Burnout In Nurses Research Articles

Healing the Healers: Prioritizing the Mental Support for Nurses

The demand of qualified nurses is growing worldwide which has made nursing a highly sought-after profession. This profession is revered for its unwavering dedication to healing and support, and stands as a beacon of compassion and care. Yet, there are various challenges that often go unnoticed behind the scenes of this noble vocation, the most disregarded is the mental health struggles faced by nurses. Despite this profession being auspicious, its burden can take a toll on the mental well-being of nurses. However, it is seen as stigma that the people who heal others also need healing. Nurses navigate the complexities of patient care and are the embodiment of resilience and selflessness. On the daily basis, they witness pain, triumph and loss, and shoulder the emotional weight of the patients as well. Moreover, it is often required from them to work irregular hours and rotating shifts, which may include nights, weekends and holidays, which not only disrupts sleep patterns but also makes it challenging for them to maintain work life balance straining personal relationships. These negative aspects can cumulatively result in professional burnout and dissatisfaction in nurses. It may worsen the mental health of nursing leading them to leave the profession altogether. Unfortunately, this issue is not appropriately addressed making it a pervasive stigma in the profession. Nurses are often seen as strong and resilient but it creates a perception that nurses should be able to handle any mental or emotional stress themselves. If the nurses admit vulnerability and seek help, it is viewed as sign of weakness. In addition, nurses fear judgement and the negative opinions of the colleagues who perceive them as incompetent, unreliable, or unfit for duty. Moreover, unfavorable health care settings, such as understaffing, high workload, and limited resources may contribute to the mental health support being viewed as a luxury and inconvenience rather than a legitimate need. These notions hinder the open dialogue and impede access to much needed support. It is imperative that the stakeholders within the healthcare system exert efforts to address the challenges faced by nurses regarding mental. We need to acknowledge and recognize that the arduousness of the nursing profession and how it affects the mental well-being of nurses. The organizations should prioritize mental health of their practitioners by offering them resources such as counseling services and peer support networks. The stigma surrounding mental health needs to be shattered so that an environment can be fostered where nurses feel safe and are supported in their time of vulnerability. Only then can we ensure that auspicious nature of nursing shines brighter than ever before and illuminate a path of healing for healers as well.

AN EXAMINATION OF NURSES’ BURNOUT REASONS: DELPHI AND SWARA METHODS

This study aims to determine the factors that cause burnout in nurses, who are critical stakeholders in health service delivery, and to prioritize these factors. For this purpose, Delphi and SWARA methods were used. The research was conducted in a private hospital serving Black Sea Region Türkiye. 10-unit manager nurses who are experts in their fields participated in the Delphi method. As a result of the three-stage Delphi implementation, 16 burnout causes were determined. The 16 identified causes were prioritized with the SWARA method. 47 nurses participated in the SWARA method. As a result of the research, it was determined that the most critical reason for burnout was not being able to get money for the work done/low salary. It was concluded that obscure patient relatives were the least important cause of burnout. It is thought that the financial and moral reward of nurses who work hard will be beneficial. It may be suggested to make satisfactory remuneration for the labor and service provided or to support and increase the raw wage with various contributions. It can be suggested to raise awareness among nurses about burnout and coping.

Retracted: Video-Assisted Health Education Promotes Rehabilitation Training of Total Knee Arthroplasty Patients and Reduces Stress and Burnout in Nurses Compared to Oral Education.

[This retracts the article DOI: 10.1155/2021/5058899.].

Associations Among Social Jet Lag, Sleep-Related Characteristics, and Burnout of Nurses in Tertiary Hospitals.

To investigate the status of social jet lag (SJL) through sociodemographic factors among clinical nurses and examine the correlation with burnout. There has been relatively little research on the possible factors resulting in SJL among nurses in China and its role in burnout. A multicenter cross-sectional study recruited 596 nurses from 7Chinese hospitals. Online questionnaires were delivered to assess sociodemographics, shift work, SJL, chronotypes, and the burnout of nurses. Nurses had severe levels of SJL. The number of children, forms of employment, specialty area, length of professional service, and chronotypes were the main predictors of SJL. Moreover, SJL affected burnout (emotional exhaustion and deindividuation), and reducing the nurses' SJL could relieve their burnout. Additional evidence-based interventions indicate that reducing the SJL is essential as the nurses are suffering severe job burnout.

Comparison of the Effect of Yoga and Aerobic Exercise on Nurses' Burnout: A Randomized Controlled Trial

Background: There is evidence of yoga and aerobic exercises as an effective therapy for nurse burnout; however, these methods have yet to be compared. Objectives: This study aimed to compare the effects of yoga and aerobic exercises on burnout among nurses. Methods: This was a randomized controlled trial with a pre-test and post-test design. The study was conducted in two medical and educational hospitals in the south of Iran (February 2019 to April 2019). A total of 81 female nurses were randomized to yoga (n = 27), aerobics (n = 27), and control (n = 27) groups. In this study, 24 sessions of yoga and aerobic practices were run. The Maslach Burnout Inventory was filled out before the intervention, immediately after, and one month later. The data were analyzed using IBM SPSS software 16.0. Shapiro test, analysis of variance (ANOVA) test, chi-square test, Friedman test, and Kruskal-Wallis one-way analysis test were used to analyze the data. Results: A total of 71 participants remained and continued the study, and 56% were married. The participants’ mean age and mean work history were 35.78 ± 3.94 and 11.65 ± 5.10 years, respectively. The mean of overtime work in the month was 35.67 ± 23.85 hours. There were no significant differences between the three groups before intervention (T0) and one month after intervention (T2), although the mean scores of the aerobic and yoga groups were reduced, compared to the control group. Immediately after intervention (T1), a significant difference was observed in emotional exhaustion (P = 0.007, Df = 2, Kruskal-Wallis x2 = 10.016, size effect = 0.95 - 2.26). The mean score of emotional exhaustion in the yoga group (23.13 ± 4.13) was reduced compared to the aerobic (36.00 ± 5.65) and control (38.44 ± 10.96) groups. Conclusions: Both yoga and aerobics reduced burnout, compared to the control group. Yoga was better than aerobics in the emotional exhaustion dimension. Although further research is needed to compare these two interventions, using each of them can reduce the burnout of nurses. Nursing managers can use yoga as an effective method to reduce job burnout. For future research, it is suggested to use other yoga techniques with longer intervention time and long-term follow-up.

COVID-19 pandemic: Emotional burnout in nurses (3 years later).

Introduction. During the COVID-19 pandemic, crises occurred in various spheres of life – health, politics, economics, education, etc. Medical staff turned out to be a more vulnerable category in terms of the risk of developing emotional burnout. The various problems that the doctors had to face contributed to a huge increase in workload, as well as increased susceptibility to burnout and stress. The aim of the study is to investigate the emotional burnout of COVID nurses in hospitals, polyclinics and hospitals 3 years after the COVID-19 pandemic. Material and methods. To achieve the purpose of the study, a survey and analysis were conducted among nurses who worked in the “red zone” of COVID hospitals (n=73); polyclinic nurses (n=78) and nurses of multidisciplinary hospitals (n=77), as well as the control group (n=79). To study the burnout syndrome, the Maslach Burnout questionnaire was used and a questionnaire was conducted, which allowed us to assess the attitude of nursing staff to the situation 3 years after the COVID-19 pandemic. The processing of the obtained data was carried out using the statistical package “Statistica”. Results. It was revealed that nurses who worked in the “red zone” in COVID hospitals, their colleagues from polyclinics and multidisciplinary hospitals, according to the results of the study, have increased indicators of emotional burnout. COVID hospital nurses have significantly higher characteristics of “occupational exhaustion” and “depersonalization” compared to hospital nurses (p≤0.001) and outpatient nurses (p≤0.001). It should be noted that the nurses of COVID hospitals have a significantly lower indicator of “reduction of personal achievements” compared to the nurses of multidisciplinary hospitals and outpatient clinics. Risk factors that affect the psychological health and emotional burnout of nurses during the COVID-19 pandemic have been identified: changes in the organization of work, the risk of infection and social isolation. Conclusions. The study revealed that all three groups have increased characteristics of professional burnout. Thus, COVID hospital nurses have significantly higher rates of “professional exhaustion”, “depersonalization” and low values of the indicator “reduction of personal achievements”, compared with colleagues in multidisciplinary hospitals and outpatient clinics, even after 3 years. The treatment of patients with COVID-19 exposes physicians to specific risk factors associated with the care of infected patients, with significant changes in the organization of work, as well as safety-related aspects that contribute to increased stress and emotional burnout.

Alterations of functional brain activity and connectivity in female nurses working on long-term shift.

To investigate the alterations of functional brain activity and connectivity in female nurses working on long-term shifts and explore their correlations with work-related psychological traits. An exploratory cross-sectional study. Thirty-five female nurses working on long-term shifts (shift nurses) and 35 female nurses working on fixed days (fixed nurses) were enrolled. After assessing the work-related psychological traits, including burnout, perceived stress, anxiety, and depression of nurses, the fractional amplitude of low-frequency fluctuations (fALFF) and region of interest (ROI)-based functional connectivity (FC) analyses were performed to investigate the differences of brain spontaneous activity and functional connectivity between these two groups of nurses. Thereafter, correlations between the functional brain parameters (fALFF and FC) and clinical metrics were investigated among the shift nurses. Compared to fixed nurses, shift nurses had higher burnout, perceived stress and depression scores, lower fALFF in the right dorsolateral prefrontal cortex (dlPFC), left and right superior parietal lobule (SPL), bilateral anterior cingulate cortex (ACC), and higher fALFF in the right superior/middle temporal gyrus, as well as decreased FC between the right dlPFC (the selected ROI) and bilateral ACC, left and right inferior frontal/orbitofrontal gyrus (IFG/IOFG), right SPL, and left middle occipital gyrus (voxel-level p < 0.001, cluster level p < 0.05, GRF correction). Correlation analyses demonstrated that the fALFF value of the right dlPFC was significantly correlated with the burnout and anxiety scores, the FC value of the right dlPFC-right SPL was correlated with the perceived stress and burnout scores, the FC value of the right dlPFC-right IFG/IOFG was correlated with the burnout score in shift nurses (p < 0.05). Shift nurses had work-related altered functional activity and connectivity in the right frontoparietal network, which provided objective and visualised evidence to clarify the hazards of long-term shift work on female nurses. Seventy nurses participated deeply as subjects in this study. These findings are expected to draw managers' attention to the harmful influences of shift work on nurses.

Association between body mass index and burnout among nurses in China: a cross-sectional study

ObjectivesBody mass index (BMI) can affect an individual’s health. The night shift is a characteristic of the nursing profession, which is associated with an abnormal BMI. However, few studies have...

Explaining the Experiences of Operating Room Nurses From Surgery of Patients With Blood-Borne Diseases: A Phenomenological Study

Background: Operating room nurses are exposed to blood-borne diseases, so it is important to examine their experience to prevent possible injuries. Based on this, the present study was conducted with the aim of explaining the experience of operating room nurses in the surgery of patients with blood-borne diseases. Methods: The research design is a descriptive phenomenological study. Sampling was performed purposefully, and participants were selected based on the inclusion and exclusion criteria. Data were collected using semi-structured oral interviews and then analyzed using Colaizzi’s method. Results: In this study, data were obtained through interviews with 15 operating room nurses. As a result of data analysis, 5 main themes and 16 sub-themes were identified, including a tense role, respect for patients’ privacy, functional compatibility, desire to have an experienced team, and the heroic feeling. Conclusion: Nurses experience negative and positive emotions while attending the surgery of the mentioned patients. In order to increase the quality of care and reduce burnout of nurses, these feelings should be paid attention to.

The Relationship Between Occupational Burnout and Negative Affective Responses of Nurses During the Public Health Crisis

Background: Long-term exposure of nurses to coronavirus disease 2019 (COVID-19) and the lack of necessary and sufficient facilities to deal with the disease have had significant negative effects on their occupational and mental health. Objectives: The present study aimed to investigate the association between occupational burnout and negative affective responses, including depression, anxiety, and stress, in nurses during the recent pandemic. Methods: A total of 270 nurses who worked at Razi hospital, one of the principal referral hospitals for COVID-19 patients in the northern province of Guilan, Iran, throughout 2021 - 2022, were included in this study. These nurses were selected using convenience sampling and were assigned to one of three wards: COVID-19 (n = 43), emergency (n = 55), or other wards (n = 172). In addition to providing their sociodemographic information, the participants completed two assessments: The Maslach Burnout Inventory-Human Services Survey (MBI-HSS) and the Depression, Anxiety, and Stress Scales-42 (DASS-42). Results: The correlation matrix showed that all MBI-HSS and DASS-42 scores, except in one case, had a positive correlation with each other (P &lt; 0.0001). In the multiple analysis of variance, gender (P = 0.17), education (P = 0.005), hospital ward (P = 0.048), social support (P = 0.001), family support (P &lt; 0.0001), financial support (P = 0.01), occupational satisfaction (P = 0.044), social respect (P &lt; 0.0001), history of death in the family (P = 0.006) and relatives (P = 0.043), and having a child in primary school age (P = 0.04) created a significant difference in MBI-HSS and DASS-42 scores. Conclusions: In general, nurses tend to be considerably affected by the negative effects of the recent public health crisis, especially occupational burnout, and it is necessary to make arrangements to improve their mental health and reduce the level of occupational burnout in them.

Effect of Telenursing Training on Job Burnout in Nurses with a History of COVID-19

Introduction: The Corona epidemic has aggravated the stressful factors on health care systems; in this case, health care workers suffer from job burnout. It is better to use remote psychotherapy methods and appropriate treatment protocols. n this study, the researchers aimed to investigate the impact of telenursing training on job burnout in nurses who had previously contracted COVID-19.Material and Methods: This research employed a quasi-experimental design with a pre and post-test group comparison. It involved two groups, each consisting of 20 nurses who had experienced COVID-19 and exhibited high levels of job burnout. The data collection tool was the Maslach Burnout questionnaire along with demographic information. Both groups completed these questionnaires before the intervention. The experiment group underwent a telenursing training intervention conducted through WhatsApp, consisting of five sessions at five-day intervals. The training encompassed various teaching methods, such as explanatory text, PowerPoint presentations, and audio files. The control group did not receive any intervention. After 20 days from the completion of the training sessions, both groups retook the job burnout questionnaire.Results: The independent t-tests showed no significant difference in burnout level and severity between experiment and control groups before the intervention (p&gt;0.05). However, after telenursing training in the experiment group, the average scores for burnout level and severity were significantly different between experiment and control groups (p&lt;0.001), which indicates a positive effect of telenursing training on all dimensions of job burnout, including emotional exhaustion, dysfunction, depersonalization, and job conflict.Conclusion: Telenursing-based training appears to be an effective method for reducing the intensity and levels of burnout among nurses with a history of COVID-19 infection. This suggests that telenursing training can be a valuable tool to mitigate job burnout in this specific group of healthcare professionals.

Turkish nurses' psychological resilience and burnout levels during the COVID-19 pandemic: A correlational study.

To investigate the relationship between the psychological resilience and burnout of nurses caring for COVID-19 patients and to determine the factors that affect their psychological resilience and burnout. In pandemic diseases such as COVID-19, nurses experience burnout due to long working hours, decreased quality of life and anxiety/fear about their own/families' health. Psychological resilience helps to control burnout in nurses and prevent the development of a global nurse shortage. This was a descriptive, correlational study. The sample of this study included 201 nurses in a Training and Research Hospital. The study used the Brief Resilience Scale and the Burnout Measure Short Version. Data were collected between 4 May and 1 June 2020. Statistical analysis was made with Pearson/Spearman, independent sample t test, one-way analysis of variance (ANOVA) test. Nurses reported moderate burnout and psychological resilience, with a negative and highly significant correlation between psychological resilience and burnout levels. In order to increase the quality of patient care/treatment, nurse managers need to reduce nurses' burnout and increase their psychological resilience. Nurses are recommended to adopt a healthy lifestyle, organize training programmes and implement psychological resilience interventions to prevent sleep disorders. Giving nurses the tools to understand what they need to manage within their locus of control will allow them to find a new sense of resilience, preventing potential burnout.

Nurses' perceived health and occupational burnout: A focus on sleep quality, workplace violence, and organizational culture.

This study investigates the mediation of sleep quality between perceived health and occupational burnout in hospital nurses, considering the moderation of workplace violence and organizational culture. Occupational factors lead to physical and mental distress, burnout, and sleep issues in nurses. Approximately two-thirds of nurses experience burnout, impacting patient care quality and safety. Cultivating a positive organizational culture is essential for nursing workforce stability. This cross-sectional study employed convenience sampling to recruit 346 nurses from a teaching hospital in southern Taiwan in July-August 2020 (response rate: 87.3%). Self-administered questionnaires containing validated instruments were employed, including an adapted occupational burnout scale, the Chinese version of an organizational culture scale, a Perceived Health Questionnaire, a Workplace Violence Experience Scale, and the CPSQI; all instruments were reliable and valid. The analysis involved descriptive statistics, linear regression, and the Johnson-Neyman technique. Nurses with better perceived health exhibited significantly lower occupational burnout (p < 0.001). Perceived health indirectly impacted burnout through sleep quality (p<0.01) with organizational culture as a partial moderator. Bureaucratic organizational culture exacerbated this relationship. Additionally, decreased workplace violence moderated the connections among perceived health, sleep quality, and occupational burnout among nurses. Given the inverse correlation between nurses' perceived health and occupational burnout and considering factors such as workplace violence, organizational culture, and sleep quality, healthcare institutions can proactively take steps to enhance nurses' overall well-being and mitigate burnout. By implementing wellness programs, mental health support, security training, robust reporting, and a zero-tolerance approach to violence, healthcare stakeholders can foster a safe and supportive work environment for nurses, thus improving well-being, patient outcomes, and healthcare quality.

Australian regional cancer nurses’ experiences of burnout during 2019–2021

BackgroundCancer nurses are known to experience high rates of burnout. Despite cancer nurses being critical to providing care for people in rural and remote areas, there is limited research exploring the unique challenges and job demands experienced by regional cancer nurses, and the job demands which may act to buffer these stressors. AimThis study aims to identify antecedents of burnout among Victorian regional cancer nurses over a two-year period, by examining the job demands and resources prevalent in their work. We will build on existing literature by identifying specific job resources that can ameliorate job demands experienced by regional cancer nurses. MethodsA qualitative case study with participants located in regional Victoria, Australia was employed. Semi-structured interviews were conducted both prior to and during the COVID-19 pandemic. FindingsPatient aggression, emotional demands, unsupportive peers and management, and resource constrained work environments were reported as distinct job demands; while job significance, supportive peers and leadership, and connection to community were reported as job resources. ConclusionIn regional settings, patient aggression, workforce shortages, hazardous work environments and inconsistent digitisation of patient management systems are common characteristics of under-resourced workplaces. Despite these challenges, participants reported a strong desire to remain in the profession, mostly due to their commitment to their communities. Supportive peers and colleagues were also reported as an important job resource, particularly during the pandemic. Summaryof relevance Problem or issueCancer nurses in rural and regional areas experience unique job demands. There is limited existing literature on the stressors experienced by regional cancer nurses resulting from these job demands. What is already knownCancer nurses require specialised knowledge and skills to undertake emotionally demanding work. Nurses providing care to people with cancer in regional areas experience the additional pressure of dual relationships with patients, because of living and working in close-knit communities. What this paper addsThis study identifies the unique job demands experienced by cancer nurses in regional areas of Victoria, Australia. The findings identify several site-specific demands characteristic of an under resourced workplace, including the inconsistent digitalisation of medical records are new. Positive job factors that enable regional cancer nurses to manage their roles in a highly demanding work environment were attributed to the culture of rural communities. Understanding the importance of local culture to retention provides healthcare leaders with insights to improve staff health and wellbeing through increasing local engagement and connection, and buffer challenges associated with burnout in cancer nurses practicing in regional areas of Victoria.

Risk and prediction of job burnout in responding nurses to public health emergencies

BackgroundIn public health emergencies, nurses are vulnerable to adverse reactions, especially job burnout. It is critical to identify nurses at risk of burnout early and implement interventions as early as possible.MethodsA cross-sectional survey of the hospitals in Xiangyang City was conducted in January, 2023 using stratified cluster sampling. Anonymized data were collected from 1584 working nurses. The Impact of Events Scale-Revised (IES-R) and the Chinese version of the Maslach Burnout Inventory-General Survey (MBI-GS) were used to evaluate the post-traumatic stress disorder (PTSD) and burnout of nurses in public health emergencies. Logistic regression analysis was established to screen for risk factors of burnout, and a nomogram was developed to predict the risk of burnout. A calibration curve and the area under the receiver operating characteristic (ROC) curve were used to validate the nomogram internally.ResultsThis study showed that only 3.7% of nurses were completely free of PTSD during a public health emergency. We found that PTSD varied by age, marital status, procreation status, length of service, employee status, and whether working in the ICU. The nurses aged 30 ~ 40 years old, single, married without children, non-regular employees, worked for less than three years or worked in the ICU had higher levels of PTSD. Regarding the prevalence of burnout, 27.4%, 48.5%, and 18.6% of nurses had a high level of emotional exhaustion (EE), depersonalization (DP), and diminished personal accomplishment (PA), respectively. There, 31.1% of nurses had more than two types of job burnout. The number of night shifts, the type of hospital, marital status, and the severity of PTSD were all associated with higher rates of exhaustion among nurses. As a graphical representation of the model, a nomogram was created and demonstrated excellent calibration and discrimination in both sets (AUC = 0.787).ConclusionsThis study confirmed the PTSD and burnout are common problems for in-service nurses during public health emergencies and screened out the high-risk groups of job burnout. It is necessary to pay more attention nurses who are single and working in general hospitals with many night shifts, especially nurses with severe PTSD. Hospitals can set up nurses’ personal health records to give timely warnings to nurses with health problems, and carry out support interventions to relieve occupational stress.

Ethical value conflicts in healthcare and their effects on nurses' health, turnover intent, team effectiveness, and patient safety: a longitudinal questionnaire study.

Moral distress emanating from value conflicts comprising ethical dimensions pose a threat to nurses' health and retention, as well as to the quality of care. The aim of the present study was to investigate the relationships between the frequency of ethical value conflicts (EVC), and the perceived distress when they occur, respectively, and nurses' work-related stress, burnout symptoms, turnover intent, team effectiveness, and patient safety. A two-wave longitudinal cohort questionnaire study was performed among registered nurses at six hospitals in two Swedish regions. Cross-sectional analyses (T1) were based on 1817 nurses in 228 care units (CU), and longitudinal analyses (T1 - T2) on 965 nurses in 190 CU. Hypothesis testing was performed using multilevel controlled regression modeling. The results indicated that nurses who were often exposed to EVC also to a higher extent tended to report these conflicts as stressful. Frequent exposure to EVC induced by insufficient resources, inapt organizational structures or interpersonal staff relations were cross-sectionally associated with work-related stress, burnout symptoms, turnover intent, and team effectiveness. The longitudinal analyses indicated that EVC induced by a lack of resources primarily had negative effects on nurses' health and well-being. At the CU level, such conflicts also impaired team effectiveness. At the individual level, EVC induced by organizational constraints or interpersonal relations negatively affected care effectiveness. EVC are related to negative consequences in healthcare, and such processes take place both on the individual and organizational levels.

Assessing the mediation pathways: How decent work affects turnover intention through job satisfaction and burnout in nursing.

This study aimed to assess the potential mediating roles of nurses' job satisfaction and burnout in the association between decent work and turnover intention. There is a global challenge of nursing shortages in healthcare systems worldwide. Decent work is crucial for safeguarding the rights and professional development outcomes of nurses. However, there is currently limited research on decent work among nurses, and there is a lack of studies exploring the relationships between nurses' decent work, job satisfaction, burnout, and turnover intention. A cross-sectional survey design was employed with a sample of 460 nurses from three hospitals: The Affiliated Hospital of Hangzhou Normal University, Hangzhou Third People's Hospital, and Hangzhou Red Cross Hospital. The STROBE checklist was used. Mediation analysis using the PROCESS Macro was used to examine the relationships between decent work, job satisfaction, burnout, and turnover intention. The results showed that nurses' perception of decent work directly influences their turnover intention. Additionally, these findings strongly support the role of job satisfaction and burnout as mediating factors in the relationship between decent work and turnover intention. Decent work reduces nurse burnout and turnover intention of enhancing their job satisfaction. This study's findings have important implications for healthcare organizations and policymakers. Recognizing the pivotal role of decent work in nurses' job satisfaction and well-being can guide the development of strategies to improve working conditions and reduce turnover rates. It is imperative for healthcare institutions to prioritize creating safe, supportive, and equitable work conditions for nurses, as this can contribute to higher job satisfaction and, subsequently, lower turnover rates.

Positive effect of Balint group on burnout and self-efficacy of head nurses in China: a randomized controlled trial.

Burnout is common among nurses and can lead to negative outcomes of medical care. This study aimed to explore the effectiveness of Balint groups to reduce burnout in head nurses in a Chinese hospital. This was a randomized controlled trial with a pre- and post-test. A total of 80 head nurses were randomly assigned to either a Balint group (n = 40) or a control group (n = 40). Participants participated in Balint group for a period of 3 months. Participants in both groups completed the Maslach Burnout Inventory-Human Services Survey and the General Self-Efficacy Scale at the beginning and end of the study. Balint group members also completed the Group Climate Questionnaire-Short Form. In the Balint group, 33 participants attended all Balint groups, while the 40 participants in the control group had no intervention. Analysis of variance with repeated measures demonstrated a statistically significant difference on the Maslach Burnout Inventory subscale of sense of personal achievement (F = 9.598, p = 0.003) between the Balint and control groups. However, there were no significant differences between the groups on the subscales of emotional exhaustion (F = 0.110, p = 0.740) and depersonalization (F = 0.75, p = 0.387), and the General Self-Efficacy Scale (F = 0.709, p = 0.403). Balint groups helped reduce burnout among head nurses in terms of personal achievement.

Hubungan Kepribadian Hardiness Dengan Burnout Pada Perawat Gawat Darurat Di RSU GMIM Pancaran Kasih Manado

A tough personality or hardiness in mental health involves efforts to resolve conflict with an individual's cognitive assessment of stressful situations and strategies for dealing with stress. The aim of this research is to determine the relationship between personality hardiness and burnout in emergency nurses at RSU GMIM Pancaran Kasih Manado. The research design used was a descriptive analytical research method which was cross sectional in nature. Until this research used total sampling, namely the sampling technique was the same as the population size. So the total sample in the study was 23 nurses. Data collection was carried out by direct interviews with subjekts and distributing questionnaires. Furthermore, the data that had been collected using computer assistance with IBM SPSS 16.0 was analyzed using the chi-square test with a significance level (α) &lt;0.05. The results of the research using the Chi-Square Test show a p value of 0.162, which is greater than α ≤0.05, meaning that H0 is accepted and Ha is rejected. The conclusion in this study is that there is no relationship between personality hardiness and burnout in emergency nurses at RSU GMIM Pancaran Kasih Manado.

The effect of the spiritual health plan on the nurses’ burnout: An experimental study

ABSTRACT The prevalence of burnout in nurses has been reported between 25% and 60% in different countries. The result of this is irreparable damage to the professional and family role of nurses. This study aimed to evaluate the effect of a spiritual health plan on the burnout of nurses. This single-blinded, pre-test/post-test, experimental study was performed on Jahrom's hospital nurses (south of Iran), who suffered from moderate to high levels of burnout in 2020. Forty nurses were randomly selected and assigned to the intervention and control groups. The experimental group received seven sessions of education and training on spiritual health plans. The control group did not attend any training sessions. Data were collected using the Maslach Burnout Inventory (MBI) questionnaire and analysed by SPSS software 21. Before the intervention, there was no significant difference in the three dimensions of MBI between the groups (P > 0.05). Also in the control group, there was no significant difference in the three dimensions of MBI pre-and post-intervention (P > 0.05). The results revealed a significant difference between the control and intervention groups in the three dimensions of MBI after the intervention (Emotional exhaustion (P = 0.001), Depersonalization (P = 0.043), Personal accomplishment (P = 0.015)). In addition, significant differences were observed in the three dimensions of MBI in the intervention group pre- and post-intervention (P < 0.05). A spiritual health plan can reduce burnout among the nurses in the three dimensions including depersonalization, emotional exhaustion, and personal performance.