Abstract
Burnout remains a huge public health problem among nurses. A cross-sectional descriptive study assessed 259 nurses from two Neuropsychiatric hospitals in Nigeria. Data was collected using a sociodemographic/ job related questionnaire, the Maslach Burnout Inventory (MBI), and the Short-Form health survey (SF-12). The associations between sociodemographic characteristic and burnout was anaysed using Chi square test, between burnout and quality of life using Spearman correlation statistics. Predictors of burnout were determined using binary regression analysis. Prevalence of emotional exhaustion (EE) was 44.4%, depersonalization (DEP) 31.7% and reduced personal accomplishment was 98.8%. Predictors of EE were: poor funding from management, OR = 0.38 (95% CI 0.15-0.95) and role conflict, OR = 2.44 (95% CI 1.03-5.78), while the predictors of DEP, were age group, 31-40 years, OR = 0.37 (95% CI 0.18-0.77), male gender, OR = 2.55 (95% CI 1.40-4.65), role conflict, OR = 6.53 (95% CI 0.88-7.81) and working at more urban city, OR = 3.07 (95% CI 1.54-6.16). The mean total Quality of life (QOL) scores were significantly higher among respondents who had no EE and DEP p < 0.001. Burnout is high among mental health nurses and is associated with poor quality of life.
Highlights
The mental health of nurses is important because of the high level of stress experienced by nurses during their clinical, research, and or administrative work leading to the syndrome of burnout. 1, 2 For example, recently, nurses have had to engage in tedious patients care, yet they have to navigate a rapidly expanding nursing knowledge base, attend to more onerous maintenance of certification requirements and face an unprecedent-African Health SciencesAfrican Health Sciences, Vol 21 Issue 3, September, 2021A 2001 study reported that 43% of nurses in United States hospitals had emotional exhaustion, while 37% providing direct patient care in nursing homes and 33% of hospital nurses had burnout.[5]
emotional exhaustion (EE) was more prevalent in men X2 = 13.3, p < 0.001, among nurses who were running shift X2 = 9.4, p < 0.001, and among nurses working at FNPHA X2 = 6.06, p = 0.01
The 44.4% who reported EE in our study is marginally higher than the 43% who reported EE among a sample of nurses working in the United States, while the 31.7% who reported for DEP was lower than the 37% reported for nurses providing direct patient care in nursing homes in the US.[5]
Summary
The mental health of nurses is important because of the high level of stress experienced by nurses during their clinical, research, and or administrative work leading to the syndrome of burnout. 1, 2 For example, recently, nurses have had to engage in tedious patients care, yet they have to navigate a rapidly expanding nursing knowledge base, attend to more onerous maintenance of certification requirements and face an unprecedent-African Health SciencesAfrican Health Sciences, Vol 21 Issue 3, September, 2021A 2001 study reported that 43% of nurses in United States hospitals had emotional exhaustion, while 37% providing direct patient care in nursing homes and 33% of hospital nurses had burnout.[5]. Several factors have been reported to be associated with burnout among nurses, and these include age of the nurse, gender, years of service, designation of the nurse and inadequate personnel.[11] Others are difficult or demanding patients, inadequate clinical supervision, nurse/nurse conflict, shift duty,[12] lack of support from the management,[2] excess workload, unevaluated work, underpayment, leadership style, conflicts with physicians,[13] lack of social support, presence of stressors related to private life and job insecurity.[10] The issue of burnout in Nigeria is worrisome, given the serious shortage of nurses in the country.
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