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