scholarly journals Environment, workload, and nurse burnout in public hospitals in Chile

2021 ◽  
Vol 55 ◽  
Author(s):  
Marta Simonetti ◽  
Ana María Vásquez Aqueveque ◽  
María Alejandra Galiano
Keyword(s):  
Work Environment ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Organizational Strategies ◽  
Cross Sectional ◽  
Organizational Perspective ◽  
Work Index ◽  
Nurse Burnout

ABSTRACT Objective: To analyze, from an organizational perspective, the problem of nurse burnout in highly complex public hospitals in Chile. Method: Multicenter, observational, cross-sectional study. According to established inclusion criteria, the universe of hospitals and nurses was the object of work. Data collection was carried out through a nurse survey. Work environment was measured with the instrument Practice Environment Scale of the Nursing Work Index, staffing through the nurses’ report on patient load, and burnout with the Maslach Burnout Inventory emotional exhaustion subscale. Results: Thirty-four hospitals (92%) and 1,395 nurses (75.3%) participated in the study. The prevalence of burnout was 34.7%, being higher in Santiago than in other regions of the country (p = 0.001). The logistic regression analyses showed a significant association between work environment and burnout (OR 0.57, 95% CI 0.41–0.79, p = 0.001). No association was established between staffing, skill mix and burnout. Conclusion: A high percentage of nurses in Chile has burnout, which is significantly associated with the quality of the environment. The implementation of organizational strategies to improve work environments could reduce burnout and improve the quality of care.

scholarly journals An Assessment of Work Environment Factors Correlating with Burnout Status of Physicians Employed with the Public Hospitals Authority in The Bahamas

2021 ◽  
Author(s):  
Merrilyn Wallace-Bain
Keyword(s):  
Work Environment ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Public Hospitals ◽  
Burnout Syndrome ◽  
The Bahamas ◽  
Cross Sectional ◽  
The Public ◽  
Study Participants

Objective To identify the prevalence and factors associated with the Burnout Syndrome in physicians working in the Public Hospitals Authority (PHA), Nassau, Bahamas. Methods A cross-sectional study was done in 2014 utilising a self-administered survey comprising of demographics, general health, work environment, and Maslach Burnout Inventory items to assess burnout among physicians working in nine (9) departments of PHA. The IBM SPSS (v. 20.0 or more current) Statistical Analyses software was used for data analysis. Results The study participants were 153 physicians. Their mean age was 35.84 (± 7.09) years old; median 34.00 (IQR: 31.00, 40.00) years old, 99 (64.7%) were females. No associations were found among these, other socio-demographic variables measured and burnout status. Physicians in the department of Internal Medicine represented 34 (22.2%), Family Medicine 31 (20.3%), Emergency Medicine 30 (19.6%), Paediatrics 21 (13.7%), and physicians in other departments 34 (22.3%). Of the physicians employed under the PHA, 55.7% collectively exhibited burnout. Poor balance of family life, 15 work environment potential stressors and 4 potential stress relievers were found to each be weakly or very weakly related to burnout status. Postgraduate programme year, irregular sleep pattern and lack of appreciation were moderately strong positively related. Logistic regression analysis showed the key predictors of burnout status to be lack of appreciation (OR=1.69, p=.002) and number of years worked post-internship (OR=.94, p=.039). Conclusion: Physician’s sense of appreciation and number of years post internship were clear predictors of burnout.

scholarly journals Addressing the relationship between perceived fear of COVID-19 virus infection and emergence of burnout symptoms in a sample of Egyptian physicians during COVID-19 pandemic: a cross-sectional study

2020 ◽  
Vol 27 (1) ◽  
Author(s):  
Mohamed Abdelghani ◽  
Hayam M. El-Gohary ◽  
Eman Fouad ◽  
Mervat S. Hassan
Keyword(s):  
Quality Of Life ◽  
Depressive Symptoms ◽  
Virus Infection ◽  
Emotional Exhaustion ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Personal Accomplishment ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background Physicians during the COVID-19 pandemic are working under relentless stress. This study aimed to identify the impact of the perceived fears of COVID-19 virus infection on the quality of life and the emergence of burnout syndrome among physicians in Egypt during the COVID-19 outbreak. This cross-sectional study was conducted between May 10th and June 9th, 2020, and included 320 Egyptian physicians who were working during the outbreak of the COVID-19 pandemic. The participants were interviewed using the Fear of COVID-19 scale (FCV-19S), Hospital Anxiety and Depression Scale (HADS), Maslach Burnout Inventory, and World Health Organization Quality of Life Scale (WHOQOL-BREF) for assessment of the perceived fears of COVID-19 virus infection, associated anxiety and depressive symptoms, burnout symptoms, and quality of life, respectively. Results Overall, most physicians were females (63%). Ideas about death, moderate-to-severe anxiety, and depressive symptoms were reported by 11, 28, and 29% of physicians, respectively. For burnout symptoms, high emotional exhaustion, high depersonalization, and low personal accomplishment were reported by 20, 71, and 39% of physicians, respectively. The perceived fear of COVID-19 virus infection was positively correlated with anxiety, depression, and burnout emotional exhaustion, and depersonalization symptoms, and negatively correlated with personal accomplishment and all quality of life domains. Conclusions Egyptian physicians experienced higher levels of COVID-19-related fears, anxiety, and depressive and burnout symptoms. There was a robust correlation between these perceived fears, and higher burnout symptoms, and poor quality of life among physicians. Specific interventions should be tailored to minimize the physical and mental burdens on the physicians during the COVID-19 pandemic.

scholarly journals Quality of Care Delivered to Tuberculosis Patients among Public Hospitals in Central Northeast Ethiopia

2020 ◽  
Vol 30 (5) ◽  
Author(s):  
Balkew Asegidew Tegegn ◽  
Betregiorgis Zegeye Hailu ◽  
Birhanu Damtew Tsegaye ◽  
Gashaw Garedew Woldeamanuel ◽  
Wassie Negash
Keyword(s):  
Quality Of Service ◽  
Quality Of Care ◽  
Quality Of Healthcare ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Binary Logistic Regression Analysis ◽  
Cross Sectional ◽  
The Mean ◽  
Process Dimension

BACKGROUND: Inappropriate Tuberculosis (TB) diagnosis and treatment contributes to unfavorable health outcome among TB patients. Improving quality of healthcare service helps to avert TB related morbidity. Despite these facts, the level of quality of service is not known in the hospitals. Hence, the present study was conducted to assess the quality of care delivered to TB patients among publichospitals.METHODS: A facility-based cross-sectional study was conducted from March 15 to April 30, 2019 in North Shewa Zone, Amhara region, Ethiopia. All TB patients who had follow-up in the hospitals were included. This resulted in the involvement of 82 TB patients. Data was collected by trained data collectors using facility audit, clinical observation checklists, structured questionnaire and in-depth interview. Data was analyzed using SPSS version 20. Binary logistic regression analysis was done to identify the predictors of patients’ satisfaction.RESULTS: In this study, 82 respondents with a mean age of 36.48 (±13.27) years were participated. The mean quality score for structural dimension was 59.5%, and 53.7% of participants were found to be satisfied in outcome dimension. The mean score for process dimension of quality of service were 67.9%. Having TB symptoms were significantly associated with the level of patientsatisfaction towards TB care [AOR = 0.217, p = 0.015].CONCLUSION:Quality of TB services from structural and outcome dimension were low and higher in process dimension. Thus, careful attention on the quality of services will help to reduce the burden of TB.

scholarly journals Working hours and health in nurses of public hospitals according to gender

2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Juliana da Costa Fernandes ◽  
Luciana Fernandes Portela ◽  
Rosane Härter Griep ◽  
Lúcia Rotenberg
Keyword(s):  
Rio De Janeiro ◽  
Reference Group ◽  
Working Hours ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Cross Sectional ◽  
Long Working Hours ◽  
Self Rated Health ◽  
Janeiro State

ABSTRACT OBJECTIVE To assess the association between weekly working hours and self-rated health of nurses in public hospitals in Rio de Janeiro, State of Rio de Janeiro, Brazil. METHODS A total of 3,229 nurses (82.7% of the eligible group) participated in this cross-sectional study, carried out between April 2010 and December 2011. The collection instrument consisted of a self-administered multidimensional questionnaire. The weekly working hours were calculated from a recall of the daily hours worked over seven consecutive days; this variable was categorized according to tertiles of distribution for men and women. The outcome of interest, self-rated health, was categorized into three levels: good (very good and good), regular, and poor (poor and very poor). The statistical analysis of the data included bivariate and multivariate analyses, having as reference group those with short working hours (first tertile). All the analyses were stratified by gender and elaborated using the program SPSS. RESULTS Among women, the group corresponding to the longest working week (more than 60.5 hours per week) were more likely to report regular self-rated health, compared with those with shorter working hours, after adjusting for confounding factors (OR = 1.30; 95%CI 1.02–1.67). Among men, those with average working hours (49.5–70.5 hours per week) were more than twice as likely to rate their health as regular (OR = 2.17; 95%CI 1.08–4.35) compared to those with shorter working hours (up to 49.5 hours). There was no significant association between long working hours and poor self-rated health. CONCLUSIONS The results point to the urgent need to promote interventions in the organization of work and appreciation of the nursing profession, in order to reduce the number of multiple jobs and thus contribute to mitigate potential effects on the health of workers and the quality of care in hospitals.

scholarly journals Work environment characteristics associated with quality of care in Dutch nursing homes: A cross-sectional study

2017 ◽  
Vol 66 ◽  
pp. 15-22 ◽  
Author(s):  
Ramona Backhaus ◽  
Erik van Rossum ◽  
Hilde Verbeek ◽  
Ruud J.G. Halfens ◽  
Frans E.S. Tan ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Nursing Homes ◽  
Work Environment ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Nurses and Physicians Attitudes toward Nurse-Physician Collaboration: A Survey from Gaza Strip, Palestine

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Aymen Elsous ◽  
Mahmoud Radwan ◽  
Samah Mohsen
Keyword(s):  
Interprofessional Collaboration ◽  
Gaza Strip ◽  
Pearson Correlation ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Cross Sectional ◽  
Nurses And Physicians ◽  
The Gaza Strip ◽  
The Relationship

Interprofessional collaboration and teamwork between nurses and physicians is essential for improving patient outcomes and quality of health services. This study examined the attitudes of nurses and physicians toward nurse-physician collaboration. A cross-sectional study was conducted among nurses and physicians (n=414) in two main referral public hospitals in the Gaza Strip using the Arabic Jefferson Scale of Attitude toward Physician-Nurse Collaboration. Descriptive statistics and difference of means, proportions, and correlations were examined using Student’st-test, one-way ANOVA, and Pearson correlation andp<0.05was considered as statistical significant. Response rate was 42.8% (75.6% for nurses and 24.4% for physicians). Nurses expressed more positives attitudes toward collaboration than physicians (M ± SD on four-point scale:3.40±0.30and3.01±0.35, resp.) and experience duration was not proved to have an interesting influence. Teamwork approach in the professional practice should be recognized taking into consideration that the relationship between physicians and nurses is complementary and nurses are partners in patient care.

scholarly journals Professional practice environment and burnout among nurses

Rev Rene ◽  
2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Renata Gasparino ◽  
Edinêis De Brito Guirardello
Keyword(s):  
Professional Practice ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Burnout Syndrome ◽  
Practice Environment ◽  
Cross Sectional ◽  
Work Index ◽  
Brazilian Version ◽  
Tertiary Hospitals ◽  
Professional Practice Environment

Objective: to evaluate the professional practice environment of nurses, their relationship with burnout syndrome and thedifferences among three institutions. Methods: a cross-sectional study developed at one secondary and two tertiary hospitals,with 278 nurses, who filled the Nursing Work Index Revised – Brazilian Version and the Maslach Burnout Inventory. Results:most of these nurses showed job satisfaction and good quality of health care, while few informed intentions to leave theirjobs. When comparing the institutions, the secondary level one had more autonomy in nursing practice, more control overthe work environment, better relationship with physicians, and lower levels of emotional exhaustion. Conclusion: thesefindings contribute for the implementation of changes to improve the nursing professional practice, enabling to achieve thesatisfaction of those involved in the process, such as patients, professionals, and institutions.

scholarly journals Burnout among nurses: a multicentric comparative study

2021 ◽  
Vol 29 ◽  
Author(s):  
Elisabete Maria das Neves Borges ◽  
Cristina Maria Leite Queirós ◽  
Margarida da Silva Neves de Abreu ◽  
Maria Pilar Mosteiro-Diaz ◽  
Maria Baldonedo-Mosteiro ◽  
...  
Keyword(s):  
Primary Care ◽  
Negative Impact ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Nursing Profession ◽  
Sectional Study ◽  
Daily Stressors ◽  
Cross Sectional ◽  
Quantitative Descriptive

Objetivo: to identify and compare burnout levels between Portuguese, Spanish and Brazilian nurses. Method: quantitative, descriptive, correlational, comparative and cross-sectional study conducted using a sample of 1,052 nurses working in hospitals and primary care centers. A sociodemographic questionnaire and the Maslach Burnout Inventory were applied to nurses in Porto, Portugal (n=306), Oviedo, Spain (n=269) and S. Paulo, Brazil (n=477). Data analysis was performed using descriptive, inferential and multivariate analysis. Results: approximately 42% of the nurses showed moderate/high levels of burnout, with no differences found between countries (Portugal and Brazil 42%, Spain 43%). Only depersonalization showed differences between countries, presenting Spain the highest level and Portugal the lowest one. Comparative analysis showed higher burnout levels in young nurses and those working by shifts. Considering job schedules, burnout was associated to shift work in Portugal, while in Spain and Brazil it was associated with fixed schedules. Conclusion: these results suggest that this syndrome among nurses is a global phenomenon. The daily stressors and higher demands of the nursing profession are crucial in the preparation of nurses to deal with complex situations, to avoid burnout, and to reduce the negative impact on nurses’ health and on the quality of care they provide.

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

2021 ◽  
Author(s):  
Hosein Zahednezhad ◽  
Armin Zareiyan ◽  
Sanaz Zargar Balaye Jame
Keyword(s):  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Work Life ◽  
Quality Of Work Life ◽  
Sectional Study ◽  
Cross Sectional ◽  
Quality Of Work ◽  
Conducting Path ◽  
Nursing Professionals

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.

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