Relationship between organizational trust perception and emotional burnout level in operating room nurses
Year 2025,
Volume: 50 Issue: 1, 200 - 210, 31.03.2025
Neslihan Özcanarslan
,
Aysel Doğan
Abstract
Purpose: The workload in the operating room is high, requiring teamwork, communication, and expertise, and emotional burnout is frequently seen in nurses when organizational trust is weak. The aim in this study was to examine the relationship between organizational trust and burnout levels in operating room nurses.
Materials and Methods: In this study, conducted in accordance with the STROBE guidelines, a cross-sectional design was used and operating room nurses from a City Training and Research Hospital between May 1 and July 1, 2022 were included. The sample size, determined via G*Power, was 82. Data were collected electronically using a personal information form, the Organizational Trust Scale, and the Work-Related Emotional Burnout Scale, and analyzed with statistical software.
Results: The perception of organizational trust among the operating room nurses was high (26 ± 85). According to the subdimensions of the Organizational Trust Perception Scale, they had the most trust in their colleagues (11 ± 35) and the least trust in the institution and the manager (5 ± 25). A moderate negative and statistically significant relationship was found between organizational trust perception and emotional burnout level (r = -0.385, p = 0.001).
Conclusion: In this study, organizational trust perceptions were high and emotional burnout was low in operating room nurses. A moderate negative and significant relationship was found between organizational trust perception and emotional burnout level. This result indicates that emotional burnout decreases as organizational trust increases.
Ethical Statement
Ethical approval was received from Toros University Clinical Research Ethics Committee (29.04.2022/92). Before starting the research, institutional approval from the institution and information from the officials who would constantly participate in the studies were obtained. The principles of the Declaration of Helsinki were followed at every stage of the study.
Supporting Institution
No financial support was received from any person, institution or organisation for this study.
Thanks
We thank all participants who voluntarily agreed to participate in our study and answered the study questions sincerely.
References
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- Tørring B, Gittell JH, Laursen M. Rasmussen BS, Sørensen EE. Communication and relationship dynamics in surgical teams in the operating room: an ethnographic study. BMC Health Serv Re.s 2019;9:1-16.
- Sonoda Y, Onozuka D. Hagihara A. Factors related to teamwork performance and stress of operating room nurses. J Nurs Manag. 2018;26: 66-73.
- Koraş, K. Öcalan, D. Solak O. Cerrahi hekimlerin ameliyathanedeki gergin davranışlarının hemşireler üzerindeki etkileri. Gümüşhane Üniversitesi Saglik Bilimleri Dergisi. 2015;4:502-15.
- Phillips C. Relationships between workload perception, burnout, and intent to leave among medical–surgical nurses. JBI Evid Implement. 2020;18:265-73.
- Fragkos KC. Makrykosta P. Frangos CC. Structural empowerment is a strong predictor of organizational commitment in nurses: a systematic review and meta‐analysis. J Adv Nurs. 2020;76:939-62.
- Qi L. Liu B. Wei X, Hu Y. Impact of inclusive leadership on employee innovative behavior: perceived organizational support as a mediator. PloS One. 2019;14:e0212091.
- Sharma J. Dhar RL, Factors influencing job performance of nursing staff: mediating role of affective commitment. Rev Pers. 2016;45:161-82.
- Tang Y. Wang Y, Zhou H, Wang J, Zhang R, Lu Q. The relationship between psychiatric nurses’ perceived organizational support and job burnout: mediating role of psychological capital. Front Dev Psychol. 2023;14:1099687.
- Iftadi I, Astuti RD, Rosita M. Using NASA task load index and Maslach burnout inventory for evaluating the subjective mental and physical workload of nurse central surgical installation hospitals Karanganyar, Proccedings of Conference Using NASA task load index and Maslach burnout inventory for evaluating the subjective mental and physical workload of nurse central surgical installation hospitals Karanganyar, 2016;127-31.
- Yoon SJ, Park HJ. Organizational socialization and intention to leave in operating room nurses working at secondary general university hospitals. J Korean Acad Nurs Adm. 2015;21:88-98.
- Çalışkan A. Organizatial trust. Antalya Bilim University Int J Soc Sci. 2021;2:42-9.
- Özgür G, Tektaş P. An examination of the correlation between nurses' organizational trust and burnout levels. Appl Nurs Res. 2018;43:93-7.
- Joo BK, Yoon SK, Galbraith D. The effects of organizational trust and empowering leadership on group conflict: psychological safety as a mediator. Organ Manag J. 2023;20:4-16.
- Dalmış A. Örgütsel güvenin tükenmişlik algısına etkisi: kamuda bir araştırma. Ankara Üniversitesi SBF Dergisi. 2021;76:793-13.
- Teymoori E, Zareiyan A, Babajani-Vafsi S, Laripour R, Viewpoint of operating room nurses about factors associated with the occupational burnout: a qualitative study, Front Psychol. 2022;4914.
- Jiang H, Huang N, Jiang X, Yu J, Zhou Y, Pu H. Factors related to job burnout among older nurses in Guizhou province, China. PeerJ. 2021;9:e12333.
- Aydın GÇ, Aytaç S, Şanlı Y. İşe ilişkin duygular, iş stresi ve tükenmişliğin işten ayrılma niyeti üzerindeki etkisi: hemşireler üzerinde bir araştırma. J Soc Policy Conf. 2021;20:1-35.
- Basar U, Basim N. A cross‐sectional survey on consequences of nurses' burnout: moderating role of organizational politics. J Adv Nurs. 2016;72:1838-50.
- Danauskė E, Raišienė AG, Korsakienė R. Coping with burnout? measuring the links between workplace conflicts, work-related stress, and burnout. Business: Theory Pract. 2023;24:58-69.
- Salyers MP, Bonfils KA, Luther L et al. The relationship between professional burnout and quality and safety in healthcare: a meta-analysis, J Gen Intern Med. 2017;32:475-82.
- Haryanto B, Suprapti AR, Taufik A, Maminirina Fenitra R. Moderating role of transformational leadership in the relationship between work conflict and employee performance. Cogent Manag Bus. 2022;9:2105578.
- Naldan ME, Karayağmurlu A, Yayık M, Arı MA. Ameliyathanede çalışan sağlık profesyonellerinde tükenmişlik, iş doyumu ve depresyon. Selcuk Med J. 2019;35:152-8.
- Korkmaz EK, Telli S, Kadioglu H, Karaca S. Alexithymia in nurses and its relationship with burnout, anger, and somatization, J Psychiatr Nurs. 2020;11:284-91.
- Kacem I, Kahloul M, El Arem S et al. Effects of music therapy on occupational stress and burn-out risk of operating room staff. Libyan J Med. 2020;15:1768024.
- Qiu P, Yan L, Zhang Q et al. Organizational display rules in nursing: impacts on caring behaviors and emotional exhaustion through emotional labor, Int Nurs Rev. 2023;71:571-9.
- Faul F, Erdfelder E, Buchner A, Lang, A.-G. Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses, Behav Res Methods. 2009;41:1149-60.
- Günay A. İşe bağlı duygusal tükenmişlik: bir ölçek uyarlama çalışması Çukurova Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2021;3:142-9.
- Wharton AS. The affective consequences of service work: managing emotions on the job. Work Occup. 1993;20:205-32.
- Gün İ, Söyük S. Sağlık kuruluşlarında örgüt iklimi ve örgütsel güven arasındaki ilişki. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2017;1:40-8.
- Tsolakidis G, Vasiliki Diamantidou M. Nursing staff burnout: a critical review of the risk factors, Int J Caring Sci. 2022;15:668-79.
- Woo T, Ho R, Tang A, Tam W. Global prevalence of burnout symptoms among nurses: a systematic review and meta-analysis, J Psychiatry Res. 2020;123: 9-20.
- Ahmed Sadek, A. A.; Abd Elrhman, S. M.; Fahmy AM, Gabra SF. The organizational trust and its relation to staff nurse retention in their job. Minia Scientific Nurs J. 2022;12:99-105.
- Mckechnie J, McIntyre JL. The professional and legal relationship between a certified nurse-midwife and their obstetricians/gynecologist physician colleagues. Clin Obstet Gynecol. 2023; 10:1097.
- Akkaya A, Karadağ M. Ameliyathane Hemşirelerinin çalışma ortamından kaynaklanan mesleki risklerinin ve sağlık sorunlarının belirlenmesi. Ege Üniversitesi Hemşirelik Fakültesi Dergisi. 2021;37:11-22.
- Lyman B, Gunn MM, Mendon CR. New graduate registered nurses’ experiences with psychological safety, J Nur Manag. 2020;28: 831-839.
- Al-Hamed G. The difference of organizational trust between public and private hospital in Jordan, J Soc Sci Humanit Res. 2018;3:48-56.
- Clari M, Luciani M, Conti A, Sciannameo V, Berchialla P, Di Giulio P et al. The impact of the COVID-19 pandemic on nursing care: a cross-sectional survey-based study. J Pers Med. 2021;11:945.
- Purvanova RK, Muros JP. Gender differences in burnout: a meta-analysis. J Vocat Behav. 2010;77:168-85.
- Bhatti MA, Mat N, Juhari AS. Effects of job resources factors on nurses job performance (mediating role of work engagement). Int J Health Care Qual Ass. 2018;31:1000-13.
- Lake ET, Sanders J, Duan R, Riman KA, Schoenauer KM, Chen Y. A meta-analysis of the associations between the nurse work environment in hospitals and 4 sets of outcomes. Med Care. 2019;57:353-61.
- Gül D, Akkaya G, Yildirim A. The effect of talent management on the job satisfaction and organizational commitment of nurses, Int Nurs Rev. 2023;70:329-37.
- Bastug G, Pala A, Kumartasli M, Günel İ, Duyan M. Investigation of the relationship between organizational trust and organizational commitment, Univers J Edu Res. 2016;4:1418-25.
- Hadi-Moghaddam M, Karimollahi M, Aghamohammadi M. Nurses’ trust in managers and its relationship with nurses’ performance behaviors: a descriptive-correlational study, BMC Nurs. 2021;20:1-6.
- Varga AI, Spehar I, Skirbekk H. Trustworthy management in hospital settings: a systematic review, BMC Health Serv Res. 2023;23:662.
- Aksoy B. Örgütlerde güvenin yeniden değerlendirilmesi: yeni konular ve sorular, Uluslararası Yönetim İktisat İşletme Derg. 2016;12:175-92.
- Bobbio A, Bellan M, Manganelli AM. Empowering leadership, perceived organizational support, trust, and job burnout for nurses: A study in an Italian general hospital. Health Care Manage Rev. 2012;37:77-87
Ameliyathane hemşirelerinde örgütsel güven algısının duygusal tükenmişlik düzeyi ile ilişkisi
Year 2025,
Volume: 50 Issue: 1, 200 - 210, 31.03.2025
Neslihan Özcanarslan
,
Aysel Doğan
Abstract
Amaç: Ameliyathane, ekip çalışması, iletişim ve uzmanlık gerektiren yüksek iş yüküne sahip bir bölümdür ve örgütsel güvenin zayıf olduğu durumlarda hemşirelerde duygusal tükenmişlik sıklıkla görülmektedir. Bu çalışma, ameliyathane hemşirelerinde örgütsel güven ile tükenmişlik düzeyleri arasındaki ilişkiyi incelemeyi amaçlamaktadır.
Gereç ve Yönem: STROBE kuralları çerçevesinde yürütülen bu çalışmada kesitsel bir tasarım kullanılmış ve 1 Mayıs - 1 Temmuz 2022 tarihleri arasında bir Şehir Eğitim ve Araştırma Hastanesi'ndeki ameliyathane hemşireleri çalışmaya dahil edilmiştir. G-Power yöntemi ile belirlenen örneklem büyüklüğü 82 hemşireden oluşmaktadır. Veriler, kişisel bilgi formu, Örgütsel Güven Ölçeği ve İşe Bağlı Duygusal Tükenmişlik Ölçeği kullanılarak elektronik ortamda toplanmış ve istatistiksel yazılım ile analiz edilmiştir.
Bulgular: Ameliyathane hemşirelerinde örgütsel güven algısı yüksek bulundu (26 ± 85). Örgütsel Güven Algısı Ölçeği alt boyutlarından, en çok çalışma arkadaşlarına (11 ± 35), en az kuruma ve yöneticiye güven (5 ± 25) duydukları bulundu. Örgütsel güven algısı ile duygusal tükenmişlik düzeyi arasında orta düzeyde negatif yönde anlamlı ilişki bulundu (r=-0,385, p=0,001).
Sonuç: Bu çalışmada ameliyathane hemşirelerinde örgütsel güven algılarının yüksek ve duygusal tükenmenin düşük olduğu bulundu. Örgütsel güven algısı ile duygusal tükenmişlik düzeyi arasında orta düzeyde negatif yönde anlamlı ilişki bulundu. Bu sonuç örgütsel güven arttıkça duygusal tükenmenin azaldığı şeklinde yorumlanabilir.
References
- Li M, Shu Q, Huang H, Bo W, Wang L, Wu H. Associations of occupational stress, workplace violence, and organizational support on chronic fatigue syndrome among nurses. J Adv Nurs. 2020;76:1151-61.
- Paige J. Garbee D, Bonanno, L. Kerdolff K. Qualitative analysis of effective teamwork in the operating room (OR). J Surg Edu. 2021;78:967-79.
- Tørring B, Gittell JH, Laursen M. Rasmussen BS, Sørensen EE. Communication and relationship dynamics in surgical teams in the operating room: an ethnographic study. BMC Health Serv Re.s 2019;9:1-16.
- Sonoda Y, Onozuka D. Hagihara A. Factors related to teamwork performance and stress of operating room nurses. J Nurs Manag. 2018;26: 66-73.
- Koraş, K. Öcalan, D. Solak O. Cerrahi hekimlerin ameliyathanedeki gergin davranışlarının hemşireler üzerindeki etkileri. Gümüşhane Üniversitesi Saglik Bilimleri Dergisi. 2015;4:502-15.
- Phillips C. Relationships between workload perception, burnout, and intent to leave among medical–surgical nurses. JBI Evid Implement. 2020;18:265-73.
- Fragkos KC. Makrykosta P. Frangos CC. Structural empowerment is a strong predictor of organizational commitment in nurses: a systematic review and meta‐analysis. J Adv Nurs. 2020;76:939-62.
- Qi L. Liu B. Wei X, Hu Y. Impact of inclusive leadership on employee innovative behavior: perceived organizational support as a mediator. PloS One. 2019;14:e0212091.
- Sharma J. Dhar RL, Factors influencing job performance of nursing staff: mediating role of affective commitment. Rev Pers. 2016;45:161-82.
- Tang Y. Wang Y, Zhou H, Wang J, Zhang R, Lu Q. The relationship between psychiatric nurses’ perceived organizational support and job burnout: mediating role of psychological capital. Front Dev Psychol. 2023;14:1099687.
- Iftadi I, Astuti RD, Rosita M. Using NASA task load index and Maslach burnout inventory for evaluating the subjective mental and physical workload of nurse central surgical installation hospitals Karanganyar, Proccedings of Conference Using NASA task load index and Maslach burnout inventory for evaluating the subjective mental and physical workload of nurse central surgical installation hospitals Karanganyar, 2016;127-31.
- Yoon SJ, Park HJ. Organizational socialization and intention to leave in operating room nurses working at secondary general university hospitals. J Korean Acad Nurs Adm. 2015;21:88-98.
- Çalışkan A. Organizatial trust. Antalya Bilim University Int J Soc Sci. 2021;2:42-9.
- Özgür G, Tektaş P. An examination of the correlation between nurses' organizational trust and burnout levels. Appl Nurs Res. 2018;43:93-7.
- Joo BK, Yoon SK, Galbraith D. The effects of organizational trust and empowering leadership on group conflict: psychological safety as a mediator. Organ Manag J. 2023;20:4-16.
- Dalmış A. Örgütsel güvenin tükenmişlik algısına etkisi: kamuda bir araştırma. Ankara Üniversitesi SBF Dergisi. 2021;76:793-13.
- Teymoori E, Zareiyan A, Babajani-Vafsi S, Laripour R, Viewpoint of operating room nurses about factors associated with the occupational burnout: a qualitative study, Front Psychol. 2022;4914.
- Jiang H, Huang N, Jiang X, Yu J, Zhou Y, Pu H. Factors related to job burnout among older nurses in Guizhou province, China. PeerJ. 2021;9:e12333.
- Aydın GÇ, Aytaç S, Şanlı Y. İşe ilişkin duygular, iş stresi ve tükenmişliğin işten ayrılma niyeti üzerindeki etkisi: hemşireler üzerinde bir araştırma. J Soc Policy Conf. 2021;20:1-35.
- Basar U, Basim N. A cross‐sectional survey on consequences of nurses' burnout: moderating role of organizational politics. J Adv Nurs. 2016;72:1838-50.
- Danauskė E, Raišienė AG, Korsakienė R. Coping with burnout? measuring the links between workplace conflicts, work-related stress, and burnout. Business: Theory Pract. 2023;24:58-69.
- Salyers MP, Bonfils KA, Luther L et al. The relationship between professional burnout and quality and safety in healthcare: a meta-analysis, J Gen Intern Med. 2017;32:475-82.
- Haryanto B, Suprapti AR, Taufik A, Maminirina Fenitra R. Moderating role of transformational leadership in the relationship between work conflict and employee performance. Cogent Manag Bus. 2022;9:2105578.
- Naldan ME, Karayağmurlu A, Yayık M, Arı MA. Ameliyathanede çalışan sağlık profesyonellerinde tükenmişlik, iş doyumu ve depresyon. Selcuk Med J. 2019;35:152-8.
- Korkmaz EK, Telli S, Kadioglu H, Karaca S. Alexithymia in nurses and its relationship with burnout, anger, and somatization, J Psychiatr Nurs. 2020;11:284-91.
- Kacem I, Kahloul M, El Arem S et al. Effects of music therapy on occupational stress and burn-out risk of operating room staff. Libyan J Med. 2020;15:1768024.
- Qiu P, Yan L, Zhang Q et al. Organizational display rules in nursing: impacts on caring behaviors and emotional exhaustion through emotional labor, Int Nurs Rev. 2023;71:571-9.
- Faul F, Erdfelder E, Buchner A, Lang, A.-G. Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses, Behav Res Methods. 2009;41:1149-60.
- Günay A. İşe bağlı duygusal tükenmişlik: bir ölçek uyarlama çalışması Çukurova Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2021;3:142-9.
- Wharton AS. The affective consequences of service work: managing emotions on the job. Work Occup. 1993;20:205-32.
- Gün İ, Söyük S. Sağlık kuruluşlarında örgüt iklimi ve örgütsel güven arasındaki ilişki. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2017;1:40-8.
- Tsolakidis G, Vasiliki Diamantidou M. Nursing staff burnout: a critical review of the risk factors, Int J Caring Sci. 2022;15:668-79.
- Woo T, Ho R, Tang A, Tam W. Global prevalence of burnout symptoms among nurses: a systematic review and meta-analysis, J Psychiatry Res. 2020;123: 9-20.
- Ahmed Sadek, A. A.; Abd Elrhman, S. M.; Fahmy AM, Gabra SF. The organizational trust and its relation to staff nurse retention in their job. Minia Scientific Nurs J. 2022;12:99-105.
- Mckechnie J, McIntyre JL. The professional and legal relationship between a certified nurse-midwife and their obstetricians/gynecologist physician colleagues. Clin Obstet Gynecol. 2023; 10:1097.
- Akkaya A, Karadağ M. Ameliyathane Hemşirelerinin çalışma ortamından kaynaklanan mesleki risklerinin ve sağlık sorunlarının belirlenmesi. Ege Üniversitesi Hemşirelik Fakültesi Dergisi. 2021;37:11-22.
- Lyman B, Gunn MM, Mendon CR. New graduate registered nurses’ experiences with psychological safety, J Nur Manag. 2020;28: 831-839.
- Al-Hamed G. The difference of organizational trust between public and private hospital in Jordan, J Soc Sci Humanit Res. 2018;3:48-56.
- Clari M, Luciani M, Conti A, Sciannameo V, Berchialla P, Di Giulio P et al. The impact of the COVID-19 pandemic on nursing care: a cross-sectional survey-based study. J Pers Med. 2021;11:945.
- Purvanova RK, Muros JP. Gender differences in burnout: a meta-analysis. J Vocat Behav. 2010;77:168-85.
- Bhatti MA, Mat N, Juhari AS. Effects of job resources factors on nurses job performance (mediating role of work engagement). Int J Health Care Qual Ass. 2018;31:1000-13.
- Lake ET, Sanders J, Duan R, Riman KA, Schoenauer KM, Chen Y. A meta-analysis of the associations between the nurse work environment in hospitals and 4 sets of outcomes. Med Care. 2019;57:353-61.
- Gül D, Akkaya G, Yildirim A. The effect of talent management on the job satisfaction and organizational commitment of nurses, Int Nurs Rev. 2023;70:329-37.
- Bastug G, Pala A, Kumartasli M, Günel İ, Duyan M. Investigation of the relationship between organizational trust and organizational commitment, Univers J Edu Res. 2016;4:1418-25.
- Hadi-Moghaddam M, Karimollahi M, Aghamohammadi M. Nurses’ trust in managers and its relationship with nurses’ performance behaviors: a descriptive-correlational study, BMC Nurs. 2021;20:1-6.
- Varga AI, Spehar I, Skirbekk H. Trustworthy management in hospital settings: a systematic review, BMC Health Serv Res. 2023;23:662.
- Aksoy B. Örgütlerde güvenin yeniden değerlendirilmesi: yeni konular ve sorular, Uluslararası Yönetim İktisat İşletme Derg. 2016;12:175-92.
- Bobbio A, Bellan M, Manganelli AM. Empowering leadership, perceived organizational support, trust, and job burnout for nurses: A study in an Italian general hospital. Health Care Manage Rev. 2012;37:77-87