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RN s and LPN s: emotional exhaustion and intention to leave
Author(s) -
Havaei Farinaz,
MacPhee Maura,
Susan Dahinten V.
Publication year - 2016
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/jonm.12334
Subject(s) - emotional exhaustion , nursing , workforce , workload , salary , burnout , acute care , job satisfaction , health care , skill mix , psychology , nursing shortage , medicine , nurse education , social psychology , clinical psychology , computer science , political science , law , economics , economic growth , operating system
Aims To describe and compare registered nurse ( RN ) and licensed practical nurse ( LPN ) emotional exhaustion, intention to leave and reasons for leaving. Background Different skill mix/care delivery models are being used to address nurse shortages and rising health‐care costs. Skill mix may include RN s and LPN s. More LPN s are being employed in areas, such as acute care, that have been previously staffed by all RN s. Little is known about nurse outcomes since the introduction of LPN s to acute care settings. Methods This study was a cross‐sectional correlational design. A stratified, random sample of acute care nurses completed surveys via Fluidsurveys. The survey was modelled after the RN 4 CAST nursing workforce survey. Results For both groups of nurses higher levels of emotional exhaustion were associated with intention to leave and workload was the most frequent reason cited for intention to leave. More RN s than LPN s cited career advancement as a reason to leave, and more LPN s than RN s identified poor salary as a reason to leave. Conclusions Emotional exhaustion is linked to intention to leave health care. Implications for nursing management Nurse managers should address work environment factors associated with turnover intentions, such as professional development opportunities and shared decision‐making.