Prevalence, Risk Factors and Burnout Levels in Intensive Care Unit Nurses: A Systematic Review and Meta-Analysis

Abstract

Nursing is considered to be an at-risk profession of burnout due to daily exposure to difficult situations such as death and pain care. In addition, some units such as the intensive care unit (ICU), can be stressful due to high levels of morbidity and mortality and ethical dilemmas. Burnout causes a deterioration in quality of care, increasing the risk of mortality in patients due to poor performance and errors in the healthcare environment. The aim of this study was to analyse the levels, prevalence and related factors of burnout in ICU nurses. A systematic review and meta-analysis were carried out in the Medline, Scopus and CINAHL databases. Fifteen articles were found for the systematic review and four for the meta-analysis. With a sample of n = 1986 nurses, the meta-analytic estimate prevalence for high emotional exhaustion was 31% (95% CI, 8–59%), for high depersonalization was 18% (95% CI, 8–30%), and for low personal accomplishment was 46% (95% CI, 20–74%). Within the dimensions of burnout, emotional exhaustion had a significant relationship with depression and personality factors. Both sociodemographic factors (being younger, single marital status, and having less professional experience in ICU) and working conditions (workload and working longer hours) influence the risk of burnout syndrome.

Association of burnout and intention-to-leave the profession with work environment: A nationwide cross-sectional study among Belgian intensive care nurses after two years of pandemic

“…Journal Pre-proof et al, 2021b;Van den Heede et al, 2019). Compared to studies in other countries, our results are also higher for risk of burnout and intention-to-leave the job and profession among ICU nurses (Gualano et al, 2021;Ramírez-Elvira et al, 2021;Xu et al, 2021). The impact of COVID-19 on the risk of burnout and intention-to-leave the job and the profession seems to be increased among ICU nurses compared to before the pandemic and after the first wave (Bruyneel et al, 2021b;Butera et al, 2021;Vermeir et al, 2018).…”

The Use of Biomarkers in Research with Nursing Personnel: A Narrative Review

“…Aggravations are the damages to the physical, mental, and social integrity of individuals, which can be caused by diseases or hazardous circumstances, such as accidents, intoxications, drug abuse, and selfinflicted or hetero-inflicted injuries, often caused by the environments where people work [68]. The aggravations can generate eating disorders, sleep disorders, elimination disorders, fatigue, aggravations in the body systems, decreased alertness, stress, disorganization in the family environment, and neuroses, facts that often lead to work accidents, sickness, and leave for health treatment [69].…”

Risk factors of burnout among physicians (results of public survey)

“…Эмоциональное выгорание медицинских работников является значимой проблемой здравоохранения в связи не только с вовлеченностью врачебного состава, но и среднего медицинского персонала [10,14]. Несмотря на значимость и несомненную уязвимость медицинских сестер в выгорании, учитывая определенную специфику работы, данные принявшего участие в исследовании среднего медицинского персонала были исключены из анализа для формирования однородной группы респондентов.…”