Cyberattacks: A Recipe for Nurse Burnout & Compromised Patient Care

Ashley Franks, Chief Nursing Informatics Officer at TigerConnect

Nurses, the backbone of the medical field, have been facing a critical threat: burnout. A recent survey by the National Council of State Boards of Nursing found that nurses are under immense strain due to high workloads and stress, with a significant portion of nurses (between 45% and 56%) feeling emotionally drained, exhausted, and burned out regularly. A worrying 29% of nurses reported feeling like they’re at their wits’ end several times a week or even daily. Characterized by emotional exhaustion, depersonalization, and a reduced sense of accomplishment, burnout not only impacts their well-being but also poses a risk to patient care. As technology continues to advance and transform healthcare, the role of nurses is also evolving to include new responsibilities beyond patient care. One critical area where nurses are playing a vital part is cybersecurity. With the increasing reliance on EHRs, telemedicine, and digital technology, hospitals face a growing risk of cyber threats. 

The recent Change Healthcare cyberattack sent shockwaves through the American healthcare system, crippling critical functions like claims processing and appointment scheduling. Unfortunately, this isn’t an anomaly. A staggering 725 large healthcare data breaches were reported to the Department of Health and Human Services in 2023 alone, marking a troubling new peak and putting patient privacy at significant risk. This incident highlights healthcare’s vulnerability to external threats and exposes a critical internal weakness: communication breakdowns. A concerning 74% of hospitals surveyed by the American Hospital Association reported that the Change Healthcare breach prompted direct disruptions to patient care. Cyberattacks and outages inevitably force a return to cumbersome, paper-based processes, further increasing the administrative burden on already stretched-thin nurses.

Every cyberattack on the healthcare system serves as a stark reminder that communication breakdowns are not simply inconveniences; they threaten patient safety and significantly impact frontline workers. In the wake of such disruptions, nurses are not only grappling with the immediate consequences but also contending with the amplified strain on their already demanding roles. As healthcare professionals navigate through the chaos caused by communication breakdowns, the toll it takes on their mental and emotional well-being cannot be underestimated.

The Burnout Epidemic: A Communication Casualty

Research from 2023 identified organizational challenges and inadequate communication as pivotal factors contributing to nurse burnout. Given the dynamic nature of their work, nurses rely heavily on communication avenues that facilitate effortless interaction, particularly in fast-paced environments. However, when these channels falter, accessing crucial patient data becomes arduous, impeding collaboration among colleagues and physicians. The resulting frustration and inefficiency not only strain cognitive resources but also pave the path toward burnout.

Breaches and outages exacerbate these existing problems, and the threat of future cyberattacks is imminent as they become increasingly common in healthcare. According to a Ponemon study, 88% of surveyed organizations experienced at least one attack in 2023. These attacks not only disrupt essential services but also create a cascade of challenges for healthcare professionals. For instance, in the aftermath of cyberattacks, hospitals often experience delays in accessing patient records and administering treatments, leading to increased pressure on the frontline and potentially impacting the patient experience. If hospitals and clinics remain unprepared for such disruptions, the brunt will be borne by internal teams, including nurses. The increased workload stemming from manual processes compounded by the necessity for heightened security measures can amplify preexisting fatigue. Research has shown that prolonged exposure to high-stress scenarios, such as those induced by cyberattacks, substantially escalates rates of nurse burnout. Consequently, the ramifications of cyber assaults transcend operational disruptions by exerting a direct toll on the mental and emotional welfare of nurses, ultimately jeopardizing the quality of patient care.

Communication Solutions for a Stronger System
The impact of national healthcare outages underscores the urgent need for secure communication solutions that can withstand disruptions. Healthcare leaders have a responsibility to invest in technologies that safeguard and streamline information exchange, reduce administrative burdens, and prioritize clear, efficient communication.

Comprehensive communication platforms offer essential features to keep communication lines open in healthcare settings. They provide reliable updates and seamless communication, even during EHR downtime or outages, enabling users to receive crucial broadcasts and alerts and securely contact colleagues via text, voice, or video calls. These platforms also support disaster recovery plans by establishing communication channels in advance, facilitating coordinated responses during emergencies, and maintaining clinical protocols through features like in-app voice or video calling for secure assessments of urgent cases.

While secure, cloud-based platforms are critical for creating proactive solutions in the event of a breach; they also offer capabilities like providing real-time access to patient data, encouraging seamless collaboration, and ensuring critical information remains accessible even during outages. Through real-time messaging, customized alerts, and role-based information filtering, these platforms empower care teams to focus on their work. The dynamic features that distinguish these platforms from outdated communication methods include:

  • Real-time messaging: Connect instantly with colleagues through text, voice, or video, eliminating delays and misunderstandings. Message statuses such as “sent,” “delivered,” and “read” ensure accountability and clarity.
  • Enhanced teamwork: Tailor real-time notifications to different roles, prioritizing information to facilitate rapid response and efficient collaboration, particularly during critical scenarios.
  • Role-based communication: Send messages to the right person based on roles, avoiding information overload and reducing alert fatigue while staying informed about crucial updates.
  • Improved patient care: Solutions that integrate with EHRs and existing systems allow for swift information sharing and coordinated action, resulting in faster response times and better clinical outcomes, which are particularly vital when a patient’s condition changes unexpectedly.

Beyond Technology: Fostering a Culture of Open Communication
Technology is just one piece of the puzzle. A culture of open communication within healthcare systems must be prioritized. When nurses feel heard and valued, their stress levels decrease, and engagement increases. Leaders should continue to solicit feedback from nurses and address communication roadblocks proactively.

To strengthen both cybersecurity and the integrity of patient data, comprehensive staff training is crucial. These programs should equip staff to identify and address cyber threats, acknowledging that human error can be a significant vulnerability. Creating an environment where staff feel like they have open communication for reporting and collaboration with IT teams not only helps identify communication issues but also empowers leaders to address them through active listening and concrete steps to reduce stress and boost engagement. Additionally, safe handling of electronic devices and integrated platforms help ensure seamless continuity during care transitions while robust, regularly drilled incident response plans prepare staff to manage cyber threats effectively.

As healthcare moves forward in the digital age, nurses are not only caregivers but also guardians of patient data. Though this responsibility is essential, we cannot overlook the pressures and high-stress environments they are working in. Data breaches are an unfortunate reality, and when they occur, effective communication strategies are essential. The recent surge in cyberattacks targeting healthcare systems exacerbates the strain on nurses already grappling with high-stress environments, highlighting the need for resilient communication solutions. Alongside investing in better technology, it’s crucial to encourage open communication within healthcare systems and provide comprehensive staff training. Supporting nurses with engagement, assistance, and the necessary resources for success isn’t just a smart strategy—it’s essential. Only by fortifying our healthcare systems at both the organizational and individual levels can we hope to safeguard the well-being of both patients and caregivers amidst these challenges.

About Ashley Franks

Ashley Franks is the Chief Nursing Informatics Officer at TigerConnect. She brings a variety of nursing experience, having worked in progressive and intensive care units in addition to 15 years of healthcare technology/consulting experience. She previously held key positions in healthcare AI, digital transformation, clinical applications, and patient education. Ashley has helped health systems across the US leverage innovative technology, develop AI governance and deployment strategies, implement collaboration platforms, and utilize best practices. She values nurse representation in the IT space and engages clinicians on the design and optimization of technology to simplify practice and improve patient outcomes.