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Quality Of Work-Life Among Advanced Practice Nurses Who Care For Patients With Heart Failure: The Effect Of Resilience During The Covid-19 Pandemic

INTRODUCTION: Heart failure (HF) prevalence continues to rise while therapeutic options expand in complexity. Advanced Practice Registered Nurses (APRNs; Nurse Practitioners & Clinical Nurse Specialists) manage high burden, complex care of patients with HF. During the COVID-19 pandemic, clinicia...

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Autores principales: Esquivel, Jill Howie, Byon, Ha Do, Cavanagh, Casey, Travis, Arlene, Lewis, Connie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Published by Elsevier Inc. 2022
Materias:
233
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9046167/
http://dx.doi.org/10.1016/j.cardfail.2022.03.237
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author Esquivel, Jill Howie
Byon, Ha Do
Cavanagh, Casey
Travis, Arlene
Lewis, Connie
author_facet Esquivel, Jill Howie
Byon, Ha Do
Cavanagh, Casey
Travis, Arlene
Lewis, Connie
author_sort Esquivel, Jill Howie
collection PubMed
description INTRODUCTION: Heart failure (HF) prevalence continues to rise while therapeutic options expand in complexity. Advanced Practice Registered Nurses (APRNs; Nurse Practitioners & Clinical Nurse Specialists) manage high burden, complex care of patients with HF. During the COVID-19 pandemic, clinician burnout, stress and job dissatisfaction have likely impacted quality of life (WR-QoL). No studies describe burnout and resilience in APRNs who provide care to individuals with HF. AIMS: Among APRNs who work with patients with HF, three aims include: 1) Describe the level of burnout and WR-QoL; 2) Determine the relationship between burnout and QOWL variables; 3) Examine whether resilience moderates the association between WR-QoL and burnout. METHODS: This descriptive correlational study employed an online survey in October, 2020 to APRNs who were members of the American Association of Heart Failure Nurses and the HFSA. Inclusion criteria: APRN's who practiced in cardiology clinics, advanced HF clinics, inpatient cardiology units, or HF home care programs, at least 8 hours weekly. Exclusion criteria: Exclusively pediatric, administrative, educational, or research-focused APRNs. Outcomes measured: Burnout (Copenhagen Burnout Inventory), WR-QoL (Work-Related QoL Scale), and Resilience (Brief Resilience Scale). Institutional review board approval and written consents were obtained. RESULTS: Participant (N=101) mean age was 50 (±10) years, 93% identified as female, 96% White, and 70% were master's prepared. Mean weekly worked hours were more than 42 and the majority of APRNs (n=75) represented community and academic health centers. APRNs reported high levels of personal (M= 51.7, norm-referenced mean: 35.9) and work-related burnout (M=50.1, norm-referenced mean: 33.0) with significant correlations between high levels of burnout and low WR-QoL (r range: -.74 — -.39 -, p<.001). APRNs who reported medium or high resilience showed negative relationships between burnout and general well-being (r = -.64, -.76, respectively, p<.001), while the low resilience group showed no relationship. Additionally, APRNs who reported no/low or work-related burnout showed a positive relationship between resilience and general well-being (r = .57, p<.001), while the moderate and severe burnout groups did not. CONCLUSION: We found that the positive effect of resilience on general well-being decreased as work-related burnout went up, indicating the moderating role of work-related burnout. The unanticipated finding that the negative burnout-QOWL relationship was stronger with higher resilience requires more exploration. It is especially critical now, given the emphasis on supporting clinician well-being and preventing burnout, for us to better understand the role of resilience and burnout in well-being.
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spelling pubmed-90461672022-04-28 Quality Of Work-Life Among Advanced Practice Nurses Who Care For Patients With Heart Failure: The Effect Of Resilience During The Covid-19 Pandemic Esquivel, Jill Howie Byon, Ha Do Cavanagh, Casey Travis, Arlene Lewis, Connie J Card Fail 233 INTRODUCTION: Heart failure (HF) prevalence continues to rise while therapeutic options expand in complexity. Advanced Practice Registered Nurses (APRNs; Nurse Practitioners & Clinical Nurse Specialists) manage high burden, complex care of patients with HF. During the COVID-19 pandemic, clinician burnout, stress and job dissatisfaction have likely impacted quality of life (WR-QoL). No studies describe burnout and resilience in APRNs who provide care to individuals with HF. AIMS: Among APRNs who work with patients with HF, three aims include: 1) Describe the level of burnout and WR-QoL; 2) Determine the relationship between burnout and QOWL variables; 3) Examine whether resilience moderates the association between WR-QoL and burnout. METHODS: This descriptive correlational study employed an online survey in October, 2020 to APRNs who were members of the American Association of Heart Failure Nurses and the HFSA. Inclusion criteria: APRN's who practiced in cardiology clinics, advanced HF clinics, inpatient cardiology units, or HF home care programs, at least 8 hours weekly. Exclusion criteria: Exclusively pediatric, administrative, educational, or research-focused APRNs. Outcomes measured: Burnout (Copenhagen Burnout Inventory), WR-QoL (Work-Related QoL Scale), and Resilience (Brief Resilience Scale). Institutional review board approval and written consents were obtained. RESULTS: Participant (N=101) mean age was 50 (±10) years, 93% identified as female, 96% White, and 70% were master's prepared. Mean weekly worked hours were more than 42 and the majority of APRNs (n=75) represented community and academic health centers. APRNs reported high levels of personal (M= 51.7, norm-referenced mean: 35.9) and work-related burnout (M=50.1, norm-referenced mean: 33.0) with significant correlations between high levels of burnout and low WR-QoL (r range: -.74 — -.39 -, p<.001). APRNs who reported medium or high resilience showed negative relationships between burnout and general well-being (r = -.64, -.76, respectively, p<.001), while the low resilience group showed no relationship. Additionally, APRNs who reported no/low or work-related burnout showed a positive relationship between resilience and general well-being (r = .57, p<.001), while the moderate and severe burnout groups did not. CONCLUSION: We found that the positive effect of resilience on general well-being decreased as work-related burnout went up, indicating the moderating role of work-related burnout. The unanticipated finding that the negative burnout-QOWL relationship was stronger with higher resilience requires more exploration. It is especially critical now, given the emphasis on supporting clinician well-being and preventing burnout, for us to better understand the role of resilience and burnout in well-being. Published by Elsevier Inc. 2022-04 2022-04-28 /pmc/articles/PMC9046167/ http://dx.doi.org/10.1016/j.cardfail.2022.03.237 Text en Copyright © 2022 Published by Elsevier Inc. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle 233
Esquivel, Jill Howie
Byon, Ha Do
Cavanagh, Casey
Travis, Arlene
Lewis, Connie
Quality Of Work-Life Among Advanced Practice Nurses Who Care For Patients With Heart Failure: The Effect Of Resilience During The Covid-19 Pandemic
title Quality Of Work-Life Among Advanced Practice Nurses Who Care For Patients With Heart Failure: The Effect Of Resilience During The Covid-19 Pandemic
title_full Quality Of Work-Life Among Advanced Practice Nurses Who Care For Patients With Heart Failure: The Effect Of Resilience During The Covid-19 Pandemic
title_fullStr Quality Of Work-Life Among Advanced Practice Nurses Who Care For Patients With Heart Failure: The Effect Of Resilience During The Covid-19 Pandemic
title_full_unstemmed Quality Of Work-Life Among Advanced Practice Nurses Who Care For Patients With Heart Failure: The Effect Of Resilience During The Covid-19 Pandemic
title_short Quality Of Work-Life Among Advanced Practice Nurses Who Care For Patients With Heart Failure: The Effect Of Resilience During The Covid-19 Pandemic
title_sort quality of work-life among advanced practice nurses who care for patients with heart failure: the effect of resilience during the covid-19 pandemic
topic 233
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9046167/
http://dx.doi.org/10.1016/j.cardfail.2022.03.237
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