Date of Conferral

2023

Degree

Ph.D.

School

Health Services

Advisor

Dr. Magdeline Aagard

Abstract

Abstract

Research shows that healthcare providers encounter stress in their workplaces whether in a home or a healthcare facility that results in reduced job satisfaction, burnout, and inadequate care of patients. There is a gap in the literature regarding the lived experiences of nurses caring for children in all work settings, including the home care setting, regarding stress and burnout. The lived experiences of pediatric nurses working in home care settings were explored to discover conditions that contribute to their occupational stress and burnout. The occupational stress model with a major focus on the job demands-resources occupational stress model was used to guide the qualitative, transcendental phenomenological study. Data were collected through semistructured interviews with 17 pediatric nurses from a northeaster U.S. state. Results showed that poor condition of homes causes stress and burnout and that patients’ families, uncooperative parents, fear of losing patients, lack of equipment, patient load, and solo decision making all contributed to stress. Long working hours caused burnout. Nurses should be supported to deal with stress, and self-care is critical in the mitigation of stress and burnout. Implications for positive social change including providing information to healthcare administrators that can lead to creating programs that can help eliminate stress and burnout among pediatric home care nurses and hence improve overall patient quality of care.

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