Characterizing burnout and resilience among nurses: A latent profile analysis of emotional exhaustion, emotional thriving and emotional recovery

Abstract Aims To identify subgroups of nurses with distinct profiles of burnout (emotional exhaustion) and resilience (emotional thriving and emotional recovery) and describe nurse characteristics associated with each profile. Design Cross‐sectional, correlational design. Methods Data were collected...

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Main Authors: Lesley C. Rink, Susan G. Silva, Kathryn C. Adair, Tolu O. Oyesanya, Janice C. Humphreys, John Bryan Sexton
Format: Article
Language:English
Published: Wiley 2023-11-01
Series:Nursing Open
Subjects:
Online Access:https://doi.org/10.1002/nop2.1980
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author Lesley C. Rink
Susan G. Silva
Kathryn C. Adair
Tolu O. Oyesanya
Janice C. Humphreys
John Bryan Sexton
author_facet Lesley C. Rink
Susan G. Silva
Kathryn C. Adair
Tolu O. Oyesanya
Janice C. Humphreys
John Bryan Sexton
author_sort Lesley C. Rink
collection DOAJ
description Abstract Aims To identify subgroups of nurses with distinct profiles of burnout (emotional exhaustion) and resilience (emotional thriving and emotional recovery) and describe nurse characteristics associated with each profile. Design Cross‐sectional, correlational design. Methods Data were collected via electronic survey from 2018 to 2019. Latent profile analysis was used to identify subgroups of nurses with distinct profiles of emotional exhaustion, emotional thriving and emotional recovery, with each measured on a 0–100 scale. Bivariate statistics were used to determine profile differences in nurse sociodemographic, professional and psychological characteristics. Results Four distinct profile subgroups were identified: (1) “exhausted” (14% with very high emotional exhaustion, low emotional thriving and moderate emotional recovery), (2) “exhausted with thriving” (6% with high emotional exhaustion, moderate‐high emotional thriving and low emotional recovery), (3) “exhausted with thriving and recovery” (52% with moderate‐high emotional exhaustion, emotional thriving and emotional recovery), and (4) “thriving and recovery” (27% with low emotional exhaustion and very high emotional thriving and emotional recovery). Nurses in the “exhausted” and “exhausted with thriving” profiles reported greater depression and poorer work‐life integration. Nurses in “exhausted” profile were more likely to work in an inpatient setting. Nurses in the “exhausted with thriving and recovery” and “thriving and recovery” profiles reported more positive emotions, more well‐being behaviours, and better work‐life integration, with the “thriving and recovery” subgroup having the highest levels of these characteristics, lower depression scores and greater racial minority representation. Conclusion Approaches designed to improve nurse well‐being should be tailored to the nurses' profile of emotional exhaustion, thriving and recovery to maximize effectiveness. Impact Given the growing shortage of nurses in healthcare systems, it is critical that multilevel strategies be investigated to retain nursing staff that consider the intersectionality and complexity of the different aspects of burnout and resilience experienced by the nurse. No Patient or Public Contribution The aim was to assess burnout and resilience among nurses.
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spelling doaj.art-6c76c05d0e4049c9bd8457f37725dd3d2023-10-10T11:36:51ZengWileyNursing Open2054-10582023-11-0110117279729110.1002/nop2.1980Characterizing burnout and resilience among nurses: A latent profile analysis of emotional exhaustion, emotional thriving and emotional recoveryLesley C. Rink0Susan G. Silva1Kathryn C. Adair2Tolu O. Oyesanya3Janice C. Humphreys4John Bryan Sexton5Duke University School of Nursing Duke University Durham North Carolina USADuke University School of Nursing Duke University Durham North Carolina USADuke Center for Healthcare Safety and Quality Duke University Health System Durham North Carolina USADuke University School of Nursing Duke University Durham North Carolina USADuke University School of Nursing Duke University Durham North Carolina USADuke Center for Healthcare Safety and Quality Duke University Health System Durham North Carolina USAAbstract Aims To identify subgroups of nurses with distinct profiles of burnout (emotional exhaustion) and resilience (emotional thriving and emotional recovery) and describe nurse characteristics associated with each profile. Design Cross‐sectional, correlational design. Methods Data were collected via electronic survey from 2018 to 2019. Latent profile analysis was used to identify subgroups of nurses with distinct profiles of emotional exhaustion, emotional thriving and emotional recovery, with each measured on a 0–100 scale. Bivariate statistics were used to determine profile differences in nurse sociodemographic, professional and psychological characteristics. Results Four distinct profile subgroups were identified: (1) “exhausted” (14% with very high emotional exhaustion, low emotional thriving and moderate emotional recovery), (2) “exhausted with thriving” (6% with high emotional exhaustion, moderate‐high emotional thriving and low emotional recovery), (3) “exhausted with thriving and recovery” (52% with moderate‐high emotional exhaustion, emotional thriving and emotional recovery), and (4) “thriving and recovery” (27% with low emotional exhaustion and very high emotional thriving and emotional recovery). Nurses in the “exhausted” and “exhausted with thriving” profiles reported greater depression and poorer work‐life integration. Nurses in “exhausted” profile were more likely to work in an inpatient setting. Nurses in the “exhausted with thriving and recovery” and “thriving and recovery” profiles reported more positive emotions, more well‐being behaviours, and better work‐life integration, with the “thriving and recovery” subgroup having the highest levels of these characteristics, lower depression scores and greater racial minority representation. Conclusion Approaches designed to improve nurse well‐being should be tailored to the nurses' profile of emotional exhaustion, thriving and recovery to maximize effectiveness. Impact Given the growing shortage of nurses in healthcare systems, it is critical that multilevel strategies be investigated to retain nursing staff that consider the intersectionality and complexity of the different aspects of burnout and resilience experienced by the nurse. No Patient or Public Contribution The aim was to assess burnout and resilience among nurses.https://doi.org/10.1002/nop2.1980burnoutdepressionnursespositive emotionsresiliencewell‐being behaviours
spellingShingle Lesley C. Rink
Susan G. Silva
Kathryn C. Adair
Tolu O. Oyesanya
Janice C. Humphreys
John Bryan Sexton
Characterizing burnout and resilience among nurses: A latent profile analysis of emotional exhaustion, emotional thriving and emotional recovery
Nursing Open
burnout
depression
nurses
positive emotions
resilience
well‐being behaviours
title Characterizing burnout and resilience among nurses: A latent profile analysis of emotional exhaustion, emotional thriving and emotional recovery
title_full Characterizing burnout and resilience among nurses: A latent profile analysis of emotional exhaustion, emotional thriving and emotional recovery
title_fullStr Characterizing burnout and resilience among nurses: A latent profile analysis of emotional exhaustion, emotional thriving and emotional recovery
title_full_unstemmed Characterizing burnout and resilience among nurses: A latent profile analysis of emotional exhaustion, emotional thriving and emotional recovery
title_short Characterizing burnout and resilience among nurses: A latent profile analysis of emotional exhaustion, emotional thriving and emotional recovery
title_sort characterizing burnout and resilience among nurses a latent profile analysis of emotional exhaustion emotional thriving and emotional recovery
topic burnout
depression
nurses
positive emotions
resilience
well‐being behaviours
url https://doi.org/10.1002/nop2.1980
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