEB）框架。讨论我们的框架可作为未来护理研究、实践和政策的指南。

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来源期刊

Nursing Outlook 医学-护理

CiteScore

6.20

自引率

7.00%

发文量

109

审稿时长

25 days

期刊介绍： Nursing Outlook, a bimonthly journal, provides innovative ideas for nursing leaders through peer-reviewed articles and timely reports. Each issue examines current issues and trends in nursing practice, education, and research, offering progressive solutions to the challenges facing the profession. Nursing Outlook is the official journal of the American Academy of Nursing and the Council for the Advancement of Nursing Science and supports their mission to serve the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The journal is included in MEDLINE, CINAHL and the Journal Citation Reports published by Clarivate Analytics.