Advanced Practice Registered Nurse Burnout in Magnet Hospitals
Lori Madden, Heather Brom, Karen B. Lasater, Nancy M. Albert, Bárbara Göbel, Christi DeLemos, Lisa Williams, Linda H. Aiken
Abstract
OBJECTIVE: To determine modifiable organizational factors associated with advanced practice RN (APRN) burnout in Magnet ® -designated hospitals to guide organizational interventions to improve APRN well-being and retention. METHODS: Cross-sectional study of work environments of 50 US Magnet hospitals and the associated well-being of 21 855 of their clinicians (APRNs, physician assistants, physicians [MDs], RNs). RESULTS: Overall, 37% of APRNs experienced high burnout compared with 34% of MDs ( P < 0.05) and 49% of RNs ( P < 0.001); additionally, 32% of APRNs intended to leave their jobs. APRN burnout was significantly lower in organizations that minimized chaotic working conditions, provided APRNs more control over their workloads, involved APRNs in shared governance, improved clinician and management relations, and improved interprofessional teamwork. CONCLUSIONS: Well-being and retention of APRNs in Magnet hospitals require their greater engagement in organization processes and systems that improve work environments.