Nurse burnout and patient satisfaction.

Doris C. Vahey, Linda H. Aiken, Douglas M. Sloane, Sean Clarke, Delfino Vargas

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Amid a national nurse shortage, there is growing concern that high levels of nurse burnout could adversely affect patient outcomes. OBJECTIVES: This study examines the effect of the nurse work environment on nurse burnout, and the effects of the nurse work environment and nurse burnout on patients' satisfaction with their nursing care. RESEARCH DESIGN/SUBJECTS: We conducted cross-sectional surveys of nurses (N=820) and patients (N=621) from 40 units in 20 urban hospitals across the United States. MEASURES: Nurse surveys included measures of nurses' practice environments derived from the revised Nursing Work Index (NWI-R) and nurse outcomes measured by the Maslach Burnout Inventory (MBI) and intentions to leave. Patients were interviewed about their satisfaction with nursing care using the La Monica-Oberst Patient Satisfaction Scale (LOPSS). RESULTS: Patients cared for on units that nurses characterized as having adequate staff, good administrative support for nursing care, and good relations between doctors and nurses were more than twice likely as other patients to report high satisfaction with their care, and their nurses reported significantly lower burnout. The overall level of nurse burnout on hospital units also affected patient satisfaction. CONCLUSIONS: Improvements in nurses' work environments in hospitals have the potential to simultaneously reduce nurses' high levels of job burnout and risk of turnover and increase patients' satisfaction with their care.

Original languageEnglish (US)
JournalMedical care
Volume42
Issue number2 Suppl
StatePublished - Jan 1 2004

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Patient Satisfaction
Nurses
Nursing Care
Hospital Units
Urban Hospitals
Nursing

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Vahey, D. C., Aiken, L. H., Sloane, D. M., Clarke, S., & Vargas, D. (2004). Nurse burnout and patient satisfaction. Medical care, 42(2 Suppl).

Nurse burnout and patient satisfaction. / Vahey, Doris C.; Aiken, Linda H.; Sloane, Douglas M.; Clarke, Sean; Vargas, Delfino.

In: Medical care, Vol. 42, No. 2 Suppl, 01.01.2004.

Research output: Contribution to journalArticle

Vahey, DC, Aiken, LH, Sloane, DM, Clarke, S & Vargas, D 2004, 'Nurse burnout and patient satisfaction.', Medical care, vol. 42, no. 2 Suppl.
Vahey DC, Aiken LH, Sloane DM, Clarke S, Vargas D. Nurse burnout and patient satisfaction. Medical care. 2004 Jan 1;42(2 Suppl).
Vahey, Doris C. ; Aiken, Linda H. ; Sloane, Douglas M. ; Clarke, Sean ; Vargas, Delfino. / Nurse burnout and patient satisfaction. In: Medical care. 2004 ; Vol. 42, No. 2 Suppl.
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