The Burnout and Exhaustion Levels of Nurses Working in Haemodialysis Units

Abstract

It may be suggested that taking precautions at units, providing better working conditions, defining the duties of nurses and providing further dialysis education for nurses may decrease burnout rates.

Pleasure-suffering indicators of nursing work in a hemodialysis nursing service

“…This comparative is similar to the results of a study conducted in Turkey (17) , in which nurses working in dialysis centers had higher professional fulfillment compared to other hospital units, such as intensive care.…”

Stress and Burnout Syndrome Among Nursing Professinals Working in Nephrology: an Integrative Review / Estresse e Síndrome de Burnout em Profissionais de Enfermagem que Atuam na Nefrologia: Uma Revisão Integrativa

“…Psychosocial aspects varied between sense of teamwork, less conflict between work and personal life, belief that work is not as exhausting as other areas of nursing, interest in new technologies, sense of competence, and optimism about the future. 46,35,45,48 The opposition in the conclusions of the articles follows the same tendency of multiplicity of results that is perceived in the risk and protection factors. The division between those who concluded that the nursing team in nephrology suffers from high levels of stress and/or burnout 46,41,44,42,37 and those that have resulted in low levels, when compared with other populations of nurses or with the normative standard, 47,43,39,45,48 is only three articles pointing to stress and burnout.…”

“…46,35,45,48 The opposition in the conclusions of the articles follows the same tendency of multiplicity of results that is perceived in the risk and protection factors. The division between those who concluded that the nursing team in nephrology suffers from high levels of stress and/or burnout 46,41,44,42,37 and those that have resulted in low levels, when compared with other populations of nurses or with the normative standard, 47,43,39,45,48 is only three articles pointing to stress and burnout. This division reveals only the contradiction present in the comparison of the results of all articles, while Dolan, Strold and Hamerick, 48 in Australia, have the objective of finding support for the predetermined assertion that nurses in nephrology have good coping of the occupational stressors, Flynn, Thomas-Hawkins, and Clarke 37 bring alarming results, where one-third of the US nephrology nurses had burnout.…”

“…47,39 In relation to the other conclusions from the articles, it was also possible to categorize them as follows: patient-related, work-related and psychosocial. Regarding those related to work, the conclusions repeated the risk factors, except for the indication of Kersten et al 46 that stressors may also be related to the work process of nephrology itself, where standardized procedures do not allow the nurses' control and autonomy over the work itself, which describes it as routine and repetitive. Psychosocial issues contained conclusions about nurses' dissatisfaction with some areas of work, nurses scored more on burnout scales than physicians, and that the effects of burnout on health care services may lead to a deficit in patient care, thereby decreasing patient satisfaction, reduce adherence in treatment and also impair clinical outcome, 47,43,39 all three articles did not indicate prevalence of stress and burnout in nursing in nephrology.…”

“…45 More specifically in the case of working time, a study pointed to a higher risk for the younger and with less work time, 36 while another identified as the highest risk group the professionals that were older, and who had worked longer in nephrology 43 , and a third pointed to an intermediate work time, from six to ten years, as the main risk factor. 42 What can be achieved from the risks reported by the articles is that the issues of the work environment are closer to most of them, nevertheless they are varied among them, mentioning the responsibility of the institution, 46,42 to the employer's conduct with the nurse , 43 different forms of work organization 39 and the workplace and hospital institutions as a higher risk. 36,47 Other risk factors are job dissatisfaction 34 and with work environment, ergonomics and division of labor, 45 employment relationship 44 to have to jump and dislocating nurses and equipment to attend outside the sector.…”