Efficacy of the Well-Being Index to Identify Distress and Well-Being in U.S. Nurses

Liselotte (Lotte) Dyrbye, Pamela O. Johnson, Le Ann M. Johnson, Daniel V. Satele, Tait D. Shanafelt

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Studies suggest there is a high prevalence of burnout and depression among U.S. nurses.

OBJECTIVES: The aim of the study was to gauge the capability of the Well-Being Index (WBI) to stratify nurse distress (e.g., low quality of life [QOL], extreme fatigue, burnout, recent suicidal ideation) and well-being (high QOL) and detect those whose level of distress may negatively affect retention or work performance.

METHODS: In 2016, we conducted a cross-sectional survey of 3,147 U.S. nurses. The survey included the WBI and standard instruments to assess overall QOL, fatigue, burnout, recent suicidal ideation, patient care errors, and intent to leave current job. We used Fisher exact test and Wilcoxon/two-sample t-test procedures with a 5% Type I error rate and a two-sided alternative.

RESULTS: Of the 812 (26%) nurses who completed the survey, 637 were eligible for the present analysis. Nurses with low mental QOL, extreme fatigue, recent suicidal ideation, or burnout had a higher total score (all ps < .001), resulting in less favorable WBI scores. With a 17% pretest probability of low overall QOL, the WBI score can decrease the posttest probability of low QOL to 2% or increase it to 72%. The likelihood of high overall QOL decreased in a stepwise fashion from 3.38 to 0.04, as the WBI score increased. WBI score also stratified nurses' likelihood of reporting a recent patient care error and/or intent to leave current job.

DISCUSSION: The WBI is a useful screening tool to stratify both distress and well-being across a variety of domains in nurses and identify those nurses whose severity of distress may negatively affect patient care and retention.

Original languageEnglish (US)
Pages (from-to)447-455
Number of pages9
JournalNursing Research
Volume67
Issue number6
DOIs
StatePublished - Nov 1 2018

Fingerprint

Nurses
Quality of Life
Suicidal Ideation
Fatigue
Patient Care
Cross-Sectional Studies
Depression

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Efficacy of the Well-Being Index to Identify Distress and Well-Being in U.S. Nurses. / Dyrbye, Liselotte (Lotte); Johnson, Pamela O.; Johnson, Le Ann M.; Satele, Daniel V.; Shanafelt, Tait D.

In: Nursing Research, Vol. 67, No. 6, 01.11.2018, p. 447-455.

Research output: Contribution to journalArticle

Dyrbye, Liselotte (Lotte) ; Johnson, Pamela O. ; Johnson, Le Ann M. ; Satele, Daniel V. ; Shanafelt, Tait D. / Efficacy of the Well-Being Index to Identify Distress and Well-Being in U.S. Nurses. In: Nursing Research. 2018 ; Vol. 67, No. 6. pp. 447-455.
@article{42bd97db7728479ba9a0680e0a30cd3c,
title = "Efficacy of the Well-Being Index to Identify Distress and Well-Being in U.S. Nurses",
abstract = "BACKGROUND: Studies suggest there is a high prevalence of burnout and depression among U.S. nurses.OBJECTIVES: The aim of the study was to gauge the capability of the Well-Being Index (WBI) to stratify nurse distress (e.g., low quality of life [QOL], extreme fatigue, burnout, recent suicidal ideation) and well-being (high QOL) and detect those whose level of distress may negatively affect retention or work performance.METHODS: In 2016, we conducted a cross-sectional survey of 3,147 U.S. nurses. The survey included the WBI and standard instruments to assess overall QOL, fatigue, burnout, recent suicidal ideation, patient care errors, and intent to leave current job. We used Fisher exact test and Wilcoxon/two-sample t-test procedures with a 5{\%} Type I error rate and a two-sided alternative.RESULTS: Of the 812 (26{\%}) nurses who completed the survey, 637 were eligible for the present analysis. Nurses with low mental QOL, extreme fatigue, recent suicidal ideation, or burnout had a higher total score (all ps < .001), resulting in less favorable WBI scores. With a 17{\%} pretest probability of low overall QOL, the WBI score can decrease the posttest probability of low QOL to 2{\%} or increase it to 72{\%}. The likelihood of high overall QOL decreased in a stepwise fashion from 3.38 to 0.04, as the WBI score increased. WBI score also stratified nurses' likelihood of reporting a recent patient care error and/or intent to leave current job.DISCUSSION: The WBI is a useful screening tool to stratify both distress and well-being across a variety of domains in nurses and identify those nurses whose severity of distress may negatively affect patient care and retention.",
author = "Dyrbye, {Liselotte (Lotte)} and Johnson, {Pamela O.} and Johnson, {Le Ann M.} and Satele, {Daniel V.} and Shanafelt, {Tait D.}",
year = "2018",
month = "11",
day = "1",
doi = "10.1097/NNR.0000000000000313",
language = "English (US)",
volume = "67",
pages = "447--455",
journal = "Nursing Research",
issn = "0029-6562",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Efficacy of the Well-Being Index to Identify Distress and Well-Being in U.S. Nurses

AU - Dyrbye, Liselotte (Lotte)

AU - Johnson, Pamela O.

AU - Johnson, Le Ann M.

AU - Satele, Daniel V.

AU - Shanafelt, Tait D.

PY - 2018/11/1

Y1 - 2018/11/1

N2 - BACKGROUND: Studies suggest there is a high prevalence of burnout and depression among U.S. nurses.OBJECTIVES: The aim of the study was to gauge the capability of the Well-Being Index (WBI) to stratify nurse distress (e.g., low quality of life [QOL], extreme fatigue, burnout, recent suicidal ideation) and well-being (high QOL) and detect those whose level of distress may negatively affect retention or work performance.METHODS: In 2016, we conducted a cross-sectional survey of 3,147 U.S. nurses. The survey included the WBI and standard instruments to assess overall QOL, fatigue, burnout, recent suicidal ideation, patient care errors, and intent to leave current job. We used Fisher exact test and Wilcoxon/two-sample t-test procedures with a 5% Type I error rate and a two-sided alternative.RESULTS: Of the 812 (26%) nurses who completed the survey, 637 were eligible for the present analysis. Nurses with low mental QOL, extreme fatigue, recent suicidal ideation, or burnout had a higher total score (all ps < .001), resulting in less favorable WBI scores. With a 17% pretest probability of low overall QOL, the WBI score can decrease the posttest probability of low QOL to 2% or increase it to 72%. The likelihood of high overall QOL decreased in a stepwise fashion from 3.38 to 0.04, as the WBI score increased. WBI score also stratified nurses' likelihood of reporting a recent patient care error and/or intent to leave current job.DISCUSSION: The WBI is a useful screening tool to stratify both distress and well-being across a variety of domains in nurses and identify those nurses whose severity of distress may negatively affect patient care and retention.

AB - BACKGROUND: Studies suggest there is a high prevalence of burnout and depression among U.S. nurses.OBJECTIVES: The aim of the study was to gauge the capability of the Well-Being Index (WBI) to stratify nurse distress (e.g., low quality of life [QOL], extreme fatigue, burnout, recent suicidal ideation) and well-being (high QOL) and detect those whose level of distress may negatively affect retention or work performance.METHODS: In 2016, we conducted a cross-sectional survey of 3,147 U.S. nurses. The survey included the WBI and standard instruments to assess overall QOL, fatigue, burnout, recent suicidal ideation, patient care errors, and intent to leave current job. We used Fisher exact test and Wilcoxon/two-sample t-test procedures with a 5% Type I error rate and a two-sided alternative.RESULTS: Of the 812 (26%) nurses who completed the survey, 637 were eligible for the present analysis. Nurses with low mental QOL, extreme fatigue, recent suicidal ideation, or burnout had a higher total score (all ps < .001), resulting in less favorable WBI scores. With a 17% pretest probability of low overall QOL, the WBI score can decrease the posttest probability of low QOL to 2% or increase it to 72%. The likelihood of high overall QOL decreased in a stepwise fashion from 3.38 to 0.04, as the WBI score increased. WBI score also stratified nurses' likelihood of reporting a recent patient care error and/or intent to leave current job.DISCUSSION: The WBI is a useful screening tool to stratify both distress and well-being across a variety of domains in nurses and identify those nurses whose severity of distress may negatively affect patient care and retention.

UR - http://www.scopus.com/inward/record.url?scp=85055910118&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85055910118&partnerID=8YFLogxK

U2 - 10.1097/NNR.0000000000000313

DO - 10.1097/NNR.0000000000000313

M3 - Article

C2 - 30138124

AN - SCOPUS:85055910118

VL - 67

SP - 447

EP - 455

JO - Nursing Research

JF - Nursing Research

SN - 0029-6562

IS - 6

ER -