Emergency Nursing Workforce, Burnout, and Job Turnover in the United States: A National Sample Survey Analysis

Allison A. Norful, Kenrick Cato, Bernard P. Chang, Taryn Amberson, Jessica Castner

Résultat de rechercheexamen par les pairs

10 Citations (Scopus)

Résumé

Introduction: Few studies have examined emergency nurses who have left their job to better understand the reason behind job turnover. It also remains unclear whether emergency nurses differ from other nurses regarding burnout and job turnover reasons. Our study aimed to test differences in reasons for turnover or not currently working between emergency nurses and other nurses; and ascertain factors associated with burnout as a reason for turnover among emergency nurses. Methods: We conducted a secondary analysis of 2018 National Sample Survey for Registered Nurses data (weighted N = 3,004,589) from Health Resources and Services Administration. Data were analyzed using descriptive statistics, chi-square and t-test, and unadjusted and adjusted logistic regression applying design sampling weights. Results: There were no significant differences in burnout comparing emergency nurses with other nurses. Seven job turnover reasons were endorsed by emergency nurses and were significantly higher than other nurses: insufficient staffing (11.1%, 95% confidence interval [CI] 8.6-14.2, P = .01), physical demands (5.1%, 95% CI 3.4-7.6, P = .44), patient population (4.3%, 95% CI 2.9-6.3, P < .001), better pay elsewhere (11.5%, 95% CI 9-14.7, P < .001), career advancement/promotion (9.6%, 95% CI 7.0-13.2, P = .01), length of commute (5.1%, 95% CI 3.4-7.5, P = .01), and relocation (5%, 95% CI 3.6-7.0, P = .01). Increasing age and increased years since nursing licensure was associated with decreased odds of burnout. Discussion: Several modifiable factors appear associated with job turnover. Interventions and future research should account for unit-specific factors that may precipitate nursing job turnover.

Langue d'origineEnglish
Pages (de-à)574-585
Nombre de pages12
JournalJournal of Emergency Nursing
Volume49
Numéro de publication4
DOI
Statut de publicationPublished - juill. 2023

Financement

Bailleurs de fondsNuméro du bailleur de fonds
Emergency Nurses Association
NIMHHDR43MD017188
National Institutes of Health
National Heart, Lung, and Blood InstituteHL R01 146911, HL R01 141811
National Institute of Nursing Research1R01NR016941-01
U.S. Small Business Administration
National Academy of Medicine
Rockefeller University

    ASJC Scopus Subject Areas

    • Emergency

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    Citer

    Norful, A. A., Cato, K., Chang, B. P., Amberson, T., & Castner, J. (2023). Emergency Nursing Workforce, Burnout, and Job Turnover in the United States: A National Sample Survey Analysis. Journal of Emergency Nursing, 49(4), 574-585. https://doi.org/10.1016/j.jen.2022.12.014