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Siddique H, Maweni RM, Lupi M, Woods S, Shirazi S, Foley RW, Machando D. Resilience and burnout of healthcare workers during the early COVID-19 pandemic. BRITISH JOURNAL OF NURSING (MARK ALLEN PUBLISHING) 2024; 33:144-150. [PMID: 38335098 DOI: 10.12968/bjon.2024.33.3.144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/12/2024]
Abstract
INTRODUCTION The COVID-19 pandemic has led to significantly more healthcare workers (HCWs) experiencing burnout than previously. This burnout is strongly associated with low resilience. Addressing organisational stresses and the introduction of resilience training will help to reduce the proportion of HCWs experiencing this phenomenon. AIMS The aim of this study was to assess the impact of the biopsychosocial changes and challenges associated with the COVID-19 pandemic on the healthcare workforce, exploring, specifically, the impact on and relationship between HCWs' resilience and burnout. METHODS An electronic opt-in survey was distributed to HCWs through hospital and professional association communications emails and websites, as well as social media. The survey consisted of demographic questions, the Oldenburg Burnout Inventory to assess burnout, Brief Resilience Scale to assess general resilience, and 10-item Connor-Davidson Resilience Scale to assess resilience during the pandemic. Univariate and multivariate analysis was undertaken to examine the relationship between these factors. RESULTS A total of 1370 HCWs completed the questionnaire, with 802 (58.5%) having burnout, 348 (25.4%) having low general resilience and 390 (28.5%) having low COVID resilience. Burnout was significantly associated with being public sector workers, low general resilience and low COVID resilience. Resilience training was found to be protective for burnout. CONCLUSION The introduction of resilience training in the workplace is a fundamental tool that will significantly benefit HCWs when working under challenging conditions.
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Affiliation(s)
- Haleema Siddique
- Core Surgical Trainee, Thames Valley Oxford Deanery, UK, Haleema
| | | | - Micol Lupi
- Registrar General Surgery, Northwest London Deanery, Chelsea and Westminster NHS Trust, London, UK
| | | | | | | | - Debra Machando
- Clinical Psychologist and PhD Candidate, University of Cape Town, South Africa
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Ittefaq M. "Beating Your Head Against the Wall": Burnout on the Rise Among Local Health Department Communication Officials. Health Secur 2023; 21:440-449. [PMID: 37962563 DOI: 10.1089/hs.2023.0002] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2023] Open
Abstract
The COVID-19 pandemic posed unprecedented challenges for frontline healthcare professionals globally. Despite the varied challenges encountered by frontline healthcare professionals, the difficulties faced by public health communication officials in particular has remained an underexplored area of research. This study examined the specific challenges experienced by communication officials during the COVID-19 pandemic in the United States. A qualitative research design was used to conduct in-depth interviews with communication officials working in local health departments (LHDs) in 2022. A total of 14 participants were recruited through purposive sampling, coupled with a data saturation strategy, from LHDs situated in Kansas, Missouri, and Oklahoma. Thematic analysis revealed 3 key themes: (1) main challenges faced by LHDs during the COVID-19 pandemic, (2) challenges related to information dissemination on social media, and (3) burnout experienced by communication officials. This study's findings suggest that communication officials should be provided with the necessary resources and training to effectively handle misinformation, toxic behaviors, and bullying on social media while prioritizing their mental health. In addition, federal, state, and local health agencies should provide timely, clear, and accurate information to address the challenges faced by communication officials in their bid to disseminate information effectively.
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Affiliation(s)
- Muhammad Ittefaq
- Muhammad Ittefaq, PhD, is an Assistant Professor, School of Communication Studies, James Madison University, Harrisonburg, VA
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Lele ECB, Ndongo JM, Ashu-akoh AV, Ahmadou, Guyot J, Ngalagou PTM, Bongue B, Tendongfor N, Ayina CNA, Tanga MYL, Mandengue SH, Ndemba PBA. Burnout syndrome among healthcare professionals in the Fako division, Cameroon: Impact of physical activity and sleep quality. AIMS Public Health 2023; 10:814-827. [PMID: 38187903 PMCID: PMC10764971 DOI: 10.3934/publichealth.2023054] [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: 06/03/2023] [Revised: 07/15/2023] [Accepted: 07/18/2023] [Indexed: 01/09/2024] Open
Abstract
Objectives Burnout syndrome (BOS) is an affection mostly resulting from chronic job-related stress. Many studies have identified job-related and non-job-related factors associated with BOS. Our aim of this study was to assess the level of BOS in private and public hospital healthcare providers in Fako division, Cameroon and evaluate the impact of physical activity and sleep quality (SQ). Methods The study was carried out in five randomly selected hospitals in Fako Division over a three-month period. Consenting doctors, nurses and laboratory technicians were recruited using consecutive sampling methods. Sociodemographic and professional characteristics were collected using a structured questionnaire. BOS was assessed using the Maslach Burnout Inventory Human Services Survey (MBI-HSS). Sleep quality (SQ) and physical activity (PA) were assessed using the Pittsburgh Sleep Quality Index (PSQI) and Global Physical Activity Questionnaire (GPAQ) respectively. Odd ratios and 95% confidence intervals were calculated and a statistical significance was set for p-value < 0.05. Results The mean age was 32 ± 6 years and 70.9% female. BOS prevalence was 66.3% with 71.4% in females and 53.9% in males (p = 0.002). Of the 232 participants with BOS, 65.7%, 52% and 53.7% had moderate to high emotional exhaustion, depersonalization and decreased personal accomplishment, respectively. Moderate to high PA as well as poor SQ were not significantly associated with BOS while longer sleep duration (>8 h) was associated with a greater odd of BOS. Conclusions The prevalence of BOS was high among healthcare professionals. While PA showed no protective effects, high sleep duration could increase its risk.
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Affiliation(s)
- Elysée Claude Bika Lele
- Department of Animal Biology, Faculty of Science, University of Douala, Cameroon. PO Box 24157 Douala, Cameroun
- Physiology and Medicine of Physical Activities and Sports Unit, University of Douala, Cameroon. PO Box 7064 Douala, Cameroun.
| | - Jerson Mekoulou Ndongo
- Department of Animal Biology, Faculty of Science, University of Douala, Cameroon. PO Box 24157 Douala, Cameroun
- Physiology and Medicine of Physical Activities and Sports Unit, University of Douala, Cameroon. PO Box 7064 Douala, Cameroun.
| | - Ako Vera Ashu-akoh
- Department of Public Health and Hygiene, Faculty of Health Sciences, University of Buea, Cameroon
| | - Ahmadou
- Department of Animal Biology, Faculty of Science, University of Douala, Cameroon. PO Box 24157 Douala, Cameroun
- Physiology and Medicine of Physical Activities and Sports Unit, University of Douala, Cameroon. PO Box 7064 Douala, Cameroun.
| | - Jessica Guyot
- Laboratoire SAINBIOSE INSERM U1059, Université JEAN MONNET, Saint-Étienne, France
| | | | - Bienvenu Bongue
- Laboratoire SAINBIOSE INSERM U1059, Université JEAN MONNET, Saint-Étienne, France
| | - Nicholas Tendongfor
- Department of Public Health and Hygiene, Faculty of Health Sciences, University of Buea, Cameroon
| | - Clarisse Noel Ayina Ayina
- Department of Animal Biology, Faculty of Science, University of Douala, Cameroon. PO Box 24157 Douala, Cameroun
- Physiology and Medicine of Physical Activities and Sports Unit, University of Douala, Cameroon. PO Box 7064 Douala, Cameroun.
| | - Marie Yvonne Lobe Tanga
- Physiology and Medicine of Physical Activities and Sports Unit, University of Douala, Cameroon. PO Box 7064 Douala, Cameroun.
| | - Samuel Honoré Mandengue
- Department of Animal Biology, Faculty of Science, University of Douala, Cameroon. PO Box 24157 Douala, Cameroun
- Physiology and Medicine of Physical Activities and Sports Unit, University of Douala, Cameroon. PO Box 7064 Douala, Cameroun.
| | - Peguy Brice Assomo Ndemba
- Physiology and Medicine of Physical Activities and Sports Unit, University of Douala, Cameroon. PO Box 7064 Douala, Cameroun.
- Faculty of Medicine and Biomedical Sciences, University of Yaounde 1 Yaounde, Cameroon
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Xie T, He W, Jiu Z, Li Q, Huang C, Liu J, Sun Z, Zhang H. Overwork Among ICU Nurses: Identification of Risk Factors. J Nurs Adm 2023; 53:271-276. [PMID: 37098867 DOI: 10.1097/nna.0000000000001282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Abstract
OBJECTIVE This study aimed to describe the current situation and explore overwork predictors among ICU nurses in China. BACKGROUND Overwork is a comprehensive condition of labor where employees work for extended periods with high intensity and high pressure, which can negatively affect their health. Limited literature exists regarding the prevalence, characteristics, professional identity, and environment of overwork among ICU nurses. METHODS A cross-sectional design study was conducted. The Professional Identification Scale for Nurses, the Practice Environment Scale of the Nursing Work Index, and the Overwork Related Fatigue Scale (ORFS) were used. To explore relationships between variables, univariate analysis or bivariate correlations were used. Multiple regression was used to identify predictors of overwork. RESULTS Almost 85% of nurses were categorized as overworked, of which, 30% were moderately to severely overworked. Gender, form of employment, stress related to ICU nursing technology and equipment updates, nurses' professional identity, and nurse working environment accounted for 36.6% in the ORFS. CONCLUSIONS Overwork is common among ICU nurses. Nurse managers need to develop and implement strategies to better support nurses to prevent overwork.
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Affiliation(s)
- Tian Xie
- Author Affiliations: Head Nurse (Mrs Sun), Clinical Nurse (Mrs Xie, Mr Jiu, Mrs Li, Mr Huang, and Dr Liu), Department of Intensive Care Unit; Department of Bone and Soft-Tissue Oncology (Mr He); and Case Manager and Head Nurse (Mrs Zhang), Department of Breast Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China
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Chalkias PL, Goulidaki Vosynioti G, Charalampopoulou M, Vlachakis D, Darviri C, Chrousos GP, Bacopoulou F. Burnout in General Surgeons. A Systematic Review. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2023; 1425:151-159. [PMID: 37581789 DOI: 10.1007/978-3-031-31986-0_14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/16/2023]
Abstract
Occupational burnout is particularly widespread amongst surgical professionals. During the past 10 years, both the awareness and the ability to reliably measure and classify "burnout" in medical professionals have increased. The purpose of this systematic review was to summarize the current evidence on the burnout levels of general surgeons. Online searches were carried out using the scientific search engines PubMed, Embase, Cinahl, and Google scholar, from 2010 to 2020, before the COVID-19 pandemic. Articles that met the inclusion criteria were critically evaluated using the critical appraisal skills programme (CASP) tool. Five studies pertaining to 669 subjects were included in this review. As expected, "burnout syndrome" was mainly due to the exhaustive and demanding conditions of working life and was strongly observed in general surgeons. The incidence of the burnout syndrome increased with their years of service, compromised their quality of life, and had detrimental effects on their mental and physical health. Personal achievements and emotional satisfaction were protective for the occurrence of the syndrome. We conclude that valid recognition and prevention of the burnout syndrome are necessary. Further research is needed to manage this phenomenon within the healthcare settings and the surgical departments.
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Affiliation(s)
- Petros Loukas Chalkias
- School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
- Plastic Surgery Department, General Oncology Hospital "Agioi Anargyroi", Athens, Greece
| | | | - Maria Charalampopoulou
- First Department of Propaideutic Surgery, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - Dimitrios Vlachakis
- Laboratory of Genetics, Department of Biotechnology, School of Applied Biology and Biotechnology, Agricultural University of Athens, Athens, Greece
| | - Christina Darviri
- School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - George P Chrousos
- University Research Institute of Maternal and Child Health & Precision Medicine, National and Kapodistrian University of Athens, Aghia Sophia Children's Hospital, Athens, Greece
| | - Flora Bacopoulou
- Center for Adolescent Medicine and UNESCO Chair in Adolescent Health Care, First Department of Pediatrics, School of Medicine, National and Kapodistrian University of Athens, Aghia Sophia Children's Hospital, Athens, Greece.
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Zheng Y, Tang PK, Lin G, Liu J, Hu H, Wu AMS, Ung COL. Burnout among healthcare providers: Its prevalence and association with anxiety and depression during the COVID-19 pandemic in Macao, China. PLoS One 2023; 18:e0283239. [PMID: 36928867 PMCID: PMC10019613 DOI: 10.1371/journal.pone.0283239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Accepted: 03/03/2023] [Indexed: 03/18/2023] Open
Abstract
INTRODUCTION Burnout in healthcare providers (HPs) might lead to negative consequences at personal, patient-care and healthcare system levels especially during the COVID-19 pandemic. This study aimed to investigate the prevalence of burnout and the contributing variables, and to explore how, from health workforce management perspective, HPs' experiences related to carrying out COVID-19 duties would be associated with their burnout. METHODS A cross-sectional, open online survey, informed by physical and psychological attributes reportedly related to burnout, the Copenhagen Burnout Inventory (CBI) and the Hospital Anxiety and Depression Scale (HADS), was completed by HPs in Macau, China during October and December 2021. Factors associated with burnout were analysed using multiple logistic regressions. RESULTS Among the 498 valid responses, the participants included doctors (37.5%), nurses (27.1%), medical laboratory technologist (11.4%) and pharmacy professionals (10.8%), with the majority being female (66.1%), aged between 25-44years (66.0%), and participated in the COVID-19 duties (82.9%). High levels of burnout (personal (60.4%), work-related (50.6%) and client-related (31.5%)), anxiety (60.6%), and depression (63.4%) were identified. Anxiety and depression remained significantly and positively associated with all types of burnout after controlling for the strong effects of demographic and work factors (e.g. working in the public sector or hospital, or having COVID-19 duties). HPs participated in COVID-19 duties were more vulnerable to burnout than their counterparts and were mostly dissatisfied with the accessibility of psychological support at workplace (62.6%), workforce distribution for COVID-19 duties (50.0%), ability to rest and recover (46.2%), and remuneration (44.7%), all of which were associated with the occurrence of burnout. CONCLUSIONS Personal, professional and health management factors were found attributable to the burnout experienced by HPs during the COVID-19 pandemic, requiring actions from individual and organizational level. Longitudinal studies are needed to monitor the trend of burnout and to inform effective strategies of this occupational phenomenon.
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Affiliation(s)
- Yu Zheng
- State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Science, University of Macau, Macao, China
| | - Pou Kuan Tang
- State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Science, University of Macau, Macao, China
| | - Guohua Lin
- State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Science, University of Macau, Macao, China
| | - Jiayu Liu
- State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Science, University of Macau, Macao, China
| | - Hao Hu
- State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Science, University of Macau, Macao, China
- Faculty of Health Sciences, Department of Public Health and Medicinal Administration, University of Macau, Macao, China
| | | | - Carolina Oi Lam Ung
- State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Science, University of Macau, Macao, China
- Faculty of Health Sciences, Department of Public Health and Medicinal Administration, University of Macau, Macao, China
- * E-mail:
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Belji Kangarlou M, Fatemi F, Paknazar F, Dehdashti A. Occupational Burnout Symptoms and Its Relationship With Workload and Fear of the SARS-CoV-2 Pandemic Among Hospital Nurses. Front Public Health 2022; 10:852629. [PMID: 35570938 PMCID: PMC9092292 DOI: 10.3389/fpubh.2022.852629] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Accepted: 03/28/2022] [Indexed: 02/04/2023] Open
Abstract
Introduction The pandemic has intensified physical and psychological work demands experienced by nurses in a hospital environment. The purpose of this study was to examine personal and work environmental risk factors associated with occupational burnout among hospital nurses. Methods We conducted a cross-sectional from April to November 2020. Data from 831 nurses who worked professionally in four educational hospitals were compiled through survey questionnaires to report the prevalence of burnout, occupational and individual factors. Independent t-test and Mann–Whitney test measured the link between the scopes of occupational burnout and risk factors. Results About half of the participants indicated moderate symptoms of burnout. The fear of the nurses correlated significantly with emotional exhaustion (r = 0.71, p = 0.001), depersonalization (r = 0.67, p = 0.02), and personal accomplishment (r = 0.63, p = 0.05). Mental demand (r = 0.74, p = 0.01) and effort at work (r = 0.68, 0.001) correlated significantly with emotional exhaustion (r = 0.51, p = 0.03). Conclusion The findings indicated a high prevalence of burnout symptoms, particularly emotional exhaustion, among hospital nursing professionals. Occupational health services should consider burnout as an occupational-related condition and provide interventions to reduce workplace chronic stressors and burnout in hospitals.
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Affiliation(s)
| | - Farin Fatemi
- Research Center of Health Sciences and Technologies, Semnan University of Medical Sciences, Semnan, Iran
| | - Fatemeh Paknazar
- Research Center for Social Determinants of Health, Semnan University of Medical Sciences, Semnan, Iran
| | - Alireza Dehdashti
- Research Center of Health Sciences and Technologies, Semnan University of Medical Sciences, Semnan, Iran.,Research Center for Social Determinants of Health, Semnan University of Medical Sciences, Semnan, Iran
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Burnout and Associated Factors among Hospital-Based Nurses in Northern Uganda: A Cross-Sectional Survey. BIOMED RESEARCH INTERNATIONAL 2022; 2022:8231564. [PMID: 35372575 PMCID: PMC8970891 DOI: 10.1155/2022/8231564] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Revised: 03/09/2022] [Accepted: 03/15/2022] [Indexed: 12/11/2022]
Abstract
Background Burnout is a public health problem that disproportionately affects nurses in sub-Saharan Africa because of the weak health systems that create an unconducive workplace environment. In Uganda, there is limited evidence on the burden of burnout among nurses in a manner that undermine advocacy and policy formulation. We aimed to assess the level of burnout and associated factors among nurses in northern Uganda. Methods This was a cross-sectional survey conducted among 375 randomly selected nurses from health facilities in northern Uganda. Data were collected using a self-administered questionnaire. Data analysis consisted of descriptive statistics and logistic regression at a 95% level of significance in SPSS version 25. Results Majority of the respondents were female 56.5% (n = 223). Nearly half, 49.1% (n = 194) of respondents had high levels of burnout, 36.2% (n = 143) reported average levels of burnout, and 14.7% (n = 58) reported low levels of burnout. Factors associated with burnout were age (AOR: 2.90; 95% CI: 1.28-6.58; p = 0.011), social support (AOR: 0.45; 95% CI: 0.22-0.94; p = 0.033), healthy eating (AOR: 0.06; 95% CI: 0.02-0.22; p < 0.001), workload (AOR: 0.31; 95% CI: 0.14-0.68; p = 0.004), and management responsibilities (AOR: 3.07; 95% CI: 1.54-6.12; p = 0.001). Conclusion Half of the nurses in northern Uganda experienced high levels of burnout. The Ministry of Health should consider recruiting more nurses to reduce workload and adjust working hours to prevent workplace-related burnout among nurses in the country.
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Datta S, Roy S, Mallik N, Saha I, Mallick A. Prevalence of burnout and psychiatric illness among postgraduate trainee doctors of a tertiary care hospital. TAIWANESE JOURNAL OF PSYCHIATRY 2022. [DOI: 10.4103/tpsy.tpsy_36_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
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Prevalence and Influencing Factors of Irritable Bowel Syndrome in Medical Staff: A Meta-Analysis. Dig Dis Sci 2022; 67:5019-5028. [PMID: 35175433 PMCID: PMC8853241 DOI: 10.1007/s10620-022-07401-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/09/2021] [Accepted: 01/15/2022] [Indexed: 01/05/2023]
Abstract
BACKGROUND Irritable bowel syndrome (IBS) is a common functional digestive tract disease worldwide, with a high prevalence among medical staff. The purpose of this study is to systematically evaluate the prevalence and influencing factors of IBS in medical staff. METHODS We searched English online databases, including PubMed, The Cochrane Library, Web of Science, Embase, and EBSCOhost. The retrieval time was from database establishment to May of 2021. We screened the literature according to inclusion and exclusion criteria, extracted the relevant information, and evaluated the research quality. A meta-analysis was performed using the Stata 16.0 and Review Manager 5.4.1 software. RESULTS A total of 11 English studies from seven countries were included in this study, including 3,360 medical staff. The results of the meta-analysis showed an overall prevalence of IBS among medical staff of 16% [95%CI (0.15 ~ 0.17)] and that shift work (OR 2.27)), poor sleep quality (OR 4.27), and female gender (OR 2.29) are the major influencing factors of medical staff suffering from IBS. CONCLUSIONS The prevalence of irritable bowel syndrome among medical staff is relatively high, and hospitals can start by looking for targeted interventions from the highly related factors of IBS among medical staff such as shift work patterns, females, and poor sleep quality.
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Ameri M, Mirhosseini S, Basirinezhad MH, Ebrahimi H. Prevalence of Restless Legs Syndrome and Its Relationship with Fatigue in Critical Care Nurses. Indian J Crit Care Med 2021; 25:1275-1279. [PMID: 34866825 PMCID: PMC8608635 DOI: 10.5005/jp-journals-10071-24010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Background The critical care unit is inherently stressful due to its complexity, leading to fatigue and consequences such as restless legs syndrome (RLS). This study aimed to investigate the prevalence of RLS and its relationship with fatigue in critical care nurses. Patients and methods This cross-sectional study was performed with 200 nurses of critical care units of Shahroud hospitals in 2019 using the census sampling method. Data collection tools included the RLS questionnaire and the Multidimensional Fatigue Inventory. Data analysis was performed using descriptive and inferential statistics (multiple linear regression analysis). Results The results showed that 72% of the subjects had moderate to high RLS, and their mean fatigue was 55.31 ± 10.53. By increasing one point in the score of RLS and 1 year of critical care nursing experience, the fatigue score increases by 0.3 and 0.71. Conclusions Considering the relationship between fatigue and RLS in critical care nurses, supportive interventions seem necessary to reduce the effects of these two components. How to cite this article Ameri M, Mirhosseini S, Basirinezhad MH, Ebrahimi H. Prevalence of Restless Legs Syndrome and Its Relationship with Fatigue in Critical Care Nurses. Indian J Crit Care Med 2021;25(11):1275–1279.
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Affiliation(s)
- Maryam Ameri
- Bahar Hospital, Research and Treatment, Shahroud University of Medical Sciences, Shahroud, Iran
| | - Seyedmohammad Mirhosseini
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran; Department of Psychiatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Mohammad Hasan Basirinezhad
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran; Department of Psychiatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Hossein Ebrahimi
- Department of Psychiatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
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Anitha EGN, Suganthi L. How organizational citizenship behavior is promoted among nurses: A moderated mediation model. Work 2021; 71:263-274. [PMID: 34719459 DOI: 10.3233/wor-210329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Health care environment relies to a great extent on positive nursing behaviors. So in this study, individual difference factors were taken into account in explaining organizational citizenship behavior by integrating trait theory, conservation of resource theory, and affective event theory. OBJECTIVE The present study examines whether work burnout mediates the relationship between the extraversion trait and organizational citizenship behavior, then investigating whether the mediating effect is moderated by emotional contagion. METHOD The study employs cross-sectional design and questionnaire-based survey was used to collect the data from 311 nurses working in private hospitals. RESULTS The findings reveals that extraversion trait is positively related to organizational citizenship behavior. Then, work burnout partially mediates the relationship between extraversion and organizational citizenship behavior. Further, moderated mediation analysis discloses the indirect effect of extraversion on organizational citizenship behavior through work burnout is a decreasing function of emotional contagion. CONCLUSION The study reports extravert nurses are likely to exhibit more organizational citizenship behavior through reduced work burnout. However, nurses should maintain low level of emotional contagion to have stronger mediating effects. Training should be provided to nursing staff to understand and handle the level of emotional contagion exist among them unconsciously.
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Affiliation(s)
- Elavarasi G N Anitha
- Department of Management Studies, College of Engineering, Anna University, Chennai, Tamilnadu, India
| | - L Suganthi
- Department of Management Studies, College of Engineering, Anna University, Chennai, Tamilnadu, India
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Kapetanos K, Mazeri S, Constantinou D, Vavlitou A, Karaiskakis M, Kourouzidou D, Nikolaides C, Savvidou N, Katsouris S, Koliou M. Exploring the factors associated with the mental health of frontline healthcare workers during the COVID-19 pandemic in Cyprus. PLoS One 2021; 16:e0258475. [PMID: 34648565 PMCID: PMC8516220 DOI: 10.1371/journal.pone.0258475] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Accepted: 09/28/2021] [Indexed: 01/07/2023] Open
Abstract
INTRODUCTION The spread of COVID-19 into a global pandemic has negatively affected the mental health of frontline healthcare-workers. This study is a multi-centre, cross-sectional epidemiological study that uses nationwide data to assess the prevalence of stress, anxiety, depression and burnout among health care workers managing COVID-19 patients in Cyprus. The study also investigates the mechanism behind the manifestation of these pathologies, as to allow for the design of more effective protective measures. METHODS Data on the mental health status of the healthcare workers were collected from healthcare professionals from all over the nation, who worked directly with Covid patients. This was done via the use of 64-item, self-administered questionnaire, which was comprised of the DASS21 questionnaire, the Maslach Burnout Inventory and a number of original questions. Multivariable logistic regression models were used to investigate factors associated with each of the mental health measures. RESULTS The sample population was comprised of 381 healthcare professionals, out of which 72.7% were nursing staff, 12.9% were medical doctors and 14.4% belonged to other occupations. The prevalence of anxiety, stress and depression among the sample population were 28.6%, 18.11% and 15% respectively. The prevalence of burnout was 12.3%. This was in parallel with several changes in the lives of the healthcare professionals, including; working longer hours, spending time in isolation and being separated from family. DISCUSSION This study indicates that the mental health of a significant portion of the nation's workforce is compromised and, therefore, highlights the need for an urgent intervention particularly since many countries, including Cyprus, are suffering a second wave of the pandemic. The identified risk factors should offer guidance for employers aiming to protect their frontline healthcare workers from the negative effects of the COVID-19 pandemic.
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Affiliation(s)
| | - Stella Mazeri
- The Roslin Institute and The Royal (Dick) School of Veterinary Studies, University of Edinburgh, Edinburgh, United Kingdom
| | - Despo Constantinou
- Infection Control Services, Nicosia General Hospital, Lemesou, Cyprus
- Cyprus Nurses and Midwives Association, Nicosia, Cyprus
| | - Anna Vavlitou
- Intensive Care Unit, Nicosia General Hospital, Nicosia, Cyprus
| | | | | | - Christoforos Nikolaides
- Cyprus Nurses and Midwives Association, Nicosia, Cyprus
- Infection Control Services, Limassol General Hospital, Nikaias, Kato Polemidia, Cyprus
| | - Niki Savvidou
- Infection Control Services, Paphos General Hospital, Paphos, Cyprus
| | - Savvas Katsouris
- Infection Control Services, Larnaca General Hospital, Larnaca, Cyprus
| | - Maria Koliou
- Department of Pediatrics, School of Medicine, University of Cyprus, Nicosia, Cyprus
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Do older manual workers benefit in vitality after retirement? Findings from a 3-year follow-up panel study. Eur J Ageing 2021; 18:369-379. [PMID: 34483801 PMCID: PMC8377110 DOI: 10.1007/s10433-020-00590-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/22/2020] [Indexed: 10/25/2022] Open
Abstract
Vitality is the feeling of physical and mental aliveness. Vitality benefits individual, organizational and societal well-being. However, we know much less about the dynamics in the levels of vitality and its' precursors. This study investigates the effects of retirement on vitality and how this effect differs between manual and non-manual workers and by baseline levels of vitality. We used two waves of the NIDI Pension Panel Survey, collected in the Netherlands in 2015 and 2018. Data from 4156 older workers (N = 4156), of whom 1934 (46.5%) retired between waves, were analysed. Vitality is assessed in three ways, as: (1) a composite measure of vitality, and its subcomponents (2) energy and (3) fatigue. Conditional Change OLS Regression models demonstrated that retirement is associated with improved vitality and decreased fatigue. Older workers who retire from manual work at wave 1 experienced the largest gains in vitality and highest declines in fatigue at wave 2, compared to those who remained employed. Retirement was more advantageous for older workers who experienced poor vitality and high fatigue at wave 1. No such effects were found for energy. Older workers in manual work, those experiencing low vitality and high fatigue at wave 1, may benefit most from early retirement. Since opportunities for early retirement are highly restrictive, it is essential to provide these groups of workers with effective work accommodations and interventions that may not only improve their vitality and quality of working life, but also extend their participation in the labour market.
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Boateng YA, Osei SA, Aboh IK, Druye AA. Causes of burnout syndrome and coping strategies among high dependency unit nurses of an institution in the greater Accra region of Ghana. Nurs Open 2021; 8:3334-3339. [PMID: 34468085 PMCID: PMC8510731 DOI: 10.1002/nop2.1052] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Revised: 07/01/2021] [Accepted: 08/04/2021] [Indexed: 11/16/2022] Open
Abstract
Aim The aim of this study was to determine the causes of burnout syndrome and identify strategies to cope with them among nurses at high dependency unit if a regional Hospital in Ghana. Design A descriptive convenient and purposive cross‐sectional study design was used for this study. Methods The study involved 40 nurses in the high dependency unit of the Hospital. A Maslach Burnout Inventory (MBI) was adopted to measure burnout experienced by these nurses concentrating on feelings of being emotionally exhausted and lack of energy, depersonalization, feelings of impersonal response towards patients and personal achievement. Results 62.5% of the respondents were in the high emotional exhaustion, 55% scored high in the depersonalization section and 52.5% scored high in the personal achievement (competence) on the Maslach Burnout Inventory (MBI).
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Affiliation(s)
- Yaa Adomaah Boateng
- School of Peri Operative and Critical Care Nursing, Korle-Bu Teaching Hospital, Accra, Ghana
| | - Sylvia Ama Osei
- School of Peri Operative and Critical Care Nursing, Korle-Bu Teaching Hospital, Accra, Ghana
| | - Irene Korkoi Aboh
- School of Nursing and Midwifery, University of Cape Coast, Cape Coast, Ghana
| | - Andrew Adyei Druye
- School of Nursing and Midwifery, University of Cape Coast, Cape Coast, Ghana
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16
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Thompson BJ. Fatigue and the Female Nurse: A Narrative Review of the Current State of Research and Future Directions. WOMEN'S HEALTH REPORTS (NEW ROCHELLE, N.Y.) 2021; 2:53-61. [PMID: 33786531 PMCID: PMC8006794 DOI: 10.1089/whr.2020.0107] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Accepted: 02/09/2021] [Indexed: 11/29/2022]
Abstract
Background: The female nurse exhibits a multitude of personal and environmental characteristics that renders this population especially prone to fatigue. The consequences of fatigue in nurses are widespread and impactful at the personal, organizational, and societal levels. These include high injury rates and burnout in the nurse and poor patient and organizational outcomes. Objective: This article discusses the implications of fatigue in female nurses, including the impacts of fatigue across multiple entities (e.g., worker, patient, organization). It also reviews the current state of the research, including recent work on nurse fatigue and work schedule characteristics, and key areas for future work that would help empirically establish approaches to counter the detrimental and widespread effects of fatigue. Method: A narrative literature review was conducted resulting from an analysis of the literature limited to peer-reviewed studies. Results: A confluence of factors combines to elevate the prevalence and risk of fatigue in the female nurse. Numerous measures have established that performance-based fatigue results from nursing work schedules in nurses. Data also demonstrate that fatigue accumulates across successive shifts. Recent evidence supports the use of objective fatigue measures, including psychomotor reaction time and muscle function-related variables. Current gaps in the literature are delineated in the text. Conclusions: Strategic and well-designed research studies, as well as recent technological advances in fatigue tracking tools have the potential to help workers, administrators, and organizations develop fatigue management programs that could reduce the heavy burdens of fatigue on a multitude of health, safety, and economical outcomes.
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Affiliation(s)
- Brennan J Thompson
- Kinesiology and Health Science Department, Utah State University, Logan, Utah, USA
- Movement Research Clinic, Sorenson Legacy Foundation Center for Clinical Excellence, Utah State University, Logan, Utah, USA
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17
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Biganeh J, Ashtarinezhad A, Behzadipour D, Khanjani N, Tavakoli Nik A, Bagheri Hosseinabadi M. Investigating the relationship between job stress, workload and oxidative stress in nurses. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2021; 28:1176-1182. [PMID: 33464196 DOI: 10.1080/10803548.2021.1877456] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Objectives. Occupational stress and workload are common risk factors among nurses that increase absenteeism, reduce the quality and quantity of patient care, increase care costs and increase the patient safety risk. The relation between these risk factors and oxidative stress levels has not been clearly defined. Methods. This study was conducted with 258 participants (126 nurses as the case group and 132 healthy adults as the control group). Information was collected using a demographic questionnaire, the nurses' occupational stress scale and the NASA task load index workload questionnaire. Blood samples were taken from the participants and then the levels of malondialdehyde (MDA), superoxide dismutase (SOD), catalase and total antioxidant capacity (TAC) were measured in the serum samples. Independent t tests and one-way analysis of variance were used for statistical analysis. Results. SOD and TAC were significantly higher and MDA was significantly lower among the case group compared to the control group. TAC levels significantly decreased with increased stress. MDA levels showed negative associations with stress and workload. Nurses experience high levels of occupational stress and workload. Conclusion. Biomarkers such as SOD, TAC and MDA are the most important predictors of work stress and overwork in this study.
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Affiliation(s)
- Jamal Biganeh
- School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran
| | - Azadeh Ashtarinezhad
- Air Pollution Research Centre, Department of Occupational Health Engineering, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
| | - Davood Behzadipour
- Department of Occupational Health Engineering, School of Public Health, Tarbiat Modares University, Tehran, Iran
| | - Narges Khanjani
- Environmental Health Engineering Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Atefeh Tavakoli Nik
- Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran
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Hou T, Zhang R, Song X, Zhang F, Cai W, Liu Y, Dong W, Deng G. Self-efficacy and fatigue among non-frontline health care workers during COVID-19 outbreak: A moderated mediation model of posttraumatic stress disorder symptoms and negative coping. PLoS One 2020; 15:e0243884. [PMID: 33301523 PMCID: PMC7728176 DOI: 10.1371/journal.pone.0243884] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Accepted: 11/30/2020] [Indexed: 02/07/2023] Open
Abstract
PURPOSES Since a considerable number of health care workers (HCWs) were sent to Wuhan to aid COVID-19 control during the epidemic, non-frontline HCWs who stayed in local hospitals had to work overload to provide daily health care services for other health issues, which makes them more vulnerable to experience fatigue. Self-efficacy is suggested as a protective factor for fatigue. Nonetheless, less is known regarding the underlying mechanisms. This research aimed to explore the prevalence of fatigue among non-frontline HCWs during the pandemic, investigate the mediating effect of posttraumatic stress disorder (PTSD) symptoms and moderating effect of negative coping in the association between self-efficacy and fatigue. METHODS General Self-Efficacy Scale, PTSD Checklist-Civilian Version, Simplified Coping Style Questionnaire and 14-item Fatigue Scale were administrated to 527 non-frontline HCWs from Anhui Province, China. The mediating effect was examined by Mackinnon's four-step procedure, while Hayes PROCESS macro was used to test the moderated mediation model. RESULTS The prevalence of fatigue among non-frontline HCWs was 56.7%. The effect of self-efficacy on fatigue was partially mediated by PTSD symptoms (ab = -0.146, SE = 0.030, 95% CI = [-0.207, -0.095]). Additionally, negative coping moderated both the direct effect of self-efficacy on fatigue (β = -0.158, P<0.001) and the mediating effect of PTSD symptoms (β = 0.077, P = 0.008). When the standard score of negative coping increased to 1.49 and over, the direct association between self-efficacy and fatigue became insignificant. Likewise, the effect of self-efficacy on PTSD symptoms had no statistical significance when the standard score of negative coping was -1.40 and lower. CONCLUSIONS More than half non-frontline HCWs suffered from fatigue during COVID-19. For those who tend to use negative coping, it might be crucial to design programs combining the enhancement of self-efficacy, preventions for PTSD symptoms and interventions for fatigue.
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Affiliation(s)
- Tianya Hou
- Faculty of Psychology, Second Military Medical University, Shanghai, China
| | - Ruike Zhang
- Faculty of Psychology, Second Military Medical University, Shanghai, China
| | - Xiangrui Song
- Faculty of Psychology, Second Military Medical University, Shanghai, China
| | - Fan Zhang
- Faculty of Psychology, Second Military Medical University, Shanghai, China
| | - Wenpeng Cai
- Faculty of Psychology, Second Military Medical University, Shanghai, China
| | - Ying Liu
- Faculty of Psychology, Second Military Medical University, Shanghai, China
| | - Wei Dong
- Faculty of Psychology, Second Military Medical University, Shanghai, China
| | - Guanghui Deng
- Faculty of Psychology, Second Military Medical University, Shanghai, China
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Poursadeqiyan M, Arefi MF, Khaleghi S, Moghaddam AS, Mazloumi E, Raei M, Hami M, Khammar A. Investigation of the relationship between the safety climate and occupational fatigue among the nurses of educational hospitals in Zabol. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2020; 9:238. [PMID: 33209930 PMCID: PMC7652069 DOI: 10.4103/jehp.jehp_309_20] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/04/2020] [Accepted: 05/30/2020] [Indexed: 06/11/2023]
Abstract
INTRODUCTION Some working and organizational conditions, such as psychological stress and shift work, are factors that threaten the health of staff working in health centers. These factors can cause fatigue in a long time. Fatigue reduces the ability to process information and decrease to respond to hazardous conditions and will affect the safety of the environment. Therefore, the purpose of this study was to determine the relationship between safety climate and occupational fatigue in nurses working in Zabol city. METHODS This cross-sectional study was performed on 143 nurses working in educational hospitals of Zabol in 2019. The proportional sampling method was used, and the Swedish Occupational Fatigue Questionnaire and the Nurses Safety Questionnaire were used for data collection. Data were analyzed using independent t-test, analysis of variance, Mann-Whitney, Kruskal-Wallis tests, and SPSS-21 software. RESULTS In the present study, 57.3% were women and 42.7% were men. The mean score of occupational fatigue was 85.09 ± 41.49, and the mean score of safety climate was 67.15 ± 12.73. There is a significant inverse relationship between occupational fatigue and safety climate. The comparison of safety climate and its subscales between occupational and demographic variables showed that the score of male supervisors' attitude was 01.36 ± 2.41 while the score of female supervisors' attitude was 8.88 ± 2.61, and this difference was significant. Furthermore, cumulative burnout, the attitude of supervisors, and the safety climate were significantly different between different educational levels. CONCLUSION The results of this study showed that there is a relationship between occupational fatigue and safety climate. Issues related to safety and risk factors in hospitals due to the high risk of disease outbreak and mortality, in addition to being economical, are important in terms of the human aspect as well. In addition, the activity of nursing staff is more important compared to other groups because of providing health care and communicating with patients; thus, more education about the safety climate of the workplace environment in hospitals can reduce nurses' fatigue.
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Affiliation(s)
- Mohsen Poursadeqiyan
- Department of Occupational Health Engineering, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
- Health Sciences Research Center, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
| | - Maryam Feiz Arefi
- Department of Occupational Health Engineering, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
- Health Sciences Research Center, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
| | - Saeed Khaleghi
- Department of Nursing, Alborz University of Medical Sciences, Karaj, Iran
| | | | - Ehsan Mazloumi
- Health Sciences Research Center, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
- Department of Public Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
| | - Mehdi Raei
- Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Mahsa Hami
- Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Alireza Khammar
- Department of Occupational Health, Zabol Medicinal Plants Research Center, Zabol University of Medical Sciences, Zabol, Iran
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20
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Improving fatigue risk management in healthcare: A scoping review of sleep-related/ fatigue-management interventions for nurses and midwives (reprint). Int J Nurs Stud 2020; 112:103745. [PMID: 32847675 DOI: 10.1016/j.ijnurstu.2020.103745] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
BACKGROUND Nurses and midwives make up almost 50% of the global healthcare shift working workforce. Shift work interferes with sleep and causes fatigue with adverse effects for nurses' and midwives' health, as well as on patient safety and care. Where other safety-critical sectors have developed Fatigue Risk Management Systems, healthcare is behind the curve; with published literature only focussing on the evaluation of discreet sleep-related/fatigue-management interventions. Little is known, however, about which interventions have been evaluated for nurses and midwives. Our review is a critical first step to building the evidence-base for healthcare organisations seeking to address this important operational issue. OBJECTIVES We address two questions: (1) what sleep-related/fatigue-management interventions have been assessed in nurses and midwives and what is their evidence-base? and (2) what measures are used by researchers to assess intervention effectiveness? DESIGN AND DATA SOURCES The following databases were searched in November, 2018 with no limit on publication dates: MEDLINE, PsychINFO and CINAHL. REVIEW METHODS We included: (1) studies conducted in adult samples of nurses and/or midwives that had evaluated a sleep-related/fatigue-management intervention; and (2) studies that reported intervention effects on fatigue, sleep, or performance at work, and on measures of attention or cognitive performance (as they relate to the impact of shift working on patient safety/care). RESULTS The search identified 798 potentially relevant articles, out of which 32 met our inclusion criteria. There were 8619 participants across the included studies and all were nurses (88.6% female). We did not find any studies conducted in midwives nor any studies conducted in the UK, with most studies conducted in the US, Italy and Taiwan. There was heterogeneity both in terms of the interventions evaluated and the measures used to assess effectiveness. Napping could be beneficial but there was wide variation regarding nap duration and timing, and we need to understand more about barriers to implementation. Longer shifts, shift patterns including nights, and inadequate recovery time between shifts (quick returns) were associated with poorer sleep, increased sleepiness and increased levels of fatigue. Light exposure and/or light attenuation interventions showed promise but the literature was dominated by small, potentially unrepresentative samples. CONCLUSIONS The literature related to sleep-related/fatigue-management interventions for nurses and midwives is fragmented and lacks cohesion. Further empirical work is warranted with a view to developing comprehensive Fatigue Risk Management Systems to protect against fatigue in nurses, midwives, and other shift working healthcare staff.
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21
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Kakemam E, Kalhor R, Khakdel Z, Khezri A, West S, Visentin D, Cleary M. Occupational stress and cognitive failure of nurses and associations with self-reported adverse events: A national cross-sectional survey. J Adv Nurs 2020; 75:3609-3618. [PMID: 31531990 DOI: 10.1111/jan.14201] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2018] [Revised: 08/07/2019] [Accepted: 09/04/2019] [Indexed: 11/30/2022]
Abstract
AIM To determine correlations for nurse self-reported occupational stress, prevalence of cognitive failure (CF), and adverse events. DESIGN Cross-sectional nationwide survey. METHODS Tertiary-level public hospitals (N = 115) from 13 provinces in Iran were recruited and 2,895 nurses surveyed (August 2016-December 2017). Participants' self-reported demographic information, occupational stress, CF, and frequency of adverse events were analysed using chi-square, t tests, and binary logistic regression. RESULTS This study showed that 29.1% of nurses had experienced adverse events in the past six months. Significant predictors for reported adverse events from logistic regression were 'Role stressors', 'Interpersonal relations stressors', and 'Action', while 'Working environment stressors' was protective for reported adverse events. Demographic predictors of adverse events were longer work hours and male gender, while those working in critical care units, general wards, and other wards had higher reported adverse events than for emergency wards. CONCLUSIONS Occupational stress and CF are associated with the reporting of adverse events. Further research is needed to assess interventions to address occupational stress and CF to reduce adverse events. IMPACT Adverse events compromise patient safety, lead to increased healthcare costs, and impact nursing staff. Higher self-reported adverse events were associated with higher reported stressors and CF. Understanding the factors that influence occupational stress, CF, and adverse events will support quality patient care and safety.
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Affiliation(s)
- Edris Kakemam
- Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.,Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Roholla Kalhor
- Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Zahra Khakdel
- Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Ali Khezri
- Student Research Committee, School of Nursing and Midwifery, Bam University of Medical Sciences, Bam, Iran.,Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Sancia West
- College of Health and Medicine, University of Tasmania, Sydney, NSW, Australia
| | - Denis Visentin
- College of Health and Medicine, University of Tasmania, Sydney, NSW, Australia
| | - Michelle Cleary
- College of Health and Medicine, University of Tasmania, Sydney, NSW, Australia
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Purnomo BT. The Affecting Factors of Nurse Fatigue in The ICU and ER of Bhayangkara HS. Samsoeri Mertojoso Hospital. THE INDONESIAN JOURNAL OF OCCUPATIONAL SAFETY AND HEALTH 2020. [DOI: 10.20473/ijosh.v9i1.2020.39-47] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Introduction: Nurses have a very stressful job because they are required to deal with the needs of patients. Nurses are responsible for contacting and observing patients 24 hours a day. The nurse fatigue is associated with stress at work, workload, and the level of conflicts that occurs in the work environment. This research aims to analyze the relationship between the individual characteristics and fatigue of nurses’ performance in the ICU and ER. Methods: This research is observational research with a cross-sectional design and the analysis used in this study is a descriptive analysis conducted in the form of frequency tables and cross tabulations. The research data were obtained from filling in identity data sheets, IFRS work fatigue measurement questionnaires, and calorimeter measurements. To analyze the relationship between two variables with ordinal and nominal data scales including non-parametric statistics and due to the total population in this study, to find out how strong the relationship value is the Cramer V value in the Chi Square Test. The sample used was 25 nurses who work in the ICU and ER. Results: There is a relationship on the characteristics of nurses in the study which includes age, sex, length of service, education level, marital status, nutritional status, length of work, workload with subjective fatigue in ICU and ER nurses. Conclusion: In the test results obtained varying results from strong to weak relationship. In conclusion, individual characteristics cause subjective fatigue in ICU and ER nurses.Keywords: emergency room, intensive care unit, nurses, subjective fatigue
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Abstract
In recent years, nursing has come to be considered a high-risk and high-pressure profession, given the fast-paced working environment and constant need to handle emergencies, especially for nurses working in hemodialysis centers. Nearly every day, nurses are confronted with life and death situations and are required to provide skilled, high quality care for their patients, in fast-paced and demanding environments. Thus, nurses are susceptible to both psychological stress and other mental health problems, making them more vulnerable to burnout when compared against other healthcare professions.An anonymous online questionnaire was completed by a group of participating nurses, using the web-based survey platform WeChat. Registered nurses working in hemodialysis centers were randomly selected from 5 comprehensive tertiary level hospitals in Sichuan Province, China. The data collection instrument comprised two parts: demographic data and a nurse burnout questionnaire-the Maslach Burnout Inventory. Overall, 70 nurses were invited to participate, with 65 returning completed questionnaires, giving a response rate of 92.9%. In this survey, the burnout level was set at28.15 ± 12.39 for emotional exhaustion (EE), 10.23 ± 5.47 for depersonalization (DP), and 37.19 ± 8.31 for personal accomplishment (PA)-EE and DP levels are found to be high at the level of burnout.Job burnout was found to exist widely among the nurses of hemodialysis centers, which may then result in adverse effects on their physical and mental health. Active interventions can significantly reduce job burnout and also help maintain the stability of nursing workforce levels.
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Affiliation(s)
- Kuang Ling
- Department of Nephrology, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu, Sichuan
| | - Wen Xianxiu
- Department of Nephrology, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu, Sichuan
| | - Zhang Xiaowei
- Urology, Peking University People's Hospital, Beijing, People's Republic of China
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24
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Barroso Alonso MP, Losa Iglesias ME, Becerro de Bengoa Vallejo R. The Relationship Between Burnout and Health Professionals' Creativity, Method, and Organization. Creat Nurs 2020; 26:56-65. [PMID: 32024740 DOI: 10.1891/1078-4535.26.1.56] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND This research focuses on problems relating to creativity and problem-solving capacity faced by a specific group of professionals, as they relate to worker burnout, which is prevalent in a large number of work environments. OBJECTIVES Our hypothesis was that creative people who follow method and order are less likely to suffer from burnout. Our objective was to demonstrate that health professionals working in surgery who are creative, methodical, and orderly have lower levels of burnout compared to others. DESIGN A correlational, analytical, and cross-sectional study with 70 health professionals working in surgery. METHODS A random sample of health professionals who worked in surgery at the Hospital Universitario de La Princesa in Madrid, Spain from 2011 to 2014 were studied. The variables considered in the study were: gender, age, profession, creativity score, method and order score, and burnout score. Measurement tools were CREA: creative intelligence (Corbalán & Martinez, 2003), MO2: method and order (Seisdedos, 1994), and the Maslach Burnout Inventory (MBI), a test of emotional exhaustion, depersonalization, and personal accomplishment (Maslach, 1981), all of which were validated for the Spanish population. RESULTS Our data indicate that a worker's age influences his/her capacity to work with method and order, and that workers with emotional exhaustion (a basic feature of burnout) have lower scores in method and order. Greater emotional exhaustion and greater depersonalization were related to lower personal accomplishment and greater burnout. CONCLUSION people who work with method and order are less likely to suffer from burnout. We did not find a direct relationship between creativity and method and order or between creativity and burnout.
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Querstret D, O'Brien K, Skene DJ, Maben J. Improving fatigue risk management in healthcare: A systematic scoping review of sleep-related/fatigue-management interventions for nurses and midwives. Int J Nurs Stud 2019; 106:103513. [PMID: 32283414 DOI: 10.1016/j.ijnurstu.2019.103513] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2019] [Revised: 12/04/2019] [Accepted: 12/24/2019] [Indexed: 01/13/2023]
Abstract
BACKGROUND Nurses and midwives make up almost 50% of the global healthcare shift working workforce. Shift work interferes with sleep and causes fatigue with adverse effects for nurses' and midwives' health, as well as on patient safety and care. Where other safety-critical sectors have developed Fatigue Risk Management Systems, healthcare is behind the curve; with published literature only focussing on the evaluation of discreet sleep-related/fatigue-management interventions. Little is known, however, about which interventions have been evaluated for nurses and midwives. Our review is a critical first step to building the evidence-base for healthcare organisations seeking to address this important operational issue. OBJECTIVES We address two questions: (1) what sleep-related/fatigue-management interventions have been assessed in nurses and midwives and what is their evidence-base? and (2) what measures are used by researchers to assess intervention effectiveness? DESIGN AND DATA SOURCES The following databases were searched in November, 2018 with no limit on publication dates: MEDLINE, PsychINFO and CINAHL. REVIEW METHODS We included: (1) studies conducted in adult samples of nurses and/or midwives that had evaluated a sleep-related/fatigue-management intervention; and (2) studies that reported intervention effects on fatigue, sleep, or performance at work, and on measures of attention or cognitive performance (as they relate to the impact of shift working on patient safety/care). RESULTS The search identified 798 potentially relevant articles, out of which 32 met our inclusion criteria. There were 8619 participants across the included studies and all were nurses (88.6% female). We did not find any studies conducted in midwives nor any studies conducted in the UK, with most studies conducted in the US, Italy and Taiwan. There was heterogeneity both in terms of the interventions evaluated and the measures used to assess effectiveness. Napping could be beneficial but there was wide variation regarding nap duration and timing, and we need to understand more about barriers to implementation. Longer shifts, shift patterns including nights, and inadequate recovery time between shifts (quick returns) were associated with poorer sleep, increased sleepiness and increased levels of fatigue. Light exposure and/or light attenuation interventions showed promise but the literature was dominated by small, potentially unrepresentative samples. CONCLUSIONS The literature related to sleep-related/fatigue-management interventions for nurses and midwives is fragmented and lacks cohesion. Further empirical work is warranted with a view to developing comprehensive Fatigue Risk Management Systems to protect against fatigue in nurses, midwives, and other shift working healthcare staff.
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Affiliation(s)
- Dawn Querstret
- Faculty of Sport, Health and Applied Science, St Mary's University, London TW1 4SX, UK.
| | - Katie O'Brien
- Faculty of Health and Medical Sciences, University of Surrey, Guildford GU2 7YH, UK
| | - Debra J Skene
- Faculty of Health and Medical Sciences, University of Surrey, Guildford GU2 7YH, UK
| | - Jill Maben
- Faculty of Health and Medical Sciences, University of Surrey, Guildford GU2 7YH, UK
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Al-Abdallah AM, Malak MZ. Factors correlating with prolonged fatigue among emergency department nurses. J Res Nurs 2019; 24:571-584. [PMID: 34394579 PMCID: PMC7932309 DOI: 10.1177/1744987119880309] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Fatigue affects nurses negatively and leads to physical, cognitive and emotional problems that may influence nurses' quality of life. However, there is a lack of studies about prolonged fatigue and its relationship with socio-demographic characteristics and job-related psychosocial factors among nurses, especially emergency nurses, worldwide and in Jordan. AIMS This study aims to assess the relationship between demographic factors, physical health, psychological distress and job-related psychosocial factors (psychological job demands, job control and social support) and prolonged fatigue among emergency department nurses in Jordan. METHODS A descriptive correlational study using a convenience sample was used to recruit 153 emergency nurses. Physical health Questionnaire, General Health Questionnaire, Job Content Questionnaire and Checklist Individual Strength were used. RESULTS The majority of emergency nurses experienced abnormally prolonged fatigue, moderate health, high psychological distress, high job demands and low job control and social support. Significant negative relationships were addressed between job control, social support and prolonged fatigue, whereas income had a negative weak relationship. Psychological distress and job demands had a positive weak relationship with prolonged fatigue. There was a significant positive weak relationship between psychological distress, job demands and prolonged fatigue. Job-related psychosocial factors (with exception of social support) and mental health were the predictors of prolonged fatigue. CONCLUSIONS Prolonged fatigue is a multidimensional phenomenon that can be affected by several factors such as job-related psychosocial factors and psychological health. These factors should be taken into consideration when testing and developing interventions to minimise prolonged fatigue among emergency nurses.
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Affiliation(s)
- Ashraf M Al-Abdallah
- Registered Nurse, Adult Health Nursing, Al-Shmaisani Hospital, Jordan; Postgraduate Student, Adult Health Nursing, Faculty of Nursing, Al-Zaytoonah University of Jordan, Jordan
| | - Malakeh Z Malak
- Associate Professor, Community Health Nursing, Al-Zaytoonah University of Jordan, Jordan
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Rostamabadi A, Kargar Shouroki F, Jalilian H, Choobineh A, Azmoon H, Shakerian M. The relationship between work-related psychosocial factors and burnout among Iranian nurses: Job Demand-Control-Support model. LA MEDICINA DEL LAVORO 2019; 110:312-320. [PMID: 31475693 PMCID: PMC7809992 DOI: 10.23749/mdl.v110i4.8025] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/21/2018] [Accepted: 07/05/2019] [Indexed: 12/15/2022]
Abstract
Background: Nursing work environment consists of a number of work-related psychosocial risk factors such as excessive workloads, lack of social support, emotional demands, job insecurity and confronting with challenging situations all of which may induce burnout. The aim of the current study was to investigate the relationship between work-related psychosocial factors and burnout among Iranian nurses. Methods: A cross-sectional study was carried out among 522 nurses. The data related to work-related psychosocial factors and burnout was gathered using Job Content Questionnaire (JCQ) and Maslach Burnout Inventory (MBI), respectively. Pearson’s correlation coefficients were used to examine the relationship between work-related psychosocial factors and burnout. Results: Mean scores of the dimensions of burnout for emotional exhaustion, depersonalization, and reduced personal accomplishment were 13.6 (SD=8.6), 18.42 (SD=7.1), and 28.45 (SD= 9.15), respectively. Psychological and physical job demands were positively correlated with different dimensions of burnout while social support and job control showed negative correlation with them. Conclusion: Appropriate interventions on reducing job demands both psychologically and physically and increasing social support and job control are suggested in prevention of burnout among the studied nurses.
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Affiliation(s)
- Akbar Rostamabadi
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
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Vogazianos P, Petkari E, Arakliti A, Soteriades ES, Antoniades A, Tozzi F. Work-Related Psychological Distress and Its Management: The Perspective of Employees in the Financial Industry Compared With Those in Human Services. J Occup Environ Med 2019; 61:e348-e353. [PMID: 31348420 DOI: 10.1097/jom.0000000000001632] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE Investigate psychological distress and its link to stress management interventions in the financial industry (FI) in comparison to the human services (HS) sector. METHOD Observational study across participating organizations in FI (66) and HS (81). Web-based version of depression anxiety stress scales (21 questions) and eight questions related to stress prevention interventions adopted by employers. RESULTS Indicated that FI workers are twice as likely as HS employees to present with stress and depression. Differences emerged on the availability of support at the workplace: FI workers reporting total lack of psychological support, although other forms of wellbeing promotion were more frequent. Close to 60% of individuals in the HS group reported no support (48% in the FI). CONCLUSION Workers in the FI industry have increased levels of workplace stress that could be possibly attributed to absence of prevention interventions at the workplace.
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Affiliation(s)
- Paris Vogazianos
- Department of Behavioural and Social Sciences, European University, Nicosia (Drs Vogazianos, Petkari, Ms Arakliti); College of Medicine and Health Sciences, Institute of Public Health, United Arab Emirates University, Al Ain, United Arab Emirates (Dr Soteriades); Advanced Analytics Department, Stremble Ventures (Dr Antoniades); Brain Sciences Department, Stremble Ventures, Limassol, Cyprus (Dr Tozzi); Department of Environmental Health, Environmental and Occupational Medicine and Epidemiology (EOME), Harvard T. H. Chan School of Public Health, Boston, Massachusetts (Dr Soteriades)
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Ismail KM, Malak MZ, Alamer RM. Psychosocial correlates of work-related fatigue among Jordanian emergency department nurses. Perspect Psychiatr Care 2019; 55:486-493. [PMID: 30729538 DOI: 10.1111/ppc.12354] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/02/2018] [Revised: 11/24/2018] [Accepted: 01/06/2019] [Indexed: 01/13/2023] Open
Abstract
PURPOSE This study purposed to assess the psychosocial correlates of work-related fatigue among Jordanian emergency department nurses. DESIGN AND METHODS A cross-sectional study was conducted among Jordanian emergency nurses (n = 220). Measures included Occupational Fatigue Exhaustion/Recovery Scale (OFER15) and Copenhagen Psychosocial Questionnaire version Two (COPSOQ II). FINDINGS The psychosocial factors correlated with all types of work-related fatigue (acute, chronic, and inter-shift [recovery]) were quantitative demands, work-family conflict, sexual harassment, threats of violence, physical violence, and bullying. Importantly, quantitative demands and sexual harassment were the main predictors of all types of work-related fatigue. PRACTICE IMPLICATIONS The psychosocial correlated factors should be considered when developing interventions to minimize work-related fatigue phenomenon. This would lead to a more positive working environment which will promote safe nursing care.
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Affiliation(s)
- Khaldoun M Ismail
- Department of Adult Health Nursing, Najran University, Najran, Saudi Arabia
| | - Malakeh Z Malak
- Department of Community Health Nursing, Faculty of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan
| | - Rasmieh M Alamer
- Department of Psychiatric Health Nursing, Faculty of Nursing, Isra University, Amman, Jordan.,Adjunct Fellow,, Western Sydney University, School of Nursing and Midwifery, Sydney, NSW, Australia
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Bazazan A, Dianat I, Mombeini Z, Aynehchi A, Asghari Jafarabadi M. Fatigue as a mediator of the relationship between quality of life and mental health problems in hospital nurses. ACCIDENT; ANALYSIS AND PREVENTION 2019; 126:31-36. [PMID: 29454465 DOI: 10.1016/j.aap.2018.01.042] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/02/2017] [Revised: 01/31/2018] [Accepted: 01/31/2018] [Indexed: 06/08/2023]
Abstract
The aims of this study were to investigate the relationships among quality of life (QoL), mental health problems and fatigue among hospital nurses, and to test whether fatigue and its multiple dimensions would mediate the effect of QoL on mental health problems. Data were collected using questionnaires (including the World Health Organization Quality of Life-BREF [WHOQOL-BREF], General Health Questionnaire [GHQ-12] and Multidimensional Fatigue Inventory [MFI-20] for evaluation of QoL, mental health problems and fatigue, respectively) from 990 Iranian hospital nurses, and analysed by generalized structural equation modelling (GSEM). The results indicated that QoL, mental health problems and fatigue were interrelated, and supported the direct and indirect (through fatigue) effects of QoL on mental health problems. All domains of the WHOQOL-BREF, and particularly physical (sleep problems), psychological (negative feelings) and environmental health (leisure activities) domains, were strongly related to the mental health status of the studied nurses. Fatigue and its multiple dimensions partially mediated the relationship between QoL and mental health problems. The results highlighted the importance of physical, psychological and environmental aspects of QoL and suggested the need for potential interventions to improve fatigue (particularly physical fatigue along with mental fatigue) and consequently mental health status of this working population. The findings have possible implications for nurses' health and patient safety outcomes.
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Affiliation(s)
- Ahmad Bazazan
- Department of Occupational Health and Ergonomics, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
| | - Iman Dianat
- Department of Occupational Health and Ergonomics, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
| | - Zohreh Mombeini
- Department of Occupational Health, Jundishapur University of Medical Sciences, Ahvaz, Iran.
| | - Aydin Aynehchi
- Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
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Uchmanowicz I, Manulik S, Lomper K, Rozensztrauch A, Zborowska A, Kolasińska J, Rosińczuk J. Life satisfaction, job satisfaction, life orientation and occupational burnout among nurses and midwives in medical institutions in Poland: a cross-sectional study. BMJ Open 2019; 9:e024296. [PMID: 30696678 PMCID: PMC6352840 DOI: 10.1136/bmjopen-2018-024296] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2018] [Revised: 12/05/2018] [Accepted: 12/18/2018] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVES To assess life satisfaction, job satisfaction, life orientation and the level of professional burnout in a group of professionally active nurses and midwives. DESIGN A cross-sectional study. SETTING This study was conducted between March and October of 2017 during specialisation training at the European Centre for Postgraduate Education in Wroclaw, Poland. PARTICIPANTS A group of 350 professionally active nurses (n=293) and midwives (n=57) were enrolled in the study. OUTCOME MEASURES Associations between burnout and selected life-related and job-related outcomes using (1) the Satisfaction With Job Scale, (2) the Satisfaction With Life Scale (SWLS), (3) the Life Orientation Test-Revised, (4) the Maslach Burnout Inventory and the Authors' Designed Questionnaire regarding sociodemographic factors. The level of statistical significance was set at p≤0.05 (with a CI of 95%). RESULTS The vast majority of participants were those in the ages of 41-50 years old (40.57%), women (96.86%) and people with bachelor's degree (46.29%). The average overall rate for occupational burnout was 34.67 per 100 points. Assessment of occupational burnout subscale showed that the most significant factor was emotional exhaustion at 39.14 points (SD=28.15). Job satisfaction, life satisfaction and life orientation assessed with SWLS significantly affects each of the occupational burnout subscales (p<0.05). CONCLUSIONS The level of occupational burnout in nurses and midwives appeared to be low. It has been revealed that such determinants as life satisfaction, job satisfaction and life orientation do not allow for developing an occupational burnout.
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Affiliation(s)
- Izabella Uchmanowicz
- Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland
| | - Stanisław Manulik
- Department of Nervous System Diseases, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland
| | - Katarzyna Lomper
- Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland
| | - Anna Rozensztrauch
- Department of Neonatology, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland
| | - Agnieszka Zborowska
- Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland
| | - Jolanta Kolasińska
- Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland
| | - Joanna Rosińczuk
- Department of Nervous System Diseases, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland
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Grigorescu S, Cazan AM, Grigorescu OD, Rogozea LM. The role of the personality traits and work characteristics in the prediction of the burnout syndrome among nurses-a new approach within predictive, preventive, and personalized medicine concept. EPMA J 2018; 9:355-365. [PMID: 30538787 PMCID: PMC6261904 DOI: 10.1007/s13167-018-0151-9] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2018] [Accepted: 10/09/2018] [Indexed: 12/14/2022]
Abstract
BACKGROUND The burnout syndrome is characterized by emotional exhaustion, depersonalization, and lack of personal accomplishment. It was identified in some professional categories, the most often being affected those in public health services. OBJECTIVES This study mainly aims to identify and analyze the value of the personality traits and work characteristics as predictive factors for the occurrence of the burnout syndrome in nurses, under the new approach of predictive, preventive, and personalized medicine. METHOD A total of 192 nurses were included in the study. The NEO-Five-Factor Inventory, the Copenhagen Burnout Inventory, and the Inventory of Nursing Work Characteristics were administered to all of the participants. RESULTS Some personality traits proved to be predictive factors for the occurrence of the burnout syndrome. Neuroticism, negative self-esteem, and negative emotionality predict burnout vulnerability. The negative correlations between sociability and the burnout dimensions show that the positive affectivity of the extraverted individuals and the strong positive orientation of the extraverts towards others are protective factors against burnout. There are also significant associations between certain personality traits and nursing work characteristics (work overload, the existence of problems in the department, and satisfaction in the professional and family life), which could be defined, also, as predictive factors for burnout. CONCLUSIONS This study confirms the influence of the Big Five personality traits and nursing work characteristics as predictive factors of the burnout occurrence, opening real possibilities to perform a targeted prevention and provide personalized interventions as organizational services.
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Affiliation(s)
- Simona Grigorescu
- Transilvania University of Brasov, 29, Eroilor Street, 500036 Brasov, Romania
- Emergency Clinical Children Hospital Brasov, 45, Nicopole Street, 500063 Brașov, Romania
| | - Ana-Maria Cazan
- Transilvania University of Brasov, 29, Eroilor Street, 500036 Brasov, Romania
| | - Ovidiu Dan Grigorescu
- Transilvania University of Brasov, 29, Eroilor Street, 500036 Brasov, Romania
- Emergency Clinical County Hospital Brasov, 25-27, Calea Bucuresti Street, 500326 Brașov, Romania
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Bhagavathula AS, Abegaz TM, Belachew SA, Gebreyohannes EA, Gebresillassie BM, Chattu VK. Prevalence of burnout syndrome among health-care professionals working at Gondar University Hospital, Ethiopia. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2018; 7:145. [PMID: 30596117 PMCID: PMC6282498 DOI: 10.4103/jehp.jehp_196_18] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/28/2018] [Accepted: 07/08/2018] [Indexed: 06/09/2023]
Abstract
BACKGROUND Due to exhaustive working climate, health-care professionals (HCPs) are highly exposed to emotional strain and work-related stress that leads to burnout syndrome (BOS). AIM We aimed to explore the prevalence of BOS among HCPs and delineate the factors that contribute to developing this emerging threat in HCPs working in Gondar University Hospital (GUH). METHODS A cross-sectional study was conducted among HCPs using a self-administered validated questionnaire containing sociodemographic and job characteristics, symptoms of burnout using Astudillo and Mendinueta questionnaire, and Maslach Burnout Inventory scale. The prevalence of BOS was assessed by summation of answers to all 19 items with a range of 0-57. HCPs who scored >23 were considered as burned out. Pearson's correlation analysis and multivariate logistic regression were used to assess the relationship between BOS and job factors. Data were analyzed using descriptive and inferential statistics. RESULTS A total of 250 HCPs were approached out of which 248 responded (response rate -99.2%). The overall prevalence of burnout was 13.7% and majority of the respondents experienced debility (52.8%), self-criticism (56%), and depressive symptoms (46%). BOS symptoms were significant with age (P = 0.008), number of patients treated per day (P < 0.001), and HCPs working in shifts (P < 0.001). Higher mean levels of emotional exhaustion (5.4 ± 1.2) and inefficacy (5.1 ± 1.7) were noticed than cynicism (4.8 ± 2.0). Male HCPs, being single and years of experience, were determinant factors for all the three dimensions of BOS, whereas profession was significantly determinant for emotional exhaustion (P < 0.01). CONCLUSION The prevalence of BOS among HCPs working in GUH was 13.7%. Being male, unmarried, and years of experience were significant risk factors for all the three dimensions of BOS. Pragmatic measures are recommended to prevent stressful challenges for the physical and mental well-being of the HCPs in GUH.
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Affiliation(s)
- Akshaya Srikanth Bhagavathula
- Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Tadesse Melaku Abegaz
- Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Sewunet Admasu Belachew
- Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Eyob Alemayehu Gebreyohannes
- Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Begashaw Melaku Gebresillassie
- Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Vijay Kumar Chattu
- Department of Paraclinical Sciences, Public Health Unit, Faculty of Medical Sciences, The University of the West Indies, St. Augustine, Trinidad and Tobago
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Karanikola M, Kaikoushi K, Doulougeri K, Koutrouba A, Papathanassoglou E. Perceptions of professional role in community mental health nurses: The interplay of power relations between nurses and mentally ill individuals. Arch Psychiatr Nurs 2018; 32:677-687. [PMID: 30201195 DOI: 10.1016/j.apnu.2018.03.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2017] [Revised: 02/20/2018] [Accepted: 03/11/2018] [Indexed: 01/01/2023]
Abstract
Nurses' professional role perception is related to the quality and safety of care. Limited data exist regarding professional role perception in community mental health nurses (CMHNs). The aim of the present study was to investigate the living experience of Greek-Cypriot CMHNs of their professional role. A phenomenological approach based on Munhall's methodology was applied. According to purposive sampling, five Greek-Cypriot CMHNs participated, following informed consent. The interplay of power relations between participants and mentally ill individuals during CMHNs' house calls was revealed as the core theme contributing to the perception of their status within their professional role. Participants' perception of their status as visitors in patients' homes rather than authoritative figures, an image held within hospital mental health services, was deemed as the greatest challenge of their professional role. Moreover, the necessity for autonomous and rapid decision-making during home visits was described as an absolute prerequisite for professional effectiveness. Overall, the main themes were grouped as follows: professional role perceptions, perception of self within professional role, feelings and expectations about professional role. Non-power relations between participants and patients, along with efficacy, control and adequate clinical autonomy for effective professional practice were highlighted as major prerequisites during house calls. Interventions towards nurses' psychosocial and organizational empowerment, as well as strengthening patients' self-determination are proposed.
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Affiliation(s)
- Maria Karanikola
- Department of Nursing, School of Health Sciences, Cyprus University of Technology, 15, Vragadinou str, 3041 Limassol, Cyprus.
| | - Katerina Kaikoushi
- Cyprus Mental Health Services, Cyprus University of Technology, Department of Nursing, School of Health Sciences, 54, Charalambou Mouskou, 5282 Paralimni, Cyprus.
| | - Karolina Doulougeri
- Eindhoven University of Technology, Department of Industrial Engineering & Innovation Sciences, Section of Philosophy & Ethics, 513, P.O. Box, 5600, MB, Eindhoven, The Netherlands.
| | - Anna Koutrouba
- Cyprus University of Technology, Department of Nursing, 46, Endimionos Str, P. Faliro, Athens, Greece.
| | - Ede Papathanassoglou
- Faculty of Nursing, University of Alberta, 5-262 Edmonton Clinic Health Academy (ECHA) & 4-130E Clinical Sciences Building, 11405-87th Ave., Edmonton, Alberta T6G 1C9, Canada.
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Torre M, Santos Popper MC, Bergesio A. Burnout prevalence in intensive care nurses in Argentina. ENFERMERIA INTENSIVA 2018; 30:108-115. [PMID: 30060919 DOI: 10.1016/j.enfi.2018.04.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2017] [Revised: 03/08/2018] [Accepted: 04/22/2018] [Indexed: 10/28/2022]
Abstract
PURPOSE Burnout syndrome among intensive care professionals has been widely documented internationally. Few studies address the incidence and prevalence in Latin America. And there are no validated studies about the situation in Argentina. Our goal was to determine burnout prevalence among intensive care nurses in Argentina and related risk factors. MATERIALS AND METHODS Online self-administered survey evaluating demographic variables and the Maslach Burnout Inventory in 486 critical care nurses between June and September 2016. RESULTS A percentage of 84.4 of participants show moderate or high levels of burnout syndrome (95% CI 80.8 to 87.4). No significant association was found between burnout and gender, age, years of practice, academic degree, role or multiplicity of jobs. There was no statistical difference in burnout prevalence among different types of populations of care (neonatal, paediatric or adult care). Nurse to patient ratios of 1:3 or higher was found to be a statistically significant risk factor for emotional exhaustion and depersonalization sub-scales (P=.002 and .0039, respectively). CONCLUSION More than 80% of nurses caring for critically ill patients in Argentina show moderate or high levels of burnout syndrome and this is related to a high nurse:patient ratio (1:3 or higher).
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Affiliation(s)
- M Torre
- Unidad de Cuidados Críticos, Hospital Dr. Emilio Ferreyra, Necochea, Buenos Aires, Argentina.
| | | | - A Bergesio
- Instituto de Matemática Aplicada, Universidad Nacional del Litoral, Santa Fe, Argentina
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Bazazan A, Dianat I, Rastgoo L, Zandi H. Relationships between dimensions of fatigue and psychological distress among public hospital nurses. Health Promot Perspect 2018; 8:195-199. [PMID: 30087842 PMCID: PMC6064747 DOI: 10.15171/hpp.2018.26] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2018] [Accepted: 05/20/2018] [Indexed: 12/02/2022] Open
Abstract
Background: Fatigue and psychological distress are fairly common among nursing personnel,but their relationship is not clearly understood. Methods: In this cross-sectional study, we investigated the relationships between dimensions of fatigue and psychological distress among 699 public hospital nurses in Iran. The Multidimensional Fatigue Inventory (MFI–20) and General Health Questionnaire (GHQ–12) were used for evaluation of fatigue and psychological distress, respectively. Results: The total fatigue score of the MFI–20 was 52.5 (SD = 11.8). The general fatigue (mean± SD = 13.2±3.1) and reduced motivation (mean ± SD = 9.2±2.7) were the fatigue dimensions with the highest and lowest mean scores, respectively. The percentage of psychological distress(e.g., those nurses scored above the cut-off point [GHQ–12 ≥ 4]) was 29.1%. Stepwise multiple linear regression analysis indicated that general (P<0.001), physical (P<0.001) and mental (P<0.001) aspects of fatigue were significantly related to the psychological distress, so that the scores of these fatigue dimensions were significantly higher for those nurses with a higher level of psychological distress (above the cut-off point) than those with a lower level of psychological distress (below the cut-off point). Conclusion: The results emphasize the need for multi-component interventions aimed at decreasing both mental and physical fatigue, and consequently reducing the psychological distress among this group of healthcare professionals.
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Affiliation(s)
- Ahmad Bazazan
- Department of Occupational Health and Ergonomics, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Iman Dianat
- Department of Occupational Health and Ergonomics, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Leila Rastgoo
- Department of Occupational Health and Ergonomics, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Hojat Zandi
- Department of Nursing, Shahid Beheshti University of Medical Sciences, Tehran, Iran.,Department of Health Safety and Environment (HSE), Shahid Beheshti University of Medical Sciences, Tehran, Iran
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FANG JB, ZHOU CF, HUANG J, QIU CJ. Psychometric Properties of the Chinese Version of the Occupational Fatigue Exhaustion/Recovery Scale: A Test in a Nursing Population. J Nurs Res 2018; 26:191-198. [DOI: 10.1097/jnr.0000000000000247] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Barbe T, Kimble LP, Rubenstein C. Subjective cognitive complaints, psychosocial factors and nursing work function in nurses providing direct patient care. J Adv Nurs 2017; 74:914-925. [PMID: 29148076 DOI: 10.1111/jan.13505] [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] [Accepted: 10/19/2017] [Indexed: 11/29/2022]
Abstract
AIMS The aim of this study was to examine relationships among subjective cognitive complaints, psychosocial factors and nursing work function in nurses providing direct patient care. BACKGROUND Cognitive functioning is a critical component for nurses in the assurance of error prevention, identification and correction when caring for patients. Negative changes in nurses' cognitive and psychosocial functioning can adversely affect nursing care and patient outcomes. DESIGN A descriptive correlational design with stratified random sampling. METHOD The sample included 96 nurses from the major geographic regions of the United States. Over 9 months in 2016-2017, data were collected using a web-based survey. Stepwise multiple linear regression analyses were used to examine relationships among subjective cognitive complaints, psychosocial factors and nursing work function. RESULTS Overall, participants reported minimal work function impairment and low levels of subjective cognitive complaints, depression and stress. In multivariate analyses, depression was not associated with nurses' work function. However, perceived stress and subjective concerns about cognitive function were associated with greater impairment of work function. CONCLUSION Nurses experiencing subjective cognitive complaints should be encouraged to address personal and environmental factors that are associated with their cognitive status. Additionally, stress reduction in nurses should be a high priority as a potential intervention to promote optimal functioning of nurses providing direct patient care. Healthcare institutions should integrate individual and institutional strategies to reduce factors contributing to workplace stress.
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Affiliation(s)
- Tammy Barbe
- Georgia Baptist College of Nursing, Mercer University, Atlanta, GA, USA
| | - Laura P Kimble
- Georgia Baptist College of Nursing, Mercer University, Atlanta, GA, USA
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Psychosocial Work Hazards, Self-Rated Health and Burnout: A Comparison Study of Public and Private Sector Employees. J Occup Environ Med 2017; 60:e193-e198. [PMID: 29135836 DOI: 10.1097/jom.0000000000001233] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
OBJECTIVES To compare psychosocial work conditions and health status between public and private sector employees and to examine if psychosocial work conditions explained the health differences. METHODS Two thousand four hundred fourty one public and 15,589 private sector employees participated in a cross-sectional survey. Psychosocial work hazards, self-rated health (SRH), and burnout status were assessed by questionnaire. RESULTS As compared with private sector employees, public sector employees reported better psychosocial work conditions and better SRH, but higher risk of workplace violence (WPV) and higher levels of client-related burnout. Regression analyses indicated that higher psychosocial job demands, lower workplace justice, and WPV experience were associated with poor SRH and higher burnout. The public-private difference in client-related burnout remained even with adjustment of psychosocial work factors. CONCLUSION Greater risks of WPV and client-related burnout observed in public sector employees warrant further investigation.
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Exploration of the Association between Nurses' Moral Distress and Secondary Traumatic Stress Syndrome: Implications for Patient Safety in Mental Health Services. BIOMED RESEARCH INTERNATIONAL 2017; 2017:1908712. [PMID: 29209622 PMCID: PMC5676344 DOI: 10.1155/2017/1908712] [Citation(s) in RCA: 42] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/01/2017] [Revised: 08/26/2017] [Accepted: 09/26/2017] [Indexed: 11/18/2022]
Abstract
Work-related moral distress (MD) and secondary traumatic stress syndrome (STSS) may be associated with compromised health status among health professionals, reduced productivity, and inadequate safety of care. We explored the association of MD with the severity of STSS symptoms, along with the mediating role of mental distress symptoms. Associations with emotional exhaustion and professional satisfaction were also assessed. This cross-sectional survey conducted in 206 mental health nurses (MHNs) was employed across public sector community and hospital settings in Cyprus. The analysis revealed that MD (measured by the modified Moral Distress Scale) was positively associated with both STSS (measured by the Secondary Traumatic Stress Scale) and mental distress symptoms (assessed by the General Health Questionnaire-28). The association of MD with STSS symptoms was partially mediated by mental distress symptoms. This association remained largely unchanged after adjusting for gender, age, education, rank, and intention to quit the job. Our findings provide preliminary evidence on the association between MD and STSS symptomatology in MHNs. Situations that may lead health professionals to be in moral distress seem to be mainly related to the work environment; thus interventions related to organizational empowerment of MHNs need to be developed.
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Cai S, Lin H, Hu X, Cai YX, Chen K, Cai WZ. High fatigue and its associations with health and work related factors among female medical personnel at 54 hospitals in Zhuhai, China. PSYCHOL HEALTH MED 2017; 23:304-316. [PMID: 28778141 DOI: 10.1080/13548506.2017.1361038] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
The present study aimed to investigate the prevalence of fatigue and determine factors associated with fatigue in female medical personnel. Based on a cross-sectional study, a total of 1608 female medical personnel at 54 hospitals in Zhuhai, China were recruited by a multistage stratified cluster sampling method. The Symptoms Checklist-90-Revised and Chalder Fatigue Scale were used to assess psychiatric symptoms and fatigue, respectively. Data regarding demographic, health, and work related variables were also collected. Multivariate logistic regression model was constructed to determine the influencing factors of fatigue. Approximately 83% of participants had experienced fatigue in the past week. The risk of fatigue was higher in aged 30-39 years old than older or younger participants; Longer sleeping time predicted a lower prevalence of fatigue (OR = .35), while tense physician-patient relationship predicted a higher prevalence of fatigue (OR = 1.77). Depression (OR = 1.76) and anxiety (OR = 1.96) were found related to fatigue. Additionally, fatigue was associated with marital status, occupation, health related factors (exercise, regular diet, and health status), and work related factors (hospital rank and turnover intention). These study findings might facilitate development and implementation of targeted interventions and preventive measures.
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Affiliation(s)
- Shu Cai
- a Shenzhen Hospital of Southern Medical University , Shenzhen , China.,b School of Nursing , Guangdong Pharmaceutical University , Guangzhou , China
| | - Hong Lin
- c Phoenix International Medical Center , The Fifth Affiliated Hospital of SUN YAT-SEN University , Zhu Hai , China
| | - Xuan Hu
- a Shenzhen Hospital of Southern Medical University , Shenzhen , China
| | | | - Ken Chen
- b School of Nursing , Guangdong Pharmaceutical University , Guangzhou , China
| | - Wen-Zhi Cai
- a Shenzhen Hospital of Southern Medical University , Shenzhen , China
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Matsugaki R, Kuhara S, Saeki S, Jiang Y, Michishita R, Ohta M, Yamato H. Effectiveness of workplace exercise supervised by a physical therapist among nurses conducting shift work: A randomized controlled trial. J Occup Health 2017; 59:327-335. [PMID: 28638000 PMCID: PMC5557819 DOI: 10.1539/joh.16-0125-oa] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2016] [Accepted: 04/27/2017] [Indexed: 02/06/2023] Open
Abstract
OBJECTIVES This study aimed to evaluate the effectiveness of supervised exercise among nurses conducting shift work for health promotion. METHODS A total of 30 healthy female nurses conducting shift work participated in this study and they were randomly assigned to one of the following 2 groups: The supervised exercise group (SG; participants exercised under the supervision of a physical therapist (PT)) and the voluntary exercise group (VG; participants exercised without supervision). The study participants were asked to exercise twice/week for 12 weeks for 24 sessions. The primary outcome was aerobic fitness, and the secondary outcomes were muscle strength, anthropometric data, biochemical parameters, and mental health. We compared all the outcomes before and after the intervention within each group and between both groups at follow-up. RESULTS Aerobic fitness increased in the SG whereas it decreased in the VG, but these changes were not statistically significant (p=0.053 and 0.073, respectively). However, the between-group difference was significant in the intervention effect (p=0.010). Muscle strength, high-density lipoprotein cholesterol and metabolic profile (high-molecular weight adiponectin), and depressive symptom significantly improved in the SG over time, even though the SG exercised less as compared with the VG. Moreover, significant differences in muscle strength, and low-density lipoprotein cholesterol and reactive oxygen metabolite levels were observed between both groups, and these parameters were better in the SG than in the VG. CONCLUSIONS Our data-suggest the effectiveness of exercise supervised by a PT at the workplace of nurses conducting shift work for health promotion.
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Affiliation(s)
- Ryutaro Matsugaki
- Rehabilitation Center of University Hospital, University of Occupational and Environmental Health
- Department of Health Development, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health
| | - Satoshi Kuhara
- Rehabilitation Center of University Hospital, University of Occupational and Environmental Health
- Department of Health Development, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health
| | - Satoru Saeki
- Department of Rehabilitation Medicine, University of Occupational and Environmental Health
| | - Ying Jiang
- Department of Health Development, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health
| | - Ryoma Michishita
- Department of Health Development, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health
| | - Masanori Ohta
- Department of Food and Health Sciences International College of Arts and Sciences, Fukuoka Women's University
| | - Hiroshi Yamato
- Department of Health Development, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health
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Active Intervention Can Decrease Burnout In Ed Nurses. J Emerg Nurs 2017; 43:145-149. [DOI: 10.1016/j.jen.2016.07.011] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2015] [Revised: 05/24/2016] [Accepted: 07/25/2016] [Indexed: 11/19/2022]
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Luan X, Wang P, Hou W, Chen L, Lou F. Job stress and burnout: A comparative study of senior and head nurses in China. Nurs Health Sci 2017; 19:163-169. [PMID: 28139874 DOI: 10.1111/nhs.12328] [Citation(s) in RCA: 42] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2016] [Revised: 11/26/2016] [Accepted: 12/01/2016] [Indexed: 12/01/2022]
Abstract
Senior nurses can suffer from high job stress and burnout, which can lead to negative patient outcomes and higher turnover rates; however, few studies have examined this topic. We recruited 224 head and senior nurses from September to December 2015 using convenience and cluster sampling, to compare job stress and burnout levels between the two groups. The Nurse Job Stressors Inventory and Maslach Burnout Inventory scales were used to evaluate job stress and burnout, respectively. Results indicated that job stress scores significantly differed between head and senior nurses. The highest scoring subscales in both groups were time allocation and workload problems. Scores for the three burnout dimensions also significantly differed between the groups. Positive correlations between job stress and burnout were stronger among senior nurses than head nurses. Burnout may be higher among senior nurses given head nurses' potential for greater perceived job control. Our findings suggest that measures need to be taken to reduce burnout and turnover rates among senior nurses.
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Affiliation(s)
- Xiaorong Luan
- School of Nursing, Shandong University, Jinan, Shandong, China.,Nursing Department, Qilu Hospital of Shandong University, Jinan, Shandong, China
| | - Ping Wang
- Nursing Department, Qilu Hospital of Shandong University, Jinan, Shandong, China
| | - Wenxiu Hou
- Nursing Department, Qilu Hospital of Shandong University, Jinan, Shandong, China
| | - Lili Chen
- School of Nursing, Shandong University, Jinan, Shandong, China
| | - Fenglan Lou
- School of Nursing, Shandong University, Jinan, Shandong, China
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Bougea A, Kleisarchakis MK, Spantideas N, Voskou P, Thomaides T, Chrousos G, Belegri SA. Job stress and burnout in the care staff of Leros PIKPA Asylum 25 years after the first Deinstitutionalisation and Rehabilitation Greek Project. BJPsych Bull 2016; 40:296-301. [PMID: 28377806 PMCID: PMC5353518 DOI: 10.1192/pb.bp.115.052258] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Aims and method To identify correlates between burnout and job stress of care staff at Leros PIKPA Asylum. Forty-nine asylum employees were assessed by Maslach's Burnout Inventory, a sociodemographic questionnaire, the Perceived Stress Scale and the Job Content Questionnaire. Results Emotional exhaustion is related negatively to social support (P = 0.010, r = -0.362). Lack of job achievements is related positively to overall job responsibility (P = 0.040) and negatively to lack of job satisfaction (r = -0.430). Depersonalisation was negatively associated with support from superiors (P = 0.036). Employees with high levels of perceived stress reported higher levels of fatigue (P = 0.050). Positive associations of perceived stress with depression (P = 0.011) and sleep problems (P<0.001) were also detected. Positive correlation was found between monthly salary and lack of sense of personal achievement (P = 0.020). Clinical implications It is necessary to address these issues through staff education and stress management.
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Affiliation(s)
- Anastasia Bougea
- First Department of Neurology, School of Medicine, University of Athens, Athens, Greece
| | | | | | - Panagiota Voskou
- First Department of Neurology, School of Medicine, University of Athens, Athens, Greece
| | | | - George Chrousos
- First Department of Pedicatrics, School of Medicine, University of Athens, Athens, Greece
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Sagherian K, Clinton ME, Abu-Saad Huijer H, Geiger-Brown J. Fatigue, Work Schedules, and Perceived Performance in Bedside Care Nurses. Workplace Health Saf 2016; 65:304-312. [DOI: 10.1177/2165079916665398] [Citation(s) in RCA: 58] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Hospital nurses are expected to maintain optimal work performance; yet, fatigue can threaten safe practice and result in unfavorable patient outcomes. This descriptive cross-sectional study explored the association between fatigue, work schedules, and perceived work performance among nurses. The study sample included 77 bedside nurses who were mostly female, single, and between 20 and 29 years of age. The majority worked 8-hour shifts and overtime. Nurses who worked during off days reported significantly higher chronic fatigue compared with those nurses who took time off. Nurses who reported feeling refreshed after sleep had significantly less chronic and acute fatigue and more intershift recovery. Nurses with acute and chronic fatigue perceived poorer physical performance. Also, nurses who reported chronic fatigue perceived they were less alert and less able to concentrate when providing patient care. Less effective communication was also associated with acute and chronic fatigue. In conclusion, fatigue has safety implications for nurses’ practice that should be monitored by nursing management.
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Doulougeri K, Georganta K, Montgomery A. “Diagnosing” burnout among healthcare professionals: Can we find consensus? COGENT MEDICINE 2016. [DOI: 10.1080/2331205x.2016.1237605] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Affiliation(s)
- Karolina Doulougeri
- Department of Educational and Social Policy, University of Macedonia, Egnatias 156, 546 36 Thessaloniki, Greece
| | - Katerina Georganta
- Department of Educational and Social Policy, University of Macedonia, Egnatias 156, 546 36 Thessaloniki, Greece
| | - Anthony Montgomery
- Department of Educational and Social Policy, University of Macedonia, Egnatias 156, 546 36 Thessaloniki, Greece
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Abstract
There has been a lack of consensus in the literature related to the conceptualization, definition, and measurement of hospital nurse fatigue. Using latent profile analysis, the Hospital Nurse Force Theory provided a conceptual format to identify 3 profiles of nurse fatigue from subjective reports of hospital patient care nurses in a survey cohort. All fatigue and adaptation variables demonstrated significant inverse relationships. Describing nurse fatigue in profiles that include measures of acute, chronic, physical, and mental fatigue dimensions provided a new and expanded view of nurse fatigue to monitor trends comprehensively and evaluate fatigue risk management strategies.
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