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Liu N, Plouffe RA, Liu JJW, Nouri MS, Saha P, Gargala D, Davis BD, Nazarov A, Richardson JD. Determinants of burnout in Canadian health care workers during the COVID-19 pandemic. Eur J Psychotraumatol 2024; 15:2351782. [PMID: 38775008 PMCID: PMC11123547 DOI: 10.1080/20008066.2024.2351782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Accepted: 04/24/2024] [Indexed: 05/26/2024] Open
Abstract
Background: Health care workers (HCWs) are among the most vulnerable groups to experience burnout during the coronavirus (COVID-19) pandemic. Understanding the risk and protective factors of burnout is crucial in guiding the development of interventions; however, the understanding of burnout determinants in the Canadian HCW population remains limited.Objective: Identify risk and protective factors associated with burnout in Canadian HCWs during the COVID-19 pandemic and evaluate organizational factors as moderators in the relationship between COVID-19 contact and burnout.Methods: Data were drawn from an online longitudinal survey of Canadian HCWs collected between 26 June 2020 and 31 December 2020. Participants completed questions pertaining to their well-being, burnout, workplace support and concerns relating to the COVID-19 pandemic. Baseline data from 1029 HCWs were included in the analysis. Independent samples t-tests and multiple linear regression were used to evaluate factors associated with burnout scores.Results: HCWs in contact with COVID-19 patients showed significantly higher likelihood of probable burnout than HCWs not directly providing care to COVID-19 patients. Fewer years of work experience was associated with a higher likelihood of probable burnout, whereas stronger workplace support, organizational leadership, supervisory leadership, and a favourable ethical climate were associated with a decreased likelihood of probable burnout. Workplace support, organizational leadership, supervisory leadership, and ethical climate did not moderate the associations between contact with COVID-19 patients and burnout.Conclusions: Our findings suggest that HCWs who worked directly with COVID-19 patients, had fewer years of work experience, and perceived poor workplace support, organizational leadership, supervisory leadership and ethical climate were at higher risk of burnout. Ensuring reasonable work hours, adequate support from management, and fostering an ethical work environment are potential organizational-level strategies to maintain HCWs' well-being.
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Affiliation(s)
- Nancy Liu
- MacDonald Franklin Operational Stress Injury Research Centre, Lawson Health Research Institute, London, Canada
| | - Rachel A. Plouffe
- MacDonald Franklin Operational Stress Injury Research Centre, Lawson Health Research Institute, London, Canada
- Department of Psychiatry, Schulich School of Medicine & Dentistry, Western University, London, Canada
| | - Jenny J. W. Liu
- MacDonald Franklin Operational Stress Injury Research Centre, Lawson Health Research Institute, London, Canada
- Department of Psychiatry, Schulich School of Medicine & Dentistry, Western University, London, Canada
| | - Maede S. Nouri
- MacDonald Franklin Operational Stress Injury Research Centre, Lawson Health Research Institute, London, Canada
| | - Priyonto Saha
- MacDonald Franklin Operational Stress Injury Research Centre, Lawson Health Research Institute, London, Canada
| | - Dominic Gargala
- MacDonald Franklin Operational Stress Injury Research Centre, Lawson Health Research Institute, London, Canada
| | - Brent D. Davis
- MacDonald Franklin Operational Stress Injury Research Centre, Lawson Health Research Institute, London, Canada
- Department of Psychiatry, Schulich School of Medicine & Dentistry, Western University, London, Canada
- Department of Computer Science, Western University, London, Canada
| | - Anthony Nazarov
- MacDonald Franklin Operational Stress Injury Research Centre, Lawson Health Research Institute, London, Canada
- Department of Psychiatry, Schulich School of Medicine & Dentistry, Western University, London, Canada
- Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Canada
| | - J. Don Richardson
- MacDonald Franklin Operational Stress Injury Research Centre, Lawson Health Research Institute, London, Canada
- Department of Psychiatry, Schulich School of Medicine & Dentistry, Western University, London, Canada
- Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Canada
- St. Joseph’s Operational Stress Injury Clinic, Parkwood Institute, St. Joseph’s Health Care London, London, Canada
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Tao Y, Cheng Z, Wang C, Liu T, Yan M, Huang X, Jian S, Sun L, Chen Z. Perceived stress and psychological disorders in healthcare professionals: a multiple chain mediating model of effort-reward imbalance and resilience. Front Public Health 2023; 11:1320411. [PMID: 38155891 PMCID: PMC10753578 DOI: 10.3389/fpubh.2023.1320411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Accepted: 12/01/2023] [Indexed: 12/30/2023] Open
Abstract
Background Healthcare professionals have shown more psychological disorders such as anxiety and depression due to the nature of work, which can cause job burnout, decrease the quality of medical services, and even endanger medical safety. The aim of the study is to explore the serial multiple mediating role of effort- reward imbalance and resilience between perceived stress and psychological disorders among healthcare professionals. Methods A cross-sectional study was conducted in China from February to April 2023. A total of 2098 healthcare professionals at a tertiary general hospital was investigated by the following self-reported questionnaires: Hospital Anxiety and Depression Scale (HADS), Perceived Stress Scale (PSS), The Effort-Reward Imbalance (ERI), Healthcare professionals Resilience Scale (MSRS). Results Anxiety and depression are interrelated (r = 0.362, p < 0.01), and they were positively related to perceived stress (r = 0.640/0.607, p < 0.01) and ERI (r = 0.422/0.383, p < 0.01), and negatively related to resilience (r = -0.343/-0.320, p < 0.01). After controlling demographic factors, the variance in anxiety and depression was explained by perceived stress was 37.7 and 35.0%. Bootstrap analyses examining the pathway of perceived stress-ERI-resilience-anxiety revealed significant direct effects [B = 0.560, 95%CI (0.528, 0.591)], as well as indirect effects mediated independently by ERI [B = 0.045, 95%CI (0.029, 0.060)], resilience [B = 0.031, 95%CI (0.017, 0.047)], or a combination of both [B = 0.004, 95%CI (0.002, 0.007)]. Similarly, in the path of perceived stress-ERI-resilience-anxiety-depression, significant direct effects were found [B = -0.310, 95%CI(0.265, 0.351)], along with indirect effects mediated individually by ERI [B = 0.033, 95%CI(0.013, 0.052)], resilience [B = 0.014, 95%CI (0.001, 0.028)], and anxiety [B = 0.218, 95%CI (0.190, 0.246)], or by both or three together (B = 0.032). Conclusion This study proved the hypothesis that ERI and resilience played a mediating role in perceived stress and psychological disorders, revealed the potential mechanism of anxiety in stress and depression, and proposed a solution for perceived stress to psychological distress, which can provide a basis for the intervention of healthcare professionals in the face of mental health crisis.
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Affiliation(s)
- Yuanling Tao
- Health Management Centre, First Affiliated Hospital of Army Medical University, Chongqing, China
| | - Zhen Cheng
- Health Management Centre, First Affiliated Hospital of Army Medical University, Chongqing, China
| | - Chenxi Wang
- School of Nursing, Southern Medical University, Guangzhou, China
| | - Ting Liu
- Health Management Centre, First Affiliated Hospital of Army Medical University, Chongqing, China
| | - Mi Yan
- Health Management Centre, First Affiliated Hospital of Army Medical University, Chongqing, China
| | - Xiaohong Huang
- Health Management Centre, First Affiliated Hospital of Army Medical University, Chongqing, China
| | - Shasha Jian
- Health Management Centre, First Affiliated Hospital of Army Medical University, Chongqing, China
| | - Li Sun
- Health Management Centre, First Affiliated Hospital of Army Medical University, Chongqing, China
| | - Zongtao Chen
- Health Management Centre, First Affiliated Hospital of Army Medical University, Chongqing, China
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Dorneles AJA, Dalmolin GDL, Barlem ELD, Silveira RSD, Andolhe R, Camponogara S, Magnago TSBDS, Costa VZD. Burnout, ethical climate and work organization in covid-19 intensive care units: mixed method study. Rev Bras Enferm 2023; 76Suppl 3:e20220684. [PMID: 38055526 DOI: 10.1590/0034-7167-2022-0684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Accepted: 08/14/2023] [Indexed: 12/08/2023] Open
Abstract
OBJECTIVES to analyze the association between burnout and the perception of the ethical climate in nursing professionals in the covid-19 Intensive Care Unit and the relationship with the organization of work from the perspective of managers of these units. METHODS mixed method study conducted in three university hospitals in southern Brazil from December 2021 to March 2022. A cross-sectional study was developed with 110 nursing professionals, followed by an exploratory-descriptive study through semi-structured interviews with six managers. Descriptive and analytical statistics and discursive textual analysis were used. RESULTS the prevalence of burnout was 10% and the perception of negative ethical climate was 24.5%. The association between burnout and ethical climate revealed overload and fatigue during working hours, related to tension, fear, and stress that emerged from the consequences of the organization and relations of work in the covid-19 Intensive Care Unit. CONCLUSIONS there was an association between burnout and ethical climate and elements of the work organization.
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Affiliation(s)
| | | | | | | | - Rafaela Andolhe
- Universidade Federal de Santa Maria. Santa Maria, Rio Grande do Sul, Brazil
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Lanes TC, Dalmolin GDL, Silva AMD, Bernardi CMS, Schutz TC, Tiguman GMB. Influence of the ethical climate on workers' health among healthcare professionals: a systematic review. Rev Gaucha Enferm 2023; 44:e20220247. [PMID: 37909511 DOI: 10.1590/1983-1447.2023.20220247.en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Accepted: 05/30/2023] [Indexed: 11/03/2023] Open
Abstract
OBJECTIVE To evaluate the influence of the ethical climate on workers' health among healthcare professionals. METHOD Systematic review and meta-analysis conducted in MEDLINE/PubMed, EMBASE, SciVerse Scopus (Elsevier), Cumulative Index to Nursing and Allied Health Literature and Web of Science. Trained reviewers performed the selection, data extraction, and assessment of methodological quality. Meta-analysis was applied for data synthesis. RESULTS Among the 2644 studies, 20 were included for analysis, in which three (15.0%) articles were classified as high quality (score ≥ 80%), while 17 (85.0%) were classified as regular (score 50-79%). There was a moderate negative correlation between the ethical climate and overall moral distress (r=-0.43; 95%CI -0.50; -0.36) and the frequency of moral distress (r=-0.36; 95%CI -0.45; -0.25), as well as the positive and strong correlation between ethical climate and job satisfaction (r=0.71; 95%CI 0.39-0.88). CONCLUSION The negative and positive perception of the ethical climate among healthcare professionals, respectively, influenced the increase in moral distress and job satisfaction.
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Affiliation(s)
- Taís Carpes Lanes
- Universidade Federal de Santa Maria (UFSM). Programa de Pós-Graduação em Enfermagem. Santa Maria, Rio Grande do Sul, Brasil
| | - Graziele de Lima Dalmolin
- Universidade Federal de Santa Maria (UFSM). Departamento de Enfermagem. Santa Maria, Rio Grande do Sul, Brasil
| | - Augusto Maciel da Silva
- Universidade Federal de Santa Maria (UFSM). Departamento de Estatística. Santa Maria, Rio Grande do Sul, Brasil
| | - Camila Milene Soares Bernardi
- Universidade Federal de Santa Maria (UFSM). Programa de Pós-Graduação em Enfermagem. Santa Maria, Rio Grande do Sul, Brasil
| | - Thaís Costa Schutz
- Universidade Federal de Santa Maria (UFSM). Programa de Pós-Graduação em Enfermagem. Santa Maria, Rio Grande do Sul, Brasil
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Dziurka M, Ozdoba P, Olson L, Jedynak A, Ozga D, Jurek K, Dobrowolska B. Hospital ethical climate survey - selected psychometric properties of the scale and results among polish nurses and midwives. BMC Nurs 2022; 21:295. [PMID: 36324181 PMCID: PMC9628138 DOI: 10.1186/s12912-022-01067-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 09/05/2022] [Accepted: 10/04/2022] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND The hospital ethical climate affects the quality of nursing care. A positive ethical climate is likely to reduce the proportion of those who consider leaving the profession, so it is necessary to develop tools which will enable assessment and analysis of the hospital ethical climate. The aim of this study was to examine selected psychometric properties of the Polish version of the Hospital Ethical Climate Survey, assess the hospital ethical climate perceived by nurses and midwives from Polish hospitals, and to determine its correlations with job-related variables. METHODS A cross-sectional study among 558 nurses and midwives working in hospitals in Poland. RESULTS The 21-item model showed acceptable model fitness between the hypothetical model of ethical climate and the data in the study. Five items with low factor loadings were removed from the study. The internal consistency was satisfactory (0.93). The mean score for the overall hospital ethical climate was 3.62. The highest mean score of hospital ethical climate in the present study was found in the "peers" subscale and the lowest in the "physicians" subscale. A positive correlation was found between overall hospital ethical climate and respondents' satisfaction with work, salary, and working time. The hospital ethical climate was associated with problems found in nurses and midwives' work, such as: limited time for direct face-to-face care, the lack of equipment and resources to provide high-quality health care, strained relations with hospital managers and other health care professionals, limitations to one's own competences or those of other medical professionals, moral dilemmas related to patient care, the low prestige of nurses'/midwives' work, physical and mental burden, and the risk of making a mistake. CONCLUSION The Polish 21-item version of the Hospital Ethical Climate Survey is a reliable tool. Correlations revealed that relationships with managers and physicians, and working conditions should be improved in order for the hospital ethical climate to improve.
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Affiliation(s)
- Magdalena Dziurka
- grid.411484.c0000 0001 1033 7158Department of Holistic Care and Nursing Management, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland
| | - Patrycja Ozdoba
- grid.411484.c0000 0001 1033 7158Department of Holistic Care and Nursing Management, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland
| | - Linda Olson
- grid.261080.d0000 0000 9225 960XConsultants and previous Professor and Dean at North Park University, Chicago, IL USA
| | - Anna Jedynak
- Provincial Polyclinical Hospital, Skierniewice, Poland
| | - Dorota Ozga
- grid.13856.390000 0001 2154 3176Department of Emergency Medicine, Faculty of Medicine, University of Rzeszów, Rzeszów, Poland
| | - Krzysztof Jurek
- grid.37179.3b0000 0001 0664 8391Institute of Sociology, Faculty of Social Sciences, John Paul II Catholic University of Lublin, Lublin, Poland
| | - Beata Dobrowolska
- grid.411484.c0000 0001 1033 7158Department of Holistic Care and Nursing Management, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland
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Ozdoba P, Dziurka M, Pilewska-Kozak A, Dobrowolska B. Hospital Ethical Climate and Job Satisfaction among Nurses: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19084554. [PMID: 35457422 PMCID: PMC9027856 DOI: 10.3390/ijerph19084554] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/05/2022] [Revised: 04/03/2022] [Accepted: 04/06/2022] [Indexed: 12/10/2022]
Abstract
The aim of this study was to map and summarize the published research findings on hospital ethical climate and its relationship with nursing staff job satisfaction as well as strategies proposed in the literature for the improvement of hospital ethical climate and job satisfaction through the actions of nursing staff in leadership positions. A scoping review has been performed in accordance with the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension scoping reviews statement (PRISMA-ScR). Three electronic bibliographic databases were searched: the SCOPUS, Medline, and CINHAL Complete using a combination of keywords with the range of years 1994–2021. A total of 15 papers out of 235 records identified were eligible for the analysis. The literature review confirmed a significant relationship between ethical climate and job satisfaction of nurses. Furthermore, the interdependence of ethical climate and job satisfaction of nursing staff affects many different aspects including patients, co-workers, an organization and research. Identifying factors that influence ethical climate and job satisfaction as well as the relationship between these variables may help to reduce the dropout concerning a change of profession among nursing staff.
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Affiliation(s)
- Patrycja Ozdoba
- Department of Holistic Care and Management in Nursing, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland; (M.D.); (B.D.)
- Correspondence:
| | - Magdalena Dziurka
- Department of Holistic Care and Management in Nursing, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland; (M.D.); (B.D.)
| | - Anna Pilewska-Kozak
- Department of Obstetrics and Gynecology Nursing, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland;
| | - Beata Dobrowolska
- Department of Holistic Care and Management in Nursing, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland; (M.D.); (B.D.)
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Magalhães AMMD, Trevilato DD, Pai DD, Barbosa ADS, Medeiros NM, Seeger VG, Oliveira JLCD. Professional burnout of nursing team working to fight the new coronavirus pandemic. Rev Bras Enferm 2021; 75:e20210498. [PMID: 34852038 DOI: 10.1590/0034-7167-2021-0498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2021] [Accepted: 09/28/2021] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE to identify burnout and associated factors among nursing workers working in coping with COVID-19. METHODS a cross-sectional study, developed in four hospitals in a capital in southern Brazil. Sample (n=499) composed of nurses and nursing technicians/assistants, who answered an online form containing socio-occupational characterization and the Maslach Burnout Inventory. Descriptive and inferential statistical analysis was performed, including multiple comparison tests. RESULTS burnout was identified in 60 (12%) workers, with no significant difference between hospitals, but with a difference in dimensions between them. In the emotional exhaustion dimension, a higher proportion (52.9%) was found at a moderate level. Prevalence of high level of professional achievement of 95.4% was identified. CONCLUSION the presence of burnout was significantly prevalent among nurses and females. It reinforces the need to develop strategies to promote the health of nursing workers, providing improvement in health services and reduction of care and labor risks.
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Affiliation(s)
| | - Denilse Damasceno Trevilato
- Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul, Brazil.,Hospital Moinhos de Vento. Porto Alegre, Rio Grande do Sul, Brazil
| | - Daiane Dal Pai
- Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul, Brazil
| | - Amanda da Silveira Barbosa
- Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul, Brazil.,Complexo Hospitalar Irmandade Santa Casa de Misericórdia de Porto Alegre. Porto Alegre, Rio Grande do Sul, Brazil
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