6 results on '"Kelly, Lesly A."'
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2. Beyond Burnout and Resilience: The Disillusionment Phase of COVID-19.
- Author
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Gee, Perry M., Weston, Marla J., Harshman, Tom, and Kelly, Lesly A.
- Abstract
In caring for patients during the COVID-19 pandemic, nurses are experiencing a crisis of emotional highs and lows that will have lasting implications for their professional and personal well-being. As a result, much attention has been focused on nurse burnout, but the range of nurses' experiences is more nuanced, complicated, and profound. With the recognition that the nursing workforce was already experiencing burnout before the pandemic, this article explores how individuals respond to disasters and the detrimental effects of the repeated surges of critically ill patients, which have led nurses to experience an extended period of disillusionment that includes secondary traumatic stress, cumulative grief, and moral distress. This article describes the range of psychological responses to the COVID-19 pandemic so that nurse leaders can better identify resources and interventions to support nurses. [ABSTRACT FROM AUTHOR] more...
- Published
- 2022
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3. Impact of nurse burnout on organizational and position turnover.
- Author
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Kelly, Lesly A., Gee, Perry M., and Butler, Richard J.
- Abstract
• Burnout persists as concerning problem for more than half of nurses. • Burnout contributes to nursing workforce turnover, however not internal transfers. • Working day (vs. night) shift and increased death exposure increase burnout. • Hospitals must measure burnout and wellbeing to understand and address its impact. The National Academies of Medicine describes clinician burnout as a serious threat to organizational health, including employee turnover. To determine the relationship between resilience, burnout, and organizational and position turnover. We surveyed direct care nurses in three hospitals 1 year apart between 2018 and 2019; 1,688 nurses completed 3,135 surveys included in analysis. Fifty-four percent of nurses in our sample suffer from moderate burnout, with emotional exhaustion scores increasing by 10% and cynicism scores increasing 19% after 1 year. The impact of burnout on organizational turnover was significant, with a 12% increase in a nurse leaving for each unit increase on the emotional exhaustion scale, though it was not a factor in position turnover. These findings contribute to the growing body of evidence of nurse burnout and support policies and programs for annual measurement of burnout, increased employee wellbeing support, and improved work environments. [ABSTRACT FROM AUTHOR] more...
- Published
- 2021
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4. Burnout, Compassion Fatigue, and Secondary Trauma in Nurses: Recognizing the Occupational Phenomenon and Personal Consequences of Caregiving.
- Author
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Kelly, Lesly
- Subjects
PSYCHOLOGICAL burnout prevention ,PSYCHOLOGICAL burnout ,INDUSTRIAL hygiene ,PSYCHOLOGY of nurses ,NURSING ,EMOTIONAL trauma ,PSYCHOLOGICAL resilience ,RISK assessment ,ORGANIZATIONAL goals ,DISEASE prevalence ,SECONDARY traumatic stress ,DISEASE complications ,DISEASE risk factors - Abstract
Burnout and compassion fatigue describe the state of health care professionals' extended stress, emotional states, and prolonged duress after events. In the past few decades, burnout and compassion fatigue have received increased focus and attention. This article summarizes the evolution in moving from viewing burnout as an individual's problem to understanding burnout as an occupational phenomenon, additionally recognizing the powerful role secondary trauma contributes to compassion fatigue. As such, the causes and addressing the solutions of burnout are multifaceted and complex. Causes of burnout stem from external pressure of caring for patients and pressure from organizational policy and practices, including unhealthy work environments, poor communication, stigma, and more. The harm from burnout and secondary trauma in health care professionals can be profound, impacting a significant portion of the workforce and manifesting in real suffering, including depression, emotional trauma, and suicide. As health care professionals are daily at risk, the need to recognize, address, and treat burnout is a priority. Both personal resilience building activities for effective stress reduction in clinicians and system-level solutions to address root causes must be utilized to address burnout. [ABSTRACT FROM AUTHOR] more...
- Published
- 2020
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5. Compassion Fatigue and the Healthy Work Environment.
- Author
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Kelly, Lesly and Todd, Michael
- Abstract
Background: Burnout is a concern for critical care nurses in high-intensity environments. Studies have highlighted the importance of a healthy work environment in promoting optimal nurse and patient outcomes, but research examining the relationship between a healthy work environment and burnout is limited. Objective: To examine how healthy work environment components relate to compassion fatigue (eg, burnout, secondary trauma) and compassion satisfaction. Methods: Nurses (n = 105) in 3 intensive care units at an academic medical center completed a survey including the Professional Quality of Life and the American Association of Critical-Care Nurses' Healthy Work Environment standards. Results: Regression models using each Healthy Work Environment component to predict each outcome, adjusting for background variables, showed that the 5 Healthy Work Environment components predicted burnout and that meaningful recognition and authentic leadership predicted compassion satisfaction. Conclusions: Findings on associations between healthy work environment standards and burnout suggest the potential importance of implementing the American Association of Critical-Care Nurses' Healthy Work Environment standards as a mechanism for decreasing burnout. [ABSTRACT FROM AUTHOR] more...
- Published
- 2017
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6. Predictors of Compassion Fatigue and Compassion Satisfaction in Acute Care Nurses.
- Author
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Kelly, Lesly, Runge, Jody, and Spencer, Christina
- Subjects
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QUALITY of work life , *ACADEMIC medical centers , *AGE distribution , *ANALYSIS of variance , *BABY boom generation , *PSYCHOLOGICAL burnout , *CRITICAL care medicine , *GENERATION X , *HOSPITALS , *JOB satisfaction , *LABOR turnover , *RESEARCH methodology , *NURSES' attitudes , *NURSING models , *NURSING specialties , *REGRESSION analysis , *STATISTICS , *WORLD Wide Web , *INFORMATION resources , *EDUCATIONAL attainment , *MILLENNIALS , *CROSS-sectional method , *WORK experience (Employment) , *DESCRIPTIVE statistics , *HOSPITAL nursing staff - Abstract
Purpose To examine compassion fatigue and compassion satisfaction in acute care nurses across multiple specialties in a hospital-based setting. Design A cross-sectional electronic survey design was used to collect data from direct care nurses in a 700-bed, quaternary care, teaching facility in the southwestern United States. Methods A total of 491 direct care registered nurses completed a survey measuring their professional quality of life (burnout, secondary traumatic stress, and compassion satisfaction). Analysis was conducted to assess for differences between demographics, specialties, job satisfaction, and intent to leave their current position. Findings Significant predictors of burnout included lack of meaningful recognition, nurses with more years of experience, and nurses in the 'Millennial' generation (ages 21-33 years). Receiving meaningful recognition, higher job satisfaction, nurses in the 'Baby Boomer' generation (ages 50-65 years), and nurses with fewer years of experience significantly predicted compassion satisfaction. No significant differences were noted across nurse specialties, units, or departments. Conclusions This study adds to the literature the impact meaningful recognition may have on compassion satisfaction and fatigue. Our findings provide a potential explanation for the lack of retention of nurses in the millennial generation who leave their positions with limited years of experience. Based on our research, meaningful recognition may increase compassion satisfaction, positively impact retention, and elevate job satisfaction. Clinical Relevance Compassion fatigue in nurses has clear implications for nursing retention and the quality of care. Organizations willing to invest in reducing compassion fatigue have the potential to improve financial savings by reducing turnover and adverse events associated with burnout. [ABSTRACT FROM AUTHOR] more...
- Published
- 2015
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