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Multidimensional Factors Influencing Burnout in Intensive Care Unit Nurses

다차원적 요인이 중환자실 간호사의 소진에 미치는 영향

  • Received : 2017.01.31
  • Accepted : 2017.02.16
  • Published : 2017.04.30

Abstract

Purpose: This study aimed to identify multidimensional factors influencing burnout in intensive care unit(ICU) nurses. Methods: A descriptive cross-sectional design was used. Data were collected during February 2016 from a convenience sample of 222 tertiary hospital ICU nurses and analyzed using t-test, ANOVA, correlation analysis, and multiple regression analysis. Results: Burnout correlated positively with compassion fatigue (CF)(r=.37, p<.001), and negatively with compassion satisfaction (CS)(r=-.66, p<.001). The regression model explained 57% of the variance in burnout. For individual characteristics in the model, perceived health status (${\beta}=-.27$, p<.001) and gender (${\beta}=.14$, p=.028) were the most influential factors for ICU nurses' burnout. In the model with added work-related characteristics, nursing environment (${\beta}=-.22$, p=.001), perceived health status (${\beta}= -.20$, p=.001), and satisfaction with department (${\beta}=-.19$, p=.007) were the most influential factors. Finally, for the model with psychological characteristics added, CS (${\beta}=-.56$, p<.001) and CF (${\beta}=.35$, p<.001) were the most influential factors. Conclusion: Results reveal that most ICU nurses have a moderate level of CF and a moderate to high level of CS and burnout, and that individual, work-related and psychological factors are relevant in ICU nurses' burnout. Programs or interventions to reduce burnout should be developed taking into account these multidimensional factors.

Keywords

References

  1. Azoulay E, Herridge M. Understanding ICU staff burnout: The show must go on. American Journal of Respiratory and Critical CareMedicine. 2011;184:1099-1100. http://dx.doi.org/10.1164/rccm.201109-1638ED
  2. Kang CH, Kim YI, Lee EJ, Park K, Lee JS, Kim Y. Thevariation in risk adjusted mortality of intensive care units. Korean Journal of Anesthesiology. 2009;57(6):698-703. http://dx.doi.org/10.4097/kjae.2009.57.6.698
  3. Stamm BH. Measuring compassion satisfaction as well as fatigue: developmental history of the compassion fatigue and satisfaction test. In: Figley CR, editor. Treating compassion fatigue. New York: Brunner-Routledge; 2002. p. 107-119.
  4. Figley CR. Compassion fatigue: coping with secondary traumatic stress disorder in thosewho treat the traumatized. New York: Brunner Mazel; 1995.
  5. Figley CR, Stamm BH. Psychometric reviewof compassion fatigue self test. In: Stamm BH, editor. Measurement of stress, trauma and adaptation. Lutherville: Sidran Press; 1996. p. 127-130.
  6. Sabo BM. Adverse psychosocial consequences: Compassion fatigue, burnout and vicarious traumatization: Are nurses who provide palliative and hematological cancer care vulnerable? Indian Journal of Palliative Care. 2008;14(1):23-29. http://dx.doi.org/10.4103/0973-1075.41929
  7. Kim SR, Kim HY, Kang JH. Effects of type D personality on compassion fatigue, burnout, compassion satisfaction, and job stress in clinical nurses. Journal of Korean Academy of Nursing Administration. 2014;20(3):272-280. http://dx.doi.org/10.11111/jkana.2014.20.3.272
  8. Kim J, Lee TW. The influence of nursing practice environment, compassion fatigue and compassion satisfaction on burnout among clinical nurses. Journal of Korean Clinical Nursing Research. 2016;22(2):109-117. https://doi.org/10.22650/JKCNR.2016.22.2.109
  9. Stamm BH. The Concise ProQOLManual [Internet]. Pocatello: ProQOL.org; 2010[cited 2015 June 18]. Available from: http://proqol.org/uploads/ProQOL_Concise_2ndEd_12-2010.pdf.
  10. Cho HJ, Jung MS. Research trends on compassion fatigue in Korea nurses. Journal of Muscle and Joint Health. 2014;21(3): 255-264. http://dx.doi.org/10.5953/JMJH.2014.21.3.255
  11. Hunsaker S, Chen HC, Maughan D, Heaston S. Factors that influence the development of compassion fatigue, burnout, and compassion satisfaction in emergency department nurses. Journal of Nursing Scholarship. 2015;47(2):186-194. http://dx.doi.org/10.1111/jnu.12122
  12. Yom YH, Kim HJ. Effects of compassion satisfaction and social support in the relationship between compassion fatigue and burnout in hospital nurses. Journal of Korean Academy of Nursing. 2012;42(6):870-878. http://dx.doi.org/10.4040/jkan.2012.42.6.870
  13. Kim S, Kim JH, Park JY, Suh EY, Yang HJ, Lee SY, et al. Oncology nurses' professional quality of life in a tertiary hospital. Journal of Korean Clinical Nursing Research. 2010;16(3):145-155.
  14. Kelly L, Runge J, Spencer C. Predictors of compassion fatigue and compassion satisfaction in acute care nurses. Journal of Nursing Scholarship. 2015;47(6):522-528. http://dx.doi.org/10.1111/jnu.12162
  15. Jang YM, Kim SY. Coping strategies, compassion fatigue and compassion satisfaction among nurses in emergency room. Journal of Korean Clinical Nursing Research. 2014;20(3):348-358. https://doi.org/10.22650/JKCNR.2014.20.3.348
  16. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G* Power 3.1: tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4):1149-1160. http://dx.doi.org/10.3758/BRM.41.4.1149
  17. Stamm BH. Professional quality of life: Compassion satisfaction and fatigue version 5(ProQOL) [Internet]. Pocatello: proQOL.org; 2009[cited 2015 June 01]. Available from: http://www.proqol.org/uploads/ProQOL_5_Korean.pdf.
  18. Park SH. Empathy and Prosocial Behavior. Seoul:Mooneumsa; 1997.
  19. Lake ET. Development of the practice environment scale of the nursing work index. Research in Nursing & Health. 2002;25(3):176-188. http://dx.doi.org/10.1002/nur.10032
  20. Cho E, Choi M, KimEY, Yoo IY, Lee NJ. Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. Journal of Korean Academy of Nursing. 2011;41(3):325-332. http://dx.doi.org/10.4040/jkan.2011.41.3.325
  21. Oh K, Han JS. Stressful life events, health symptoms, social support and coping in early adolescents. Journal of Korean Academy of Nursing. 1990;20(3):414-429.
  22. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. Journal of Personality Assessment. 1988;52(1):30-41. http://dx.doi.org/10.1207/s15327752jpa5201_2
  23. Shin JS, Lee YB. The effect of social supports on psychosocial well-being of the unemployed. Korean Journal of Social Welfare. 1999;37(4):241-269.
  24. Hong JY. Relationships between professional self concept and professional quality of life among Nurses in ICU [master's thesis]. Busan: Kosin University; 2015. p. 1-65.
  25. Mangoulia P, Fildissis G, Koukia E, Alevizopoulos G, Katostaras T. Factors associated with compassion fatigue among ICU nurses in Greece. 31st international symposium on intensive care and emergency medicine critical care; 2011 March 22-25; Brussels Meeting Center(SQUARE). Brussels: BioMed Central; 2011. p. S172.
  26. Kim HK, Ji HS, Ryu EK, Lee HJ, Yun SE, Jeon MK, et al. Factors influencing on burnout of the nurses in hospitals. Journal of Clinical Nursing Research. 2005;10(2):7-18. https://doi.org/10.1177/136140960501000109
  27. Van Bogaert P, Meulemans H, Clarke S, Vermeyen K, Van de Heyning P. Hospital nurse practice environment, burnout, job outcomes and quality of care: test of a structural equation model. Journal of Advanced Nursing. 2009;65(10):2175-2185. http://dx.doi.org/10.1111/j.1365-2648.2009.05082.x
  28. Yu H, Jiang A, Shen J. Prevalence and predictors of compassion fatigue, burnout and compassion satisfaction among oncology nurses:Across-sectional survey. International Journal of Nursing Studies. 2016;57:28-38. http://dx.doi.org/10.1016/j.ijnurstu.2016.01.012