scholarly journals Moral distress and Burnout syndrome: are there relationships between these phenomena in nursing workers?

2014 ◽  
Vol 22 (1) ◽  
pp. 35-42 ◽  
Author(s):  
Graziele de Lima Dalmolin ◽  
Valéria Lerch Lunardi ◽  
Guilherme Lerch Lunardi ◽  
Edison Luiz Devos Barlem ◽  
Rosemary Silva da Silveira
Keyword(s):  
Moral Distress ◽  
Maslach Burnout Inventory ◽  
Burnout Syndrome ◽  
Bivariate Analysis ◽  
Rio Grande Do Sul ◽  
Weak Correlation ◽  
Professional Performance ◽  
Moderating Variables ◽  
Professional Fulfillment ◽  
Distress Scale

OBJECTIVE: to identify relationships between moral distress and Burnout in the professional performance from the perceptions of the experiences of nursing workers. METHODS: this is a survey type study with 375 nursing workers working in three different hospitals of southern Rio Grande do Sul, with the application of adaptations of the Moral Distress Scale and the Maslach Burnout Inventory, validated and standardized for use in Brazil. Data validation occurred through factor analysis and Cronbach's alpha. For the data analysis bivariate analysis using Pearson's correlation and multivariate analysis using multiple regression were performed. RESULTS: the existence of a weak correlation between moral distress and Burnout was verified. A possible positive correlation between Burnout and therapeutic obstinacy, and a negative correlation between professional fulfillment and moral distress were identified. CONCLUSION: the need was identified for further studies that include mediating and moderating variables that may explain more clearly the models studied.

scholarly journals The Relationship Between Moral Distress With Level of Burnout on Nurses in Intensive Care Room at the dr. Soebandi Hospital Jember

2021 ◽  
Vol 5 (2) ◽  
pp. 273
Author(s):  
Siswoyo Siswoyo ◽  
Kholid Rosyidi Muhammad Nur ◽  
Faizatul Ulya
Keyword(s):  
Intensive Care ◽  
Health Care Providers ◽  
Moral Distress ◽  
Maslach Burnout Inventory ◽  
Bivariate Analysis ◽  
P Value ◽  
Care Providers ◽  
Distress Scale ◽  
Spearman Test ◽  
The Relationship

Moral distress is defined as psychological disequilibrium and negative feelings that results from recognizing an ethically appropriate action, yet not taking it because of such barriers. This causes an increase workload of nurses in the intensive care room, resulting burnout that affects nurses, patients and health care providers. This study aimed to analyze the relationship between moral distress and the level of burnout in intensive care room nurses at the dr. Soebandi Hospital Jember. This study used a quantitative descriptive observational analytic with the approach cross sectional design selected 47 nurses as respondents used total sampling. Data collected by Measure of Moral Distress Scale - Healthcare Professionals (MMD-HP) and Maslach Burnout Inventory (MBI). The results revealed that most respondents experienced low moral distress (85.1%) and low burnout (61.7%). The bivariate analysis showed with spearman test that p-value was < 0.001 (α = 0.05; r = 0.531). There was a relationship between moral distress and the level of burnout in intensive care room nurses at the dr. Soebandi Hospital Jember with moderate and positive relationship strength. A healthy work environment plays an important role in the low level of moral distress and burnout, if there are staff skilled in communication, good collaboration between people or professions, effective decision making, proper staffing, recognition and leadership.

Moral distress and burnout in Iranian nurses: The mediating effect of workplace bullying

2018 ◽  
Vol 26 (6) ◽  
pp. 1834-1847 ◽  
Author(s):  
Fardin Ajoudani ◽  
Rahim Baghaei ◽  
Mojgan Lotfi
Keyword(s):  
Workplace Bullying ◽  
Moral Distress ◽  
Maslach Burnout Inventory ◽  
Mediating Effect ◽  
Equation Modeling ◽  
Mediating Role ◽  
Distress Scale ◽  
The Relationship ◽  
Negative Acts

Background: Moral distress and workplace bullying are important issues in the nursing workplace that appear to affect nurse’s burnout. Aim: To investigate the relationship between moral distress and burnout in Iranian nurses, as mediated by their perceptions of workplace bullying. Ethical considerations: The research was approved by the committee of ethics in research of the Urmia University of Medical Sciences. Method: This is a correlation study using a cross-sectional design with anonymous questionnaires as study instruments (i.e. Moral Distress Scale-Revised, Maslach Burnout Inventory and The Negative Acts Questionnaire-Revised). Data were collected from 278 nurses from five teaching hospitals in Urmia, the capital of Western Azerbaijan, northwest of Iran. Structural equation modeling and bootstrapping procedures were employed to recognize the mediating role of their perceptions of workplace bullying. Results: The mean score of moral distress, burnout, and the Negative Acts Questionnaire-Revised Scale among the participants were 91.02 ± 35.26, 79.9 ± 18.27, and 45.4 ± 15.39, respectively. The results confirmed our hypothesized model. All the latent variables of study were significantly correlated in the predicted directions. The moral distress and bullying were significant predictors of burnout. Perception of bullying partially mediated the relationship between moral distress and burnout. The mediating role of the bullying suggests that moral distress increases burnout, directly and indirectly. Conclusion: Nursing administrators should be conscious of the role of moral distress and bullying in the nursing workplace in increasing burnout.

scholarly journals PREVALÊNCIA DOS SINTOMAS DA SÍNDROME DE BURNOUT EM PROFESSORES DE FISIOTERAPIA DA UNIVERSIDADE DO ESTADO DO PARÁ DA CIDADE DE BELÉM-PA

2020 ◽  
pp. 1-9
Author(s):  
Tereza Cristina dos Reis Ferreira ◽  
Júlio César Veiga Pena ◽  
Anne Beatriz Duarte da Conceição ◽  
Paula Thayna Soares Lima ◽  
Paulo Vitor de Souza Sassim ◽  
...  
Keyword(s):  
Emotional Exhaustion ◽  
Physical Therapists ◽  
Maslach Burnout Inventory ◽  
Burnout Syndrome ◽  
State University ◽  
Cross Sectional ◽  
Low Level ◽  
High Level ◽  
Professional Fulfillment ◽  
The City

Objective: to verify the prevalence of symptoms of Burnout syndrome in physical therapists who teach at a public university in Belém-PA, using the Maslach questionnaire. Methods: This is a cross-sectional observational study carried out with 25 physiotherapists, professors at the State University of Pará in the city of Belém-PA. For data collection, the Maslach Questionnaire (Maslach Burnout Inventory) was used, composed of 22 statements about feelings and attitudes that encompass the three fundamental aspects of Burnout syndrome, divided into three scales of seven points, with a score from 0 to 6, related to emotional exhaustion, depersonalization and professional and personal fulfillment. All data were digitized and analyzed using the Statistical Package for Social Sciences (SPSS) program. Results: Regarding emotional exhaustion, 56% of teachers had a high level; 24% moderate and 20% low. The average was 25 points, indicating moderate emotional exhaustion. In depersonalization 44% had a high level; 20% moderate and 36% low, with an average at the threshold of the moderate to low level of 6.8 points. Regarding personal and professional fulfillment, 48% had a high level; 12% moderate and 40% low. The average was 38.12 points, at the threshold of the moderate to the low level. Conclusion: The sample presented a moderate level of emotional exhaustion, depersonalization and professional and personal achievement, such data are suggestive for the development of Burnout Syndrome. Thus, the importance of carrying out more research is emphasized in order to expand knowledge and subsidize resolutive actions for the topic in question.

scholarly journals SÍNDROME DE BURNOUT EM ENFERMEIROS DE UM HOSPITAL DO INTERIOR PAULISTA

2020 ◽  
Vol 3 (6) ◽  
pp. 1-13
Author(s):  
Letícia de Souza dos SANTOS ◽  
Tatiane Ferreira EUFRASIO ◽  
Alexandre dos SANTOS
Keyword(s):  
Emotional Exhaustion ◽  
Quantitative Research ◽  
Life Quality ◽  
Maslach Burnout Inventory ◽  
Burnout Syndrome ◽  
Work Context ◽  
Low Performance ◽  
The Individual ◽  
Professional Fulfillment ◽  
Nursing Professionals

O Burnout é uma resposta ao estresse oriundo do ambiente de trabalho o qual implica a perda total das energias do indivíduo, além de comprometer vários aspectos da vida pessoal e profissional dos colaboradores em razão da tentativa de sua adaptação ao contexto de trabalho, acarretando prejuízo na organização em virtude do baixo desempenho dessa pessoa. O Burnout tem como base três principais dimensões: Exaustão Emocional, Despersonalização e Realização Profissional. O objetivo deste estudo foi averiguar os sintomas da Síndrome de Burnout em profissionais da enfermagem de uma unidade hospitalar do interior paulista. Foi uma pesquisa de cunho quantitativo, foram utilizados os seguintes instrumentos para coleta de dados: formulário sociodemográfico e a escala de Maslach Burnout Inventory (MBI). Os instrumentos foram aplicados em quinze enfermeiros desse hospital. Os resultados indicaram que apenas 6,66% dos enfermeiros estavam acometidos pelo Burnout, apresentaram também um escore alto de Exaustão Emocional (53,33%) e Despersonalização (60%), e um escore baixo em Realização Profissional (6,66%). A enfermagem é a profissão que está mais sujeita a desenvolver a Síndrome de Burnout e, para a prevenção, torna-se necessário e de suma importância o papel da psicologia dentro do contexto de trabalho, com o propósito de prevenir a doença mental e assegurar um ambiente com qualidade de vida no trabalho, saúde física e mental dos colaboradores.   BURNOUT SYNDROME IN NURSES FROM A PAULISTA COUNTRYSIDE HOSPITAL ABSTRACT Burnout is a response to stress resulting from work environment which entails the individual a total loss of energy, besides impairing several aspects of his personal and professional life due to the attempt of the adaption to work context, affecting the organization in virtue of the low performance of that individual. Burnout is based in three mainly dimensions: Emotional Exhaustion, Depersonalization, and Professional Fulfillment. This paper aims to determine Burnout symptoms in nursing professionals from a Paulista countryside hospital. It was a quantitative research; the following instruments were used to collect data: socio-demographic forms and Maslach Burnout Inventory (MBI). In that hospital fifteen nurses were applied the instruments. Findings indicate that only 66% of the nurses were affected by Burnout, they also presented a high Emotional Exhaustion (53,33%) and Depersonalization (60%) scores, and a low score for Professional Fulfillment (6,66%). Nursing is a profession prone to develop Burnout Syndrome, to prevent it, it is not only necessary the role of psychology in work context but mission-critical, with a view to prevent mental disorders and to ensure a wealth environment, life quality, physical-mental health to the employee. Descriptors: Professional Exhaustion. Nursing. Hospital Unit.

scholarly journals Complex interplay between moral distress and other risk factors of burnout in ICU professionals: findings from a cross-sectional survey study

2021 ◽  
pp. bmjqs-2020-012239
Author(s):  
Niek Kok ◽  
Jelle Van Gurp ◽  
Johannes G van der Hoeven ◽  
Malaika Fuchs ◽  
Cornelia Hoedemaekers ◽  
...  
Keyword(s):  
Risk Factors ◽  
Emotional Exhaustion ◽  
Moral Distress ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Root Cause ◽  
Distress Scale

BackgroundBurnout threatens intensive care unit (ICU) professionals’ capacity to provide high-quality care. Moral distress is previously considered a root cause of burnout, but there are other risk factors of burnout such as personality, work–life balance and culture. This study aimed to disentangle the associations of ICU professionals’ moral distress and other risk factors with the components of burnout—emotional exhaustion, depersonalisation and personal accomplishment—suggesting informed burnout prevention strategies.MethodsCross-sectional survey completed in 2019 of ICU professionals in two Dutch hospitals. The survey included validated measure for burnout (the Dutch Maslach Burnout Inventory), moral distress (Moral Distress Scale), personality (short Big Five Inventory), work–home balance (Survey Work–Home Interaction Nijmegen) and organisational culture (Culture of Care Barometer). Each of the three components of burnout was analysed as a separate outcome, and for each of the components, a separate regression analysis was carried out.Results251 ICU professionals responded to the survey (response rate: 53.3%). Burnout prevalence was 22.7%. Findings showed that moral distress was associated with emotional exhaustion (β=0.18, 95% CI 0.9 to 0.26) and depersonalisation (β=0.19, 95% CI 0.10 to 0.28) and with increased emotional exhaustion mediated by negative work-to-home spillover (β=0.09, 95% CI 0.04 to 0.13). Support from direct supervisors mitigates the association between moral distress and emotional exhaustion (β=0.16, 95% CI 0.04 to 0.27).ConclusionsUnderstanding moral distress as a root cause of burnout is too simplified. There is an important interplay between moral distress and work–home imbalance. Interventions that support individual coping with moral distress and a work–home imbalance, and the support of direct supervisors, are paramount to prevent burnout in physicians and nurses.

scholarly journals Moral distress and burnout in internal medicine residents

2017 ◽  
Vol 8 (1) ◽  
pp. e36-43 ◽  
Author(s):  
Sharareh Sajjadi ◽  
Monica Norena ◽  
Hubert Wong ◽  
Peter Dodek
Keyword(s):  
Internal Medicine ◽  
Moral Distress ◽  
Clinical Teaching ◽  
Maslach Burnout Inventory ◽  
Intention To Leave ◽  
Internal Medicine Residents ◽  
Distress Score ◽  
Teaching Unit ◽  
High Level ◽  
Distress Scale

Background: Residents frequently encounter situations in their workplace that may induce moral distress or burnout. The objective of this study was to measure overall and rotation-specific moral distress and burnout in medical residents, and the relationship between demographics and moral distress and burnout.Methods: The revised Moral Distress Scale and the Maslach Burnout Inventory (Human Service version) were administered to Internal Medicine residents in the 2013-2014 academic year at the University of British Columbia.Results: Of the 88 residents, 45 completed the surveys. Participants (mean age 30+/-3; 46% male) reported a median moral distress score (interquartile range) of 77 (50-96). Twenty-six percent of residents had considered quitting because of moral distress, 21% had a high level of burnout, and only 5% had a low level of burnout. Moral distress scores were highest during Intensive Care Unit (ICU) and Clinical Teaching Unit (CTU) rotations, and lowest during elective rotations (p<0.0001). Women reported higher emotional exhaustion. Moral distress was associated with depersonalization (p=0.01), and both moral distress and burnout were associated with intention to leave the job.Conclusion: Internal Medicine residents report moral distress that is greatest during ICU and CTU rotations, and is associated with burnout and intention to leave the job.

scholarly journals Moral distress in nursing personnel

2013 ◽  
Vol 21 (spe) ◽  
pp. 79-87 ◽  
Author(s):  
Edison Luiz Devos Barlem ◽  
Valéria Lerch Lunardi ◽  
Guilherme Lerch Lunardi ◽  
Jamila Geri Tomaschewski-Barlem ◽  
Rosemary Silva da Silveira ◽  
...  
Keyword(s):  
Professional Practice ◽  
Moral Distress ◽  
Working Hours ◽  
Nursing Personnel ◽  
Southern Brazil ◽  
Rio Grande Do Sul ◽  
Team Meetings ◽  
Practice Method ◽  
Distress Scale ◽  
The Relationship

OBJECTIVE: to analyze the frequency and intensity of moral distress experienced by nursing personnel in southern Brazil, covering elements of their professional practice. METHOD: a survey was undertaken in two hospitals in Rio Grande do Sul, Brazil, with 247 nurses. Data was collected by means of the adapted Moral Distress Scale. RESULTS: the perception of situations that lead to moral distress is enhanced in nurses and in nursing staff working in institutions with greater openness to dialogue, which hold team meetings, with fewer working hours and a greater ratio of professionals to patients. CONCLUSION: understanding moral distress allows us to go beyond solving the problems of the workers themselves, enabling the development of an ethics of active individuals and wide opportunities, defined mainly by the relationship with oneself.

Critical Care Nurses’ Perceptions of Futile Care and Its Effect on Burnout

2004 ◽  
Vol 13 (3) ◽  
pp. 202-208 ◽  
Author(s):  
Lilia Susana Meltzer ◽  
Loucine Missak Huckabay
Keyword(s):  
Critical Care ◽  
Emotional Exhaustion ◽  
Moral Distress ◽  
Maslach Burnout Inventory ◽  
Critical Care Nurses ◽  
Full Time ◽  
Care Experience ◽  
Futile Care ◽  
Nurses Perceptions ◽  
Distress Scale

• Background Nurses’ perceptions of futile care may lead to emotional exhaustion. • Objectives To determine the relationship between critical care nurses’ perceptions of futile care and its effect on burnout. • Methods A descriptive survey design was used with 60 critical care nurses who worked full-time and had a minimum of 1 year of critical care experience at the 2 participating hospitals (350–470 beds). Subjects completed a survey on demographics, the Moral Distress Scale, and the Maslach Burnout Inventory. Six research questions were tested. The results of the following question are presented: Is there a relationship between frequency of moral distress situations involving futile care and emotional exhaustion? • Results A Pearson product moment correlational analysis indicated a significant positive correlation between the score on the emotional exhaustion subscale of the Maslach Burnout Inventory and the score on the frequency subscale of the Moral Distress Scale. Moral distress accounted for 10% of the variance in emotional exhaustion. Demographic variables of age, education, religion, and rotation between the critical care units were significantly related to the major variables. • Conclusions In critical care nurses, the frequency of moral distress situations that are perceived as futile or nonbeneficial to their patients has a significant relationship to the experience of emotional exhaustion, a main component of burnout.

scholarly journals Faktor-Faktor yang Mempengaruhi Moral Distress pada Perawat Kesehatan Jiwa

2020 ◽  
Vol 5 (1) ◽  
pp. 29
Author(s):  
Triyana Harlia Putri
Keyword(s):  
Mental Health ◽  
Nursing Education ◽  
Marital Status ◽  
Moral Distress ◽  
Early Adulthood ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Spearman Rank ◽  
Distress Scale

<p><em>Conflicts in patient care decision making often conflict with a nurse's personal values and lead to moral distress. Moral distress unwittingly can occur continuously and if not resolved, the condition can lead to burnout. This research is aimed toidentifythe factors that influence moral distress in mental health nurses.A cross-sectional study design was adopted. A total of 130 mental health nurses were recruited using universal sampling at Mental Health hospital X. The instrument used was Moral Distress Scale for Psychiatric. Data analysis was performed by univariate to see the frequency of each variable studied, namely respondent characteristics, while bivariate analysis used Spearman Rank. The results showed that most of the nurses 94 (72.3%) were in early adulthood and 86 (66.2%) were women, almost all 118 nurses (90.8%) with marital status, 92 (70.8%) with a Diploma in Nursing education, and 88 (67.7%) with years of service - 10 years and 79 (60.8%) expressed high level of moral distress, each dimensi of moral distress, 81 (62.3%) stated that it was Unethical action by caregiver, 68 (52.3%) Low Staffing, and 92 (71 %) stated that acquiescence of patients rights violations. There is nocorrelation between the demographic characteristic variables such as age, gender, education level, marital status,and duration of work with moral distress</em></p><p><em><br /></em></p><p><em><em>Konflik dalam pengambilan keputusan perawatan klien sering bertentangan dengan nilai pribadi seorang perawat, hal tersebut dapat mengindikasikan ke moral distress. Moral distress tanpa disadari dapat terjadi secara terus menerus dan apabila tidak teratasi, kondisi itu dapat mengarah ke burnout. Adapaun tujuan dalam penelitian ini yaitu mengetahui faktor-faktor yang mempengaruhi moral distress pada perawat kesehatan jiwa. Desain penelitian ini deskriptif analitik dengan pendekatan cross sectional. Jumlah sampel sebanyak 130 perawat kesehatan jiwa secara total sampling yang dilakukan di RSJ X . Penelitian ini menggunakan Moral Distress Scale for Psychiatric untuk mengukur tingkat moral distress. Analisis data dilakukan dengan univariat  untuk melihat frekuensi dari setiap variabel yang diteliti yaitu karakteristik responden, sementara analisis bivariate digunakan teknik analisis bivariat korelasi Spearman Rank.  Hasil penelitian didapatkan bahwa sebagian besar dari perawat 94 (72,3%) berada pada usia dewasa awal dan 86 (66,2%) adalah perempuan, hampir seluruh perawat 118 (90,8%) dengan status menikah, 92 (70,8%) dengan tingkat pendidikan DIII Keperawatan, dan 88 (67,7%) dengan lama bekerja 1 tahun - 10 tahun. Sebanyak 79 (60,8%) mengungkapkan moral distress level tinggi, masing- masing dimensi moral distress, 81 (62,3%)  menyatakan hal yang tidak etis dilakukan caregiver, 68 (52,3%) menyatakankekurangan staf  dan 92 (71%) menyatakansecara diam-diam menyetujui pelanggaran hak klien. </em></em><em><em>31.1 perawarkesehatan lainnya .ress dapat menyebabkan burnout.Tidak ada hubungan yang bermakna semua variabel karakteristik seperti umur, jenis kelamin, tingkat pendidikan, status pernikahan, dan lama bekerja dengan moral distress</em></em></p>

scholarly journals Stress and Burnout among multidisciplinary residents

2012 ◽  
Vol 20 (6) ◽  
pp. 1064-1071 ◽  
Author(s):  
Laura de Azevedo Guido ◽  
Carolina Tonini Goulart ◽  
Rodrigo Marques da Silva ◽  
Luis Felipe Dias Lopes ◽  
Emanuelli Mancio Ferreira
Keyword(s):  
Work Stress ◽  
Intervention Studies ◽  
High Stress ◽  
Maslach Burnout Inventory ◽  
Burnout Syndrome ◽  
Rio Grande Do Sul ◽  
Cross Sectional ◽  
P Values ◽  
Stress Scale ◽  
Demographic Questionnaire

OBJECTIVE: To identify associations between high-stress and burnout syndrome in multidisciplinary residents from a federal university in Rio Grande do Sul, Brazil. METHOD: This is an analytical, cross-sectional and quantitative study. A socio-demographic questionnaire, the Work Stress Scale and the Maslach Burnout Inventory-Health Services Survey (MBI-HSS) were applied to 37 residents between April and June 2011. P-values<0.05 were considered statistically significant. RESULTS: We verified that 48.65% of the residents experienced high-stress. When associating the MBI-HSS subscales, we verified that 27% of the residents showed some indication of burnout syndrome. There was a statistically significant correlation (p=0.00, r=0.68) between a high-stress and burnout. CONCLUSIONS: High-stress was confirmed as being a predictor of burnout syndrome among multidisciplinary residents. Therefore, we propose that intervention studies be conducted in order to change such contexts.

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