Peculiarities of professional burnout of nurses in war conditions

  • Received 20.11.2023

  • Revised 25.01.2024

  • Accepted 27.02.2024



  • 1,428 Views

  • Retrieved from Vol. 6, No. 1, 2024

  • Pages 64-72

Professional burnout among inpatient nurses who provide medical care to wounded military personnel is a significant problem for healthcare facilities, as it negatively affects the quality of care and requires further study to develop preventive measures at the individual and group levels to prevent it. The study aimed to conduct a comparative assessment of professional burnout among inpatient nurses providing medical care to military and civilian populations. A survey of 292 inpatient nurses was conducted. The level of professional burnout was determined according to the questionnaire by K. Maslach and S. Jackson. Correlation and regression analysis were used to determine the leading factors influencing the development of professional burnout in nurses. The study determined that the high level of emotional exhaustion in nurses who constantly worked with the military was 1.6 times (p=0.038) higher than in nurses who were engaged in providing medical care to civilians and rarely worked with the military, depersonalisation was 1.8 times (p=0.007), and the reduction of personal achievements was 1.9 times (p=0.022). Using multivariate linear regression analysis, it was found that the presence of chronic diseases, age, length of service, the number of night shifts worked during the month, as well as the presence of children with a high level of statistical significance affect the development of professional burnout in nurses during the war. Conducting activities with nurses in the form of courses or lectures aimed at improving communication competencies helps to reduce the level of professional burnout

Keywords: healthcare professionals; health factors; medical care for the military; emotional exhaustion; regression analysis

https://doi.org/10.61751/bmbr/1.2024.64

[1] Galanis P, Vraka I, Fragkou D, Bilali A, Kaitelidou D. Nurses' burnout and associated risk factors during the COVID-19 pandemic: A systematic review and meta-analysis. J Adv Nurs. 2021;77(8):3286–2. DOI:10.1111/jan.14839

[2] Terenda N, Pavliv T, Terenda O. Occupational burning is one of the unsolved problems of the healthcare system. Bull Soc Hyg Health Prot Organ Ukr. 2021;(2):29–33. DOI: 10.11603/1681-2786.2021.2.12377

[3] Buckley L, Berta W, Cleverley K, Medeiros C, Widger K. What is known about paediatric nurse burnout: A scoping review. Hum Resour Health. 2020;18(1):9. DOI: 10.1186/s12960-020-0451-8

[4] Shah MK, Gandrakota N, Cimiotti JP, Ghose N, Moore M, Ali MK. Prevalence of and factors associated with nurse burnout in the US. JAMA Netw Open. 2021;4(2). DOI: 10.1001/jamanetworkopen.2020.36469

[5] Larysz A, Prokopowicz A, Zakliczyński M, Uchmanowicz I. Occurrence of professional burnout and severity of depressive symptoms among cardiac nurses: A cross-sectional study. Int J Environ Res Public Health. 2021;18(22):12038. DOI: 10.3390/ijerph182212038

[6] Guastello AD, Brunson JC, Sambuco N, Dale LP, Tracy NA, Allen BR, Mathews CA. Predictors of professional burnout and fulfilment in a longitudinal analysis on nurses and healthcare workers in the COVID-19 pandemic. J Clin Nurs. 2024;33(1):288–3. DOI: 10.1111/jocn.16463

[7] Tsybuliak N, Suchikova Y, Shevchenko L, Popova A, Kovachev S, Hurenko O. Burnout dynamic among Ukrainian academic staff during the war. Sci Rep. 2023;13:17975. DOI: 10.1038/s41598-023-45229-6

[8] Kurapov A, Danyliuk I, Loboda A, Kalaitzaki A, Kowatsch T, Klimash T, Predko V. Six months into the war: A first-wave study of stress, anxiety, and depression among in Ukraine. Front Psychiatry. 2023;14:1190465. DOI:10.3389/fpsyt.2023.1190465

[9] Maslach C, Jackson SE. The measurement of experienced burnout. J Organ Behav. 1981;2(2):99–13. DOI:10.1002/job.4030020205

[10] The World Medical Association. Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects [Internet]. [cited 2024 Jan 10]. Available from: https://www.wma.net/what-we-do/medical-ethics/declaration-of-helsinki/

[11] Parola V, Coelho A, Cardoso D, Sandgren A, Apóstolo J. Prevalence of burnout in health professionals working in palliative care: A systematic review. JBI Database System Rev Implement Rep. 2017;15(7):1905–33. DOI:10.11124/JBISRIR-2016-003309

[12] Hur G, Cinar N, Karakaya O, Suzan O. Impact of COVID-19 pandemic on nurses' burnout and related factors: A rapid systematic review. Appl Nurs Res. 2022;41:248–63. DOI: 10.1016/j.apnu.2022.09.002

[13] Yang C, Wang X, Zhang X, Liu W, Wang C. Burnout and associative emotional status and coping style of healthcare workers in COVID-19 epidemic control: A cross-sectional study. Front Public Health. 2023;11:1079383. DOI:10.3389/fpubh.2023.1079383

[14] Al Maqbali M, Al Sinani M, Al-Lenjawi B. Prevalence of stress, depression, anxiety and sleep disturbance among nurses during the COVID-19 pandemic: A systematic review and meta-analysis. J Psychosom Res. 2021;141:110343. DOI: 10.1016/j.jpsychores.2020.110343

[15] Michalak M, Brzozowska J, Kazimierska-Zając M. Level of professional burnout and sense of coherence among nurses working in the department of anesthesiology and intensive care. J Neurological Neurosurgical Nursing. 2022;11(1):8–13. DOI: 10.15225/PNN.2022.11.1.2

[16] Fradelos E, Tzitzikos G, Giannouli V, Argyrou P, Vassilopoulou C, Theofilou P. Assessment of burn-out and quality of life in nursing professionals: The contribution of perceived social support. Health Psychol Res. 2014;2(1). DOI:10.4081/hpr.2014.984

[17] Diehl E, Rieger S, Letzel S, Schablon A, Nienhaus A, Escobar Pinzon LC, Dietz P. The relationship between workload and burnout among nurses: The buffering role of personal, social and organisational resources. PLoS One. 2021;16(1). DOI: 10.1371/journal.pone.0245798

[18] Cañadas-De la Fuente GA, Ortega E, Ramirez-Baena L, De la Fuente-Solana EI, Vargas C, Gómez-Urquiza JL. Gender, marital status, and children as risk factors for burnout in nurses: A meta-analytic study. Int J Environ Res Public Health. 2018;15(10):2102. DOI: 10.3390/ijerph15102102

[19] Tang L, Yu X, Wu Y, Zhao N, Liang R, Gao X, et al. Burnout, depression, anxiety and insomnia among medical staff during the COVID-19 epidemic in Shanghai. Front Public Health. 2022;10:1019635. DOI:10.3389/fpubh.2022.1019635

[20] Patel RS, Bachu R, Adikey A, Malik M, Shah M. Factors related to physician burnout and its consequences: A review. Behav Sci. 2018;8(11):98. DOI: 10.3390/bs8110098

[21] Jarosz K, Zborowska A, Młynarska A. Rationing care, job satisfaction, fatigue and the level of professional burnout of nurses in urology departments. Int J Environ Res Public Health. 2022;19(14):8625. DOI:10.3390/ijerph19148625

[22] Kissel KA, Filipek C, Jenkins J. Impact of the COVID-19 Pandemic on nurses working in intensive care Units: A scoping review. Crit Care Nurse. 2023;43(2):55–63. DOI: 10.4037/ccn2023196