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Ge MW, Hu FH, Jia YJ, Tang W, Zhang WQ, Chen HL. Global prevalence of nursing burnout syndrome and temporal trends for the last 10 years: A meta-analysis of 94 studies covering over 30 countries. J Clin Nurs 2023; 32:5836-5854. [PMID: 37194138 DOI: 10.1111/jocn.16708] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Revised: 12/07/2022] [Accepted: 03/24/2023] [Indexed: 05/18/2023]
Abstract
AIMS AND OBJECTIVES To determine the global prevalence of nursing burnout syndrome and time trends for the last 10 years. BACKGROUND The prevalence of burnout syndrome varied greatly in different regions in the last 10 years, so the average prevalence and time trends of nursing burnout syndrome for the last 10 years were not completely clear. DESIGN A meta-analysis conducted in the PRISMA guidelines. METHODS CINAHL, Web of Science, and PubMed were searched for trials on the prevalence of nursing burnout syndrome from 2012 to 2022 systematically. Hoy's quality assessment tool was used to evaluate the risk of bias. The global prevalence of nursing burnout syndrome was estimated, and subgroup analysis was used to explore what caused heterogeneity. Time trends for the last 10 years were evaluated by meta-regression using Stata 11.0. RESULTS Ninety-four studies reporting the prevalence of nursing burnout were included. The global prevalence of nursing burnout was 30.0% [95% CI: 26.0%-34.0%]. Subgroup analysis indicated that the specialty (p < .001) and the region (p < .001) and the year (p < .001) were sources of the high heterogeneity. Meta-regression indicated that it tended to increase gradually for the last 10 years (t = 3.71, p = .006). The trends increased in Europe (t = 4.23, p = .006), Africa (t = 3.75, p = .006) and obstetrics (t = 3.66, p = .015). However, no statistical significance was found in ICU (t = -.14, p = .893), oncology (t = -0.44, p = .691) and emergency department (t = -0.30, p = .783). CONCLUSIONS A significant number of nurses were found to have moderate-high levels of burnout syndrome for the last 10 years. The meta-analysis also indicated an increased trend over time. Therefore, more attention to the prevalence of nursing burnout syndrome is urgently required. RELEVANCE TO CLINICAL PRACTICE High prevalence of nursing burnout may attract more attention from the public. This analysis may serve as an impetus for relevant policy to change nurses' working conditions and reduce the occurrence of burnout.
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Affiliation(s)
- Meng-Wei Ge
- School of Medicine, Nantong University, Nantong, China
| | - Fei-Hong Hu
- School of Medicine, Nantong University, Nantong, China
| | - Yi-Jie Jia
- School of Medicine, Nantong University, Nantong, China
| | - Wen Tang
- School of Medicine, Nantong University, Nantong, China
| | | | - Hong-Lin Chen
- School of Public Health, Nantong University, Nantong, China
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Arakelian E, Rudolfsson G. Sharing the Same Reality, Healthy Relations Between Colleagues at Work: A Meta-Synthesis. SAGE Open Nurs 2023; 9:23779608231207239. [PMID: 37854790 PMCID: PMC10580729 DOI: 10.1177/23779608231207239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Revised: 07/11/2023] [Accepted: 09/23/2023] [Indexed: 10/20/2023] Open
Abstract
Introduction Good relations are important at work, leading to well-being among coworkers. Since the latest research in nursing is mostly about bullying, and lateral violence, it was important to study what healthy relations mean. Objectives The aim was to identify and synthesize qualitative studies that describe healthy relations, creating health and well-being between colleagues at work. Methods A meta-synthesis approach, inspired by Sherwood's steps of analysis, was chosen for this study. Ten articles from three continents, comprising 230 participants, were included. Results Two themes were identified as follows: (a) creating a mutual bond on a personal level and a permissive atmosphere through the human warmth; and (b) sharing togetherness in a greater whole, offering unconditional help and devoting themselves to taking care of each other. An overarching metaphor implicating the home/homeness was abstracted from the two themes: "Healthy relations between colleagues at work constitute the community as a common world, containing feelings of being at home, implying acting in an expression of the ethos and dignity, a culture created that makes the ideal form of healthy relations visible." Conclusion Nurses find their meaning when they work in a permissive environment, and when they are allowed to be themselves. Such meaning can be found through their engagement with one another, by offering each other unconditional help. Good relationships lead to a place they call their home, where there is trust and friendship.
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Affiliation(s)
- Erebouni Arakelian
- Faculty of Health and Occupational Studies, Department of Caring Sciences, University of Gävle, Gävle, Sweden
- Department of Surgical Sciences, Uppsala University, Uppsala, Sweden
| | - Gudrun Rudolfsson
- Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway
- Division of Nursing, Department of Health Sciences, University West, Trollhättan, Sweden
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Chowdhury SR, Kabir H, Chowdhury MR, Hossain A. Workplace Bullying and Violence on Burnout Among Bangladeshi Registered Nurses: A Survey Following a Year of the COVID-19 Pandemic. Int J Public Health 2022; 67:1604769. [PMID: 36325186 PMCID: PMC9618602 DOI: 10.3389/ijph.2022.1604769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Accepted: 10/06/2022] [Indexed: 11/13/2022] Open
Abstract
Objectives: To investigate burnout among Bangladeshi nurses and the factors that influence it, particularly the association of workplace bullying (WPB) and workplace violence (WPV) with burnout. Methods: This cross-sectional study collected data from 1,264 Bangladeshi nurses. Mixed-effects Poisson regression models were fitted to find the adjusted association between WPB, WPV, and burnout. Results: Burnout was found to be prevalent in 54.19% of 1,264 nurses. 61.79% of nurses reported that they had been bullied, and 16.3% of nurses reported experience of “intermediate and high” levels of workplace violence in the previous year. Nurses who were exposed to “high risk bullying” (RR = 2.29, CI: 1.53–3.41) and “targeted bullying” (RR = 4.86, CI: 3.32–7.11) had a higher risk of burnout than those who were not. Similarly, WPV exposed groups at “intermediate and high” levels had a higher risk of burnout (RR = 3.65, CI: 2.40–5.56) than WPV non-exposed groups. Conclusion: Nurses’ burnout could be decreased if issues like violence and bullying were addressed in the workplace. Hospital administrators, policymakers, and the government must all promote and implement an acceptable working environment.
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Affiliation(s)
- Saifur Rahman Chowdhury
- Department of Public Health, School of Health and Life Sciences, North South University, Dhaka, Bangladesh
- *Correspondence: Saifur Rahman Chowdhury,
| | - Humayun Kabir
- Department of Public Health, School of Health and Life Sciences, North South University, Dhaka, Bangladesh
| | - Mahmudur Rahman Chowdhury
- Begum Rabeya Khatun Chowdhury Nursing College, Shahjalal University of Science and Technology, Sylhet, Bangladesh
| | - Ahmed Hossain
- Health Services Administration, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
- NSU Global Health Institute (NGHI), North South University, Dhaka, Bangladesh
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Frazer H, Hansen C, Searle A, Lawrence-Wood E, Van Hooff M. Exploration of potential indicators of burnout, psychological distress and post-traumatic stress disorder, among Australian female first responders. Psychiatry Res 2022; 316:114771. [PMID: 35987064 DOI: 10.1016/j.psychres.2022.114771] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2022] [Revised: 08/02/2022] [Accepted: 08/03/2022] [Indexed: 11/27/2022]
Abstract
There is limited research on the psychological wellbeing of female first responders (FRs) and therefore we explore potential indicators of burnout, psychological distress and post-traumatic stress disorder among Australian female FRs. We conducted an online health survey among Australian female FRs (fire, police, paramedical, aeromedical, remote area and other e.g., State Emergency Service). Of the 422 eligible participants who submitted the online survey, 286 completed at least 80% of all survey questions and were used in the final analyses. The main outcomes of interest were moderate burnout (compared to low burnout) and high scores for combined PCL-5/K10 (compared to low scores). Using logistical regression stepwise regression models, we analysed associations between the outcomes of interest and various work-psychosocial factors. Results showed the strongest indicators of moderate burnout to be, 1) returning to work with <12-hour break, 2) exposure to gossip and slander, 3) not enough time to do things, 4) and having experienced rape/sexual assault. The strongest indicators of higher PCL-5/K10 scores were, 1) exposure to unpleasant teasing, 2) pressure at work and home, 3) having experienced physical violence (e.g., beaten/mugged), and 4) someone close to them died unexpectedly. These findings show workforce stressors have more impact on female FRs psychological wellbeing, compared to lifetime traumatic exposures.
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Affiliation(s)
- Helen Frazer
- Military and Emergency Services Health Australia, The Hospital Research Foundation, Adelaide, South Australia, Australia; The University of Adelaide, South Australia, Australia.
| | - Craig Hansen
- Military and Emergency Services Health Australia, The Hospital Research Foundation, Adelaide, South Australia, Australia; The University of Adelaide, South Australia, Australia
| | - Amelia Searle
- Flinders Medical Centre, Pain Management Unit, South Australia, Australia; Flinders University, South Australia, Australia; Charles Darwin University, the Northern Territory, Australia
| | | | - Miranda Van Hooff
- Military and Emergency Services Health Australia, The Hospital Research Foundation, Adelaide, South Australia, Australia; The University of Adelaide, South Australia, Australia; The University of South Australia, Adelaide, South Australia, Australia
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Wang J, Zeng Q, Wang Y, Liao X, Xie C, Wang G, Zeng Y. Workplace violence and the risk of post-traumatic stress disorder and burnout among nurses: a systematic review and meta-analysis. J Nurs Manag 2022; 30:2854-2868. [PMID: 36122417 DOI: 10.1111/jonm.13809] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Revised: 09/03/2022] [Accepted: 09/14/2022] [Indexed: 11/28/2022]
Abstract
AIM This review examined the association between workplace violence and the risk of post-traumatic stress disorder (PTSD) and burnout among nurses. BACKGROUND The extent to which workplace violence is associated with an increased risk of PTSD and burnout in nurses remains unclear. EVALUATION We searched nine electronic databases (PubMed, Cochrane, Embase, Web of Science, CINAHL, PsycINFO, Chinese Biomedical, China National Knowledge Internet, and WANFANG). KEY ISSUES Overall, 114 full-text studies were identified; 43 met the inclusion criteria, of which 10 were included in the meta-analysis. Compared to their counterparts with non-exposure to workplace violence, nurses experiencing it had 2.13 and 2.25 times higher odds of reporting PTSD and burnout after adjusting the confounding factors. Additionally, the moderator and mediator factors might help reduce the risk of both in this population. CONCLUSION This study indicated that workplace violence increases the risk of PTSD and burnout. IMPLICATIONS FOR NURSING MANAGEMENT Our review identified the magnitude of the association between exposure to workplace violence and the reported symptoms of PTSD and burnout in nurses. Furthermore, multi-targeted efforts directed at the identified social/organisational, task-related, and individual resources might help mitigate their harmful impact in the aforementioned population.
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Affiliation(s)
- Jinfeng Wang
- College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Qinglin Zeng
- School of Clinical Medicine, Sichuan College of Traditional Chinese Medicine, Mianyang, China
| | - Yuqiang Wang
- School of Stomatology, Shanxi Medical University, Taiyuan, China
| | - Xinqi Liao
- College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Caixia Xie
- Nursing research center, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China
| | - Guofu Wang
- Chengdu Fifth People's Hospital, Chengdu, China
| | - Yanli Zeng
- College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China
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Li H, Xu YL, Jing MJ, Wei XJ, Li LM, Guo YF. The mediating effects of adversity quotient and self-efficacy on ICU nurses' organizational climate and work engagement. J Nurs Manag 2022; 30:3322-3329. [PMID: 36017688 DOI: 10.1111/jonm.13773] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2022] [Revised: 08/13/2022] [Accepted: 08/19/2022] [Indexed: 11/28/2022]
Abstract
AIM This study aimed to explore the mediating effects of adversity quotient and the moderating effect of self-efficacy on the relationship between the organizational climate and the work engagement of intensive care unit nurses. BACKGROUND A good organizational climate can contribute to a high level of work engagement. Adversity quotient and self-efficacy are the key factors affecting nurses' work engagement, while the mechanism of these factors in the organizational climate and work engagement remains unclear. This study was conducted to contribute to the relevant field research. METHODS The study used a cross-sectional research design and surveyed 323 intensive care unit nurses working in a public hospital in China. The data were analyzed using descriptive statistical methods: Pearson correlation analysis and PROCESS macro Model 7 in the regression analysis. RESULTS Organizational climate was positively correlated with work engagement and adversity quotient. The indirect effect of organizational climate on work engagement through adversity quotient was positive. Furthermore, self-efficacy moderated the relationship between the two factors. CONCLUSION Cultivating organizational climate and adversity quotients is an important strategy to improve the work engagement of intensive care unit nurses, particularly for nurses with high self-efficacy. IMPLICATIONS FOR NURSING MANAGEMENT Administrators should make efforts to create a good organizational climate and cultivate nurses' adversity quotients and self-efficacy to decrease their intent to leave.
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Affiliation(s)
- Hao Li
- Department of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou University People's Hospital
| | - Yu-Lin Xu
- Department of Cardiovascular Medicine, The First Affiliated Hospital of Zhengzhou University
| | - Meng-Juan Jing
- Department of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou University People's Hospital
| | - Xiao-Jing Wei
- Department of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou University People's Hospital
| | - Li-Ming Li
- Department of Critical Care Medicine, Henan Provincial People's Hospital, Zhengzhou University People's Hospital
| | - Yun-Fei Guo
- Department of Emergency Medicine, Henan Provincial People's Hospital, Zhengzhou University People's Hospital
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Syed F, Sajid Mithani M, Abu Mostafa F, Alfattani A, Al Messharawi J, Al Ghammas H, Al Amri D, Binzaid AA, Almustanyir S. Prevalence of Aggressive Behavior Toward Fellows, Residents, and Nurses at a Tertiary Care Hospital in Riyadh, Saudi Arabia. Cureus 2022; 14:e24142. [PMID: 35582558 PMCID: PMC9107312 DOI: 10.7759/cureus.24142] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/14/2022] [Indexed: 11/05/2022] Open
Abstract
Background Workplace bullying (WPB) is a form of mistreatment toward an individual manifested by physical, verbal, or indirect aggression. Affected victims display a wide range of signs and symptoms that impact their health. This study aimed to investigate the prevalence of aggressive behavior toward healthcare workers and its effects on job satisfaction, general health, and mental health. Methodology An online survey comprising a revised version of the Negative Acts Questionnaire-Revised (NAQ-R) was distributed to the fellows, residents, and nurses working in a tertiary care hospital. The survey collected information regarding the group's demographics and their exposure to WPB encountered in the work environment while maintaining confidentiality. Survey results were analyzed using SPSS Statistics version 25 (IBM Corp., Armonk, NY, USA). Results Among the 339 participants who filled the survey, 53% of healthcare practitioners in different services had experienced some form of WPB. Among the targeted group, it was noted that female gender (50%), age between 31 and 41 years (57.03%), nurses (51.98%), non-Saudi practitioners (41.94%), and those working in inpatient settings (49.74%) were the most commonly affected individuals in the medical facility. Furthermore, higher bullying prevalence was correlated with lower job satisfaction and mental health levels. Conclusions Age, gender, job, and nationality were factors associated with increased susceptibility to WPB. WPB in any facility is an unfortunate event, especially in a healthcare setting. It affects health practitioners by decreasing job satisfaction, jeopardizing health, and increasing the risk of harm to patients. WPB will eventually have a negative impact on the medical facility and the healthcare sector. Hence, hospital administrations should be alarmed about the rise in WPB, and adequate measures must be taken to deal with the root cause of the problem.
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Affiliation(s)
- Faaezuddin Syed
- College of Medicine, Alfaisal University College of Medicine, Riyadh, SAU
| | | | - Fadwa Abu Mostafa
- Quality Department, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU
| | - Areej Alfattani
- Biostatistics and Epidemiology Department, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU
| | - Joumana Al Messharawi
- Quality Department, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU
| | - Hanan Al Ghammas
- Quality Department, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU
| | - Dhafer Al Amri
- Quality Department, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU
| | - Abdulaziz A Binzaid
- Adult Cardiology Department, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU
| | - Sami Almustanyir
- Medicine Department, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU
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