Burnout and its influencing factors between frontline nurses and nurses from other wards during the outbreak of Coronavirus Disease -COVID-19- in Iran

• Sarboozi Hoseinabadi, Tahere ^[1] ; Kakhki, Samaneh ^[2] ; Teimori, Gholamheidar ^[3] ; Nayyeri, Somayyeh ^[1]
  1. [1] University of Medical Sciences, Torbat Heydariyeh, Iran
  2. [2] Pharmacist, Ph.D. Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran. Email: samane_ph@yahoo.com
  3. [3] M.Sc. Department of Occupational Health Engineering, School of Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran. Email: teimorigh1@gmail.com

  Mostrar afiliaciones +
• Localización: Investigación y educación en enfermería, ISSN-e 2216-0280, ISSN 0120-5307, Vol. 38, Nº. 2, 2020
• Idioma: inglés
• DOI: 10.17533/udea.iee.v38n2e03
• Títulos paralelos:
  • Burnout e seus fatores de influência entre enfermeiros de linha de frente e enfermeiros de outras enfermarias durante o surto de doença por coronavírus -COVID-19- no Irã
  • Burnout y sus factores influyentes entre enfermeras de primera línea y enfermeras de otras salas durante el brote de la enfermedad por coronavirus -COVID-19- en Irán
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    Evaluar el nivel de burnout durante un brote de COVID-19 e identificar sus factores influyentes entre las enfermeras de primera línea y enfermeras de otras salas. Métodos. Este estudio transversal hace una comparación entre dos grupos de enfermeras: las de primera línea (grupo de exposición) y otras que trabajan en las salas habituales (grupo sin exposición) en la ciudad de Torbat Heydariyeh, Irán. El Inventario de Burnout de Oldenburg (OLBI), el cuestionario de estrés laboral (JSQ) y los cuestionarios de recursos hospitalarios, apoyo familiar y medición del miedo a COVID-19 se utilizaron para recolectar la información de la investigación. Resultados.Las puntuaciones de estrés laboral y burnout en el grupo de exposición con infección por COVID-19 fueron significativamente más altas que en el grupo sin exposición (p=0006 y p=0.002, respectivamente). Aunque el análisis de regresión univariante, el estado de empleo (p=0.047), la experiencia en el cuidado de pacientes confirmados o sospechosos de infección por COVID-19 (p=0.006), los recursos hospitalarios (p=0.047) y el estrés laboral (p<0.001) se consideraron factores de riesgo significativos para el burnout relacionado con COVID-19; en el análisis de regresión multivariante, el estrés laboral (p=0.031, β=0.308) se consideró como un único factor que tiene una relación significativa con el agotamiento relacionado con COVID-19. Conclusión.El nivel de agotamiento en las enfermeras de primera línea fue más alto que en el resto; el factor que más influye fue estrés laboral. Con respecto a los efectos negativos del burnout en su salud física y mental se sugiere considerar estrategias sólidas para reducirlo y poder controlar con éxito los brotes en curso y futuros.

  • English

    Objective. To assess burnout level during an outbreak of COVID-19 and to identify influencing factors between frontline nurses and nurses from other wards.

    Methods. This cross-sectional study makes comparison between two groups of nurses including frontline (exposure group) and other nurses working in usual wards (non-exposure group) in Torbat Heydariyeh city, Iran. Oldenburg Burnout Inventory (OLBI), Job stress questionnaire (JSQ), and questionnaires of hospital resources, family support, and measuring the fear of COVID-19 were used as research instruments.

    Results. The scores of job stress and burnout in the exposure group with COVID-19 infection were significantly higher than in the non-exposure group (p=0.006 and p=0.002, respectively). Although, in univariate linear regression, employment status (p=0.047), experience in taking care of patient confirmed or suspected with COVID-19 infection (p=0.006), hospital resources (p=0.047), and job stress (p<0.001) were considered as significant risk factors for COVID-19-related burnout. In multivariate regression analysis, job stress (p=0.031, β=0.308) was considered as an only factor that has a significant relationship with COVID-19-related burnout.

    Conclusion. The burnout level in frontline nurses was higher than other nurses, the most important influencing factor was the job stress. Regarding to negative effects of burnout on both physical and mental health nurses, it is suggested that a strong strategy be considered to reduce nurses' burnout to be able to control ongoing and future outbreaks successfully.

  • português

    Avaliar o nível de burnout durante um surto de COVID-19 e identificar seus fatores que influenciam entre enfermeiros de primeira linha e enfermeiros de outras enfermarias. Métodos.Este estudo transversal compara dois grupos de enfermeiros: os da linha de frente (grupo de exposição) e outros que trabalham nas enfermarias habituais (grupo sem exposição) na cidade de Torbat Heydariyeh, Irã. Os questionários Inventário de Burnout de Oldenburg (OLBI), Job Stress Questionnaire (JSQ), Recursos Hospitalares, Apoio à Família e Medo de COVID-19 foram utilizados para coletar as informações da pesquisa. Resultados. Os escores de estresse no trabalho e burnout no grupo de exposição á infecção por COVID-19 foram significativamente maiores do que no grupo sem exposição (p=0.006 e p=0,002, respectivamente). Apesar da análise de regressão univariada do status de emprego (p=0.047), experiência no atendimento a pacientes confirmados ou suspeitos de infecção por COVID-19 (p=0.006), recursos hospitalares (p=0.047) e estresse no trabalho (p<0.001) foram considerados fatores de risco significativos para burnout relacionados ao COVID-19. Na análise de regressão multivariada, o estresse no trabalho (p=0.031, β=0.308) foi considerado um fator único que possui uma relação significativa com a exaustão relacionada ao COVID-19. Conclusão. O nível de exaustão nos enfermeiros de primeira linha foi maior que nos demais enfermeiros, o fator que mais influenciou foi o estresse no trabalho. Em relação aos efeitos negativos do burnout na saúde física e mental dos enfermeiros, sugere-se considerar estratégias sólidas para reduzi-lo e controlar com sucesso surtos no presente e no futuro.

• Referencias bibliográficas
  • 1. Guo Y-R, Cao Q-D, Hong Z-S, Tan Y-Y, Chen S-D, Jin H-J, et al. The origin, transmission and clinical therapies on coronavirus disease 2019...
  • 2. Fong SJ, Li G, Dey N, Crespo RG, Herrera-Viedma E. Finding an accurate early forecasting model from small dataset: A case of 2019-ncov...
  • 3. Shang W, Yang Y, Rao Y, Rao X. The outbreak of SARS-CoV-2 pneumonia calls for viral vaccines. npj Vaccines. 2020; 5:18.
  • 4. World Health Organization. Coronavirus disease 2019 (COVID-19): situation report, 70 [Internet]. Geneve: WHO; 2020 [Cited 29 May 2020]....
  • 5. World Health Organization. Advice on the Use of Masks the Community, during Home Care and in Health Care Settings in the Context of the...
  • 29 May 2020]. Available from: https://www.who.int/publications-detail/advice-on-the-use-of-masks-in-the-communityduring-home-care-and-in-healthcare-settings-in-the-context-of-the-novel-coronavirus-(2019-ncov)-outbreak
  • 6. Constable JF, Russell DW. The effect of social support and the work environment upon burnout among nurses. Journal of human stress. 1986;...
  • 7. Lee H, Cummings GG. Factors influencing job satisfaction of front-line nurse managers: a systematic review. J. Nurs. Manag. 2008; 16(7):768-83.
  • 8. Cocchiara RA, Peruzzo M, Mannocci A, Ottolenghi L, Villari P, Polimeni A, et al. The use of yoga to manage stress and burnout in healthcare...
  • 9. Bentz L, Pirard P, Motreff Y, Vandentorren S, Baubet T, Fabre R, et al. Health outcomes of the July 14, 2016 Nice terror attack among hospital-based...
  • 10. Kim JS, Choi JS. Factors influencing emergency nurses’ burnout during an outbreak of Middle East Respiratory Syndrome Coronavirus in Korea....
  • 11. Demerouti E, Bakker AB, Vardakou I, Kantas A. The convergent validity of two burnout instruments: A multitraitmultimethod analysis. Eur....
  • 12. Sinval J, Queirós C, Pasian S, Marôco J. Transcultural adaptation of the Oldenburg burnout inventory (OLBI) for Brazil and Portugal. Front....
  • 13. Larki M, Ghaffari M, Baezzat F. The effort-reward imbalance theory and measurement of stress in academic context: Construction and validation...
  • 14. Parker DF, DeCotiis TA. Organizational determinants of job stress. Organ. Behav. Hum. Performance.1983; 32(2):160- 77.
  • 15. Iraji M, Sohrabi N. Determination of Differences in Emotion Regulation Strategies, Occupational Stress Management, and Degree of Workaholism...
  • 16. Shiao JS-C, Koh D, Lo L-H, Lim M-K, Guo YL. Factors predicting nurses’ consideration of leaving their job during the SARS outbreak. Nurs....
  • 17. Tzeng H-M, Yin C-Y. Nurses’ fears and professional obligations concerning possible human-to-human avian flu. Nurs. Ethics. 2006;13(5):455-70.
  • 18. Hunsaker S, Chen HC, Maughan D, Heaston S. Factors that influence the development of compassion fatigue, burnout, and compassion satisfaction...
  • 19. Mo Y, Deng L, Zhang L, Lang Q, Liao C, Wang N, et al. Work stress among Chinese nurses to support Wuhan for fighting against the COVID-19...
  • 20. Stimpfel AW, Sloane DM, Aiken LH. The longer the shifts for hospital nurses, the higher the levels of burnout and patient dissatisfaction....
  • 21. Caruso CC. Negative impacts of shiftwork and long work hours. Rehabil. Nurs. 2014; 39(1):16-25.
  • 22. Sarafis P, Rousaki E, Tsounis A, Malliarou M, Lahana L, Bamidis P, et al. The impact of occupational stress on nurses’ caring behaviors...
  • 23. Sasangohar F, Jones SL, Masud FN, Vahidy FS, Kash BA. Provider Burnout and Fatigue During the COVID-19 Pandemic: Lessons Learned From...
  • 24. Wu Y, Wang J, Luo C, Hu S, Lin X, Anderson AE, et al. A comparison of burnout frequency among oncology physicians and nurses working on...
  • 25. Marjanovic Z, Greenglass ER, Coffey S. The relevance of psychosocial variables and working conditions in predicting nurses’ coping strategies...
  • 26. Maunder RG, Lancee WJ, Balderson KE, Bennett JP, Borgundvaag B, Evans S, et al. Long-term psychological and occupational effects of providing...