Burnout and Its Influencing Factors among Hospital Nurses: A Cross-Sectional Study

Abstract

Objectives: This study identified the associated factors with burnout among hospital nurses. Methods: In this cross-sectional correlational study, 208 nurses working at two university hospitals completed questionnaires on burnout, conflict management style with physician, resilience and organizational commitment. A transformed standardized burnout score of ≥56 was defined to be high. Data were analyzed with χ²-test, Mann-Whitney U test, Pearson correlation analysis and logistic regression.Results: Fifty-nine nurses (28.4%) had a significantly high burnout. The mean T scores of burnout were 61.84±3.89 and 45.31±7.48 in the high and low burnout group. The mean scores of resilience were 3.26±0.35 and 3.70±0.37 in the high and low group (<i>p</i><0.001). The mean scores of organizational commitment were 2.51±0.48 and 3.30±0.51 in the high and low group (<i>p</i><0.001). Nurses with high burnout managed conflict with physicians using the styles of collaboration (20.9%), competition (36.2%), avoidance (30.8%), accommodation (33.3%), and compromise (20.9%). Higher burnout was correlated with lower resilience (r=-0.62, <i>p</i><0.001) and lower organizational commitment (r=-0.58, <i>p</i><0.001). Lower burnout was associated with higher accommodation conflict management (B=-1.14, OR: 3.13, 95% CI: 1.11-8.85), higher dispositional and higher philosophical resilience (B=-1.31, OR: 3.72, 95% CI: 1.44-9.62; B=-2.29, OR: 9.90, 95% CI: 3.80-25.64). Lower burnout was associated with higher continuance of organizational commitment (B=-1.23, OR: 3.41, 95% CI: 1.80-6.49).Conclusions: Supportive strategies to enhance resilience, organizational commitment, and proper conflict management could be suggested for ameliorating burnout among hospital nurses.