The perception of burnout and related influencing factors in Tunisian oncology nurses.

Tunisia burnout syndrome nurses oncology prevalence risk factors

Journal

Journal of evaluation in clinical practice
ISSN: 1365-2753
Titre abrégé: J Eval Clin Pract
Pays: England
ID NLM: 9609066

Informations de publication

Date de publication:
26 May 2024
Historique:
revised: 23 04 2024
received: 04 02 2024
accepted: 12 05 2024
medline: 26 5 2024
pubmed: 26 5 2024
entrez: 26 5 2024
Statut: aheadofprint

Résumé

Oncology nurses constantly provide emotional support to patients and are confronted with their suffering, which represents chronic stress leading to the development of burnout syndrome. This study aimed to evaluate the prevalence of burnout and identify associated factors in a sample of oncology nurses. We conducted a descriptive cross-sectional study with 70 oncology nurses at the Salah Azaiez Institute of Oncology in Tunisia. Burnout was assessed using the Maslach Burnout Inventory Human Service Survey. This study follows the STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) Guidelines. Burnout affected 60 nurses (85.7%), with a high level in 20% of cases. High scores of emotional exhaustion, depersonalisation, and low personal accomplishment were recorded in 65.7%, 50% and 25.7% respectively. Emotional exhaustion was associated with higher age, marital status, having 2 or 3 or more dependent children, number of patients under care exceeding 15, professional experience and history of psychiatric problems. Depersonalisation was correlated with age, marital status, professional grade and history of psychiatric problems. Low levels of personal accomplishment increased with the number of patients under care, history of psychiatric problems and the regret of professional choice. Burn-out is a reality in oncology hospital with an alarming rate. Interventions including rationalisation of workload, support groups, training in emotion and stress management would improve the mental health of these nurses and increase their performance. The screening for burnout should be included as a regular practice in health promotion programmes for oncology health professionals, particularly for a vulnerable subgroup that possesses the risk mentioned above factors.

Sections du résumé

BACKGROUND BACKGROUND
Oncology nurses constantly provide emotional support to patients and are confronted with their suffering, which represents chronic stress leading to the development of burnout syndrome.
AIM OBJECTIVE
This study aimed to evaluate the prevalence of burnout and identify associated factors in a sample of oncology nurses.
METHODS METHODS
We conducted a descriptive cross-sectional study with 70 oncology nurses at the Salah Azaiez Institute of Oncology in Tunisia. Burnout was assessed using the Maslach Burnout Inventory Human Service Survey. This study follows the STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) Guidelines.
RESULTS RESULTS
Burnout affected 60 nurses (85.7%), with a high level in 20% of cases. High scores of emotional exhaustion, depersonalisation, and low personal accomplishment were recorded in 65.7%, 50% and 25.7% respectively. Emotional exhaustion was associated with higher age, marital status, having 2 or 3 or more dependent children, number of patients under care exceeding 15, professional experience and history of psychiatric problems. Depersonalisation was correlated with age, marital status, professional grade and history of psychiatric problems. Low levels of personal accomplishment increased with the number of patients under care, history of psychiatric problems and the regret of professional choice.
CONCLUSION CONCLUSIONS
Burn-out is a reality in oncology hospital with an alarming rate. Interventions including rationalisation of workload, support groups, training in emotion and stress management would improve the mental health of these nurses and increase their performance. The screening for burnout should be included as a regular practice in health promotion programmes for oncology health professionals, particularly for a vulnerable subgroup that possesses the risk mentioned above factors.

Identifiants

pubmed: 38796771
doi: 10.1111/jep.14021
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 The Author(s). Journal of Evaluation in Clinical Practice published by John Wiley & Sons Ltd.

Références

ICD‐11 [Internet]. 2019; Accessed June 22, 2023. https://icd.who.int/en
Maslach C, Jackson SE. The measurement of experienced burnout. J Organization Behav. 1981;2(2):99‐113.
El Kettani A, Serhier Z, Othmani MB, Agoub M. Battas O. L'évaluation du syndrome du Burnout chez les médecins en formation au CHU Ibn Rochd de Casablanca. Pan Afr Med J. 2017;27:243.
Maslach C. What have we learned about burnout and health? Psychol Health. 2001;16(5):607‐611.
Meneghini F, Paz AA, Lautert L. Fatores ocupacionais associados aos componentes da síndrome de burnout em trabalhadores de enfermagem. Texto & Contexto ‐ Enfermagem. 2011;20(2):225‐233.
Bany Hamdan A, Alshammary S, Javison S, Tamani J, AlHarbi M. Burnout among healthcare providers in a comprehensive cancer center in Saudi Arabia. Cureus. 2019;11(1):e3987.
Schaufeli WB, Leiter MP, Maslach C. Burnout: 35 years of research and practice. Career Develop Int. 2009;14(3):204‐220.
Paiva BSR, Mingardi M, Valentino TCO, de Oliveira MA, Paiva CE. Prevalence of burnout and predictive factors among oncology nursing professionals: a cross‐sectional study. Sao Paulo Med J. 2021;139:341‐350.
Pang Y, He Y, Chen Z, Han X, Leng J, Tang L. The perceptions of burnout and related influencing factors in Chinese physicians and nurses working in a cancer hospital. Psycho‐Oncology. 2021;30(9):1525‐1534.
Khechine W, Ezzaairi F, Sahli J, et al. Burn‐out of the medical oncology health care professionals and associated factors in Tunisia. Psycho‐Oncologie. 2020;14(4):207‐216.
Aloulou J, Damak R, Masmoudi F, Sidhom O, Amami O. [Burn out in health care providers: a Tunisian study about 142 nurses]. Tunis Med. 2013;91(1):44‐49.
Ge MW, Hu FH, Jia YJ, Tang W, Zhang WQ, Chen HL. Global prevalence of nursing burnout syndrome and temporal trends for the last 10 years: a meta‐analysis of 94 studies covering over 30 countries. J Clin Nurs. 2023;32(17‐18):5836‐5854.
Ma Y, Xie T, Zhang J, Yang H. The prevalence, related factors and interventions of oncology nurses’ burnout in different continents: a systematic review and meta‐analysis. J Clin Nurs. 2023;32(19‐20):7050‐7061.
Maaroufi N, Rzeigui J, Ayari L, Abid Z, Dhaouadi M, Saidi H. Assessment of effects of stress among healthcare providers at the Tabarka and Jendouba General Hospital's Emergency Service Units in Northern Tunisia. Health. 2015;07(08):910‐914.
Cañadas‐De la Fuente GA, Gómez‐Urquiza JL, Ortega‐Campos EM, Cañadas GR, Albendín‐García L, De la Fuente‐Solana EI. Prevalence of burnout syndrome in oncology nursing: a meta‐analytic study. Psycho‐Oncology. 2018;27(5):1426‐1433.
Amamou B, Bannour AS, Hadj MB, Nasr SB, Hadj BB. Haute prévalence du burnout dans les unités Tunisiennes prenant en charge des patients en fin de vie. Pan African Med J. 2014;19:9.
Medisauskaite A, Kamau C. Prevalence of oncologists in distress: systematic review and meta‐analysis. Psycho‐Oncology. 2017;26(11):1732‐1740.
Aiken LH, Clarke SP, Sloane DM. Hospital staffing, organization, and quality of care: cross‐national findings. Nurs Outlook. 2002;50(5):187‐194.
Schraub S, Marx E. [Burn out syndrome in oncology]. Bull Cancer. 2004;91(9):673‐676.
Negueu AB, Cumber SN, Donatus L, et al. Burnout chez les professionnels soignants de l'Hôpital Central de Yaoundé. Pan African Med J. 2019;34:126.
Park SA, Ahn SH. Relation of compassionate competence to burnout, job stress, turnover intention, job satisfaction and organizational commitment for oncology nurses in Korea. Asian Pacific J Cancer Prevent. 2015;16(13):5463‐5469.
Perry B, Toffner G, Merrick T, Dalton J. An exploration of the experience of compassion fatigue in clinical oncology nurses. Can Oncol Nurs J. 2011;21(2):91‐97.
Wu S, Singh‐Carlson S, Odell A, Reynolds G, Su Y. Compassion fatigue, burnout, and compassion satisfaction among oncology nurses in the United States and Canada. Oncol Nurs Forum. 2016;43(4):E161‐E169.
Bailey JT. Stress and stress management: an overview. J Nurs Educ. 1980;19(6):5‐7.
Ahola K, Honkonen T, Isometsä E, et al. Burnout in the general population: results from the Finnish Health 2000 Study. Soc Psychiatry Psychiatr Epidemiol. 2006;41(1):11‐17.
Gómez‐Urquiza J, Aneas‐López A, Fuente‐Solana E, Albendín‐García L, Díaz‐Rodríguez L, Fuente G. Prevalence, risk factors, and levels of burnout among oncology nurses: a systematic review. Oncol Nurs Forum. 2016;43(3):E104‐E120.
Alacacioglu A, Yavuzsen T, Dirioz M, Oztop I, Yilmaz U. Burnout in nurses and physicians working at an oncology department. Psycho‐Oncology. 2009;18(5):543‐548.
Demirci S, Yildirim YK, Ozsaran Z, Uslu R, Yalman D, Aras AB. Evaluation of burnout syndrome in oncology employees. Med Oncol. 2010;27(3):968‐974.
Maslach C, Jackson SE. The role of sex and family variables in burnout. Sex Roles. 1985;12:837‐851. http://deepblue.lib.umich.edu/handle/2027.42/45574
Quattrin R. Level of burnout among nurses working in oncology in an Italian region. Oncol Nurs Forum. 2007;33(4):815‐820.
Gribben L, Semple CJ. Factors contributing to burnout and work‐life balance in adult oncology nursing: an integrative review. Eur J Oncol Nurs. 2021;50:101887.
Bressi C, Manenti S, Porcellana M, et al. Haemato‐oncology and burnout: an Italian survey. Br J Cancer. 2008;98(6):1046‐1052.
Gribben L, Semple CJ. Prevalence and predictors of burnout and work‐life balance within the haematology cancer nursing workforce. Eur J Oncol Nurs. 2021;52:101973.
Taleghani F, Ashouri E, Saburi M. Empathy, burnout, demographic variables and their relationships in oncology nurses. Iran J Nurs Midwifery Res. 2017;22(1):41‐45.
Yu H, Jiang A, Shen J. Prevalence and predictors of compassion fatigue, burnout and compassion satisfaction among oncology nurses: a cross‐sectional survey. Int J Nurs Stud. 2016;57:28‐38.
Ko W, Kiser‐Larson N. Stress levels of nurses in oncology outpatient units. Clin J Oncol Nurs. 2016;20(2):158‐164.
De la Fuente‐Solana EI, Gómez‐Urquiza JL, Cañadas GR, Albendín‐García L, Ortega‐Campos E, Cañadas‐De la Fuente GA. Burnout and its relationship with personality factors in oncology nurses. Eur J Oncol Nurs. 2017;30:91‐96.
Morris SE, Tarquini SJ, Yusufov M, et al. Burnout in psychosocial oncology clinicians: a systematic review. Palliat Support Care. 2021;19(2):223‐234.
Machavoine JL. L'épuisement professionnel des médecins et des soignants en cancérologie: approche psychodynamique et institutionnelle. Psycho‐Oncologie. 2015;9(1):9‐13.
Schaufeli WB, Desart S, De Witte H. Burnout Assessment Tool (BAT)—Development, validity, and reliability. Int J Environ Res Public Health. 2020;17(24):9495.

Auteurs

Ines Zemni (I)

Department of Surgical Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
Laboratory of Microorganisms and active Bio-molecules (LR03ES03), Faculty of Sciences of Tunis, University of Tunis El Manar, Tunis, Tunisia.

Houyem Mansouri (H)

Department of Surgical Oncology, Regional hospital of Jendouba, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.

Fethia Abidi (F)

Department of Radiology, Salah Azaiez Institute, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.

Mohamed Ali Ayadi (MA)

Department of Surgical Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.
Laboratory of Microorganisms and active Bio-molecules (LR03ES03), Faculty of Sciences of Tunis, University of Tunis El Manar, Tunis, Tunisia.

Yosra Yahyaoui (Y)

Department of Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.

Tarek Ben Dhiab (T)

Department of Surgical Oncology, Salah Azaiez Institute, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.

Classifications MeSH