RNs and LPNs: emotional exhaustion and intention to leave

Journal of Nursing Management
Farinaz HavaeiV Susan Dahinten

Abstract

To describe and compare registered nurse (RN) and licensed practical nurse (LPN) emotional exhaustion, intention to leave and reasons for leaving. Different skill mix/care delivery models are being used to address nurse shortages and rising health-care costs. Skill mix may include RNs and LPNs. More LPNs are being employed in areas, such as acute care, that have been previously staffed by all RNs. Little is known about nurse outcomes since the introduction of LPNs to acute care settings. 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 RN4CAST nursing workforce survey. 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 RNs than LPNs cited career advancement as a reason to leave, and more LPNs than RNs identified poor salary as a reason to leave. Emotional exhaustion is linked to intention to leave health care. Nurse managers should address work environment factors associated with turnover intentions, such as professional development opportunities and shared decision-making.

References

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Citations

May 6, 2017·Emergency Medicine Journal : EMJ·Hui JiangWeiqin Huang
Jun 5, 2019·Japan Journal of Nursing Science : JJNS·Seung Eun LeeV Susan Dahinten
Dec 17, 2019·Journal of Nursing Management·Isabel Font-JimenezMaria F Jiménez-Herrera
Apr 26, 2017·Scandinavian Journal of Caring Sciences·Hao-Yuan ChangChing-I Teng
Jan 31, 2018·The Journal of Nursing Education·Linda Flynn, Pamela M Ironside
Apr 23, 2020·Revista latino-americana de enfermagem·Amalia Sillero-Sillero, Adelaida Zabalegui
Oct 14, 2020·Journal of Advanced Nursing·Norma J StewartDebra G Morgan
Apr 8, 2021·Human Resources for Health·Remo Aeschbacher, Véronique Addor
Jul 3, 2021·International Journal of Environmental Research and Public Health·Mavis Agyemang OpokuMyoungsoon You

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