• Lindsay T Munn, Nathaniel O'Connell, Carolyn Huffman, Stephanie McDonald, Michael Gibbs, Chadwick Miller, Suzanne C Danhauer, Michelle Reed, Leslie Mason, Kristie L Foley, Jason Stopyra, and Sabina B Gesell.
• J Emerg Nurs. 2024 Nov 11.

IntroductionNurses working in the emergency department experience high rates of burnout. The purpose of this study was to determine job-related factors affecting the well-being of emergency nurses.MethodsIn this cross-sectional study data were collected through multiple methods. An anonymous survey was used to collect data on emergency nurses' perceptions of the work environment, self-reported outcomes of well-being, and demographic characteristics. Administrative and electronic health record data were used to collect team and ED-level variables. Descriptive statistics, linear models, and Lasso regression were used to analyze data.ResultsFifty-three percent (n = 175/337) of responding emergency nurses reported high burnout. High levels of psychological safety were linked to lower levels of burnout (P < .05) and increased work engagement (P < .05). Perceptions of adequate compensation were inversely associated with burnout (P < .01). Workplace violence from patients (P < .01) and peers (P <.001) was associated with higher levels of burnout, and workplace violence from peers was associated with lower levels of work engagement (P < .05). Recognition (P < .05) and well-being support from the organization (P < .01) were associated with higher levels of work engagement.DiscussionTo improve emergency nurse well-being, systems-focused interventions should address nurse compensation, psychological safety among the ED team, workplace violence, and meaningful recognition of nurses and well-being support from the organization.Copyright © 2024 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.

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