The Effects of Anxiety Levels on Burnout Syndrome in Nurses

ABSTRACT INTRODUCTION: Anxiety and burnout syndrome, which affects physical and mental causes and negatively affects the working environment, are the concepts that negatively affect both the individual and the organization. These concepts, which have been experienced intensively in recent times, refer to the changes in the life of the individual through the depletion in the inner world of the individual as a result of failure, failure, desire to work and diminished desire or desire. The aim of this study was to reveal the anxiety levels of nurses in intensive work environment and the relationship between these levels and burnout syndrome. METHODS: The population of the study consisted of 387 nurses and sample of 194 nurses.This research was conducted between July 2018 and September 2018. “Personal Information Form” and “Beck Anxiety Inventory” and “Maslach Burnout Syndrome Scale” was collected using. In study, reliability analysis, independent samples t-test, one-way ANOVA, Tukey multiple comparison test, pearson correlation and regression analysis were performed. RESULTS: In the study, it was determined that nurses experienced moderate exhaustion and depersonalization subdimensions, high level of burnout and high level of disability in terms of personal achievement sub-dimension. DISCUSSION and CONCLUSION: As a result, anxiety and nursing problems of nurses increase burnout levels. Improvements to reduce burnout levels in health care workers should not ignore anxiety and related disorders, and the improvement factors required in both cases should be mobilized together

Hemşirelerde Anksiyete Düzeylerinin Tükenmişlik Sendromuna Etkisi

ÖZ GİRİŞ ve AMAÇ: Fiziksel ve ruhsal nedenler yaşanan, çalışma ortamları olumsuz etkileyen anksiyete ve tükenmişlik sendromu hem bireyi hem de örgütü olumsuz etkileyen kavramlardır. Son zamanlarda yoğun olarak yaşanan bu kavramlar “başaramama, yıpranma, çalışma istek ve arzusunun azalması veya tatmin edilemeyen istekler sonucunda bireyin iç dünyasında meydana gelen tükenme ile bireyin hayatında gerçekleşen değişimleri ifade etmektedir. Bu araştırma ile yoğun çalışma ortamında bulunan hemşirelerin anksiye düzeyleri ve bu düzeylerin tükenmişlik sendromu ile ilişkisinin varlığını ortaya çıkarmak amaçlandı YÖNTEM ve GEREÇLER: Araştırmanın evrenini İ iki devlet hastanesinde çalışan 387, örneklemini ise194 hemşire oluşturdu.İlişkisel tipte olan bu araştırma Temmuz 2018-Eylül 2018 tarihleri arasında gerçekleştirildi. Verilerin toplanmasında“Kişisel Bilgi Formu” ile“Beck Anksiyete Ölçeği” ve “Maslach Tükenmişlik Sendromu Ölçeği” kullanıldı.Çalışmada; güvenilirlik analizi, bağımsız örneklemler için t testi (independent samples t-test), tek yönlü varyans analizi (one way anova), Tukey çoklu karşılaştırma testi, pearson korelasyon ve regresyon analizleri yapıldı. BULGULAR: Çalışmada hemşirelerin duygusal tükenme ve duyarsızlaşma alt boyutları açısından orta, kişisel başarı alt boyutu açısından ise yüksek düzeyde tükenmişlik ve yüksek düzeyde ansiyete yaşadıkları belirlendi TARTIŞMA ve SONUÇ: Sonuç olarak, hemşirelerin yaşadığı anksiyete ve buna bağlı bozukluklar, tükenmişlik düzeylerini arttırmaktadır. Sağlık çalışanlarındaki tükenmişlik düzeylerini azaltmaya yönelik olarak yapılacak iyileştirmeler de anksiyete ve buna bağlı bozukluklar göz ardı edilmemeli ve her iki durum içinde gerekli olan iyileştirme faktörleri birlikte harekete geçirilmelidir

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1. Manyisa ZM, Aswegen EJ. Factors affecting working conditions in public hospitals: A literature review. International Journal of Africa Nursing Sciences. 2017;6:28-38.

2. Shihundla RC, Lebese RT, Maputle MS. Effects of increased nurses' workload on quality documentation of patient information at selected Primary Health Care facilities in Vhembe District, Limpopo Province. Curationis. 2016;39(1):1-8.

3. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annual Review of Psychology. 2001;52(1):397-422.

4. Guillermo A, CristinaV, Concepción SL, Inmaculada G, Gustavo R, Emilia I. Risk factors and prevalence of burnout syndrome in the nursing profession. International Journal of Nursing Studies. 2015;52(1):240-249.

5. Della EV, DePascale G, Cuccaro A, et al. Burnout: rising interest phenomenon in stressful workplace. Annali di İgiene: Medicina Preventiva e di Comunita. 2006;18(2):171-177.

6. Leiter MP, Maslach C. Six areas of worklife: a model of the organizational context of burnout. Journal of Health and Human Services Administration. 1999;21(4):472-489.

7. Raftopoulos V, Charalambous A, Talias M. The factors associated with the burnout syndrome and fatigue in Cypriot nurses: a census report. BMC Public Health. 2012;12(1): 457.

8. Payne N. Occupational stressors and coping as determinants of burnout in female hospice nurses. Journal of Advanced Nursing. 2001;33(3):396-405.

9. Vermani M, Marcus M, Katzman MA. Rates of detection of mood and anxiety disorders in primary care: a descriptive, cross-sectional study. The Primary Care Companion To CNS Disorders, 2011;13(2). doi: 10.4088/PCC.10m01013.

10. Weisberg RB, Dyck I, Culpepper L, Keller MB. Psychiatric treatment in primary care patients with anxiety disorders: a comparison of care received from primary care providers and psychiatrists. American Journal of Psychiatry. 2007;164(2):276-282.

11. Sherbourne CD, Sullivan G, Craske MG, et al. Functioning and disability levels in primary care outpatients with one or more anxiety disorders. Psychological Medicine. 2010;40(12):2059-2068.

12. Comer JS, Blanco C, Hasin DS, et al. Healthrelated quality of life across the anxiety disorders. The Journal of Clinical Psychiatry 2011;72(1):43.

13. Waghorn G, Chant D, White P, Whiteford H. Disability, employment and work performance among people with ICD-10 anxiety disorders. Australian and New Zealand Journal of Psychiatry. 2005;39(1-2):55-66.

14. Katerndahl DA, Realini JP. Quality of life and panic-related work disability in subjects with infrequent panic and panic disorder. The Journal of Clinical Psychiatry. 1997;58(4):153-158.

15. Sanderson K, Tilse E, Nicholson J, Oldenburg B, Graves N. Which presenteeism measures are more sensitive to depression and anxiety?. Journal of Affective Disorders. 2007;101(1-3):65-74.

16. Sehlen S, Vordermark D, Schäfer C, et al. Job stress and job satisfaction of physicians, radiographers, nurses and physicists working in radiotherapy: a multicenter analysis by the DEGRO Quality of Life Work Group. Radiation Oncology. 2009;4(1):6.

17. Magnavita N, Fileni A, Magnavita G, et al. Work stress in radiologists. A pilot study. La Radiologia Medica. 2008;113(3):329. 18. Nieuwenhuijsen K, Bruinvels D, FringsDresen M. Psychosocial work environment andstress-related disorders, a systematic review. Occupational Medicine. 2010;60(4):277-286.

19. Castillo RJ, Carlat DJ, Millon T, Millon CM, Meagher S, Grossman S. American Psychiatric Association. (2007). Diagnostic and statistical manual of mental disorders. American Psychiatric Association Press, Washington, DC.

20. Maslach C, Jackson SE. (1981). Manual of Maslach Burnout Inventory. İkinci baskı. California,Consulting Psychologists Press.

21. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. Journal of consulting and clinical psychology. 1998;56(6):893.

22. Ergin C. (1992). Doktor ve hemsirelerde tukenmislik ve Maslach tukenmislik olceginin uyarlanmasi. VII. Ulusal Psikoloji Kongresi, 22 Eylül 1992, Ankara.

23. Izgar H. Okul yöneticilerinde tükenmişlik. Nobel Yayın Dağıtım; 2001.

24. McKenzie BC. Medicine and the Internet: Introducing Online Resources and Terminology. 2nd ed. New York, NY: Oxford University Press; 1997.

25. Ulusoy M, Sahin NH, Erkmen H. The beck anxiety ınventory: psychometric properties. Journal of Cognitive Psychotherapy. 1998;12(2):163-172.

26. Avcı GM. (1995) Beck anksiyete ölçeğinin geçerlilik ve güvenilirlik çalışması.Yüksek Lisans Tezi. Ege Üniversitesi, Sağlık Bilimleri Enstitüsü, Klinik Psikoloji Bölümü, İzmir.

27. Taycan O, Kutlu L, Çimen S, Aydın N. Bir üniversite hastanesinde çalışan hemşirelerde depresyon ve tükenmişlik düzeyinin sosyodemografik özelliklerle ilişkisi. Anadolu Psikiyatri Dergisi. 2006;7(2):100-108.

28. Van Bogaert P, Clarke S, Wouters K, Franck E, Willems R, Mondelaers M. Impacts of unit-level nurse practice environment, workload and burnout on nurse-reported outcomes in psychiatric hospitals: a multilevel modelling approach. International Journal Of Nursing Studies. 2013;50(3):357-365.

29. Demir A, Ulusoy M, Ulusoy MF. Investigation of factors influencing burnout levels in the professional and private lives of nurses. International Journal Of Nursing Studies. 2003;40(8): 807-827.

30. Beer J, Beer J. Burnout and stress, depression and self-esteem of teachers. Psychological Reports. 1992;71(3):1331-1336.

31. Raftopoulos V, Charalambous A, Talias M. The factors associated with the burnout syndrome and fatigue in Cypriot nurses: a census report. BMC Public Health. 2012;12(1): 457.

32. Leiter MP. Coping patterns as predictors of burnout: The function of control and escapist coping patterns. Journal of Organizational Behavior. 1991;12(2):123-144.

33. Leiter M. The dream denied: professional burnout and the constraints of human service organizations. Canadian Psychology/Psychologie Canadienne. 1991;32(4):547.

34. McCrae RR, John OP. An introduction to the five‐factor model and its applications. Journal of Personality. 1992;60(2):175-215.

35. Toenjes B, Dickhaeuser O, Kroener S. Goal orientation and lack of achievement in teachers. Zeıtschrıft Fur Padagogısche Psychologıe. 2008;22(2):151-160.

36. Watson D, Clark LA, Harkness AR. Structures of personality and their relevance to psychopathology. Journal of Abnormal Psychology. 1994;103(1):18.

37. Deary IJ, Blenkin H, Agius RM, Endler NS, Zealley H, Wood R. Models of job‐related stress and personal achievement among consultant doctors. British journal of Psychology. 1996;87(1):3-29.