Burnout in Palliative Care Nurses, Prevalence and Risk Factors: A Systematic Review with Meta-Analysis

Gómez‐Urquiza, José Luis; Albendín‐García, Luis; Velando‐Soriano, Almudena; Ortega‐Campos, Elena; Ramírez‐Baena, Lucía; Membrive‐Jiménez, María José; Suleiman‐Martos, Nora

doi:10.3390/ijerph17207672

Cited by 55 publications

(37 citation statements)

References 47 publications

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“…In a 2017 meta-analysis on emergency nurses [ 66 ], the estimated prevalence of EE was 31% (95% CI = 20–44), 36% (95% CI = 23–51) for DP, and 29% (95% CI = 15–44) for LPA. In palliative care nurses, the estimated meta-analytic prevalence was 24% (95% CI = 16–34%) for EE, 30% (95% CI = 18–44%) for DP, and 28% for LPA [ 67 ]. A meta-analytic study on oncologists estimated the pooled prevalence rates for MBI subscales of EE at 32%, DP at 24%, and LPA at 37% [ 68 ].…”

Section: Discussionmentioning

confidence: 99%

SARS/MERS/SARS-CoV-2 Outbreaks and Burnout Syndrome among Healthcare Workers. An Umbrella Systematic Review

Magnavita

Chirico

Garbarino

et al. 2021

IJERPH

141

117

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The coronavirus-19 (COVID-19) pandemic is putting a severe strain on all healthcare systems. Several occupational risk factors are challenging healthcare workers (HCWs) who are at high risk of mental health outcomes, including Burnout Syndrome (BOS). BOS is a psychological syndrome characterized by emotional exhaustion, depersonalization, and low personal accomplishment. An umbrella review of systematic reviews and meta-analyses concerning BOS and coronavirus (SARS/MERS/SARS-CoV-2) outbreaks was carried out on PubMed Central/Medline, Cochrane Library, PROSPERO, and Epistemonikos databases. Data relating to COVID-19 is insufficient, but in previous SARS and MERS outbreaks about one-third of HCWs manifested BOS. This prevalence rate is similar to the figure recorded in some categories of HCWs exposed to chronic occupational stress and poor work organization during non-epidemic periods. Inadequate organization and worsening working conditions during an epidemic appear to be the most likely causes of BOS. Preventive care and workplace health promotion programs could be useful for protecting healthcare workers during pandemics, as well as during regular health activities.

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Section: Discussionmentioning

confidence: 99%

SARS/MERS/SARS-CoV-2 Outbreaks and Burnout Syndrome among Healthcare Workers. An Umbrella Systematic Review

Magnavita

Chirico

Garbarino

et al. 2021

IJERPH

141

117

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show abstract

“…These specific conditions render them vulnerable to burnout and this study aimed to help reduce the incidence of burnout by exploring the variables that may lead to it [ 25 ]. Occupational variables, e.g., having workplace commitment, work freedom, possibilities for development at work, influence, and meaning of work, followed by psychological variables, e.g., being less extroverted and sociable, were identified as the most important in the burnout onset [ 28 ].…”

Section: Introductionmentioning

confidence: 99%

Where to Look for a Remedy? Burnout Syndrome and its Associations with Coping and Job Satisfaction in Critical Care Nurses—A Cross-Sectional Study

Friganović

Selič

2021

IJERPH

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Background: Burnout is a psychological, work-related syndrome associated with long-term exposure to emotional and interpersonal stressors in the workplace. Burnout syndrome in nurses is often caused by an imbalance between work requirements and preparation and fitness for work, a lack of control, insufficient performance recognition and a prolonged exposure to stress. Aim: The aims of this study were to explore the associations between levels of burnout syndrome, coping mechanisms and job satisfaction in critical care nurses in multivariate modelling process. A specific aim was also to explore whether coping and job satisfaction in critical care nurses are gender related. Methods: A cross-sectional multicentre study was conducted in a convenience sample of 620 critical care nurses from five university hospitals in Croatia in 2017. The data were collected using the Maslach Burnout Inventory and the Ways of Coping and Job Satisfaction Scale together with the nurses’ demographic profiles and were analysed using a multivariable model. Results: The results showed no significant association between gender, coping mechanisms and job satisfaction. However, significant negative associations between burnout and job satisfaction (OR = 0.01, 95%CI = 0.00–0.02, p < 0.001) and positive association between burnout and passive coping (OR = 9.93, 95%CI = 4.01–24.61, p < 0.001) were found. Conclusion: The association between job satisfaction and burnout in nurses urges hospital management teams to consider actions focused on job satisfaction, probably modifications of the work environment. Given that passive coping may increase the incidence of burnout, it is recommendable for active coping to be implemented in nurses’ training programmes as an essential element of capacity building aimed at reducing the incidence of burnout in nurses.

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“…It is often pointed out that burnout, decreased job satisfaction, high turnover (11,26,28), and other negative outcomes are common among nurses and other health professionals in palliative care setting, but there is little empirical evidence to support these statements. Quite the opposite, most research still shows that palliative care professionals, including nurses, experience similar or even lower levels of stress and burnout than health professionals working in other settings (for review see 15,[29][30][31]. According to a recent systematic review with metaanalysis by Gόmez-Urquiza et al (15), the prevalence of different burnout dimensions among palliative care nurses is between 24 % and 30 %.…”

mentioning

confidence: 99%

“…Quite the opposite, most research still shows that palliative care professionals, including nurses, experience similar or even lower levels of stress and burnout than health professionals working in other settings (for review see 15,[29][30][31]. According to a recent systematic review with metaanalysis by Gόmez-Urquiza et al (15), the prevalence of different burnout dimensions among palliative care nurses is between 24 % and 30 %. These are mainly associated with occupational (workload, work environment, relations with patients and family) and psychological factors (personality traits such as extroversion and neuroticism, meaning in life).…”

mentioning

confidence: 99%

“…Palliative care is a particularly demanding work environment for nurses due to prolonged exposure to patient suffering, pain, and death and to the grieving of family members. Palliative care profession is generally considered as highly stressful and subject to burnout, and nurses are considered to be in greater risk of developing the burnout syndrome and suffering other adverse health and well-being consequences than other palliative care professionals ( 15 , 16 , 17 , 18 ).…”

mentioning

confidence: 99%

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Job demands, job control, and social support as predictors of job satisfaction and burnout in Croatian palliative care nurses

Junaković

Macuka

2021

Archives of Industrial Hygiene and Toxicology

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The Job Demands-Control-Support (JDCS) model has seldom been tested in palliative care settings, and occupational well-being of palliative care professionals has never before been investigated in Croatia. Our aim was therefore to fill that gap by testing the JDCS model among Croatian nurses providing palliative care. More specifically, we wanted to see how job demands, job control, and social support at work affect occupational well-being outcomes (i.e. job satisfaction and burnout dimensions of exhaustion and disengagement from work) in terms of the model’s iso-strain and buffer hypotheses. This cross-sectional study included 68 nurses working in various palliative care institutions across Croatia, who answered our online questionnaire. Overall, the nurses did not report high levels of burnout or low job satisfaction. The only significant effect was that of job control on job satisfaction (β=0.38; P<0.01) and disengagement (β=-0.45; P<0.01), while job demands and social support at work had a significant interaction effect on the burnout dimension of exhaustion (β=0.39; P<0.01) in the sense that high social support at work buffered the increase in exhaustion associated with high job demands. These findings suggest that interventions aimed at increasing perceived job control and social support at the workplace could improve occupational well-being of nurses working in palliative care.

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Burnout in Palliative Care Nurses, Prevalence and Risk Factors: A Systematic Review with Meta-Analysis

Cited by 55 publications

References 47 publications

SARS/MERS/SARS-CoV-2 Outbreaks and Burnout Syndrome among Healthcare Workers. An Umbrella Systematic Review

SARS/MERS/SARS-CoV-2 Outbreaks and Burnout Syndrome among Healthcare Workers. An Umbrella Systematic Review

Where to Look for a Remedy? Burnout Syndrome and its Associations with Coping and Job Satisfaction in Critical Care Nurses—A Cross-Sectional Study

Job demands, job control, and social support as predictors of job satisfaction and burnout in Croatian palliative care nurses

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