Burnout among Nurses during Coronavirus Disease 2019 Outbreak in Shiraz

Authors

  • Mahsa Kamali 1. Health Policy Research Center, Institute of Heath, Shiraz University of Medical Sciences, Shiraz, Fars, Iran
  • Ahmad Kalateh Sadati 2. Department of Social Sciences, Yazd University, Yazd, Iran
  • Mohammad Reza Khademi 1. Health Policy Research Center, Institute of Heath, Shiraz University of Medical Sciences, Shiraz, Fars, Iran
  • Sulmaz Ghahramani 1. Health Policy Research Center, Institute of Heath, Shiraz University of Medical Sciences, Shiraz, Fars, Iran
  • Leila Zarei 1. Health Policy Research Center, Institute of Heath, Shiraz University of Medical Sciences, Shiraz, Fars, Iran
  • Seyede Zahra Ghaemi 1. Health Policy Research Center, Institute of Heath, Shiraz University of Medical Sciences, Shiraz, Fars, Iran
  • Reza Tabirazi 1. Health Policy Research Center, Institute of Heath, Shiraz University of Medical Sciences, Shiraz, Fars, Iran
  • Maryam Akbari 1. Health Policy Research Center, Institute of Heath, Shiraz University of Medical Sciences, Shiraz, Fars, Iran
  • Nasrin Shokrpour 3. English Department, Shiraz University of Medical Sciences, Shiraz, Iran
  • Arash Mani 4. Research Center for Psychiatry and Behavioral Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
  • Seyed Taghi Heydari 1. Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Fars, Iran
  • Kamran B Lankarani 1. Health Policy Research Center, Institute of Heath, Shiraz University of Medical Sciences, Shiraz, Fars, Iran.

DOI:

https://doi.org/10.31661/gmj.v9i.1956

Keywords:

COVID-19, Nursing Burnout; Emotional Exhaustion

Abstract

Background: The function of healthcare workers, particularly nursing staff, in taking care of coronavirus disease 2019 (COVID-19) patients, cannot be overemphasized. As the pandemic lasts, burnout among the nursing staff needs to be considered as an important challenge. This was aimed to assess the nurses’ burnout and factors affecting this variable. Materials and Methods: In this cross-sectional study, Maslach Burnout Inventory was completed by 261 nurses in Shiraz hospitals (Iran) in April 2020. This questionnaire addresses different aspects, including emotional exhaustion, personal achievement, and depersonalization, to determine the intensity of perceived burnout among nurses during the outbreak. Results: Our data demonstrated that the nurses’ burnout in Shiraz hospitals during the COVID-19 pandemic was high (64.6%). Emotional exhaustion and depersonalization were observed in 63.6 and 53.3 percent of the participants, respectively. Moreover, the rate of successful personal achievement among these nurses was >97%. Work experience <10 years (P=0.016), hospital ward (P=0.044), the number of deaths observed by nurses during the COVID-19 pandemic (P<0.001), and the total number of shifts during the COVID-19 pandemic (P=0.006) had a positive correlation with emotional exhaustion. Conclusion: Workload and stress resulting from the COVID-19 outbreak seem to be one of the major causes of emotional exhaustion in nurses. The emotional exhaustion among nurses must be considered in epidemics, such as COVID-19. [GMJ.2020;9:e1956]

 

References

Sadati AK, Lankarani B, Hossein M, Lankarani KB. Risk Society, Global Vulnerability and Fragile Resilience; Sociological View on the Coronavirus Outbreak. Shiraz E-Med J. 2020;21(4):e102263

https://doi.org/10.5812/semj.102263

Catharine I, Hilary D, Anthony S. Coronavirus Infections-More than just the common cold. JAMA. 2020;323(8):707-8.

https://doi.org/10.1001/jama.2020.0757

PMid:31971553

Smereka J, Szarpak L, Filipiak KJ. Modern medicine in COVID-19 era. Disaster Emerg Med J. 2020;5(2):103-5.

https://doi.org/10.5603/DEMJ.a2020.0012

Wu Y-C, Chen C-S, Chan Y-J. The outbreak of COVID-19: An overview. J Chin Med Assoc. 2020;83(3):217-20.

https://doi.org/10.1097/JCMA.0000000000000270

PMid:32134861 PMCid:PMC7153464

Sohrabi C, Alsafi Z, O'Neill N, Khan M, Kerwan A, Al-Jabir A, et al. World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). Int J Surg. 2020:1-19.

https://doi.org/10.1016/j.ijsu.2020.02.034

PMid:32112977 PMCid:PMC7105032

Freudenberger HJ. Staff burnout. Journal of Social Issues. 1974;30(1):159-65.

https://doi.org/10.1111/j.1540-4560.1974.tb00706.x

Kalateh AS, Hemmati S, Rahnavard F, Lankarani KB, Heydari ST. The Impact of Demographic Features and Environmental Conditions on Rates of Nursing Burnout. Shiraz E-Med J. 2016;17(3):1-7.

https://doi.org/10.17795/semj37882

Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001;52(1):397-422.

https://doi.org/10.1146/annurev.psych.52.1.397

PMid:11148311

Kunaviktikul W, Wichaikhum O, Nantsupawat A, Nantsupawat R, Chontawan R, Klunklin A, et al. Nurses' extended work hours: patient, nurse and organizational outcomes. Int Nurs Rev. 2015;62(3):386-93. 2015;62(3):386-93.

https://doi.org/10.1111/inr.12195

PMid:25997841

Maslach C, Jackson SE. The measurement of experienced burnout. World J Psychiatry. 1981;2(2):99-113.

https://doi.org/10.1002/job.4030020205

Martinussen M, Richardsen A, Burke RJ. Job demands, job resources, and burnout among police officers. J Crim Justice. 2007;35(3):239-49.

https://doi.org/10.1016/j.jcrimjus.2007.03.001

Zagenczyk TJ, Powell EE, Scott KL. How exhausting!? Emotion crossover in organizational social networks. Journal of Management Studies. 2020:1-33.

Ambani Z, Kutney-Lee A, Lake ET. The nursing practice environment and nurse job outcomes: A path analysis of survey data. J Clin Nurs. 2020;29(13-14):2602-14.

https://doi.org/10.1111/jocn.15283

PMid:32298015

Shanafelt TD, Gorringe G, Menaker R, Storz KA, Reeves D, Buskirk SJ, et al. Impact of organizational leadership on physician burnout and satisfaction. Mayo Clin Proc. 2015;90(4):432-40..

https://doi.org/10.1016/j.mayocp.2015.01.012

PMid:25796117

Adriaenssens J, De Gucht V, Maes S. Determinants and prevalence of burnout in emergency nurses: a systematic review of 25 years of research. Int J Nurs Stud. 2015;52(2):649-61.

https://doi.org/10.1016/j.ijnurstu.2014.11.004

PMid:25468279

Poncet MC, Toullic P, Papazian L, Kentish-Barnes N, Timsit J-F, Pochard F, et al. Burnout syndrome in critical care nursing staff. Am J Respir Crit Care Med. 2007;175(7):698-704.

https://doi.org/10.1164/rccm.200606-806OC

PMid:17110646

Eghbali M, Negarandeh R, Froutan R. COVID-19 epidemic: Hospital-level response. Nursing Practice Today. 2020;7(2):81-3.

https://doi.org/10.18502/npt.v7i2.2728

Huang L, Lei W, Xu F, Liu H, Yu L. Emotional responses and coping strategies in nurses and nursing students during Covid-19 outbreak: A comparative study. PLoS One. 2020;15(8):e0237303..

https://doi.org/10.1371/journal.pone.0237303

PMid:32764825 PMCid:PMC7413410

Back C-Y, Hyun D-S, Jeung D-Y, Chang S-J. Mediating Effects of Burnout in the Association Between Emotional Labor and Turnover Intention in Korean Clinical Nurses. Saf Health Work. 2020;11(1):88-96.

https://doi.org/10.1016/j.shaw.2020.01.002

PMid:32206378 PMCid:PMC7078559

Alharbi J, Jackson D, Usher K. The potential for COVID-19 to contribute to compassion fatigue in critical care nurses. J Clin Nurs. 2020;29(15-16):2762-2764.

https://doi.org/10.1111/jocn.15314

PMid:32344460 PMCid:PMC7267232

Nikpouraghdam M, Jalali Farahani AR, Alishiri GhH,bHeydari S, Ebrahimnia M, Samadinia H, et al. Epidemiological characteristics of coronavirus disease 2019 (COVID-19) patients in IRAN: A single center study. J Clin Virol. 2020; 127: 104378.

https://doi.org/10.1016/j.jcv.2020.104378

PMid:32353762 PMCid:PMC7172806

Rezaei S, Karami Matin B, Hajizadeh M, Soroush A, Nouri B. Prevalence of burnout among nurses in Iran: a systematic review and meta-analysis. Int Nurs Rev. 2018;65(3):361-369.

https://doi.org/10.1111/inr.12426

PMid:29380381

Matin BK, Ahmadi S, Irandoost SF, Babasafari N, Rezaei S. The prevalence of burnout and its association with types of capital among female nurses in west of Iran. Jundishapur J Health Sci. 2014;6(3):1-4.

https://doi.org/10.5812/jjhs.21721

Maslach C, Jackson SE, Leiter MP, Schaufeli WB, Schwab RL. Maslach burnout inventory. Consulting psychologists press Palo Alto, CA; 1986.

Moalemi S, Kavoosi Z, Beygi N, Deghan A, Karimi A, Parvizi MM. Evaluation of the Persian Version of Maslach Burnout Inventory-Human Services Survey among Iranian Nurses: Validity and Reliability. GMJ. 2018;7

Goodyear MD, Krleza-Jeric K, Lemmens T. The declaration of Helsinki. BMJ. 2007;335(7621):624-5.

https://doi.org/10.1136/bmj.39339.610000.BE

PMid:17901471 PMCid:PMC1995496

Aiken LH, Clarke SP, Sloane DM, Sochalski JA, Busse R, Clarke H, et al. Nurses' reports on hospital care in five countries. Health Aff (Millwood). 2001;20(3):43-53..

https://doi.org/10.1377/hlthaff.20.3.43

PMid:11585181

Soleimani R, Shokrgozar S, Kianmehr S, Fallahi M, Pakdaman M. Comparison of mental health and burn out in medical staff of Rasht Shafa and Heshmat Hospitals. RME. 2016;7(4):20-30.

https://doi.org/10.18869/acadpub.rme.7.4.20

Masoodi R, Etemadifar S, Afzali S, Kheiri F, Dehkordi A. The influential factors on burnout among nurses working in private hospitals in Iran. Iran J Nurs Res. 2009;3:47-58.

Sadati AK, Rahnavard F, Heydari ST, Hemmati S, Ebrahimzadeh N, Lankarani KB. Health sector reform, emotional exhaustion, and nursing burnout: A retrospective panel study in Iran. J Nurs Res. 2017;25(5):368-374.

https://doi.org/10.1097/JNR.0000000000000183

PMid:28877124

Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA. 2002;288(16):1987-93.

https://doi.org/10.1001/jama.288.16.1987

PMid:12387650

Sultana A, Sharma R, Hossain MM, Bhattacharya S, Purohit N. Burnout among healthcare providers during COVID-19: Challenges and evidence based interventions. Indian J Med. Ethics 2020. DOI: 10.20529/IJME.2020.73

https://doi.org/10.20529/IJME.2020.73

Greenglass ER, Burke RJ, Fiksenbaum L. Workload and burnout in nurses. J Community Appl Soc Psychol. 2001;11(3):211-5.

https://doi.org/10.1002/casp.614

Berger J, Polivka B, Smoot EA, Owens H. Compassion fatigue in pediatric nurses. J Pediatr Nurs. 2015;30(6):e11-7.

https://doi.org/10.1016/j.pedn.2015.02.005

PMid:25800590

Stordeur S, D'hoore W, Vandenberghe C. Leadership, organizational stress, and emotional exhaustion among hospital nursing staff. J Adv Nurs. 2001;35(4):533-42.

https://doi.org/10.1046/j.1365-2648.2001.01885.x

PMid:11529953

Stechmiller J, Yarandi H. Predictors of burnout in critical care nurses. Heart Lung. 1993;22(6):534-41.

Janssen PP, De Jonge J, Bakker AB. Specific determinants of intrinsic work motivation, burnout and turnover intentions: a study among nurses. J Adv Nurs. 1999;29(6):1360-9.

https://doi.org/10.1046/j.1365-2648.1999.01022.x

PMid:10354230

Pai DD, Lautert L, Souza SBCd, Marziale MHP, Tavares JP. Violence, burnout and minor psychiatric disorders in hospital work. Rev Esc Enferm USP. 2015;49(3):457-64.

https://doi.org/10.1590/S0080-623420150000300014

PMid:26107707

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Published

2020-12-26

Issue

Vol. 9 (2020): 2020

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Original Article

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