Relationship between quality of work-life, resilience and burnout among nursing professionals during COVID-19 pandemic in Iran: A cross-sectional study

Abstract

Background: The COVID-19 pandemic and the increased workload and stress associated with the disease prevalence have posed a high risk of burnout to nurses. The effects of the workplace and environmental factors on resilience and burnout among nursing professionals have not been investigated in Iran.
 Objective: Present study aimed to assess a model linking quality of work-life to the resilience and various dimensions of burnout among Iranian nursing professionals based on the health service workplace environmental resilience model.
 Methods: This was a cross-sectional study performed on 202 Iranian nurses employed in three educational hospitals. Maslach burnout inventory, Brooks’ quality of nursing work-life survey, and an abbreviated version of the Connor-Davidson resilience scale were used to collect data. The correlation between the study variables was assessed by conducting path analysis in AMOS 22.
 Results: The final model demonstrated adequate fit. The quality of working life indirectly affected burnout via a direct impact on nursing professionals’ resilience (p <0.001, β = 0.39). In addition, resilience had negative, significant effects on all the dimensions of job burnout. The quality of work-life also had negative and significant effects on emotional exhaustion (p <0.001, β = -0.38) and reduced personal accomplishment (p <0.001, β = - 0.38).
 Conclusion: Resilience and quality of work-life are protective variables against burnout in nursing professionals. Nursing managers can increase resilience and decrease burnout among nursing professionals by adopting policies that can improve the quality of work life.

Relationship quality of nursing work life and burnout among nurses: A systematic review

“…The study found explaining the factors associated is the most significant variable that harms QNWL and affects burnout as well, namely workload, control, community, rewards, fairness, values, and work environment (1,4,(9)(10)(11)(12)22,23), is also determined by the interaction between risk factors (e.g., symptoms of depression/ bullying and anxiety) and protective factors (e.g., good social support) (10,13,24). The sociodemographic variables associated with QNWL and Burnout are age, finances, education, gender, marital status, having children, personality, and expectations and shift work (10,14,21,22,(25)(26)(27)(28).…”

“…The study found explaining the definition of QNWL is defined as the ability of employees to meet their important personal needs while also achieving organizational goals is important element nurses possess and can affect the quality of health services provided to patients (1,12,(16)(17)(18)(19).…”

“…Also, it is associated with poorer physical and mental health, including increased irritability, impaired concentration, depression, headaches, insomnia (13), anxiety, and fatigue from being unable to raise children (21). While definition according to Maslach, burnout is a syndrome of emotional exhaustion, depersonalization, and decreased personal achievement (1,4,(9)(10)(11)14,16,19,20).…”

“…There is a very statistically significant correlation between QNWL and burnout (1,4,10,11,13,21,22,25,27,32). Professional burnout impacts the quality of life in the somatic, social and environmental domains, especially in the older group of nurses (25).…”

“…High stress associated with various diseases and the increased workload have led to nurses' high risk of burnout (1). Burnout is a critical condition that affects patient safety and the functioning of healthcare organizations (2).…”