Advanced Practice Provider Perspectives on Organizational Strategies for Work Stress Reduction

Unresolved work stress contributes to burnout, compassion fatigue, disengagement, and other work-contextualized factors. The impact of occupational stressors extends to the organization in a negative fashion as well. In 2017, advanced practice providers (APPs) from four health systems, including nur...

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Bibliographic Details
Published in:Western journal of nursing research 2020-09, Vol.42 (9), p.708-717
Main Authors: Klein, Colleen J., Dalstrom, Matthew, Lizer, Shannon, Cooling, Melinda, Pierce, Lisa, Weinzimmer, Laurence G.
Format: Article
Language:English
Subjects:
Advanced practice nurses
Anesthetists
Autonomy
Burnout
Delineation
Disengagement
Doctors' assistants
Fatigue
Health care
Human resource management
Leadership
Midwives
Nurse midwives
Nurse practitioners
Nurse specialists
Nursing
Occupational stress
Stress management
Sympathy
Well being
Work
Work environment
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Summary:Unresolved work stress contributes to burnout, compassion fatigue, disengagement, and other work-contextualized factors. The impact of occupational stressors extends to the organization in a negative fashion as well. In 2017, advanced practice providers (APPs) from four health systems, including nurse practitioners, clinical nurse specialists, nurse midwives, nurse anesthetists, and physician assistants, participated in a quantitative online cross-sectional survey; 754 participants responded to a free-text question related to work stress and work–family balance. Suggested organizational strategies were ordered into 29 codes, 10 subthemes, and four main themes: “reduce job stressors,” “improve leadership and operations,” “promote APP well-being,” and “maintain the status quo.” Findings are consistent with other research related to occupational stress with many of the reported strategies considered as evidence-based. Targeted interventions for reducing job stress will need to include improved autonomy for APPs, role delineation, support for work–family balance, and better communication as part of management practices.
ISSN:0193-9459
1552-8456
DOI:10.1177/0193945919896606