Burnout among nurses working in critical care settings: a case of a selected tertiary hospital in Rwanda

Authors

  • Emeline U. Cishahayo School of Nursing and Midwifery, College of Medicine and Health Sciences (CMHS), University of Rwanda (UR), Kigali, Rwanda
  • Evelyne Nankundwa School of Nursing and Midwifery, College of Medicine and Health Sciences (CMHS), University of Rwanda (UR), Kigali, Rwanda
  • Ruth Sego Rory Meyers College of Nursing: New York University, New York, USA
  • Busisiwe R. Bhengu Rory Meyers College of Nursing: New York University, New York, USA

DOI:

https://doi.org/10.18203/2320-6012.ijrms20175430

Keywords:

Burnout and ICU nurses, Burnout and emergency nurses, Level of burnout among nurses, Level of burnout among nurses in ICU and emergency department

Abstract

Background: Intensive Care Unit (ICU) and Emergency Department are more stressful areas therefore nurses in those areas are prone to high level of burnout than others. In Rwanda, studies on burnout among nurses are limited and there is no research targeting specifically nurses working in ICU and Emergency Department. Therefore, this study aimed to determine the level of burnout among nurses working in ICU and Emergency Department in a selected referral hospital of Kigali.

Methods: A quantitative approach was adopted. The descriptive cross-sectional design was used. Sixty nurses were involved in the study and they were selected using a total population sampling strategy. A self-administered questionnaire and Maslach Burnout Inventory Human Service Survey were used to collect data. Data were analysed using SPSS version 21.0.

Results: The study found high level of burnout among 61.7% of the participants under study. High workload and intention to leave were associated with burnout (P<0.05). Burnout was measured by high Emotional Exhaustion (EE) 29 (48.3%), high Depersonalization (DP) 15 (25%) and low Personal Accomplishment (PA) 30 (50%).

Conclusions: The high level of burnout identified among ICU and emergency department nurses is mainly associated with high workload and intention to leave the work within the next 12 months.

References

Maslach C, Leiter MP. Understanding the burnout experience: Recent research and its implications for psychiatry. World Psychiatry. 2016;15(2):103-11.

Tucker SJ, Weymiller AJ. Stress Ratings and Health Promotion Practices Among RNs A Case for Action. JONA. 2012;42(5):282-92.

Chuang C, Tseng P, Lin C, Lin K, Chen Y. Burnout in the intensive care unit professionals. Medicine (Baltimore). 2016;95(50):1-12.

Zhang X, Huang D, Guan P. Job burnout among critical care nurses from 14 adult intensive care units in northeastern China: a cross-sectional survey. BMJ. 2014;4:1-8.

Harkin M, Melby V. Comparing burnout in emergency nurses and medical nurses. Clin Nurs Stud. 2014;2(3):152-63.

Thorsen VC, Tharp ALT, Meguid T. High rates of burnout among maternal health staff at a referral hospital in Malawi: A cross-sectional study. BMC Nurs. 2011;10(May2011):9.

Lasebikan VO, Oyetunde MO. Burnout among Nurses in a Nigerian General Hospital: Prevalence and Associated Factors. ISRN Nurs. 2012;2012:1-6.

Maslach C, Jackson SE. The measurement of experienced burnout. J Ocup Behav. 1981;2:99-113.

Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory. In: The Maslach Burnout Inventory Manual. 3rd ed. Palo Alto;1997:191-218.

Rappleye E. Gender ratio of nurses across 50 states. Becker’s Hospital Review. 2015.

Liu Y-E, While A, Li S-J, Ye W-Q. Job satisfaction and work-related variables in Chinese cardiac critical care nurses. J Nurs Manag. 2015;23(4):487-97.

Ayala E, Carnero AM. Determinants of Burnout in Acute and Critical Care Military Nursing Personnel: A Cross-Sectional Study from Peru. PLoS One. 2013;8(1).

NIS, MOH, DHS. Rwanda Demographic and Health Survey,2015. Available from: http://moh.gov.rw/ fileadmin/templates/Narattive_Report/Rwanda_DHS_2014-15_KIR.pdf.

ANA. The Nursing Workforce 2014 Growth, Salaries, Education, Demographics and Trends. American Nurses Association. 2014. Available at http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/workforce/Fast-Facts-2014-Nursing-Workforce.pdf.

Harelimana A, Mtshali N, Mukamana D, Kimonyo J, Kayihura C, Mugarura JN. Historical Overview of Nursing and Midwifery Education and Nursing Workforce in Rwanda. BJMHR. 2015;2(12):1-10.

Myhren H, Ekeberg Ø, Stokland O. Job Satisfaction and Burnout among Intensive Care Unit Nurses and Physicians. 2013;2013.

Losa Iglesias ME, Vallejo RB de B, Fuentes PS. The relationship between experiential avoidance and burnout syndrome in critical care nurses: A cross-sectional questionnaire survey. Int J Nurs Stud. 2010;47(1):30-7.

Tavares KFA, Souza NV, Silva LD, Kestenberg CC. Prevalence of burnout syndrome among resident nurses. 2014;27(3):260-5.

Franco GP, Lúcia A, Leite B, Nogueira-martins LA. Burnout among resident nurses. Rev Esc Enferm USP. 2011;45(1):1-18.

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

Teixeira C, Ribeiro O, Fonseca AM, Carvalho AS. Burnout in intensive care units-a consideration of the possible prevalence and frequency of new risk factors : a descriptive correlational multicentre study. BMC Anesth. 2013;13(38):1-15.

Poncet MC, Toullic P, Papazian L, Kentish-barnes N, Timsit JF, Pochard F, et al. Burnout Syndrome in Critical Care Nursing Staff. Am J RESPIR Crit Care Med. 2007;175:698-704.

Liu K, You L-M, Chen S-X, Hao Y-T, Zhu X-W, Zhang L-F, et al. The relationship between hospital work environment and nurse outcomes in Guangdong, China: a nurse questionnaire survey. J Clin Nurs. 2013;21(9-10):1476-85.

Embriaco N, Papazian L, Kentish-Barnes N, Pochard F, Azoulay E. Burnout syndrome among critical care healthcare workers. Curr Opin Crit Care. 2007;13(1070-5295.

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.

Hooper C, Craig J, Janvrin DR, Wetsel MA, Reimels E. Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected inpatient specialties. J Emerg Nurs. 2010;36(5):420-7.

Hunsaker S, Chen HC, Maughan D, Heaston S. Factors that influence the development of compassion fatigue, burnout, and compassion satisfaction in emergency department nurses. J Nur Scholar. 2015;47(2):186-94.

Van der Wath A, van Wyk N, Janse van Rensburg E. Emergency nurses’ experiences of caring for survivors of intimate partner violence. J Adv Nurs. 2013;69(10):2242-52.

Chitura M, Chitura D. Burnout syndrome in intensive care unit nurses in Zimbabwe Diana Chitura. Eur Sci J. 2014;7881:436-57.

Mol MMC Van, Kompanje EJO, Benoit DD, Bakker J. The prevalence of compassion fatigue and burnout among healthcare professionals in intensive care units: a systematic review. 2015;1-22.

Qiao Z, Chen L, Chen M, Guan X, Wang L, Jiao Y, et al. Prevalence and factors associated with occupational burnout among HIV/AIDS healthcare workers in China: a cross- sectional study. BMC Public Health. 2016;16(335):1-7.

McHugh MD, Ma C. Wage, Work Environment, and Staffing: Effects on Nurse Outcomes. Policy Polit Nurs Pr. 2014;15(0):72-80.

Teixeira C, Ribeiro O, Fonseca A, Carvalho A. Ethical decision making in intensive care units: a burnout risk factor? Results from a multicentre study conducted with physicians and nurses. J Med Ethics. 2014;40(2):97-103.

Alexander L. Burnout: Impact on nursing. California: CME Resource. 2009:1-34. Available at https://www.netcegroups.com/827/Course_3143.pd.

Tucker SJ, Weymiller AJ, Cutshall SM, Rhudy LM, Lohse CM. Stress Ratings and Health Promotion Practices Among RNs A Case for Action. JONA. 2012;42(5):282-92.

Toh SG, Ang E, Devi MK. Systematic review on the relationship between the nursing shortage and job satisfaction, stress and burnout levels among nurses in oncology / haematology settings. Int J Evid based Heal care. 2012;10:126-41.

Wakim N. Occupational Stressors, Stress Perception Levels , and Coping Styles of Medical Surgical RNs. JONA. 2014;44(12):632-9.

Aiken LH, Cimiotti JP, Sloane DM, Smith HL, Flynn L, Neff DF. Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Med Care. 2011;49(12):1047-53.

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Published

2017-11-25

How to Cite

Cishahayo, E. U., Nankundwa, E., Sego, R., & Bhengu, B. R. (2017). Burnout among nurses working in critical care settings: a case of a selected tertiary hospital in Rwanda. International Journal of Research in Medical Sciences, 5(12), 5121–5128. https://doi.org/10.18203/2320-6012.ijrms20175430

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Section

Original Research Articles