Psychiatric Morbidity and Emotional Exhaustion Among Hospital Physicians and Nurses: Association With Perceived Job-Related Factors

Abstract

The objective of this study was to evaluate psychiatric morbidity and emotional exhaustion among physicians and nurses of a general hospital in central Italy, examining the association with perceived job-related factors. Anonymous questionnaires were distributed to all 323 hospital physicians and 609 nurses of a nonprofit health organization in Rome, Italy. Standardized instruments were used to evaluate psychiatric morbidity (General Health Questionnaire), burnout (Maslach Burnout Inventory), and perceived job-related factors. Logistic regression was used to examine the association between job-related factors, psychiatric morbidity, and burnout, controlling for demographic factors. Questionnaires were returned by 155 physicians and 216 nurses (overall response rate 40%). Estimated prevalence of psychiatric morbidity was 25% among physicians and 36.9% among nurses. Burnout on the emotional exhaustion scale affected 38.7% of physicians and 46.4% of nurses. Personnel with emotional exhaustion was at higher risk of psychiatric morbidity (p < .001). The likelihood of psychiatric morbidity among physicians was increased by perceived insufficient recognition of personal commitments by the unit's head (odds ratio [OR] = 4.21; 95% confidence interval [CI] 1.2-15.1; p = .027), insufficient managerial ability of the unit's head (OR = 3.45; 95% CI 1.2-10.1; p = .023), and unsatisfactory communication (OR = 5.30; 95% CI 1.6-17.6; p = .006). Among nurses, psychiatric morbidity was associated with insufficient ability of the unit's head to solve conflicts, insufficient decisional power in relation to responsibilities, insufficient economic rewards and career possibilities, and working in surgery. Similar job-related factors were associated also with emotional exhaustion. Psychiatric morbidity and emotional exhaustion were relatively high, particularly among nurses. Specific job-related factors were associated with psychiatric morbidity and burnout. Improving these aspects is important for the well-being of hospital staff and the quality of patient care.

Factors Associated With Provider Burnout in the NICU

“…Furthermore, the overall NICU size, presence of trainees, institutional standards for physician presence, and medical record system may influence workloads and job satisfaction among different categories of providers. 10 The effect of organizational factors on NICU provider burnout is unknown. The objectives of this study were to:…”

“…It seems likely that the absolute numbers of nursing hours per patient provide an incomplete description of the nursing workload that may contribute to burnout. 10,25 The development of an acuityadjusted nurse staffing metric would benefit future investigations of the associations between organizational factors and staff and patient outcomes.…”

Burnout in Physicians and Nurses Working in Obstetrics/Gynecology Clinics in Turkey

“…In contrast to previous studies, physicians showed higher levels of EE, D, and lower levels of PA compared to the nurses in our study. 29,[31][32][33] Study of the Keeton and colleagues was to explore factors related with physician career satisfaction, work-life balance, and burnout in department of obstetrics and gynecology. 34 They found that burnout is an important predictor of career satisfaction, control over schedule, and work hours.…”

Analisis Faktor yang Berhubungan dengan Burnout pada Perawat Kesehatan Jiwa

“…Para pengguna layanan kesehatan juga mengeluhkan penurunan kualitas pelayanan kesehatan yang diberikan perawat (Clausen et al, 2012, Schmidt dan Diestel, 2012 Karena sifat alamiah dari pekerjaannya, perawat merupakan kelompok tenaga kesehatan yang berisiko untuk mengalami burnout dibanding tenaga kesehatan lainnya (Lorenz et al, 2010). Studi terbaru menyimpulkan burnout pada perawat berhubungan dengan kelelahan emosional dan peningkatan morbiditas terkait dengan gangguan kejiwaan (Renzi et al, 2012). Selanjutnya Al Turki (2010) melaporkan tingkat prevalensi kelelahan emosional tinggi dan depersonalisasi disertai dengan rendahnya tingkat prestasi pribadi pada perawat berhubungan dengan burnout.…”