Nurses burnout, resilience and its association with safety culture: a cross sectional study

Abstract

Purpose The purpose of this study was to assess burnout, resilience and the association with safety culture in nurses working in mental health institutions in Jazan government Hospital. Design/methodology/approach A cross-sectional survey using convenience sampling, with 119 nurses from the Jazan hospital between June and August 2018 was used. Findings The results of this study showed that 45.6% of the participants experienced a high level of emotional exhaustion, 36.5% reported a high level of depersonalisation and 15.9% reported high personal achievement. The high level of burnout and its dimensions have a negative effect on patient safety and resilience. Originality/value It is particularly important to assess burnout among mental health nurses, resilience and its association with safety culture. Although this study will add to a small body of knowledge, it will also be able to provide policymakers with evidence as how best to reduce burnout among nurses delivering mental health care in Saudi Arabia.

Resilience and mental health nursing: An integrative review of updated evidence

“…trait‐like, capacity or process). Authors' referred to knowledge of resilience derived from several fields including psychology ( n = 5; Chang et al, 2019; Delgado et al, 2020; Delgado et al, 2021; Delgado et al, 2022; Foster et al, 2020), nursing ( n = 5; Dahan et al, 2022; Dogan & Boyacıoglu, 2021; Henshall et al, 2020;Majrabi et al, 2021; Xu et al, 2021), both nursing and psychology ( n = 4; Abram & Jacobowitz, 2021; Dehvan et al, 2018; Ramalisa et al, 2018; Xu et al, 2022) and mental health nursing (Sukut et al, 2022). One study acknowledged there is a lack of an agreed definition of resilience in mental health nursing (Delgado et al, 2020), and two others noted that the primary focus of resilience research in mental health nursing has been on individual resilience rather than inclusive of its complex and multidimensional nature (Dahan et al, 2022; Delgado et al, 2020).…”

“…In eight studies, resilience was viewed as a personal quality, a capacity or an ability to cope (Dehvan et al, 2018; Henshall et al, 2020; Xu et al, 2022), to overcome challenges (Majrabi et al, 2021; Xu et al, 2021), to bounce back from adversity (Abram & Jacobowitz, 2021) or resist and thrive against adversities (Dogan & Boyacioglu, 2021; Ramalisa et al, 2018). Chang et al (2019) defined resilience as a ‘positive trait’ (p. 1) and stated ‘resilience was found to be a coping technique endorsed by mental health professionals’ to manage work‐related stress (p. 2).…”

“…Unlike other studies, Majrabi et al (2021) did not report the overall CD-RISC score or total burnout score. They instead analysed the three resilience factors of the CD-RISC Scale (strength, tenacity and optimism) against the three burnout factors of the Maslach Burnout Inventory (emotional exhaustion, depersonalization and personal accomplishment).…”

“…Dehvan et al (2018) concluded that their sample of n = 60 Irani MHNs participated in the study were 'resilient' (CD-RISC = 63.9). One study reported the resilience levels of n = 219 MHNs in Saudi Arabia according to three factors of the CD-RISC Scale: tenacity (mean = 29.21), strength (mean = 16.84) and optimism (mean = 7.35), rather than the overall CD-RISC mean (Majrabi et al, 2021).…”

Healthcare Employees’ Occupational Health and Safety Conditions in Saudi Arabia; A Mini Literature Review

“…According to the findings, 45.6% of nurses expressed increased emotional tiredness, 35.5% reported a high level of depersonalization, and only 15.9% reported a high level of personal success. The study found that the findings strongly suggested the prevalence of these burnout characteristics, which have a detrimental impact on nurses' and patients' safety and resilience and OHS [8].…”