Literature Review : Burnout pada Perawat Selama Pandemi COVID-19

2021 ◽  
Vol 1 ◽  
pp. 1300-1305
Author(s):  
Arti Ayuningtiyas ◽  
Benny Arief Sulistyanto

AbstractDuring the Covid-19 pandemic, nurses are at the forefront. Many nurses experience stress and fatigue due to increased workload. Stress and fatigue that is obtained at work, both physical and psychological fatigue, is known as Burnout. This study aimed to describe the incidence of Burnout experienced by nurses during the Covid 19 Pandemic. This research is a literature review. This study was looking for some articles from PubMed,Garuda, and Google Scholar, with keyword. There were 5 articles that matched the research inclusion criteria. Critical analysis of 5 articles used the JBI instrument. These articles used the mean calculation. In the Emotional Exhaustion category, the mean value was 22.75 and SD was 8.828. it meant that the burnout level in the Emotional Exhaustion category was at a moderate level. In the depersonalization category, the mean value was 7.54 with SD 4.248. it meant that the burnout level in the depersonalization category was at a moderate level. In the personal accomplishment category, the mean was 19.676 with SD of 6.7. it mean that the burnout level in this category was a high level. The nurses experience burnout during the Covid-19 pandemic. The Emotional exhaustion category is a moderate level, depersonalization is at a moderate level, and personal accomplishment is at a high level.Keywords: Nurse, Burnout, Covid-19 pandemic AbstrakDimasa pandemi Covid-19 perawat berada pada garda terdepan, banyak perawat mengalami stress dan kelelahan dikarenakan beban kerja meningkat. Stress dan Kelelahan yang didapat saat kerja baik itu kelelahan fisik maupun psikis dikenal dengan nama Burnout penelitian ini bertujuan untuk mendeskripsikan kejadian Burnout yang dialami Perawat selama Pandemi Covid 19. Penelitian ini adalah literatur review. Hasil pencarian artikel dari database online yaitu Pubmed,Garuda dan Google Scholar, dengan kata kunci di dapatkan 5 artikel yang sesuai dengan kriteria inklusi penelitian. Analisa telaah kritis terhadap 5 artikel menggunakan instrument JBI. Terdapat 5 Artikel yang menggunakan perhitungan mean di dapatkan hasil kategori Emotional Exhaustion nilai mean sebanyak 22.75 dan SD 8.828 dimana hasil menunjukkan level burnout pada level sedang. Kategori depersonalization dengan nilai mean 7.54 dengan SD 4.248 dimana hasil burnout pada level sedang. Kategori personal accomplishment hasil mean 19.676 dengan SD 6.7 dimana hasil burnout menunjukkan level tinggi. Dari 5 Artikel yang di telaah di dapatkan Perawat mengalami Burnout selama pandemic Covid-19, kategori Emotional Exhaustion berada pada level sedang, depersonalization berada pada level sedang, dan personal accomplishment pada level tinggi.Kata Kunci : Perawat, Burnout, pandemi Covid-19

Author(s):  
Eddy Alecia Love Lavalais ◽  
Tayler Jackson ◽  
Purity Kagure ◽  
Myra Michelle DeBose ◽  
Annette McClinton

Background: Identifying nurse burnout to be of significance, as it directly impacts work ethic, patient satisfaction, safety and best practice. Nurses are more susceptible to fatigue and burnout, due to the fact of working in highly stressful environments and caring for people in their most vulnerable state. It is imperative to pinpoint and alleviate potential aspects that can lead to nurse burnout. Research Hypothesis: Educating nurses on recognizing factors influencing nurse burnout and offering effective interventions to combat stress, will lead to better coping and adaptation skills; hence, decreasing the level of nurse fatigue and burnout. Assisting nurses to be cognizant of the symptoms of stress and nurse burnout will lead to the development of positive adaptive mechanisms. However, nurses without this recognition, tend to develop maladaptive psychological skills. Research Methodology: The quality improvement project gathered data on factors influencing burnout via Maslach Burnout Inventory Tool (MBI). MBI is the most commonly used instrument in measuring burnout, by capturing three subscales of burnout: emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA). Results: From a sample of 31 graduate nursing (employed) students, MBI survey was administered via survey monkey. Gathered data (n=31), via descriptive statistics and standard deviation, represented the extent of deviation for the nursing population as a whole. The quality improvement study revealed the standard deviation (SD) for emotional exhaustion, a low SD of 0.3; indicating that data points appear to be closer to the mean (expected value) of the emotional exhaustion data set. Additionally, depersonalization data showed SD values that were widely spread; however, yielding a low SD of 0.42 from the mean on depersonalization. Lastly, higher scores derived from Maslach’s Burnout Inventory tool suggests increased levels of personal accomplishment. Thus, data set revealed lower levels of depersonalization in regards to sample size.  Moreover, Pearson correlation coefficient (Pearson r) identified a positive correlation between independent variable of stress levels and factors influencing nurse burnout, with combined teaching of ways to combat stress in the workplace. Effectiveness of this was reported by ninety-eight percent (98%) of participants. Significance: This study maintains that limited emotional exhaustion, a strong sense of identity and achieving personal accomplishments minimizes burn out.


2021 ◽  
Vol 1 ◽  
pp. 377-384
Author(s):  
Hibatul Aliyah ◽  
Aida Rusmariana

AbstractDuring preschool age, the increasing intensity of children’s physical activities may make them feel tired easily. In this period, their immune system has not stable yet. Those conditions make children more susceptible to various diseases and often cause them hospitalized. For some children, hospitalization can bring about strange feeling and anxiety.Topurpose of this study was to describe the level of anxiety in preschool children who experience hospitalization. This study was a secondary research in the form of literature review. Five articles were taken and chosen from Scilit, Garba Garuda and Google Scholar based on the determined inclusion criteria. The results of the literature review analysis showed that 32.6% preschool children who were hospitalized experienced ‘moderate’ level of anxiety, 27.5% experienced ‘mild’ anxiety, 23.9% felt ‘severe’ level of anxiety, and 16.0% of children felt ‘panicked’. Most of preschool children who were hospitalized experienced moderate level of anxiety. Therefore, nurses in children’s wards are expected to provide nursing care,pay attention to their psychological development, and let them play to reduce their anxiety levels. Keywords: Preschool age children; fas; hospitalization; anxiety level AbstrakPada usia prasekolah, aktifitas fisik pada anak meningkat yang menyebabkan anak sering kelelahan dan menyebabkan rentang terserang penyakit akibat system imun belum stabil atau daya tahan tubuh lemah sehingga mengharuskan anak untuk menjalani hospitalisasi. Bagi anak memasuki rumah sakit adalah seperti memasuki dunia asing, sehingga akibatnya adalah kecemasan. Mengetahui gambaran tingkat kecemasan pada anak usia prasekolah yang mengalami hospitalisasi menggunakan studi literature review. Penelitian ini merupakan penelitian sekunder berjenis literature review. Metode yang digunakan dalam pemilihan artikel yaitu dengan melakukan penelusuran literature dari sumber database Scilit, Garba Garuda dan Google Scholar didapatkan 5 artikel yang sesuai dengan criteria inklusi penelitian. Hasil analisis literature review menunjukkan bahwa anak usia prasekolah yang mengalami hospitalisasi mengalami tingkat kecemasan sedang memiliki hasil terbanyak yaitu sebanyak 45 anak (32,6%), kecemasan ringan sebanyak 38 anak (27,5%), kecemasan berat sebanyak 33 anak (23,9%), dan panic sebanyak 22 anak (16,0 %). Anak usia prasekolah yang mengalami hospitalisasi paling banyak mengalami tingkat kecemasan sedang. Diharapkan perawat di ruang anak dapat memberi asuhan keperawatan dengan tetap memperhatikan aspek psikologi dan tumbuh kembang anak serta memberikan kebutuhan bermain bagi anak saat dirawat untuk menurunkan tingkat kecemasan pada anak.Kata kunci: Anak usia prasekolah; fas; hospitalisasi; tingkat kecemasan


Author(s):  
Eglė Slabšinskienė ◽  
Andrej Gorelik ◽  
Aistė Kavaliauskienė ◽  
Apolinaras Zaborskis

Although burnout has been described as a serious hazard for personal and professional lives and has been surveyed among dentists in many countries, no study has been published regarding burnout among dentists in Lithuania. This study aimed to evaluate the burnout level among Lithuanian dentists and its association with demographic variables, job satisfaction, and other job-related variables. The data were collected among dentists online or during professional conferences while using an anonymous questionnaire (n = 380). The Maslach Burnout Inventory (MBI) was used to evaluate the burnout level. A Poisson regression was applied for the analysis of relationships between variables. We observed that 42.3% of the respondents had a high emotional exhaustion (EE) (95% confidence interval (CI): 37.4–42.3%), while 18.7% (95% CI: 15.0–22.9%) and 28,2% (95% CI: 23.4–32.6%) had high depersonalization (DP) and low personal accomplishment (PA), respectively. Nonetheless, 15.3% (95% CI: 11.8–18.9%) of the study population experienced a high level of overall burnout. An original job satisfaction index was elaborated. It was significantly associated with sum scores of all burnout dimensions: with the EE sum score (Ratio of Sum Score Means (RSSM) 1.54; 95% CI: 1.46–1.62), DP sum score (RSSM 1.59; 95% CI: 1.45–1.74), and PA sum score (RSSM 0.88; 95% CI: 0.84–0.92). It was concluded that Lithuanian dentists can be characterised by high burnout intensity and high prevalence of burnout, being especially evident in emotional exhaustion. The dentist with low job satisfaction appeared to be the most vulnerable to all burnout dimensions.


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1119.1-1119
Author(s):  
L. Nacef ◽  
Y. Besbes ◽  
Y. Mabrouk ◽  
H. Ferjani ◽  
K. Maatallah ◽  
...  

Background:The lipid paradox is termed the decreased cholesterol level in rheumatoid arthritis (RA). Nevertheless, the apolipoprotein levels are usually higher than a healthy person and are predictors of cardiovascular events.Objectives:We aimed to describe lipid abnormalities in RA patients and to look for predictor factors of these changes.Methods:The prospective study was carried out on patients with RA who met the 2010 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) classification criteria. These patients were followed in the rheumatology department of the Kassab Institute.We collected the socio-demographic data, biological and immunological parameters.The lipid assessment included: a measurement of total cholesterol (TC), HDL, LDL, and triglycerides (TG). Lipoproteins APOA1 and APOB were measured. All data were collected after patient consent.Results:Of the 47 patients recruited, 78.7% were female. The mean age was 52.5 ±11.06 [32-76]. The average RA progressed from 86.25 ±63 months [5-288] and was erosive in 81.6% of cases. The rheumatoid factor (RF) was positive in 57.8% of patients, and citrullinated antipeptide antibodies (ACPA) were present in 62.2%. Eight patients had a previous CV history.Mean TC was 4.42 ±1.3 [1.2-7.58], mean HDL was 1.38 ±0.73 [0.18-4.10], mean LDL was 2.55 ±1.16 [0.24-5.54]. The mean TG value was 1.28 ±0.6 [0.24-5.54]. TC elevation was found in 9.1% of cases, HDL in 21.3% of cases, LDL in 5.5% of cases, and TG in 16.4% of cases. Mean APOB/APOA1 ratio was 0.67 ±0.18 [0,46-1,11]. LDL elevation was associated to a high DAS28 (p=0.06, r=0.512). APOA1 was associated to a low DAS28 (p=0.04, r=-0.642).The mean value of APO A1 was 1.36 ±0.21 [0.84-1.81], that of APOB was 0.90 ±0.22 [0.58-1.40]. APOA1 values were lower in patients with high-level LDL (p=0.767). The APOB value was associated with lipid disturbance without significant correlation (p=0.291).Conclusion:Lipid test abnormalities can be found in RA patients outside of any known CV risk factors. APOA1 seems to have a protective effect. Screening and treatment of these abnormalities can prevent CV risk.References:[1]Miguel Bernardes and al. Coronary artery calcium score in female rheumatoid arthritis patients: Associations with apolipoproteins and disease biomarkers. Int J Rheum Dis. 2019;00:1–16.[2]Anna So dergren and al. Biomarkers associated with cardiovascular disease in patients with early rheumatoid arthritis. PLOS ONE. August 5, 2019.Disclosure of Interests:None declared


Author(s):  
Khaled Sulaiman Shhadeh Alsloot

The current study aimed to identify the levels of burnout among staff in care institutions for juvenile delinquents in Jordan, and how different these levels, based on the variables of academic qualifications, years of experience, and marital status. The sample consisted of (107) staff. Maslach Burnout Scale used in this study. The results showed high level of emotional exhaustion and depersonalization, and moderate level of lack of sense of accomplishment among participants.Level of emotional exhaustion varied according to academic qualifications: holders of secondary or below and university qualification holders, the results were in favor of holders of secondary or below, while no statistically significant differences shown in apathy and lack of sense of accomplishment and the total degreeBurnout Scale. The results indicated no differences in the three main levels and the total degreeofBurnout Scale based on the various levels of years of experience and marital status.


2019 ◽  
Vol 48 (2) ◽  
pp. 159
Author(s):  
Kosana Stanetić ◽  
Verica Petrović ◽  
Brankica Marković ◽  
Bojan Stanetić

<p><strong>Objective. </strong>To investigate the level and causes of stress and the risk of onset of burnout syndrome among physicians employed at the Primary Health Care Centre, Banja Luka.</p><p><strong>Subjects and Methods. </strong>Between March 1, 2018, and May 31, 2018 all physicians from the Primary Health Care Centre, Banja Luka were offered the following questionnaires to fill in: a socio-demographic questionnaire, a questionnaire for self-assessment of the level of stress and the Maslach Burnout Inventory for assessment of the risk of burnout syndrome. <strong>Results. </strong>Out of 211 physicians, 85.8% were female. A high level of stress was found in 77.7% of the subjects. Older doctors had higher levels of emotional exhaustion compared to younger doctors with a shorter length of service (r=0.236, P=0.01). Emotional exhaustion was significantly correlated with a high level of depersonalization, a low level of personal accomplishment and a high level of stress (r=0.380, r=-0.174 and r=0.574, P=0.01, P=0.04 and P&lt;0.01, respectively). Depersonalization correlated with a low level of personal accomplishment and stress (r=-0.347 and r=0.283, P&lt;0.01 and P=0.01, respectively), while the level of personal accomplishment was in a negative correlation with stress (r=-0.281, P=0.01). A high stress level was associated with a high degree of emotional exhaustion (OR 56.543; 95% CI 11.35-213.09; P&lt;0.001) as well as lack of personal accomplishment (OR 0.155; 95% CI 0.04-0.50; P=0.003).</p><p><strong>Conclusion. </strong>A high level of stress was associated with older age, female gender, as well as with a high degree of emotional exhaustion and a lack of personal accomplishment. Preventive measures are warranted.</p>


Author(s):  
IRENGBAM SUSUPRIYA DEVI ◽  
GLADYS RAI ◽  
V. P. S PUNIA ◽  
MANOJ KUMAR NANDKEOLIAR

Objective: This study aimed to find the correlation between body mass index (BMI) and microalbuminuria (MA) in essential hypertensive adults. Methods: This study included 35 essential hypertensive patients in the 18–65 years of age group, who satisfied the inclusion criteria. Arterial blood pressure was measured by a sphygmomanometer and the first voided early morning urine sample was collected for the estimation of microalbumin. Results: The mean age of the population studied was 49±11.08 in essential hypertensive patients and 46.89±11.10 in the control group. The mean value of BMI in the hypertensive group was found to be 27.59±5.45. In the present study, the mean value of microalbumin in essential hypertensive patients was 20.95±16.96. A significant positive correlation between BMI and MA was observed in the study with p<0.001. Conclusion: Our study shows a positive correlation between BMI and MA. Therefore, this study will help in the early detection of renal injury and prevents its progression to renal failure by lifestyle and diet modifications.


Author(s):  
Shasha Xu ◽  
Weijun He ◽  
Juqin Shen ◽  
Dagmawi Mulugeta Degefu ◽  
Liang Yuan ◽  
...  

Achieving sustainable development in the water–energy–food (WEF) nexus is gaining global attention. The coupling and coordination degrees are a way to measure sustainable development levels of a complex system. This study assessed the coupling and coordination degrees of the core WEF nexus and identified key factors that affect sustainable development. First, an index system for assessing coupling and coordination degrees of the core WEF nexus was built. Second, the development levels of three subsystems as well as the coupling and coordination degrees of the core WEF nexus in China were calculated. The results showed that from 2007 to 2016, the mean value of the coupling degree was 0.746 (range (0.01, 1)), which was a high level. This proved that the three resources were interdependent. Hence, it was necessary to study their relationship. However, the mean value of the coordination degree was 0.395 (range (0, 1)), which was a low level. This showed that the coordination development of the core WEF nexus in China was low. It is necessary to take some measures to improve the situation. According to the key factors that affect the development levels of water, energy, and food subsystems, the authors put forward some suggestions to improve the coordination development of the WEF system in China.


2015 ◽  
Vol 156 (14) ◽  
pp. 564-570 ◽  
Author(s):  
Zsuzsa Győrffy ◽  
Edmond Girasek

Introduction: Burnout is one of the most challenging questions of the healthcare systems in the 21st century. Aim: The aim of this study was to analyze the Hungarian physicians’ burnout and its associations with workload factors (work hours, shift work, multiple workplaces). Method: Data of this representative, cross-sectional, online epidemiological study was obtained from online questionnaires completed by 4784 physicians. Results: Medium or high level personal accomplishment was present in 75.9% and emotional exhaustion in 58% among physicians, while medium or high level of depersonalization subscale was 53%. All of the 3 dimensions showed association with young ages (<35 years), work in in-patient care, shift hours and multiple workplaces. The physician partner increased the risk of depersonalization, however, children were protective factors. The work–home interface was associated with higher burnout scores. Conclusions: Physicians’ burnout is an important indicator of the functioning and effectiveness of the healthcare system. The results suggest the importance of prevention and intervention. Orv. Hetil., 2015, 156(14), 564–570.


2021 ◽  
Vol 1 ◽  
pp. 1486-1493
Author(s):  
Fikri Haykal ◽  
Sigit Prasojo ◽  
I Isytiaroh

AbstractStroke is a neurological disorder which is has become the main factor in causing movement and body function disorder ini adults. The Problem occur freqentely in the patient in the balence disoreders ini accrying out activities and stiffness in the estremities. One of the physiotherapy apptoaches in by applying bobath method in impove the static balance. It aims to analyze the effect of bobath method exercise therapy on static balance in stroke patients from many articles. in this study the writer had scarched some articels via  PubMed adn  Google Scholar articles according to inclusion and exclusion criteria which are then reviewed. From that analyzed articles. It got the mean value pre intervenstion and after it. the average value in the treatment group before the intervention was given was 14.403 and after being given the intervention was 16.593, the obtained velue was 0.007. These results show the intervention bobath method can improve the ability of static balance in stroke patients. The method in proven can improve standing balance in stroke patients. So that it is highly recomended to implement this method as the physiotherapy intervention expesially in stroke patient based on the cometence.Keywords: Stroke; bobath method; static balance AbstrakStroke adalah gangguan neurologis yang menjadi faktor paling utama penyebab gangguan gerak dan fungsi tubuh pada orang dewasa. Permasalahan pada pasien stroke antara lain adanya gangguan keseimbangan dalam melakukan aktifitas dan kekakuan dalam ektremitas. Salah satu pendekatan fisioterapi untuk meningkatkan keseimbangan statis adalah metode bobath. Study ini bertujuan untuk menganalisa pengaruh terapi latihan metode bobath terhadap keseimbangan statis pada pasien stroke berdasarkan dari berbagai artikel. Pencarian artikel melalui PubMed dan Google Scholar Articles untuk menemukan artikel sesuai kriteria inklusi dan eksklusi yang kemudian dilakukan review. Dari hasil artikel yang dianalisa nilai mean sebelum diberikan intervensi didapatkan rata – rata 14.403 dan sesudah diberikan intervensi sebesar 16,593. Hasil p velue sebesar 0,007. Hasil tersebut menunjukan bahwa intervensi metode bobath  dapat meningkatkan kemampuan keseimbangan statis pada pasien stroke. Metode bobath dapat meningkatkan keseimbangan berdiri pada pasien stroke. Metode bobath dapat digunakan sebagai intervensi fisioterapi khususnya pasien stroke sesuai dengan kompetensi.Kata kunci: Stroke; metode bobath; keseimbangan statis


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