Burnout and Turnover Intentions of Emergency Department Staff

Yıl 2023, Cilt: 5 Sayı: Supplement (1) - Innovations in Medicine and Healthcare in the 100th Year of the Republic, 33 - 8, 19.10.2023

Derya Can , Nükhet Bayer

https://doi.org/10.37990/medr.1315403

Öz

Aim: In this study, it was aimed to determine the level of burnout and turnover intentions of emergency service staff and to examine the relationship between these two variables.
Material and Methods: This cross-sectional study was conducted in four different training and research hospitals in Ankara. The study was conducted with a total of 414 people, including 130 physicians, 215 nurses and 69 health techs/technicians who agreed to participate. The participation rate was 80%. Questionnaire method was used in the study. The questionnaire included "Sociodemographic Characteristics Form", "Maslach Burnout Inventory (MBI)" and "Turnover Intention Scale (TIS)". The analysis of the research data was performed with SPSS 23.0 statistical program.
Results: The age range of the participants was 18-55 years and the mean age was 32.7±6.1 years. 65% of the participants were female, 52% were nurses, and 55.1% were married. The mean scale scores were (61.6±11.9) for MBI and (2.9±1.7) for TIS. There was a positive, moderate, statistically significant relationship between MBI and TIS (r=0.623; p<0.01). It was found that emergency department staff had high levels of burnout and moderate levels of turnover intentions. Women had higher levels of emotional exhaustion than men, and physicians had higher turnover intentions than nurses and health techs/technicians.
Conclusion: It was observed that as burnout increased, turnover intention also increased. It is considered that health policy makers and administrators should make structural and functional reforms to reduce burnout and turnover intention in emergency department staff.

Anahtar Kelimeler

Burnout, turnover intention, emergency department

Teşekkür

We thank to emergency department staff who participated in the study.

Kaynakça

• Isikhan V. Burnout syndrome in employees. In: Gulhan M, Yılmaz U, eds, Supportive therapy in lung cancer. TUSAD Educational Books Series, Ankara, 2016;366-91.
• Basim CH, Meydan HN, Cetin F. The effect of organizational justice perception and organizational commitment on burnout: an investigation on Turkish public sector. Bilig. 2011;57:175-200.
• Saultz J. Burnout. Fam Med. 2020;52:5-7.
• Uzuntarla Y. Sağlik hizmetlerinin sosyal yönü: kişilik, empati, duygusal emek ve tükenmişlik. IKSAD Publishing, Ankara, 2020;25-187.
• Koustelios A, Tsigilis N. The relationship between burnout and job satisfaction among physical education teachers: a multivariate approach. European Physical Education Review. 2005;11:189-203.
• Sullivan V, Hughes V, Wilson DR. Nursing burnout and its impact on health. Nurs Clin North Am. 2022;57:153-69.
• Hayes LJ, O’Brien-Pallas L, Dufeld C, et al. Nurse turnover: a literature review. Int J Nurs Stud. 2006;43:237-63.
• Yalcin T, Macit M. Psikolojik iyi oluşun örgütsel sapma davranışları ve işten ayrılma niyetine etkisi: sağlık kurumlarında bir araştırma. Journal of Kahramanmaraş Sütçü İmam University Faculty of Economics and Administrative Sciences. 2022;12:47-69.
• Mercado M, Wachter K, Schuster RC, et al. A cross-sectional analysis of factors associated with stress, burnout and turnover intention among healthcare workers during the COVID-19 pandemic in the United States. Health Soc Care Community. 2022;30:e2690-701.
• Aksu BÇ. COVID 19 pandemisinin sağlik çalişanlarinin iş güvencesizliği algilari, algilanan iş stresleri ve işten ayrilma niyetleri üzerindeki etkilerini incelemeye yönelik bir araştirma. Hacettepe Journal of Health Administration. 2021;24:747-76.
• Chen YC, Wu HC, Kuo FT, et al. Hospital factors that predict intention of health care workers to leave their job during the COVID-19 pandemic. J Nurs Scholarsh. 2022;54:607-12.
• Aygün A, Karabacak V, Işık HS. Acil servis hekimlerinin tibbi hukuki sorumluluklari hakkinda bilgi, tutum ve davranişlari. Kırıkkale University Med J. 2018;20:321-8.
• Di Micco P. Editorial for the special issue "emergency medicine and emergency room medical issues". Medicina (Kaunas). 2023;59:380.
• Stafford S, Avsar P, Nugent L, et al. What is the impact of patient violence in the emergency department on emergency nurses' intention to leave?. J Nurs Manag. 2022;30:1852-60.
• Maslach C, Jackson SE. The measurement of experienced burnout. Journal of Occupational Behaviour. 1981;2:99-113.
• Ergin C. Burnout in doctors and nurses and adaptation of the Maslach burnout scale. VII. National Psychology Congress Scientific Studies, 1992, İstanbul, 143-54.
• Rosin HM, Korabik K. Workplace variables, afective responses, and intention to leave among women managers. Journal of Occupational Psychology. 1991;64: 317-30.
• Tanriover U. The effects of learning organization climate and self directed learning on job satisfaction, affective commitment and intention to turnover. Msc Thesis, Marmara University, Istanbul, 2005.
• Helvaci I, Turhan M. The examination of burnout levels: a study on healthcare staff working in Silifke. JBES. 2013;1:58-68.
• Wilson W, Raj JP, Narayan G, et al. Quantifying burnout among emergency medicine professionals. J Emerg Trauma Shock. 2017;10:199-204.
• Ozturk H, Avan H, Nacar D. Acil sağlık hizmetleri personelinin tükenmişlik düzeyinin belirlenmesi. Journal of Academic Value Studies (JAVStudies). 2018;4:304-10.
• Petrino R, Riesgo LG, Yilmaz B. Burnout in emergency medicine professionals after 2 years of the COVID-19 pandemic: a threat to the healthcare system?. Eur J Emerg Med. 2022;29:279-84.
• Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012;172:1377-85.
• Shopen N, Schneider A, Aviv Mordechai R, et al. Emergency medicine physician burnout before and during the COVID-19 pandemic. Isr J Health Policy Res. 2022;11:30.
• Mareiniss DP. Emergency medicine burnout and abuse-one doctor's perspective. Am J Emerg Med. 2018;36:720-1.
• Stehman CR, Testo Z, Gershaw RS, Kellogg AR. Burnout, drop out, suicide: physician loss in emergency medicine, part I. West J Emerg Med. 2019;20:485-94. Erratum in: West J Emerg Med. 2019;20:840-1.
• Ogundipe OA, Olagunju AT, Lasebikan VO, Coker AO. Burnout among doctors in residency training in a tertiary hospital. Asian J Psychiatr. 2014;10:27-32.
• Adam S, Mohos A, Kalabay L, Torzsa P. Potential correlates of burnout among general practitioners and residents in Hungary: the significant role of gender, age, dependant care and experience. BMC Fam Pract. 2018;19:193.
• Karahan H. Frequency and demographic characteristics of burnout syndrome in healthcare professionals working in emergency units. Anatolian J Emerg Med. 2020;3;81-4.
• Cankaya M. Sağlık çalışanlarında algılanan örgütsel destek ve psikolojik iyi oluşun işten ayrılma niyeti üzerindeki etkisi. ASEAD. 2020;7:79-98.
• Erdilek Karabay M. Sağlık Personelinin İş Stresi, İş- Aile Çatışması Ve İş-Aile-Hayat Tatminlerine Yönelik Algılarının İşten Ayrılma Niyeti Üzerindeki Etkilerinin Belirlenmesi Üzerine Bir Araştırma. Yönetim Bilimleri Dergisi. 2015;13:113-34.
• Ryu S. Turnover intention among field epidemiologists in South Korea. Int J Environ Res Public Health. 2020;17:949.
• Labrague LJ, de Los Santos JAA. Fear of COVID-19, psychological distress, work satisfaction and turnover intention among frontline nurses. J Nurs Manag. 2021;29:395-403.
• Lavoie-Tremblay M, Gélinas C, Aubé T, et al. Influence of caring for COVID-19 patients on nurse's turnover, work satisfaction and quality of care. J Nurs Manag. 2022;30:33-43.
• Wang H, Liu Y, Hu K, et al. Healthcare workers' stress when caring for COVID-19 patients: an altruistic perspective. Nurs Ethics. 2020;27:1490-500.
• Turkish Medical Association. Turkish Medical Association working report 2020-2022. https://www.ttb.org.tr/c_rapor/2020-2022/2022.pdf access date 05.06.2023.
• Uzuntarla F. Violence against healthcare workers. J Soc Anal Health. 2022;2:56.
• Taskaya S, Aksoy A. Relationship between job satisfaction and turnover intention among healthcare workers in Turkey: a meta-analysis study. Hacettepe Journal of Health Administration. 2023;26:115-32.
• Yildirim MH, Icerli L. Tükenmişlik sendromu: Maslach ve Kopenhag tükenmişlik ölçeklerinin karşılaştırmalı analizi. Organizasyon ve Yonetim Bilimleri Dergisi. 2010;2:123-31.
• Bayer N, Golbasi Z, Uzuntarla Y, Akarsu K. Job satisfaction, burnout and turnover intention of nurses working in hospital during the pandemic COVID-19 in Turkey. J Clin Med Kaz. 2021;18:69-75.