Severity and prevalence of burnout syndrome in paediatric intensive care nurses: A systematic review

Matsuishi, Yujiro; Mathis, Bryan J.; Masuzawa, Yuko; Okubo, Nobuyuki; Shimojo, Nobutake; Hoshino, Haruhiko; Enomoto, Yuki; Inoue, Yoshiaki

doi:10.1016/j.iccn.2021.103082

Cited by 16 publications

(8 citation statements)

References 59 publications

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“…Thus they are continually asked to do more (care for more patients, run more technology) with less (less time, resources, support) (1). Much of the organizational behavior research conducted to date on nursing populations has focused on general adult care nurses and excluded studying nurses who care for children (12,13), particularly in pediatric critical care settings.…”

Section: Discussionmentioning

confidence: 99%

The Relationships Amongst Pediatric Nurses' Work Environments, Work Attitudes, and Experiences of Burnout

et al. 2021

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Background: Pediatric nurses care for some of the most vulnerable patients in our healthcare system. Research on health care provider organizational behavior shows that the quality of care nurses provide is directly related to their well-being, influenced by Burnout and job stress, in the workplace. However, most of the research conducted on nursing populations neglects to separately study nurses who care for children. In a resource limited system where health care provider well-being is recognized as a priority, it is important for administrators to understand the environmental and attitudinal work factors most influential to pediatric nurse work outcomes in order to target optimization strategies. The aim of the study was to identify which modifiable work environment factors, e.g., [Incivility, Perceived Organizational Support, Quality of Work-life] make the greatest contribution to the work outcome of Burnout (i.e., Personal Accomplishment, Emotional Exhaustion, Depersonalization) in pediatric nurses.Methods: A cross-sectional survey design was used at a large quaternary care pediatric hospital in Toronto, Canada. We administered a survey to a convenience sample of all registered nurses with >3 months experience in the Pediatric, Cardiac, and Neonatal Intensive Care Units from January 2021–March 2021. Path analysis was used to test our proposed model which was specified a priori based on a review of the literature.Results: 143 nurses completed the survey. Path analysis of the tested model resulted in good fit. Quality of Work-life had the largest direct effect on Work Engagement (β = 0.582, S.E. = 0.111, p < 0.001). Work Engagement had the largest direct effect on Personal Accomplishment (β = 0.68, S.E. = 0.53, p < 0.001). Quality of Work-life had the largest indirect effect on Personal Accomplishment (β = 0.4, S.E. = 0.65, p < 0.001), Emotional Exhaustion (β = −0.33, S.E. = 0.87, p < 0.001), and Depersonalization (β =−0.17, S.E. = 0.41, p = 0.006), respectively. Work Engagement had the largest total effect on Personal Accomplishment (β = 0.68, S.E. = 0.64, p < 0.001) and the third largest total effect on Emotional Exhaustion (β = −0.57, S.E. = 0.83, p < 0.001). Quality of Work-life had the second largest total effect on Work Engagement (β = 0.58, S.E. = 0.11, p < 0.001) indicating that Quality of Work-life is mediated through Work Engagement for its effect on Burnout.Conclusions: Our results indicate work environment and work attitude factors that can provide organizational leadership with a targeted focus to reduce pediatric critical care nurse Burnout, and thus improve provider well-being, in a resource limited system.

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Section: Discussionmentioning

confidence: 99%

The Relationships Amongst Pediatric Nurses' Work Environments, Work Attitudes, and Experiences of Burnout

et al. 2021

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“…While ICU staff possess an inherent capability to persevere under stressful conditions, there eventually comes a time when their mental guard is weakened and withdrawn [ 18 ]. However, to assess the burnout scenario more accurately, a custom-tailored MBI, along with an adequate questionnaire, needs to be administered [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Occupational Burnout among Intensive Care Unit Staff in Jazan, Saudi Arabia, Using the Maslach Burnout Inventory

Shbeer

Ageel

2022

Critical Care Research and Practice

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Objective. ICU workers are among the healthcare staff exposed to high occupational burnout in their daily interactions with patients, especially during the COVID-19 pandemic. This study aimed to investigate the prevalence and risk factors of burnout among ICU staff in the Jazan region of Saudi Arabia. Methods. A cross-sectional study was conducted using the Maslach Burnout Inventory (MBI), which was distributed to ICU staff between August 1 and November 30, 2021. A total of 150 ICU workers were invited to participate in the study. Results. A total of 104 ICU staff responded to the survey (69% response rate), including 62 nurses, 30 physicians, and 12 respiratory therapists. Among the respondents, 63 (61%) were female and 41 (39%) were male. The mean scores for emotional exhaustion, depersonalization, and personal accomplishment were 22.44 ± 14.92, 9.18 ± 7.44, and 29.58 ± 12.53, respectively. The ICU staff at high risk of emotional exhaustion, depersonalization, and personal accomplishment were 36%, 28%, and 47%, respectively. The leading cause of burnout among ICU staff in the study was workload, and taking a vacation was the most cited coping mechanism for occupational burnout. Conclusion. ICU staff are at high risk of emotional exhaustion, depersonalization, and lack of personal accomplishment. Policymakers should implement regulations that ensure hospitals have adequate employees to reduce the workload that leads to occupational burnout.

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“…Styles of thinking, which can be influenced by ethnicity or culture, may impact the prevalence and severity of work burnout. 44 The high level of burnout among Omani versus non-Omani nurses could be attributed to the fact that Omani nurses in the current sample had fewer years of experience in NICUs (M = 6.293, SD = 4.752) than non-Omani nurses (M = 14.439, SD = 6.196). Hence, non-Omani nurses' ability to adapt to stressful situations was more than that of Omani nurses, which could explain the low EE and DP levels.…”

Section: Discussionmentioning

confidence: 78%

Nurses’ Job Burnout and Resilience in Neonatal Intensive Care Units

Al-Harrasi,

Sabei,

Omari

et al. 2024

Journal of Perinatal &Amp; Neonatal Nursing

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Purpose: To assess the relationship between job burnout and resilience among nurses working in neonatal intensive care units (NICUs) in Oman. Background: NICUs induce a significant amount of stress that predisposes nurses to a substantial degree of burnout. Resilience can play a role in reducing the effects of job burnout. A limited number of studies have examined job burnout and resilience among NICU nurses. Methods: A cross-sectional survey design was utilized. The Maslach Burnout Inventory was used to assess burnout, and the Brief Resilience Scale was used to assess perceptions of resilience. Pearson correlation was used to assess the relationship between job burnout and resilience. Results: A total of 173 staff nurses participated. Participants reported low levels of emotional exhaustion and depersonalization but moderate levels on the personal accomplishment subscale. Nurses reported moderate levels of resilience. Emotional exhaustion and depersonalization were negatively correlated with resilience, while personal accomplishment was positively correlated with resilience. Conclusion: This study demonstrated that enhancing resilience can reduce the effect of burnout among NICU nurses. Implications for Practice and Research: Enhancing levels of resilience among NICU nurses, in addition to providing adequate managerial support and good collegial relations, is essential to reduce their perceived job burnout.

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Severity and prevalence of burnout syndrome in paediatric intensive care nurses: A systematic review

Cited by 16 publications

References 59 publications

The Relationships Amongst Pediatric Nurses' Work Environments, Work Attitudes, and Experiences of Burnout

The Relationships Amongst Pediatric Nurses' Work Environments, Work Attitudes, and Experiences of Burnout

Assessment of Occupational Burnout among Intensive Care Unit Staff in Jazan, Saudi Arabia, Using the Maslach Burnout Inventory

Nurses’ Job Burnout and Resilience in Neonatal Intensive Care Units

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