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Nurse Outcomes: Burnout, Engagement, and Job Satisfaction

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Nurses Contributions to Quality Health Outcomes

Abstract

In this chapter, selected nurse outcomes are viewed through the lens of the Quality Health Outcomes Model (QHOM). Specifically, the QHOM provides a framework to explain how nurses can be empowered to deal with the continuous challenges and changes in healthcare organizations that confront them daily. Interventions are examined at the organizational and individual levels. At the individual client (nurse) level, the chapter discusses the role of personal leadership models in the quest for desired outcomes. At the system level, Magnet® hospital research lessons are provided as building blocks (interventions) to support better nurse work environments. Also, an example of a nurse outcome program of research findings is included. In the research program, interventions are aimed at system characteristics of the NWE and the individual nurse. These interventions strongly relate to nurse outcomes such as empowerment and engagement and, in turn, with nurses’ job satisfaction and joy in work. Future directions are provided.

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References

  • Adriaenssens J, Hamelink A, Van Bogaert P (2017) Predictors of occupational stress and wellbeing in first-line nurse managers: a cross-sectional survey study. Int J Nurs Stud 73:85–92

    Article  PubMed  Google Scholar 

  • Aiken LH, Patrician PA (2000) Measuring organizational traits of hospitals: the revised nursing work index. Nurs Res 49:146–153

    Article  CAS  PubMed  Google Scholar 

  • Aiken LH, Clarke SP, Sloane DM, Lake ET, Cheney T (2008) Effects of hospital care environment on patient mortality and nurse outcomes. J Nurs Adm 38:223–229

    Article  PubMed  PubMed Central  Google Scholar 

  • Aiken LH, Sloane D, Griffiths P, RN4CAST Consortium (2017) Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ Qual Saf 26:559–568. https://doi.org/10.1136/bmjqs-2016-005567

    Article  PubMed  Google Scholar 

  • American Association of Critical-Care Nurses (2016) AACN healthy work environment assessment tool. https://www.aacn.org/nursing-excellence/healthy-work-environments/aacn-healthy-work-environment-assessment-tool

  • American Nurses Credentialing Center (n.d.-a) ANCC Magnet Recognition Program. https://www.nursingworld.org/organizational-programs/magnet/

  • American Nurses Credentialing Center (n.d.-b) ANCC pathway to excellence program. https://www.nursingworld.org/organizational-programs/pathway/

  • Bakker AB, Demerouti E (2007) The job demands‐resources model: state of the art. J Managerial Psych 22:309–328

    Article  Google Scholar 

  • Bakker AB, Demerouti E (2017) Job demands-resources theory: taking stock and looking forward. J Occup Health Psychol 22:273–285

    Article  PubMed  Google Scholar 

  • Bakker AB, Albrecht SL, Leiter MP (2011) Key questions regarding work engagement. Eur J Work Organiz Psychol 20:4–28

    Article  Google Scholar 

  • Bolton LR, Harvey RD, Grawitch MJ, Barber LK (2012) Counterproductive work behaviours in response to emotional exhaustion: a moderated mediational approach. Stress Health 28:222–233

    Article  PubMed  Google Scholar 

  • Braspenning M, Franck E (2013) Personality and interpersonal behavior. A cross-sectional study in nursing and medicine students. [Unpublished masters thesis]

    Google Scholar 

  • Brigham T, Barden C, Dopp AL, Hengerer A, Kaplan J, Malone B, Martin C, McHugh M, Nora LM (2018) A journey to construct an all-encompassing conceptual model of factors affecting clinician well-being and resilience. NAM Perspectives. Discussion Paper. National Academy of Medicine, Washington, DC. https://doi.org/10.31478/201801b. https://nam.edu/journey-construct-encompassing-conceptual-model-factors-affecting-clinician-well-resilience/

    Book  Google Scholar 

  • Copanitsanou P, Fotos N, Brokalaki H (2017) Effects of work environment on patient and nurse outcomes. Br J Nurs 26(3):172–176. https://doi.org/10.12968/bjon.2017.26.3.172

    Article  PubMed  Google Scholar 

  • Dahinten VS, Macphee M, Hejazi S et al (2014) Testing the effects of an empowerment-based leadership development programme: part 2—staff outcomes. J Nurs Manag 22:16–28

    Article  CAS  PubMed  Google Scholar 

  • De Ridder D, Gillebaart M (2016) Lessons learned from trait self-control in well-being: making the case for routines and initiation as important components of trait self-control. Health Psychol Rev 11:1–29. https://doi.org/10.1080/17437199.2016.1266275

    Article  Google Scholar 

  • De Ridder D, Lensvelt-Mulders G, Finkenauer C, Stok M, Baumeister R (2012) Taking stock of self-control: a meta-analysis of how trait self-control relates to a wide range of behaviors. Personal Soc Psychol Rev 16:76–99. https://doi.org/10.1177/1088868311418749

    Article  Google Scholar 

  • Debisschop M (2017) Along with passion and talent: study, work and life from the “Inner Why”. (Dutch title: Vertrekken met passie en talent. Studeren, werken en leven vanuit het ‘inner why’) Pelckmans

    Google Scholar 

  • Dow WA, Baernholdt M, Santen AS, Baker K, Sessler CN (2019) Practitioner well-being as an interprofessional outcome. J Interprofess Care 33(6):603–607. https://doi.org/10.1080/13561820.2019.1673705

    Article  Google Scholar 

  • Eo Y, Kim YH, Lee NY (2014) Path analysis of empowerment and work effectiveness among staff nurses. Asian Nurs Res 8:42–48

    Article  Google Scholar 

  • Estryn-Béhar M, Van der Heijden BI, Ogińska H et al (2007) The impact of social work environment, teamwork characteristics, burnout, and personal factors upon intent to leave among European nurses. Med Care 45:939–950

    Article  PubMed  Google Scholar 

  • Franck E, Depauw R, Vanmechelen M (2016) Team resource Management in Antwerp University Hospital Operation Theatre. [Unpublished report]

    Google Scholar 

  • Franck E, Roes L, De Schepper S, Timmermans O (2018) Team resource management and quality of care. In: Van Bogaert P, Clarke S (eds) The organizational context of nursing practice. Concepts, evidence, and interventions for improvement. Springer International Publishing, New York

    Google Scholar 

  • Geuens N, Van Bogaert P, Franck E (2017) Vulnerability to burnout within the nursing workforce—the role of personality and interpersonal behavior. J Clin Nurs 26:23–24. https://doi.org/10.1111/jocn.13808

    Article  Google Scholar 

  • Gottfredson LS (1981) Circumscription and compromise: a developmental theory of occupational aspirations. J Counsell Psychol Monogr 6:545–579

    Article  Google Scholar 

  • Gurtman MB (2009) Exploring personality with the interpersonal circumplex. Soc Personal Psychol Compass 3:601–619

    Article  Google Scholar 

  • Halm M (2019) The influence of appropriate staffing and healthy work environments on patient and nurse outcomes. Am J Crit Care 28:152–156. https://doi.org/10.4037/ajcc2019938

    Article  PubMed  Google Scholar 

  • Hasselhorn HM, Tackenberg P, Muller BH (2005) Nurses early exit (NEXT) scientific report. University of Wuppertal NEXT-study coordination. www.next-study.net

  • Heyhoe J, Birks Y, Harrison R, O’Hara JK, Cracknell A, Lawton R (2016) The role of emotion in patient safety: are we brave enough to scratch beneath the surface? J R Soc Med 109(2):52–58. https://doi.org/10.1177/0141076815620614

    Article  PubMed  Google Scholar 

  • Hinds PS, Britton DR, Coleman L, Engh E, Kunze Humbel T, Keller S et al (2015) Creating a career legacy map to help assure meaningful work in nursing. Nurs Outlook 63:211–218. https://doi.org/10.1016/j.outlook.2014.08.002

    Article  PubMed  Google Scholar 

  • Ibrahim RZAR, Ohtsuka K (2014) Review of the job demand-control and job demand-control-support models: elusive moderating predictor effects and cultural implications. Southeast Asia Psychol J 1:10–21

    Google Scholar 

  • Kanter RM (1993) Men and women of the corporation, 2nd edn. Basis books, New York

    Google Scholar 

  • Kelly LA, McHugh MD, Aiken LH (2012) Nurse outcomes in Magnet® and non-Magnet hospitals. J Nurs Adm 42:S44–S49

    Article  PubMed  PubMed Central  Google Scholar 

  • Kiesler DJ, Auerbach SM (2003) Integrating measurement of control and affiliation in studies of physician-patient interaction: the interpersonal circumplex. Soc Sci Med 57(9):1707–1722. https://doi.org/10.1016/S0277-9536(02)00558-0

    Article  PubMed  Google Scholar 

  • Kramer M, Hafner LP (1989) Shared values: impact on staff nurse job satisfaction and perceived productivity. Nurs Res 38:172–177

    Article  CAS  PubMed  Google Scholar 

  • Kramer M, Schmalenberg C (2002) Staff identify essentials of magnetism. In: McClure ML, Hinshaw AS (eds) Magnet hospitals revisited: attraction and retention of professional nurses. American Nurses Association Publishing, Washington, pp 25–59

    Google Scholar 

  • Kutney-Lee A, Stimpfel AW, Sloane DM, Cimiotti JP, Quinn LW, Aiken LH (2015) Changes in patient and nurse outcomes associated with magnet hospital recognition. Med Care 53:550–557. https://doi.org/10.1097/MLR.0000000000000355

    Article  PubMed  PubMed Central  Google Scholar 

  • Lake ET (2002) Development of the practice environment scale of the nursing work index. Res Nurs Health 25:176–188

    Article  PubMed  Google Scholar 

  • Lake ET, Sanders J, Duan R, Riman KA, Schoenauer KM, Chen Y (2019) A meta-analysis of the associations between the nurse work environment in hospitals and 4 sets of outcomes. Med Care 57:353–361. https://doi.org/10.1097/MLR.0000000000001109

    Article  PubMed  PubMed Central  Google Scholar 

  • Laschinger HK, Finegan J (2005) Empowering nurses for work engagement and health in hospital settings. J Nurs Adm 35:439–449

    Article  PubMed  Google Scholar 

  • Laschinger HK, Finegan J, Shamian J, Wilk P (2001) Impact of structural and psychological empowerment on job strain in nursing work settings: expanding Kanter’s model. J Nurs Adm 31:260–272

    Article  CAS  PubMed  Google Scholar 

  • Laschinger HK, Almost J, Tuer-Hodes D (2003) Workplace empowerment and magnet hospital characteristics: making the link. J Nurs Adm 33:410–422

    Article  PubMed  Google Scholar 

  • Laschinger HK, Finegan JE, Shamian J, Wilk P (2004) A longitudinal analysis of the impact of workplace empowerment on work satisfaction. J Organ Behav 25:527–545

    Article  Google Scholar 

  • Leiter MP, Maslach C (2009) Nurse turnover: the mediating role of burnout. J Nurs Manag 3:331–339

    Article  Google Scholar 

  • Leonard M, Graham S, Bonacum D (2004) The human factor: the critical importance of effective teamwork and communication in providing safe care. Qual Saf Health Care 13(suppl 1):85–90

    Article  Google Scholar 

  • MacPhee M, Bouthillette F (2008) Developing leadership in nurse managers: the British Columbia nursing leadership institute. Nurs Leadersh 21:64–75

    Article  Google Scholar 

  • MacPhee M, Skelton‐Green J, Bouthillette F, Suryaprakash N (2012) An empowerment framework for nursing leadership development: supporting evidence. J Adv Nurs 68:159–169

    Article  PubMed  Google Scholar 

  • MacPhee M, Dahinten VS, Hejazi S et al (2014) Testing the effects of an empowerment-based leadership development programme: part 1—leader outcomes. J Nurs Manag 22:4–15

    Article  CAS  PubMed  Google Scholar 

  • Maslach C, Leiter MP (2008) Early predictors of job burnout and engagement. J Appl Psychol 93:498–512

    Article  PubMed  Google Scholar 

  • Maslach C, Schaufeli WB, Leiter MP (2001) Job burnout. Annu Rev Psychol 52:397–422

    Article  CAS  PubMed  Google Scholar 

  • McClure ML, Hinshaw AS (2002) Magnet hospitals revisited: attraction and retention of professional nurses. American Nurses Association Publishing, Washington

    Google Scholar 

  • McClure ML, Poulin MA, Sovie MD, Wandelt MA (2002) Magnet hospitals: attraction and retention of professional nurses (the Original Study). In: McClure ML, Hinshaw AS (eds) Magnet hospitals revisited: attraction and retention of professional nurses. American Nurses Association Publishing, Washington, pp 1–24

    Google Scholar 

  • Mimura C, Griffiths P, Norman I (2009) Editorial: what motivates people to enter professional nursing? Int J Nurs Stud 46:603–605

    Article  PubMed  Google Scholar 

  • Mitchell PH, Ferketich S, Jennings BM (1998) Quality Health Outcomes Model. Image J Nurs Sch 30(1):43–46

    Article  CAS  PubMed  Google Scholar 

  • Petit Dit Dariel O, Regnaux JP (2015) Do Magnet®-accredited hospitals show improvements in nurse and patient outcomes compared to non-Magnet hospitals: a systematic review. JBI Database System Rev Implement Rep 13(6):168–219. https://doi.org/10.11124/jbisrir-2015-2262

    Article  PubMed  Google Scholar 

  • Redeker M, de Vries R, Rouckhout D, Vermeren P, De Fruyt F (2012) Integrating leadership: the leadership circumplex. Eur J Work Organiz Psychol 23:435–455. https://doi.org/10.1080/1359432X.2012.738671

    Article  Google Scholar 

  • Schaufeli W, Bakker A (2003) Utrecht work engagement scale: preliminary manual. Department of Psychology, Utrecht University Utrecht the Netherlands, Utrecht

    Google Scholar 

  • Schaufeli WB, Salonova M (2011) Work engagement: on how to better catch a slippery concept. Eur J Work Organiz Psychol 20:39–46

    Article  Google Scholar 

  • Schmalenberg C, Kramer M (2008) Essentials of a productive nurse work environment. Nurs Res 57:2–13. https://doi.org/10.1097/01.NNR.0000280657.04008.2a

    Article  PubMed  Google Scholar 

  • Schutz A (1998) Autobiographical narratives of good and bad deeds: defensive and favourable self-description moderated by trait self-esteem. J Soc Clin Psychol 17(4):466–475

    Article  Google Scholar 

  • Sermeus W, Aiken LH, Van den Heede K et al (2011) Nurse forecasting in Europe (RN4CAST): rationale, design and methodology. BMC Nurs 10:6. https://doi.org/10.1186/1472-6955-10-6

    Article  PubMed  PubMed Central  Google Scholar 

  • Sinek S (2009) How great leaders inspire action [Video]. TED Conferences. https://www.ted.com/talks/simon_sinek_how_great_leaders_inspire_action

  • Singleton JK, Santomasino M, Slyer JT (2015) A team process to support interprofessional care. J Interprofessional Educ Pract 1(1):28–31. https://doi.org/10.1016/j.xjep.2015.03.005

    Article  Google Scholar 

  • Spreitzer GM (1995) Psychological empowerment in the workplace: dimensions, measurement, and validation. Acad Manag J 38:1442–1465

    Article  Google Scholar 

  • Stimpfel AW, Rosen JE, McHugh MD (2014) Understanding the role of the professional practice environment on quality of care in Magnet® and non-Magnet hospitals. J Nurs Administr 44:10–16. https://doi.org/10.1097/NNA.0000000000000015

    Article  Google Scholar 

  • Urden LD, Monarch K (2002) The ANCC magnet recognition program converting research findings into action. In: McClure ML, Hinshaw AS (eds) Magnet hospitals revisited: attraction and retention of professional nurses. American Nurses Association Publishing, Washington, pp 103–115

    Google Scholar 

  • Vallerand RJ (2012) The role of passion in sustainable psychological well-being. Psychol Well-Being: Theory Res Pract 2:1–21

    Article  Google Scholar 

  • Van Bogaert P, Clarke S (2018a) Concepts: organization of nursing work and the psychosocial experience of nurses. In: Van Bogaert P, Clarke S (eds) The organizational context of nursing practice: concepts; evidence and Interventions for improvements. Springer, New York, pp 5–47

    Chapter  Google Scholar 

  • Van Bogaert P, Clarke S (2018b) Organizational predictors and determinants of nurses’ reported outcomes: evidence from a 10-year program of research. In: Van Bogaert P, Clarke S (eds) The organizational context of nursing practice: concepts; evidence and Interventions for improvements. Springer, New York, pp 49–100

    Chapter  Google Scholar 

  • Van Bogaert P, Clarke S, Vermeyen K, Meulemans H, Van de Heyning P (2009) Practice environments and their associations with nurse-reported outcomes in Belgian hospitals: development and preliminary validation of a Dutch adaptation of the Revised Nursing Work Index. Int J Nurs Stud 46:54–64

    PubMed  Google Scholar 

  • Van Bogaert P, Clarke S, Roelant E, Meulemans H, Van de Heyning P (2010) Impacts of unit-level nurse practice environment and burnout on nurse-reported outcomes: a multilevel modelling approach. J Clin Nurs 19:1664–1674

    Article  PubMed  Google Scholar 

  • Van Bogaert P, Clarke S, Wouters K, Franck E, Willems R, Mondelaers M (2013) Impacts of unit-level nurse practice environment, workload and burnout on nurse-reported outcomes in psychiatric hospitals: a multilevel modelling approach. Int J Nurs Stud 50:357–365

    Article  PubMed  Google Scholar 

  • Van Bogaert P, Timmermans O, Weeks SM, van Heusden D, Wouters K, Franck E (2014a) Nursing unit teams matter: impact of unit-level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events—a cross-sectional survey. Int J Nurs Stud 51:1123–1134

    Article  PubMed  Google Scholar 

  • Van Bogaert P, Van Heusden D, Somers A et al (2014b) The Productive Ward program™: a longitudinal multilevel study of nurse perceived practice environment, burnout, and nurse-reported quality of care and job outcomes. J Nurs Adm 44:452–461

    Article  PubMed  Google Scholar 

  • Van Bogaert P, Peremans L, Van Heusden D et al (2017a) Predictors of burnout, work engagement and nurse reported job outcomes and quality of care: a mixed method study. BMC Nurs 16:5

    Article  PubMed  PubMed Central  Google Scholar 

  • Van Bogaert P, Van Heusden D, Verspuy M et al (2017b) The Productive Ward Program™: a two-year implementation impact review using a longitudinal multilevel study. Can J Nurs Res 49:28–38

    Article  PubMed  Google Scholar 

  • Van Bogaert P, Van Heusden D, Slootmans S et al (2018) Staff empowerment and engagement in a Magnet® recognized and joint commission international accredited academic centre in Belgium: a cross-sectional survey. BMC Health Serv Res 2018(18):756

    Article  Google Scholar 

  • Wagner JL, Warren S, Cummings G, Smith DL, Olson JK (2013) Resonant leadership, workplace empowerment, and “spirit at work”: impact on RN job satisfaction and organizational commitment. Can J Nurs Res 45:108–128

    Article  PubMed  Google Scholar 

  • Wei H, Sewell KA, Woody G, Rose MA (2018) The state of the science of nurse work environments in the United States: a systematic review. Int J Nurs Sci 5:287–300. https://doi.org/10.1016/j.ijnss.2018.04.010

    Article  PubMed  PubMed Central  Google Scholar 

  • White M, Wells JS, Butterworth T (2014) The productive ward: releasing time to care(™)—what we can learn from the literature for implementation. J Nurs Manag 22(7):914–923

    Article  PubMed  Google Scholar 

  • Wolf GA, Greenhouse PK (2006) A road map for creating a Magnet work environment. J Nurs Adm 36:458–462

    Article  PubMed  Google Scholar 

  • Yang J, Liu Y, Huang C, Zhu L (2013) Impact of empowerment on professional practice environments and organizational commitment among nurses: a structural equation approach. International journal of nursing practice. Int J Nurs Pract 19:44–55

    Article  PubMed  Google Scholar 

  • Zysberg L, Berry DM (2005) Gender and students’ vocational choices in entering the field of nursing. Nurs Outlook 53:193–198

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Nursing and Midwifery Science, Centre for Research and Innovation in Care (CRIC), University of Antwerp, Antwerpen, Belgium

    Peter Van Bogaert & Erik Franck

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  1. Peter Van Bogaert
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  2. Erik Franck
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Correspondence to Peter Van Bogaert .

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Editors and Affiliations

  1. School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Marianne Baernholdt

  2. Fay W. Whitney School of Nursing, University of Wyoming, Laramie, WY, USA

    Diane K. Boyle

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Bogaert, P.V., Franck, E. (2021). Nurse Outcomes: Burnout, Engagement, and Job Satisfaction. In: Baernholdt, M., Boyle, D.K. (eds) Nurses Contributions to Quality Health Outcomes. Springer, Cham. https://doi.org/10.1007/978-3-030-69063-2_13

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