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Aims Background Methods Results Conclusion Implications for nursing and nursing policy To assess the relationships in nursing teamwork, psychological detachment from work during nonwork time, and burnout, and the mediating effect of psychological detachment on the relationship between nursing teamwork and burnout.Nurse burnout has serious implications for nurses’ health and performance and the overall functioning of their organizations. Evidence on the relationships between nursing teamwork, psychological detachment, and nurse burnout is limited. This study adds to the international body of knowledge by examining the interplay between nursing teamwork, psychological detachment, and burnout in nurses, a topic of global relevance.This cross‐sectional study used survey data collected in May 2021 from 1115 Korean hospital nurses. The measurements included the Nursing Teamwork Survey, a subscale of the Recovery Experience Questionnaire, and the Copenhagen Burnout Inventory. We performed mediation analysis using PROCESS Macro based on 5000 bootstrapped samples to estimate the indirect effect of nursing teamwork.Nurses in units with stronger teamwork were more likely to report being psychologically detached from work during nonwork time. Nurses who distanced themselves from work‐related thoughts during nonwork time reported lower personal, work‐related, and patient‐related burnout. Nursing teamwork had significant indirect effects on each burnout outcome through psychological detachment.By providing empirical evidence on the associations between nursing teamwork, psychological detachment, and burnout, this study enriches the international discourse on nurse burnout and the benefits of psychological detachment. Enhanced nursing teamwork can facilitate nurses’ mental distance from work during nonwork time, thereby reducing burnout.Organizational efforts to manage nurse burnout can include increasing nursing teamwork among nurses and improving nurses’ psychological detachment during nonwork hours. Interventions should include improving nursing teamwork and developing a supportive and collaborative unit culture. [ABSTRACT FROM AUTHOR]

Aim Background and introduction Methods Results Conclusion Implications for nursing and health policy This systematic review and meta‐analysis aimed to analyze studies that examined the relationship between psychological capital and burnout in registered nurses.Registered nurses are subject to high rates of burnout, with negative consequences on health, well‐being, and quality of care. Psychological capital could be an important element in preventing or reducing this condition.This research is based on the Joanna Briggs Institute Guidelines and Preferred Reporting Items for systematic reviews and meta‐analysis. A total of 180 studies on psychological capital and burnout were retrieved from Web of Science, Scopus, PubMed, Medline, and PsycINFO. The articles were written in English, Spanish, French, and Portuguese. Then, 23 studies were included in several meta‐analyses (random‐effects models) performed with the R statistical program.Analysis of the 23 studies revealed that psychological capital and burnout are significantly correlated. The Psychological Capital Questionnaire (PCQ) and the Maslach Burnout Inventory (MBI) were the most used scales to measure psychological capital and burnout, respectively. The meta‐analyses showed an inverse correlation between psychological capital and burnout (r = −0.44, 95% CI [−0.51, −0.36], n = 6092), and emotional exhaustion (r = −0.32, 95% CI [−0.42, −0.21], n = 3349).This review provides evidence of the negative relationship between psychological capital and burnout in registered nurses. Therefore, enhancing psychological capital is an effective strategy to prevent and reduce burnout in nurses.Psychological capital is a personal resource open to development over time and susceptible to interventions aimed at promoting optimism, efficacy, hope, and resilience. In that sense, training aimed at improving psychological capital, as a protective mechanism to prevent and reduce burnout and emotional exhaustion, should be considered together with organizational measures to promote nurses' health and well‐being. [ABSTRACT FROM AUTHOR]

Nurses, as healthcare professionals who frequently interact with older patients in clinical settings, play a crucial role in providing direct care and services to older patients. However, nurses caring for older patients often experience substantial physical and emotional exhaustion, which can trigger a loss of motivation, feelings of helplessness, and burnout. The current study, conducted in Korea, investigated the impact of ageism on burnout among clinical nurses. To determine whether ageism was a significant predictor of nurse burnout, a structured questionnaire was distributed to 332 nurses at two hospitals. Multiple regression analysis then showed that ageism (B =.066, p <.001), female sex (B =.530, p =.003), and lower preference for geriatric nursing (B =.357, p =.002) were significantly associated with burnout. Our findings confirmed that ageism was strongly associated with nurse burnout, suggesting the need to develop interventions or training programs that can change nurses' perception of older people and facilitate emotional change. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Design Methods Results Conclusion Impact Reporting Method Patient or Public Contribution The main purpose of this study was to investigate the potential mediating role of job burnout in the relationship between organisational support and quiet quitting among nurses. Additionally, this study aimed to determine the associations between organisational support, job burnout and quiet quitting.This study was a descriptive, cross‐sectional study.This descriptive and cross‐sectional study included a total of 383 nurses. The convenience sampling method was used, and the study was conducted in Türkiye. Self‐reported measures, which included organisational support, job burnout and the quiet quitting scale, were completed by using an online version of the scale.Statistically significant associations were found between organisational support, job burnout and quiet quitting. Organisational support had a significant negative effect on quiet quitting. Additionally, job burnout had a positive effect on quiet quitting behaviour. Moreover, job burnout partially mediated the relationship between organisational support and quiet quitting.The findings highlight the importance of considering job burnout as a critical factor in mitigating the positive effect of organisational support on quiet quitting. Prioritising the job burnout of healthcare workers plays a significant role in reducing quiet quitting behaviour through organisational support.This study focused on how organisational support and burnout interact with quiet quitting, which is a current issue among nurses, and explained the mediating role of job burnout in the relationship between organisational support and quiet quitting. The main findings of this research provide evidence that organisational support influences quiet quitting behaviour. Similarly, job burnout affects quiet quitting behaviour. Moreover, job burnout plays a mediating role in the relationship between organisational support and quiet quitting behaviour. It has been proven that job burnout is a significant barrier to the impact of organisational support in reducing quiet quitting behaviour. This research will have an impact on the management and strategic planning of healthcare organisations.STROBE reporting method has been followed.No patient or public contribution. [ABSTRACT FROM AUTHOR]

Objective: To investigate the unique and cumulative associations of different sleep problem subtypes with burnout among Chinese nurses. Methods: A survey was conducted in Quanzhou, China, and a total of 744 nurses were included. Burnout was measured by Maslach Burnout Inventory-Human Services Survey across three dimensions: emotional exhaustion (EE), depersonalization (DP) and low personal accomplishment (PA). Pittsburgh Sleep Quality Index was used to measure 15 types of sleep problems. Binary logistic regression was employed to explore the association between sleep problems and burnout. Results: Prevalence of sleep problems, high EE, high DP and low PA were 43.3, 6.9, 23.4, and 63.2%, respectively. Experience of sleep problems significantly increased risk for EE (OR = 1.31, 95% CI : 1.185–1.436), DP (OR = 1.08, 95% CI : 1.023–1.142) and PA (OR = 1.09, 95% CI : 1.036–1.146). Of the 15 sleep problem subtypes, "feel too cold" and "have pain" were significant predictors of high EE (OR = 3.89, 95% CI : 1.629–9.302; OR = 3.00, 95% CI : 1.314–6.827, respectively), and "daytime dysfunction" significantly predicted low PA (OR = 1.68, 95% CI : 1.135–2.491). Around 40.9% of nurses had reported more than three subtypes of sleep problems. Experiencing more than three subtypes of sleep problems were significantly associated with an increased risk of DP and PA (ORs range from 2.07 to 2.71). Conclusion: These findings suggested that sleep problems was associated with an increased risk of burnout in nurses, with both unique and cumulative risks. Interventions should focus on the prevention and management of the effects of sleep problems among nurses. [ABSTRACT FROM AUTHOR]

Background: Burnout syndrome is marked by three primary domains: emotional exhaustion, depersonalization, and low personal accomplishment. This study assessed the prevalence of burnout syndrome among anesthesiologists, anesthesia technicians, and intensive care unit (ICU) nurses in Palestinian hospitals. In addition, this study also sought to assess associations and identify the factors that can predict higher burnout among anesthesiologists, anesthesia technicians, and ICU nurses. Methods: This study was conducted in a cross-sectional design using a questionnaire between October 2023 and December 2023. The questionnaire collected the demographic variables of the healthcare providers, their living conditions, lifestyle, working conditions, job satisfaction, and intention to change the profession. The healthcare providers were included from 12 different hospitals. Burnout syndrome was assessed using the Maslach Burnout Inventory-Human Services Survey for Medical Personnel (MBI-HSS-MP). Results: A total of 250 healthcare providers were invited to participate in this study, of those, 212 completed the questionnaire, giving a response rate of 84.8%. Of the healthcare providers, 72 (34.0%) were anesthesiologists, 41 (19.3%) were anesthesia technicians, and 99 (46.7%) were ICU nurses. Of all healthcare providers, 151 (71.2%) reported emotional exhaustion, 125 (59%) reported depersonalization and 145 (68.4%) reported a lack of personal achievement based on the MBI-HSS-MP criteria for burnout. Multiple linear regression showed that higher emotional exhaustion scores could be predicted by the number of working hours per day (p-value = 0.039) and higher depersonalization scores could be predicted by having children (p-value = 0.001). On the other hand, lower personal achievement scores could be predicted by having children (p-value = 0.006), not owning a car (p-value = 0.036), and having more night shifts (p-value = 0.049). Conclusions: The findings of this study indicated that burnout syndrome was prevalent among anesthesiologists, anesthesia technicians, and ICU nurses in Palestinian hospitals. Healthcare authorities and professional bodies should consider designing interventions to reduce burnout and improve the psychological well-being of anesthesiologists, anesthesia technicians, and ICU nurses. Further studies are required to identify the most effective interventions for reducing burnout among anesthesiologists, anesthesia technicians, and ICU nurses in Palestine. [ABSTRACT FROM AUTHOR]

AbstractThis mixed-methods study examined the psychological well-being of registered nurses (RNs) working in a rural, acute care setting. The study used four instruments that measured anxiety, depression, stress, and burnout to determine psychological well-being. Data collection also included a demographic questionnaire and two open-ended questions. The quantitative findings of this mixed-methods study will be shared. The results found that participants experienced burnout, anxiety, depression, and stress. Using a post-pandemic lens this manuscript will discuss necessary traits that can be used by nurse leaders to initiate change, make improvements, and effectively prepare for the next healthcare crisis. [ABSTRACT FROM AUTHOR]

Purpose: This study systematically searched for differential correlates of criticism vs. emotional overinvolvement (EOI) towards patients with schizophrenia in families and halfway houses, which have only incidentally been reported in previous research. Identified patterns were compared across settings. Methods: We included 40 inpatients with schizophrenia living in halfway houses and 40 outpatients living with their families and recorded the expressed emotion (EE) of 22 psychiatric nurses or 56 parents, respectively, through Five Minutes Speech Samples. Each nurse rated 1–12 inpatients and each inpatient was rated by 2–5 nurses. Each outpatient was rated by one or both parents. As EE ratings had a multilevel structure, weighted Spearman correlations of criticism and EOI with various patient- and caregiver-related characteristics were calculated and compared with Meng's z-test. Results: Criticism was weakly negatively correlated with EOI in nurses but negligibly in parents. Distinct patterns of significant differential correlates arose across settings. Outpatients' aggressive behavior and parents' related burden were mainly associated with higher criticism. Inpatients' symptoms (agitation/aggression, negative and other psychotic symptoms) and nurses' burnout (Depersonalization) were mainly associated with lower EOI. Inpatients' perceived criticism and outpatients' previous suicide attempts were equally associated with higher criticism and lower EOI (mirror correlations). Finally, various inpatient attributes (older age, chronicity, unemployment and smoking) triggered higher EOI only. Inpatients' age, psychopathology (esp. agitation/aggression and negative symptoms) and perceived criticism survived adjustment for multiple comparisons. Conclusion: Our findings suggest setting-specific pathogenetic pathways of criticism and EOI and might help customize psychoeducational interventions to staff and families. [ABSTRACT FROM AUTHOR]

ABSTRACT Aims Background Methods Results Conclusion Relevance to Clinical Practice Reporting Method Patient or Public Contribution This study explores the link between mindfulness, compassion competence and job burnout among nurses, and analyses the mediating role that compassion competence plays in this relationship.Understanding nurses' mindfulness, compassion competence and job burnout is important, which could help devise interventions to relieve burnout in clinical nurses.This study adopts convenience sampling method and descriptive design quantitative research. A cross‐sectional study of 513 nurses was conducted from June to October 2023 in mainland China. The Socio‐demographic Questionnaire, Mindful Attention Awareness Scale, Maslach Burnout Inventory‐Human Service Survey and Compassion Competence Scale for the Nurses were utilised to gather basic demographic information on nurses and to evaluate their level of mindfulness, compassion competence and job burnout. Descriptive statistics, Spearman's correlation analyses and structural equation model were used to analyse the data.Five hundred and thirteen valid questionnaires were gathered. Spearman's correlation analysis revealed a strong negative link between mindfulness and job burnout, and between compassion competence and burnout, and a significant positive correlation between mindfulness and compassion competence. The results of the mediation analysis revealed that the relationship between mindfulness and job burnout was partially mediated by compassion competence, and the mediating effect accounted for 18.6% of the total effect.Compassion competence performed as a partial mediator between mindfulness and job burnout among nurses. Nursing managers could enhance nurses' mindfulness level and compassion competence through Mindfulness interventions and Compassion training to reduce their burnout.This study offers a fresh viewpoint on enhancing clinical nurses' compassion competence and reducing job burnout. Healthcare organisations and medical institutions can mitigate nurses' job burnout by improving their mindfulness levels and compassion competence.The study used the STROBE checklist for reporting.All participants were nurses who completed an electronic questionnaire related to this study. [ABSTRACT FROM AUTHOR]

Objectives: to assess and compare nurse burnout related to the use of E-based versus paper-based nursing documentation, identify the effectiveness of E-nursing documentation in improving the quality hospitalized patients' care, and to explore and compare the relationship between burnout and the quality of hospitalized patient care. A comparative, analytical descriptive approach was used. Methods: The current study employed the analytical-descriptive approach which seeks for verifying the effectiveness of electronic nursing documentation in improving the quality of hospitalized patients' care. A convenient sample of patient records and nurses from two purposefully selected hospitals, one uses electronic nursing documentation (King Fahad Medical City) and the other uses paper nursing documentation (Alsulayl general hospital), KSA. Tools: A- The Maslach burnout inventory to assess burn out among nurses in both hospitals, B- The Cat-ch-Ing instrument for assessing quality and quantity of nursing documentation and C- a structured patient survey tool. Results: There were differences in burnout in favor of paper-based documentation, and statistically significant differences were found between the study sample users of E- documentation and paper documentation on the quality of hospitalized patients' care in favor of e-nursing documentation at P (0.01), a negative correlative relationship was found between all burnout dimensions and the overall degree of burnout and the quality of hospitalized patients' care. Conclusion: Use of Electronic nursing documentation was of great value on patient outcomes, and nurses' burnout. [ABSTRACT FROM AUTHOR]

Academic burnout in nursing students is a serious problem worldwide that results in emotional exhaustion, cynicism and low professional efficacy. The aim of the current study was to examine the association between sleep quality and circadian rhythm indicators and academic burnout among Iranian nursing students. This cross-sectional study was conducted on 325 undergraduate nursing students studying at Qazvin University of Medical Sciences between November and February 2023. Data collection was carried out using self-report questionnaires including demographic characteristics, The Pittsburgh Sleep Quality Index (PSQI), reduced-Morningness-Eveningness Questionnaire (r-MEQ), and the Maslach Burnout Inventory-Student Survey (MBI-SS). Social jetlag (SJL) was defined as the absolute value of the difference between the midpoint of sleep on free days (MSF) and the midpoint of sleep on workdays (MSW). Data were analyzed using univariate and multivariate linear regression models. About 31.4% of participants had evening chronotype and almost half of them suffered from poor sleep quality. About 47.7% of the participants had SJL ≥ 2 h. In the multivariate linear regression model, students with evening chronotype compared to morning chronotype experienced more academic burnout in emotional exhaustion, cynicism and professional efficacy. PSQI score was only correlated with emotional exhaustion and cynicism subscales. Increased SJL was a predictor on all three subscales of academic burnout. The findings suggested that evening chronotype, poor sleep quality, and high SJL were associated with increased likelihood of academic burnout in nursing students. Assessment of circadian preference and sleep quality is beneficial for timely identification and prevention of academic burnout in nursing students. [ABSTRACT FROM AUTHOR]

Introduction: In order to be positioned to address the increasing strain of burnout and worsening nurse shortage, a better understanding of factors that contribute to nursing workload is required. This study aims to examine the difference between order‐based and clinically perceived nursing workloads and to quantify factors that contribute to a higher clinically perceived workload. Design: A retrospective cohort study was used on an observational dataset. Methods: We combined patient flow, nurse staffing and assignment, and workload intensity data and used multivariate linear regression to analyze how various shift, patient, and nurse‐level factors, beyond order‐based workload, affect nurses' clinically perceived workload. Results: Among 53% of our samples, the clinically perceived workload is higher than the order‐based workload. Factors associated with a higher clinically perceived workload include weekend or night shifts, shifts with a higher census, patients within the first 24 h of admission, and male patients. Conclusions: The order‐based workload measures tended to underestimate nurses' clinically perceived workload. We identified and quantified factors that contribute to a higher clinically perceived workload, discussed the potential mechanisms as to how these factors affect the clinically perceived workload, and proposed targeted interventions to better manage nursing workload. Clinical Relevance: By identifying factors associated with a high clinically perceived workload, the nurse manager can provide appropriate interventions to lighten nursing workload, which may further reduce the risk of nurse burnout and shortage. [ABSTRACT FROM AUTHOR]

Background: This study aims to investigate the relationship between burnout levels among intensive care unit (ICU) nurses, turnover intention, and the mediating role of psychological resilience. Methods: This survey design was used to collect data from 228 ICU nurses from hospitals in Turkey. The study utilized self-report questionnaires to measure burnout levels, turnover intention, and psychological resilience. The data were analyzed through structural equation modeling. Results: In the study, a positive relationship between burnout and turnover intention and burnout and psychological resilience is significant (p ≤ 0.001). However, psychological resilience was not found to have a mediating role, indicating that other factors or variables may play a more substantial role in the relation found between burnout and turnover intention. Also, the research model's Standardized Root Mean Square Residual is expected to be less than 0.10 for the model to have an acceptable fit. Conclusion: The findings suggest that levels of burnout among ICU nurses may have significant consequences on turnover intention. However, promoting resilience cannot help diminish the negative effects of burnout on turnover intention. The findings highlight the importance of burnout levels in nursing by synthesizing findings from the previous literature. Then, focusing on the concepts of turnover intention and psychological resilience, it explains the importance of these concepts in the Intensive Care Unit nurses and their relationships with each other. [ABSTRACT FROM AUTHOR]

Aims Design Methods Results Conclusion Implication Reporting Method Public Contribution To identify correlations among job burnout, structural empowerment, and patient safety culture (PSC), and to explore the potential moderating effect of structural empowerment on the associations between burnout and PSC.The study used a cross‐sectional survey design.Convenient sampling was employed. We conducted an anonymous online survey in January 2024 among nurses employed at hospitals in three regions of China. Job burnout, structural empowerment, and perceptions of PSC were assessed. A total of 1026 useable surveys were included in the analyses. Descriptive statistics were performed using SPSS software. A latent structural equation modeling approach using Mplus software was used to analyze the moderating effect.The proposed hypothetical model was supported. Job burnout had a strong direct negative effect on structural empowerment and PSC. Structural empowerment had a significant moderating effect on the relationship between job burnout and PSC.The empirically validated moderation model and study results suggest that managers of healthcare organisations can improve patient safety and care quality by fostering empowerment and providing sufficient support to clinical nurses.The findings of this study suggest that providing more support, resources, and information is likely to be effective in weakening the detrimental impact of job burnout on PSC. This study provides insights into the possible approaches that may improve patient safety. To control the impact of nurses' burnout on care quality, nurse managers should increase empowerment as well as staff nurse engagement.We have adhered to relevant EQUATOR guidelines and conducted an observational study, following the STROBE checklist.During the data collection phase of this study, clinical caregivers participated in completing the online survey. [ABSTRACT FROM AUTHOR]

Introduction: During the pandemic, fear of contracting Covid led to a drop in patient numbers in almost all health services. After the declaration of Covid as an endemic disease, the occupancy rate of general hospitals in Yogyakarta was over 80 per cent in almost all cases. When the pandemic ends, nurses will struggle to juggle an increasing workload. High workloads can lead to burnout, affect mental and physical health, and reduce motivation and enjoyment in caring. The aim of this study is to determine the impact of post-pandemic nurse workload on the incidence of burnout. Materials and methods: A cross-sectional simple random sampling design was used in this study. The sample size was 101 nurses working in Kulon Progo, Sleman and Bantul district hospitals. Data were analysed using gamma test. Results: The results of the analysis show that the perceived workload is heavy for nurses both physically (75.44%), and psychologically (80.84%). In the incidence of burn out, data obtained as many as 51 (50.12%) nurses experienced emotional exhaustion in the severe category. In the depersonalisation aspect, 55 (54.50%) nurses experienced burnout in the moderate category. Similarly, in the decline in nurses’ self-efficacy, as many as 76 (75.29%) nurses experienced burnout in the moderate category. The results of bivariate tests using the Gamma correlation statistical test obtained the results of p value (0.007) < α (0.05), which indicates there is a significant relationship between workload and burnout that occurs in nurses. The results of the correlation test obtained a correlation coefficient value (r) of 0.844 with a positive relationship direction. Conclusion: There is a very strong correlation between workload and burnout experienced by nurses in the inpatient room. The positive direction of the relationship means that the higher the workload, the higher the incidence of burnout experienced by nurses in the inpatient room, after the Indonesian Government turned Covid 19 into an endemic. [ABSTRACT FROM AUTHOR]

Aim Materials and Methods Results Conclusion The aim of this research is to determine the relationship between nurses' burnout status and their intention to leave the job during the COVID‐19 pandemic.The population of the descriptive study, which seeks a relationship, consists of nurses working in State Hospital, the sample consists of 213 nurses who agreed to participate in the research between April 2021 and August 2021. Data were collected using the ‘Personal Data Collection Form’, ‘Burnout Scale’ and ‘Intention to Leave Scale’. Ethics committee approval was obtained for the study.Of the participants, 75.6% were women, 91.1% cared for patients with a diagnosis of COVID‐19. The participants' Burnout Scale mean score was 4.34 ± 1.10, and the Intention to Leave Scale mean score was 2.94 ± 1.04. The relationship between burnout and age, gender, marital status, income status, unit of work, professional experience, choosing the profession voluntarily, being happy to do the job and caring for a patient with COVID‐19 was found to be statistically significant (p < 0.05). It has been concluded that age, income status, unit of work, professional experience, choosing the profession willingly and being happy to do the job affect the intention to leave the job. A positive and significant relationship was found between the mean scores of the Burnout Scale and the mean scores of the Intention to Leave Scale.This study determined that as nurses' burnout level increased, their intention to quit their jobs increased. [ABSTRACT FROM AUTHOR]

Situated within an important nexus for many human–animal relationships is the profession of veterinary nursing, a profession in which burnout is an increasing problem, affecting wellbeing and retention and, consequently, animal welfare. Self-care strategies can reduce the effects of burnout in the short term. However, organizational interventions are required to achieve long term change. This study aimed to determine the prevalence of burnout in veterinary nurses and identify organizational risk factors, in accordance with the Areas of Worklife model, that must be addressed to reduce burnout in this population. Seven databases and Google Scholar were searched using terms related to "burnout" and "veterinary nurses." Primary empirical studies published in English that examined organizational factors related to burnout in veterinary nurses were eligible for inclusion. Article screening and selection was completed by two reviewers and quality assessment was carried out using two validated quality assessment tools. Twelve articles were identified: nine cross-sectional surveys and three mixed-methods studies. Available data were insufficient to accurately determine burnout prevalence, but it appears that veterinary nurses are at moderate to high risk of developing burnout. Organizational risk factors for burnout in veterinary nurses were identified in all six Areas of Worklife domains (Workload, Control, Reward, Community, Fairness, and Values). Common risk factors include high workload, low control and autonomy, underutilization, low remuneration, co-worker incivility, inequitable treatment, poor work–life balance, and exposure to animal suffering, euthanasia, and death. Recommended management strategies include increased opportunities for skill utilization and development, workload and task adjustments, and increased schedule control. However, the extent to which these strategies are effective in individuals and practicable for organizations remains poorly understood. Future research should address how these risk factors impact individuals and organizations to better inform organizational intervention strategies. [ABSTRACT FROM AUTHOR]

Background Aim Design Methods Results Conclusion Patient or Public Contribution Impact In the nursing profession, the concept of self‐compassion has been associated with burnout. However, to date, the fine‐grained relationships between different dimensions of self‐compassion and symptoms of burnout have not been investigated. Network analysis provides a new avenue for exploring the fine‐grained correlation paths of two related variables.To analyse the nuanced associations between self‐compassion and burnout using network analysis in a large cohort of Chinese nurses.A cross‐sectional multi‐centre survey design study.Participants were recruited from 30 hospitals in China between April and May 2022. These nurses completed the Chinese Maslach Burnout Inventory‐General Survey (C‐MBI‐GS) and Self‐Compassion Scale‐Short Form (SCS‐SF). Network analysis was performed to illustrate the complex nuanced relationships between self‐compassion and burnout.A total of 1467 nurses (age 32.2 [18–56] years; 89.9% were female) participated in the study. Nodes Mindfulness and Isolation had the highest centralities measured by strength. Nodes Mindfulness, reduced personal accomplishment and Isolation were the most negative and positive influential nodes that bridged self‐compassion and burnout. There were no differences in terms of gender, age, professional title and job tenure in the structure or connectivity of the self‐compassion and burnout network.Different components of self‐compassion were specifically associated with different dimensions of burnout in registered nurses. Among these, Mindfulness, Isolation and Reduced personal accomplishment were the three most important components of self‐compassion for burnout symptoms.No patient or public contribution.Understanding the intricate connections between self‐compassion and burnout will allow hospital administrators to prioritize the elements of Mindfulness and Isolation within self‐compassion and the dimension of Reduced personal accomplishment within burnout when designing preventative measures and interventions aimed at reducing nurse burnout. [ABSTRACT FROM AUTHOR]

Background: Anesthesia nurses working with COVID-19 patients experience exceptional emotional and physical strain due to the nature of their work in a high-risk environment. This has negative consequences for their physical and mental health and often leads to the development of occupational burnout syndrome. The purpose of this study was to evaluate a new neuromarker-based form of combined EEG / TDCS training in reducing occupational burnout syndrome in a nurse anesthetist working with patients with COVID-19. Case study: The patient, an unmarried 30-year-old anaesthetic nurse who had been working in the profession for six years, was referred to the Reintegration and Training Center of the Polish Neuropsychological Society in late 2022. A clinical interview and analysis of her medical records established that for the past two years (from early April 2020 to mid-April 2022), during which she had worked at a closed Intensive Care Unit (ICU) for patients infected with SARS-CoV-2 and contracting COVID-19, had been extremely taxing and anxiety-producing. With each successive wave of the pandemic, when the ICU was in a critical situation full of all kinds of stressors, including numerous cardiac arrests and the deaths of those she was caring for, she became increasingly mentally and physically exhausted. In addition, she experienced two losses of consciousness, but EEG and CT scans showed no changes. Her medical condition, especially her attention deficit disorder, working memory and confusion, caused her to lose her ability to work. She went on a disability pension due to full-blown occupational burnout syndrome (ICD-10 code 273.0) with a variety of psychosomatic symptoms. Several episodes of epileptic seizures were observed during her 40-minute qEEG recording with eyes open and closed and her per for mance of the PsyTask. The independent component analysis (ICA) extracted, among other things, a delta that corresponded to a 3Hz seizure and was generated in the prefrontal-temporal region of the right cerebral hemisphere. Functional neuromarkers of anxiety and depression were also detected in both the raw EEG recordings and data obtained from qEEG/ERPs analysis compared to the norm from the Human Brain Index (HBI). The new, neuromarker-based, form of combined EEG/tDCS training carried out the basisof these neuromarkers, conducted in 32 treatment sessions, proved effective in reducing individual disorders, including seizure activity. Conclusions: The examined anaesthetic nurse recovered from anxiety and depression, as well as occupational burnout syndrome and other psychosomatic disorders after 32 sessions of the new, combined neurofeedback EEG/tDCS training, and she returned to work at the ICU. Specific patterns of qEEG and ERPs serve as neuromarkers for constructing the protocol and for monitoring the results of intervention. HBI methodology can be successfully used in neurodiagnosis and ne u ro therapy offered to patients with occupational burnout syndrome. [ABSTRACT FROM AUTHOR]

Research Purpose: This study aimed to develop a preliminary Nurses' Physical Environmental Stress Scale (NPESS) that explores the relationships between the physical environment in the intensive care unit (ICU) and work-related stress among ICU nurses. Background: Working within the healthcare field is stressful and comes with a high level of responsibility for nurses, especially ICU nurses. The ICU work environment is associated with risk factors such as excessive workload, increased expectations, and long working hours that can lead to burnout among nurses. There is some evidence that environmental design has the potential to prevent or mitigate work-related stress; however, an adequate assessment tool to identify physical environmental stressors or supports for moderating stress is lacking. Methods: To develop the preliminary environmental assessment tool, an exploratory sequential methodology was used. The approach consisted of three distinct phases, including (a) a qualitative content analysis of existing focus group data, (b) a qualitative content analysis of pertinent literature related to environmental assessment tools in a healthcare context, and (c) the development and refinement of the NPESS assessment tool. Tool refinement was based on interviews with ICU nurses. Results: The resulting NPESS tool was comprised of seven sections (sounds, lighting, smells, staff respite spaces, staff workspaces, patient rooms, and aesthetic qualities) containing a total of and 81 items that address factors that were identified as potential moderators of environmental stress in ICU settings. Conclusions: The resulting NPESS assessment tool provides a feasible approach for evaluating ICU settings to identify possible improvements to reduce stress among nurses. Future research will be conducted to assess the validity and reliability of the final tool by distributing it to a larger sample of ICU nurses. [ABSTRACT FROM AUTHOR]

Burnout among nurses is a pervasive concern in healthcare, with profound implications for patient care and nurse well-being. While research has highlighted the detrimental effects of burnout on many aspects of nursing, including patient safety and quality of care, the underlying mechanisms driving burnout warrant further investigation. In this cross-sectional study, we surveyed 196 nurses from diverse Italian hospitals using an online questionnaire via Qualtrics. Our findings revealed significant negative correlations between psychological safety climate and both relational stressors and emotional exhaustion. Conversely, relational stressors positively correlated with emotional exhaustion, and a significant negative indirect effect of psychological safety climate was found for emotional exhaustion through relational stressors, emphasizing the pivotal role of psychological safety climate in mitigating nurse burnout. Our study underscores the potential effectiveness of interventions targeting psychological safety climate and relational stressors in alleviating emotional exhaustion and burnout among nurses. Theoretical implications underscore the importance of deepening the role of psychological safety climate in mitigating emotional exhaustion, while practical implications emphasize the need for fostering a positive psychological safety climate and implementing targeted interventions to support nurses' well-being. [ABSTRACT FROM AUTHOR]

Background: During the COVID-19 pandemic, medical workers were concerned about the care of their children or family members and the impact of being separated from them. This increased stress could harm the relationship between nurses and patients. This study assessed how medical workers' parental role may affect burnout during such a high-stress period. Methods: This cross-sectional observational study was carried out in 2021 during the COVID-19 pandemic. The client burnout (CB) scale of the Copenhagen Burnout Inventory, the Nordic Musculoskeletal Questionnaire, and a demographic questionnaire were used. Statistical methods such as the t-test, one-way ANOVA, and univariable/multiple linear regression were applied. Results: A total of 612 nurses were included in this study. The likely risk factors of CB were identified and the parenthood effect was found to be associated with reduced CB. The parental role and leisure activity with family and friends on CB were found to have an impact. Engaging in leisure activity with family and playing the role of a parent diligently will help relieve nurses' burnout from frequent contact with patients and their families, thus lowering the risk of clinical burnout. Conclusion: The parental role, family/friends relationships, and a complex work environment associated with nurses' burnout during the COVID-19 pandemic. This finding allows us to re-examine the importance of family life and parent–child relationships in high-stress work environments. [ABSTRACT FROM AUTHOR]

The hospital provides health services such as inpatient, outpatient, and emergency departments. The quality of nursing care is crucial as patients rely on nurses to address their complaints. This study aims to determine the relationship between nurse burnout and patient safety culture with the quality of nursing care. An analytical observational design with a cross-sectional study approach was conducted in two Type B Hospitals in Central Sulawesi Province with 235 nurse respondents in the inpatient room, using purposive sampling. Data analysis included the Pearson product-moment test and multivariate modeling. Results indicated a significant relationship between nurse burnout and nursing care quality (p-value <0.05), as well as between patient safety culture and nursing care quality. The dominant variable related to the quality of nursing care was patient safety culture (β = 0.723). The study highlights that nurse burnout negatively impacts the quality of nursing care, whereas a strong patient safety culture improves it. Theoretically, this research expands the understanding of the interplay between nurse burnout, patient safety culture, and nursing care quality, emphasizing the need for organizational support and effective communication. Practically, it suggests that hospital administrators should implement strategies to reduce nurse burnout and foster a positive patient safety culture, such as stress management programs and a supportive work environment, to enhance nursing care quality and improve patient outcomes. [ABSTRACT FROM AUTHOR]

Background: During the COVID-19 pandemic, nurses have faced innumerable challenges, which have contributed to staggering increases in burnout rates. In the health care arena, burnout has been associated with the onset or exacerbation of physical illness, neglect of self-care, fatigue, decreased patient satisfaction, higher medication error rates, lack of nurse engagement, and increased nurse turnover. Purpose: This cross-sectional study sought to determine whether a correlation exists between self-reported physical activity and nurses' perception of burnout in a sample of hospital RNs. The secondary aim was to determine whether a correlation exists between the level of perceived burnout and the number of medication errors or near misses. Methods: Participants were asked to provide demographic information, complete the Copenhagen Burnout Inventory (CBI) and the Godin Leisure-Time Exercise Questionnaire (GLTEQ), and self-report the number of medication errors or near misses they were involved in during the previous 12 months. Data were analyzed using Stata version 17 software. Results: A total of 216 participants returned usable surveys. Regarding the relationship between burnout and physical activity levels, data analysis was performed for the 210 participants who completed both the CBI and the GLTEQ. Compared with the least physically active nurses, the most active nurses had significantly lower CBI scores, with 68.5% of those reporting low or no burnout also scoring 24 or more on the GLTEQ. The least physically active nurses had significantly higher CBI scores, with 47.6% of those reporting high burnout also scoring 13 or less on the GLTEQ. Moreover, 90% of the nurses with high burnout levels had directly cared for COVID-19 patients at some point between 2020 and 2022. Medical–surgical nurses experienced significantly higher levels of burnout compared with nurses working in other service areas. No significant relationship was found between the number of medication errors or near misses and burnout levels. Conclusions: This study found that the most physically active nurses reported lower levels of burnout, while the highest levels of burnout were found in the least active nurses. Although COVID-19 infection rates have eased, many nurses, particularly those who have cared for COVID-19 patients and those who work in medical–surgical environments, continue to experience burnout. Targeted programs to reduce work-related burnout, as well as organizational sponsorship of and unit-level support for such programs, are urgently needed. This study's findings suggest that promotion of physical activity may be an essential component to alleviating burnout. This cross-sectional study sought to determine whether a correlation exists between self-reported physical activity levels and nurses' perception of burnout in a sample of hospital RNs. [ABSTRACT FROM AUTHOR]

While burnout among health care workers has been well studied, little is known about the extent to which burnout among health care workers impacts the outcomes of their care recipients. To test this, we used a multi-year (2014–2020) survey of care aides working in approximately 90 nursing homes (NHs); the survey focused on work–life measures, including the Maslach Burnout Inventory (MBI) and work-unit identifier. Resident Assessment Instrument Minimum Data Set (RAI-MDS 2.0) data were obtained on all residents in the sampled NHs during this time and included a unit identifier for each resident. We used multi-level models to test associations between the MBI emotional exhaustion and cynicism sub-scales reported by care aides and the resident outcomes of antipsychotics without indication, depressive symptoms, and responsive behaviors among residents on units. In 2019/2020, our sample included 3,547 care aides and 10,117 residents in 282 units. The mean frequency of emotional exhaustion and cynicism across units was 43% and 50%, respectively. While residents frequently experienced antipsychotics without indication 1,852 (18.3%), depressive symptoms 2,089 (20.7%), and responsive behaviors 3,891 (38.5%), none were found to be associated with either emotional exhaustion or cynicism among care aides. [ABSTRACT FROM AUTHOR]

Background: A common condition known as nurse burnout is characterized by decreased vitality of nurses, leading to emotional exhaustion, decreased motivation, and feelings of dissatisfaction. This can lead to decreased effectiveness in their profession. Although reducing fatigue is commonly associated with leadership style, it is unclear whether some leadership philosophies are more successful than others. This study designed to explore the link between dimensions of burnout dimension and leadership styles among nurses at Karbala City Teaching Hospitals. Methods: A correlational descriptive study was conducted convenience sample method of 324 nurses in Karbala City, Iraq. Data collection was performed using a self-administer questionnaire. The first part contained items on participants' characteristics, the second part was perceived leadership styles in the health sector questionnaire and the third part was the Maslach Burnout Syndrome Inventory questionnaire. Results: Most participants were relatively young, with the majority (75%) between 20 and 35 years old, Females comprised a larger portion of the sample (nearly 70%) than males. Results indicated a particular correlation between leadership style and lower burnout among nurses. Conclusion: Leadership style has a relationship to high or low burnout depending on the leadership style followed by the nursing officer. [ABSTRACT FROM AUTHOR]

Background: Burnout has become a serious public health issue worldwide, particularly during the COVID‐19 pandemic. Functional connectome impairments associated with occupational burnout were widely distributed, involving both low‐level sensorimotor cortices and high‐level association cortices. Purpose: To investigate whether there are hierarchical perturbations in the functional connectomes and if these perturbations are potentially influenced by genetic factors in nurses who feel "burned out." Study Type: Prospective, case control. Population: Thirty‐three female nurses with occupational burnout (aged 27–40, 32.42 ± 3.37) and 32 matched nurses who were not feeling burned out (aged 27–42, 32.50 ± 4.21). Field Strength/Sequence: 3.0 T, gradient‐echo echo‐planar imaging sequence (GE‐EPI). Assessment: Gradient‐based techniques were used to depict the perturbations in the multi‐dimensional hierarchical structure of the macroscale connectome. Gene expression data were acquired from the Allen Human Brain Atlas. Statistical Tests: Cortex‐wide multivariate analyses were used for between‐group differences in gradients as well as association analyses between the hierarchy distortions and the MBI score (FDR corrected). Partial least squares, spin test and bootstrapping were utilized together to select the gene sets (FDR corrected). Gene enrichment analyses (GO, KEGG and cell‐type) were further performed. Significance level: P < 0.05. Results: There were significant gradient distortions, with strong between‐group effects in the somatosensory network and moderate effects in the higher‐order default‐mode network, which were significantly correlated with the gene expression profiles (r = 0.3171). The most related genes were broadly involved in the cellular response to minerals, neuronal plasticity, and the circadian rhythm pathway (q value < 0.01). Significant enrichments were found in excitatory (r = 0.2588), inhibitory neurons (r = 0.2610), and astrocytes cells (r = 0.2633). Regions affected by burnout severity were mainly distributed in the association and visual cortices. Data Conclusion: By connecting in vivo imaging to genes, cell classes, and clinical data, this study provides a framework to understand functional impairments in occupational burnout and how the microscopic genetic architecture drive macroscopic distortions. Evidence Level: 1 Technical Efficacy: Stage 2 [ABSTRACT FROM AUTHOR]

The coronavirus disease 2019 (COVID-19) pandemic contributed to intensified nurse burnout. Workplace factors influence burnout, requiring organizational-level action to mitigate this problem. To inform immediate and long-term organizational tactics, we created workforce-informed recommendations for addressing burnout by engaging our nursing workforce to identify and prioritize the factors driving their burnout. We creatively applied the participatory management LISTEN-SORT-EMPOWER model to gather nurse views on burnout, capturing data through focus group sessions and mobile app postings. We coded findings through thematic and sentiment analysis, and participants ranked these results to prioritize the factors of their burnout. We collected 80 h of feedback and 603 app comments, resulting in 800,000+ words. Our analysis identified twelve drivers of burnout, including three themes: (1) Staffing shortages (660; 43.8%); (2) Environment and culture (548; 36.4%); (3) Total compensation (299; 19.8%). Additionally, 1300+ nurses chose income, workload/stress injury, and work schedule as uppermost priorities for addressing their burnout. Through novel project methods, leaders embraced participatory management to actively partner with nurses in identifying the drivers of nurse burnout. Healthcare organizations can design relevant and effective interventions to lessen clinician burnout by directly engaging and partnering with those experiencing burnout. [ABSTRACT FROM AUTHOR]

Background: The occupational burnout status of nurses in China warrants attention. Childhood trauma, loneliness, and emotional disturbance are significant predictors of this burnout, yet few studies have delved into the underlying mechanisms. This study seeks to explore the mediating pathway from childhood trauma to loneliness, emotional disturbance, and ultimately occupational burnout among nurses through a cross-sectional analysis. Method: Data for the study were collected from Yunnan province, China, from 11 July to 26 July 2022. Key variables were measured using standardized scales: the Childhood Trauma Questionnaire Short Form for childhood trauma, the threeitem loneliness scale for loneliness, the Patient Health Questionnaire and the Generalized Anxiety Disorder questionnaire for emotional disturbance, and the Maslach Burnout Inventory-Human Service Survey for occupational burnout. Mediation modeling analysis was employed for data analysis to test the effect of loneliness and emotional disturbance on the association between childhood trauma and occupational burnout. Data analysis was conducted using AMOS and SPSS software. Results: Loneliness and emotional disturbance fully mediated the association between childhood trauma and emotional exhaustion [indirect effect (95% CI) = 0.228 (0.196, 0.270)]. Loneliness and emotional disturbance partially mediated the association between childhood trauma [indirect effect (95% CI) = -0.020 (-0.039, 0.002)] and personal accomplishment or depersonalization [indirect effect (95% CI) = 0.221 (0.186, 0.255)]. Conclusion: Childhood trauma could affect occupational burnout through loneliness and emotional disturbance among nurses. Preventive strategies could include protective interventions like treatment of loneliness and emotional disturbance, especially in nurses who experienced childhood trauma. [ABSTRACT FROM AUTHOR]

Aim: To analyze the relationship between burnout syndrome, cognitive functions, and sBDNF (Serum Brain-derived Neurotrophic Factor) in Mexican nurses. Method: A descriptive cross-sectional design was used. This study target staff nurses working in hospitals in Guanajuato, México. Demographic and working condition data were collected via questionnaire. The Maslach Burnout Inventory (MBI) was used to evaluate burnout. A blood sample were collected and processed by ELISA technique to measure sBDNF. Finally, the General Cognitive Assessment (CAB) of the Cognifit© neuropsychological battery was used to evaluated cognitive functions. Results: Findings showed that there are sociodemographic characteristics and working conditions associated with burnout syndrome among nurses. Furthermore, the data demonstrated a significant decrease in sBDNF levels in burnout nurses and a negative correlation between BDNF levels and burnout syndrome. Additionally, these burnout nurse also revealed significant cognitive impairment in reasoning, memory, and attention as well as total scores of CAB. Interestingly, we found a positive correlation between sBDNF levels and the cognitive deficits in burnout nurse. Conclusion: Reduced BDNF levels could be a biological indicator or part of the pathological process of burnout, which could affect cognitive abilities. Reduced cognitive function in nurses has relevant implications and emphasizes the need for specialized preventive strategies because nurses make clinical decisions concerning their patients, whose situations are constantly changing. [ABSTRACT FROM AUTHOR]

Nurses face numerous stressors due to increasing patient acuity, challenging staffing ratios, and trauma from the COVID-19 pandemic, among many other factors. To help improve nurses’ daily self-care, nurses need diverse tools and interventions, such as peer support through text messaging (TM). This article evaluates the benefits of TM and strategies to use TM in providing effective peer support among nurses. [ABSTRACT FROM AUTHOR]

Objective: This survey aims to comprehensively understand occupational burnout among pre-hospital emergency medical personnel and explore associated risk factors. Methods: A cross-sectional online survey using a census method was conducted between 15 July, 2023, and ends on 14 August, 2023, in Chengdu, SiChuan province, China. The questionnaire included general demographic information, the Maslach Burnout Inventory-General Survey (MBI-GS) with 15 items, and the Fatigue Scale-14 (FS-14) with 14 items. Univariate analysis was conducted on all variables, followed by multivariate logistic regression models to examine the associations between occupational burnout and the risk factors. Results: A total of 2,299 participants,99.57% completed the survey effectively The participants were from 166 medical institutions in Chengdu, comprising 1,420 nurses (61.50%) and 889 clinical doctors (38.50%). A total of 33.36% participants experienced burnout, predominantly mild (30.27%), followed by moderate (2.78%) and severe (0.3%). Physicians, higher fatigue scores, age, work experience appeared to be related to burnout. Logistic regression models revealed that individuals aged over 50 were less prone to experience burnout compared to medical staff aged 18–30 (OR: 0.269, 95% CI: 0.115–0.627, p = 0.002). Physicians were more prone to experience burnout compared to nursing staff (OR: 0.690, 95% CI: 0.531–0.898, p = 0.006). Those with 0–5 years of experience were more prone to experience burnout compared to those with 6–10 years or over 15 years of experience (OR: 0.734, 95% CI: 0.547–0.986, p = 0.040; OR: 0.559, 95% CI: 0.339–0.924, p = 0.023). Additionally, for each 1-point increase in the fatigue score, the likelihood of burnout in medical staff increased by 1.367 times (OR: 1.367, 95% CI: 1.323–1.412, p < 0.0001). Conclusion: Pre-hospital emergency medical personnel demonstrate a notable prevalence of mild job burnout. These results provide a groundwork for future focus on the various stages of job burnout within pre-hospital emergency staff, alerting hospital and departmental managers to promptly address the mental well-being of their personnel and intervene as needed. [ABSTRACT FROM AUTHOR]

Objectives: The Syria war increased the number of injured and wounded victims, which in turn increased the workload on the nursing staff. Experiencing frequent psychological exhaustion may increase nurses' burnout, which negatively affects their performance, production, patient output, and job satisfaction. Methods: Our study utilized a descriptive correlational research design. A convenience sample of 60 nurses from three hospitals was utilized in the study. Results: The findings from this study showed a significant negative relationship between burnout and job satisfaction. Conclusion: The study considers the number of nurses in relation to the number of patients and provides respite-type care for nurses who reach significant emotional exhaustion. [ABSTRACT FROM AUTHOR]

Introduction: Considering the importance of the nursing profession, which serves as the link between the country’s health and treatment organization and patients, most recent research has aimed to investigate nurses’ career and family problems. However, fewer studies have addressed intervention and treatment approaches in this regard. This research was conducted to investigate the effectiveness of group therapy, based on acceptance and commitment, on occupational burnout, couple burnout, and family resilience among married nurses. Methods: The research method was experimental, utilizing a pre-test-posttest design with follow-up phases at one month and three months. The statistical population comprised all the nurses from one of the hospitals in Tehran during the 2020-2022 Coronavirus outbreak. The sample consisted of 24 nurses, 12 in the experimental and 12 in the control group, selected via simple random sampling. The questionnaires used in this research were Meslash’s Burnout Inventory (1981), Pines’s Couple Burnout Measure (1996), and Sixbey’s Family Resilience Assessment Scale (2006). The data were analyzed using a one-way repeated measures Analysis of Variance. Results: The results demonstrated that therapy based on acceptance and commitment significantly reduced occupational and couple burnout and increased family resilience among married nurses (P<0.01). Furthermore, the effects of treatment based on acceptance and commitment were maintained in the follow-up stages (P<0.01). Conclusion: One of the key implications of this study’s findings is that emphasizing acceptance processes and mental focus can help mitigate occupational and couple burnout among nurses. Consequently, it is recommended that policymakers in the healthcare sector consider this therapeutic approach in their decision-making processes. [ABSTRACT FROM AUTHOR]

Background: Emotional intelligence can improve nurses' interpersonal and coping skills, job performance, and resilience. However, there is a dearth in the literature on whether emotional intelligence affects levels of quiet quitting, turnover intention, and job burnout in nurses. Objective: We examined the relationship between emotional intelligence, quiet quitting, turnover intention, and job burnout. Methods: We conducted a cross-sectional study in Greece with a convenience sample of 992 nurses. We used the following valid tools to measure our study variables: the Trait Emotional Intelligence Questionnaire-Short Form, the Quiet Quitting Scale, and the single item burnout measure. Results: The mean age of our nurses was 42.2 years. After controlling for gender, age, work experience, shift work, and understaffed department, the multivariable linear regression models indicated significant negative relationships between emotional intelligence and quiet quitting, turnover intention, and job burnout. Specifically, self-control reduced detachment, lack of motivation, job burnout, and turnover intention. Moreover, emotionality reduced detachment, lack of motivation, and lack of initiative. Sociability reduced lack of initiative and lack of motivation, while well-being reduced lack of motivation, job burnout, and turnover intention. Conclusion: Emotional intelligence reduced quiet quitting, turnover intention, and job burnout in nurses. Therefore, nurse managers and policy-makers should apply interventions to optimize the emotional intelligence profiles of nurses. [ABSTRACT FROM AUTHOR]

Background: The COVID-19 pandemic represents a substantial threat to world health, economic stability, and civilization in general. In the COVID-19 era, health workers, particularly frontline nurses, face increasing pressure which further affects patient satisfaction. However, empirical studies that connected burnout, job satisfaction, and caring behavior toward patient satisfaction from the nurses' point of view are still scarce. Purpose: This study aimed to explore the relationship between nurse burnout with patient satisfaction mediated by work satisfaction and nurse caring behavior at a private COVID-19 referral hospital from the nurses' perspective. Methods: A quantitative survey with a cross-sectional approach was conducted from March to April 2021 to test the framework on the population obtained from full-time nurses who worked at a private COVID-19 referral hospital in Manado, North Sulawesi, Indonesia. The researcher analyzed the empirical data generated from purposive sampling resulting in 170 eligible respondents. Data were collected through a self-completed online questionnaire with the Likert scale. The data analysis deployed the PLS-SEM approach. Results: The findings indicate that nurse burnout is associated significantly (p<0.05 and CI 95%) with the delivery of patient satisfaction from the nurses' perspective, mediated by job satisfaction and nurses' caring behavior. The mediation relationship was found with β=0.021, while the direct relation from caring behavior to patient satisfaction was β=0.277 and from job satisfaction was β=0.582. The proposed model demonstrated adequate prediction of patient satisfaction as the dependent variable (R²=0.633). Conclusion: This study concluded that nurse burnout which consists of three dimensions mediated by job satisfaction and caring behavior had an association with patient satisfaction. Increased burnout will result in decreased job satisfaction and caring behavior. This study provides suggestions to the hospital manager to improve the quality of care by understanding nurse burnout and preventing it. [ABSTRACT FROM AUTHOR]

Abstract Background This study investigated the mediating and moderating impact of core self-evaluations in the path from emotional labor to burnout. Our hypothesized associations are based on Hobfoll (Rev Gen Psychol 6:307–24, 2002) conservation of resources theory. Method Three hundred nurses from four hospitals in Abadan, Iran, were invited to participate in our study. Of the 300, 255 completed all sections and questions in our survey for an 85% response rate. The posited direct and indirect effects were evaluated with structural equation modeling and the interaction effects were evaluated with hierarchical moderated regression and simple regression slope plots. Result Deep acting has indirect effects on burnout through core self-evaluations. Though unrelated to surface acting, core self-evaluations moderate its impact: under low core self-evaluations, surface acting is strongly related to emotional exhaustion and inversely related to personal accomplishment, whereas, under high core self-evaluations, surface acting is unrelated to these burnout dimensions. Conclusion Our findings reveal the dual functions of CSE as a psychological resource and buffer to offset the interpersonal demands of patient care. Limitations, directions for future research, and practical implications are discussed.

OBJECTIVE To estimate the reliability and the validity of the single item burnout measure in a sample of nurses in Greece. METHOD An online cross-sectional study in Greece with 963 nurses was conducted. Data was collected during October 2022. Demographic and work-related variables of nurses, i.e. gender, age, chronic disease, self-rated health status, years of experience, and working in COVID-19 ward/intensive care unit were measured. The single item burnout (SIB) and the Copenhagen Burnout Inventory (CBI) to measure occupational burnout were used. Moreover, the COVID-19 Burnout Scale (COVID-19-BS) to measure nurses' burnout during the pandemic, and the Patient Health Questionnaire-4 (PHQ-4) to measure anxiety and depression among nurses were used. RESULTS Intraclass correlation coefficient between the two measurements of the SIB during the test-retest study was 0.986 indicating excellent reliability of the SIB. A high correlation between CBI and SIB (p<0.001), a moderate correlation between PHQ-4 and SIB (p<0.001), and a low to moderate correlation between COVID-19-BS and SIB (p<0.001) was found. Therefore, concurrent validity of SIB was excellent. Moreover, SIB had high discriminant validity. In particular, nurses with a chronic disease, those with a very poor/poor/moderate health status, and those working in COVID-19 ward/intensive care units had higher levels of burnout according to the SIB (p<0.001 in all cases). Moreover, a positive relationship between years of experience and SIB score (r=0.13, p<0.001) was found. CONCLUSIONS The single item burnout measure is a brief, reliable, and valid tool that can be used as a screening measure to identify individuals at high risk of burnout. [ABSTRACT FROM AUTHOR]

The human resources economic implications of nursing burnout amongst nurses working in retirement homes have become a critical concern within the healthcare industry. As the backbone of care provision in these settings, it is crucial to understand the consequences of burnout on the workforce's well-being and organisational sustainability. This study aims to investigate burnout among nurses working in retirement homes in Slovenia. The reasons for burnout vary across countries and regions, so gathering data specific to this population is essential. Through surveys conducted among 253 nurses and medical technicians, factor analysis revealed three factors for burnout: emotional exhaustion, reduced personal fulfilment, and impersonality. This research aims to pave the way for reducing workplace stress by creating new opportunities for better working conditions. To achieve these goals, executive management in retirement homes should gain proficiency in the four elements of the quality management cycle: planning, execution, evaluation, and continuous improvement. Furthermore, a comparative analysis was conducted to collate the empirical findings with those from Croatia. [ABSTRACT FROM AUTHOR]

Founded in accordance with 19th century sex roles and public health concerns, nursing evolved as other-directed, dependent on physician-focused diagnosis, prescription decisions, and public health advancements. The result of this other direction is that public health nurse practitioners have endured significant workplace stress resulting in burnout, especially during COVID-19. To help decrease their burnout, nurses require development of self-direction. The Health Narratives Research Group (HeNReG) has the potential to reduce burnout in nurse practitioners by encouraging the development of self-direction. The HeNReG process is presented through historically analyzed documents regarding reducing burnout in health researchers by developing self-direction including: (1) three years of archived year-end feedback results provided by participants, (2) archived participant responses to specific HeNReG-related writing prompts, and (3) a comparison of HeNReG results with the outcomes of resilience programs. The conclusion--the HeNReG offers an effective option for reducing burnout in health researchers that has the potential to decrease nurse practitioner burnout in a way that resilience programs do not. Tailoring the HeNReG process to public health nurses is discussed, inviting future research for reducing burnout in public health nurses. [ABSTRACT FROM AUTHOR]

Nurses face a range of unhealthy organizational, physical, psychological, and spiritual issues that can lead to burnout, turnover, and leaving the profession. Nurses who use prayer for support may find their faith to be another source of tension when stressors endlessly continue without change despite prayer. Walter Brueggemann's states of orientation, disorientation , and reorientation in his classic work on praying the Old Testament book of Psalms offer a means for managing spiritual tension. Praying using the psalms can become a self-care tool for building resilience. [ABSTRACT FROM AUTHOR]

Recruiting and retaining qualified nurse educators is vital to addressing the nursing shortage and ensuring the health and well-being of current nurses in our communities. However, low faculty salaries remain a major barrier to recruiting and retaining qualified nurse educators. [ABSTRACT FROM AUTHOR]

Purpose: The present study aims to evaluate compassion satisfaction (CS), compassion fatigue (CF), and burnout levels in a population of nurses employed at medical city in Riyadh City, Saudi Arabia.Patients and Methods: A self-report survey was employed to gather data from 300 nurses at the selected medical city in Riyadh. The survey incorporated a demographic inquiry along with the utilization of the Professional Quality of Life Scale version 5 (ProQOL 5). The ProQOL scale is one of the most widely used measures of CS, CF, and burnout. The ProQOL scale assesses multiple domains of work experiences (ie CS, CF, and burnout). This survey was disseminated through email channels, and it garnered participation from 177 nurses, culminating in a response rate of 59%.Results: The study's findings reveal that nurses displayed average mean levels of CS, CF, and burnout. Interestingly, the participants aged 18– 56 reported higher levels of burnout, particularly those in the age groups of 18– 25, 26– 35, and 36– 56. Moreover, those with under 10 years' experience exhibited higher degrees of burnout and less CS compared to their more experienced counterparts. Additionally, nurses with professional qualifications demonstrated better scores on CS, CF, and burnout compared to those without such qualifications.Conclusion: The experience of CF and CS among nurses appears to be influenced by multiple variables, such as length of experience, age, and professional qualifications. Nurses in certain age groups and with less experience are more prone to experiencing burnout, while having professional qualifications seems to protect against adverse outcomes to some extent. [ABSTRACT FROM AUTHOR]

We consider the problem of setting appropriate patient-to-nurse ratios in a hospital, an issue that is both complex and widely debated. There has been only limited effort to take advantage of the extensive empirical results from the medical literature to help construct analytical decision models for developing upper limits on patient-to-nurse ratios that are more patient- and nurse-oriented. For example, empirical studies have shown that each additional patient assigned per nurse in a hospital is associated with increases in mortality rates, length-of-stay, and nurse burnout. Failure to consider these effects leads to disregarded potential cost savings resulting from providing higher quality of care and fewer nurse turnovers. Thus, we present a nurse staffing model that incorporates patient length-of-stay, nurse turnover, and costs related to patient-to-nurse ratios. We present results based on data collected from three participating hospitals, the American Hospital Association (AHA), and the California Office of Statewide Health Planning and Development (OSHPD). By incorporating patient and nurse outcomes, we show that lower patient-to-nurse ratios can potentially provide hospitals with financial benefits in addition to improving the quality of care. Furthermore, our results show that higher policy patient-to-nurse ratio upper limits may not be as harmful in smaller hospitals, but lower policy patient-to-nurse ratios may be necessary for larger hospitals. These results suggest that a "one ratio fits all" patient-to-nurse ratio is not optimal. A preferable policy would be to allow the ratio to be hospital-dependent. [ABSTRACT FROM AUTHOR]

Suicidal ideation is a complex phenomenon influenced by several predisposing, contextual, and mediating factors that seem more common among healthcare workers, especially nurses. We investigated the association of bullying and burnout with suicidal ideation among Bangladeshi nurses and identified the associated factors. We conducted a cross-sectional study among 1264 nurses in Bangladesh between February 2021 and July 2021. We applied a modified Poisson regression model with robust error variance to determine the association of bullying and burnout with suicidal ideation. Among 1264 nurses, the female was 882 (70.02%), and the mean age was 28.41 (SD = 5.54) years. The prevalence of high levels of suicidal ideation was 13.26%. In the Poison regression model, high risk bullying (RR = 6.22, 95% CI 3.13–12.38), targeted to bullying (RR = 7.61, 95% CI 3.53–16.38), and burnout (RR = 8.95, 95% CI 2.84–28.20) were found to be significantly associated with suicidal ideation. Furthermore, we found significant interaction between workplace bullying and burnout with suicidal ideation (p < 0.05). The high prevalence of bullying, burnout, suicidal ideation, and their association indicate an unsafe workplace for the nurses. Initiatives are needed to make a favorable work environment to improve nurses' overall mental health and reduce suicide ideation. [ABSTRACT FROM AUTHOR]

Objective: Nurses constitute the largest group of healthcare workers worldwide, and job burnout is very common among them. This study aims to explore abnormal future thinking in nurses with burnout. Additionally, the study investigates whether these manifestations worsen as burnout progresses. Methods: The study was conducted in inpatient ward nurses at a tertiary hospital in Hangzhou, China. In the first phase, two group of nurses were recruited: nurses with burnout (N = 70) and nurses without burnout (N = 70). In the second phase, three groups were recruited according to the burnout levels: mild burnout (N = 43), moderate burnout (N = 42) and severe burnout (N = 43). Data on job burnout were obtained using the Chinese Maslach Burnout Inventory. The Sentence Completion for Events in the Future Test (SCEFT) was employed to measure the content of future thinking, which was evaluated by two raters in terms of the specificity, emotional valence, and concrete content of the imagined future events. The proportions of specific types of events among all the produced events were calculated. Results: The results revealed that nurses with burnout, compared to nurses without burnout, imagined fewer specific future events, positive events, and events related to relationships and achievement. They also had more omissions. As the level of burnout increased, their impairment in future thinking worsened. Furthermore, the results also revealed that the scores of emotional exhaustion, depersonalization, and personal accomplishment had significant correlations with the proportions of positive events and events related to relationships and achievement/mastery in nurses’ future thinking content. Conclusion: The future thinking ability of nurses with burnout was impaired, and this impairment worsened as the symptoms of burnout progressed. The findings of the present study have important implications for nurse caring and advocate effective interventions targeting positive future thinking to mitigate nurses’ burnout. [ABSTRACT FROM AUTHOR]

Background: Mental health nurses are burdened with risk of occupational burnout. They are exposed to severe psychological stress because they often encounter violence, assaults, beatings, suicides, patient escapes and other difficult situations in their work. Aim of the study: Analysis of occupational burnout and severity of depression symptoms among nurses working with patients with mental disorders. Material and methods: In 2022, 106 members of the nursing staff working with patients with mental disorders were examined. The Maslach Burnout Inventory Questionnaire and the Center for Epidemiologic Studies Depression Scale were used. Results: Respondents showed high levels of emotional exhaustion (43; 40.57%), depersonalization (30; 28.30%) and lack of personal achievement (60; 56.60%). The group of 30.19% (n=32) had symptoms of severe depression. The higher level of depression, the higher level of emotional exhaustion (r=0.554, p<0.001), the higher level of depersonalization (r=0.499, p<0.001), the lower level of job satisfaction (r=-0.59, p<0.001). The people with very good or good sleep quality had higher level of job satisfaction (p=0.001), lower level of emotional exhaustion (p<0.001) and depersonalization of (p=0.006) in contrast to people with bad quality of sleep. People who had eaten unhealthy food, had higher level of emotional exhaustion (p=0.02) and depersonalization (p=0.006), and lower level of job satisfaction (p=0.019) in contrast to people who had eaten healthy food. Conclusions: Healthy, regular nutrition and good quality of sleep appeared to be key determinants that reduce the level of occupational burnout. The results show how important are these factors in prevention. [ABSTRACT FROM AUTHOR]