Nurses' widespread job dissatisfaction, burnout, and frustration with health benefits signal problems for patient care

Health Affairs

Volumn 30, Issue 2, 2011, Pages 202-210

  McHugh, Matthew D ^a   Kutney Lee, Ann ^a   Cimiotti, Jeannie P ^a   Sloane, Douglas M ^a   Aiken, Linda H ^a  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BURNOUT; DRUG INDUSTRY; EMPLOYMENT; FRUSTRATION; HEALTH CARE QUALITY; HEALTH INSURANCE; HUMAN; JOB SATISFACTION; NURSE PRACTITIONER; PATIENT CARE; PATIENT SATISFACTION; PERCEPTION; QUESTIONNAIRE;

ATTITUDE OF HEALTH PERSONNEL; BURNOUT, PROFESSIONAL; HEALTH BENEFIT PLANS, EMPLOYEE; HUMANS; JOB SATISFACTION; LABOR UNIONS; NURSE-PATIENT RELATIONS; NURSING HOMES; NURSING STAFF, HOSPITAL; QUALITY OF HEALTH CARE; RISK FACTORS; UNITED STATES;

EID: 79955621207     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2010.0100     Document Type: Article

References (32)

1. Wachter RM. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff (Millwood). 2010;29(1):165-73.
2. Jha AK, Orav EJ, Zheng J, Epstein AM. Patients' perception of hospital care in the United States. N Engl J Med. 2008;359(18):1921-31.
3. Ejaz FK, Noelker LS, Schur D, Whitlatch CJ, Looman WJ. Family satisfaction with nursing home care for relatives with dementia. J Appl Gerontol. 2002;21(3):368-84.
4. Aiken LH, Clarke SP, Sloane DM, Sochalski JA, Busse R, Clarke H, et al. Nurses' reports on hospital care in five countries. Health Aff (Millwood). 2001;20(3):43-53.
5. Institute of Medicine. Keeping pa tients safe: transforming the work environment of nurses. Washington (DC): National Academies Press; 2003.
6. Maslach C, Schaufeli W, Leiter M. Job burnout. Annu Rev Psychol. 2001;52(1):397-422.
7. Aiken LH, Clarke SP, Sloane DM, Lake ET, Cheney T. Effects of hospital care environment on patient mortality and nurse outcomes. J Nurs Adm. 2008;38(5):223-9.
8. Vahey DC, Aiken LH, Sloane DM, Clarke SP, Vargas D. Nurse burnout and patient satisfaction. Med Care. 2004;42(2 Suppl):II57-66.
9. Aiken LH, Sloane DM, Cimiotti JP, Clarke SP, Flynn L, Seago JA, et al. Implications of the California nurse staffing mandate for other states. Health Serv Res. 2010;45(4):904-21.
10. Kutney-Lee A, McHugh MD, Sloane DM, Cimiotti JP, Flynn L, Neff DF, et al. Nursing: a key to patient satisfaction. Health Aff (Millwood). 2009;28(4):w669-77. DOI: 10.1377/hlthaff.28.4.w669.
11. Giordano LA, Elliott MN, Goldstein E, Lehrman WG, Spencer PA. Development, implementation, and public reporting of the HCAHPS survey. Med Care Res Rev. 2010; 67(1):27-37.
12. Smith HL. A double sample to minimize bias due to nonresponse in a mail survey. In: Ruiz-Gazen A, Guilbert P, Haziza D, Tille Y, editors. Survey methods: applications to longitudinal investigations, health, electoral investigations, and investigations in the developing countries. Paris: Dunod; 2008. p. 334-9.
13. To Access the Appendix, click on the Appendix link in the box to the right of the article online.
14. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA. 2002;288(16):1987-93.
15. Maslach C, Jackson SE. Maslach Burnout Inventory manual. 2nd ed. Palo Alto (CA): Consulting Psychologists Press; 1986.
16. Maslach C, Jackson SE. Burnout in health professions: a social psychological analysis. In: Sanders GS, Suls J, editors. Social psychology of health and illness. Hillsdale (NJ): Lawrence Erlbaum Associates; 1982. p. 227-51.
17. Lake ET, Friese CR. Variations in nursing practice environments: relation to staffing and hospital characteristics. Nurs Res. 2006;55(1): 1-9.
18. Lake ET. Development of the Practice Environment Scale of the Nursing Work Index. Res Nurs Health. 2002;25(3):176-88.
19. Davis JA, Smith TW, Marsden PV. General Social Surveys, 1972-2008: cumulative codebook. Chicago (IL): University of Chicago, National Opinion Research Center; 2009.
20. Waldman JD, Kelly F, Arora S, Smith HL. The shocking cost of turnover in health care. Health Care Manage Rev. 2004;29(1):2-7.
21. US Department of Health and Human Services. The registered nurse population: findings from the 2008 National Sample Survey of Registered Nurses. Washington (DC): Health Resources and Services Administration, Bureau of Health Professions; 2008.
22. US Bureau of Labor Statistics. Civilian population-employment status by sex, race, and ethnicity: 1970 to 2008 [Internet]. Washington (DC): BLS; 2010 [cited 2010 Dec 22]. Available from: http://www.census.gov/compendia/statab/2010/tables/10s0576.pdf.
23. Dall TM, Chen YJ, Seifert RF, Maddox PJ, Hogan PF. The economic value of professional nursing. Med Care. 2009;47(1):97-104.
24. Mark BA, Lindley L, Jones CB. Nurse working conditions and nursing unit costs. Policy Polit Nurs Pract. 2009;10(2):120-8.
25. Rothberg MB, Abraham I, Lindenauer PK, Rose DN. Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. Med Care. 2005;43(8):785.
26. Buerhaus PI, Auerbach DI, Staiger DO. The recent surge in nurse employment: causes and implications. Health Aff (Millwood). 2009;28(4): w657-68. DOI: 10.1377/hlthaff.28.4.w657.
27. Martin LG, Freedman VA, Schoeni RF, Andreski PM. Trends in disability and related chronic conditions among people ages fifty to sixty-four. Health Aff (Millwood). 2010;29(4): 725-31.
28. Thorpe KE, Ogden LL, Galactionova K. Chronic conditions account for rise in Medicare spending from 1987 to 2006. Health Aff (Millwood). 2010;29(4):718-24.
29. Associated Press. Nurses in Minnesota stage day-long strike. Washington Post. 2010 Jun 11. A3.
30. Associated Press. Nurses go on strike. New York Times. 2007 Oct 2. A21.
31. Burling S. Temple Hospital nurses could strike. Philadelphia Inquirer. 2009 Sep 22. C2.
32. Gruber J, Kleiner SA. Do strikes kill? Evidence from New York State. Cambridge (MA): National Bureau of Economic Research; 2010. (Working Paper; No. 15855).