Systematic Review of Burnout in US Nurses

Zangaro, George A.; Dulko, Dorothy; Sullivan, Debra Henline; Weatherspoon, Deborah; White, Kathleen M.; Hall, Vincent P.; Squellati, Robin; Donnelli, Amber; James, Julie; Wilson, Debra Rose

doi:10.1016/j.cnur.2021.11.001

Cited by 13 publications

(10 citation statements)

References 32 publications

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“…Furthermore, this relationship can also be explained by the fact that the prevalence of COVID-19 might be different in the two regions. Attending over 16 patients daily was associated with higher levels of EE, which was consistent with the results of a recent systematic review of 16 studies from the United States of America [ 45 ]. In that review, it was found that workload was a primary stressor in the work environment, and a higher workload was associated with burnout occurrence among nurses [ 45 ].…”

Section: Discussionsupporting

confidence: 89%

“…Attending over 16 patients daily was associated with higher levels of EE, which was consistent with the results of a recent systematic review of 16 studies from the United States of America [ 45 ]. In that review, it was found that workload was a primary stressor in the work environment, and a higher workload was associated with burnout occurrence among nurses [ 45 ]. All of these results suggest that reducing working hours and workload and improving working conditions could contribute to burnout reduction or prevention.…”

Section: Discussionsupporting

confidence: 89%

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The Association between Burnout, Social Support, and Psychological Capital among Primary Care Providers in Togo: A Cross-Sectional Study

et al. 2023

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Background and Objectives: Job burnout is prevalent among primary care providers (PCPs) in different countries, and the factors that can alleviate burnout in these countries have been explored. However, no study has addressed the prevalence and the correlates of job burnout among Togolese PCPs. Therefore, we aimed to examine the prevalence of burnout and its association with social support and psychological capital among PCPs in Togo. Material and Methods: We conducted a cross-sectional study in Togo from 5 to 17 November 2020 among 279 PCPs of 28 peripheral care units (PCUs). Participants completed the Maslach Burnout Inventory, Job Content Questionnaire, and Psychological Capital Questionnaire. Data were analyzed using the Mann–Whitney U test, Kruskal–Wallis H test, Pearson correlation analysis, and multiple linear regression. Results: We received 279 responses, out of which 37.28% experienced a high level of emotional exhaustion (EE), 13.62% had a high level of depersonalization (DP), and 19.71% experienced low levels of personal accomplishment (PA). EE had a significant negative correlation with the supervisor’s support. In contrast, self-efficacy, hope, optimism, and resilience had a significant negative correlation with DP and a significant positive correlation with PA. Furthermore, supervisors’ support significantly predicted lower levels of EE. Optimism significantly predicted lower levels of DP and higher levels of PA. Conclusions: Burnout is common among Togolese PCPs, and self-efficacy, optimism, and supervisors’ support significantly contribute to low levels of job burnout among Togolese PCPs. This study provided insight into intervention programs to prevent burnout among PCPs in Togo.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 89%

The Association between Burnout, Social Support, and Psychological Capital among Primary Care Providers in Togo: A Cross-Sectional Study

et al. 2023

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“…Studies show that breastfeeding a newborn is associated with lower risk of future type 2 diabetes compared with formula feeding, but it is not known if breastfeeding is associated with lower risk of future gestational diabetes mellitus (GDM). 1 The Breastfeeding Length and Intensity in Gestational Diabetes and Metabolic Effects in a Subsequent Pregnancy study was an Australian pilot cohort study designed to explore the relationship between breastfeeding by people after a pregnancy complicated by GDM and onset of GDM in their next pregnancy. Researchers recruited people during a second pregnancy who had been diagnosed with GDM in their first pregnancy, were at greater than 20 weeks gestation, and had not yet had testing for GDM.…”

Section: Box 1 What Are the Types Of Regression Analysis?mentioning

confidence: 99%

“…nhs3.org. Midwives know the numbers that describe racial disparities in reproductive health; for example, Black women are 3 times as likely as white women to die of pregnancy-related causes, 1 and Black newborns are twice as likely as white newborns to be born prematurely. 2 Although they are critical, numbers are only one way to understand a problem.…”

Section: Box 2 What Is the Nurses' Health Study?mentioning

confidence: 99%

“…Burnout is an unhealthy response to chronic workplace stressors. It is characterized by high levels of emotional exhaustion, cynicism or depersonalization, and a sense of inefficacy 1 . Increasing the size of the midwifery workforce requires not just educating new midwives but also ensuring that practicing midwives are able to remain in practice.…”

Section: Midwifery Burnoutmentioning

confidence: 99%

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Research and Professional Literature to Inform Practice, May/June 2022

Niemczyk

2022

J Midwife Womens Health

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Reproductive health disparities are receiving increasing attention in the United States; compared with non-Hispanic white childbearing individuals, non-Hispanic Black individuals are more likely to experience severe morbidity and mortality. Addressing this disparity requires understanding its causes. One possible cause is that there is also a disparity in incidence of cesarean birth, with higher rates among non-Hispanic Black than non-Hispanic white individuals. The goals of the current study were to assess the differences between racial and ethnic groups in incidence of cesarean birth in a low-risk group of people, assess whether indication for cesarean differed by racial and ethnic groups, and assess whether differences in cesareans explained differences in morbidity. This is a secondary analysis of data from the multisite randomized clinical trial, A Randomized Trial of Induction Versus Expectant Management (ARRIVE). Designed to determine the effects of labor induction in the 40th week of pregnancy as opposed to expectant management, ARRIVE provides a strong foundation for exploring questions of racial and ethnic differences in postpartum morbidity because stringent inclusion criteria resulted in a very low-risk sample of birthing people. Research staff confirmed that potential participants had no medical risk factors indicating labor induction before 40 5/7 weeks' gestation during the 39th week of pregnancy. Studying a homogeneous group decreases the chance that differences in postpartum morbidity were caused by different incidences of pregnancy complications such as gestational diabetes, as people with such complications would not be considered low risk and included in the trial.This analysis included all participants in the ARRIVE trial who self-identified as non-Hispanic Black, non-Hispanic white, or Hispanic; there were too few participants of other races and ethnicities for meaningful statistical analysis. Racial and ethnic group was the primary exposure. The primary outcome was mode of birth, with reason for cesarean as a secondary outcome. An additional secondary outcome was a composite morbidity outcome including transfusion of 4 or

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