Preventing Inpatient NP Burnout: The Power of Adequate Staffing and Leadership.
CROSS survey reporting
Nurse practitioner
burnout
inpatient
patient-to-NP ratio
patient-to-provider ratio
Journal
Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
ISSN: 1532-656X
Titre abrégé: J Pediatr Health Care
Pays: United States
ID NLM: 8709735
Informations de publication
Date de publication:
02 May 2024
02 May 2024
Historique:
received:
10
12
2023
revised:
19
02
2024
accepted:
19
02
2024
medline:
5
5
2024
pubmed:
5
5
2024
entrez:
4
5
2024
Statut:
aheadofprint
Résumé
Nurse practitioner (NP) burnout related to high patient-to-NP ratios needs to be addressed. To survey inpatient pediatric NPs, assess burnout and characterize associated workload and support. Online cross-sectional survey conducted in three phases from March 2022 to August 2023. Inpatient specialty NPs from 32 hospitals. Fisher's exact test and logistic regression were implemented. A patient-to-provider (NP or resident) ratio of more than 5:1 was associated with NP burnout (OR = 3.5, 95% CI 1.0, 12.0 and OR = 4.1, 95% CI 1.1, 16.2, respectively, p < .05). Among NPs without burnout, 100% had organizational NP leadership (p = .012). Though limited by a small convenience sample, a patient-to-provider ratio over 5:1 was associated with NP burnout, and NP leadership was protective. Further research of cost analysis, retention, and patient quality and safety measures are needed. Lower patient-to-NP ratios and NP leadership play a pivotal role in preventing burnout.
Sections du résumé
BACKGROUND
BACKGROUND
Nurse practitioner (NP) burnout related to high patient-to-NP ratios needs to be addressed.
OBJECTIVES
OBJECTIVE
To survey inpatient pediatric NPs, assess burnout and characterize associated workload and support.
DESIGN
METHODS
Online cross-sectional survey conducted in three phases from March 2022 to August 2023.
SUBJECTS AND SETTING
METHODS
Inpatient specialty NPs from 32 hospitals.
RESULTS
RESULTS
Fisher's exact test and logistic regression were implemented. A patient-to-provider (NP or resident) ratio of more than 5:1 was associated with NP burnout (OR = 3.5, 95% CI 1.0, 12.0 and OR = 4.1, 95% CI 1.1, 16.2, respectively, p < .05). Among NPs without burnout, 100% had organizational NP leadership (p = .012).
INTERPRETATION
CONCLUSIONS
Though limited by a small convenience sample, a patient-to-provider ratio over 5:1 was associated with NP burnout, and NP leadership was protective. Further research of cost analysis, retention, and patient quality and safety measures are needed.
CONCLUSION
CONCLUSIONS
Lower patient-to-NP ratios and NP leadership play a pivotal role in preventing burnout.
Identifiants
pubmed: 38703177
pii: S0891-5245(24)00046-4
doi: 10.1016/j.pedhc.2024.02.005
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
CONFLICTS OF INTEREST Authors report no financial interests or potential conflicts of interest. For this study, the investigators received waiver of consent and HIPAA as there was no direct contact with the survey respondents. Participation involved no more than minimal risk as the participants were sent a weblink to the REDCap survey and chose voluntarily to enter an email address if they were willing to be contacted in the future. The main risk of participation was loss of privacy or confidentiality. IRB approval was obtained. The privacy rights of subjects were observed. All information gathered was stored in a password protected REDCap database restricted to study personnel only.