Nurse burnout and quality of care: Cross-national investigation in six countries

Authors

  • Lusine Poghosyan,

    Corresponding author
    1. Bouvé College of Health Sciences, School of Nursing, Northeastern University, 407C Robinson Hall, 360 Huntington Avenue, Boston, MA 02115-5000
    • Bouvé College of Health Sciences, School of Nursing, Northeastern University, 407C Robinson Hall, 360 Huntington Avenue, Boston, MA 02115-5000.
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    • Assistant Professor of Nursing and Public Health.

  • Sean P. Clarke,

    1. Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, University Health Network, Peter Munk Cardiac Centre Toronto General Hospital, Toronto, ON, Canada
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    • Royal Bank of Canada Chair in Cardiovascular Nursing Research.

  • Mary Finlayson,

    1. School of Nursing, University of Auckland, Auckland, New Zealand
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    • Associate Professor.

  • Linda H. Aiken

    1. Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, PA
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    • The Claire M. Fagin Leadership Professor of Nursing; Professor of Sociology; Director, Center for Health Outcomes and Policy Research.


  • The original data collection for the International Hospital Outcomes Study (IHOS) was supported by the National Institute for Nursing Research (R01NR04513 and P30NR05043, Linda Aiken, principal investigator); the Commonwealth Fund; the Agency for Healthcare Research and Quality; the Alberta Heritage Foundation for Medical Research; the British Columbia Health Research Foundation; the Federal Ministry of Education and Research (Germany); the Nuffield Provincial Hospitals Trust, London; the Baxter Foundation; the Health Research Council of New Zealand; the International Research Grant by Pfizer Health Research Foundation; and the Japan Society of Promotion of Science. We thank Timothy Cheney for his assistance with the data analysis.

Abstract

We explored the relationship between nurse burnout and ratings of quality of care in 53,846 nurses from six countries. In this secondary analysis, we used data from the International Hospital Outcomes Study; data were collected from 1998 to 2005. The Maslach Burnout Inventory and a single-item reflecting nurse-rated quality of care were used in multiple logistic regression modeling to investigate the association between nurse burnout and nurse-rated quality of care. Across countries, higher levels of burnout were associated with lower ratings of the quality of care independent of nurses' ratings of practice environments. These findings suggest that reducing nurse burnout may be an effective strategy for improving nurse-rated quality of care in hospitals. © 2010 Wiley Periodicals, Inc. Res Nurs Health 33:288–298, 2010

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