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Molebatsi K, Musindo O, Bojosi K, Wambua N, Olashore AA. Burnout and associated factors among nurses in psychiatric and general tertiary hospitals in Botswana: A cross-sectional study. SAGE Open Med 2024; 12:20503121241272636. [PMID: 39386262 PMCID: PMC11462561 DOI: 10.1177/20503121241272636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2023] [Accepted: 07/08/2024] [Indexed: 10/12/2024] Open
Abstract
Introduction Research has consistently documented that nurses are at a higher risk for developing burnout syndrome due to the nature of their jobs. The high prevalence of burnout among nursing staff negatively affects healthcare delivery. Nurses experiencing burnout cannot provide quality care or actively participate in health promotion, and those experiencing emotional exhaustion are unlikely to be able to tend to the emotional needs of patients. Objective The study aimed to determine the prevalence and factors associated with burnout syndrome among nursing staff in Botswana referral general and psychiatric hospitals. Methods A cross-sectional survey was conducted among 249 nursing staff working in a referral psychiatric and general hospital. The job satisfaction survey, Maslach burnout inventory, and the OCEAN-20 were used to assess job satisfaction, burnout occurrence, and personality traits, respectively. A researcher-designed sociodemographic questionnaire was used to capture demographic data. Variables identified to be associated with burnout on bivariate analyses were entered into a regression analysis to determine to what extent these factors predicted burnout. Results The prevalence of emotional exhaustion, depersonalization, and reduced personal accomplishment was 65.7%, 56.9%, and 54%, respectively. Being in a general hospital, neuroticism, poor operating condition, and poor communication predicted emotional exhaustion, R 2 = 28%, F (9, 229) = 9.937, p < 0.001. Depersonalization was predicted by neuroticism and poor operating conditions, R 2 = 17%, F (9, 229) = 4.709, p < 0.001. Reduced personal achievement was significantly predicted by the number of people in the household, time at the current hospital, agreeableness, and nature of work, R 2 = 21%, F (7, 203) = 7.875, p < 0.001. Conclusions Our findings highlight the need for interventions to be developed to address burnout among nursing staff to optimize healthcare delivery.
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Affiliation(s)
- Keneilwe Molebatsi
- Faculty of Medicine, Department of Psychiatry, University of Botswana, Gaborone, Botswana
- Department of Psychiatry, Nelson Mandela School of Clinical Medicine, University of Kwa-Zulu Natal, Durban, South Africa
| | - Otsetswe Musindo
- Faculty of Medicine, Department of Psychiatry, University of Botswana, Gaborone, Botswana
- Selibe Phikwe Government Hospital, Ministry of Health and Wellness, Selibe Phikwe, Botswana
| | - Kagiso Bojosi
- Faculty of Medicine, Department of Psychiatry, University of Botswana, Gaborone, Botswana
- Sbrana Psychiatric Hospital, Lobatse, Botswana
| | - Nduku Wambua
- Department of Psychiatry, Nelson Mandela School of Clinical Medicine, University of Kwa-Zulu Natal, Durban, South Africa
- Department of Clinical, Neuro, and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Anthony A Olashore
- Faculty of Medicine, Department of Psychiatry, University of Botswana, Gaborone, Botswana
- Department of Psychiatry, Nelson Mandela School of Clinical Medicine, University of Kwa-Zulu Natal, Durban, South Africa
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Steinhaus MC, Nicholson TJ, Pliakas T, Harper A, Lilleston P, Mainga T, Milimo D, Jennings K, Grobbelaar N, Louis F, Liebenberg H, Hayes RJ, Fidler S, Ayles H, Bock P, Hoddinott G, Hargreaves JR, Bond V, Stangl AL. Prevalence and risk of burnout among HIV service providers in South Africa and Zambia: findings from the HPTN 071 (PopART) trial. HUMAN RESOURCES FOR HEALTH 2024; 22:50. [PMID: 38978065 PMCID: PMC11229271 DOI: 10.1186/s12960-024-00934-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Accepted: 06/25/2024] [Indexed: 07/10/2024]
Abstract
BACKGROUND In the high disease burden and resource-constrained contexts of sub-Saharan Africa (SSA), health workers experience a range of psychosocial stressors that leave them vulnerable to developing burnout, which can reduce service quality and negatively impact their own health and wellbeing. As universal testing and treatment (UTT) for HIV scales up across SSA, we sought to understand the implications of this human resource-intensive approach to HIV prevention to inform decision-making about health workforce staffing and support needs. METHODS Using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS), we assessed the prevalence of three domains of burnout-emotional exhaustion, depersonalization, and personal accomplishment-among three cadres of health workers delivering health services in areas receiving a UTT intervention in Zambia and South Africa. These cadres included health facility workers (n = 478), community health workers (n = 159), and a study-specific cadre of community HIV care providers (n = 529). We used linear regression to assess risk factors associated with emotional exhaustion, the only domain with sufficient variation in our sample. RESULTS The MBI-HSS was completed by 1499/2153 eligible participants (69.6% response rate). Less than 1% of health workers met Maslach's definition for burnout. All groups of health workers reported lower levels of emotional exhaustion than found in previous studies of this type (mean score scores ranged from 10.7 to 15.4 out of 54 across health cadres). Higher emotional exhaustion was associated with higher educational attainment (βadj = 2.24, 95% CI 0.76 to 3.72), greater years providing HIV services (βadj = 0.20, 95% CI 0.03 to 0.36), and testing negative for HIV at last HIV test (βadj = - 3.88 - 95% CI 5.69 to - 2.07). Working as a CHW was significantly associated with lower emotional exhaustion (βadj = - 2.52, 95% CI - 4.69 to - 0.35). Among all health workers, irrespective of HIV status, witnessing stigmatizing behaviors towards people living with HIV among their co-workers was associated with significantly increased emotional exhaustion (βadj = 3.38, 95% CI 1.99 to 4.76). CONCLUSIONS The low level of burnout detected among health workers is reassuring. However, it remains important to assess how UTT may affect levels of emotional exhaustion among health workers over time, particularly in the context of emerging global pandemics, as burnout may impact the quality of HIV services they provide and their own mental health and wellbeing. Interventions to reduce HIV stigma in health facilities may protect against emotional exhaustion among health workers, as well as interventions to increase mindfulness and resilience among health workers at risk of burnout. Trial registration ClinicalTrials.gov number: NCT01900977.
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Affiliation(s)
- Mara C Steinhaus
- International Center for Research On Women, Washington, DC, USA
- WomenStrong International, Washington, DC, USA
| | - Tamaryn J Nicholson
- Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa
| | - Triantafyllos Pliakas
- Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK
- Impact Epilysis, Thessaloniki, Greece
- GSK Vaccines, Wavre, Belgium
| | - Abigail Harper
- Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa
| | | | - Tila Mainga
- Zambart, School of Public Health, University of Zambia, Lusaka, Zambia
| | - Deborah Milimo
- Zambart, School of Public Health, University of Zambia, Lusaka, Zambia
| | - Karen Jennings
- Department of Health, City of Cape Town, HIV/AIDS, STIs, and TB, Cape Town, South Africa
| | | | | | | | - Richard J Hayes
- Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health London School of Hygiene and Tropical Medicine, London, UK
| | - Sarah Fidler
- Department of Medicine, Imperial College London, London, UK
| | - Helen Ayles
- Zambart, School of Public Health, University of Zambia, Lusaka, Zambia
- Department of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK
| | - Peter Bock
- Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa
| | - Graeme Hoddinott
- Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa
| | - James R Hargreaves
- Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK
| | - Virginia Bond
- Zambart, School of Public Health, University of Zambia, Lusaka, Zambia
- Department of Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK
| | - Anne L Stangl
- International Center for Research On Women, Washington, DC, USA.
- Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
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Naidoo R, Schoeman R. Burnout in emergency department staff: The prevalence and barriers to intervention. S Afr J Psychiatr 2023; 29:2095. [PMID: 37928941 PMCID: PMC10623583 DOI: 10.4102/sajpsychiatry.v29i0.2095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Accepted: 09/01/2023] [Indexed: 11/07/2023] Open
Abstract
Background Burnout impacts patient care and staff well-being. Emergency department (ED) staff are at an elevated risk for burnout. Despite an acceleration in burnout research due to the coronavirus disease 2019 (COVID-19) pandemic, there is limited data on the nature and prevalence of burnout in the South African emergency medicine setting. Aim This study determined the prevalence of burnout in ED staff (doctors, nurses and non-clinical staff) at Tygerberg Hospital and explored staff awareness and utilisation of interventions. Setting The study was conducted at Tygerberg Hospital, South Africa. Methods This cross-sectional study used the Maslach Burnout Inventory to assess burnout via a self-administered electronic survey in a convenience sample of 109 ED staff. Quantitative data were analysed with descriptive and inferential statistics. Qualitative data were analysed using thematic analysis. Results A total of 46 participants (45.10%) experienced burnout, with 73 participants (71.57%) at high risk for emotional exhaustion or depersonalisation. The prevalence of burnout in doctors was 57.89%, non-clinical staff was 25.93%, and nursing staff was 50.00%. Burnout was higher in doctors and nursing staff compared to non-clinical staff, with high emotional exhaustion and depersonalisation found in interns and specialist professional nurses. The level of intervention awareness was 41.8% and the level of intervention utilisation was 8.82%. Thematic analysis identified awareness, accessibility and reactive utilisation as barriers to utilisation with opportunities to reduce burnout and enhance resilience. Conclusion Coordinated health system and organisational efforts are required to optimise intervention strategies to reduce burnout. Contribution Guidance on the design and planning of intervention strategies considering at risk groups, intervention-related factors, and non-clinical staff.
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Affiliation(s)
- Reshen Naidoo
- Faculty of Economics and Management Sciences, Stellenbosch Business School, Cape Town, South Africa
| | - Renata Schoeman
- Faculty of Economics and Management Sciences, Stellenbosch Business School, Cape Town, South Africa
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Lin H, Li Z, Yan M. Burn-out, emotional labour and psychological resilience among gastroenterology nurses during COVID-19: a cross-sectional study. BMJ Open 2022; 12:e064909. [PMID: 36585132 PMCID: PMC9808751 DOI: 10.1136/bmjopen-2022-064909] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
OBJECTIVES To investigate the relationship between burn-out, emotional labour and psychological resilience of gastroenterology nurses during the COVID-19 pandemic and explore the factors associated with these specific variables. DESIGN A multicentre cross-sectional study with anonymous self-reporting was conducted from 24 November 2021 to 26 December 2021. SETTING The study was conducted in Fujian Province, China. PARTICIPANTS The participants were 345 gastroenterology nurses from 7 tertiary hospitals. PRIMARY AND SECONDARY OUTCOME MEASURES Burn-out, emotional labour and psychological resilience were the primary outcome measures. Using a convenience sampling method, the data were collected using Questionnaire Star (a tool for questionnaire surveys) via WeChat. The Chinese version of the Maslach Burnout Inventory, the Chinese version of the Emotional Labour Scale and the Chinese version of the Psychological Resilience Scale were used to evaluate burn-out, emotional labour and psychological resilience, respectively. RESULTS The total scores for burn-out, emotional labour and psychological resilience in gastroenterology nurses were 53.07±19.63, 38.79±12.22 and 69.97±22.38, respectively, with less use of deep acting and more use of surface acting. Pearson correlation analysis showed that burn-out was positively correlated with two dimensions of emotional labour; surface acting and emotional expression, and negatively correlated with deep acting. There was a negative correlation between emotional labour and all three dimensions of psychological resilience. CONCLUSIONS Greater adoption of deep acting by nurses can be promoted by improving their psychological resilience during events such as the COVID-19 pandemic, which can help improve emotional labour, thereby reducing burn-out and decreasing turnover rates. Senior management in hospitals must pay attention to nurses' psychological status. Further interventional studies could be conducted in the future to explore relevant measures.
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Affiliation(s)
- Huayan Lin
- Department of Gastrointestinal Surgery, the First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian, China
- Department of Gastrointestinal Surgery, National Regional Medical Center, Binhai Campus of the First Afiliated Hospital, Fujian Medical University, Fuzhou, Fujian, China
| | - Zhangjie Li
- The School of Nursing, Fujian Medical University, Fuzhou, Fujian, China
| | - Mengting Yan
- Department of Gastrointestinal Surgery, the First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian, China
- Department of Gastrointestinal Surgery, National Regional Medical Center, Binhai Campus of the First Afiliated Hospital, Fujian Medical University, Fuzhou, Fujian, China
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Wu L, Ren L, Wang Y, Zhang K, Fang P, Liu X, Yang Q, Wang X, Wu S, Peng J. The item network and domain network of burnout in Chinese nurses. BMC Nurs 2021; 20:147. [PMID: 34404401 PMCID: PMC8369754 DOI: 10.1186/s12912-021-00670-8] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Accepted: 08/07/2021] [Indexed: 12/01/2022] Open
Abstract
Background As a common social phenomenon, nurses’ occupational burnout has a high incidence rate, which seriously affects their mental health and nursing level. The current assessment mostly uses the total score model and explores the influence of external factors on burnout, while the correlation between burnout items or dimensions is less explored. Ignoring the correlation between the items or dimensions may result in a limited understanding of nurse occupational burnout. This paper explores the item and dimension network structure of the Maslach Burnout Inventory-General Survey (MBI-GS) in Chinese nurses, so as to gain a deeper understanding of this psychological construct and identify potential targets for clinical intervention. Methods A total of 493 Chinese nurses were recruited by cluster sampling. All participants were invited to complete the survey on symptoms of burnout. Network analysis was used to investigate the item network of MBI-GS. In addition, community detection was used to explore the communities of MBI-GS, and then network analysis was used to investigate the dimension network of MBI-GS based on the results of community detection. Regularized partial correlation and non-regularized partial correlation were used to describe the association between different nodes of the item network and dimension network, respectively. Expected influence and predictability were used to describe the relative importance and the controllability of nodes in both the item and dimension networks. Results In the item network, most of the strongly correlated edges were in the same dimension of emotional exhaustion (E), cynicism (C) and reduced professional efficacy (R), respectively. E5 (Item 5 of emotional exhaustion, the same below) “I feel burned out from my work”, C1 “I have become more callous toward work since I took this job”, and R3 “In my opinion, I am good at my job” had the highest expected influence (z-scores = 0.99, 0.81 and 0.94, respectively), indicating theirs highest importance in the network. E1 “I feel emotionally drained from my work” and E5 had the highest predictability (E1 = 0.74, E5 = 0.74). It shows that these two nodes can be interpreted by their internal neighbors to the greatest extent and have the highest controllability in the network. The spinglass algorithm and walktrap algorithm obtained exactly the same three communities, which are consistent with the original dimensions of MBI-GS. In the dimension network, the emotional exhaustion dimension was closely related to the cynicism dimension (weight = 0.65). Conclusions The network model is a useful tool to study burnout in Chinese nurses. This study explores the item and domain network structure of nurse burnout from the network perspective. By calculating the relevant indicators, we found that E5, C1, and R3 were the most central nodes in the item network and cynicism was the central node in the domain network, suggesting that interventions aimed at E5, C1, R3 and cynicism might decrease the overall burnout level of Chinese nurses to the greatest extent. This study provides potential targets and a new way of thinking for the intervention of nurse burnout, which can be explored and verified in clinical practice. Supplementary Information The online version contains supplementary material available at 10.1186/s12912-021-00670-8.
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Affiliation(s)
- Lin Wu
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, 710032, China
| | - Lei Ren
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, 710032, China
| | - Yifei Wang
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, 710032, China
| | - Kan Zhang
- Tangdu Hospital, Air Force Medical University, Xi'an, 710038, China
| | - Peng Fang
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, 710032, China
| | - Xufeng Liu
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, 710032, China
| | - Qun Yang
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, 710032, China
| | - Xiuchao Wang
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, 710032, China
| | - Shengjun Wu
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, 710032, China.
| | - Jiaxi Peng
- College of Teachers, Chengdu University, Chengdu, 610106, China.
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Kumar A, Sinha A, Varma JR, Prabhakaran AM, Phatak AG, Nimbalkar SM. Burnout and its correlates among nursing staff of intensive care units at a tertiary care center. J Family Med Prim Care 2021; 10:443-448. [PMID: 34017768 PMCID: PMC8132798 DOI: 10.4103/jfmpc.jfmpc_1651_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Revised: 10/06/2020] [Accepted: 10/28/2020] [Indexed: 11/17/2022] Open
Abstract
Background: Burnout syndrome has been widely reported in nursing staff. It is more pronounced in intensive care setting (up to 80%). This survey was designed to assess the prevalence of burnout and its correlates among critical care nurses. Methods: Anonymous questionnaire was distributed to all ICU nursing staff of a tertiary care teaching hospital. Questionnaire had 25 questions covering – demography, job characteristics, Visual Analogue Scale for stress, co-worker support, work–life balance, question for measuring burnout, job satisfaction, turnover intention, organizational commitment, for depression screening and psychosomatic symptoms. The burnout scale score was used to dichotomize into low burnout (<3) or high burnout (> = 3) group. These two groups were compared using Chi-square test, Fischer's exact test for categorical variables and independent t-test for continuous variables. Significant variables were entered in multivariate logistic regression analysis. Results: Out of 150 ICU nurses, 125 (83.3%) gave completely filled questionnaires which were evaluated. 47 (37.6%) participants reported experiencing high burnout. Binary logistic regression model revealed that lack of specialized ICU training (OR = 4.28, 95% CI: 1.62 to 11.34, P = 0.003), performing extra duty in last month (OR = 5.28, 95% CI: 1.90 to 14.67, P = 0.001), High physical symptoms in last 12 months (OR = 4.73, 95% CI: 1.56 to 14.36, P = 0.006) and mid-level experience (1–5 years) were significantly associated with burnout. Conclusions: Burnout is significantly prevalent (37.6%) among intensive care nurses. Specialized training and limiting work hours can help in mitigating this problem. High frequency of physical symptoms could be early indicators of burnout.
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Affiliation(s)
- Amit Kumar
- Department of Pediatrics, Pramukhswami Medical College, Bhaikaka University, Karamsad, Anand, Gujarat, India
| | - Archana Sinha
- Department of Critical Care, Pramukhswami Medical College, Bhaikaka University, Karamsad, Anand, Gujarat, India
| | - Jagdish R Varma
- Department of Psychiatry, Pramukhswami Medical College, Bhaikaka University, Karamsad, Anand, Gujarat, India
| | - Anusha M Prabhakaran
- Department of Psychiatry, Pramukhswami Medical College, Bhaikaka University, Karamsad, Anand, Gujarat, India
| | - Ajay G Phatak
- Department of Central Research Services, Pramukhswami Medical College, Bhaikaka University, Karamsad, Anand, Gujarat, India
| | - Somshekhar M Nimbalkar
- Department of Neonatology, Pramukhswami Medical College, Bhaikaka University, Karamsad, Anand, Gujarat, India
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Faronbi JO, Adebiyi AT, Idowu AO, Faronbi GO, Irinoye OO. Predictors of depressive symptoms and effective coping strategies among open and distance learning nursing students. INTERNATIONAL JOURNAL OF AFRICA NURSING SCIENCES 2021. [DOI: 10.1016/j.ijans.2021.100295] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023] Open
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Workneh RS, Tuyishime E, Mumbwe M, Igaga EN, Bould MD. Not a "first world problem"-Care of the anesthetist in East and Southern Africa. Paediatr Anaesth 2021; 31:39-46. [PMID: 33124109 DOI: 10.1111/pan.14054] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Revised: 10/22/2020] [Accepted: 10/26/2020] [Indexed: 11/29/2022]
Abstract
Burnout and related concepts such as resilience, wellness, and taking care of healthcare professionals have become increasingly prevalent in the medical literature. Most of the work in this area comes from high-income countries, with the remainder from upper-middle-income countries, and very little from lower-middle-income or low-income countries. Sub-Saharan Africa is particularly poorly represented in this body of literature. Anglo-American concepts are often applied to different jurisdictions without consideration of cultural and societal differences. However, anesthesia providers in this region have unique challenges, with both the highest burden of "surgical" disease in the world and the least resources, both in terms of human resources for health and in terms of essential drugs and equipment. The effect of burnout on healthcare systems is also likely to be very different with the current human resources for the health crisis in East and Central Africa. According to the Joint Learning Initiative Managing for Performance framework, the three essential factors for building a workforce to effectively support a healthcare system are coverage, competence, and motivation. Current efforts to build capacity in anesthesia in East and Southern Africa focus largely on coverage and competence, but neglect motivation at the risk of failing to support a sustainable workforce. In this paper, we include a review of the relevant literature, as well as draw from personal experience living and working in East and Southern Africa, to describe the unique issues surrounding burnout, resilience, and wellness in this region.
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Affiliation(s)
| | | | - Mbangu Mumbwe
- Department of Anesthesia, Ndola Central Hospital, Ndola, Zambia
| | | | - M Dylan Bould
- Department of Anesthesia and Pain Medicine, The Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada
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Barkhuizen N, Molefi A. Burnout and ill-wellbeing of talented professional nurses: The moderating role of dispositional employability. JOURNAL OF PSYCHOLOGY IN AFRICA 2020. [DOI: 10.1080/14330237.2020.1842586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Nicolene Barkhuizen
- Department of Industrial Psychology and People Management, University of Johannesburg, Johannesburg, South Africa
| | - Alex Molefi
- Department of Industrial Psychology, North-West University, Potchefstroom. South Africa
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Owuor RA, Mutungi K, Anyango R, Mwita CC. Prevalence of burnout among nurses in sub-Saharan Africa: a systematic review. JBI Evid Synth 2020; 18:1189-1207. [DOI: 10.11124/jbisrir-d-19-00170] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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LIAO RW, YEH ML, LIN KC, WANG KY. A Hierarchical Model of Occupational Burnout in Nurses Associated With Job-Induced Stress, Self-Concept, and Work Environment. J Nurs Res 2020; 28:e79. [DOI: 10.1097/jnr.0000000000000348] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Abstract
Abstract
Objective
This paper aims to clarify the concept of occupational burnout (OB) as well as develop appropriate methods to relieve or prevent OB in the nursing profession.
Methods
Walker and Avant’s eight-step approach of concept analysis was applied.
Results
OB was defined as a chronic form of work-related stress. Accurately, it was characterized by emotional exhaustion, depersonalization/cynicism, and reduced personal accomplishment/inefficacy. Antecedents of burnout included (a) demographic characteristics; (b) chronic exposure to work-related stressors; (c) quantitative and qualitative job demands; (d) lack of job resources; and (e) personality traits. Consequences involved (a) individual’s unfavorable quality of life; (b) negative impact on the organization; and (c) poor services quality. Although the Maslach Burnout Inventory (MBI) is perceived as an ideal tool to measure burnout and hence, it is used worldwide, whether this instrument fits to measure this concept for nurses has still not yet been verified and thus further research is needed.
Conclusions
By proposing a comprehensive definition of the concept, this analysis contributes to recognition of the process of OB of nurses. All nurses are vulnerable to OB. Hence, burnout in nursing needs to be recognized as a critical factor in the delivery of safe patient care. It proposes that the prevention of OB would be achieved through team communication training, mindfulness group, education, etc.
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Dubale BW, Friedman LE, Chemali Z, Denninger JW, Mehta DH, Alem A, Fricchione GL, Dossett ML, Gelaye B. Systematic review of burnout among healthcare providers in sub-Saharan Africa. BMC Public Health 2019; 19:1247. [PMID: 31510975 PMCID: PMC6737653 DOI: 10.1186/s12889-019-7566-7] [Citation(s) in RCA: 105] [Impact Index Per Article: 21.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Accepted: 08/29/2019] [Indexed: 12/29/2022] Open
Abstract
BACKGROUND Burnout is characterized by physical and emotional exhaustion from long-term exposure to emotionally demanding work. Burnout affects interpersonal skills, job performance, career satisfaction, and psychological health. However, little is known about the burden of burnout among healthcare providers in sub-Saharan Africa. METHODS Relevant articles were identified through a systematic review of PubMed, Web of Science (Thomson Reuters), and PsycINFO (EBSCO). Studies were selected for inclusion if they examined a quantitative measure of burnout among healthcare providers in sub-Saharan Africa. RESULTS A total of 65 articles met our inclusion criteria for this systematic review. Previous studies have examined burnout in sub-Saharan Africa among physicians (N = 12 articles), nurses (N = 26), combined populations of healthcare providers (N = 18), midwives (N = 2), and medical or nursing students (N = 7). The majority of studies assessed burnout using the Maslach Burnout Inventory. The highest levels of burnout were reported among nurses, although all healthcare providers showed high burnout. Burnout among healthcare providers is associated with their work environments, interpersonal and professional conflicts, emotional distress, and low social support. CONCLUSIONS Available studies on this topic are limited by several methodological challenges. More rigorously designed epidemiologic studies of burnout among healthcare providers are warranted. Health infrastructure improvements will eventually be essential, though difficult to achieve, in under-resourced settings. Programs aimed at raising awareness and coping with burnout symptoms through stress management and resilience enhancement trainings are also needed.
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Affiliation(s)
- Benyam W Dubale
- Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia
| | - Lauren E Friedman
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Kresge 505, Boston, MA, 02115, USA
| | - Zeina Chemali
- The Chester M. Pierce, M.D. Division of Global Psychiatry, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.,Benson Henry Institute for Mind Body Medicine at Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - John W Denninger
- Benson Henry Institute for Mind Body Medicine at Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Darshan H Mehta
- Benson Henry Institute for Mind Body Medicine at Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Atalay Alem
- Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia
| | - Gregory L Fricchione
- The Chester M. Pierce, M.D. Division of Global Psychiatry, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.,Benson Henry Institute for Mind Body Medicine at Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Michelle L Dossett
- Benson Henry Institute for Mind Body Medicine at Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Bizu Gelaye
- Department of Epidemiology, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Kresge 505, Boston, MA, 02115, USA. .,The Chester M. Pierce, M.D. Division of Global Psychiatry, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
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14
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Ronnie L. Intensive care nurses in South Africa: Expectations and experiences in a public sector hospital. J Nurs Manag 2019; 27:1431-1437. [PMID: 31291497 DOI: 10.1111/jonm.12826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2019] [Revised: 05/26/2019] [Accepted: 07/06/2019] [Indexed: 11/27/2022]
Abstract
AIM To explore the content, fulfilment and potential breach of nurses' psychological contracts and provide a nuanced understanding of the expectations and lived experiences of intensive care unit (ICU) nurses. BACKGROUND The challenges presented by the South African healthcare system have implications for the motivation and retention levels of ICU nurses. In an environment such as the ICU, personnel dynamics and nursing management's role are crucial to success. METHOD A qualitative study of 44 ICU nurses from a South African tertiary hospital. Template analysis was used to identify themes. Manifest content analysis established the frequency of those themes. RESULTS Psychological content elements were predominantly relational in nature. Nurses' contracts were fulfilled by nursing managers, peers and patients. Examples of breach included unfairness, abuse of trust and public reprimands. CONCLUSIONS The nature of the work, the emphasis on professional and caring values, as well as the relational and intrinsic aspects associated with these, provide important indicators for the composition of nurses' psychological contracts. IMPLICATIONS FOR NURSING MANAGEMENT Understanding ICU nurses' expectations can ensure that their psychological contracts remain positive and fulfilled. Practical suggestions include public and private appreciation, autonomy, and management visibility and discretion.
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Affiliation(s)
- Linda Ronnie
- University of Cape Town, Rondebosch, South Africa
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15
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Trigo TR, de Freitas CCS, Wang YP, Ribeiro FG, de Lucia MCS, Siqueira JO, Iosifescu DV, Hallak JEC, Fraguas R. The Influence of Depression on the Psychometric Properties of the Maslach Burnout Inventory-Human Services Survey: A Cross-Sectional Study With Nursing Assistants. Front Psychiatry 2018; 9:695. [PMID: 30618870 PMCID: PMC6305309 DOI: 10.3389/fpsyt.2018.00695] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Accepted: 11/29/2018] [Indexed: 11/13/2022] Open
Abstract
Background: The Maslach Burnout Inventory-Human Services Survey (MBI-HSS) is the most commonly used instrument to assess burnout. Although various factors have been reported to influence its validity, the influence of major depressive disorder (MDD) has not been previously considered. We developed this study to investigate the influence of MDD on the psychometric properties of the MBI-HSS in nursing assistants. Results: From a sample of 521 nursing assistants, we found in those with MDD (n = 138, 24.56%) a degree of data misfit into the model, revealed by non-acceptable values for the root mean square error of approximation (RMSEA; 0.073; p = 0.004) and for the comparative fit index (CFI; 0.912), while in the non-MDD group these indices were acceptable and good, respectively, for RMSEA (0.048; p = 0.639) and for CFI (0.951). Also, we found higher coefficients of correlation among MBI-HSS factors and less items loading properly in their respective factors in the MDD subset, when compared to the non-MDD subset. For the total sample, while original 3-factor solution was an acceptable model, the bifactor model fitted data better. Conclusions: MDD may impair the construct validity of MBI-HSS subscales, by increasing measurement error and decreasing model fitness. Therefore, researchers and health professionals should be aware of potential changes in the psychometric properties of the MBI-HSS when applied in subjects with depression.
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Affiliation(s)
- Telma R. Trigo
- Laboratory of Neuro Imaging (LIM-21), Department and Institute of Psychiatry, Clinics Hospital, University of São Paulo School of Medicine, São Paulo, Brazil
| | - Camila C. S. de Freitas
- Laboratory of Neuro Imaging (LIM-21), Department and Institute of Psychiatry, Clinics Hospital, University of São Paulo School of Medicine, São Paulo, Brazil
| | - Yuan-Pang Wang
- Section of Psychiatric Epidemiology (LIM-23), Department and Institute of Psychiatry, Clinics Hospital, University of São Paulo School of Medicine, São Paulo, Brazil
| | - Floracy G. Ribeiro
- Technical Advisory Office–State Department of Health–São Paulo State Government, São Paulo, Brazil
| | - Mara Cristina S. de Lucia
- Division of Psychology, Central Institute, Clinics Hospital, University of São Paulo School of Medicine, São Paulo, Brazil
| | - José O. Siqueira
- Department of Pathology, University of São Paulo School of Medicine, São Paulo, Brazil
- Department of Experimental Psychology, Institute of Psychology, University of São Paulo, São Paulo, Brazil
| | - Dan V. Iosifescu
- Department of Psychiatry, New York University School of Medicine, New York, NY, United States
| | - Jaime Eduardo C. Hallak
- Department of Neurosciences and Behavior, University of São Paulo School of Medicine, São Paulo, Brazil
| | - Renerio Fraguas
- Laboratory of Neuro Imaging (LIM-21), Department and Institute of Psychiatry, Clinics Hospital, University of São Paulo School of Medicine, São Paulo, Brazil
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16
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Cao X, Naruse T. Effect of time pressure on the burnout of home‐visiting nurses: The moderating role of relational coordination with nursing managers. Jpn J Nurs Sci 2018; 16:221-231. [DOI: 10.1111/jjns.12233] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2017] [Revised: 04/28/2018] [Accepted: 07/13/2018] [Indexed: 01/03/2023]
Affiliation(s)
- Xiaoyi Cao
- Hemodialysis Center, Department of NephrologyWest China Hospital, Sichuan University Chengdu China
- Department of Community Health Nursing, Graduate School of MedicineThe University of Tokyo Tokyo Japan
| | - Takashi Naruse
- Department of Community Health Nursing, Graduate School of MedicineThe University of Tokyo Tokyo Japan
- Global Nursing Research Center, Graduate School of MedicineThe University of Tokyo Tokyo Japan
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17
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Valente MDSDS, Wang YP, Menezes PR. Structural validity of the Maslach Burnout Inventory and influence of depressive symptoms in banking workplace: Unfastening the occupational conundrum. Psychiatry Res 2018; 267:168-174. [PMID: 29909127 DOI: 10.1016/j.psychres.2018.05.069] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2017] [Revised: 03/01/2018] [Accepted: 05/26/2018] [Indexed: 10/14/2022]
Abstract
Burnout and mental disorders have been reported in the financial industry. This study aims to examine the structural validity of the Maslach Burnout Inventory (MBI) and to investigate the connection between the dimensions of burnout and depressive symptoms in a sample of 1046 bank employees from North Brazil who completed the MBI and the Patient Health Questionnaire-9 (PHQ-9. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to cross-check the factorial structure of the MBI. One-way analysis of variance and correlation analysis were applied to elucidate the relationship between burnout and depressive symptoms. Both 3-factor and 4-factor oblique solutions were plausible EFA models of the burnout syndrome. Results of CFA supported the 19-item 4-factor structure as the best fitting model to data, with two exhaustion factors ("exhausted" and "strained"), depersonalization, and personal accomplishment. The PHQ-9 total score and individual score of depressive items were significantly correlated with all MBI dimensions, notably with the emotional exhaustion dimension. The moderate-to-high correlation observed between burnout and depression suggest the potential utility of the MBI for evaluating burnout among bank employees as well as to point out the need to evaluate systematically the burnout and depressive symptoms given to their potential association.
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Affiliation(s)
| | - Yuan-Pang Wang
- Section of Psychiatric Epidemiology (LIM-23), Institute & Department of Psychiatry, University of São Paulo Medical School, São Paulo, São Paulo, Brazil
| | - Paulo Rossi Menezes
- Department of Preventive Medicine, Faculty of Medicine, University of São Paulo, São Paulo, São Paulo, Brazil
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18
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Thurman TR, Taylor TM, Nice J, Luckett B, Taylor M, Kvalsvig JD. Factors associated with retention intentions among Isibindi child and youth care workers in South Africa: results from a national survey. HUMAN RESOURCES FOR HEALTH 2018; 16:43. [PMID: 30157895 PMCID: PMC6114490 DOI: 10.1186/s12960-018-0307-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2017] [Accepted: 08/13/2018] [Indexed: 06/08/2023]
Abstract
BACKGROUND Child and youth care workers (CYCWs) are a crucial and growing component of South Africa's national response to HIV and AIDS and other issues affecting children and families. CYCWs use the community-centred Isibindi model of care to reach the most vulnerable with key services including psychosocial, health, economic and education support. Like others in similar professions, they may be at risk for occupational challenges affecting retention. METHODS This study uses data from the first nationally representative survey of CYCWs in South Africa to identify factors associated with workers' retention intentions. Data were collected in 2015 as part of a formative evaluation conducted around the mid-point of a nationwide Isibindi programme expansion. A total of 1158 CYCWs from 78 sites participated. The response rate for the sample was 87%. Questions addressed demographics, work history, retention intentions, training, mentorship and supervision experiences, workload and remuneration. Mixed effects regression models with random intercepts for project site and mentor were used to estimate factors associated with retention intentions. RESULTS High-quality mentorship and frequent supervision support retention intentions among CYCWs. Respondents who indicated that wanting to help children or the community was their primary motivator for seeking work as a CYCW were also more likely to report intending to continue working as a CYCW. High perceived workloads and feeling threatened or unsafe on the job were negatively associated with retention intentions. As CYCWs gained experience, they were also less likely to intend to stay. CONCLUSIONS Understanding the factors affecting retention in the CYCW workforce is vital to helping vulnerable children and families across South Africa access key social and health services. Findings highlight the importance of mentoring and supervision as part of the Isibindi model and the value of support for manageable workloads, workplace safety, and career advancement opportunities for promoting worker retention.
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Affiliation(s)
- Tonya R. Thurman
- Highly Vulnerable Children Research Center (HVC-RC), Tannery Park, 23 Belmont Road, Rondebosch, Cape Town, South Africa
- Tulane International, LLC, Tannery Park, 23 Belmont Road, Rondebosch, Cape Town, South Africa
- Tulane University School of Social Work, 127 Elk Place, New Orleans, LA 70112 USA
| | - Tory M. Taylor
- Highly Vulnerable Children Research Center (HVC-RC), Tannery Park, 23 Belmont Road, Rondebosch, Cape Town, South Africa
- Tulane University School of Public Health and Tropical Medicine, 1440 Canal St, New Orleans, LA 70112 USA
| | - Johanna Nice
- Highly Vulnerable Children Research Center (HVC-RC), Tannery Park, 23 Belmont Road, Rondebosch, Cape Town, South Africa
- Tulane University School of Social Work, 127 Elk Place, New Orleans, LA 70112 USA
| | - Brian Luckett
- Highly Vulnerable Children Research Center (HVC-RC), Tannery Park, 23 Belmont Road, Rondebosch, Cape Town, South Africa
- Tulane University School of Social Work, 127 Elk Place, New Orleans, LA 70112 USA
| | - Myra Taylor
- Discipline of Public Health Medicine, University of KwaZulu-Natal, 236 George Campbell Building, Howard College Campus, King George V Avenue, Durban, 4041 South Africa
| | - J. D. Kvalsvig
- Discipline of Public Health Medicine, University of KwaZulu-Natal, 236 George Campbell Building, Howard College Campus, King George V Avenue, Durban, 4041 South Africa
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19
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Rabie T, Wehner M, Koen MP. Experiences of partners of professional nurses venting traumatic information. Health SA 2018; 23:1083. [PMID: 31934379 PMCID: PMC6917388 DOI: 10.4102/hsag.v23i0.1083] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2018] [Accepted: 04/24/2018] [Indexed: 11/06/2022] Open
Abstract
Background Professional nurses employed in trauma units encounter numerous stressors in their practice environment. They use different strategies to cope with this stress, including venting traumatic information to their partners and other family members. Aims To describe how partners of professional nurses cope with traumatic information being vented to them. Methods A qualitative research method with an interpretive descriptive inquiry design was used to explore, interpret and describe the coping experiences of the nurses’ partners. Purposive sampling was used to select a total of 14 partners, but only ten participated in semi-structured interviews. Tesch’s eight steps of open coding were used for data analysis. Results Four main themes were identified indicating adaptive and maladaptive coping skills, namely partners’ experiences of traumatic information vented to them; partners’ coping activities; reciprocal communication and relationship support between partners and nurses; and resilience of partners to deal with the nursing profession. Conclusion Partners employed different ways to cope with traumatic information. It was essential for partners and nurses to be supported by nurses’ practice environments and to develop resilience to fulfil reciprocal supportive roles in their relationships.
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Affiliation(s)
- Tinda Rabie
- Faculty of Health Sciences, North-West University, South Africa
| | - Melanie Wehner
- Faculty of Health Sciences, North-West University, South Africa
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20
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Lebert-Charron A, Dorard G, Boujut E, Wendland J. Maternal Burnout Syndrome: Contextual and Psychological Associated Factors. Front Psychol 2018; 9:885. [PMID: 29922203 PMCID: PMC5996184 DOI: 10.3389/fpsyg.2018.00885] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Accepted: 05/15/2018] [Indexed: 12/17/2022] Open
Abstract
Background: Becoming a parent is one of the most significant experiences in a woman's life. Including substantial and long-lasting mental, social, and physical charge, the parenting experience may also be a potentially stressful and overwhelming task. Since the eighties, the notion of parental burnout syndrome has gained increasing attention, but its contextual and psychological factors need to be better identified. Aims: To investigate a large array of contextual and psychological factors associated with maternal burnout syndrome in a French community-based population in order to contribute to better operationalize the notion of parental burnout and to explore its determinants. Method: A total of 304 French-speaking mothers (mean age = 34.8 years, SD = 6.72) completed a set of questionnaires including a sociodemographic form (in order to gather general information about the mothers, their spouses, and children living at home). The Perceived Stress Scale, the Maslach Burnout Inventory adapted to parents (MBI-parental), the Hospital Anxiety and Depression Scale, the Parental Stress Index-Short Form and the Ways of Coping Checklist were used in this study. Results: Multivariate linear regression analyses revealed that scores on the MBI-parental version were strongly and positively associated with depressive and anxiety symptoms, as well as with perceived stress related to parenthood and parenting stress levels. Moreover, using the task-oriented coping style in parenthood was strongly and positively associated with personal accomplishment. Conversely, some sociodemographic characteristics were found to be negatively associated with maternal burnout: being employed, working full time and being a mother living without a coparent. Conclusion: The construct of maternal burnout syndrome seems to be linked to a conjunction of psychological and contextual factors associated with maternal exhaustion. The implication of the results for prevention and intervention strategies are discussed.
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Affiliation(s)
- Astrid Lebert-Charron
- Laboratory of Psychopathology and Health Processes, Paris Descartes University, Paris, France
| | - Géraldine Dorard
- Laboratory of Psychopathology and Health Processes, Paris Descartes University, Paris, France
| | - Emilie Boujut
- Laboratory of Psychopathology and Health Processes, Paris Descartes University, Paris, France
- High School of Teaching and Education, University of Cergy-Pontoise, Paris Seine University, Cergy, France
| | - Jaqueline Wendland
- Laboratory of Psychopathology and Health Processes, Paris Descartes University, Paris, France
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21
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Kamiński A, Rozenek H, Banasiewicz J, Wójtowicz S, Błoński A, Owczarek K. Correlates of professional burnout in a sample of employees of cell and tissue banks in Poland. Cell Tissue Bank 2018; 19:405-411. [PMID: 29397461 DOI: 10.1007/s10561-018-9686-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2017] [Accepted: 01/29/2018] [Indexed: 10/18/2022]
Abstract
Job Demands-Resources model proposes that the development of burnout follows excessive job demands and lack of job resources. Job demands are predictive of feeling of exhaustion, and lack of job resources-disengagement from work. This pilot study investigated professional burnout and its correlates in employees of Polish cell and tissue banks, many of whom were involved in procurement and processing of tissues from deceased donors, as it was hypothesized that job burnout in this population might influence the effectiveness of cell and tissue transplantation network in our country. This study utilized the Polish version of the Oldenburg Burnout Inventory (OLBI), which measures the two dimensions of burnout (exhaustion and disengagement), and the Psychosocial Working Conditions Questionnaire (PWC), a Polish instrument used for monitoring psychosocial stress at work. The study sample consisted of 31 participants. Their average time of working in a cell and tissue bank was 13.20 years. Majority of the PWC scales and subscales scores fell in the Average range, and the OLBI results for the Disengagement and the Exhaustion scales were in the Average range. A number of correlations between the Exhaustion or Disengagement and the PWC scales and subscales were detected, majority of which fell in the Moderate range. In spite of the limited number of participants, the results of this pilot study are consistent with the burnout literature reports. Among the detected correlates of professional burnout, it is job-related support which seems to be the most important factor which may influence the efficacy of transplantation network in Poland.
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Affiliation(s)
- Artur Kamiński
- Department of Transplantology and Central Tissue Bank, Medical University of Warsaw, Chalubinskiego 5, 02-004, Warsaw, Poland. .,National Centre for Tissue and Cell Banking, Chalubinskiego 5, 02-004, Warsaw, Poland.
| | - Hanna Rozenek
- Department of Medical Psychology, Medical University of Warsaw, Zwirki i Wigury 81, 02-091, Warsaw, Poland
| | - Jolanta Banasiewicz
- Department of Medical Psychology, Medical University of Warsaw, Zwirki i Wigury 81, 02-091, Warsaw, Poland
| | - Stanisław Wójtowicz
- Department of Medical Psychology, Medical University of Warsaw, Zwirki i Wigury 81, 02-091, Warsaw, Poland
| | - Artur Błoński
- National Institute of Public Health - National Institute of Hygiene, Chocimska 24, 00-791, Warsaw, Poland
| | - Krzysztof Owczarek
- Department of Medical Psychology, Medical University of Warsaw, Zwirki i Wigury 81, 02-091, Warsaw, Poland
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22
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Corder E, Ronnie L. The role of the psychological contract in the motivation of nurses. Leadersh Health Serv (Bradf Engl) 2017; 31:62-76. [PMID: 29412092 DOI: 10.1108/lhs-02-2017-0008] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose Although private health care is regarded as providing a premium quality experience for both patients and staff alike, it is not without its daily challenges for health professionals. This study aims to explore the psychological contract of nurses to develop a greater understanding of how employee-employer interaction impacts motivation levels. Design/methodology/approach Data were gathered through semi-structured interviews with thirteen nurses at a private hospital in South Africa. Five nursing managers were interviewed to provide a management perspective. Thematic analysis was used to identify the salient elements of the psychological contract and to establish connections with motivational features. Findings The psychological contract of nurses was balanced in nature, contained predominantly relational elements and was characterized by the need for manager support, leadership and autonomy. Motivation was a by-product of fulfilment and was enhanced by a combination of tangible and intangible rewards. Practical implications Nursing managers should recognize their role in caring for the wellbeing of their staff and should be trained accordingly. Equipping nurses with the necessary tools to work autonomously, as well as acknowledging their skills, will stimulate confidence and improve motivation. Originality/value This study makes an important contribution to the existing literature on the psychological contract of nurses within the health-care system. It provides insight into relationship-based mechanisms that can be used to improve the motivation of nurses and thus impact the overall quality of patient care.
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Affiliation(s)
- Emma Corder
- Graduate School of Business, University of Cape Town , Cape Town, South Africa
| | - Linda Ronnie
- Graduate School of Business, University of Cape Town , Cape Town, South Africa
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23
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Giorgi F, Mattei A, Notarnicola I, Petrucci C, Lancia L. Can sleep quality and burnout affect the job performance of shift-work nurses? A hospital cross-sectional study. J Adv Nurs 2017; 74:698-708. [DOI: 10.1111/jan.13484] [Citation(s) in RCA: 84] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/10/2017] [Indexed: 01/24/2023]
Affiliation(s)
- Fabio Giorgi
- Department of Health, Life and Environmental Sciences; University of L'Aquila; Italy
| | - Antonella Mattei
- Department of Health, Life and Environmental Sciences; University of L'Aquila; Italy
| | - Ippolito Notarnicola
- Department of Health, Life and Environmental Sciences; University of L'Aquila; Italy
| | - Cristina Petrucci
- Department of Health, Life and Environmental Sciences; University of L'Aquila; Italy
| | - Loreto Lancia
- Department of Health, Life and Environmental Sciences; University of L'Aquila; Italy
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24
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Roomaney R, Steenkamp J, Kagee A. Predictors of burnout among HIV nurses in the Western Cape. Curationis 2017; 40:e1-e9. [PMID: 28697615 PMCID: PMC6091648 DOI: 10.4102/curationis.v40i1.1695] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2016] [Revised: 03/06/2017] [Accepted: 04/08/2017] [Indexed: 11/01/2022] Open
Abstract
BACKGROUND Burnout has been implicated as one of the reasons for key healthcare personnel, such as nurses, leaving their profession, resulting in insufficient staff to attend to patients. OBJECTIVE We investigated the predictors of three dimensions of burnout, namely emotional exhaustion, depersonalisation and personal accomplishment, among nurses in South Africa attending to patients living with HIV. METHOD Participants were recruited at a large tertiary hospital in the Western Cape region, with the help of the assistant director of nursing at the hospital. They completed the Maslach Burnout Inventory, the Quantitative Workload Inventory, the Interpersonal Conflict at Work Scale, the Organisational Constraints Scale, the Death and Dying subscale of the Nursing Stress Scale, and the HIV and AIDS Stigma Instrument - Nurse. RESULTS We found elevated levels of burnout among the sample. Workload, job status and interpersonal conflict at work significantly explained more than one-third of the variance in emotional exhaustion (R² = 0.39, F(7, 102) = 9.28, p = 0.001). Interpersonal conflict, workload, organisational constraints and HIV stigma significantly explained depersonalisation (R² = 0.33, F(7, 102) = 7.22, p = 0.001). Job status and organisational constraints significantly predicted personal accomplishment (R² = 0.18, F(7, 102) = 3.12, p = 0.001). CONCLUSION Factors such as workload, job status and interpersonal conflict in the work context, organisational constraints and stigma associated with HIV were found to be predictors of burnout in the sample of nurses. Our recommendations include developing and testing interventions aimed at reducing burnout among nurses, including reducing workload and creating conditions for less interpersonal conflict at work.
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Affiliation(s)
| | | | - Ashraf Kagee
- Department of Psychology, Stellenbosch University.
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