جستجوی مقالات مرتبط با کلیدواژه "فرسودگی شغلی" در نشریات گروه "پزشکی"

Nurses often experience high levels of job burnout due to heavy workloads and stressful conditions, which can have a negative effect on the quality of nursing care. This study aims to determine the relationship between job burnout and missed nursing care in nurses from the selected in Tehran, Iran.

In this descriptive-correlational study, 194 nurses of hospitals affiliated to Tehran University of Medical Sciences, were included using a convenience sampling technique from February to April 2024. Data were collected using a demographic form, Maslach burnout inventory (MBI), and Kalisch’s missed nursing care scale. Data were analyzed in SPSS software, version 26 using descriptive statistics (mean, standard deviation, Percentage, and frequency) and inferential statistics (Independent t-test, Pearson correlation test, ANOVA, and regression analysis).

The mean scores for the subscales of MBI including emotional exhaustion, depersonalization, and personal accomplishment were 32.44±10.70, 18.76±4.14, and 29.91±7.10, respectively. The mean score of missed nursing care was 35.78±2.67. The results showed no significant difference in job burnout and missed nursing care scores based on demographic variables (P>0.05). No significant relationship was found between job burnout and age or work experience (P>0.05). Pearson correlation test results revealed a significant direct relationship between the subscales of MBI and missed nursing care (P<0.001). The highest and lowest correlations were for the MBI subscales of emotional exhaustion (r=0.608, P<0.001) and depersonalization (r=0.301, P<0.001), respectively. The results of regression analysis showed that emotional exhaustion (β=0.62), depersonalization (β=0.30), and personal accomplishment (β=0.34) were significant predictors of missed nursing care (P<0.001). 

There is a significant relationship between missed nursing care and job burnout in nurses. Healthcare authorities are recommended to use appropriate interventions to prevent or reduce nurses’ job burnout in order to reduce the occurrence of missed nursing care and improve patient outcomes.

In a stressful work environment, individuals experience burnout; meanwhile, social support helps to reduce burnout. Therefore, the current research has investigated the effect of organizational climate on the burnout of employees of selected healthcare centers in Arak City, considering the moderating role of social support in 2023.

The current research is applied, exploratory, and developmental in terms of purpose. Random sampling and based on Cochran's formula from 134 healthcare workers working in the health center, the questionnaire was completed. Demographic information forms, Maslach's (1993) job burnout questionnaire, Halpin and Kraft's (1963) organizational climate questionnaire, and Zimmet's (1988) perceived social support questionnaire were used to collect data. The results of model structure reliability tests, Cronbach's alpha values, composite reliability values, and rho_a, which indicate the internal correlation of questions of a variable within the model, are higher than 0.7 and have acceptable structure reliability. All the values of the HTMT index were less than the permissible value of 0.9 and were at a satisfactorylevel. Consequently, this test also confirmed the divergent validity.

The results with P > 0.001 and a 99% confidence level of the organizational atmosphere had an inverse effect on emotional burnout and depersonalization and directly impacted individual success. The perceived social support variable did not have a moderating role on the causal relationship of organizational climate with emotional burnout and depersonalization and its direction was reversed. However, it had a strengthening role in individual success and direct direction. In other words, people with more social support have more powerful personal success and vice versa.

Organizational climate is one of the variables of job burnout, and people with higher social support have less job burnout. Therefore, it is suggested that managers conduct in-service training focusing on the components of job burnout and perceived organizational climate. In addition, friendly relations should be established with employees to increase social support, and rewards and welfare measures should be granted.

The advancement of organizations depends on engagement, providing essential and constructive insights and prospectives from human resources and intellectual capital. This research designed and implemented to study the impact of organizational silence syndrome on employee burnout. Moreover, the connections between research variables and demographic variables were tested.

The study employed a descriptive-correlation approach, while  the research framework is a multivariate correlation design. The statistical population of the research consisted of 110 administrative employees of Malayer University. Considering the small size of the community, the census approach employed. Data collection tools included organizational silence questionnaires developed by Dina et al. (2003) and job burnout questionnaires by Meslash and Jackson (1981).

The study’s findings indicated a notable connection between organizational silence and components job burnout. The findings of the research showed a noteworthy correlation between ProSocial silence and emotional exhaustion (r=0.294 / sig=0.001). Nevertheless, there was no significant connection between defensive and acquiescent silence and emotional exhaustion. Among the variables of organizational silence, Acquiescent silence (r=0.374/sig=0.001) and defensive silence (r=0.456/sig=0.011) were significant predictors of depersonalization. According to the results, proSocial silence had a significant relationship with the feeling of inadequacy (r=0.222/sig=0.012). However, there was no significant connection between Acquiescent and defensive organizational silence and the sense of inadequacy. The research results also confirmed the existence of significant relationships between certain demographic variables and job burnout as well as organizational silence.

According to the findings of the study, managers of organizations should foster a transparent atmosphere for employees enabling them to share their views openly and without apprehension. This is crucial as organizational silence, not only contributes to employee burnout but also leads to numerous adverse effects for both the organizational and individuals.

Nursing is a high-risk profession often associated with burnout, leading to conditions such as workplace fatigue and job dissatisfaction. This study aimed to compare the effectiveness of positive psychotherapy and reality therapy training in reducing compassion fatigue and job burnout among the medical staff during the COVID-19 outbreak.

This study employed a quasi-experimental design with a pre-test and post-test and a control group. A total of 45 male and female staff members from Kashani Hospital in Shahrekord were selected through purposive sampling and randomly assigned to three groups: two experimental and one control (15 participants each). Participants completed questionnaires measuring compassion fatigue and job burnout prior to the intervention. After eight sessions of training in positive psychotherapy and reality therapy for the experimental groups, participants completed the questionnaires again for the post-test phase. Data were analyzed using analysis of covariance (ANCOVA).

The findings indicated a significant difference between the effectiveness of positive psychotherapy and reality therapy training on compassion fatigue and job burnout among the medical staff, with reality therapy demonstrating greater effectiveness (p<0.01).

The results of this study suggest that both positive psychotherapy and reality therapy training are effective in mitigating compassion fatigue and job burnout. Moreover, reality therapy is more effective than positive psychotherapy in achieving these outcomes.

Emergency medical technicians are the first responders to stressful situations, and this stress can lead to burnout over time. Burnout may impair their performance. Therefore, the present study aimed to determine the assocition between occupational stress, burnout, and performance among emergency medical technicians.

This descriptive-analytical study was conducted on 63 emergency medical technicians at the Faculty of Medical Sciences, Esfarayen, in 2022. The study used a census method with standardized questionnaires: the HSE Occupational Stress Questionnaire, the Maslach Burnout Inventory, and the Hersey and Goldsmith Job Performance Questionnaire. The content validity and reliability of the questionnaires were confirmed, with coefficients of 0.92, 0.71, and 0.69, respectively. Data were analyzed using Pearson correlation coefficient through SPSS statistical software.

The findings indicated a significant positive correlation between stress and burnout (r = 0.883, p = 0.025). A significant negative correlation was observed between burnout and performance (r = - 0.181, p = 0.021). Furthermore, a negative relationship between stress and performance was confirmed through the mediating variable of burnout (r = -0.355, p = 0.043).

According to the study's findings, stress leads to increased burnout and decreased performance. Therefore, it is recommended that health policymakers implement interventions to reduce stress and strengthen coping resources to help decrease burnout among emergency medical technicians.

Health workers during the COVID-19 pandemic had high responsibilities of prevention and treatment, which can cause anxiety in them considering the negative effects of the pandemic on mental health. This study aims to investigate the COVID-19-related anxiety level and its relationship with job burnout in health workers from Bushehr province, southern Iran.

This is a descriptive-correlational study with a cross-sectional design that was conducted in 2022. Participants were 365 health workers from health centers affiliated to Bushehr University of Medical Sciences, who were selected by census method. The data was collected using a sociodemographic form, the Maslach Burnout Inventory, and the corona virus anxiety scale. SPSS software, version 16 was used for data analysis.

Of 365 health workers, 308 completed the questionnaires. The majority of thm were female (69.5%) and married (85.7%). Their mean age and work experience were 37.8 and 13.9 years, respectively. The anxiety in most health workers (70.8%) was mild (Mean: 12.58 ±10.81). The findings also showed that 31.8% had moderate to severe emotional exhaustion; depersonalization was mostly low (82.1%), and about half had low personal achievement (49.7%). There was a significant relationship between COVID-19-related anxiety and emotional exhaustion (r=0.667; P<0.001), depersonalization (r=0.472, P<0.001), and personal achievement (r=-0.188, P=0.001). 

There is a significant relationship between anxiety caused by COVID-19 and job burnout in health workers. Although the pandemic did not cause high anxiety among health workers in Bushehr province, it can disrupt their performance. Policymakers in Iran should pay more attention to the negative effects of pandemics on health workers.

Job burnout has a high prevalence among nurses, which reduces nurses' compassion, increases medical errors, and ethical distress. Spiritual health has a positive impact on different aspects of people's jobs and lives, too.

Methods & Materials: 

The current research was a semi-experimental type that was conducted on all nurses working in the teaching-therapeutic hospital of Lamard city (2019) who were suffering from moderate to high levels of burnout. The samples were randomly selected and assigned to two control (20 people) and intervention (20 people) groups. The tool for gathering information was questionnaires, which contained personal characteristics and job burnout of Maslach health workers. Questionnaires were completed before and immediately after the intervention. The intervention included seven training sessions in the field of spiritual health. The collected data were analyzed with SPPS 21 software. In order to compare the job burnout dimensions of the two groups before and after the intervention, independent T-test or Mann-Whitney was used, and paired T-test or Wilcoxon was used to compare before and after each group.

In various nursing texts, the design of spiritual interventions has been emphasized to enhance the spiritual health of nurses and patients. Therefore, due to the lack of executive model for spiritual care in nurses, this study can provide an appropriate model for nursing researchers and managers to examine the impact of the spiritual health program on nurses' job burnout.

the purpose of this study is to investigate the prevalence of burnout among medical interns of Iran University of Medical Sciences in 1400.

In this descriptive-analytical cross-sectional study, all interns of Iran University of Medical Sciences in 1400 were investigated. Demographic information such as age, gender, marital status was asked and recorded. Then the name of the hospital, the number of working hours per week and the number of months since the beginning of the internship were asked. Next, the consumption of cigarettes and narcotics and the duration of consumption or the previous history of consumption were checked. Then, a questionnaire was presented in the field of factors affecting job burnout (MBI-HSS). This scale has 22 items and measures three areas of burnout (emotional burnout, depersonalization, and lack of Personal success).

In this study, 262 interns were examined, of which 144 people (55%) had emotional burnout, 65 people (24.8%) had depersonalization, and 160 people (61.1%) had no personal success. The mean burnout score was 62.96 ± 17.04 and 241 people (92%) had burnout in general. Women had more job burnout than men, but there was no significant relationship between job burnout and gender (p value>0.05). Also, severe burnout was more in singles, but burnout was not related to marital status (p value>0.05). There was no significant relationship between smoking and drug use and job burnout (p value>0.05), but this relationship was significant with alcohol use (p value=0.01).

the results of our study showed that burnout is a very common problem among interns. Risk factors such as being single, working long hours per week, drinking alcohol and to some extent smoking make this worse. In addition, job burnout has led to the neglect of personal life and success in it.

The problem of mental health in children and adolescents is one of the concerns of modern societies and is of interest to many researchers. Many different factors play a role in its formation and manifestation, one of them is the occupational issues of the parents. Job burnout and job insecurity are two examples of employment issues that have psychological and physical consequences for difficult jobs, including nursing, which can negatively affect aspects of their lives, including their children’s mental health. Therefore, this study was conducted to investigate the role of nurses' job burnout and job insecurity in predicting the emotional-behavioral problems of their children.

The present study was descriptive and correlational. A total of 200 nurses working in hospitals of Sari in 2022 and 2023 with 4 to 12-year-old children were studied using convenience sampling method. The data collection tools were Maslach's job burnout questionnaire (1981), Nisi et al.'s job security questionnaire (1379), and Goodman's strengths and difficulties questionnaire (1997). The obtained data were analyzed using Pearson's correlation coefficient and regression analysis using the SPSS-22 software.

Pearson correlation results showed that nurses’ job burnout (r=0.354) and job insecurity (r=0.412) were positively related to their children's emotional and behavioral problems (p<0.05). Based on the results of stepwise multivariate regression analysis, lack of personal accomplishment =β) 0.37) and emotional exhaustion =β) 0.31) as the components of job burnout; and lack of job satisfaction=β) 0.28) and not having a suitable job =β) 0.21) as the components of job insecurity were instrumental in predicting emotional and behavioral problems in nurses' children.

According to the results, ensuring job security and adjusting job burden for nurses can be an effective measure to reduce work-related problems for nurses and improve the mental health of their children. It is also proposed to improve the mental health of nurses and their families through the provision of psychological services and life skills training

A large proportion of the healthcare workforce reports significant distress and burnout, which can lead to poor patient care. Several psychological interventions, one of the psychological interventions is integrated therapy, which can be effective in improving mental fatigue and stress tolerance. So, the purpose of research is to investigate the effectiveness of integrated cognitive-behavioral therapy with acceptance and commitment-based therapy on reduce Psychological Distress and mental fatigue in nurses with burnout symptoms in Imam Reza Hospital in Mashhad city.

The research was a semi-experimental pre-test-post-test study with a control group. The statistical population was all female nurses working in Imam Reza Hospital which had symptoms of burnout, and so 30 nurses were selected by purposeful sampling considering the inclusion criteria and then randomly divided into an experimental and a control group. Subjects of both groups responded to Meshach Job Burnout Inventory, Smits et al.'s Multidimensional Fatigue Inventory and Kessler Psychological Distress Scale. Before and after the intervention. After the pre-test, therapeutic intervention was provided to the experimental group twice a week for 10 sessions of 45 minutes.

The results showed that there was a significant difference between the two groups after the combined treatment intervention in terms of Psychological Distress and mental fatigue in nurses with signs of job burnout .

suggested to use CBT-ACT in a continuous and regular manner in hospitals and universities in the form of training classes in order to reduce Psychological Distress and mental fatigue and job burnout.

Nurses always experience high levels of job burnout, which affects their psychological well-being and organizational commitment level. This study was conducted with the aim of investigating the mediating role of religious beliefs in the relationship between psychological well-being and organizational commitment with nurses' job burnout. The present research method was descriptive and correlation type. The statistical population of this research included all the nurses of private hospitals in Mashhad in the summer of 2023, 200 of them, and they were selected by available sampling method. The data collection tool was Maslach's job burnout questionnaire (1981), Golriz and Baraheni's religious beliefs (1974), Allen and Meyer’s organizational commitment (1997) and Ryff's psychological well-being (1989). Findings were analyzed using Pearson's correlation test and path analysis, and Amos22 and SPSS22 software were used in all statistical analyzes of this research. The results showed that there is a significant negative relationship between mental well-being and job burnout (p-value <0.05); However, no significant relationship was found between organizational commitment and job burnout. Also, it should be added, religious beliefs played a mediating role in the relationship between psychological well-being and organizational commitment with job burnout (p-value <0.01). Using the results, it can be concluded that the relationship between psychological well-being and organizational commitment with job burnout is not a simple linear relationship and religious beliefs can play a mediating role

As demands on healthcare professionals rise, understanding nurses' mental health is essential. Job burnout, marked by emotional exhaustion, depersonalization, and diminished personal accomplishment, can heavily impact a nurse's ability to deliver quality care. This research intends to examine the relationship between job burnout and nurses' mental health in Kashan, highlighting a vital aspect of occupational health.

This descriptive-analytical study surveyed 182 nurses from various departments in Kashan, comprising 49 males and 133 females, who were randomly selected in 2019. Participants completed the Goldberg General Health Questionnaire and the Maslach’s Job Burnout, in addition to providing demographic information. The data were analyzed using descriptive and inferential statistical methods, specifically employing ANOVA and T-tests using SPSS software.

The analysis revealed significant correlations between demographic variables and burnout subscales. Notably, years of employment were positively associated with personal accomplishment, while emotional exhaustion levels were higher among female nurses. Additionally, age correlated with physical symptom frequency and overall anxiety levels, with    p-values indicating significance at p<0.05. Furthermore, the study found important relationships among general health, gender, occupation type, number of children, and night shifts-highlighting that female nurse experience higher rates of burnout and associated mental health challenges.

The findings suggest that nurses in Kashan experience moderate levels of mental health concerns and job burnout, with pronounced effects among women. These results emphasize the need for comprehensive management strategies aimed at mitigating job burnout and enhancing mental well-being in the nursing workforce. Implementation of support systems and interventions could prevent the progression of burnout, ultimately benefiting both healthcare providers and patients.

One of the most important complications of the nursing job is burnout which is associated with a decrease in mental health, quality of medical care, and a decrease in patient satisfaction with the treatment process. We aimed to assess the prevalence of burnout in nurses working in Semnan Universities.

A total of 151 nurses working in two hospitals affiliated with the Semnan University of Medical Sciences were included in the present cross-sectional study. Demographic characteristics of the participants were gathered using researcher-based questionnaires. Burnout was assessed using the validated Maslach Burnout Inventory questionnaire. Values of continuous and categorical variables were presented as mean standard deviation and numbers, respectively.

The mean age of the study participants was 36.4±8.8, of whom 128 participants (85%) were female. The average work experience was 12.4±7.8 years. The prevalence of moderate burnout in the study participants was 75.5%. The prevalence of burnout subdomains including moderate emotional exhaustion, moderate depersonalization, and moderate personal accomplishment was, respectively, 70.9%, 82.1%, and 58.9%. The score of the Maslach Burnout Inventory questionnaire and its subtypes did not differ significantly across subgroups defined by age, sex, education status, working experience, medical ward, and marital status.

The prevalence of moderate burnout is relatively high among nurses working in Semnan hospitals. There is a need for further investigations to assess the underlying causes of burnout to design and implement intervention strategies to reduce the high prevalence of nursing burnout.

Nurses, due to the demands of their profession, are frequently exposed to high-stress clinical situations, such as the COVID-19 pandemic, which can lead to moral distress and affect their resilience, ultimately contributing to job burnout. This study aims to investigate the relationship between moral distress, resilience, and burnout among nurses.

Methods & Materials:

 In this descriptive, cross-sectional study, 188 nurses working in hospitals affiliated with the Birjand University of Medical Sciences during the years 2021-2022 were selected through simple random sampling. The data collection tools included demographic information, the Moral Distress Scale, the Davidson Resilience Scale, and the Maslach Burnout Inventory. Data were analyzed using descriptive and inferential statistics in SPSS software version 21.

The results indicated that the nurses experienced low moral distress (30.28±12.59), high resilience (63.70±13.44), and high levels of burnout (54.98±12.30). A direct and significant relationship was found between moral distress and burnout, while a weak and significant inverse relationship was observed between moral distress and resilience (P<0.001).

Given the significant relationship between moral distress, resilience, and burnout, it is recommended that policymakers develop strategies to enhance resilience, which could lead to a reduction in moral distress and burnout among nurses.

Nurses in the first line of corona care were exposed to psychological complications such as anxiety, depression, and burnout. Self-efficacy has been identified as one of the important factors controlling nurses' burnout. The purpose of this study is to investigate the level of job burnout and coping self-efficacy of nurses in Yazd during the COVID-19 pandemic.

  This descriptive-analytical study was conducted on nurses in Yazd who cared for patients with COVID-19. Using stratified random sampling and Maslach Burnout Inventory (MBI) and Chesney Coping Self-Efficacy Scale (CSES), data were collected and analyzed with SPSS version 26 statistical software. (p<0.05)

200 nurses (response rate 69.4%) completed the questionnaires. The nurses' burnout mean was 44.35±17.38 (range 4-99) and was mild. Emotional exhaustion and depersonalization in male nurses were significantly higher than in female nurses (P=0.02 and 0.01, respectively). Nurses with work experience between 5 and 10 years had higher emotional exhaustion and contract nurses also had higher burnout score compared to other nurses. (P value< 0.05) The nurses' coping self-efficacy mean was 125.56±36.67 (range 26-240) lower than moderate. Nurses with postgraduate education used a more problem-oriented coping style. There was no significant difference in other variables of age, gender, and marital status in coping self-efficacy and its dimensions, and also self-efficacy and its dimensions according to nurses' job characteristics did not have a significant difference either.

In this study, nurses had mild burnout, but their coping self-efficacy was lower than moderate. More studies on nurses' burnout are recommended to maintain their readiness to deal with crises. Nursing managers can use the help of postgraduate nurses in teaching problem-oriented self-efficacy style.

Nurses, due to their working conditions, are susceptible to psychological issues such as moral distress and may suffer from burnout and lifestyle changes. This study investigated the relationships between burnout, lifestyle and moral distress among nurses in Birjand city.

In this descriptive cross-sectional study, simple random sampling using a table of random numbers, was employed to select 188 eligible nurses working in hospitals related to Birjand University of Medical Sciences in 2021 and 2022. This study collected data using a demographics form, the Moral Distress Scale, the Miller-Smith Lifestyle Assessment Inventory, and the Moslash Burnout Inventory. The collected data were analyzed using SPSS.21 and conducting Mann-Whitney, and Spearman correlation tests.

The majority of nurses 60.6% experienced moderate moral distress, while 7.4% suffered from severe moral distress and 31.9% reported low moral distress. Burnout was at a moderate level (54.98±12.30). Burnout had a weak significant, positive relationship with lifestyle and moral distress (p<0.001).

The results of this study suggest that as moral distress increases, job burnout increases too, and lifestyle becomes unhealthier, leading to lower quality nursing care. In critical circumstances, nursing administrators and health policymakers should take  action to alleviate the moral distress of the medical staff.

The present study aimed to investigate the relationship between cognitive strategies of emotion regulation and burnout with the mediating role of job stress in welfare employees.

The study was a correlation and statistical population that included all General Department of Welfare employees of South Khorasan Province in 2019 (1350 people). Two hundred twenty-eight people were selected with available sampling methods and completed the maslach job burnout (1981), job stress (HSE), and cognitive adjustment of Granfsky et al. (2001) questionnaires'. The research data were analyzed using SPSS and LISREL software, descriptive statistics indicators, Pearson correlation coefficient, and path analysis.

The test results of the initially proposed pattern indicated that this pattern did not fit. The adjustments made were confirmed the general characteristics of the overall fit of the pattern (CFI = 0.98, AGFI = 0.93, GFI = 0.98, , RSMEA = 0.77, df=5, χ 2= 10.58).

The model's results confirmed in the present study indicate that the relationship between cognitive strategies of emotion regulation and burnout is not linear and simple, and job stress has an intermediary role in this relationship.

The present study was conducted with the aim of evaluating the factors affecting job burnout and quality of work life in the personnel working in National Iranian Drilling Company.

In terms of purpose, this research was applied research, in terms of type, it was mixed (qualitative-quantitative) and was conducted by survey method. The statistical population of the research in the qualitative part, including all the expert employees working in National Iranian Drilling Company, about 20 people, was selected by theoretical saturation method for this purpose. In the quantitative part, among 19000 people, 385 people were selected as a statistical sample based on Cochran's formula and stratified random method. The tools used to measure job burnout and the quality of work life was standard Meslesh (1981) and Walton (1973) quality of work life questionnaires, the reliability of which was confirmed by Cronbach's alpha method.

 In recent years, studies have been conducted on the burnout of healthcare workers and the family physician program. We decided to review the prevalence of job burnout among family physician staff in Iran based on published studies.

 An advanced search was conducted in PubMed, Scopus, Irandoc, Magiran, and SID databases, along with a hand-searching in Google Scholar, using keywords related to family physicians. The search was conducted, without language restrictions, covering the period, from 2005 to 2022, 2022, and was independently performed by two individuals. A random effects meta-analysis was conducted to estimate the prevalence of job burnout and the sub-dimensions of the Maslach Inventory using Comprehensive Meta-analysis software.

 In total, more than 8361 studies were reviewed, and 4 articles that used the Maslach Inventory to describe job burnout were included in the meta-analysis. The pooled prevalence among family physician staff for emotional exhaustion was 30.6% (CI 17.4-47.8), while the prevalence of depersonalization was 12.9% (CI 5.4-27.6) and the prevalence of  personal accomplishment was 23.3% (CI 7.1-54.8).

 There is a significant prevalence of job burnout, especially related to emotional exhaustion, among family physician staff. Therefore, it is essential to conduct further studies to address burnout among family physician staff.