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. 2022 Jan-Mar;44(1):54-62.
doi: 10.1097/TME.0000000000000391.

Emergency Department Nursing Burnout and Resilience

Kate Phillips  1 , Mary Knowlton, Jennifer Riseden
Affiliations

Emergency Department Nursing Burnout and Resilience

Kate Phillips et al. Adv Emerg Nurs J. 2022 Jan-Mar.

Abstract

Burnout is a significant problem in emergency nursing, and it is associated with higher turnover rates than other disciplines of health care. Emergency nurses are highly susceptible to burnout due to continual exposure to traumatic events, varying work schedules, violence directed at staff, and, in recent times, due to the stressors of the COVID-19 pandemic. This literature review will (1) expose the causes of emergency department (ED) nurse burnout and (2) discuss strategies to build resilience in ED nurses. A systematic review of studies published in academic journals discussing burnout and resilience, specifically related to ED nurses, published in English between 2015 and 2019. The databases MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Education Source, Health Source: Nursing/Academic Edition, APA PsycArticles, Military and Government Collection, Gender Studies Database, SocINDEX, and PsycINFO were searched. Sixteen studies were included in this review. Work schedules and shift work, violence toward staff, and lack of management support were factors linked to burnout. Self-discipline, optimism, and goal-oriented behaviors evolved as characteristics of resilient ED nurses. Burnout rates among ED nurses are steep. Shift work, traumatic events, violence, and management support are determinants of burnout. Specialized actions can combat burnout and increase resilience. Nursing management can provide specific education to nurses to assist in this effort.

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Conflict of interest statement

Disclosure: The authors report no conflicts of interest.

References

    1. Adams A., Hollingsworth A., Osman A. (2019). The implementation of a cultural change toolkit to reduce nursing burnout and mitigate nurse turnover in the emergency department. Journal of Emergency Nursing, 45(4), 452–456. doi:10.1016/j.jen.2019.03.004
    1. Adriaenssens J., De Gucht V., Maes S. (2015a). Causes and consequences of occupational stress in emergency nurses, a longitudinal study. Journal of Nursing Management, 23(3), 346–358. doi:10.1111/jonm.12138
    1. Adriaenssens J., De Gucht V., Maes S. (2015b). Determinants and prevalence of burnout in emergency nurses: A systematic review of 25 years of research. International Journal of Nursing Studies, 52(2), 649–661. doi:10.1016/j.ijnurstu.2014.11.004
    1. Allen R. C., Palk G. (2018). Development of recommendations and guidelines for strengthening resilience in emergency department nurses. Traumatology, 24(2), 148–156. doi:10.1037/trm0000141
    1. Alqahtani A. M., Awadalla N. J., Alsaleem S. A., Alsamghan A. S., Alsaleem M. A. (2019). Burnout Syndrome among emergency physicians and nurses in Abha and Khamis Mushait Cities, Aseer Region, Southwestern Saudi Arabia. The Scientific World Journal, 2019, 4515972. doi:10.1155/2019/4515972

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