Journal of Nursing Theory and Practice

[Epidemic among health care providers: burnout]


OCTOBER 20, 2012

Journal of Nursing Theory and Practice - 2012;25(05)

[Aims of the study: To track the changes since 2008 in the degree of burnout among health care workers in Csongrád County, and to examine its connections with the evaluation of own health, frequency of psychosomatic symptoms, the intent to leave the profession, and the measure of fear from becoming unemployed. Methodology and sample: This is a cross-sectional study carried out through a self-designed self-report questionnaire sent to registered members of MESZK living in Csongrád County. Results: The number of burned-out health care workers increased since 2008. Burnout correlates with physical health (p<0.000), the intention to leave the profession (p<0.000), and the fear of losing the job (p<0.000). A significant increase could be observed by nurses starting their career. Conclusions: Burnout prevention trainings would be important also by career starters, which could also prevent profession leaving. ]



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[The opinions of paediatric nurses on cooperation with children and their parents in hospital; the factors affecting such cooperation]

MIKLÓSI Mónika, GALAMBOSI Elvira, PERCZEL Forintos Dóra

[Aim of the study: To explore pediatric staff nurses’ perception of collaboration with hospitalized children and their parents and to study underlying factors. Methodology and sample: In a prospective longitudinal design, parents of children admitted to hospital for planned surgical intervention (n=91) filled out a questionnaire packet before hospitalization assessing demographical and socio-economical characteristics, as well as mental health status of children and parents. Staff nurses were asked to estimate parents’ and children’s collaboration during hospitalization (n=131). Results: Nurses’ ratings about parents’ collaboration were higher than their ratings about children’s collaboration. Child’s gender, age, parent’s level of education, family characteristics and length of hospital stay had an impact on the perception of collaboration with parents. Child’s age and prosocial behavior were related to the perception of collaboration between nurses and children. Conclusions: Nurses’ perception of children’s and parents’ collaboration was related to demographical and socio-economical factors. Identifying these factors may help to promote partnership among nurses, parents and hospitalized children. ]

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Lege Artis Medicinae

[Future perspectives and health conditions of recently graduated physicians]

PAPP Szidónia, TÚRY Ferenc

[INTRODUCTION - The purpose of our study was to survey the opinion of students graduating in 2008 at the Semmelweis University Faculty of Medicine about university education, future perspectives and physical as well as their mental health conditions. We have considered factors that might cause or might protect against burnout syndrome. METHODS - The electronic questionnaire has been sent to all graduating students and included the Beck Depression Inventory, the Hungarian version of Spielberger’s State-Trait Anxiety Inventory (STAI), which assesses anxiety, the Hungarian adaptation of the Maslach Burnout Inventory for Human Profession modified for students and the CAGE test, which evaluates alcohol consumption. The questionnaire included general questions concerning medical school education, health condition, support from the community, future perspective and livelihood. RESULTS - 31.4% of the graduating class (94 people) answered the questionnaire. These former students felt that the theoretical education at the university was of high quality; however, 61% considered the practical education insufficient. At the beginning of their careers, merely 5% of the young physicians felt well-prepared professionally. 30% of the responders reported a high degree of burnout; 59% would like to work abroad, and 26% were considering leaving the field of healthcare. A quarter of the students had psychosomatic symptoms. CONCLUSIONS - After graduating from medical school, young physicians have to face the difficulties of finding a job, an unstable livelihood and a high risk of burnout syndrome. The high percentage of young medical school graduates leaving the profession as well as the high migration rate might contribute to the growing problems of the healthcare system.]

Journal of Nursing Theory and Practice

[Intention to leave the profession among health care workers in Csongrád County]


[Aims of the study: The study assessed the intent to leave the profession among health care providers in Csongrád County and investigated on which fi eld and country they intend to work; its connection with burn-out and psychosomatic symptoms has also been analyzed. Methodology and sample: This is a cross-sectional study carried out through a self-designed self-report questionnaire sent to registered members of MESZK living in Csongrád County. Results: Bad psychosomatic status correlates with the intent to leave the health care system (p<0.000) and the fear of losing the job (p<0.003). Those who are not afraid of losing their jobs are not to leave the health care system (p<0.000). Workers with severe psychic condition are planning most likely planning to leave their profession. Conclusions: The fear of losing employment and the thought of leaving the profession is an everyday phenomenon among health care workers. This shows strong connection with bad psychosomatic status and burn out.]

Journal of Nursing Theory and Practice

[The relationship of work-related conflicts and burnout among health care workers]


[The aim of the study was to investigate the relationship of work-related conflicts and burnout; furthermore to reveal the types of reactions to work-related conflicts. Material and Methods: The survey was conducted between June and August of 2016 using a self-constructed online questionnaire. Data were analyzed with SPSS 23.0; Kolmogorov-Smirnov, Shapiro-Wilk, Kruskal-Wallis and Mann-Whitney tests (Bonferroni correction) and Spearman’s rank correlation were applied (p<0.05). Results: Only 4.6% of the 1201 responders had never experienced any work-related conflicts. Burnout is present on some level by 44.2% of them. In the case of a conflict 62.2% tries to settle the problem with the source of the conflict; 41.2% talks back and one-third gets angry and unsettled. The severity of burnout and the frequency of work-related conflicts are correlated (r=0.390; p<0.000). Conclusions: The longer someone is suffering from psychic disturbances the more conflicts he/she experiences on the job. Participants usually used self-defence techniques.]

Clinical Neuroscience

[High prevalence of burnout and depression may increase the incidence of comorbidities among Hungarian nurses]

ÁDÁM Szilvia, CSERHÁTI Zoltán, MÉSZÁROS Veronika

[Background and purpose - Poor mental health among health care professionals may have a significant impact on public health. There is limited information about the prevalence and potential consequences of burnout and depression among nurses in Hungary. The objective of this study is to explore the relationship between burnout as well as depression and somatic symptoms as well as comorbidities among nurses in Hungary. Methods - Cross-sectional study with self-administered questionnaires among 1,713 nurses. Burnout and depression were assessed by the Maslach Burnout Inventory (MBIHSS) and the Shortened Beck Depression Questionnaire, respectively. Somatisation was measured by the Patient Health Questionnaire (PHQ-15). Correlates of burnout and depression were assessed by logistic and linear regression analyses. Results - The prevalence of depressive symptom and clinical depression was 35% and 13%, respectively. The prevalence of moderate and high level emotional exhaustion, depersonalisation, and decreased personal accomplishment was 44%, 36% and 74%, respectively. We identified burnout and depression as a predictor of high prevalence of subjective somatisation. Whilst burnout showed a strong association with increased prevalence of hypertension, depression predicted almost all examined diseases, in particular, cardiac and cerebrovascular diseases, as well as neoplasms. Conclusion - We found high prevalence of burnout and depression among nurses in Hungary. As depression has been shown to be associated with higher prevalence of comorbidities than burnout, its consequences may be more significant. Appropriate prevention, diagnosis, and adequate treatment of burnout and depression may decrease the prevalence of ensuing comorbidities.]

Journal of Nursing Theory and Practice

[The psychological Well-being and Burnout among Ambulance Personnel]


[The aim of the study: The aim of the presented study was to investigate the psychological well-being and burnout among ambulance personnel of the Hungarian National Ambulance Service. Our goal was to identify the ambulance specific stressors that negatively affect the psychological health of personnel and lead to burnout. Material and method: The quantitative, cross-sectional study included 1979 ambulance personnel. Level of burnout was measured by Pines-Aronson Burnout Inventory. SPSS version 17.0 was used for statistical analyses. Types of analyses included Khi square test, ANOVA and correlation analysis. Level of significance was defined at p<0.05. Results: The 40% of ambulance personnel are affected by job-related stressors. The heightened and constant state of readiness does not let time for discussing work-related experiences. There was significant correlation between burnout level, years worked at NAS, and the evaluation of workplace circumstances and climate. Conclusion: Due to the results of the present study we created different possibilities of prevention and intervention that can help handle the symptoms of burnout among ambulance personnel.]