Burnout and Nursing Care

A special issue of Nursing Reports (ISSN 2039-4403).

Deadline for manuscript submissions: 31 October 2024 | Viewed by 51895

Special Issue Editors


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Guest Editor
1. Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal
2. Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra, 3000-232 Coimbra, Portugal
Interests: burnout; nursing; palliative care; aging; review; elderly; guided imagery; frailty

E-Mail Website
Guest Editor
1. Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal
2. Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra, 3000-232 Coimbra, Portugal
Interests: burnout; nursing; palliative care; rehabilitation; elderly; review; frailty

Special Issue Information

Dear Colleagues,

The burnout concept was defined by Maslach and Leiter (1997) as a crisis in relationships with work,  a syndrome with three-dimensions: emotional exhaustion, depersonalization, and a lack of personal accomplishment at the workplace that arises when functional coping strategies fail.

Therefore, when a workplace is seen as extremely demanding, emotional, mental, and spiritual exhaustion can arise because of a concomitant decrease in people's level of energy and enthusiasm (Consiglio et al., 2014; Maslach and Leiter, 2017). Ultimately, workers' enthusiasm, organizational commitment, and dedication to their work disappear, influencing nurses' job performance, quality of care, job satisfaction, and personal health (Koh et al., 2015; Maslach, 2003).

Nursing is a stressful profession dealing with human aspects of health and illness and can eventually lead to job dissatisfaction and burnout (Pavelková and Bužgová, 2015; Sabbah et al., 2012). The impact, on the nurse, of caring for people should be acknowledged, and nurses should be able to recognize early signs of burnout and seek appropriate help (Gamondi et al., 2013).

The experience of burnout has been related to a long list of adverse outcomes—personal, social, and organizational. Therefore, it is not unreasonable to presume that nurses' burnout interferes with their performance and subsequently with the care process (Garman et al., 2002; Maslach and Leiter, 2017).

Burnout in health-care services is undoubtedly a critical issue. In this sense, it is essential that evidence clearly explains the strategies nurses adopt, or should adopt, to help them in daily care.

This Special Issue of Nursing Reports intends to give visibility to this theme and discuss the existent evidence to support a paradigm change in preventing and managing burnout and nursing care in health-care contexts.

Papers addressing burnout and nursing care are invited for this Special Issue, particularly those combining a high academic standard and a practical focus.

Dr. Adriana Coelho
Dr. Vitor Parola
Guest Editors

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Keywords

  • nursing
  • nurse–patient relations
  • burnout
  • coping strategies

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Published Papers (16 papers)

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Research

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13 pages, 243 KiB  
Article
Education and Career Advancement Opportunities in Polish and English Nursing—A Comparative Study of Intensive Care Unit Nurses
by Ewelina Wasielewska, Piotr Kordel and Marcin Moskalewicz
Nurs. Rep. 2024, 14(3), 1722-1734; https://doi.org/10.3390/nursrep14030128 - 17 Jul 2024
Viewed by 503
Abstract
The aim of this study was to comparatively investigate education, job, and professional development satisfaction among intensive care unit nurses in Poland and England. A total of 258 ICU nurses from both countries were interviewed (72 Polish nurses working in Poland and 186 [...] Read more.
The aim of this study was to comparatively investigate education, job, and professional development satisfaction among intensive care unit nurses in Poland and England. A total of 258 ICU nurses from both countries were interviewed (72 Polish nurses working in Poland and 186 of various national backgrounds in England, including 50 of Polish origin). We used an 11-item structured survey followed by an open-ended qualitative interview retrospectively coded for statistical analysis. Regardless of national origin, nurses in England report significantly higher education satisfaction, attributed to better theoretical knowledge gain but not to other dimensions (such as practical knowledge or personal satisfaction). They also express greater satisfaction with job conditions regarding professional development, a state-of-the-art work environment, teamwork, and finance. The UK system is also considered significantly superior in promotion opportunities and participation in post-graduation training. In conclusion, systemic factors play a crucial role in career satisfaction and advancement in nursing, with the British band system having a clear advantage over the Polish one. Full article
(This article belongs to the Special Issue Burnout and Nursing Care)
17 pages, 296 KiB  
Article
Impact of Effort–Reward Imbalance and Burnout on the Compliance with Standard Precautions among Nurses and Midwives in Lebanese Hospitals
by Noha A. Sayrafi, Ali Salami and Ghassan Ghssein
Nurs. Rep. 2024, 14(2), 1477-1493; https://doi.org/10.3390/nursrep14020111 - 11 Jun 2024
Viewed by 725
Abstract
Background: Effort–reward imbalance (ERI) refers to the situation where there is a mismatch between the effort that healthcare workers (HCWs) put into their work and the rewards they receive in return. Burnout, on the other hand, is a psychological syndrome characterized by emotional [...] Read more.
Background: Effort–reward imbalance (ERI) refers to the situation where there is a mismatch between the effort that healthcare workers (HCWs) put into their work and the rewards they receive in return. Burnout, on the other hand, is a psychological syndrome characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. This study aimed to assess the impact of ERI and burnout on the compliance with standard precautions (SPs) among nurses and midwives in Lebanese hospitals under the economic crisis and after the COVID-19 pandemic. Methods: Cross-sectional correlational study, based on self-administered questionnaire data, measuring the compliance with SPs, ERI, and burnout, in addition to the relationship between these factors, was performed among 409 nurses and midwives, working in Lebanese hospitals. Results: ERI was significantly associated with exposure to burnout among nurses and midwives, and burnout was found to be a significant predictor of nurses and midwives’ self-reported adherence with SPs. Conclusions: This study highlights the contribution of ERI and burnout to the chain of infection by decreased adherence to infection control SPs of nurses and midwives. Full article
(This article belongs to the Special Issue Burnout and Nursing Care)
11 pages, 435 KiB  
Article
Effectiveness of Mentorship Using Cognitive Behavior Therapy to Reduce Burnout and Turnover among Nurses: Intervention Impact on Mentees
by Takashi Ohue and Masaru Menta
Nurs. Rep. 2024, 14(2), 1026-1036; https://doi.org/10.3390/nursrep14020077 - 23 Apr 2024
Viewed by 1321
Abstract
Objective: Mentoring programs can improve nurses’ mental health. This study examined the effects of a staff training program based on cognitive behavior therapy for burnout in which mentors provided intervention to their mentees. Methods: The principal investigator served as a facilitator and conducted [...] Read more.
Objective: Mentoring programs can improve nurses’ mental health. This study examined the effects of a staff training program based on cognitive behavior therapy for burnout in which mentors provided intervention to their mentees. Methods: The principal investigator served as a facilitator and conducted staff training in cognitive behavior therapy. An original cognitive behavior therapy manual was presented to trained nurses (mentors), and lectures were provided on using the manual, ways of implementing cognitive behavior therapy, and other important points. The study participants included 35 mid-career nurses (mentors) and 34 young nurses in their first to third year (mentees) working in acute care hospitals. Groups of five mentees were formed in which two mentors provided cognitive behavior therapy based on the manual. Changes in mentees’ stress, burnout, and turnover intention at pre-intervention, post-intervention, and follow-up (3 months after the intervention) were objectively evaluated using an evaluation index. Results: The intervention significantly reduced the following evaluation indicators: total strain, conflict with other nursing staff, nursing role conflict, qualitative workload, quantitative workload, conflict with patients, problem avoidance due to irrational beliefs, escape-avoidance, emotional exhaustion of burnout, desire to change hospitals or departments, and turnover intention. Conclusion: Implementation of cognitive behavior therapy by mentors effectively reduced mentees’ stress, burnout, and turnover. Full article
(This article belongs to the Special Issue Burnout and Nursing Care)
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11 pages, 490 KiB  
Article
Influencing Factors on Career Preparation Behavior of Nursing Students in the Post COVID-19 Era
by Heejung Choi and Vasuki Rajaguru
Nurs. Rep. 2024, 14(1), 545-555; https://doi.org/10.3390/nursrep14010042 - 5 Mar 2024
Cited by 1 | Viewed by 1604
Abstract
This study aims to determine the factors influencing the career preparation behavior of nursing students in the post-COVID-19 era and to provide a basis for preparation strategies to enhance nursing students’ nursing professionalism and career preparation behaviors. This is a descriptive cross-sectional study [...] Read more.
This study aims to determine the factors influencing the career preparation behavior of nursing students in the post-COVID-19 era and to provide a basis for preparation strategies to enhance nursing students’ nursing professionalism and career preparation behaviors. This is a descriptive cross-sectional study that measures major satisfaction, self-efficacy, nursing image, nursing professionalism, nursing image and intuition, and career preparation to identify factors influencing nursing students’ career preparation behavior in the post-COVID-19 era. An online survey was conducted to collect the data. The data were analyzed using descriptive statistics, Pearson’s correlation, and multiple regression analysis using the SPSS/WIN 25.0 program. A total of 240 students were included; most of them were female (86.3%) and between 21 and 25 years old (80%). The level of motivation to pursue nursing (F = 12.34, p < 0.001) and clinical practice satisfaction (F = 11.37, p < 0.001) showed statistically significant differences in career preparation behavior. Self-efficacy (r = 0.32), major satisfaction (r = 0.32), nursing image (r = 0.32), and nursing professionalism (r = 0.32) were positively correlated with career preparation behavior and significant (p < 0.001). According to the findings, nursing professionalism and image can be enhanced by providing career planning and counseling based on the student’s degree of comprehension and cognitive behaviors to nurture the professional and positive attitudes that are essential for a successful nursing career. Nursing schools need to incorporate a job portal, facilities, and a mentorship program to help nursing students prepare for their careers. Full article
(This article belongs to the Special Issue Burnout and Nursing Care)
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13 pages, 270 KiB  
Article
Moral Resilience Reduces Levels of Quiet Quitting, Job Burnout, and Turnover Intention among Nurses: Evidence in the Post COVID-19 Era
by Petros Galanis, Ioannis Moisoglou, Aglaia Katsiroumpa, Irene Vraka, Olga Siskou, Olympia Konstantakopoulou and Daphne Kaitelidou
Nurs. Rep. 2024, 14(1), 254-266; https://doi.org/10.3390/nursrep14010020 - 23 Jan 2024
Cited by 8 | Viewed by 2808
Abstract
The aim of the study was to examine the impact of moral resilience on quiet quitting, job burnout, and turnover intention among nurses. A cross-sectional study was implemented in Greece in November 2023. The revised Rushton Moral Resilience Scale was used to measure [...] Read more.
The aim of the study was to examine the impact of moral resilience on quiet quitting, job burnout, and turnover intention among nurses. A cross-sectional study was implemented in Greece in November 2023. The revised Rushton Moral Resilience Scale was used to measure moral resilience among nurses, the Quiet Quitting Scale to measure levels of quiet quitting, and the single-item burnout measure to measure job burnout. Moreover, a valid six-point Likert scale was used to measure turnover intention. All multivariable models were adjusted for the following confounders: gender, age, understaffed department, shift work, and work experience. The multivariable analysis identified a negative relationship between moral resilience and quiet quitting, job burnout, and turnover intention. In particular, we found that increased response to moral adversity and increased moral efficacy were associated with decreased detachment score, lack of initiative score, and lack of motivation score. Additionally, personal integrity was associated with reduced detachment score, while relational integrity was associated with reduced detachment score, and lack of initiative score. Moreover, response to moral adversity was associated with reduced job burnout. Also, increased levels of response to moral adversity were associated with lower probability of turnover intention. Moral resilience can be an essential protective factor against high levels of quiet quitting, job burnout, and turnover intention among nurses. This study was not registered. Full article
(This article belongs to the Special Issue Burnout and Nursing Care)
13 pages, 577 KiB  
Article
Post-Traumatic Stress Disorder Symptoms among Pediatric Healthcare Workers
by Nikolaos Rigas, Zacharias Kyritsis, Maria Dagla, Alexandra Soldatou, Eirini Orovou, Maria Tzitiridou-Chatzopoulou, Panagiotis Eskitzis and Evangelia Antoniou
Nurs. Rep. 2024, 14(1), 115-127; https://doi.org/10.3390/nursrep14010010 - 8 Jan 2024
Cited by 1 | Viewed by 1845
Abstract
Post-traumatic stress disorder symptoms related to work in pediatric departments aremajor public health problems, as they directly affect health organizations, healthcare workers, and, due to the poor quality of care, the patients as well. The post-traumatic symptoms that a healthcare worker may experience [...] Read more.
Post-traumatic stress disorder symptoms related to work in pediatric departments aremajor public health problems, as they directly affect health organizations, healthcare workers, and, due to the poor quality of care, the patients as well. The post-traumatic symptoms that a healthcare worker may experience are related to intrusion, avoidance, negative changes in cognition and mood, and changes in arousal and reactivity. The aim of the present investigation was to identify risk factors that contribute to the development of PTSD in pediatric healthcare workers, in order to implement necessary workplace measures. A sample of four hundred and forty-five pediatric workers at seven Greek public hospitals consented to participate in the survey. Socio-demographic data and a post-traumatic checklist (5th edition) were used to diagnose post-traumatic stress disorder. According to the results, risk factors for the development of post-traumatic symptoms include medical or nursing errors, threats to a child’s life, and incidents of workplace bullying. More specifically, 25.2% of the participants had a provisional PTSD diagnosis, 72.8%of the sample experienced an incident involving a medical or nursing error in their workplace related to the treatment or care of a child, 56% experienced an incident involving a child’s death or a threat to a child’s life due to a serious illness or injury, and 55.5% experienced an incident of workplace bullying. In addition, it was found that having a university-level education, master’s, or PhD, working in a circular shift, being assigned to a department by management rather than the worker, and dissatisfaction with salary were associated with post-traumatic stress disorder. The high rates of PTSD symptoms among participants highlight the need for prevention and management measures to protect and support the mental health of workers in pediatric departments. We propose frequent evaluations of the mental health of employees, more time for rest, incentives for professional development, utilization of their specializations and specialties, support from mental health specialists when symptoms are diagnosed, and the option for employees to change departments if they wish or if they show symptoms of mental trauma. Full article
(This article belongs to the Special Issue Burnout and Nursing Care)
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17 pages, 250 KiB  
Article
Factors Related to Job Continuance of Nurses Who Migrated to Japan: A Cross-Sectional Study
by Rina Shoki, Anna Kono, Yuko O. Hirano, Edward Barroga, Erika Ota and Yasuko Nagamatsu
Nurs. Rep. 2024, 14(1), 25-41; https://doi.org/10.3390/nursrep14010003 - 23 Dec 2023
Viewed by 1140
Abstract
Japan has accepted nurses from Indonesia, the Philippines, and Vietnam under the Economic Partnership Agreement, but nearly half of them have already left the workforce. This study aimed to clarify the factors related to the job continuance of nurses who migrated to Japan [...] Read more.
Japan has accepted nurses from Indonesia, the Philippines, and Vietnam under the Economic Partnership Agreement, but nearly half of them have already left the workforce. This study aimed to clarify the factors related to the job continuance of nurses who migrated to Japan under the Economic Partnership Agreement. Our goal was to explore factors specific to migrant nurses and to contribute to the development of support measures for them. This research was a cross-sectional study in which a web-based questionnaire and interview were conducted at a single point in time. Migrant nurses (n = 40) participated in the web-based questionnaire survey. Of those, nine nurses were also interviewed. Spearman’s rank correlation coefficient was used to establish correlations, and qualitative descriptive analysis was used to analyse interviews. The questionnaire survey results revealed the content of work, human relationships in the workplace, the number of night shifts, and satisfaction with the balance between work and private life were significantly and negatively correlated with the Intention to Quit scale total score. All correlation coefficients were less than 0.5, indicating weak correlations. Three categories emerged from the interviews as positive factors related to job continuance: “generous support from the workplace”, “beneficial nursing experience in Japan”, and “determination to live in Japan”. A good working environment, generous support from the supervisor and colleagues, high values of nursing in Japan, and desire to migrate to Japan were the factors that had a positive effect on migrant nurses’ job continuance in Japan. Understanding the characteristics of migrant nurses and providing generous support will enable them to continue working in Japan. This study was not registered. Full article
(This article belongs to the Special Issue Burnout and Nursing Care)
11 pages, 472 KiB  
Article
Aggression against Nursing Personnel during the First Wave of COVID-19 Pandemic: An Internet-Based Survey
by Juan Pablo Sánchez-de la Cruz, Alma Delia Genis-Mendoza, María Lilia López-Narváez, Thelma Beatriz González-Castro, Isela Esther Juárez-Rojop, Carlos Alfonso Tovilla-Zárate and Humberto Nicolini
Nurs. Rep. 2023, 13(4), 1388-1398; https://doi.org/10.3390/nursrep13040116 - 7 Oct 2023
Viewed by 1248
Abstract
(1) Background: health care workers, particularly nurses, have been regularly assaulted during the COVID-19 pandemic. Purpose: to evaluate the prevalence and location of assaults against nursing personnel in Latin America, and to determine predictor factors for aggression against nurses. (2) Methods: A cross-sectional [...] Read more.
(1) Background: health care workers, particularly nurses, have been regularly assaulted during the COVID-19 pandemic. Purpose: to evaluate the prevalence and location of assaults against nursing personnel in Latin America, and to determine predictor factors for aggression against nurses. (2) Methods: A cross-sectional online survey was answered by 374 nurses working in health care during the COVID-19 pandemic. The aggression against nurses was estimated using the Victimization Scale. (3) Results: A total of 288 nurses were included in this study. The victimization scale showed that 52.1% of nurses have suffered aggression by the general population during the COVID-19 pandemic. Males were more likely to be attacked than females (p < 0.05). Additionally, males were attacked more frequently on public transport (x2 = 6.72, p = 0.01). The home neighborhood and markets were other locations with a higher risk of being assaulted (OR: 3.39, CI: 1.53–7.50). (4) Conclusions: Our results indicate that nurses in Latin America who work during the COVID-19 pandemic and social isolation have been frequently assaulted by the general public. Males are more frequently attacked than females and the main places of aggression are public transportation, their home neighborhood and supermarkets. Implications for nursing practice: it is necessary to create and implement protocols and guidelines to support nursing personnel during the COVID-19 pandemic. This study was retrospectively registered at the Juarez Autonomous University of Tabasco (103/CIPDACS/2020) on the (08/2020). Full article
(This article belongs to the Special Issue Burnout and Nursing Care)
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13 pages, 282 KiB  
Article
Analysis of the Level of Stress and Methods of Coping with Stress among the Nursing Staff
by Anna Antczak-Komoterska, Beata Haor, Mariola Malinowska, Lech Grzelak, Monika Biercewicz, Dorota Kochman, Karolina Krajewska, Karolina Filipska-Blejder, Adam Wiśniewski and Robert Ślusarz
Nurs. Rep. 2023, 13(3), 1318-1330; https://doi.org/10.3390/nursrep13030111 - 14 Sep 2023
Cited by 3 | Viewed by 2125
Abstract
In general, “stress” is the reaction of the body to mental and physical demands placed on it. Stress disrupts mental balance, and reduces the ability to work and function, which negatively affects the performance of duties. The aim of this study was to [...] Read more.
In general, “stress” is the reaction of the body to mental and physical demands placed on it. Stress disrupts mental balance, and reduces the ability to work and function, which negatively affects the performance of duties. The aim of this study was to analyse the level of stress and ways of coping with it among nursing staff. The study covered 220 nurses employed at the Provincial Specialist Hospital in Włocławek. The research tool was the Perceived Stress Scale (PSS-10) and the Brief-COPE. The results of this survey showed the occurrence of average and high levels of experiencing stress in 36% and 40%of staff, respectively. Brief-COPE scale results show that substance use/gender (men) and use of emotional support/place of work (internal medicine department) are significant at p < 0.01. Considering the impact of the workplace on the use of psychoactive substances, it can be seenthat people working in the surgical ward are more likely to use psychoactive substances. Furthermore, nurses in the surgical ward find it easier to think and plan what to do when faced with a difficult life situation. Most often, the respondents with the highest work experience, i.e., the elderly, declared a return to religion. The results of the research indicate that the nursing community experiences stress to an average or significant degree. The strategies are mainly based on active coping and seeking emotional and instrumental support. Further research is needed in this field. This study was not pre-registered on a publicly accessibly registry. Full article
(This article belongs to the Special Issue Burnout and Nursing Care)
11 pages, 273 KiB  
Article
Increased Job Burnout and Reduced Job Satisfaction for Nurses Compared to Other Healthcare Workers after the COVID-19 Pandemic
by Petros Galanis, Ioannis Moisoglou, Aglaia Katsiroumpa, Irene Vraka, Olga Siskou, Olympia Konstantakopoulou, Evangelia Meimeti and Daphne Kaitelidou
Nurs. Rep. 2023, 13(3), 1090-1100; https://doi.org/10.3390/nursrep13030095 - 14 Aug 2023
Cited by 23 | Viewed by 6821
Abstract
Nurses experience high levels of job burnout and low levels of job satisfaction, while the COVID-19 pandemic has deteriorated working conditions. In this context, our aim was to compare levels of job burnout and job satisfaction among nurses and other healthcare workers (HCWs) [...] Read more.
Nurses experience high levels of job burnout and low levels of job satisfaction, while the COVID-19 pandemic has deteriorated working conditions. In this context, our aim was to compare levels of job burnout and job satisfaction among nurses and other healthcare workers (HCWs) after the COVID-19 pandemic. Moreover, we investigated the influence of demographics and job characteristics on burnout and satisfaction. We conducted a cross-sectional study with 1760 HCWs during June 2023. We used the single-item burnout measure and the “Job Satisfaction Survey”. In our sample, 91.1% of nurses experienced high levels of burnout, while the respective percentage for the other HCWs was 79.9%. Nurses’ satisfaction was lower than other HCWs. In particular, 61.0% of nurses experienced low levels of satisfaction, while the respective percentage for the other HCWs was 38.8%. Multivariable analysis identified that nurses, HCWs with an MSc/PhD diploma, shift workers, and those who considered their workplace as understaffed had higher burnout score and lower satisfaction score. Our results showed that the nursing profession was an independent factor of burnout and satisfaction. Several other demographic and job characteristics affected burnout and satisfaction. Policy makers, organizations, and managers should adopt appropriate interventions to improve work conditions. Full article
(This article belongs to the Special Issue Burnout and Nursing Care)
10 pages, 712 KiB  
Article
The Age of Young Nurses Is a Predictor of Burnout Syndrome during the Care of Patients with COVID-19
by Jeel Moya-Salazar, Liliana A. Buitrón, Eliane A. Goicochea, Carmen R. Salazar, Belén Moya-Salazar and Hans Contreras-Pulache
Nurs. Rep. 2023, 13(2), 721-730; https://doi.org/10.3390/nursrep13020063 - 17 Apr 2023
Cited by 7 | Viewed by 3556
Abstract
Background: Burnout Syndrome (BS) is a work fatigue phenomenon that leads to physical exhaustion during care work, and there could be an increase in the proportion of nurses affected during the COVID-19 pandemic, especially in those caring for infected patients. We aimed to [...] Read more.
Background: Burnout Syndrome (BS) is a work fatigue phenomenon that leads to physical exhaustion during care work, and there could be an increase in the proportion of nurses affected during the COVID-19 pandemic, especially in those caring for infected patients. We aimed to determine BS in nurses during the COVID-19 pandemic. Methods: An observational study was conducted on 100 nurses over the age of 18 and working in COVID-19 medical units in 2021. The 22-item Maslach Burnout Inventory questionnaire was used to estimate BS, and differences between age groups, gender, work time, and previous infection were estimated. Results: The majority of nurses (mean 30 ± 5.5 years) were women (78%), and the most frequent working time was from 1 to 10 years (58%). A total of 88% of the nurses had moderate BS, affecting more males, aged between 20 and 30 years, and without previous infection. The youngest age group, 20–30 years, presented the highest mean BS with 53.8 (SD 4.18) points (95% CI: 52.79 to 54.8), showing differences with older nurses (p < 0.05). Prediction analysis showed that only age was a significant predictor for the development of SB (p < 0.001). Conclusions: BS negatively impacts young nurses during the care of COVID-19 patients, so strategies should be promoted to ensure a better working environment. Improving the workspace can include self-care strategies, changes in the system and work organization, an improvement of interpersonal relationships, and risk prevention. Full article
(This article belongs to the Special Issue Burnout and Nursing Care)
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15 pages, 447 KiB  
Article
A Pilot Study to Assess the Effect of Coaching on Emergency Nurses’ Stress Management
by Rabia Chahbounia and Abdellah Gantare
Nurs. Rep. 2023, 13(1), 179-193; https://doi.org/10.3390/nursrep13010019 - 1 Feb 2023
Cited by 6 | Viewed by 3336
Abstract
(1) Background: Emergency nurses are more exposed to a wider range of stressors, resulting in higher levels of burnout, reducing the quality of nursing care, and decreasing job satisfaction compared with other peers in other nursing departments. The objective of the current pilot [...] Read more.
(1) Background: Emergency nurses are more exposed to a wider range of stressors, resulting in higher levels of burnout, reducing the quality of nursing care, and decreasing job satisfaction compared with other peers in other nursing departments. The objective of the current pilot research is to evaluate the efficiency of a transtheoretical coaching model on emergency nurses’ occupational stress management through a coaching intervention. (2) Materials and Methods: An interview, Karasek’s stress questionnaire, the Maslach Burnout Inventory (MBI), an observation grid, and a one-group Pre-test–Post-test questionnaire was carried out to evaluate the changes in emergency nurses’ knowledge and their ability to manage stress before and after attending the coaching intervention. A total of seven emergency room nurses at the proximity public hospital of the Settat area in Morocco have taken part in this study. (3) Results: The results have shown that all emergency nurses were subject to the job strain and iso-strain; four nurses were in moderate burnout, only one nurse was found in high burnout, and two were in low burnout. There was a significant difference between mean Pre- and Post-test scores (p = 0.016). Nurses’ mean score has improved by 2.86 points after attending the four sessions coaching experience, passing from 3.71 in the Pre-test to 6.57 in the Post-test. (4) Conclusions: The coaching intervention through a transtheoretical coaching model could potentially be an efficient strategy for enhancing the nurses’ knowledge and skills in stress management. Full article
(This article belongs to the Special Issue Burnout and Nursing Care)
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13 pages, 550 KiB  
Article
Workplace Stress in Portuguese Oncology Nurses Delivering Palliative Care: A Pilot Study
by Cristina Costeira, Filipa Ventura, Nelson Pais, Paulo Santos-Costa, Maria Anjos Dixe, Ana Querido and Carlos Laranjeira
Nurs. Rep. 2022, 12(3), 597-609; https://doi.org/10.3390/nursrep12030059 - 13 Aug 2022
Cited by 5 | Viewed by 3443
Abstract
Oncology nurses often face complex end-of-life issues, underlining their need for specific training in palliative care. In this context, nurses experience several emotional and psychological dilemmas, which are often difficult to manage and result in high levels of workplace stress. This study aimed [...] Read more.
Oncology nurses often face complex end-of-life issues, underlining their need for specific training in palliative care. In this context, nurses experience several emotional and psychological dilemmas, which are often difficult to manage and result in high levels of workplace stress. This study aimed to determine the levels and work-related factors of workplace stress among oncology nurses. A descriptive baseline study was performed as part of a large four-phase study based on quantitative data collected from Portuguese oncology nurses. Of the 32 participating nurses, most were women, and the mean age was 42.69 ± 10.04 years. Overall, nurses revealed moderate levels of stress. Younger nurses with less professional experience had difficulties dealing with issues related to death and dying. This pilot study supported the development of a program of six Stress Management Training Workshops (SMTW) to reduce stress and increase adaptative strategies. Assessing workplace stress among oncology nurses should be the focus of intervention by managers and institutional leaders. Full article
(This article belongs to the Special Issue Burnout and Nursing Care)
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Review

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13 pages, 3136 KiB  
Review
The Burnout of Nurses in Intensive Care Units and the Impact of the SARS-CoV-2 Pandemic: A Scoping Review
by Andreia Lima, Maria Teresa Moreira, Carla Fernandes, Maria Salomé Ferreira, Margarida Ferreira, Joana Teixeira, Mafalda Silva, Vítor Parola and Adriana Coelho
Nurs. Rep. 2023, 13(1), 230-242; https://doi.org/10.3390/nursrep13010022 - 8 Feb 2023
Cited by 7 | Viewed by 3803
Abstract
Background: The world’s population changed with the emergence of the SARS-CoV-2 pandemic. Burnout arises due to overwork, prolonged work periods, a lack of human and material resources, etc. Several studies have reported the incidence of burnout syndrome in nurses that work in intensive [...] Read more.
Background: The world’s population changed with the emergence of the SARS-CoV-2 pandemic. Burnout arises due to overwork, prolonged work periods, a lack of human and material resources, etc. Several studies have reported the incidence of burnout syndrome in nurses that work in intensive care units (ICUs). The aim was to map the scientific evidence related to nurses’ burnout in the ICU, namely the repercussions of SARS-CoV-2 in terms of burnout among nurses. Methods: A scoping review followed the Joanna Briggs Institute methodology guidelines to search for and synthesise studies published between 2019 and 2022. The databases searched were MEDLINE, CINAHL, LILACS, SCOPUS, PsycINFO and OPEN GREY. A total of fourteen articles were eligible to be included. Results: A content analysis of the selected articles was carried out, and three categories emerged that corresponded to the dimensions of burnout according to Maslach and Leiter: emotional exhaustion, depersonalisation dimension and a lack of personal accomplishment. It was evident that nurses who worked in the ICU during the pandemic showed high levels of burnout. Conclusions: It is recommended that hospital administrations hire health professionals, namely nurses, as a strategic and operational management strategy to reduce the risk of increased burnout during pandemic outbreaks. Full article
(This article belongs to the Special Issue Burnout and Nursing Care)
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12 pages, 304 KiB  
Protocol
Compassionate Care: A Qualitative Exploration of Nurses’ Inner Resources in the Face of Burnout
by Sarah-Louise d’Auvergne Flowers, Mireia Guillén-Solà, Noemí Sansó and Laura Galiana
Nurs. Rep. 2024, 14(1), 66-77; https://doi.org/10.3390/nursrep14010006 - 2 Jan 2024
Viewed by 2721
Abstract
There is a universal shortage of nurses, with a current needs-based shortage of 5.9 million. This is not solely a recruitment issue but one of retention, triggered by high levels of work-induced stress, burnout, and reports of low job satisfaction resulting in poor [...] Read more.
There is a universal shortage of nurses, with a current needs-based shortage of 5.9 million. This is not solely a recruitment issue but one of retention, triggered by high levels of work-induced stress, burnout, and reports of low job satisfaction resulting in poor care delivery. Some of the health repercussions on nurses include anxiety, insomnia, depression, migraines, irritability, absenteeism, and sometimes alcoholism and drug abuse. To tackle some of these costly issues, a qualitative exploration into how inner resources is used by nurses to cope with stress at different points of their careers is proposed. Through the lens of grounded theory, semi-structured interviews will be carried out with two distinct sets of participants: (1) Student nurses registered at the University of the Illes Baleares between 2022–2025. (2) Experienced nurses on the Balearic nursing register. Interviews will be coded and then analysed using Atlas.ti. Expected results will inform curriculum improvements that will benefit the well-being of (student) nurses, from the outset of their training, pre-empting potential psycho-social risks before they arise in the workplace. This is vital as it addresses nurses’ mental health as well as chronic issues of retention and absenteeism. Full article
(This article belongs to the Special Issue Burnout and Nursing Care)
8 pages, 247 KiB  
Concept Paper
Burnout and Nursing Care: A Concept Paper
by Vitor Parola, Adriana Coelho, Hugo Neves, Rafael A. Bernardes, Joana Pereira Sousa and Nuno Catela
Nurs. Rep. 2022, 12(3), 464-471; https://doi.org/10.3390/nursrep12030044 - 3 Jul 2022
Cited by 11 | Viewed by 7364
Abstract
Burnout comprises a series of undetermined physical and psychosocial symptoms caused by an excessive energy requirement at work—it is a crisis in relationships with work itself and not necessarily a concern with underlying clinical disorders related to workers. Professions involving human interactions commonly [...] Read more.
Burnout comprises a series of undetermined physical and psychosocial symptoms caused by an excessive energy requirement at work—it is a crisis in relationships with work itself and not necessarily a concern with underlying clinical disorders related to workers. Professions involving human interactions commonly involve emotional engagement, especially when the cared-for person needs assistance and support, as is the primary concern in the nursing profession. To some extent, the acknowledgment of the phenomena of burnout and how it affects people is sometimes addressed from a biomedical perspective. This concept paper aims to describe the burnout concept and reflect on the impact on nurses. Our intention with this reflection, considering the burnout impact on nurses, is to support a paradigm change in the prevention and management of burnout in healthcare contexts, promoting and fostering the well-being of nurses. Full article
(This article belongs to the Special Issue Burnout and Nursing Care)
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