全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Job Satisfaction and Burnout among Intensive Care Unit Nurses and Physicians

DOI: 10.1155/2013/786176

Full-Text   Cite this paper   Add to My Lib

Abstract:

Introduction. Nurses and physicians working in the intensive care unit (ICU) may be exposed to considerable job stress. The study aim was to assess the level of and the relationship between (1) job satisfaction, (2) job stress, and (3) burnout symptoms. Methods. A cross-sectional study was performed at ICUs at Oslo University Hospital. 145 of 196 (74%) staff members (16 physicians and 129 nurses) answered the questionnaire. The following tools were used: job satisfaction scale (scores 10–70), modified Cooper's job stress questionnaire (scores 1–5), and Maslach burnout inventory (scores 1–5); high score in the dimension emotional exhaustion (EE) indicates burnout. Personality was measured with the basic character inventory. Dimensions were neuroticism (vulnerability), extroversion (intensity), and control/compulsiveness with the range 0–9. Results. Mean job satisfaction among nurses was 43.9 (42.4–45.4) versus 51.1 (45.3–56.9) among physicians, . The mean burnout value (EE) was 2.3 (95% CI 2.2–2.4), and mean job stress was 2.6 (2.5–2.7), not significantly different between nurses and physicians. Females scored higher than males on vulnerability, 3.3 (2.9–3.7) versus 2.0 (1.1–2.9) ( ), and experienced staff were less vulnerable, 2.7 (2.2–3.2), than inexperienced staff, 3.6 (3.0–4.2) ( ). Burnout (EE) correlated with job satisfaction ( , ), job stress ( , ), and vulnerability ( , ). Conclusions. The nurses were significantly less satisfied with their jobs compared to the physicians. Burnout mean scores are relatively low, but high burnout scores are correlated with vulnerable personality, low job satisfaction, and high degree of job stress. 1. Introduction Nurses and physicians working in the intensive care unit (ICU) may be exposed to considerable work related stress [1, 2], distress symptoms among staff have been described as being frequent [3, 4], and previous studies have identified high levels of burnout symptoms among ICU staff [5–10]. Burnout is a psychological concept often used as a response to long-term emotional and interpersonal stressors, usually in the work context. Burnout may be a result of too much work and too little recovery. The clinical impact of burnout may be decreased well-being (insomnia, irritability, eating problems, and depressive problems) and increased sick leave among staff [7]. A high degree of emotional exhaustion among nurses has been shown to predict lower self-rated performances and higher intention to quit work [11, 12]. Characteristics of both the organisation (decision makers, authority) and the work (workload, social

References

[1]  M. M. Levy, “Caring for the caregiver,” Critical Care Clinics, vol. 20, no. 3, pp. 541–547, 2004.
[2]  S. Coomber, C. Todd, G. Park, P. Baxter, J. Firth-Cozens, and S. Shore, “Stress in UK intensive care unit doctors,” British Journal of Anaesthesia, vol. 89, no. 6, pp. 873–881, 2002.
[3]  M. L. Mealer, A. Shelton, B. Berg, B. Rothbaum, and M. Moss, “Increased prevalence of post-traumatic stress disorder symptoms in critical care nurses,” American Journal of Respiratory and Critical Care Medicine, vol. 175, no. 7, pp. 693–697, 2007.
[4]  J. R. Curtis and J.-L. Vincent, “Ethics and end-of-life care for adults in the intensive care unit,” The Lancet, vol. 376, no. 9749, pp. 1347–1353, 2010.
[5]  M. Verdon, P. Merlani, T. Perneger, and B. Ricou, “Burnout in a surgical ICU team,” Intensive Care Medicine, vol. 34, no. 1, pp. 152–156, 2008.
[6]  N. Embriaco, E. Azoulay, K. Barrau et al., “High level of burnout in intensivists: prevalence and associated factors,” American Journal of Respiratory and Critical Care Medicine, vol. 175, no. 7, pp. 686–692, 2007.
[7]  M. C. Poncet, P. Toullic, L. Papazian et al., “Burnout syndrome in critical care nursing staff,” American Journal of Respiratory and Critical Care Medicine, vol. 175, no. 7, pp. 698–704, 2007.
[8]  B. Raggio and P. Malacarne, “Burnout in intensive care unit,” Minerva Anestesiologica, vol. 73, no. 4, pp. 195–200, 2007.
[9]  K. K. Guntupalli and R. E. Fromm Jr., “Burnout in the internist-intensivist,” Intensive Care Medicine, vol. 22, no. 7, pp. 625–630, 1996.
[10]  N. Embriaco, L. Papazian, N. Kentish-Barnes, F. Pochard, and E. Azoulay, “Burnout syndrome among critical care healthcare workers,” Current Opinion in Critical Care, vol. 13, no. 5, pp. 482–488, 2007.
[11]  D. K. McNeese-Smith, “The influence of manager behavior on nurses' job satisfaction, productivity, and commitment,” Journal of Nursing Administration, vol. 27, no. 9, pp. 47–55, 1997.
[12]  A. D. Ackerman, “Retention of critical care staff,” Critical Care Medicine, vol. 21, no. 9, pp. S394–S395, 1993.
[13]  G. E. R. Tummers, G. G. Van Merode, and J. A. Landeweerd, “The diversity of work: differences, similarities and relationships concerning characteristics of the organisation, the work and psychological work reactions in intensive care and non-intensive care nursing,” International Journal of Nursing Studies, vol. 39, no. 8, pp. 841–855, 2002.
[14]  P. Merlani, M. Verdon, A. Businger et al., “Burnout in ICU caregivers: a multicenter study of factors associated to centers,” American Journal of Respiratory and Critical Care Medicine, vol. 184, no. 10, pp. 1140–1146, 2011.
[15]  J. R. Le Gall, é. Azoulay, N. Embriaco, M. C. Poncet, and F. Pochard, “Burn out syndrome among critical care workers,” Bulletin de l'Academie Nationale de Medecine, vol. 195, no. 2, pp. 389–398, 2011.
[16]  A. Garland, D. Roberts, and L. Graff, “Twenty-four-hour intensivist presence: a pilot study of effects on intensive care unit patients, families, doctors, and nurses,” American Journal of Respiratory and Critical Care Medicine, vol. 185, no. 7, pp. 738–743, 2012.
[17]  é. Azoulay, J.-F. Timsit, C. L. Sprung et al., “Prevalence and factors of intensive care unit conflicts: the conflicus study,” American Journal of Respiratory and Critical Care Medicine, vol. 180, no. 9, pp. 853–860, 2009.
[18]  R. D. Piers, E. Azoulay, B. Ricou et al., “Perceptions of appropriateness of care among European and Israeli intensive care unit nurses and physicians,” Journal of the American Medical Association, vol. 306, no. 24, pp. 2694–2703, 2011.
[19]  L. Burgess, F. Irvine, and A. Wallymahmed, “Personality, stress and coping in intensive care nurses: a descriptive exploratory study,” Nursing in Critical Care, vol. 15, no. 3, pp. 129–140, 2010.
[20]  I. C. McManus, A. Keeling, and E. Paice, “Stress, burnout and doctors' attitudes to work are determined by personality and learning style: a twelve year longitudinal study of UK medical graduates,” BMC Medicine, vol. 2, article 29, 2004.
[21]  P. Warr, J. Cook, and T. Wall, “Scales for the measurement of some work attitudes and aspects of psychological well-being,” Journal of Occupational Psychology, no. 52, pp. 129–148, 1979.
[22]  K. B. Finset, T. Gude, E. Hem, R. Tyssen, O. Ekeberg, and P. Vaglum, “Which young physicians are satisfied with their work? A prospective nationwide study in Norway,” BMC Medical Education, vol. 5, article 19, 2005.
[23]  V. J. Sutherland and C. L. Cooper, “Job stress, satisfaction, and mental health among general practitioners before and after introduction of new contract,” British Medical Journal, vol. 304, no. 6841, pp. 1545–1548, 1992.
[24]  K. E. Isaksson Ro, R. Tyssen, A. Hoffart, H. Sexton, O. G. Aasland, and T. Gude, “A three-year cohort study of the relationships between coping, job stress and burnout after a counselling intervention for help-seeking physicians,” BMC Public Health, vol. 10, article 213, 2010.
[25]  R. Tyssen, P. Vaglum, N. T. Gr?nvold, and ?. Ekeberg, “The impact of job stress and working conditions on mental health problems among junior house officers. A nationwide Norwegian prospective cohort study,” Medical Education, vol. 34, no. 5, pp. 374–384, 2000.
[26]  E. Falkum, “What is burnout?” Tidsskrift for den Norske Laegeforening, vol. 120, no. 10, pp. 1122–1128, 2000.
[27]  R. Alnaes and S. Torgersen, “Basic character inventory personality traits among patients with major depression, anxiety disorders and mixed conditions,” European Archives of Psychiatry and Neurological Sciences, vol. 239, no. 5, pp. 303–308, 1990.
[28]  C. Maslach, W. B. Schaufeli, and M. P. Leiter, “Job burnout,” Annual Review of Psychology, vol. 52, pp. 397–422, 2001.
[29]  C. P. West, L. N. Dyrbye, J. A. Sloan, and T. D. Shanafelt, “Single item measures of emotional exhaustion and depersonalization are useful for assessing burnout in medical professionals,” Journal of General Internal Medicine, vol. 24, no. 12, pp. 1318–1321, 2009.
[30]  O. G. Aasland, M. Olff, E. Falkum, T. Schweder, and H. Ursin, “Health complaints and job stress in norwegian physicians: the use of an overlapping questionnaire design,” Social Science and Medicine, vol. 45, no. 11, pp. 1615–1629, 1997.
[31]  J. Szecsenyi, K. Goetz, S. Campbell, B. Broge, B. Reuschenbach, and M. Wensing, “Is the job satisfaction of primary care team members associated with patient satisfaction?” BMJ Quality and Safety, vol. 20, no. 6, pp. 508–514, 2011.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133