Nurse Burnout and impact of Affordable Care Act


Nursing career is a rewarding career which engaged an extensive range of healthcare activities and rehabilitation. It is not an easy job, nurses face work related stress and frustration every day as they care for patients. Also fatigue and loss of interest caused due to long shift hours in the healthcare environment. Nurse Burnout is mainly depression and anxiety disorders that can have a major effect on the functioning of the body as well as in performance of job because it raises the level of adrenaline and corticosterone in human body.

There are various types of work related stress such as:

  • Compassion fatigue also known as secondary post traumatic stress disorder is a feeling of being alone and hopelessness.
  • Vicarious Trauma gives feeling of helplessness, mood swings and feeling stunned.
  • Burnout is loss of interest and frustration, which cause absenteeism in workplace and sometimes occupational injuries also.

Burnout is a process that occurs slowly and has various symptoms. There can be three types of symptoms such as emotional, behavioral and physical symptoms.

Emotional symptoms mainly include:

  • Feeling less motivated
  • Feeling alone and defeated
  • Diminishing sense of achievement

Physical symptoms mainly include:

  • Feeling sleepy in day time
  • Feeling sick and tired
  • Regular headache and body ache

Behavioral symptoms mainly include:

  • Talking rudely to the people
  • Being disconnected from friends and family
  • Feeling angry all the time

Some ways to reduce and recover from nurse burnout are:

  • Creating a space to relax is very important because it reduces the stress.
  • By joining stress reduction classes because this encourage nurses to feel happy and cheerful.
  • Counseling is an effective method to reduce nurse burnout.
  • Stress reducing exercises should be done
  • Making a helpful and encouraging work environment reduces the stress.

Affordable care act is an act passed by President Barack Obama on March 23, 2010 and has great impact in the nursing industry. It was passed to boost up the quality of health insurance and affordability. It reduces the uninsured rate by increasing insurance coverage and decreases the costs of healthcare. It raises the job growth and keeps patients out of hospitals in turn of outpatient care offered in communities. Some most important provisions of the Affordable care act were implemented in January 2014. Nurses recognize emotional distress from workload, fatigue, patient care and exhaustion, but this act doesn’t do anything to ease this difficulty and make it a worst situation. It has been seen that higher nurse to patient ratios have been shown to enlarge mortality and morbidity. Patient acuity is a dimension of the intensity of care essential to care for a patient. The higher the patient acuity will be there the more care a patient will require. The Affordable care act approach to assure quality to pay for performance. The idea of pay for performance leads to reductions in repayment rates. The shortage of workforce harmfully affects health care organizations in this system.






There is a need to support Nurse Patient Ratios Bills to focus on limiting the number of patients a  nurse  can have. When there is a standard amount of patients based on numbers the nurse has more time to provide competent, compassionate and caring care to their patients. With the support of set Nurse Patient Ratios Bills patients can receive safe healthcare to decrease mortality rates. The goal is to increase Safe Nursing Practices. There is a direct correlation with Nurse Burnout and Safe Nursing Practice.

For more information on becoming a Nurse, please visit us on

Check out the Nurse Dolls Website:

Dr. Nicole M. Brown, DNP, RN

Army Reserve Veteran (Desert Storm)

Founder: Nursing Success College, LLC & The Nurse Dolls, LLC

(863) 221-1778






1 Comment

  1. I’d like to sign that bill. I feel that nurse patient acuities, regardless of unit, should be 1:3. In order to give safe and effective patient care, nurses should be able to actually see their patients.


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