Examining the frequency of job burnout in nurses working in the hospitals of Semnan University of Medical Sciences: a cross-sectional study

authors:

avatar Shaian Akhyani , avatar Majid Mirmohammadkhani , avatar Daryoush Pahlevan ORCID , *


how to cite: Akhyani S, Mirmohammadkhani M, Pahlevan D. Examining the frequency of job burnout in nurses working in the hospitals of Semnan University of Medical Sciences: a cross-sectional study. koomesh. 2023;25(6):e152868. 

Abstract

Introduction: One of the most important complications of the nursing job is burnout which is associated with a decrease in mental health, quality of medical care, and a decrease in patient satisfaction with the treatment process. We aimed to assess the prevalence of burnout in nurses working in Semnan Universities. Materials and Methods: A total of 151 nurses working in two hospitals affiliated with the Semnan University of Medical Sciences were included in the present cross-sectional study. Demographic characteristics of the participants were gathered using researcher-based questionnaires. Burnout was assessed using the validated Maslach Burnout Inventory questionnaire. Values of continuous and categorical variables were presented as mean standard deviation and numbers, respectively. Results: The mean age of the study participants was 36.4±8.8, of whom 128 participants (85%) were female. The average work experience was 12.4±7.8 years. The prevalence of moderate burnout in the study participants was 75.5%. The prevalence of burnout subdomains including moderate emotional exhaustion, moderate depersonalization, and moderate personal accomplishment was, respectively, 70.9%, 82.1%, and 58.9%. The score of the Maslach Burnout Inventory questionnaire and its subtypes did not differ significantly across subgroups defined by age, sex, education status, working experience, medical ward, and marital status. Conclusion: The prevalence of moderate burnout is relatively high among nurses working in Semnan hospitals. There is a need for further investigations to assess the underlying causes of burnout to design and implement intervention strategies to reduce the high prevalence of nursing burnout.

References

  • 1.

    Ed-Valsania S, Lagua A. Burnout: A Review of Theory and Measurement. Int J Environ Res Public Health 2022; 19. [PubMed ID: 35162802 PMCid:PMC8834764]. https://doi.org/https://doi.org/10.3390/ijerph19031780.

  • 2.

    Hewitt DB, Ellis RJ, Hu YY, Cheung EO, Moskowitz JT, Agarwal G, et al. Evaluating the association of multiple burnout definitions and thresholds with prevalence and outcomes. JAMA Surg 2020; 155: 1043-1049. [PubMed ID: 32902609 PMCid:PMC7489413]. https://doi.org/https://doi.org/10.1001/jamasurg.2020.3351.

  • 3.

    Kaschka WP, Korczak D, Broich K. Burnout: a fashionable diagnosis. Dtsch Arztebl Int 2011; 108: 781-787. [PubMed ID: 22163259 PMCid:PMC3230825]. https://doi.org/https://doi.org/10.3238/arztebl.2011.0781.

  • 4.

    Habibi H, Mooghali A, Bagheri Lankarani K, Habibi F. Relationship between nurses' job satisfaction and burnout with patients satisfaction in Shiraz, 2012. Hayat J 2014; 20: 30-42. (Persian).

  • 5.

    Lasebikan VO, Oyetunde MO. Burnout among nurses in a nigerian general hospital: prevalence and associated factors. ISRN Nurs 2012; 2012: 402157. [PubMed ID: 22619733 PMCid:PMC3350958]. https://doi.org/https://doi.org/10.5402/2012/402157.

  • 6.

    Ibtissam S, Hala S, Sanaa S, Hussein A, Nabil D. Burnout among Lebanese nurses: Psychometric properties of the Maslach burnout inventory-human services survey (MBI-HSS). Health 2011; 4: 644-652.##https://doi.org/10.4236/health.2012.49101.

  • 7.

    Stufano A, Awoonor-Williams JK, Vimercati L. Editorial: Factors and health outcomes of job burnout. Front Public Health 2022; 10: 1023462. [PubMed ID: 36424976 PMCid:PMC9679783]. https://doi.org/https://doi.org/10.3389/fpubh.2022.1023462.

  • 8.

    Van Bogaert P, Peremans L, Van Heusden D, Verspuy M, Kureckova V, Van de Cruys Z, et al. Predictors of burnout, work engagement and nurse reported job outcomes and quality of care: a mixed method study. BMC Nurs 2017; 16: 5. [PubMed ID: 28115912 PMCid:PMC5241948]. https://doi.org/https://doi.org/10.1186/s12912-016-0200-4.

  • 9.

    Swider BW, Zimmerman RD. Born to burnout: A meta-analytic path model of personality, job burnout, and work outcomes. J Vocat Behav 2010; 76: 487-506.##https://doi.org/10.1016/j.jvb.2010.01.003.

  • 10.

    Clark RRS, Lake E. Burnout, job dissatisfaction and missed care among maternity nurses. J Nurs Manag 2020; 28: 2001-2206. [PubMed ID: 32335967 PMCid:PMC7606516]. https://doi.org/https://doi.org/10.1111/jonm.13037.

  • 11.

    Rafiee N, Bahrami MA, Zare V, Mohammadi M. Organizational climate and work addiction in Shahid Sadoughi university of medical sciences, 2014: a Case Study. Electron Phys 2015; 7: 1602-1608. (Persian). [PubMed ID: 26816586 PMCid:PMC4725413]. https://doi.org/https://doi.org/10.19082/1602.

  • 12.

    Piko BF. Burnout, role conflict, job satisfaction and psychosocial health among Hungarian health care staff: a questionnaire survey. Int J Nurs Studi 2006; 43: 311-318. [PubMed ID: 15964005]. https://doi.org/https://doi.org/10.1016/j.ijnurstu.2005.05.003.

  • 13.

    Nayeri ND, Salehi T, Noghabi AA. Quality of work life and productivity among Iranian nurses. Contemp Nurse 2011; 39: 106-118. [PubMed ID: 21955271]. https://doi.org/https://doi.org/10.5172/conu.2011.39.1.106.

  • 14.

    Gillespie M, Melby V. Burnout among nursing staff in accident and emergency and acute medicine: a comparative study. J Clin Nurs 2003; 12: 842-851. [PubMed ID: 14632977]. https://doi.org/https://doi.org/10.1046/j.1365-2702.2003.00802.x.

  • 15.

    Vahey DC, Aiken LH, Sloane DM, Clarke SP, Vargas D. Nurse burnout and patient satisfaction. Med Care 2004; 42: Ii57-66. [PubMed ID: 14734943 PMCid:PMC2904602]. https://doi.org/https://doi.org/10.1097/01.mlr.0000109126.50398.5a.

  • 16.

    Maslach C, Schaufeli WB, Leiter MP. Job burnout. Ann Rev Psychol 2001; 52: 397-422. [PubMed ID: 11148311]. https://doi.org/https://doi.org/10.1146/annurev.psych.52.1.397.

  • 17.

    Tay WY, Earnest A, Tan SY, Ng MJ. Prevalence of burnout among nurses in a community hospital in Singapore: a cross-sectional study. Proceed Singapore Health Care 2014; 23: 93-99.##https://doi.org/10.1177/201010581402300202.

  • 18.

    Shimomitsu T, Ohya Y, Odagiri Y. Burnout and associated job stress among Japanese hospital nurses. J Psychosom Res 2003; 2: 150.##https://doi.org/10.1016/S0022-3999(03)00162-4.

  • 19.

    Payne N. Occupational stressors and coping as determinants of burnout in female hospice nurses. J Adv Nurs 2001; 33: 396-405. [PubMed ID: 11251727]. https://doi.org/https://doi.org/10.1046/j.1365-2648.2001.01677.x.

  • 20.

    Awa WL, Plaumann M, Walter U. Burnout prevention: a review of intervention programs. Patient Educ Couns 2010; 78: 184-190. [PubMed ID: 19467822]. https://doi.org/https://doi.org/10.1016/j.pec.2009.04.008.

  • 21.

    Isfahani P. The prevalence of burnout among nurses in hospitals of Iran: a systematic review and meta-analysis. J Health 2019; 10: 240-250.##https://doi.org/10.29252/j.health.10.2.240.

  • 22.

    Maslach C, Jackson SE. The measurement of experienced burnout. J Organiz Behav 1981; 2: 99-113.##https://doi.org/10.1002/job.4030020205.

  • 23.

    Shamloo ZS, Hashemian SS, Khoshsima H, Shahverdi A, Khodadost M, Gharavi MM. Validity and reliability of the Persian version of the Maslach burnout inventory (general survey version) in Iranian population. Iran J Psychiatry Behav Sci 2017; 11: 1-9. (Persian)##https://doi.org/10.5812/ijpbs.8168.

  • 24.

    Gholami T, Heidari Pahlavian A, Akbarzadeh M, Motamedzade M, Heidari Moghadam R, Khani Jeihooni A. Effects of nursing burnout syndrome on musculoskeletal disorders. Int J Muscul Pain Prev 2016; 1: 35-39.

  • 25.

    Sahebazzamani M, Safavi M, Farahani H. Burnout of nurses employed at Tehran psychiatric hospitals and its relation with social supports. Med Sci J Islamic Azad Univ Tehran Med Branch 2009; 19: 206-211. (Persian).

  • 26.

    Aziz Nejad P, Hosseini S. Occupational burnout and its causes among practicing nurses in hospitals affiliated to Babol University of Medical Sciences, 2004. J Babol Univ Med Sci 2006; 8: 63-69. (Persian).

  • 27.

    Shahnazdoust M, Maghsudi S, Tabari R, Kazemnegad E. Relationship between nursing burnout and occupational support. J Guilan Univ Med Sci 2012; 20: 49-59. (Persian).

  • 28.

    Poghosyan L, Clarke SP, Finlayson M, Aiken LH. Nurse burnout and quality of care: cross-national investigation in six countries. Res Nurs Health 2010; 33: 288-298. [PubMed ID: 20645421 PMCid:PMC2908908]. https://doi.org/https://doi.org/10.1002/nur.20383.

  • 29.

    Wu H, Ge CX, Sun W, Wang JN, Wang L. Depressive symptoms and occupational stress among Chinese female nurses: the mediating effects of social support and rational coping. Res Nurs Health 2011; 34: 401-407. [PubMed ID: 21812006]. https://doi.org/https://doi.org/10.1002/nur.20449.

  • 30.

    Sahebalzamani M, Safavi M, Farahani H. Determination of the amount of burnout and its correlation with social support in psychiatrichospitals in Tehran. J Islamic Azad Univ 2009; 19: 206-211.

  • 31.

    Davoudi-Kiakalayeh A, Farahbod F, Goudarzvand Chegini M, Rimaz S, Kouchakinejad-Eramsadati L, Akbari M. Evaluation of burnout among nurses working in a first level trauma center. J Guilan Univ Med Sci 2015; 23: 24-30.

  • 32.

    Aghajani MJ. The professional burnout of nurses in different wards. J Res Dev Nurs Midwifery 2013; 9: 97-104.

  • 33.

    Aziznejad P, Hosseini S. Burnout and the influential factors on it in medical educational hospital nurses in Babol. J Babol Med Univ 2006; 8: 63-69. (Persian).

  • 34.

    Grunfeld E, Whelan TJ, Zitzelsberger L, Willan AR, Montesanto B, Evans WK. Cancer care workers in Ontario: prevalence of burnout, job stress and job satisfaction. CMAJ 2000; 163: 166-169.

  • 35.

    Halime Aslan S, Nazan Alparslan Z, Oguz Aslan R, Kesepara C, nal M. Gender related factors to burnout among Turkish health professionals. Ann Med Sci 1998; 7: 101-106.

  • 36.

    Balogun JA, Titiloye V, Balogun A, Oyeyemi A, Katz J. Prevalence and determinants of burnout among physical and occupational therapists. J Allied Health 2002; 31: 131-139.

  • 37.

    Abdi F, Khaghanizade M, Sirati M, Kaviani H. Determination of the amount Burnout in Nursing Staff. J Behav Sci 2008; 2: 51-59.

  • 38.

    Klersy C, Callegari A, Martinelli V, Vizzardi V, Navino C, Malberti F, et al. Burnout in health care providers of dialysis service in Northern Italy-a multicentre study. Nephrol Dial Transplant 2007; 22: 2283-2290. [PubMed ID: 17442744]. https://doi.org/https://doi.org/10.1093/ndt/gfm111.

  • 39.

    Poncet MC, Toullic P, Papazian L, Kentish-Barnes N, Timsit JF, Pochard F, et al. Burnout syndrome in critical care nursing staff. Am J Respir Crit Care Med 2007; 175: 698-704. [PubMed ID: 17110646]. https://doi.org/https://doi.org/10.1164/rccm.200606-806OC.

  • 40.

    Kilfedder CJ, Power KG, Wells TJ. Burnout in psychiatric nursing. J Adv Nurs 2001; 34: 383-396. [PubMed ID: 11328444]. https://doi.org/https://doi.org/10.1046/j.1365-2648.2001.01769.x.

  • 41.

    Ewers P, Bradshaw T, McGovern J, Ewers B. Does training in psychosocial interventions reduce burnout rates in forensic nurses? J Adv Nurs 2002; 37: 470-476. [PubMed ID: 11843986]. https://doi.org/https://doi.org/10.1046/j.1365-2648.2002.02115.x.

  • 42.

    Costantini A, Solano L, Di Napoli R, Bosco A. Relationship between hardiness and risk of burnout in a sample of 92 nurses working in oncology and AIDS wards. Psychother Psychosom 1997; 66: 78-82. [PubMed ID: 9097334]. https://doi.org/https://doi.org/10.1159/000289112.

  • 43.

    Aiken LH, Clarke SP, Sloane DM. Hospital staffing, organization, and quality of care: Cross-national findings. Nurs Outlook 2002; 50: 187-194. [PubMed ID: 12386653]. https://doi.org/https://doi.org/10.1067/mno.2002.126696.