TITLE:
Investigation of the Burnout Stages Experienced by Nurses Working in Hospitals and Related Factors
AUTHORS:
Naomi Sumi, Yuko Yoshida, Naotaka Sugimura, Rika Yano
KEYWORDS:
Burnout, Coping Behavior, Hospital Nurses, Burnout, Related Factors
JOURNAL NAME:
Open Journal of Nursing,
Vol.8 No.4,
April
30,
2018
ABSTRACT:
Background: The purpose of this study
was to elucidate the stages of nurse burnout in hospitals (their states of
emotional exhaustion and depersonalization) as well as factors related to the
nurses personal characteristics and coping behaviors in order to obtain
suggestions for stress and health management strategies that nurses themselves
can employ. Methods: We conducted a cross-sectional study using anonymous self-administered
questionnaires. The subjects were nurses employed at public hospitals with 500
beds in 3 cities in Hokkaido, Japan. The questionnaire items for burnout were
those included on the Japanese Maslach Burnout Inventory (MBI), which are
designed to ascertain the subjects’ emotional exhaustion, depersonalization,
and sense of personal accomplishment. In addition, we used 11 items related to
physical and mental stress responses on the Stress Coping Inventory and the
Brief Job Stress Questionnaire to determine factors such as the nurses’ basic
attributes, whether or not they worked night shifts, and their overtime hours,
etc. Results: We received responses from 1461 hospital nurses. Those
whose scores for both emotional exhaustion and depersonalization were the mean
or above were 40.2% of those in their twenties, 35.8% of those in their thirties,
and 26.8% of those in their forties or older. The results of logistic
regression analysis indicated that among those in the group that scored high
for both emotional exhaustion and depersonalization, the influential factors
were stress score (odds ratio 1.889), twenties age group (odds ratio 1.982),
thirties age group (odds ratio 1.720), coping behavior: avoidance-focused
behaviors (odds ratio 1.140), and engaged in childcare (odds ratio 0.487).
Similarly, when looked at by age group, being in the twenties age group and
having a spouse were influential factors (odds ratio 3.114 - 4.171). Conclusion: The results of this study elucidated the fact
that for hospital nurses, the burnout stage, age, state of physical and mental
stress response, and coping behavior can be effectively used as predictive
indices.