Impact of nurses' roles and burden on burnout during the COVID‐19 pandemic: Multicentre cross‐sectional survey

Abstract

Aim To identify groups of nurses engaging in coronavirus disease (COVID‐19) care who are most in need of organizational support. Background Overwhelming stress and susceptibility to burn‐out have been reported in nurses during the COVID‐19 pandemic. Methods Nurses working at five hospitals which accepted COVID‐19 patients answered the questionnaire. The Tokyo Metropolitan Distress Scale for Pandemic, Self‐Diagnosis Check List for Assessment of Workers’ Accumulated Fatigue, and Japanese Burnout Scale were evaluated. Multiple regression analysis was performed to examine the relationship between engaging in COVID‐19 care and psychosocial/physical burden. Results In total, 895 questionnaires were analyzed. With experience in caring for COVID‐19 patients as the independent variable, nurses caring for suspected cases had significantly higher standardized Tokyo Metropolitan Distress Scale for Pandemic scores for “concerns for infection” (standardized partial regression coefficient β = 0.921, P = 0.004), Assessment of Workers’ Accumulated Fatigue (β = 0.445, P = 0.022), and Japanese Burnout Scale “emotional exhaustion” (β = 0.136, P = 0.021) than those caring for confirmed cases. Conclusions Nurses caring for suspected COVID‐19 patients have the highest psychological/physical burden and propensity for burnout. Implications for Nursing Management Extensive support systems are required for nurses caring for confirmed and suspected COVID‐19 cases.

The moderating effect of burnout on professionalism, values and competence of nurses in Saudi Arabia amidst the COVID‐19 pandemic: A structural equation modelling approach

“…Correspondingly, an increase in psychological and physical stress has been associated with increased burnout among Japanese nurses, resulting in a higher incidence of burnout. These nurses provide direct care to patients hospitalized for observation suspected of having COVID‐19 infection (Kishi et al, 2022 ).…”

“…Additionally, our study was conducted during the COVID‐19 pandemic, a period during which frontline nurses are facing significant difficulties in carrying out their nursing roles and responsibility. Published studies on burnout during the COVID‐19 pandemic reported burnout's influence on nurses' intention to leave (de Cordova et al, 2022 ), burnout during the first wave of the pandemic (Galanis et al, 2021 ; Khan et al, 2022 ), burnout on quality patient care (Kakemam et al, 2021 ), burnout and the affective aspect of nurses (Falatah & Alhalal, 2022 ), burnout's burden to nurses' roles (Kishi et al, 2022 ) and burnout's relationship to self‐efficacy (Lim et al, 2022 ). None of these published studies focused on the moderating effect of burnout on nurses' professionalism, values and competence.…”

Burnout and Nursing Care: A Concept Paper

“…Considering the impact of the subject under analysis, which has been demonstrated in several studies, one of the highlighted aspects is the extreme physical and emotional demands requested from nurses. It is not surprising that there has been a growing number of studies on this topic about the magnitude of burnout during the pandemic because of the increased demand from all professionals [ 35 , 36 , 37 ]. That is why it is necessary to know this reality and create mechanisms that minimize its impact so that we are prepared as much as possible to respond to it, especially in situations where its incidence increases considerably [ 38 ].…”

Nurses lived Experiences, burdens and coping strategies during the COVID-19 pandemic

“…Many studies around the globe had emphasized similar emotional outcomes of the pandemic. For example, Kishi H et al (2022) analyzed 895 questionnaires of nurses' Accumulated Fatigue and Japanese Burnout Scale and found signi cant relationship between engaging in COVID-19 care and psychosocial/physical burden particularly in the form of distress, emotional fatigue, emotional exhaustion and burn out risks. Whereas Molina-Mula J et al (2022) survey of 892 Spanish nurses con rmed the presence of emotional fatigue (OR 1.9, p < 0.001), anxiety, moderate post-traumatic stress evident in general nurses, and severe post-traumatic stress evident in ICU nurses.…”