The problem of burnout within the nursing progressive care unit (PCU) is one that can be addressed using systems theory. The PCU is a very busy unit and nurses can sometimes feel overworked or burned out as a result of long hours, extended shifts, and other stress factors. As a result, they often feel low job satisfaction, which has been shown to lead to high turnover as well as to low patient satisfaction (Hudgins, 2016). Within a systems theory framework, this problem is situated in the throughput—i.e., the nursing suprasystem (Meyer & O’Brien-Pallas, 2010). The inputs within this system consist of the materials, people and energies of the unit (Meyer & O’Brien-Pallas, 2010). The materials include schedules that are produced by the unit manager that can impact how many hours nurses are working, the instruments and monitors that are used to evaluate patients, which can cause alarm fatigue and also lead to nurses feeling burned out (Ryherd, Waye & Ljungkvist, 2008; Horkan, 2014). The people include the nurses, their managers, the patients, and the physicians, with whom there can sometimes be a lack of effective communication that adds to nurses’ feelings of poor job satisfaction and contributes to a lack of retention in the unit (Tandon & Kaushik, 2015). The energies include the attitudes and expressions of the nurses and the workplace culture itself,...
Nurses routinely work longer than 8-hour shifts, which can drain them physically and emotionally. The throughput also lacks a mechanism whereby nurses can communicate more effectively with colleagues to ensure that patient care is continuous and that nurses are not stressed by gaps in patient care that they must then address on top of their other concerns.References
Horkan, A. M. (2014). Alarm fatigue and patient safety. Nephrology Nursing Journal, 47(1): 83-85.
Hudgins, T. A. (2016). Resilience, job satisfaction and anticipated turnover in nurse leaders. Journal of Nursing Management, 24(1), 62-69.
Meyer, R.M & O’Brien-Pallas, L. (2010). Nursing services delivery theory: an open system approach. Journal of Advanced Nursing, 66(12), 2828–2838.
Ryherd, E., Waye, K. & Ljungkvist, L. (2008). Characterizing noise and perceived work environment in a neurological intensive care unit. Journal of the Acoustical Society of America, 123(2), 747-756.
Tandon, R., & Kaushik, P. (2015). Quality of Life and Interpersonal Communication among Nursing Professionals. International Journal of Nursing Education and Research, 3(3), 325-329.
This creates stress, but also makes his sedentary for most of the day. As a truck driver, he spends most of his work day in a seated position, with limited exercise or strenuous movements. Additionally, Mr. J. has no health insurance. As such, he has limited access to care, which often places him in danger of not getting his needed medicines, but also of not taking them in a
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