Abstract
Problem
Nursing burnout and high levels of nursing turnover contribute to negative work environments,
diminished patient care, and increased health care costs. There is a gap in literature
regarding cost-effective, easily implemented interventions to address burnout and
turnover. The purpose of this project was to determine if the implementation of evidence-based
interventions would improve the perception of the practice environment, decrease the
levels of nursing burnout, and decrease the voluntary nurse turnover rate in the emergency
department.
Methods
The Cultural Change Toolkit was developed based on current recommendations in literature
and implemented within an emergency department in southeast Texas. The toolkit included
specific interventions related to meaningful recognition, shared decision making,
and increased leadership involvement and support. Nursing burnout and anticipated
turnover were measured using the Anticipated Turnover Scale and the Oldenburg Burnout
Inventory both before and after implementation of the project. Participants (n = 30)
included nursing staff employed in the emergency department.
Results
There was a reduction in both the anticipated turnover (mean anticipated turnover
score, preimplementattion = 3.133, postimplementation = 2.989) and burnout scores
among nursing staff (mean burnout score, preimplementation = 4.808, postimplementation =
4.463). The reduction in overall burnout scores were statistically significant following
a paired t-test analysis (P = 0.004). There were no resignations among nursing staff throughout the project period.
Discussion
Nursing burnout and turnover are frequently discussed topics. The results support
the use of cost-effective interventions outlined in the Cultural Change Toolkit to
address nursing turnover and burnout.
Key words
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Biography
Amber Adams, Member, TXENA-Golden Triangle 335, is Emergency Nurse, University of Alabama-Huntsville, Huntsville, AL.
Biography
Angela Hollingsworth is Assistant Clinical Professor, University of Alabama-Huntsville, Huntsville, AL.
Biography
Ali Osman is Emergency Department Medical Director, Baptist Hospital of Southeast Texas, Beaumont, TX.
Article info
Publication history
Published online: April 15, 2019
Footnotes
Earn Up to 7.5 Hours. See page 475.
Section Editors: Cindy Lefton, PhD, RN, Charlie Peterson, MSN, APRN, FNP-BC, CEN, Christine Pittenger, MSN, RN, CEN, and Jennifer Williams, PhD, RN, ACNS-BC, CCRN, CNS
Submissions to this column are encouraged and may be sent to Cindy Lefton, PhD, RN [email protected] or Jennifer Williams, PhD, RN, ACNS-BC, CCRN, CNS [email protected] or Charlie Peterson, MSN, APRN, FNP-BC, CEN [email protected] or Christine Pittenger, MSN, RN, CEN [email protected]
Identification
Copyright
© 2019 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.
