I think the changeover to computer charting and med pass has really contributed to burnout for me. It takes longer and is so tedious, especially giving meds, I don't know how the day shift does it. The computer why are you early why are you late constantly questioning every move you make and you can't pass the med without answering it. Also knowing management is watching your scanning, late meds, etc just adds needless stress to an already stressful situation. Ever since Press Ganey scores became an issue we are constantly pushed to jump threw whatever latest gimmeck hourly rounding, bedside report to raise scores. It really gets me down. Bedside report would be ok if you were allowed to give the main report outside and then meet and greet the patient after going over the main points with them, but management refuses to allow any leeway. They just want you to do what you are told and that's it, even though the reality is a poor report to the oncoming shift. There is no way you can give a detailed report for a complex patient at bedside, and I think this does a real disservice to the patient when the oncoming nurse is not given a detailed report. Especially with these complex fragile patients with multisystem problems a good concise but comprehensive report is essential to the best care and to prevent relapse! Why won't they listen to us and work with us to provide good care.
Now raises are tied to pt satisfaction scores and it is impossible to get the scores where they want them. Patients will never be happy when they have comments about their stay criticism can be it was too hot, too cold, food bad, etc, etc, etc. You can never please everyone perfectly. Too much is out of our control yet we are held responsible anyway.
I feel bad for the patients that get C-dif, MRSA during a hospital stay but telling us to wash our hands is not the answer! We can wash our hands and do and yet if the environment isn't clean what good does that do. They keep cutting housekeeping and won't spend the money for such things as steamers and the UV radiation robot. If they would invest their money in such things they would really cut down infection rates, but no lets just tell everyone to wash their hands, yet the curtains are never changed and the room has only been cursorarily wiped down by a rushed housekeeper! Why won't they just listen to us and collaborate with us to improve patient care since we are at the bedside and know what works best
I think a lot of nurses work 12 hour shifts to get it over with and not be at the hospital 5 days a week because it is too frustrating and draining never being listened to or respected and just being constantly told what to do! So much for being a professional! I think the only way to deal with burnout is to disengage and refuse to take the morale and environment personally, but how do you do that when you strive to do your best and went into nursing to actually help people?