Factors affecting occupational burnout in nurses working in a medical oncology clinic

Year 2021, , 604 - 609, 05.09.2021

Pınar Eraslan Ayşegül İlhan

https://doi.org/10.32322/jhsm.944258

Abstract

Objective: To reveal the factors that may affect the burnout level of nurses working in a medical oncology clinic.
Methods: This study was a cross-sectional observational descriptive study conducted in a medical oncology clinic. The study included 29 female nurses who were currently working in a medical oncology clinic. Participants were assessed with sociodemographic information form and Turkish versions of the occupational fatigue exhaustion/recovery scale (OFER), the professional quality of life (ProQOL) scale, and the Beck depression inventory (BDI). Participants with a low burnout score and a high burnout score were identified as group A and group B and were compared about factors that could affect burnout.
Results: Group A and group B were similar in terms of sociodemographic parameters. OFER-chronic fatigue subscale median (IQR) scores for Group A and Group B were 43.0 (33.00-58.50) and 63.0 (50.0-83.0), respectively (p = 0.032). OFER-inter-shift fatigue subscale median (IQR) scores for Group A and Group B were 50.0 (37.00-57.75) and 37.0 (20.00-43.00), respectively (p = 0.005). Median scores of OFER-acute fatigue, ProQOL compassion satisfaction, and compassion fatigue, and BDI were similar between groups. In binary logistic regression analysis, the odds ratios of OFER-chronic fatigue and OFER-inter-shift fatigue were 1.027 (95% CI 0.980-1.077, p = 0.263) and 0.904 (95% CI 0.828-0.988, p = 0.025), respectively.
Conclusions: Our study revealed that the most crucial factor related to the occupational burnout of nurses might be inter-shift fatigue (recovery). Interventions to target inter-shift fatigue could potentially protect nurses from burnout.

Keywords

Occupational burnout, oncology nurses, occupational fatigue exhaustion/recovery scale, professional quality of life scale, Beck depression inventory, inter-shift fatigue

References

• Kim K, Han Y, Kwak Y, Kim JS. Professional quality of life and clinical competencies among Korean nurses. Asian Nurs Res (Korean Soc Nurs Sci) 2015; 9: 200-6.
• Zajac LM, Moran KJ, Groh CJ. Confronting compassion fatigue: assessment and intervention in inpatient oncology.
Clin J Oncol Nurs 2017; 21: 446-53.
• Stamm BH. The Concise ProQOL Manual. 2nd Edition ed: Pocatello, 2010.
• Woo T, Ho R, Tang A, Tam W. Global prevalence of burnout symptoms among nurses: A systematic review and meta-analysis. J Psychiatr Res 2020; 123: 9-20.
• Aycock N, Boyle D. Interventions to manage compassion fatigue in oncology nursing. Clin J Oncol Nurs 2009; 13: 183-91.
• Jang I, Kim Y, Kim K. Professionalism and professional quality of life for oncology nurses. J Clin Nurs 2016; 25: 2835-45.
• Zhang LF, You LM, Liu K, et al. The association of Chinese hospital work environment with nurse burnout, job satisfaction, and intention to leave. Nurs Outlook 2014; 62: 128-37.
• White EM, Aiken LH, McHugh MD. Registered nurse burnout, job dissatisfaction, and missed care in nursing homes. J Am Geriatr Soc 2019; 67: 2065-71.
• Russell K. Perceptions of burnout, its prevention, and its effect on patient care as described by oncology nurses in the hospital setting. Oncol Nurs Forum 2016; 43: 103-9.
• Coetzee SK, Klopper HC. Compassion fatigue within nursing practice: a concept analysis. Nurs Health Sci 2010; 12: 235-43.
• Neville K, Cole DA. The relationships among health promotion behaviors, compassion fatigue, burnout, and compassion satisfaction in nurses practicing in a community medical center. J Nurs Adm 2013; 43: 348-54.
• Yoder EA. Compassion fatigue in nurses. Appl Nurs Res 2010; 23: 191-7.
• Di Muzio M, Dionisi S, Di Simone E, et al. Can nurses' shift work jeopardize the patient safety? A systematic review. Eur Rev Med Pharmacol Sci 2019; 23: 4507-19.
• Akman O, Ozturk C, Bektas M, Ayar D, Armstrong MA. Job satisfaction and burnout among paediatric nurses. J Nurs Manag 2016; 24: 923-33.
• Rose DM, Seidler A, Nübling M, et al. Associations of fatigue to work-related stress, mental and physical health in an employed community sample. BMC Psychiatry 2017; 17: 167.
• Fang JB, Zhou CF, Huang J, Qiu CJ. Psychometric properties of the chinese version of the occupational fatigue exhaustion/recovery scale: a test in a nursing population. J Nurs Res 2018; 26: 191-8.
• Liu Y, Wu LM, Chou PL, Chen MH, Yang LC, Hsu HT. The influence of work-related fatigue, work conditions, and personal characteristics on intent to leave among new nurses. J Nurs Scholarsh 2016; 48: 66-73.
• Wan JJ, Qin Z, Wang PY, Sun Y, Liu X. Muscle fatigue: general understanding and treatment. Exp Mol Med 2017; 49: e384.
• Al Ma'mari Q, Sharour LA, Al Omari O. Fatigue, burnout, work environment, workload and perceived patient safety culture among critical care nurses. Br J Nurs 2020; 29: 28-34.
• Winwood PC, Winefield AH, Dawson D, Lushington K. Development and validation of a scale to measure work-related fatigue and recovery: the Occupational Fatigue Exhaustion/Recovery Scale (OFER). J Occup Environ Med 2005; 47: 594-606.
• Chen J, Davis KG, Daraiseh NM, Pan W, Davis LS. Fatigue and recovery in 12-hour dayshift hospital nurses. J Nurs Manag 2014; 22: 593-603.
• Han K, Trinkoff AM, Geiger-Brown J. Factors associated with work-related fatigue and recovery in hospital nurses working 12-hour shifts. Workplace Health Saf 2014; 62: 409-14.
• Caruso CC. Negative impacts of shiftwork and long work hours. Rehabil Nurs 2014; 39: 16-25.
• Winwood PC, Winefield AH, Lushington K. Work-related fatigue and recovery: the contribution of age, domestic responsibilities and shiftwork. J Adv Nurs 2006; 56: 438-49.
• Havlioglu S, Ortabag T, Winwood PC. Turkish validity and reliability of the occupational fatigue exhaustion/recovery scale. Medicine 2019; 8: 916-922.
• Yeşil A, Ümit E, Cumhur A, Fatih ER, Olgun N, Aker A. Validity and reliability of the Turkish version of the professional quality of life scale. Nöropsikiyatri Arşivi 2010; 47.
• Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961; 4: 561-71.
• Hisli N. Beck depresyon envanterinin universite ogrencileri icin gecerliligi, guvenilirligi. (A reliability and validity study of Beck Depression Inventory in a university student sample). J Psychol 1989; 7: 3-13.
• Gluschkoff K, Elovainio M, Kinnunen U, et al. Work stress, poor recovery and burnout in teachers. Occup Med (Lond) 2016; 66: 564-70.
• Poulsen MG, Poulsen AA, Khan A, Poulsen EE, Khan SR. Recovery experience and burnout in cancer workers in Queensland. Eur J Oncol Nurs 2015; 19: 23-8.
• Yang F, Ding J, Ma R, et al. Recovery experience: a concept for maintaining quality of life and its mediating effect among female nurses in China. Psychol Res Behav Manag 2020; 13: 831-41.
• Mohd Fauzi MF, Mohd Yusoff H, Mat Saruan NA, Muhamad Robat R, Abdul Manaf MR, Ghazali M. Fatigue and recovery among Malaysian doctors: the role of work-related activities during non-work time. BMJ Open 2020; 10: e036849.
• Min A, Kim YM, Yoon YS, Hong HC, Kang M, Scott LD. Effects of work environments and occupational fatigue on care left undone in rotating shift nurses. J Nurs Scholarsh 2021; 53: 126-36.
• Rahman HA, Abdul-Mumin K, Naing L. A study into psychosocial factors as predictors of work-related fatigue. Br J Nurs 2016; 25: 757-63.
• Koutsimani P, Montgomery A, Georganta K. The relationship between burnout, depression, and anxiety: a systematic review and meta-analysis. Front Psychol 2019; 10: 284.
• Carmassi C, Bertelloni CA, Avella MT, et al. PTSD and burnout are related to lifetime mood spectrum in emergency healthcare operator. Clin Pract Epidemiol Ment Health 2020; 16: 165-73.
• Duan-Porter W, Hatch D, Pendergast JF, et al. 12-month trajectories of depressive symptoms among nurses-Contribution of personality, job characteristics, coping, and burnout. J Affect Disord 2018; 234: 67-73.
• Stelnicki AM, Jamshidi L, Angehrn A, Hadjistavropoulos HD, Carleton RN. Associations between burnout and mental disorder symptoms among nurses in Canada. Can J Nurs Res 2020: 844562120974194.
• Vasconcelos EM, Martino MMF, França SPS. Burnout and depressive symptoms in intensive care nurses: relationship analysis. Rev Bras Enferm 2018; 71: 135-41.