Occurrence of Professional Burnout and Severity of Depressive Symptoms among Cardiac Nurses: A Cross-Sectional Study.

Anna Larysz,Izabella Uchmanowicz,Anna Prokopowicz,Michał Zakliczyński

doi:10.3390/ijerph182212038

Anna Larysz, Izabella Uchmanowicz + Show 2 more

Open Access

https://doi.org/10.3390/ijerph182212038

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Abstract

Nurses with depression are not only likely to suffer themselves, but it may have an impact on their coworkers and potentially the quality of care they provide. This study aimed to determine the prevalence of depression and its association with burnout in cardiac nurses. A group of 400 cardiac nurses (361 women and 39 men) was enrolled. The standardized tools such as Maslach Burnout Inventory (MBI), Beck Depression Inventory (BDI), and Patient Health Questionaire-9 (PHQ-9) were used. A high level of professional burnout regarding emotional exhaustion was observed in 53.3% of nurses, high depersonalization in 52.5%, and low personal accomplishment in 72.8%. PHQ-9 and BDI were shown to correlate significantly and positively with all three MBI subscales (p < 0.05). High depressive symptoms and occupational burnout were correlated with depression (p < 0.05). In conclusion, nurses were found to have high levels of depression and professional burnout, which may have resulted in a negative impact on the quality of patient care. Identification of burnout in cardiac nurses is necessary to consider interventions to prevent stress and depression.

Highlights

As defined by Maslach and Jackson [1] professional burnout is attributed to the phenomenon of “psychological emotional exhaustion, depersonalization, and a diminished sense of personal accomplishment that occurred among various professionals who work with other people in challenging situations”
A study conducted in the United States in 2001–2003 by The National Comorbidity Survey Replication (NCS-R) on a representative sample of 9282 adults revealed the prevalence of mood disorders throughout life at 20.8%; major depression occurred at any point in life in 16.6% of the adult participants, dysthymia in 2.5%, and bipolar disorder in 3.9%. [40]
This study demonstrated that the depressive symptoms (33% mild depression, 16.8% moderate depression, and moderately severe depression 6.5% measured with Patient Health Questionaire-9 (PHQ-9) and mild depression 11.3%, moderate depression 6% measured with Beck Depression Inventory (BDI)) among cardiac nurses was common and these data are consistent with research by other scientists [44,45,46]

Summary

Introduction

As defined by Maslach and Jackson [1] professional burnout is attributed to the phenomenon of “psychological emotional exhaustion, depersonalization, and a diminished sense of personal accomplishment that occurred among various professionals who work with other people in challenging situations”. The extent of occupational burnout among health professionals is usually reported at moderate to high levels, and it is widely believed that the risk of burnout in this department is higher than in the general working population [3]. The exhaustion component represents the fundamental individual dimension of burnout. This is followed by a cynical treatment of the mentees, which leads to a greater distance from patients. There is a sense of lack of competence, lack of selfesteem, and lack of professional satisfaction [4].

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