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AnalysisThe questionand objectivefor this studywas based onthePCCmnemonic (Population;Concept andContext) forthis particularstudy thepopulationwas nursingprofessionals,the conceptwas stress,burnout andthe contextwas Hospitalenvironment.Searches wereconductedutilizinginclusioncriteria:scientificproductionsavailable infull text on thethemes ofstress andThis study usedregressionanalyses viaSPSS 17.0 wasused to test thehypothesis,independentvariables ofemotionalexhaustion,depersonalization and personalachievement.Controlvariables weregender,education,nursingexperience, skilllevel andworkload.Descriptive statisticsand intra-classcorrelationcoefficients wereexamined. Multilevelmodeling was usedto investigate theunit-level effects ofnurse practiceenvironment, nursework characteristicsand burnout onnurse-reported joboutcomes, quality ofcare and patientsafety. SPSS 20.0software was usedfor descriptiveanalysis.Logistical regressionmodels assessed theassociation betweenwork environment andnurse-reported jobdissatisfaction,burnout and intent toleave.Descriptive statisticswere computed onodemographicvariables. Unadjustedand adjusted logisticregressions wereaccounted for andused to predict therelationship betweenthe nurse workenvironment and jobdissatisfaction,burnout and intentionto leave.Stata Statisticalsoftware version 10.1was used to analyzethe data.
LITERATURE EVALUATION 11BurnoutSyndrome innursingprofessionalsand theirinterface withpatient safety,exclusionsapplied forthose notaddressing therelevance ofthe scope ofthis study aswell asduplicatestudies.Key FindingsEvidence thatprolongedworking hoursadded to highworkloadsresults inprofessionals’symptoms offatigue andphysical andmentalexhaustion,which causesnegativeconsequencesto the careprovided forpatients.Themeresulted fromstudiesshowing thatnursesworkingthroughout 12hours or morein care werethree timesFindings fromthis studysupports otherpreviouslydocumentedfindings thatburnout wasrelated tocomponents ofnursingprofessional’scommitment totheir patients. Also, that adecreased levelof burnoutshould berelated to a highlevel ofaffectiveprofessionalcommitment. Results suggested astable nurse workforce, with thecapability to achievesuperior quality andpatient safetyoutcomes, isassociated with unit-level favorableperceptions of nurseworkingenvironments factors,workload, decisionlatitude and socialcapitol, as well aslower levels ofburnout.Perceived nursepracticeenvironments andfeelings of burnoutpredicted alsoadverse patientoutcomes such aspatients and family’scomplaints, verbalabuse, patient falls,Findings showed thatnurses working inhospitals with betterwork environmentshad significantly lessjob dissatisfaction,intention to leave andburnout.Results are consistentwith findings fromprevious studiesconducted in the samearea,Job dissatisfaction,burnout an intention toleave are importantnurse workforcefactors given theirimpact on patient careand patient safety.
LITERATURE EVALUATION 12more likely tomake amistakeduringassistancecompared tothose whoperformedtheir activitiesin an 8.5 hourper dayaverage shift.