Prevalence of burnout among nurses in Iran: a systematic review and meta‐analysis

Rezaei, Satar; Matin, Behzad Karami; Hajizadeh, Mohammad; Soroush, Ali; Nouri, Bijan

doi:10.1111/inr.12426

Cited by 83 publications

(77 citation statements)

References 27 publications

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“…The result of this review is consistent with the systematic review done worldwide; the overall prevalence of burnout among pediatric nurses was 31% [ 28 ] and among emergency nurses was 30% [ 29 ]. It is also comparable with the study conducted in Iran; the overall prevalence of burnout among Iranian nurses was 36% [ 30 ]. Similarly, our finding was also consistent with the study done in sub-Saharan Africa which was 33% [ 9 ].…”

Section: Discussionsupporting

confidence: 87%

Burnout among Nurses Working in Ethiopia

Hailay

Aberhe

Mebrahtom

et al. 2020

Behavioural Neurology

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Background. Burnout is a condition of emotional exhaustion, depersonalization, and low personal accomplishment that can occur among individuals who work with people in some capacity. Nursing is a stressful profession that deals with human aspects of health and illness and can ultimately lead to job dissatisfaction and burnout. Although burnout among nurses has been addressed in previous research, the heterogeneous nature of the result findings highlights the need for a detailed meta-analysis in Ethiopia. Thus, this review is aimed at identifying the prevalence of burnout among nurses in Ethiopia. Methods. A search strategy was implemented using electronic databases (PubMed/MEDLINE, Google Scholar, Web of Science, Cochrane Library, Africa-Wide Information, and African Index Medicus) which were systematically searched online to retrieve related articles using keywords. Studies which were included in this review were written in the English language because writing articles in other languages in Ethiopia is uncommon. The combination of key terms including “burnout”, “nurse” and “Ethiopia”, “systematic review” and protocols was used. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis checklist guideline was followed stepwise. All published articles starting from inception to February 2020 were included, and we did not find unpublished studies. Heterogeneity across the included studies was evaluated by the inconsistency index. All statistical analysis was done using R and RStudio software for Windows, and a random-effects model was applied to estimate the overall prevalence of burnout among nurses in Ethiopia. It is registered in PROSPERO (CRD42020188092). Results. The database searched produced 1060 papers. After adjustment for duplicates and inclusion and exclusion criteria, seven articles with 1654 total nurses were found suitable for the review. Except for one cohort study, all studies were cross-sectional. The overall pooled prevalence of burnout among Ethiopian nurses was estimated to be 39% (95% CI: 27%-50%). Conclusions. Burnout affects two out of five nurses in Ethiopia. Therefore, effective interventions and strategies are required to reduce burnout among nurses.

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Section: Discussionsupporting

confidence: 87%

Burnout among Nurses Working in Ethiopia

Hailay

Aberhe

Mebrahtom

et al. 2020

Behavioural Neurology

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“…The problem with many of these studies is that they have remained on the exploratory, correlational level. Even at this stage of understanding, we see descriptive and associative research being repeated in recent studies (García‐Sierra, Fernández‐Castro, & Martínez‐Zaragoza, ; Giorgi et al, ; Ilic, Arandjelović, Jovanović, & Nešić, ; Pradas‐Hernández et al, ; Rezaei, Karami Matin, Hajizadeh, Soroush, & Nouri, ; Shoorideh, Ashktorab, Yaghmaei, & Alavi Majd, ; Zou et al, ). As Munhall () pointed out, nursing theories should also follow the four levels of inquiry, and when relation‐searching research has accumulated enough evidence about the concepts studied, it is time to focus scientific attention on situation‐relating (predictive) or situation‐producing (prescriptive) study designs.…”

Section: Introductionmentioning

confidence: 81%

Discriminating low‐, medium‐ and high‐burnout nurses: Role of organisational and patient‐related factors

et al. 2019

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Aim To discriminate low/medium/high burnout in nurses by work and patient‐related indicators and explore what factors characterize these categories best. Methods Cross‐sectional, online survey with a representative sample of nurses. Measures assessed burnout, intragroup conflict, job insecurity, overt aggression and impact of patient aggression on nurses. Results Top nurse managers experienced more burnout than middle managers or staff, middle managers also reported greater burnout than staff. Those who had never suffered aggression experienced greater burnout but less intragroup conflict and job insecurity. Staff differed on job insecurity from top and midlevel managers. The first discriminant function differentiated high burnout from medium and low; this function was characterized by exhaustion, aggression and intragroup conflict. The second function differentiated medium burnout from others; job insecurity, years worked, over aggression and overtime dominated this function. Conclusions Burnout affects managers and staff differently; top managers may be more susceptible to burnout than reported before. Low, medium and high burnout groups require tailored interventions because of their different characteristics. Implications for Nursing Management In the future, burnout assessment should focus on both organisational and care related factors. Determining levels of burnout will guide managers to improve the right aspects of practice and work environment.

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“…We are of the opinion that high level of burnout in our sample is mainly related to stressful nature of nursing in our country. High workload (high nurse-patient ratio), staff and hospital shortage, imbalance between workload and salary, and lack of timely payment are among the contributing factors to high prevalence of burnout in Iranian nurses (Rezaei et al, 2018).…”

Section: Ta B L E 3 Direct and Indirect Effects And 95% Confidence Inmentioning

confidence: 99%

“…Considering that more than one-third of Iranian nurses suffer from burnout (Rezaei, Karami Matin, Hajizadeh, Soroush, & Nouri, 2018), we decided to provide new insights to health policymakers in Iran by showing the impact of organisational safety issues on burnout.…”

mentioning

confidence: 99%

Relationship between patient safety culture and job burnout in Iranian nurses: Assessing the mediating role of second victim experience using structural equation modelling

2020

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Aim The study examined the mediating effect of the second victim experience between safety culture and burnout in Iranian nurses. Methods A convenience sample of 298 nurses from five teaching hospitals of Urmia participated in the study. Hospital Survey on Patient Safety Culture, Maslach Burnout Inventory and The Second Victim Experience and Support Tool were used to measure the major variables. We adopted structural equation modelling to examine the hypotheses. Results Safety culture was significantly associated with second victim experience and burnout (p < .01). Second victim experience had a partial mediating role on the relationship between safety culture and burnout (p < .01). The mediating model including major variables showed satisfactory fitness (χ2/df = 2.11, p < .01, Comparative Fit Index = 0.94, root‐mean‐square error of approximation = 0.062). Conclusions Establishing a safety culture is crucial for decreasing job burnout, and second victim experience has an intervening role clarifying how high level of safety culture reduces burnout. Implications for Nursing Management Managers should plan to promote safety culture and provide sufficient support to staff involved in the patient safety incident, which could reduce staff burnout.

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Prevalence of burnout among nurses in Iran: a systematic review and meta‐analysis

Cited by 83 publications

References 27 publications

Burnout among Nurses Working in Ethiopia

Burnout among Nurses Working in Ethiopia

Discriminating low‐, medium‐ and high‐burnout nurses: Role of organisational and patient‐related factors

Relationship between patient safety culture and job burnout in Iranian nurses: Assessing the mediating role of second victim experience using structural equation modelling

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