Analysis of the Relationship Between Nurse Burnout Levels and the Quality of Nursing Services
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Published:
Jul 30, 2024
Keywords:
Nurse Burnout, Quality of Nursing Services, Job Performance, Patient Care, Organizational Factors
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Articles
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Abstract
This study examines the relationship between nurse burnout levels and the quality of nursing services, highlighting the critical impact of burnout on both job performance and patient care outcomes. Utilizing a mixed-methods approach, quantitative data were collected through the Maslach Burnout Inventory to assess emotional exhaustion, depersonalization, and personal accomplishment among a diverse sample of registered nurses across various healthcare settings. Qualitative insights were garnered from semi-structured interviews and focus groups to explore perceptions of nursing service quality. The findings reveal a significant correlation between high burnout levels and decreased job performance, with nurses reporting challenges in communication, patient engagement, and overall care effectiveness. Systemic factors such as inadequate staffing and lack of managerial support were identified as major contributors to burnout, emphasizing the need for organizational reforms. This research underscores the importance of addressing nurse burnout not only for the well-being of nursing professionals but also for enhancing the quality of patient care. Recommendations for targeted interventions and policy initiatives are discussed, aiming to foster a healthier work environment and improve patient outcomes within the healthcare system.
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How to Cite
Devira, G. A. (2024). Analysis of the Relationship Between Nurse Burnout Levels and the Quality of Nursing Services. International Journal on ObGyn and Health Sciences, 2(3), 159–165. Retrieved from https://trigin.pelnus.ac.id/index.php/ObGyn/article/view/187
References
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Aiken, L. H., Sloane, D. M., Bruyneel, L., Van den Heede, K., Sermeus, W., & Consortium, R. (2013). Nurses’ reports of working conditions and hospital quality of care in 12 countries in Europe. International Journal of Nursing Studies, 50(2), 143–153.
Akinsulire, O. (2020). Exploring the experience of emotional stress and burnout in nursing health care professionals working in personality disorder forensic settings. City, University of London.
Al-Kandari, F., & Thomas, D. (2008). Adverse nurse outcomes: correlation to nurses’ workload, staffing, and shift rotation in Kuwaiti hospitals. Applied Nursing Research, 21(3), 139–146.
Sihotang, J. (2019). Implementation of Gray Level Transformation Method for Sharping 2D Images. INFOKUM, 8(1,
Desembe), 16-19.
Sihotang, J. (2020). Analysis of service satisfaction level using rough set algorithm. Infokum, 8(2, Juni), 55-56.
Sihotang, J. (2020). Analysis Of Shortest Path Determination By Utilizing Breadth First Search Algorithm. Jurnal Info Sains: Informatika dan Sains, 10(2), 1-5.
Sihotang, J., Panjaitan, E. S., & Yunis, R. (2020). Evaluation of Information Technology Governance by Using CobIT 5
Framework at Higher Education. Jurnal Mantik, 4(3), 2194-2203.
Almalki, M. J. (2012). Quality of work life and turnover intention in primary healthcare organisations: A cross-sectional study of registered nurses in Saudi Arabia. Queensland University of Technology.
Ashrafi, Z., Ebrahimi, H., Khosravi, A., Navidian, A., & Ghajar, A. (2018). The relationship between quality of work life and burnout: A linear regression structural-equation modeling. Health Scope, 7(1).
Christina Dempsey, M. S. N. (2016). Nurse engagement: what are the contributing factors for success? Online Journal of Issues in Nursing, 21(1), C1.
Amri, S., & Sihotang, J. (2023). Impact of Poverty Reduction Programs on Healthcare Access in Remote Ar-eas: Fostering
Community Development for Sustainable Health. Law and Economics, 17(3), 170-185.
Sihotang, J., Alesha, A., Batubara, J., Gorat, S. E., & Panjaitan, F. S. (2022). A hybrid approach for adaptive fuzzy network
partitioning and rule generation using rough set theory: Improving data-driven decision making through
accurate and interpretable rules. International Journal of Enterprise Modelling, 16(1), 12-22.
Sihotang, J. (2023). Optimization of Inventory Ordering Decision in Retail Business using Exponential Smoothing
Approach and Decision Support System. International Journal of Mechanical Computational and Manufacturing
Research, 12(2), 46-52.
Sihotang, J. (2023). Analysis Of the Differences in The Use of Zoom and Google Meet in Learning at Putra Abadi Langkat
University. Instal: Jurnal Komputer, 15(02), 474-479.
Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020). Burnout in nursing: a theoretical review. Human Resources for Health, 18, 1–17.
DiazGranados, D., Dow, A. W., Appelbaum, N., Mazmanian, P. E., & Retchin, S. M. (2018). Interprofessional practice in different patient care settings: A qualitative exploration. Journal of Interprofessional Care, 32(2), 151–159.
Dyrbye, L. N., Shanafelt, T. D., Johnson, P. O., Johnson, L. A., Satele, D., & West, C. P. (2019). A cross-sectional study exploring the relationship between burnout, absenteeism, and job performance among American nurses. BMC Nursing, 18, 1–8.
Ellenbecker, C. H., & Edward, J. (2016). Conducting nursing research to advance and inform health policy. Policy, Politics, & Nursing Practice, 17(4), 208–217.
Friganović, A., Selič, P., & Ilić, B. (2019). Stress and burnout syndrome and their associations with coping and job satisfaction in critical care nurses: a literature review. Psychiatria Danubina, 31(suppl. 1), 21–31.
Glenn, L. A., Stocker‐Schnieder, J., McCune, R., McClelland, M., & King, D. (2014). Caring nurse practice in the intrapartum setting: nurses’ perspectives on complexity, relationships and safety. Journal of Advanced Nursing, 70(9), 2019–2030.
Vinsensia, D., Amri, S., Sihotang, J., & Sihotang, H. T. (2024). New Method for Identification and Response to Infectious
Disease Patterns Based on Comprehensive Health Service Data. MATRIK: Jurnal Manajemen, Teknik Informatika dan Rekayasa Komputer, 23(3), 581-590.
Sihotang, H. T., Riandari, F., & Sihotang, J. (2024). Graph-based Exploration for Mining and Optimization of Yields
(GEMOY Method). Jurnal Teknik Informatika CIT Medicom, 16(2), 70-81.
Sihotang, J., Amri, S., & Vinsensia, D. (2024). Exploring the intersection of HIV/AIDS knowledge and rapid testing attitudes
in higher education: A student perspective. Community Service and Applied Research, 1(1), 18-29.
Sihotang, J., & Manalu, A. (2024). Strategi Pengawasan Orang Tua dalam Mengelola Waktu Bermain Gadget Anak di Desa Pancurbatu. Jurnal Pengabdian Masyarakat Nauli, 2(2), 65-72.
Simbolon, R., Sihotang, W., & Sihotang, J. (2024). Tapping Ocean Potential: Strategies for integrating tidal and wave energy into national power grids. GEMOY: Green Energy Management and Optimization Yields, 1(1), 49-65.
Jun, J., Ojemeni, M. M., Kalamani, R., Tong, J., & Crecelius, M. L. (2021). Relationship between nurse burnout, patient and organizational outcomes: Systematic review. International Journal of Nursing Studies, 119, 103933.
Kalliath, T. J., O’Driscoll, M. P., Gillespie, D. F., & Bluedorn, A. C. (2000). A test of the Maslach Burnout Inventory in three samples of healthcare professionals. Work & Stress, 14(1), 35–50.
Kelly, L. (2020). Burnout, compassion fatigue, and secondary trauma in nurses: Recognizing the occupational phenomenon and personal consequences of caregiving. Critical Care Nursing Quarterly, 43(1), 73–80.
Khamisa, N., Peltzer, K., & Oldenburg, B. (2013). Burnout in relation to specific contributing factors and health outcomes among nurses: a systematic review. International Journal of Environmental Research and Public Health, 10(6), 2214–2240.
Larsen, A. C., Ulleberg, P., & Rønnestad, M. H. (2017). Depersonalization reconsidered: an empirical analysis of the relation between depersonalization and cynicism in an extended version of the Maslach Burnout Inventory. Nordic Psychology, 69(3), 160–176.
Machado, M. (2018). Secondary traumatic stress among emergency department nurses.
Maslach, C. (2003). Job burnout: New directions in research and intervention. Current Directions in Psychological Science, 12(5), 189–192.
Maslach, C., & Leiter, M. P. (2016). Burnout. In Stress: Concepts, cognition, emotion, and behavior (pp. 351–357). Elsevier.
Newton, A. (2008). Disengagement from patient relationships: nurses’ experience in acute care. University of British Columbia.
Panagioti, M., Geraghty, K., Johnson, J., Zhou, A., Panagopoulou, E., Chew-Graham, C., Peters, D., Hodkinson, A., Riley, R., & Esmail, A. (2018). Association between physician burnout and patient safety, professionalism, and patient satisfaction: a systematic review and meta-analysis. JAMA Internal Medicine, 178(10), 1317–1331.
Sciences, N. A. of, Medicine, N. A. of, & Well-Being, C. on S. A. to I. P. C. by S. C. (2019). Taking action against clinician burnout: a systems approach to professional well-being.
Shah, M. K., Gandrakota, N., Cimiotti, J. P., Ghose, N., Moore, M., & Ali, M. K. (2021). Prevalence of and factors associated with nurse burnout in the US. JAMA Network Open, 4(2), e2036469–e2036469.
Taris, T. W. (2006). Is there a relationship between burnout and objective performance? A critical review of 16 studies. Work & Stress, 20(4), 316–334.
Tavella, G., Hadzi-Pavlovic, D., & Parker, G. (2021). Burnout: Redefining its key symptoms. Psychiatry Research, 302, 114023.
Aiken, L. H., Sloane, D. M., Bruyneel, L., Van den Heede, K., Sermeus, W., & Consortium, R. (2013). Nurses’ reports of working conditions and hospital quality of care in 12 countries in Europe. International Journal of Nursing Studies, 50(2), 143–153.
Akinsulire, O. (2020). Exploring the experience of emotional stress and burnout in nursing health care professionals working in personality disorder forensic settings. City, University of London.
Al-Kandari, F., & Thomas, D. (2008). Adverse nurse outcomes: correlation to nurses’ workload, staffing, and shift rotation in Kuwaiti hospitals. Applied Nursing Research, 21(3), 139–146.
Sihotang, J. (2019). Implementation of Gray Level Transformation Method for Sharping 2D Images. INFOKUM, 8(1,
Desembe), 16-19.
Sihotang, J. (2020). Analysis of service satisfaction level using rough set algorithm. Infokum, 8(2, Juni), 55-56.
Sihotang, J. (2020). Analysis Of Shortest Path Determination By Utilizing Breadth First Search Algorithm. Jurnal Info Sains: Informatika dan Sains, 10(2), 1-5.
Sihotang, J., Panjaitan, E. S., & Yunis, R. (2020). Evaluation of Information Technology Governance by Using CobIT 5
Framework at Higher Education. Jurnal Mantik, 4(3), 2194-2203.
Almalki, M. J. (2012). Quality of work life and turnover intention in primary healthcare organisations: A cross-sectional study of registered nurses in Saudi Arabia. Queensland University of Technology.
Ashrafi, Z., Ebrahimi, H., Khosravi, A., Navidian, A., & Ghajar, A. (2018). The relationship between quality of work life and burnout: A linear regression structural-equation modeling. Health Scope, 7(1).
Christina Dempsey, M. S. N. (2016). Nurse engagement: what are the contributing factors for success? Online Journal of Issues in Nursing, 21(1), C1.
Amri, S., & Sihotang, J. (2023). Impact of Poverty Reduction Programs on Healthcare Access in Remote Ar-eas: Fostering
Community Development for Sustainable Health. Law and Economics, 17(3), 170-185.
Sihotang, J., Alesha, A., Batubara, J., Gorat, S. E., & Panjaitan, F. S. (2022). A hybrid approach for adaptive fuzzy network
partitioning and rule generation using rough set theory: Improving data-driven decision making through
accurate and interpretable rules. International Journal of Enterprise Modelling, 16(1), 12-22.
Sihotang, J. (2023). Optimization of Inventory Ordering Decision in Retail Business using Exponential Smoothing
Approach and Decision Support System. International Journal of Mechanical Computational and Manufacturing
Research, 12(2), 46-52.
Sihotang, J. (2023). Analysis Of the Differences in The Use of Zoom and Google Meet in Learning at Putra Abadi Langkat
University. Instal: Jurnal Komputer, 15(02), 474-479.
Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020). Burnout in nursing: a theoretical review. Human Resources for Health, 18, 1–17.
DiazGranados, D., Dow, A. W., Appelbaum, N., Mazmanian, P. E., & Retchin, S. M. (2018). Interprofessional practice in different patient care settings: A qualitative exploration. Journal of Interprofessional Care, 32(2), 151–159.
Dyrbye, L. N., Shanafelt, T. D., Johnson, P. O., Johnson, L. A., Satele, D., & West, C. P. (2019). A cross-sectional study exploring the relationship between burnout, absenteeism, and job performance among American nurses. BMC Nursing, 18, 1–8.
Ellenbecker, C. H., & Edward, J. (2016). Conducting nursing research to advance and inform health policy. Policy, Politics, & Nursing Practice, 17(4), 208–217.
Friganović, A., Selič, P., & Ilić, B. (2019). Stress and burnout syndrome and their associations with coping and job satisfaction in critical care nurses: a literature review. Psychiatria Danubina, 31(suppl. 1), 21–31.
Glenn, L. A., Stocker‐Schnieder, J., McCune, R., McClelland, M., & King, D. (2014). Caring nurse practice in the intrapartum setting: nurses’ perspectives on complexity, relationships and safety. Journal of Advanced Nursing, 70(9), 2019–2030.
Vinsensia, D., Amri, S., Sihotang, J., & Sihotang, H. T. (2024). New Method for Identification and Response to Infectious
Disease Patterns Based on Comprehensive Health Service Data. MATRIK: Jurnal Manajemen, Teknik Informatika dan Rekayasa Komputer, 23(3), 581-590.
Sihotang, H. T., Riandari, F., & Sihotang, J. (2024). Graph-based Exploration for Mining and Optimization of Yields
(GEMOY Method). Jurnal Teknik Informatika CIT Medicom, 16(2), 70-81.
Sihotang, J., Amri, S., & Vinsensia, D. (2024). Exploring the intersection of HIV/AIDS knowledge and rapid testing attitudes
in higher education: A student perspective. Community Service and Applied Research, 1(1), 18-29.
Sihotang, J., & Manalu, A. (2024). Strategi Pengawasan Orang Tua dalam Mengelola Waktu Bermain Gadget Anak di Desa Pancurbatu. Jurnal Pengabdian Masyarakat Nauli, 2(2), 65-72.
Simbolon, R., Sihotang, W., & Sihotang, J. (2024). Tapping Ocean Potential: Strategies for integrating tidal and wave energy into national power grids. GEMOY: Green Energy Management and Optimization Yields, 1(1), 49-65.
Jun, J., Ojemeni, M. M., Kalamani, R., Tong, J., & Crecelius, M. L. (2021). Relationship between nurse burnout, patient and organizational outcomes: Systematic review. International Journal of Nursing Studies, 119, 103933.
Kalliath, T. J., O’Driscoll, M. P., Gillespie, D. F., & Bluedorn, A. C. (2000). A test of the Maslach Burnout Inventory in three samples of healthcare professionals. Work & Stress, 14(1), 35–50.
Kelly, L. (2020). Burnout, compassion fatigue, and secondary trauma in nurses: Recognizing the occupational phenomenon and personal consequences of caregiving. Critical Care Nursing Quarterly, 43(1), 73–80.
Khamisa, N., Peltzer, K., & Oldenburg, B. (2013). Burnout in relation to specific contributing factors and health outcomes among nurses: a systematic review. International Journal of Environmental Research and Public Health, 10(6), 2214–2240.
Larsen, A. C., Ulleberg, P., & Rønnestad, M. H. (2017). Depersonalization reconsidered: an empirical analysis of the relation between depersonalization and cynicism in an extended version of the Maslach Burnout Inventory. Nordic Psychology, 69(3), 160–176.
Machado, M. (2018). Secondary traumatic stress among emergency department nurses.
Maslach, C. (2003). Job burnout: New directions in research and intervention. Current Directions in Psychological Science, 12(5), 189–192.
Maslach, C., & Leiter, M. P. (2016). Burnout. In Stress: Concepts, cognition, emotion, and behavior (pp. 351–357). Elsevier.
Newton, A. (2008). Disengagement from patient relationships: nurses’ experience in acute care. University of British Columbia.
Panagioti, M., Geraghty, K., Johnson, J., Zhou, A., Panagopoulou, E., Chew-Graham, C., Peters, D., Hodkinson, A., Riley, R., & Esmail, A. (2018). Association between physician burnout and patient safety, professionalism, and patient satisfaction: a systematic review and meta-analysis. JAMA Internal Medicine, 178(10), 1317–1331.
Sciences, N. A. of, Medicine, N. A. of, & Well-Being, C. on S. A. to I. P. C. by S. C. (2019). Taking action against clinician burnout: a systems approach to professional well-being.
Shah, M. K., Gandrakota, N., Cimiotti, J. P., Ghose, N., Moore, M., & Ali, M. K. (2021). Prevalence of and factors associated with nurse burnout in the US. JAMA Network Open, 4(2), e2036469–e2036469.
Taris, T. W. (2006). Is there a relationship between burnout and objective performance? A critical review of 16 studies. Work & Stress, 20(4), 316–334.
Tavella, G., Hadzi-Pavlovic, D., & Parker, G. (2021). Burnout: Redefining its key symptoms. Psychiatry Research, 302, 114023.
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