Table 1 Repeated Measures: Rationale and Frequency of Measurements

Psychological Measures

Measurements and Frequency

Data Dimension

Rationale

Maslach Burnout Inventory-Human Services Survey (MBI-HSS), every quarter

Burnout risk

• Extensively validated for measuring burnout in nurses

• High dimensionality (large number of items useful for predicting burnout)

Center for Epidemiologic Studies Depression Scale (CES-D), every quarter

Depressive symptoms

• Validated measure of depressive symptoms

Linear Analogue Self-Assessment (LASA), every quarter

Quality of life/well-being

• Validated and multi-dimensional measure of quality of life

Belonging Measure, every quarter

Sense of belonging

• Validated measure of belonging, a concept which is related to burnout

Human Flourishing Index, final quarter (optional)

Flourishing

• Validated measure of self-reported flourishing across 6 life domains (happiness/life satisfaction, mental/physical health, meaning/purpose, character/virtue, close social relationships, financial/material stability)

Physiological Measures

Measurements and Frequency

Data Dimension

Rationale

Physiology measures from smart watches, everyday

Heart rate variability, sleep duration, sleep quality, activity

• Captures potential physiological effects of stress using variations in activity, sleep, heartrate and/or blood oxygen saturation levels

Lifestyle Measures

Measurements and Frequency

Data Dimension

Rationale

Food intake questionnaire, every quarter

Diet

• Captures potential dietary associations with stress, as some elements of diet have been previously associated with burnout symptoms⁵¹

Work-related Measures

Measurements and Frequency

Data Dimension

Rationale

Catheter-Associated Urinary Tract Infections [CAUTI], Central Line Associated Blood Stream Infections [CLABSI] and Patient falls, system-collected and nationally-reported everyday

Infection prevention and control

• Most-common nurse-sensitive adverse patient outcomes, which institutions strive to reduce to achieve nursing quality accolades

• Burnout in RNs associated with low-quality care

4 Nurse-sensitive items in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAPHS) survey, system-collected and nationally-reported everyday

Patient satisfaction of care provided by nursing staff

• Nurse burnout is associated with lower quality of care provided

• Patient satisfaction levels are lower in hospitals where burnout rates are high

Nurse-sensitive workplace exposures (see Table 1b), system-collected every quarter

Workplace exposures

• Burnout associated with workplace related exposures