Burnout Syndrome at Work Among Perioperative Nurses in Operating Rooms in the Republic of Croatia
DOI:
https://doi.org/10.55707/jhs.v12i1.177Keywords:
perioperative nurse, loss of energy, social isolation, burnout syndrome, chronic stresAbstract
Burnout syndrome in the workplace is a state of physical, mental and emotional exhaustion caused by job stress. The medical staff working in operating rooms are at a risk of the burnout syndrome. The purpose of the study was to determine the link between chronic stress and the burnout syndrome among perioperative nurses working in operating rooms in Croatia. In total, 427 perioperative nurses participated in the research. The Trier Inventory for Chronic Stress was used to assess chronic stress. The experience of the burnout syndrome was examined using a single question from the Questionnaire on the Association Between Stress Incidence Levels and Non-Communicable Chronic Diseases by Kadirić. A total of 40.3% of the surveyed perioperative nurses confirmed that they have experienced the burnout syndrome at work. A statistically significant positive correlation between the degree of assessed and experienced burnout syndrome at work was obtained, placing the Score on the Chronic Stress Screening Scale (r=0.45), as well as the results on all scales of the Trier Inventory for Chronic Stress. Burnout syndrome at work showed the highest correlation with the score on the Chronic Worry scale (r=0.42) and the lowest correlation with the score on the Social Overload scale (r=0.30). The introduction of psychoeducation as part of a preventive program in a therapeutic context would have a positive effect on recognizing and preventing the burnout syndrome as well as reducing chronic stress.
References
Alderson, D. (2019). The future of surgery. British Journal of Surgery, 106(1), 9–10. https://doi.org/10.1002/bjs.11086
Algorani, E. B., & Gupta, V. (2023). Coping mechanisms. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK559031/
Alshawish, E., & Nairat, E. (2020). Burnout and psychological distress among nurses working in primary health care clinics in West Bank-Palestine. International Journal of Mental Health, 49(4), 321–335. https://doi.org/10.1080/00207411.2020.1752064
Cohen, B. E., Edmondson, D., & Kronish, I. M. (2015). State of the art review: Depression, stress, anxiety, and cardiovascular disease. American Journal of Hypertension, 28(11), 1295–1302. https://doi.org/10.1093/ajh/hpv047
de Oliveira, S. M., de Alcantara Sousa, L. V., Vieira Gadelha, M. do S., & do Nascimento, V. B. (2019). Prevention actions of burnout syndrome in nurses: An integrating literature review. Clinical Practice and Epidemiology in Mental Health, 15, 64–73. https://doi.org/10.2174/1745017901915010064
Freudenberger, H. J. (1974). Staff burn-out. Journal of Social Issues, 30(1), 159–165. https://doi.org/10.1111/j.1540-4560.1974.tb00706.x
Friganović, A. (2021). Odnos med izgorjelostjo, spoprijemanjem stresom in zadovoljtvom pri delu pri medicinskih sestrah na intenzivni negi [Doctoral dissertation, Univerza v Ljubljani, Medicinska fakulteta].
Friganović, A., Selič, P., Ilić, B., & Sedić, B. (2019). Stress and burnout syndrome and their associations with coping and job satisfaction in critical care nurses: A literature review. Psychiatria Danubina, 31(1), 255–263. https://hrcak.srce.hr/262691
Gabriel, K. P., & Aguinis, H. (2022). How to prevent and combat employee burnout and create healthier workplaces during crises and beyond. Business Horizons, 65(2), 183–192. https://doi.org/10.1016/j.bushor.2021.02.037
Garcia, C. L., Abreu, L. C., Ramos, J. L. S., Castro, C. F. D., Smiderle, F. R. N., Santos, J. A. D., & Bezerra, I. M. P. (2019). Influence of burnout on patient safety: Systematic review and meta-analysis. Medicina (Kaunas), 55(9), 553. https://doi.org/10.3390/medicina55090553
Gutić, D. (2015). Menadžment u zdravstvu. Grafika d.o.o.
Havelka-Meštrović, A., & Havelka, M. (2020). Zdravstvena psihologija: Psihosocijalne osnove zdravlja. Naklada Slap.
Hrvatska komora medicinskih sestara. (n.d.). Dvije od tri medicinske sestre su često ili uvijek fizički i emocionalno iscrpljene. https://www.hkms.hr/arhiva
Hrvatski zavod za zaštitu zdravlja i sigurnost na radu. (n.d.). Izazov: Stres na radu. http://www.hzzzsr.hr/uploads/2016/12/IZ
Kadirić, E. (2019). Razina stresa kod medicinskih sestara – instrumentara u operacijskim salama Republike Hrvatske – Upitnik za ispitivanje povezanosti incidencije razine stresa i nezaraznih kroničnih bolesti [Neobjavljeni rukopis].
Ketchesin, K. D., Stinnett, G. S., & Seasholtz, A. F. (2017). Corticotropin-releasing hormone-binding protein and stress: From invertebrates to humans. Stress, 20(5), 449–464. https://doi.org/10.1080/10253890.2017.1322575
Khamisa, N., Oldenburg, B., Peltzer, K., & Ilic, D. (2015). Work-related stress, burnout, job satisfaction, and general health of nurses. International Journal of Environmental Research and Public Health, 12(1), 652–666. https://doi.org/10.3390/ijerph120100652
Knežević, B. (2010). Stres na radu i radna sposobnost zdravstvenih djelatnika u bolnicama [Doktorska disertacija, Sveučilište u Zagrebu, Medicinski fakultet].
Li, N., Zhang, L., Li, X., & Lu, Q. (2022). Moderated role of social support in the relationship between job strain, burnout, and organizational commitment among operating room nurses: A cross-sectional study. International Journal of Environmental Research and Public Health, 19(17), 10813. https://doi.org/10.3390/ijerph191710813
Maresca, G., Corallo, F., Catanese, G., Formica, C., & Lo Buono, V. (2022). Coping strategies of healthcare professionals with burnout syndrome: A systematic review. Medicina (Kaunas), 58(2), 327. https://doi.org/10.3390/medicina58020327
Maslach, C. (1993). Burnout: A multidimensional perspective. In W. Schaufeli, C. Maslach, & T. Marek (Eds.), Professional burnout: Recent developments in theory and research (pp. 19–32). Series in Applied Psychology: Social Issues and Questions. Taylor & Francis.
Maslach, C., & Leiter, M. P. (2016). Understanding the burnout experience: Recent research and its implications for psychiatry. World Psychiatry, 15, 103–111. https://doi.org/10.1002/wps.20311
Milošević, M. (2010). Izrada mjernog instrumenta stresa na radnom mjestu bolničkih zdravstvenih djelatnika i procjena njegove uporabne vrijednosti [Doktorska disertacija, Sveučilište u Zagrebu, Medicinski fakultet].
Myhren, H., Ekeberg, Ø., & Stokland, O. (2013). Job satisfaction and burnout among intensive care unit nurses and physicians. Critical Care Research and Practice, 2013, 1–6. https://doi.org/10.1155/2013/786176
Ng, R., Chahine, S., Lanting, B., & Howard, J. (2019). Unpacking the literature on stress and resiliency: A narrative review focused on learners in the operating room. Journal of Surgical Education, 76(2), 343–353. https://doi.org/10.1016/j.jsurg.2018.07.025
Owuor, R. A., Anyango, R., & Mwita, C. C. (2020). Prevalence of burnout among nurses in sub-Saharan Africa: A systematic review. JBI Evidence Synthesis, 18(6), 1189–1207. https://doi.org/10.11124/JBISRIR-D-19-00170
Ribeiro, V. F., Filho, C. F., Valenti, V. E., Ferreira, M., de Abreu, L. C., de Carvalho, T. D., Xavier, V., de Oliveira Filho, J., Gregory, P., Leão, E. R., Francisco, N. G., & Ferreira, C. (2014). Prevalence of burnout syndrome in clinical nurses at a hospital of excellence. International Archives of Medicine, 7, 22. https://doi.org/10.1186/1755-7682-7-22
Robinson, A. M. (2018). Let’s talk about stress: History of stress research. Review of General Psychology, 22(3), 334–342. https://doi.org/10.1037/gpr0000137
Schaufeli, W. B., & Buunk, B. P. (2003). Burnout: An overview of 25 years of research and theorizing. In M. J. Schabracq, J. A. M. Winnubst, & C. L. Cooper (Eds.), The handbook of work and health psychology (pp. 383–425). Wiley. https://doi.org/10.1002/0470013400.ch19
Selmanović, S., Pranjić, N., Brekalo Lazarević, S., Pašić, Z., Bošnjić, J., & Grbović, M. (2012). Čimbenici loše organizacije rada kao prediktor burnout sindroma bolničkih liječnika. Sigurnost, 54(1), 1–9. https://hrcak.srce.hr/79183
Shah, M. K., Gandrakota, N., Cimiotti, J. P., Ghose, N., Moore, M., & Ali, M. K. (2021). Prevalence of and factors associated with nurse burnout in the US. JAMA Network Open, 4, e2036469. https://doi.org/10.1001/jamanetworkopen.2020.36469
Teymoori, E., Zareiyan, A., Babajani-Vafsi, S., & Laripour, R. (2022). Viewpoint of operating room nurses about factors associated with occupational burnout: A qualitative study. Frontiers in Psychology, 13, 947189. https://doi.org/10.3389/fpsyg.2022.947189
Tomljenović, M. (2015). Prediktori sindroma profesionalnog sagorijevanja i depresivnosti u liječnika [Doktorska disertacija, Sveučilište u Rijeci, Medicinski fakultet].
Trierer Inventar zum Chronischen Stress (TICS). (n.d.). Trier Inventory for Chronic Stress (TICS). Preuzeto 10. srpnja 2019. s https://www.researchgate.net/publication/313154230_Trierer_Inventar_zum_Chronischen
Tucak Junaković, I., Macuka, I., & Skokandić, L. (2019). Profesionalni stres, zadovoljstvo poslom i sagorijevanje kod medicinskih sestara. Medicina Jadertina, 49(3–4), 157–171. https://hrcak.srce.hr/234876
Uygunovich, N. A. (2022). Modern laparoscopic methods of diagnosis and treatment of acute abdominal diseases. Research Journal of Trauma and Disability Studies, 1(10), 62–69. http://journals.academiczone.net/index.php/rjtds
Vuković, M., Antičević, V., & Mišetić, I. (2022). Stres i sagorijevanje kod medicinskih sestara. Hrvatski časopis zdravstvenih znanosti, 2(2), 103–108. https://doi.org/10.48188/hczz.2.2.6
World Health Organization (WHO). (n.d.). International classification of diseases (ICD). https://www.who.int/standards
World Health Organization. (n.d.). QD85 – ICD-11 for Mortality and Morbidity Statistics. https://icd.who.int/browse11
Yao, B. C., Meng, L. B., Hao, M. L., Zhang, Y. M., Gong, T., & Guo, Z. G. (2019). Chronic stress: A critical risk factor for atherosclerosis. Journal of International Medical Research, 47(4), 1429–1440. https://doi.org/10.1177/0300060519826820
Yosef, B., Woldegerima Berhe, Y., Yilkal Fentie, D., & Belete Getahun, A. (2022). Occupational stress among operation room clinicians at Ethiopian university hospitals. Journal of Environmental and Public Health, 2022(2), 1–7. https://doi.org/10.1155/2022/2077317
Zakeriafshar, M., Torabizadeh, C., & Jamshidi, Z. (2023). The relationship between occupational burnout and moral courage in operating room personnel: A cross-sectional study. Perioperative Care and Operating Room Management, 32, 100339. https://doi.org/10.1016/j.pcorm.2023.100339
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