Burnout and Intent to Leave Among Mid-Level Academic Nurse Leaders: An Unfolding Crisis

2.50
Hdl Handle:
http://hdl.handle.net/10755/621782
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Burnout and Intent to Leave Among Mid-Level Academic Nurse Leaders: An Unfolding Crisis
Other Titles:
Faculty Retention
Author(s):
Flynn, Linda; Ironside, Pamela
Lead Author STTI Affiliation:
Alpha Kappa-at-Large
Author Details:
Linda Flynn, PhD, RN, FAAN, Professional Experience: 2012 to Present: Professor, University of Colorado College of Nursing 2013-2016 - Associate Dean of Academic Programs, University of Colorado College of Nursing 2008 - 2012 - Associate Dean & Professor, Rutgers School of Nursing 2002 - 2006 - Assistant Professor, Rutgers School of Nursing 2000 - 2001 - NIH Postdoctoral Research Fellowship (National Institutes of Nursing Research, NIH)T32 NR07104: “Advanced Training in Nursing Outcomes Research”. Center for Health Outcomes & Policy Research, University of Pennsylvania School of nursing, Philadelphia, PA MENTOR: Linda Aiken, PhD, RN, FAAN, FRCN. Served as Principal Investigator on approximately 10 funded research projects including large, multi-site, interdisciplinary projects. Multiple data-based publications in peer-reviewed journals. Multiple international podium presentations including keynotes. Findings have influenced local and federal policies, and received international media attention. Author Summary: Dr. Linda Flynn is currently a Professor at the University of Colorado, College of Nursing. Her program of funded research, which was among the first to extend nursing outcomes research into non-acute settings, focuses on the effects of work environments on outcomes across health care systems. Her research has been cited as evidence for practice standards and as the evidence base for changes in U.S. healthcare regulations.
Abstract:

Purpose:  Much attention has been focused, appropriately, on nursing faculty shortages. Another growing international concern, however, is the critical shortage of mid-level academic nurse leaders such as associate and assistant deans. Since many future deanship vacancies are expected to be filled by current mid-level academic leaders, it is vital to the future of nursing education that we better understand the contributors to mid-level leader shortages (Morton, 2014). Occupational burnout has been found to be associated with job dissatisfaction and attrition in international samples of clinical-focused nurses as well as educators in other disciplines (Aiken, et al., 2012; Brunsting, Sreckovic, & Lane 2014). Therefore, the purpose of this study was to determine the prevalence and predictors of occupational burnout among mid-level academic nurse leaders so that evidence-based retention strategies can be developed.

Methods: To ensure protection of human subjects, the study protocol was approved by the Colorado Multiple Institutional Review Board prior to subject recruitment and data collection. This multi-site, multi-state study recruited 28 schools of nursing from all geographic regions of the U.S. to participate in a comprehensive web-based survey of faculty. A portion of the survey items were dedicated exclusively to mid-level academic nurse leaders who devoted 50% or more of their effort to an administrative position within the school, including assistant and associate deans, program directors, and department chairs. Dillman survey methods were used to obtain a robust response rate resulting in a sample of 140 mid-level academic nurse leaders representing all 28 participating schools. Burnout was measured by the Emotional Exhaustion subscale of Maslach Burnout Inventory; scores greater than 27 are indicative of burnout (Maslach & Leiter, 2016). Satisfaction with various dimensions of work life, intent-to-leave their school, and intent-to-leave academic nursing were measured by survey items tested in previous research (Yedidia, Chou, Brownlee, Flynn, & Tanner). Generalized estimating equations, producing robust logistic regression models that account for clustering of respondents within schools, were used to determine the effects of study variables on the odds on burnout and intentions-to-leave.

Results:  There were no associations between any demographic characteristics and burnout or intentions-to-leave. A total of 71.2% of mid-level academic nurse leaders reported that they typically worked more than 56 hours per week, and 12.3% reported working more than 66 hours per week. Importantly, 21.2% reported that they planned to leave their school within one year and 18.8% indicated they planned to leave academic nursing within the year. A total of 37.7% of mid-level academic nurse leaders had a high emotional exhaustion subscale score indicting occupational burnout. The prevalence of burnout within this sample was higher than that found among hospital staff nurses as recently measured across 13 countries, including the U.S. Mid-level academic nurse leaders who were dissatisfied with their workloads were almost eight times more likely to have developed occupational burnout [OR = 7.84 (3.12, 20.0)]; respondents who typically worked more than 56 hours per week were almost three times more likely to be suffering from burnout [OR = 2.80 (1.33,5.88)]. In models adjusted and unadjusted for age, mid-level academic nurse leaders suffering from burnout were approximately three times more likely to be planning to leave their school within the year [OR = 2.97 (1.26, 6.94)], and more than three and a half times more likely to be planning to leave academic nursing, entirely [OR = 3.64 (1.42, 8.63].

Conclusion: The future of nursing education can ill afford to lose approximately 20% of the current mid-level academic nurse leaders to attrition that is due mainly to modifiable work environment factors. Fortunately, findings from this study provide valuable insight into strategies that can be implemented to reduce this trend. Heavy workloads and long work weeks contributed to an unacceptably high prevalence of burnout within mid-level academic nurse leaders in this study. Burnout, in turn, was a major predictor of their intentions-to-leave. Schools of nursing must act quickly to re-examine and redesign workloads among this invaluable group of academic experts and future deans. Responsibilities that can be delegated to support staff should be identified, and schools should ensure that supportive resources are available. Although this study was conducted in the U.S., the growing internationalization of nursing education denotes core challenges that are experienced by us all. Findings from this study not only serve to be the proverbial canary in the coal mine, warning of crises to come, but also provide guidance for preventative strategies that could be implemented in schools of nursing around the world.

Keywords:
academic leaders; nursing education; occupational burnout
Repository Posting Date:
12-Jul-2017
Date of Publication:
12-Jul-2017
Other Identifiers:
INRC17L03
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleBurnout and Intent to Leave Among Mid-Level Academic Nurse Leaders: An Unfolding Crisisen_US
dc.title.alternativeFaculty Retentionen
dc.contributor.authorFlynn, Lindaen
dc.contributor.authorIronside, Pamelaen
dc.contributor.departmentAlpha Kappa-at-Largeen
dc.author.detailsLinda Flynn, PhD, RN, FAAN, Professional Experience: 2012 to Present: Professor, University of Colorado College of Nursing 2013-2016 - Associate Dean of Academic Programs, University of Colorado College of Nursing 2008 - 2012 - Associate Dean & Professor, Rutgers School of Nursing 2002 - 2006 - Assistant Professor, Rutgers School of Nursing 2000 - 2001 - NIH Postdoctoral Research Fellowship (National Institutes of Nursing Research, NIH)T32 NR07104: “Advanced Training in Nursing Outcomes Research”. Center for Health Outcomes & Policy Research, University of Pennsylvania School of nursing, Philadelphia, PA MENTOR: Linda Aiken, PhD, RN, FAAN, FRCN. Served as Principal Investigator on approximately 10 funded research projects including large, multi-site, interdisciplinary projects. Multiple data-based publications in peer-reviewed journals. Multiple international podium presentations including keynotes. Findings have influenced local and federal policies, and received international media attention. Author Summary: Dr. Linda Flynn is currently a Professor at the University of Colorado, College of Nursing. Her program of funded research, which was among the first to extend nursing outcomes research into non-acute settings, focuses on the effects of work environments on outcomes across health care systems. Her research has been cited as evidence for practice standards and as the evidence base for changes in U.S. healthcare regulations.en
dc.identifier.urihttp://hdl.handle.net/10755/621782-
dc.description.abstract<p><strong>Purpose: </strong><strong> </strong><span>Much attention has been focused, appropriately, on nursing faculty shortages. Another growing international concern, however, is the critical shortage of mid-level academic nurse leaders such as associate and assistant deans. Since many future deanship vacancies are expected to be filled by current mid-level academic leaders, it is vital to the future of nursing education that we better understand the contributors to mid-level leader shortages (Morton, 2014). Occupational burnout has been found to be associated with job dissatisfaction and attrition in international samples of clinical-focused nurses as well as educators in other disciplines (Aiken, et al., 2012; Brunsting, Sreckovic, & Lane 2014). Therefore, the purpose of this study was to determine the prevalence and predictors of occupational burnout among mid-level academic nurse leaders so that evidence-based retention strategies can be developed.</span></p> <p><strong>Methods: </strong><strong></strong>To ensure protection of human subjects, the study protocol was approved by the Colorado Multiple Institutional Review Board prior to subject recruitment and data collection. This multi-site, multi-state study recruited 28 schools of nursing from all geographic regions of the U.S. to participate in a comprehensive web-based survey of faculty. A portion of the survey items were dedicated exclusively to mid-level academic nurse leaders who devoted 50% or more of their effort to an administrative position within the school, including assistant and associate deans, program directors, and department chairs. Dillman survey methods were used to obtain a robust response rate resulting in a sample of 140 mid-level academic nurse leaders representing all 28 participating schools. Burnout was measured by the Emotional Exhaustion subscale of Maslach Burnout Inventory; scores greater than 27 are indicative of burnout (Maslach & Leiter, 2016). Satisfaction with various dimensions of work life, intent-to-leave their school, and intent-to-leave academic nursing were measured by survey items tested in previous research (Yedidia, Chou, Brownlee, Flynn, & Tanner). Generalized estimating equations, producing robust logistic regression models that account for clustering of respondents within schools, were used to determine the effects of study variables on the odds on burnout and intentions-to-leave.</p> <p><strong>Results: </strong> There were no associations between any demographic characteristics and burnout or intentions-to-leave. A total of 71.2% of mid-level academic nurse leaders reported that they typically worked more than 56 hours per week, and 12.3% reported working more than 66 hours per week. Importantly, 21.2% reported that they planned to leave their school within one year and 18.8% indicated they planned to leave academic nursing within the year. A total of 37.7% of mid-level academic nurse leaders had a high emotional exhaustion subscale score indicting occupational burnout. The prevalence of burnout within this sample was higher than that found among hospital staff nurses as recently measured across 13 countries, including the U.S. Mid-level academic nurse leaders who were dissatisfied with their workloads were almost eight times more likely to have developed occupational burnout [OR = 7.84 (3.12, 20.0)]; respondents who typically worked more than 56 hours per week were almost three times more likely to be suffering from burnout [OR = 2.80 (1.33,5.88)]. In models adjusted and unadjusted for age, mid-level academic nurse leaders suffering from burnout were approximately three times more likely to be planning to leave their school within the year [OR = 2.97 (1.26, 6.94)], and more than three and a half times more likely to be planning to leave academic nursing, entirely [OR = 3.64 (1.42, 8.63].</p> <p><strong>Conclusion: </strong>The future of nursing education can ill afford to lose approximately 20% of the current mid-level academic nurse leaders to attrition that is due mainly to modifiable work environment factors. Fortunately, findings from this study provide valuable insight into strategies that can be implemented to reduce this trend. Heavy workloads and long work weeks contributed to an unacceptably high prevalence of burnout within mid-level academic nurse leaders in this study. Burnout, in turn, was a major predictor of their intentions-to-leave. Schools of nursing must act quickly to re-examine and redesign workloads among this invaluable group of academic experts and future deans. Responsibilities that can be delegated to support staff should be identified, and schools should ensure that supportive resources are available. Although this study was conducted in the U.S., the growing internationalization of nursing education denotes core challenges that are experienced by us all. Findings from this study not only serve to be the proverbial canary in the coal mine, warning of crises to come, but also provide guidance for preventative strategies that could be implemented in schools of nursing around the world.</p>en
dc.subjectacademic leadersen
dc.subjectnursing educationen
dc.subjectoccupational burnouten
dc.date.available2017-07-12T13:08:46Z-
dc.date.issued2017-07-12-
dc.date.accessioned2017-07-12T13:08:46Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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