The recent global economic recession has affected nursing working conditions in terms of salary reductions, increased workload and staff shortages. Poor nursing working conditions are associated with higher levels of ...The recent global economic recession has affected nursing working conditions in terms of salary reductions, increased workload and staff shortages. Poor nursing working conditions are associated with higher levels of burnout. However in Greece this association has not yet been studied. The aim of this study was to explore financial crisis related changes in nurses’ working conditions and their associations with burnout. A cross-sectional quantitative survey was conducted and data were collected through self-reported questionnaires from 299 Greek nurses from two Public Hospitals in 2012. Multiple linear regression analyses were used in order to find independent factors associated with burnout. The results showed that Greek nurses had high levels of burnout. Satisfaction from the job, quality of care and feeling equivalent with other professionals were independent predictors of lower emotional exhaustion. Workload increase and willingness to change career and work department were independent predictors of higher emotional exhaustion. Job satisfaction and satisfaction from care quality were independent predictors of lower depersonalization. Changes in working relationships and willingness to change career were independent predictors of higher depersonalization. Higher personal accomplishments were independently associated with more years in nursing, satisfaction from the salary prior to reductions, better quality of care, feeling suitable for the job and being anxious about future career. Influence on nurse efficiency by income reduction was an independent predictor of lower personal accomplishments. In conclusion, Greek nurses were suffering from high levels of burnout which was independently associated with crisis related working conditions. Interventions are needed in order to reduce the burden of burnout among Greek nurses.展开更多
BACKGROUND For decades and before the coronavirus disease 2019(COVID-19)pandemic,for health care workers(HCWs)burnout can be experienced as an upsetting confrontation with their self and the result of a complex a mult...BACKGROUND For decades and before the coronavirus disease 2019(COVID-19)pandemic,for health care workers(HCWs)burnout can be experienced as an upsetting confrontation with their self and the result of a complex a multifactorial process interacting with environmental and personal features.AIM To literature review and meta-analysis was to obtain a comprehensive understanding of burnout and work-related stress in health care workers around the world during the first outbreak of the COVID-19 pandemic.METHODS We performed a database search of Embase,Google Scholar and PubMed from June to October 2020.We analysed burnout risk factors and protective factors in included studies published in peer-reviewed journals as of January 2020,studying a HCW population during the first COVID-19 wave without any geographic restrictions.Furthermore,we performed a meta-analysis to determine overall burnout levels.We studied the main risk factors and protective factors related to burnout and stress at the individual,institutional and regional levels.RESULTS Forty-one studies were included in our final review sample.Most were crosssectional,observational studies with data collection windows during the first wave of the COVID-19 surge.Of those forty-one,twelve studies were included in the meta-analysis.Of the 27907 health care professionals who participated in the reviewed studies,70.4%were women,and two-thirds were either married or living together.The most represented age category was 31-45 years,at 41.5%.Approximately half of the sample comprised nurses(47.6%),and 44.4%were working in COVID-19 wards(intensive care unit,emergency room and dedicated internal medicine wards).Indeed,exposure to the virus was not a leading factor for burnout.Our meta-analytic estimate of burnout prevalence in the HCW population for a sample of 6784 individuals was 30.05%.CONCLUSION There was a significant prevalence of burnout in HCWs during the COVID-19 pandemic,and some of the associated risk factors could be targeted for intervention,both at the individual and organizational levels.Nevertheless,COVID-19 exposure was not a leading factor for burnout,as burnout levels were not notably higher than pre-COVID-19 levels.展开更多
文摘The recent global economic recession has affected nursing working conditions in terms of salary reductions, increased workload and staff shortages. Poor nursing working conditions are associated with higher levels of burnout. However in Greece this association has not yet been studied. The aim of this study was to explore financial crisis related changes in nurses’ working conditions and their associations with burnout. A cross-sectional quantitative survey was conducted and data were collected through self-reported questionnaires from 299 Greek nurses from two Public Hospitals in 2012. Multiple linear regression analyses were used in order to find independent factors associated with burnout. The results showed that Greek nurses had high levels of burnout. Satisfaction from the job, quality of care and feeling equivalent with other professionals were independent predictors of lower emotional exhaustion. Workload increase and willingness to change career and work department were independent predictors of higher emotional exhaustion. Job satisfaction and satisfaction from care quality were independent predictors of lower depersonalization. Changes in working relationships and willingness to change career were independent predictors of higher depersonalization. Higher personal accomplishments were independently associated with more years in nursing, satisfaction from the salary prior to reductions, better quality of care, feeling suitable for the job and being anxious about future career. Influence on nurse efficiency by income reduction was an independent predictor of lower personal accomplishments. In conclusion, Greek nurses were suffering from high levels of burnout which was independently associated with crisis related working conditions. Interventions are needed in order to reduce the burden of burnout among Greek nurses.
文摘BACKGROUND For decades and before the coronavirus disease 2019(COVID-19)pandemic,for health care workers(HCWs)burnout can be experienced as an upsetting confrontation with their self and the result of a complex a multifactorial process interacting with environmental and personal features.AIM To literature review and meta-analysis was to obtain a comprehensive understanding of burnout and work-related stress in health care workers around the world during the first outbreak of the COVID-19 pandemic.METHODS We performed a database search of Embase,Google Scholar and PubMed from June to October 2020.We analysed burnout risk factors and protective factors in included studies published in peer-reviewed journals as of January 2020,studying a HCW population during the first COVID-19 wave without any geographic restrictions.Furthermore,we performed a meta-analysis to determine overall burnout levels.We studied the main risk factors and protective factors related to burnout and stress at the individual,institutional and regional levels.RESULTS Forty-one studies were included in our final review sample.Most were crosssectional,observational studies with data collection windows during the first wave of the COVID-19 surge.Of those forty-one,twelve studies were included in the meta-analysis.Of the 27907 health care professionals who participated in the reviewed studies,70.4%were women,and two-thirds were either married or living together.The most represented age category was 31-45 years,at 41.5%.Approximately half of the sample comprised nurses(47.6%),and 44.4%were working in COVID-19 wards(intensive care unit,emergency room and dedicated internal medicine wards).Indeed,exposure to the virus was not a leading factor for burnout.Our meta-analytic estimate of burnout prevalence in the HCW population for a sample of 6784 individuals was 30.05%.CONCLUSION There was a significant prevalence of burnout in HCWs during the COVID-19 pandemic,and some of the associated risk factors could be targeted for intervention,both at the individual and organizational levels.Nevertheless,COVID-19 exposure was not a leading factor for burnout,as burnout levels were not notably higher than pre-COVID-19 levels.
