Burnout and associated factors among nurses in psychiatric and general tertiary hospitals in Botswana: A cross-sectional study.

Keneilwe Molebatsi, Otsetswe Musindo, Kagiso Bojosi, Nduku Wambua, Anthony A Olashore
Author Information
  1. Keneilwe Molebatsi: Faculty of Medicine, Department of Psychiatry, University of Botswana, Gaborone, Botswana.
  2. Otsetswe Musindo: Faculty of Medicine, Department of Psychiatry, University of Botswana, Gaborone, Botswana.
  3. Kagiso Bojosi: Faculty of Medicine, Department of Psychiatry, University of Botswana, Gaborone, Botswana.
  4. Nduku Wambua: Department of Psychiatry, Nelson Mandela School of Clinical Medicine, University of Kwa-Zulu Natal, Durban, South Africa.
  5. Anthony A Olashore: Faculty of Medicine, Department of Psychiatry, University of Botswana, Gaborone, Botswana. ORCID

Abstract

Introduction: Research has consistently documented that nurses are at a higher risk for developing burnout syndrome due to the nature of their jobs. The high prevalence of burnout among nursing staff negatively affects healthcare delivery. Nurses experiencing burnout cannot provide quality care or actively participate in health promotion, and those experiencing emotional exhaustion are unlikely to be able to tend to the emotional needs of patients.
Objective: The study aimed to determine the prevalence and factors associated with burnout syndrome among nursing staff in Botswana referral general and psychiatric hospitals.
Methods: A cross-sectional survey was conducted among 249 nursing staff working in a referral psychiatric and general hospital. The job satisfaction survey, Maslach burnout inventory, and the OCEAN-20 were used to assess job satisfaction, burnout occurrence, and personality traits, respectively. A researcher-designed sociodemographic questionnaire was used to capture demographic data. Variables identified to be associated with burnout on bivariate analyses were entered into a regression analysis to determine to what extent these factors predicted burnout.
Results: The prevalence of emotional exhaustion, depersonalization, and reduced personal accomplishment was 65.7%, 56.9%, and 54%, respectively. Being in a general hospital, neuroticism, poor operating condition, and poor communication predicted emotional exhaustion,  = 28%, (9, 229) = 9.937,  < 0.001. Depersonalization was predicted by neuroticism and poor operating conditions,  = 17%, (9, 229) = 4.709,  < 0.001. Reduced personal achievement was significantly predicted by the number of people in the household, time at the current hospital, agreeableness, and nature of work,  = 21%, (7, 203) = 7.875,  < 0.001.
Conclusions: Our findings highlight the need for interventions to be developed to address burnout among nursing staff to optimize healthcare delivery.

Keywords

References

  1. Afr Health Sci. 2014 Mar;14(1):237-45 [PMID: 26060486]
  2. Int J Endocrinol Metab. 2012 Spring;10(2):486-9 [PMID: 23843808]
  3. Sci Rep. 2023 Sep 5;13(1):14641 [PMID: 37669987]
  4. Perspect Psychiatr Care. 2019 Apr;55(2):153-160 [PMID: 29781526]
  5. Ind Health. 2021 Nov 29;59(6):427-435 [PMID: 34588380]
  6. Int J Nurs Stud. 2013 Feb;50(2):162-73 [PMID: 23218020]
  7. Front Psychol. 2023 Feb 21;14:1099687 [PMID: 36895741]
  8. Issues Ment Health Nurs. 2018 Mar;39(3):244-250 [PMID: 29064747]
  9. Int J Nurs Pract. 2012 Feb;18(1):68-76 [PMID: 22257333]
  10. Psychooncology. 2009 May;18(5):543-8 [PMID: 18942658]
  11. World Psychiatry. 2009 Jun;8(2):115-8 [PMID: 19516936]
  12. Acad Med. 2012 Jul;87(7):845-52 [PMID: 22622217]
  13. Annu Rev Psychol. 2001;52:397-422 [PMID: 11148311]
  14. J Clin Diagn Res. 2016 Apr;10(4):IC01-IC04 [PMID: 27190832]
  15. Int J Environ Res Public Health. 2019 Jun 25;16(12): [PMID: 31242691]
  16. Int Nurs Rev. 2008 Mar;55(1):62-7 [PMID: 18275537]
  17. Am J Community Psychol. 1985 Dec;13(6):693-713 [PMID: 4083275]
  18. BMC Nurs. 2011 May 23;10:9 [PMID: 21605379]
  19. Afr J Psychiatry (Johannesbg). 2008 Aug;11(3):199-203 [PMID: 19588043]
  20. J Family Med Prim Care. 2019 Sep 30;8(9):2898-2902 [PMID: 31681663]
  21. Int J Nurs Stud. 2012 Nov;49(11):1411-22 [PMID: 22871313]
  22. ISRN Nurs. 2012;2012:402157 [PMID: 22619733]
  23. J Nurs Manag. 2014 Jul;22(5):630-42 [PMID: 23405857]
  24. Int J Nurs Stud. 2012 Aug;49(8):1017-38 [PMID: 22189097]
  25. J Clin Nurs. 2012 Jun;21(11-12):1763-75 [PMID: 22458703]
  26. J Nurs Manag. 2014 Jul;22(5):621-9 [PMID: 25041802]
  27. J Human Stress. 1986 Spring;12(1):20-6 [PMID: 3559184]
  28. Behav Sci (Basel). 2023 Feb 09;13(2): [PMID: 36829379]
  29. BMJ Open. 2018 Mar 16;8(3):e018492 [PMID: 29549200]
  30. Occup Med (Lond). 2003 May;53(3):191-200 [PMID: 12724553]
  31. Biomed Res Int. 2016;2016:6960184 [PMID: 27478835]
  32. BMC Public Health. 2019 Sep 11;19(1):1247 [PMID: 31510975]
  33. Ann Afr Med. 2010 Oct-Dec;9(4):226-9 [PMID: 20935422]
  34. Curationis. 2020 Aug 04;43(1):e1-e7 [PMID: 32787430]
  35. Heliyon. 2023 Jan 24;9(2):e13162 [PMID: 36755612]
  36. S Afr J Psychiatr. 2020 Jul 27;26:1454 [PMID: 32832126]
  37. Int J Nurs Stud. 2015 Jan;52(1):240-9 [PMID: 25062805]

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