Assessment of burn-out among staff nurses working in a tertiary care health centre in North India

Ravi C. Sharma, Dinesh Dutt Sharma, Neeraj Kanwar, Ankit Chaudhary, Pankaj Kanwar, Sukriti Kaushik


Background: This descriptive, cross sectional study identified the occurrence of burnout and some associated factors among nurses working in various departments at Indira Gandhi Medical College, Shimla, Himachal Pradesh, India which is a tertiary care health centre in the state.

Methods: A total of 257 nurses screened in the hospital out of which 81 completed the study. Eighty-one nurses answered a self-administered questionnaire (sociodemographic aspects, working conditions, and Maslach Burnout Inventory). Mean scores were compared using ANOVA test. Student T-test was applied to compare mean scores between the groups.

Results: All the participants were females (100%), with up to five years’ experience. High levels of emotional stress (45.7%) and depersonalization (24.7%) were identified, as well as low professional fulfilment (6.2%), and 8.6% presented burnout. The following factors were associated: high levels of emotional stress and always perform tasks very quickly (p=0.04) and receiving a salary incompatible to the effort employed (p=0.03); high levels of depersonalization and with up to five years’ experience (p=0.02) and often perform tasks very quickly (p=0.008). For 19.0%, at least two of the three dimensions pointed to high propensity to the syndrome.

Conclusions: Searching for personal solutions for work problems must draw our attention, since it discourages health and work performance. Professionals may feel more fulfilled and satisfied by adjusting their work expectations. However, on a long-term basis, persisting in stressful work conditions enhances emotional exhaustion, depersonalization and feelings of low fulfilment at work.


Burnout, Nursing professional, Occupational health

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Freudenberger HJ. Staff burnout. J Soc Issues. 1974;30:159-67.

Maslach C, Jackson SE, Leiter MP. Maslach Burnout inventory manual. Consulting Psychologists Press, Mountain View, Calif, USA;1996.

Vegchel N, Jonge J, Söderfeldt M, Dormann C, Schaufeli W. Quantitative versus emotional demands among Swedish human service employees: Moderating effects of job control and social support. Int J Stress Manag. 2004;11:21-40.

Garrosa E, Rainho C, Moreno-Jimenez B, Monteiro MJ. The relationship between job stressors, hardy personality, coping resources and burnout in a sample of nurses: A correlational study at two time points. Inter J Nursing Studies. 2010 Feb 1;47(2):205-15.

Hall E. Nurse burnout in a high stress health care environment: prognosis better than expected?. Available from: Accessed 30 July 2018.

Nordang K, Hall-Lord ML, Farup PG. Burnoutein health-care professionals during reorganizations and downsizing: a cohort study in nurses. BMC Nurs. 2010;9:8.

Lemaire JB, Wallace JE. Not all coping strategies are created equal: a mixed methods study exploring physicians' self-reported coping strategies. BMC Health Serv Res. 2010;10(2):208.

Grunfeld E, Whelan TJ, Zitzelsberger L, Willan AR, Montesanto B, Evans WK. Cancer care workers in Ontario: prevalence of burnout, job stress and job satisfaction. CMAJ. 2000;163(1):166-9.

Embriaco N, et al. Burnout syndrome among critical care healthcare workers. Curr Opin Crit Care. 2007;13:482-88.

Epp K. Burnout in critical care nurses: A literature review. Dynamics. 2012;23:25-31.

Leiter MP, Spence Laschinger HK. Relationships of work and practice environment to professional burnout: Testing a causal model. Nur Res. 2006;55:137-46.

Storlie FJ. Burnout: the elaboration of a concept. AJN Am J Nursing. 1979 Dec 1;79(12):2108-11.

Embriaco N, Azoulay E, Barrau K, Kentish N, Pochard F, Loundou A, et al. High level of burnout in intensivists: prevalence and associated factors. Am J Res Critical Care Med. 2007 Apr 1;175(7):686-92.

Gutierrez K. Critical care nurses perceptions of responses to moral distress. Dimens Crit Care Nur. 2005;24:229-41.

Hamric A, Blackhall L. Nurse-physician perspectives on the care of dying patients in intensive care units: Collaboration, moral distress and ethical climate. Crit Care Med. 2007;35:422-29.

McHolm F. Rx for compassion. J Christian Nur. 2006;23:12-9.

Meldrum H. Exemplary physicians’ strategies for avoiding burnout. Health Care Manag. 2010;29:324-31.

Chopra SS, Sotile WM, Sotile MO. Physician burnout. JAMA. 2004 Feb 4;291(5):633.

Zwack J, Schweitzer J. If every fifth physician is affected by burnout, what about the other four? Resilience strategies of experienced physicians. Acad Med. 2013;88:382-89.

Charney DS. Psychological mechanisms of resilience and vulnerability: Implications for successful adaptation to extreme stress. Am J Psychiar. 2004;161:195-16.

Mealer M, Jones J, Newman J, McFann KK, Rothbaum B, Moss M. The presence of resilience is associated with a healthier psychological profile in intensive care unit (ICU) nurses: results of a national survey. Inter J Nursing Studies. 2012 Mar 1;49(3):292-9.

Shanafelt TD, Oreskovich MR, Dyrbye LN, Satele DV, Hanks JB, Sloan JA, et al. Avoiding burnout: the personal health habits and wellness practices of US surgeons. Annals of surgery. 2012 Apr 1;255(4):625-33.