Burnout and psychological distress among Hispanic nurses across Illinois and New York hospitals: Implications for structural and person-centered solutions

IF 4.1 2区医学 Q1 NURSING Nursing Outlook Pub Date : 2024-07-10 DOI:10.1016/j.outlook.2024.102234

J. Margo Brooks Carthon PhD, RN, FAAN , Heather Brom PhD, RN , Alexandra Maye MSN, RN , Christin Iroegbu PhD, RN , Jennifer Gil MSN, RN , John Rizzo MSN, CRNP, FNP-BC , Kelvin Amenyedor MPH, MD , Wanda Montalvo PhD, RN, FAAN , Antonia M. Villarruel PhD, RN, FAAN

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Abstract

Background

Despite high levels of burnout and psychological distress among nurses, few studies have evaluated these outcomes among Hispanic nurses.

Purpose

To evaluate the differences in job-related and psychological well-being outcomes for Hispanic and non-Hispanic White nurses and the association of nurse work environments.

Methods

Cross-sectional analysis of the 2021 RN4CAST-New York-Illinois nurse survey. Multilevel logistic regression models examined the association between nurse ethnicity and job-related outcomes and psychological well-being.

Discussion

Our sample included 798 (10.7%) Hispanic and 6,642 (89.3%) non-Hispanic White nurses in 249 hospitals. In unadjusted models, Hispanic ethnicity was associated with higher odds of burnout (odds ratio (OR) 1.21, 95% confidence interval (CI): 1.03–1.42), which diminished when considering the work environment (OR 1.16, 95% CI: 1.01–1.35) and nurse characteristics (i.e., age) (OR 1.01, 95% CI: 0.83–1.21).

Conclusion

Equity-driven solutions to support the well-being of Hispanic nurses should consider a focus on the needs of young Hispanic nurses and include increased support in work environments.

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伊利诺伊州和纽约州医院西班牙裔护士的职业倦怠和心理困扰：结构性和以人为本的解决方案的意义。

背景：目的：评估西班牙裔和非西班牙裔白人护士在工作相关和心理健康结果方面的差异以及与护士工作环境的关联：方法：对 2021 年 RN4CAST-纽约-伊利诺伊州护士调查进行横断面分析。多层次逻辑回归模型检验了护士种族与工作相关结果和心理健康之间的关联：我们的样本包括 249 家医院的 798 名（10.7%）西班牙裔护士和 6642 名（89.3%）非西班牙裔白人护士。在未经调整的模型中，西班牙裔与较高的职业倦怠几率相关（几率比（OR）1.21，95% 置信区间（CI）：1.03-1.42），当考虑到工作环境（OR 1.16，95% CI：1.01-1.35）和护士特征（即年龄）（OR 1.01，95% CI：0.83-1.21）时，该几率比（OR）降低：以公平为导向的支持拉美裔护士福祉的解决方案应考虑关注年轻拉美裔护士的需求，并包括增加工作环境中的支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.