Eylem TOPBAŞ, Öznur GÖRGEN, Vahide SÖCÜ, Tuğçe ÇAM, Esra AKMAN GÜNE, Zeliha BOZBIYIK

DETERMINATION OF JOB STRESS AND BURNOUT LEVEL OF NURSES WORKING IN INTERNAL MEDICINE AND SURGICAL UNITS

ABSTRACTAim: To determine the relationship between job stress and burnout level of nurses and identify any factors affecting job stress and burnout level. Methods: The population of this cross-sectional, descriptive study consisted of the nurses working in internal medicine and surgical units (n=80), and the sample was the nurses willing to participate in the study (n=58). The data were obtained by face to face interview method using "Participant Identification Form", "Maslach Burnout Inventory (MBI)" and "Work-Related Strain Inventory (WRSI)". Results: The nurses 58.6% were in the 30-39 age group. The nurses' MBI total score was 48.27±11.66 and WRSI score was 42.10±4.81. The scores of the MBI subscales were as follows: personal accomplishment (PA) 21.74 ± 5.74, emotional exhaustion (EE) 21.55 ± 7.20, depersonalization (DP) 5.08 ± 4.42. There was a significant relationship between WRSI and MBI subscales (p<0.05). The WRSI score increased with increasing MBI, EE and DP scores.Conclusion: The WRSI scores increased with increasing EE, DP scores and MBI total score. It is recommended that the factors affecting the level of burnout and job stress of the nurses are identified and that these factors are taken into consideration in reducing job stress and burnout in the work environment.Keywords: Burnout; Job Stress; Medical-Surgical NursingÖZET Dahili ve Cerrahi Birimlerde Çalışan Hemşirelerin İş Stresi ve Tükenmişlik Düzeylerinin BelirlenmesiAmaç: Hemşirelerin iş stresi ve tükenmişlik düzeyi arasındaki ilişkinin ve iş stresi ve tükenmişlik düzeyini etkileyen herbir faktörün belirlenmesidir. Yöntem: Kesitsel, tanımlayıcı nitelikteki araştırmanın evrenini dahili ve cerrahi birimlerinde çalışan hemşireler (n=80), örneklemini ise çalışmaya katılmaya istekli hemşireler (n=58) oluşturdu. Veriler yüzyüze görüşme yöntemi kullanılarak “Katılımcı Tanılama Formu”, “Maslach Tükenmişlik Ölçeği (MBI)” ve “İşe Bağlı Gerginlik Ölçeği (İBGÖ)” aracılığı ile elde edildi.Bulgular: Hemşirelerin %58.6’sı 30-39 yaş gurubundaydı. Hemşirelerin MBI toplam puanı 48,27±11.66, İBGÖ puanı 42.10±4.81 idi. MBI alt boyutlarının puanları sırasıyla; kişisel başarı (KB) 21.74±5.74, duygusal tükenme (DT) 21.55±7.20, duyarsızlaşma (DP) 5.08±4.42 idi. İBGÖ ile MBI alt boyutları arasında anlamlı bir ilişki saptandı (p<0.05). İBGÖ puanı arttıkça MBI, EE ve DP puanları artmaktadır.Sonuç: IBGÖ puanları arttıkça EE, DP ve MBI toplam puanı artmaktadır. Hemşirelerin tükenmişlik ve iş stress düzeyini etkileyen faktörlerin saptanması, çalışma ortamında iş stresi ve tükenmişliği azaltmada bu faktörlerin göz önünde bulundurulması önerilir. Anahtar Kelimeler: Tükenmişlik; İş Stresi; Dahili-Cerrahi Hemşireliği

Anahtar Kelimeler:

Burnout, Job stress, Medical-Surgical Nursing

DETERMINATION OF JOB STRESS AND BURNOUT LEVEL OF NURSES WORKING IN INTERNAL MEDICINE AND SURGICAL UNITS

Aim: To determine the relationship between job stress and burnout level of nurses and identify any factors affecting job stress and burnout level. Methods: The population of this cross-sectional, descriptive study consisted of the nurses working in internal medicine and surgical units (n=80), and the sample was the nurses willing to participate in the study (n=58). The data were obtained by face to face interview method using "Participant Identification Form", "Maslach Burnout Inventory (MBI)" and "Work-Related Strain Inventory (WRSI)". Results: The nurses 58.6% were in the 30-39 age group. The nurses' MBI total score was 48.27±11.66 and WRSI score was 42.10±4.81. The scores of the MBI subscales were as follows: personal accomplishment (PA) 21.74 ± 5.74, emotional exhaustion (EE) 21.55 ± 7.20, depersonalization (DP) 5.08 ± 4.42. There was a significant relationship between WRSI and MBI subscales (p<0.05). The WRSI score increased with increasing MBI, EE and DP scores. Conclusion: The WRSI scores increased with increasing EE, DP scores and MBI total score. It is recommended that the factors affecting the level of burnout and job stress of the nurses are identified and that these factors are taken into consideration in reducing job stress and burnout in the work environment.

Keywords:

Burnout, Job stress, Medical-Surgical nursing,

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Akyüz I. Investigation of level of nurses’ burnout and depression in terms of working conditions and demographic characteristics. İşletme ve İktisat Çalışmaları Dergisi 2015; 3(1):21-34.
Altay B, Gönener D, Demirkıran C. The level of burnout and influence of family support in nurses working in a university hospital. Fırat Tıp Dergisi 2010;15(1):10-6. (In Turkish).
Arıkan D, Karabulut N. Work-Related Strain in Nurses and Determination of the Factors Affecting This. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2004; 7(1): 19-26.
Aslan SH, Alparslan NZ, Aslan OR, Kespara C, Ünal M. The reliability and validity of the workrelated strain inventory among health professionals. Düşünen Adam 1998;11(2):4-8. (In Turkish).
Avcı GG, Öztürk G, Azaklı N, Çekinmez ST. Determination of work-related stress levels of nurses and style of coping with stress. İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 2018;3(1):1-7. (In Turkish).
Bakker A, Le Blanc MP, Schaufeli BW. Burnout contagion among intensive care nurses. Journal of Advanced Nursing 2005;51(3): 276-87.
Çilingir D, Gürsoy A, Çolak A. Burnout and job satisfaction in surgical nurses and other ward nurses in a tertiary hospital: a comparative study in Turkey. Health Med 2012; 6(9): 3120-8. (In Turkish).
Erçevik R. Hemşirelerde İşe Bağlı Gerginlik, Tükenmişlik Düzeyleri ve Etkileyen Faktörler, Haliç Üniversitesi SABE,YYLT, İstanbul 2010.
Ergin C. The doctors and nurses in burnout and maslach burnout inventory adapting in: Bayraktar, R., Dağ, İ. (Ed.), VVII. Ulusal Psikoloji Kongresi Bilimsel Çalışmaları, Ankara, Türk Psikologlar Derneği Yayını Press. 1992.
Fernandes LS, Nitsche MJT, Godoy I. "Association between burnout syndrome, harmful use of alcohol and smoking in nursing in the ICU of a university hospital." Ciencia & Saude Coletiva 2018; 23(1): 203- 204.
Flynn L, Thomas-Hawkins C, Clarke SP. Organizational Traits, care processes, and burnout among chronic haemodialysis nurses. Western Journal of Nursing Research 2009; 31(5): 569 -82.
Gümüştekin GE, Öztemiz A. Productivity and performance interaction with stres of organizations. Çukurova Üniversitesi Sosyal Bilimler Enstitüsü Dergisi 2005;14(1): 271-88. (In Turkish).
Hayes B, Bonner A. Job satisfaction, stress and burnout associated with haemodialysis nursing: a review of literature. Journal of Renal Care 2010; 36(4): 174-9.
Kakemam E, Raeissi P, Raoofi S, Soltani A, Sokhanvar M, Visentin D, et al. Occupational stress and associated risk factors among nurses: A crosssectional study. Contemp Nurse. 2019;23:1-26. doi: 10.1080/10376178.2019.1647791.
Kanbur E. Aşırı iş yükünün iş ve yaşam doyumu üzerindeki etkisi: işe bağlı gerginliğin aracı rolü. İş ve insan Dergisi 2018; 5(2): 125-43 (In Turkish).
Liu Y, Aungsuroch Y. Work stress, perceived social support, self-efficacy, and burnout among Chinese registered nurses. Journal of Nursing Management 2019;27(7):1445-53.
Maslach C, Jackson SE, Leiter MP. Maslach burnout inventory manual 3rd ed. Palo Alto, CA: Consulting Psychologists Press; 1996. p.191-218.
McVicar A. Workplace stress in nursing: a literature review. Journal of Advanced Nursing 2003;44(6):633- 42.
Merey Z, Boysan M, Ateş C. Eğitim Çalışanlarında Uyku Kalitesi ve Tükenmişlik. Kriz Dergisi 2005;33- 42.
Minmin L, Hui R, Xing W, Hu Y. Nurse burnout in China: A questionnaire survey on staffing, job satisfaction and quality of care. Journal of Nursing Management 2015;23(4):440-7.
Muşlu C, Baltacı D, Kutanis R, Kara İ. Quality of life, anxiety and depression in nurses working at primary health care and hospitals. Konuralp Tıp Dergisi 2012; 4(1):17-23. (In Turkish).
Nakata A, Swanson NG, Caruso CC. Nurses, smoking, and immunity: a review. Rehabilitation Nursing Journal 2010;35(5):198-205.
Öztürk S, Özgen R, Şişman H, Baysal D, Sarıakçalı N, Aslaner E, et al. Burnout of nurses working in a university hospital and the effect of social support. Cukurova Medical Journal 2014;39(4):752-64.
Revicki DA, May HJ, Whitley TW. Reliability and validity of the workrelated strain inventory among health professionals. Journal of Behavioral Medicine 1991;17(1):111-20.
Sahraian A, Fazelzadeh A, Mehdizadeh AR, Toobaee SH. Burnout in hospital nurses: a comparison of internal, surgery, psychiatry and burns wards. International Nursing Review 2008;55(1):62-7.
Shahzad MN, Ahmed MA, Akram B. Nurses in double trouble: Antecedents of job burnout in nursing profession. Pakistan Journal of Medical Sciences 2019;35(4):934-9.
Solana E, Martos NS, Hernández LP, Urquiza JL, FuenteG, García LA. Prevalence, Related Factors, and Levels of Burnout Syndrome Among Nurses Working in Gynecology and Obstetrics Services: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health 2019;19;16(14). E2585. doi: 10.3390/ijerph16142585
Stewart NH, Arora VM. The impact of sleep and circadian disorders on physician burnout. Chest 2019;156(5):1022-30.
Stordeur S, D’hoore W, Vandanberg C. Leadership, organizational stress, and emotional exhaustion among hospital nursing staff. Journal of Advanced Nursing 2001;35(4): 533-42.
Sünter AT, Canbaz S, Dabak Ş, Öz H, Peşken Y. Pratisyen The levels of burnout, work-related strain and work satisfaction in general practitioners. Genel Tıp Dergisi 2006;16(1): 9-14. (In Turkish).
Şentürk S. Evaluation of the relationship between burnout levels and sleep quality in the intensive care unit nurses. Bozok Tıp Dergisi 2014;4(3):48-56. (In Turkish).
Taycan O, Kutlu L, Çimen S, Aydın N. Relation between sociodemographic characteristics depression and burnout levels of nurse working in university hospital. Anatolian Fournal of Psychiatry 2006;7:100- 8.
Tayfur Ö, Arslan M. The effect of perceived workload on burnout: the mediating role of workfamily conflict. H.Ü. İktisadi ve İdari Bilimler Fakültesi Dergisi 2012;30(1):147-72. (In Turkish).
Tel H, Karadağ M, Tel H, Aydın Ş. Determination the coping status of health professionals with the of stress experiences on workplace. Hemşirelikte Araştırma Geliştirme Dergisi 2003;5(2):13-23. (In Turkish).
Tuna R, Baykal Ü. The job stress of the oncology nurses and ınfl uential factors. Florence Nightingale Hemşirelik Dergisi 2013;21(2):92-100.
Turgut T. Çalışmaya tutkunluk: İş Yükü, esnek çalışma saatleri, yönetici desteği ve iş-aile çatışması ile ilişkileri. Atatürk Üniversitesi İktisadi ve İdari Bilimler Dergisi 2011;25(3-4): 155-17
Zahiri M, Mahboubi M, Mohammadi M, Khodadadi A, Mousavi SH, Jalali A. Burnout among nurses working in surgery and ınternal wards at selected Hospitals of Ahvaz. Technical Journal of Engineering and Applied Sciences 2014;4 (3):79-84.
Zencirci DA, Arslan S. Morning-evening type and burnout level as factors influencing sleep quality of shift nurses: A questionnaire study. Croatian Medical Journal 2011; 52(8): 527-37.