عوامل استرس زا و فرسودگی شغلی
ترجمه نشده

عوامل استرس زا و فرسودگی شغلی

عنوان فارسی مقاله: بررسی عوامل استرس زا و فرسودگی شغلی در بین ارائه دهندگان تمرین پیشرفته
عنوان انگلیسی مقاله: Exploring burnout and job stressors among advanced practice providers
مجله/کنفرانس: چشم انداز پرستاری – Nursing Outlook
رشته های تحصیلی مرتبط: روانشناسی
گرایش های تحصیلی مرتبط: روانشناسی صنعتی و سازمانی، روانشناسی عمومی
کلمات کلیدی فارسی: پرستاران تمرین پیشرفته، فرسودگی، عوامل استرس زا شغلی، مدل سازی معادلات ساختاری، دستیاران پزشک، مشارکت شغلی
کلمات کلیدی انگلیسی: Advanced practice nurses، Burnout، Job stressors، Structural equation modeling، Physician assistants، Work engagement
نوع نگارش مقاله: مقاله پژوهشی (Research Article)
شناسه دیجیتال (DOI): https://doi.org/10.1016/j.outlook.2019.09.005
دانشگاه: OSF HealthCare, Peoria, IL
صفحات مقاله انگلیسی: 10
ناشر: الزویر - Elsevier
نوع ارائه مقاله: ژورنال
نوع مقاله: ISI
سال انتشار مقاله: 2020
ایمپکت فاکتور: 2.820 در سال 2019
شاخص H_index: 54 در سال 2020
شاخص SJR: 0.931 در سال 2019
شناسه ISSN: 0029-6554
شاخص Quartile (چارک): Q1 در سال 2019
فرمت مقاله انگلیسی: PDF
وضعیت ترجمه: ترجمه نشده است
قیمت مقاله انگلیسی: رایگان
آیا این مقاله بیس است: بله
آیا این مقاله مدل مفهومی دارد: ندارد
آیا این مقاله پرسشنامه دارد: ندارد
آیا این مقاله متغیر دارد: دارد
کد محصول: E15033
رفرنس: دارای رفرنس در داخل متن و انتهای مقاله
فهرست مطالب (انگلیسی)

Abstract

Introduction

Review of Literature

Methods

Findings

Discussion

Conclusions

Acknowledgements

Funding Support

Appendix. Supplementary materials

Research Data

References

بخشی از مقاله (انگلیسی)

Abstract

Background: Minimal research exists on how engagement, burnout, work-family balance, and job stressors impact advanced practice nurses and physician assistants, collectively referred to advanced practice providers (APPs). Purpose: To investigate the interrelationships among burnout, job stressors, workfamily balance, and engagement with APPs. Methods: An online questionnaire was distributed to APPs working in four healthcare systems. A total of 1,216 APPs completed the survey. A hypothesized model was tested using structural equation modeling. Findings: There was a high correlation of job stressors with development of burnout. A significant negative effect between job stress and work engagement was supported; however, indirect effects of stress through job burnout had a stronger impact on work engagement. Higher levels of work-family balance contributed to a lower level of stress experienced by providers. Discussion: Organizational leaders desiring to improve employee engagement and reduce burnout need to focus on the significance of work-family balance to job stressors.

Introduction

Burnout as a phenomenon has been well documented in nurses who provide direct care and its prevalence has been established (Aiken et al., 2001; McHugh, Kutney-Lee, Cimiotti, Sloane, & Aiken, 2011). Advanced practice providers (APPs) is a term used to describe advanced practice registered nurses (APRNs) and physician assistants (PAs) who work collaboratively with physicians. The rising concern for burnout among nurses and physicians globally (Linzer et al., 2001; Shanafelt et al., 2015) has prompted a need for a closer investigation of its possible existence in APPs who are expected to help address the projected shortage of 23,640 primary care physicians by 2025 within the United States of America (USA) (Health Resources Services Administration, 2016). However, there is very little research on the construct of burnout among APPs. The consequences of burnout within the healthcare professions include stress-related health problems, shorter careers, and turnover (Aiken et al., 2001; Bianchi, Mayor, Schonfield, & Laurent, 2018; Shanafelt et al., 2015; West, Dyrbye, & Shanafelt, 2018). It is difficult to know the degree to which burnout exists among different professionals (Helfrich et al., 2017). Retention of all providers is necessary to enhance the delivery and quality of care as access to care, particularly in rural areas, remains challenging. Emerging models of care that allow all healthcare professionals to work at the full scope and extent of their licensure are recommended as ways to improve efficiency, quality, and to meet healthcare needs; yet considerable challenges to full practice expansion of APRNs persist (Altman, Butler, & Shern, 2015). The expectations for APPs working within these new models suggest a need for consideration of their impact on job stressors. Fortney, Luchterhand, Zakletskaia, Zgierska, and Rakel (2013) proposed addressing elements of the work environment and self-care to avoid alienation and depersonalization, which are viewed as possible effects associated with an increasingly complex healthcare system.