scholarly journals Burnout in nurses: A meta analysis of related factorsHemşirelerde tükenmişlik: İlgili faktörlerin meta analizi

2017 ◽  
Vol 14 (2) ◽  
pp. 1242 ◽  
Author(s):  
Filiz Kantek ◽  
Kamile Kabukcuoğlu
Keyword(s):  
Fixed Effects ◽  
Web Of Science ◽  
Meta Analysis ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Related Factors ◽  
Work Shift ◽  
Ebsco Host ◽  
Fail Safe ◽  
Type Of Institution

Burnout syndrome is still among the leading problems of nursing profession. Reduction and prevention of burnout will be possible with a better understanding of the relevant factors. The purpose of this study is to evaluate the effects of certain variables on burnout levels of nurses in Turkey with a meta analysis. The study was conducted with a meta analysis. A number of online databases were reviewed including Turkish Medical Index, Google scholar, National Thesis Center, Pubmed, EBSCO Host, and Web of Science by searching for certain keywords such as  “Emotional exhaustion”, “Depersonalization”, “personal accomplishment”, “burnout”, “nurse”, and “Turkey”  both in Turkish and English. The results of the review indicated that there were 11 studies for sex, 17 studies for marital status, 20 studies for educational status, 7 studies for the type of institution, and 8 studies for willingness to choose nursing and the work shift that were found eligible for the inclusion criteria. The study data were analyzed with CMA. The homogeneity of the studies was tested with Q and I2 values. The study bias was assessed with Orwin’s Fail-Safe N and Tau coefficients. The effect size was calculated with random effects and fixed effects models.  The study findings indicated that burnout was affected by sex, the type of institution, and the work shift at lower levels and by willingness to choose nursing at moderate levels. It was similarly found that depersonalization dimension was affected by the type of institution, the work shift, and willingness to choose nursing at lower levels. ÖzetTükenmişlik hemşireler için hala önemli problemlerden biridir. Tükenmişliğin azaltılması ve önlenmesi ilgili faktörlerin daha iyi anlaşılması ile mümkün olacaktır. Bu çalışmanın amacı, Meta analiz yöntemi kullanarak Türkiye’deki hemşirelerin tükenmişlik düzeyleri üzerine bazı değişkenlerin etkisini incelemektir. Çalışmada meta analiz yöntemi kullanıldı. İlgili çalışmalara ulaşmak için Türk Tıp Dizini, Google Akademik, YÖK tez merkezi, Pubmed,  EBSCO Host, Web of Science veri tabanları tarandı. Taramada “Tükenmişlik”, “duygusal tükenmişlik”, “Duyarsızlaşma”, “kişisel başarı” “hemşire” ve “Türkiye” anahtar sözcükleri Türkçe ve İngilizce olarak kullanıldı. Cinsiyet için 11, Medeni durum için 17, eğitim durumu için 20, kurum tipi için 7, mesleği isteyerek seçme durumu ve çalışma şekli için 8 çalışma dahil edilme kriterlerine uygundu. Verilerin analizinde CMA istatistik programı kullanıldı. Meta analize dahil edilen çalışmaların homojenliğini test etmek için Q ve I2 değerleri hesaplandı. Yayın yanlılığını test etmek için Orwin’s Fail-Safe N ve Tau-kare katsayısı hesaplaması yapıldı. Etki büyüklüğünün incelenmesinde rastgele etkiler ve sabit etkiler modeli kullanıldı. Bulgular duygusal tükenme üzerine cinsiyet, kurum tipi ve çalışma şeklinin düşük, mesleği isteyerek seçme durumunun orta düzeyde önemli etkiye sahip olduğunu ortaya koydu. Duyarsızlaşma boyutu üzerine kurum tipi, çalışma şekli ve mesleği isteyerek seçme durumu değişkenlerinin düşük düzeyde önemli etkiye sahip olduğu belirlendi.

scholarly journals Prevalence, Related Factors, and Levels of Burnout Syndrome Among Nurses Working in Gynecology and Obstetrics Services: A Systematic Review and Meta-Analysis

2019 ◽  
Vol 16 (14) ◽  
pp. 2585 ◽  
Author(s):  
Emilia I. De la Fuente-Solana ◽  
Nora Suleiman-Martos ◽  
Laura Pradas-Hernández ◽  
Jose L. Gomez-Urquiza ◽  
Guillermo A. Cañadas-De la Fuente ◽  
...  
Keyword(s):  
Systematic Review ◽  
Latin American ◽  
Meta Analysis ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Obstetrics And Gynecology ◽  
Related Factors ◽  
Number Of Children ◽  
Work Related ◽  
Gynecology And Obstetrics

Background: Although burnout levels and the corresponding risk factors have been studied in many nursing services, to date no meta-analytical studies have been undertaken of obstetrics and gynecology units to examine the heterogeneity of burnout in this environment and the variables associated with it. In the present paper, we aim to determine the prevalence, levels, and related factors of burnout syndrome among nurses working in gynecology and obstetrics services. Methods: A systematic review and meta-analysis of the literature were carried out using the following sources: CINAHL (Cumulative Index of Nursing and Allied Health Literature), LILACS (Latin American and Caribbean Health Sciences Literature), Medline, ProQuest (Proquest Health and Medical Complete), SciELO (Scientific Electronic Library Online), and Scopus. Results: Fourteen relevant studies were identified, including, for this meta-analysis, n = 464 nurses. The following prevalence values were obtained: emotional exhaustion 29% (95% CI: 11–52%), depersonalization 19% (95% CI: 6–38%), and low personal accomplishment 44% (95% CI: 18–71%). The burnout variables considered were sociodemographic (age, marital status, number of children, gender), work-related (duration of the workday, nurse-patient ratio, experience or number of miscarriages/abortions), and psychological (anxiety, stress, and verbal violence). Conclusion: Nurses working in obstetrics and gynecology units present high levels of burnout syndrome. In over 33% of the study sample, at least two of the burnout dimensions considered are apparent.

scholarly journals Prevalence, Risk Factors and Burnout Levels in Intensive Care Unit Nurses: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 18 (21) ◽  
pp. 11432
Author(s):  
Santiago Ramírez-Elvira ◽  
José L. Romero-Béjar ◽  
Nora Suleiman-Martos ◽  
José L. Gómez-Urquiza ◽  
Carolina Monsalve-Reyes ◽  
...  
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Emotional Exhaustion ◽  
Meta Analysis ◽  
Poor Performance ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Personality Factors ◽  
Related Factors

Nursing is considered to be an at-risk profession of burnout due to daily exposure to difficult situations such as death and pain care. In addition, some units such as the intensive care unit (ICU), can be stressful due to high levels of morbidity and mortality and ethical dilemmas. Burnout causes a deterioration in quality of care, increasing the risk of mortality in patients due to poor performance and errors in the healthcare environment. The aim of this study was to analyse the levels, prevalence and related factors of burnout in ICU nurses. A systematic review and meta-analysis were carried out in the Medline, Scopus and CINAHL databases. Fifteen articles were found for the systematic review and four for the meta-analysis. With a sample of n = 1986 nurses, the meta-analytic estimate prevalence for high emotional exhaustion was 31% (95% CI, 8–59%), for high depersonalization was 18% (95% CI, 8–30%), and for low personal accomplishment was 46% (95% CI, 20–74%). Within the dimensions of burnout, emotional exhaustion had a significant relationship with depression and personality factors. Both sociodemographic factors (being younger, single marital status, and having less professional experience in ICU) and working conditions (workload and working longer hours) influence the risk of burnout syndrome.

scholarly journals Obesity is associated with severe disease and mortality in patients with coronavirus disease 2019 (COVID-19): a meta-analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zixin Cai ◽  
Yan Yang ◽  
Jingjing Zhang
Keyword(s):  
Mechanical Ventilation ◽  
Fixed Effects ◽  
Web Of Science ◽  
Meta Analysis ◽  
Severe Disease ◽  
Cochrane Library ◽  
Risk Of Infection ◽  
Icu Admission ◽  
Increased Risk ◽  
Nonobese Patients

Abstract Background The coronavirus disease 2019 (COVID-19) pandemic has led to global research to predict those who are at greatest risk of developing severe disease and mortality. The aim of this meta-analysis was to determine the associations between obesity and the severity of and mortality due to COVID-19. Methods We searched the PubMed, EMBASE, Cochrane Library and Web of Science databases for studies evaluating the associations of obesity with COVID-19. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using random- or fixed-effects models. Meta-regression analyses were conducted to estimate regression coefficients. Results Forty-six studies involving 625,153 patients were included. Compared with nonobese patients, obese patients had a significantly increased risk of infection. (OR 2.73, 95% CI 1.53–4.87; I2 = 96.8%), hospitalization (OR 1.72, 95% CI 1.55–1.92; I2 = 47.4%), clinically severe disease (OR 3.81, 95% CI 1.97–7.35; I2 = 57.4%), mechanical ventilation (OR 1.66, 95% CI 1.42–1.94; I2 = 41.3%), intensive care unit (ICU) admission (OR 2.25, 95% CI 1.55–3.27; I2 = 71.5%), and mortality (OR 1.61, 95% CI 1.29–2.01; I2 = 83.1%). Conclusion Patients with obesity may have a greater risk of infection, hospitalization, clinically severe disease, mechanical ventilation, ICU admission, and mortality due to COVID-19. Therefore, it is important to increase awareness of these associations with obesity in COVID-19 patients.

scholarly journals Associations between genetic polymorphisms of TLRs and susceptibility to tuberculosis: A meta-analysis

2019 ◽  
Vol 26 (2) ◽  
pp. 75-83 ◽  
Author(s):  
Yong Zhou ◽  
Mengtao Zhang
Keyword(s):  
Genetic Association ◽  
Fixed Effects ◽  
Web Of Science ◽  
Association Studies ◽  
Meta Analysis ◽  
Genetic Association Studies ◽  
Random Effects Models ◽  
Literature Research ◽  
Fixed Effects Models ◽  
Subgroup Analyses

Some genetic association studies have tried to investigate potential associations between TLR polymorphisms and tuberculosis. However, the results of these studies have not been consistent. Thus, we performed the present meta-analysis to explore associations between TLR polymorphisms and tuberculosis in a larger combined population. A systematic literature research of PubMed, Web of Science and Embase was performed to identify eligible studies for combined analyses. I2 statistics were employed to assess between-study heterogeneities. If I2 was >50%, random-effects models were used to combine the data. Otherwise, fixed-effects models were applied for synthetic analyses. A total of 39 genetic association studies were included in the analyses. The combined analyses showed that TLR1 rs4833095, TLR1 rs5743557, TLR1 rs5743596, TLR2 rs3804099, TLR2 rs5743704, TLR2 rs5743708, TLR6 rs5743810 and TLR8 rs3764879 polymorphisms were significantly associated with susceptibility to TB in the overall population. Further subgroup analyses revealed similar significant findings for TLR1 rs4833095, TLR1 rs5743557, TLR1 rs5743596, TLR1 rs5743618, TLR2 rs3804099, TLR2 rs5743704, TLR2 rs5743708, TLR4 rs4986790 and TLR4 rs4986791 polymorphisms in certain ethnicities. In conclusion, our findings support that these TLR polymorphisms may be used to identify individuals at high risk of developing tuberculosis.

Burnout syndrome and its association with anxiety and fear of medical errors among intensive care unit physicians: A cross-sectional study

2020 ◽  
Vol 48 (2) ◽  
pp. 134-142
Author(s):  
Polychronis Voultsos ◽  
Maria Koungali ◽  
Konstantinos Psaroulis ◽  
Afroditi K Boutou
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Trait Anxiety ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Related Factors ◽  
Cross Sectional ◽  
Specific Syndrome

Burnout is a work-specific syndrome with high incidence among intensive care unit personnel. Although several risk factors have been proposed, data regarding the association of anxiety and burnout among intensive care unit physicians are scarce. The aim of this study is to investigate the incidence of burnout and its association with state and trait anxiety and other sociodemographic, behavioural and occupational-related parameters, among intensivists. A population of intensive care physicians was evaluated using the self-completed Maslach Burnout Inventory and the State-Trait Anxiety Inventory Form Y, and data regarding sociodemographic and occupational-related variables were also recorded. From the 98 intensive care physicians addressed, 80 returned fully completed questionnaires; 26.9% of them presented with high emotional exhaustion, 37.5% with high depersonalisation and 41.5% with low personal accomplishment scores. Trait anxiety, fear of having committed a medical error and self-reporting difficulty when having to act accurately were independently associated with high burnout. In conclusion, burnout is common among intensivists and is associated with specific behavioural characteristics and personality traits, but not with work-related factors.

scholarly journals BURNOUT LEVEL OF TOURIST GUIDES: AN EMPIRICAL STUDY

2016 ◽  
pp. 21-35
Keyword(s):  
Employee Performance ◽  
Tourism Industry ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Personality Factors ◽  
Specific Reference ◽  
Related Factors ◽  
Physical Strength ◽  
Tour Guides ◽  
Tourist Guides

Burnout syndrome affects the employee performance and therefore service quality of a company. Especially, when it comes to tourism-related labour, in this case tour guides, pivotal interface in tourism industry, it is of great importance to examine the extent of burnout in an occupation which not only depends on physical strength but intellectual as well. Although the subject of burnout has well been documented and examined in other occupations, to date, there has been no single study into the burnout level and the concept of burnout with specific reference to tour guides. On the other hand, since the issue of Law on Tourist Guide Occupation in 2012, tour guides, recognized by TUREB (Union of Tourist Guides’ Chamber) have become an obligatory part of package tours. This stipulates that tourist guides have to be licenced subsequent to training programs and packaged tours have to be attended by licenced tourist guides. This study was conducted to determine the burnout level of tourist guides. Following a comprehensive examination of the literature on burnout syndrome and tour guiding, this paper goes on with the method part. As data collection instrument, Copenhagen Burnout Inventory has been employed in this study. The number of the participants is 248 licenced tourist guides registered in Ankara Tourist Guides’ Chamber. The data gathered were analysed through statistical software packages and the results indicated that emotional exhaustion, depersonalization and personal accomplishment in terms of sub-dimensions were found to have lower levels of burnout. In addition, rather than the personality factors, the burnout level was found out to be affected by work-related factors. Hence, it is suggested that organizational and job-related measures should be taken in order to decrease the level of burnout in tourist guides.

scholarly journals A Systematic Review and Meta-Analysis of Burnout Among Healthcare Workers During COVID-19

2021 ◽  
Vol 12 ◽  
Author(s):  
Sulmaz Ghahramani ◽  
Kamran Bagheri Lankarani ◽  
Mohammad Yousefi ◽  
Keyvan Heydari ◽  
Saeed Shahabi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Healthcare Workers ◽  
English Language ◽  
Web Of Science ◽  
Meta Analysis ◽  
Personal Accomplishment ◽  
Healthcare Personnel ◽  
Cochrane Library ◽  
Middle Income ◽  
Middle Income Countries

Burnout among healthcare personnel has been exacerbated by the COVID-19 pandemic's unique features. During the COVID-19 pandemic, this systematic review and meta-analysis aims to provide a complete assessment of the prevalence of burnout across various healthcare personnel. Until January 2021, systematic searches for English language papers were conducted using PubMed, Scopus, EMBASE, Web of Science, Cochrane Library, and ProQuest. Thirty observational studies were found after conducting systematic searches. The pooled overall prevalence of burnout was 52% [95% confidence interval (CI) 40–63%]. Pooled emotional exhaustion (EE), depersonalization (DP), and lack of personal accomplishment (PA) were 51% (95% CI 42–61%), 52% (95% CI 39–65%), and 28% (95% CI 25–31%), respectively. This study demonstrated that nearly half of the healthcare workers experienced burnout during the COVID-19 pandemic. In the studies that were included, non-frontline COVID-19 exposed healthcare personnel also experienced burnout. From high to lower middle-income countries, there was a gradient in the prevalence of total burnout, EE, and lack of PA. Further studies on burnout in low and lower-middle-income countries are suggested. A uniform diagnostic tool for the assessment of burnout is warranted.

scholarly journals Prevalence and Predictors of Burnout in Midwives: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 17 (2) ◽  
pp. 641 ◽  
Author(s):  
Nora Suleiman-Martos ◽  
Luis Albendín-García ◽  
José L. Gómez-Urquiza ◽  
Keyla Vargas-Román ◽  
Lucia Ramirez-Baena ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Burnout Syndrome ◽  
Personal Factors ◽  
Physical And Mental Health ◽  
Negative Effects ◽  
Related Factors ◽  
Work Related ◽  
Scarcity Of Resources

The prevalence of burnout in midwives has been briefly studied. Given the negative effects of burnout syndrome in the physical and mental health, and also related to the quality of care provided, rates of absenteeism and sick leave; identifying related factors for the syndrome are needed. The aim was to determine the prevalence, levels, and factors related to the burnout syndrome, measured with the Copenhagen Burnout Inventory in midwives. A systematic review and meta-analysis were selected from CINAHL, LILACS, ProQuest, PsycINFO, PubMed, SciELO, and Scopus databases, with the search equation “burnout AND (midwife OR midwives OR nurses midwives)”. Fourteen articles were found with a total of 8959 midwives. Most of the studies showed moderate levels of personal burnout. The prevalence obtained was 50% (95% CI = 38–63) for personal burnout; 40% (95% CI = 32–49) for work-related burnout; and 10% (95% CI = 7–13) for client-related burnout. Midwives’ age, less experience, and living alone constitute the main related factors, as well as, the scarcity of resources, work environment, and the care model used. Most midwives present personal and work-related burnout, which indicates a high risk of developing burnout. Personal factors and working conditions should be taken into account when assessing burnout risk profiles of midwives.

scholarly journals Fully Developed Burnout and Burnout Risk in Intensive Care Personnel at a University Hospital

2008 ◽  
Vol 36 (2) ◽  
pp. 208-213 ◽  
Author(s):  
W. Lederer ◽  
J. F. Kinzl ◽  
C. Traweger ◽  
J. Dosch ◽  
G. Sumann
Keyword(s):  
Intensive Care ◽  
Process Model ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
University Hospital ◽  
Burnout Syndrome ◽  
Related Factors ◽  
Significant Difference ◽  
Burnout Risk ◽  
Work And Employment

We assessed the prevalence of fully developed burnout, burnout risk and the influence of work and employment related factors in five intensive care units at a university hospital. A cross-sectional study was conducted using self-reporting questionnaires for the evaluation of the frequency and intensity of burnout syndrome (Maslach Burnout Inventory) and work and employment related factors. From a total of 320 eligible intensive care personnel, 33 physicians and 150 nurses participated in the study (59% response rate). Applying the process model for burnout, 63 participants (34.4%) were at risk for burnout and another 11 respondents (6.0%) revealed evidence of fully developed burnout (emotional exhaustion ≥4.0 and lack of personal accomplishment ≤4.0). No statistically significant difference in prevalence of fully developed burnout or burnout risk was detected in subgroups according to age, gender, level of training, years of employment and family status. The desire to choose the same profession again was significantly less in respondents with fully developed burnout (P=0.006). The opportunity to regularly attend facilitation was significantly lower for participants with fully developed burnout (P=0.002) compared to participants with no burnout. Fully developed burnout and burnout risk are common in intensive care personnel. Support from facilitators appeared to be an important preventive factor.

scholarly journals The Utilisation of Tannin Extract as a Dietary Additive in Ruminant Nutrition: A Meta-Analysis

Animals ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. 3317
Author(s):  
Yulianri Rizki Yanza ◽  
Ainissya Fitri ◽  
Bambang Suwignyo ◽  
Elfahmi ◽  
Nanik Hidayatik ◽  
...  
Keyword(s):  
Methane Production ◽  
Fixed Effects ◽  
Mixed Model ◽  
Meta Analysis ◽  
Production Performance ◽  
Tannin Extract ◽  
Related Factors ◽  
Dietary Treatments

The objective of this meta-analysis was to elucidate whether there are general underlying effects of dietary tannin extract supplementation on rumen fermentation, digestibility, methane production, performance, as well as N utilisation in ruminants. A total of 70 papers comprised of 348 dietary treatments (from both in vivo and in situ studies) were included in the study. The database was then statistically analysed by the mixed model methodology, in which different experiments were considered as random effects and tannin-related factors were treated as fixed effects. The results revealed that an increased level of tannin extract inclusion in the diet lowered ruminant intake, digestibility, and production performance. Furthermore, the evidence also showed that an increased level of tannin extract decreased animal N utilisation where most of rumen by-pass protein was not absorbed well in the small intestine and directly excreted in the faeces. Due to the type of tannin extract, HT is more favourable to maintain nutrient intake, digestibility, and production performance and to mitigate methane production instead of CT, particularly when supplemented at low (<1%) to moderate (~3%) levels.

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