Emergency department Nurses' narratives of burnout: Changing roles and boundaries

Debbie Hetherington; Nathan J Wilson; Kathleen Dixon; Gillian Murphy

doi:10.1016/j.ienj.2024.101439

Emergency department Nurses' narratives of burnout: Changing roles and boundaries

Int Emerg Nurs. 2024 Apr 5:74:101439. doi: 10.1016/j.ienj.2024.101439. Online ahead of print.

Authors

Debbie Hetherington¹, Nathan J Wilson², Kathleen Dixon³, Gillian Murphy⁴

Affiliations

¹ Master of Research (MRes), School of Nursing and Midwifery, Western Sydney University, Australia. Electronic address: D.hetherington@westernsydney.edu.au.
² School of Nursing and Midwifery, Western Sydney University, Australia. Electronic address: N.Wilson@westernsydney.edu.au.
³ School of Nursing and Midwifery, Western Sydney University, Australia. Electronic address: K.dixon@westernsydney.edu.au.
⁴ School of Nursing and Midwifery, Western Sydney University, Australia. Electronic address: g.murphy@westernsydney.edu.au.

PMID: 38581856
DOI: 10.1016/j.ienj.2024.101439

Abstract

Purpose: Emergency department nurses work in rapidly changing environments, which can contribute to occupational stress. Emergency department nurses utilise diverse strategies to mediate the impact of stress on their daily lives. There is a paucity of qualitative research which explores emergency department nurses' experiences and perspectives of burnout. This study aimed to explore emergency department nurses' experiences of burnout. Further, the study considered how emergency nurses conceptualised burnout and the strategies they used to manage the professional and personal effects of burnout.

Procedures: The COREQ research guidelines were used throughout the study from the design stage through to dissemination. Narrative inquiry was used as the underpinning theoretical framework. The researcher met individually with eight emergency department nurses from NSW hospitals to undertake a face-to-face semi-structured interview. An inductive approach was used to establish major themes within the narrative.

Findings: Two major themes were established: experiencing conflicting emotions and trying to establish a personal sense of control. Emergency nurses felt passionate about their professional roles, yet encountered difficulties due to management structures, time constraints and a sense of underappreciation. The misalignment between their expectations and the reality of emergency department nursing, resulted in experiences of burnout such as dissatisfaction and frustrations at work. Consequently, these nurses adopted diverse strategies within both their professional and personal domains.

Principal conclusions: The conclusions of this study are transferable to a variety of acute health services. Health service management have a role to promote a positive workplace culture for nurses, which advocates for home life balance. This will support nurses to construct clear boundaries between professional identity and their personal lives.

Keywords: Accident and emergency; Anxiety; Burnout; Emergency; Stress; Violence.